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Stigma a Hurdle to Treatment
for Mental Illness
by Dyana Z. Furmansky
Source:
Rocky Mountain News, June 4, 2006,
http://www.rockymountainnews.com/drmn/speak_out/article/0,2777,DRMN_23970_4746349,00.html
These
days, no class of disease has as much social stigma attached to it as
does mental illness. You can tell someone, even a stranger, that you have
AIDS or breast cancer and receive encouragement, commiseration and
life-saving treatment. But you might hide your depression. And if you or
your friend or your sister or your husband or your son talk openly about
a bipolar disorder, you risk losing your job, your family, your health
insurance, and the goodwill others feel toward you at a time when you
need these affirmations the most.
We all thoughtlessly dismiss people who are "crazy" or
"nuts," employing demeaning vocabulary that allows us to reject
a vast segment of humanity.
The pattern of categorization and isolation is an old one; it surfaced in
the institutionalized prejudice toward previous groups that were
demonized because they were gay. Or female. Or Jewish. Or black. Or
disabled. Today, the people treated dismissively because of their mental
illness are the ones on the front line in the ongoing fight to extend
civil rights to all.
Why are we so hard on the mentally ill? Perhaps because mental illness
seems so avoidable - to those who don't suffer from it. Or perhaps
because its boundaries are unclear; a loved one's cancer does not infect
us with cancer. Another's emotional suffering, however, often becomes our
own.
But to a greater extent, the stigma attached to many mental illnesses
arises from the widely held conviction that they are hopeless. A
diagnosis sounds like a death sentence. Indeed, it can literally become
one if the person in unbearable pain takes his own life. It can remain
one figuratively if the person is driven from her place in her world by
the shame or scorn we heap on her.
We should realize that a diagnosis of a mental condition - as of a heart
condition or of cancer - is the first step on the path to treatment.
Treatment leads, in more cases than is realized, to remission, enabling a
person to work and conduct meaningful personal relationships. It can lead
to cures, too. According to data provided by the Mental Health
Association of Colorado, panic and bipolar disorders show a treatment success
rate of 80 percent.
Schizophrenia
and obsessive-compulsive disorders have a treatment success rate of 60
percent.
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