Few visitors to the Socialist Courier blog will need to be told of the great frequency and seriousness of mental and emotional disturbances which afflict large masses of the working population, including not only those who receive psychiatric treatment but also the members of the families living in the same household.
Marxists approach the topic of illness as a whole in society, rather than dividing it along the traditional line between body and soul. It means recognising the unity of the physical and mental sides of a person, and talking about whole ranges of different types of ‘illness’ which may be neither particularly physical nor psychological. This approach would reveals how mental and physical health stems more from the economic demands of the system of production. Mental illness is always a sign that basic human needs are not being satisfied; that there is a lack of love, a lack of reason for being, a lack of justice; that something important is missing and, because of this, pathological trends are developing.
For a long time, the hell of mental illness was regarded as arising primarily from an ‘illness’ at all but seen as caused by “moral weakness” The stigma of mental illness still operates very powerfully, even in these allegedly enlightened days. Mental stress and breakdown, whether psychiatrically treated or not, is one of the most grievous hidden costs of life in this type of society. There is no way of gauging how many thousands of individuals have the lives poisoned or wrecked in the secrecy of their own dwelling, while maintaining an apparently cheerful public ‘front’ outside the home.
The care and treatment of mentally ill persons has undergone a revolution. The Victorian lunatic asylums have disappeared. The concept of the voluntary patient has replaced it. Only those who are so disturbed to be a danger to themselves or others are sectioned and hospitalised compulsory and only the criminal insane are detained in a non-hospital environment.
Some radical commentators have claimed that since life in our society is repressive and exploiting, mental illness is one more form of protest which deserves our sympathy and solidarity. And the psychiatric treatment of mental illness is seen as a part, perhaps an essential part, of the brainwashing, head-fixing, mind-dulling apparatus of modern capitalism. This message is in many respects true but not wholly true and leads to the conclusion that if there is no such thing as mental illness, we can have no use for the idea of mental health. We can therefore make no demands on the system to provide better facilities, material and personnel, for the treatment of the mentally ill, no need for arguing for a greatly improved psychiatric service within the NHS or demand more and better mental hospitals and clinics, more and better doctors and nurses. The burden of mental illness is thrown back on to the working class, to be dealt with in the isolated, behind the walls of the home-situation.
The working class and socialist movement must make it clear that society as a whole must accept responsibility for the care of the mentally ill – not on the cheap, by impersonal mass-produced treatment in overcrowded hospitals, but as expertly as we would wish to be treated ourselves. There is nothing shameful about seeking medical help during a time of emotional distress. Sadly the existing NHS facilities can only discourage and frighten them. We know, (still need to be told), that many mental hospitals are bad, that many psychiatrists are incompetent (and reactionary). The same, of course, applies to hospitals, doctors and nurses dealing with physical medicine, only nobody thinks of using this to attack the very existence of public amenities for treating physical illnesses.
Erich Fromm wrote “If parents really wish that their children be not only successful but also to be mentally healthy, they must consider as essential those norms and values that lead to mental health and not only those that lead to success.”
Helen Caldecott winner of the Nobel Peace Prize and a world renowned campaigner against nuclear weapons says that our species is “mentally sick… The whole society is sick”. We are in the grip of a death wish. She points out that 1 in 25 people are sociopaths with “no moral conscience” and these are the people who rise to the top; who are in charge.
Sociopaths and psychopaths are characterised by their lack of empathy; the ability to experience the feelings and emotions of others. Guilt and remorse are a foreign to politicians (Blair is a prime example). Those character types are both irresponsible and have an overblown sense of entitlement. Nothing is ever their fault. All these are traits which we can readily recognise among the power elites of our mad world such as in banking, with the expectation of bail-outs at the expense of the poor and vulnerable. More than 10 million people across the US have been evicted from their homes in the last six years, foreclosed on by the banks.
We all know, scum rises to the top. We all know that bosses are like smoking dope - the more you suck the higher you get. Psychologist Robert Hare, a researcher on corporate psychopaths puts the numbers between 3 and 12 percent of managers.
There are seventeen thousand nuclear weapons in existence; enough to incinerate everyone on the planet many times over as well as destroying most of the other nine million species we share the planet with. Is this sane? Nevertheless, Obama has recently allotted $537 million to upgrade 180 aging nuclear bombs to make them more accurate! Each bomb can destroy a major city the size of London or New York. Is this sane? Each year, around $45-60 billion worth of arms sales are traded. The 5 permanent members of the UN Security Council (US, Russia, France, United Kingdom and China), together with Germany and Italy, account for around 85% of the arms sold between 2004 and 20115 and most arms sales (something like 75%) are to developing countries. It is justified by saying if we didn’t do it someone else would. Is this sane? Global military spending is over $1.7 trillion dollars mostly by powers purported to be peace-loving and law-abiding. Despite hundreds of years of experience to the contrary, political leaders still behave as though the best way of solving a dispute is invasion. Making war to stop war is like pouring petrol on fires to put them out. Is this sane?
Contamination from a single failure at Chernobyl spread right across Europe. 27 years later at Fukushima three complete meltdowns of reactor cores have been emitting radioactive material for over two years and nobody knows how to stop it. Capitalism is refusing to abandon a technology which can, through a single accident, pollute countries and continents. Is this sane? Kyoto, the only international binding treaty on emissions cuts, has failed to slow global carbon emissions. The extreme weather of recent years, which has caused countless deaths is believed, by most meteorologists and climate scientists to be an indicator of what is to come from climate change. Excessive increase in global temperature will result in famine, floods, water shortages, large population movements, and land and resource wars. Yet there is a lack of political will to implement policies in governments, their state of denial and lack of urgency encouraged by powerful economic interests. Is this sane?
Capitalism is insane.
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