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Denninmi

(6,581 posts)
Sun Jan 27, 2013, 04:30 AM Jan 2013

"Successful and Schizophrenic" Hate to challenge the conventional viewpoint, but ...

... it seems that many of us with mental health issues are perfectly capable of having actual lives after all. We're not all Adam Lanzas in waiting, despite what some have said.

I personally was never told that I had any limitations on what I want to do with the rest of my life by any mental health professional, only by a few lay persons whose advice was worth what I paid for it, and whose advice I generally got without wanting it.

The problem with prejudging anyone lies in the fact that they have a propensity to prove you wrong.

I hope that examples such as this one help to dispel the myth that a serious mental health diagnosis is an automatic one way ticket to the bottom of the socioeconomic heap. As with Downs Syndrome and Autism, I would like to think that both mental health professionals and the general public will change their thinking about what is actually possible.

By ELYN R. SAKS
Published: January 25, 2013

THIRTY years ago, I was given a diagnosis of schizophrenia. My prognosis was “grave”: I would never live independently, hold a job, find a loving partner, get married. My home would be a board-and-care facility, my days spent watching TV in a day room with other people debilitated by mental illness. I would work at menial jobs when my symptoms were quiet. Following my last psychiatric hospitalization at the age of 28, I was encouraged by a doctor to work as a cashier making change. If I could handle that, I was told, we would reassess my ability to hold a more demanding position, perhaps even something full-time.

Then I made a decision. I would write the narrative of my life. Today I am a chaired professor at the University of Southern California Gould School of Law. I have an adjunct appointment in the department of psychiatry at the medical school of the University of California, San Diego, and am on the faculty of the New Center for Psychoanalysis. The MacArthur Foundation gave me a genius grant.

Although I fought my diagnosis for many years, I came to accept that I have schizophrenia and will be in treatment the rest of my life. Indeed, excellent psychoanalytic treatment and medication have been critical to my success. What I refused to accept was my prognosis.


Specifically in terms of possible achievement in life, though, I have witnessed even some mental health professionals have a condescending attitude or an air of inevitability of failure when discussing future potential with patients. Including myself. While, as I said above, I was never told that I had to expect any kind of limitations on what I want to do with my life, I have been warned, or, perhaps reminded is a better term, that I have what is possibly a degenerative neurological condition .... oh, joy. But, I can't live my life in fear of "what if", I will deal with it if and when it happens.

THAT is why it is so distressing when doctors tell their patients not to expect or pursue fulfilling careers. Far too often, the conventional psychiatric approach to mental illness is to see clusters of symptoms that characterize people. Accordingly, many psychiatrists hold the view that treating symptoms with medication is treating mental illness. But this fails to take into account individuals’ strengths and capabilities, leading mental health professionals to underestimate what their patients can hope to achieve in the world.

http://www.nytimes.com/2013/01/27/opinion/sunday/schizophrenic-not-stupid.html?_r=1&

I had to work hard to dispel these myths and fight my deep fears about what my diagnosis of bipolar II would mean for my future, and I'm not entirely there yet, I still have times when I fear that I may end up in such a not-so-nice place, digging my dinner out of dumpsters. Pretty much a completely irrational fear, but I admit it pops up, based on the common stereotype of the homeless mentally ill man drifting past the edge of any social safety net. I guess that is something anyone in my position should fear, and should actively work to avoid as a future. My personal goal to avoid such a fate is to continue to accumulate real-world job skills and credentials. I currently have two bacherlor's degrees, but I would like to enroll, roughly a year from now, in a masters degree program in my current field, paralegal studies/legal administration. Better goal to strive for than collecting enough cardboard to make a lean-to shelter in some Detroit alley.

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"Successful and Schizophrenic" Hate to challenge the conventional viewpoint, but ... (Original Post) Denninmi Jan 2013 OP
Why are so many of your posts a back handed slap at the poor? Fumesucker Jan 2013 #1
Actually, that's a good question. Denninmi Jan 2013 #2
I rewrote that post several times before I got my own emotions out of it enough to put it up Fumesucker Jan 2013 #3
Well, thanks for being understanding with me. Denninmi Jan 2013 #4
here's a film you might be interested in: it's a documentary about the same topic -- the claim HiPointDem Jan 2013 #5
Interesting and informative topic tavalon Jan 2013 #6
K&R Jamastiene Jan 2013 #7

Fumesucker

(45,851 posts)
1. Why are so many of your posts a back handed slap at the poor?
Sun Jan 27, 2013, 04:53 AM
Jan 2013

You can be perfectly sane and have a great track record in today's society and still end up having to collect enough cardboard to make a lean to.

As long as your self worth is all wrapped up with how much money you make then you can lose that self worth in a very short period of time.








Denninmi

(6,581 posts)
2. Actually, that's a good question.
Sun Jan 27, 2013, 05:13 AM
Jan 2013

I wish I had a good answer for you. The closest I can come is that a deep personal fear is loss of my "safety net" such as it is, even though my personal safety net comes with a tremendous number of strings attached, and they never let me forget that fact, or that I am such a disappointment to them.

Look, I'm sorry if you keep finding this theme in what I post -- I guess I'm not aware of it very much, not to the extent I should be anyway. So, I'll make a real effort in the future to try to tone it down and be mindful of what I write. If I keep slipping up, don't be afraid to call me on it. Others have, and it helps.

I'm really trying to be a better man than I was, because the old model 1.0 had some serious design flaws.

Fumesucker

(45,851 posts)
3. I rewrote that post several times before I got my own emotions out of it enough to put it up
Sun Jan 27, 2013, 05:39 AM
Jan 2013

Reading your posts is hard for me because you are where I was, it was ten years ago this year that the wheels came off my life thanks to mental illness and the economy being stagnant, it's been a long struggle back and I'll never be where I was.

I'm trying to give you the benefit of my hindsight, if you make your self worth dependent on anything external to yourself then it can be taken away faster than you could possibly believe until it happens to you. I lost every single thing that I thought defined who I was, it's a transformational experience on the level of doing some really bad psychedelic drug, not one I'd recommend.

In the wink of a young girl's eye indeed.







Denninmi

(6,581 posts)
4. Well, thanks for being understanding with me.
Sun Jan 27, 2013, 06:01 AM
Jan 2013

I'm really NOT trying to be an ass, all around ... well, maybe with the pro-gun/crucify the mentally ill crowd, but that seems to have thinned out on DU over the past couple of weeks.

I really DO appreciate your honesty, and like I said, if I fuck up, let me know.

 

HiPointDem

(20,729 posts)
5. here's a film you might be interested in: it's a documentary about the same topic -- the claim
Sun Jan 27, 2013, 06:19 AM
Jan 2013

that mental illness is a life-long disease that you can't recover from.

it has some interviews with people who did recover, including the author of 'i never promised you a rose garden,' who became a college professor and fiction writer.

tavalon

(27,985 posts)
6. Interesting and informative topic
Sun Jan 27, 2013, 07:25 AM
Jan 2013

and I wanted to give Kudos to you and Fumesucker. Would that more disagreements on DU were about hearing one another instead of scoring points on one another. That was a real honest interaction you two had and I feel honored to have read it.

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