I wrote a little bit about stigma in yesterday's post. Even today, there is still so much ignorance and even discrimination when it comes to mental health. Often, people who are suffering from mental illness know so little about their condition that they don't seek or receive the treatment which they need. The stigma may become shame when it is internalized by someone who is mentally ill. Shame to seek treatment, shame to discuss their illness with others, shame to even admit to themselves that there is a problem.
Aaron Moore is a licensed mental health counselor and co-founder of Solace Counseling in Orlando. He recently wrote an article entitled "Challenging Stigma" for the website To Write Love on Her Arms. What he has to say expresses my thoughts much more eloquently than I could, so I decided to share it here. I think he is right on the mark when he says, "The more we walk through our struggles in silence, the more we deprive others of the benefit of knowing they are not alone." If we were to remove the stigma of depression and mental illness and help prevent people from taking their own lives, those who are struggling should feel comfortable in sharing their stories and those who love and support them should be prepared and willing to listen.
Please read on for the entire article from Mr. Moore:
If TWLOHA [To Write Love On Her Arms] were to update a status for this week, it would read that we feel “hopeful.” Much preparation has gone into 2013’s National Suicide Prevention Week, as it is a unique opportunity to address a topic so often neglected in our world. This week never ceases to be something beautiful, a chance to fight for the lives of loved ones, strangers, maybe even ourselves. At the same time, however, this week can feel like a necessary evil for many of us. It may remind us of those we’ve lost or of our own struggles. In this way, National Suicide Prevention Week is something we wish we did not need, but sadly, we have great reason to engage in. Which is why many organizations and groups are using this time to focus on the stigma and shame that keep these important conversations from happening.
We have said in the past that we know stigma is built on lies. It is founded and fed by the myths we believe about mental health issues and about those who struggle with them. Perhaps it is the lie that suicide only affects people who are “messed up,” the idea that depression only reaches those who are weak, or even the belief that if we share our struggles with someone, they will not understand or care. But the more we learn the truth about these difficult topics, the more we can bring it into the light and move toward healing and recovery, as well as the work of prevention. We have to learn that issues like depression, addiction, and suicide are not partial to weak people, but are struggles any of us may walk through, simply because we are human. We have to continue to filter the lies and myths about mental illness out of our society, replacing them with facts. This will go an incredibly long way toward eradicating the stigma that is still so prevalent.
But just knowing the truth is not enough. While stigma may be founded on lies, it is also built within a social context, woven throughout the intricate fabric of our relationships. It is within our society and culture that the effects of stigma are felt. These effects range from the silence and shame surrounding mental health issues to the oppressive attitudes toward those struggling, even influencing the way treatment options such as therapy and medication are viewed. The powerful stigma attached to mental health communicates an illusion of separation between those who struggle and those who don't—a false dichotomy between the healthy and the sick. The damage this creates extends across our society and into each of our lives and relationships.
As we work to reduce the stigma attached to mental health, we can learn much from the fight against the stigma connected with HIV. One main way it was reduced was through learning the truth about HIV—how it was transmitted, who had it, what treatment looked like, and more. This knowledge went far in combating some vicious lies that hurt so many in our society. But some research pointed to yet another component that proved powerful in greatly reducing stigma toward HIV: individuals who had a friendship or relationship with someone who was HIV-positive. Those with a personal connection to someone with HIV were drastically less likely to have a stigmatized, discriminating response.
What does this mean for us? It means we need each other. We need relationships and community around us. It means we have to continue listening to each other’s stories, and we must continue sharing our own. We need to know each other’s accounts of suffering, as well as our experiences of healing and recovery.
Thomas Joiner, one of the foremost researchers in the subject of suicide, has found that one of the most common thoughts present in those who are suicidal is the idea of being a burden on others. A second was that of being "hopelessly alienated, cut off and isolated from others”—a feeling of not belonging. Both of these speak to the power of our relationships and communities, whether or not we realize it.
The more we walk through our struggles in silence, the more we deprive others of the benefit of knowing they are not alone. Knowing the truth about the issues is vital, but we can get it from a textbook or Google in just a moment. Unless it is connected with real people, it lacks the power needed to combat stigma. We have to move beyond an awareness of the issues and become truly aware of each other.
Real relationships are the true antidote to the separation that stigma breeds between “healthy” and “sick.” Relationships require us to see the real person who is suffering, struggling, recovering, and healing. They are the place in which we find hope and encouragement to keep fighting, and the place where lies are defeated with truth and compassion. This is the path toward hope and healing—for ourselves and each other—and ultimately, toward a society where stigma, shame, and suicide are struggles of the past.
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