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Wendell Berry on consumerism…

consumerism2

Over the last few weeks and months we have been doing some work on our house. This has involved countless trips to IKEA, B and Q and the like – all at a time when I have resolved to consume less, to make more with my own hands, to produce more of my own food and to live more simply. All those middle class contradictions are getting to me again- particularly when in the middle of it all I read this;

…Even in the much-publicized rebellion of the young against the materialism of the affluent society, the consumer mentality is too often still intact: the standards of behavior are still those of kind and quantity, the security sought is still the security of numbers, and the chief motive is still the consumer’s anxiety that he is missing out on what is “in.”

In this state of total consumerism – which is to say a state of helpless dependence on things and services and ideas and motives that we have forgotten how to provide ourselves – all meaningful contact between ourselves and the earth is broken.

We do not understand the earth in terms either of what it offers us or of what it requires of us, and I think it is the rule that people inevitably destroy what they do not understand.”
― Wendell BerryThe Art of the Commonplace: The Agrarian Essays

Ouch- I thought as I gathered up the cardboard wrappings of yet another flat packed piece of furniture.

All this stuff we accumulate as we go through life- endless cycles of gathering and clearing out. Journalist Mark Hudson proposed four stages in our relationship with stuff;

  1. Wanting it all- life is about seeing stuff, wanting it, collecting it, playing with it, wanting the stuff other people have that is better than ours.
  2. Getting rid of it all- As we head out into the world, we no longer need all those treasures of our childhood- we put it in bags, lofts and dustbins. Experiences become more important
  3. Buying it all back again- We crave the stuff we used to have, and the feeling of security, pleasure and fulfilment we get from surrounding ourselves with walls of stuff.
  4. Getting rid of it all again. As we get older, we become more discerning about the stuff we want to hold on to. And we begin to worry about all the sorting out our kids will have to do.

Standing in the middle of my freshly made room, I find myself asking again how on earth can we do it differently- how can we make a better way of being? Is it really possible to exist within this consumer driven culture of ours and not to be consumed by consuming?

Time for another quote;

“We have to create culture! Don’t watch TV, don’t read magazines, don’t even listen to NPR.

Create your own road show  The nexus of space and time where you are now is the most immediate sector of your universe, and if you’re worrying about Michael Jackson or Bill Clinton or somebody else, then you are disempowered, you’re giving it all away to icons, icons which are maintained by an electronic media so that you want to dress like X or have lips like Y.

This is shit-brained, this kind of thinking. That is all cultural diversion, and what is real is you and your friends and your associations, your highs, your orgasms, your hopes, your plans, your fears. And we are told ‘no’, we’re unimportant, we’re peripheral. ‘Get a degree, get a job, get a this, get a that.’

And then you’re a player, you don’t want to even play in that game. You want to reclaim your mind and get it out of the hands of the cultural engineers who want to turn you into a half-baked moron consuming all this trash that’s being manufactured out of the bones of a dying world.”
Terence McKenna

I don’t know much about this bloke- I think he was a bit of a Hippie ‘herbalist’, but I find myself in (albeit passive) agreement.

Many of us are longing for life that does not conform to the same tired, self destructive, addictive patterns. Perhaps this year is going to be our year of new beginning.

Let the wild rumpus begin…

Kanyini…

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Back in 2008 I watched a film made with Australian Aboriginal rights campaigner/author/country singer Bob Randall, called Kanyini.  It was one of those films that lodges in your mind- so much so that recently I tried to find a copy of the film- and there it was, courtesy of youtube. Grab yourself a coffee, pull up a chair, and click here;

Kanyini

Bob Randall who grew up as an aboriginal boy on the outskirts of a cattle station in central Australia. His father was a farmer of Scottish extraction, but appears to have had no concern for him at all. Like 50,000 other black kids of mixed race (between 1910 and 1970) he was forcibly removed from his mother, and sent to school hundreds of miles from home. He whad to learn the rules of white culture- the clothes, the way of life, the religion.

To be a native Australian in modern times is to be part of a community with huge problems- health, crime, substance misuse, soaring suicide rates. It is a community living in the shadows of the sky scrapers of new Australia but also in the shadow of genocide in which everything and almost everyone who was part of the oldest culture has been all but destroyed. It is also the story of a Diaspora of westerners (particularly Celts from Ireland and Scotland) often still under the shadow of their own experience of oppression and injustice, who become in turn the oppressors, murderers and rapists of a whole culture.

It is their story, but it is also ours. It is the story of what happens when we become disconnected from who we are- when we lose our connection to one another, from our culture, our place, and the land that we walk on.

Bob Randall describes his culture as one in which people are intrinsically connected to land- where birds, trees, all living things are family. The proof of this connection is that we too are ‘alive.’ Because everything is connected, everything is OURS, not MINE. Everything is already created in a perfect state and our job is simply to become fully part of it.

These were beautiful people, because they lived in a beautiful way.

Bob’s concept of Kanyini  (meaning ‘one-ness, or connectedness) has four components;

  • Belief system
  • Spirituality
  • Land
  • Family

The four strands seem as relevant this side of the planet as they do on his- life for the people in this film started to unravel as they lost connection with the things above- might the same be true for us? Are we too not in danger of increasing disconnection from each on of Bob’s four components- even if by our own choice rather than the intervention of an invader?

One of my friends recently described postmodern culture as excarnate. By this he meant that we have come to disembody our experiences more often than not. We live via a screen- in terms of our interactions with people, with nature, with sexuality. His view was that we needed to take stock of where we are, and were we are going.

Nothing does this more readily than immersion in wilderness…

 

Celebrating Christmas…

It is coming. Christmas is hard to miss after all- our TV screens, magazines and on line portals have been full of it for weeks already. All the marketing hype might turn us all cynical, but for many of us there is still something at the heart of the season worth celebrating- whatever religious perspective we may hold.

The Dickensian ideal of turning away from naked profiteering capitalism towards the simple things – family, philanthropy and the smiling face of Tiny Tim – has become so integral to our idea of Christmas that it impossible to imagine any celebration of Christmas but through this Victorian stained glass lens. We start to measure all our Decembers against this Platonic ideal state.

And there is the rub because there is this other experience of Christmas that most of us are also familiar with which involves huge stress, pressure and potential debt. Christmas hype places a burden on us that is almost impossible to resist. People who are on their own or struggling with poor mental health or a low income are particularly vulnerable ( check out the Mind campaign.)

Most of us have seen the Asda advert which highlights the burden on women. A charity called Alternativity have been running a campaign to change our views of Christmas. Development worker Margaret Paul was quoted as saying this-

We know that our communities women bear the main burden of Christmas and what should be a happy time can be very stressfull, especially where money is concerned. 

Some women see Christmas as a chance to make things up to their children because they live in poverty all year round.

All this means that people are starting to push back and start to reform our collective celebrations of Christmas. This seems to reveal itself in a confused duality in most of the media outlets; alongside the expensive perfume and tablet PC adverts are articles inviting us to simplify, to spend less, to make gifts and to focus on family and friends.

Despite the confusion, Christmas still contains within it something that feels important; something that allows us to celebrate aspects of who we are, what we want to be, as well as reaching out to others as we do so. The question is rather about how we do this. So in conversations with friends over the last few weeks, I often hear people describing interesting ways to celebrate Christmas. Some have arranged gatherings of friends, at which they exchange ‘Secret Santa’ presents (each person supplying just one anonymous gift.) Another friend describes how his family have agreed to only by presents of less than £5 for each other, from charity shops. They know they are likely to get tat (but sometimes will be surprised by treasure) and they will be supporting charitable causes in the process.

There are some more organised campaigns out there encouraging us to think again;

Buy Nothing Christmas takes a radical approach from a churchy perspective.

Then there is the wonderfully irreverent Reverend Billy, and his ‘Church of Not Shopping’. Great fun- check it out and laugh out loud. You should also take a look at his ‘Choir raid’ on the Mall of America.

Lots of Charities now offer ways of giving to others whilst at the same time as giving to those in need. It started out with Oxfam, with their ‘Oxfam Unwrapped‘  range. I have several Donkeys, some chickens and the odd medical person wandering around Africa in my name.  They are becoming more creative in the gifts options.

You can also twin your toilet to enable the building of local community facilities elsewhere.

However you spend your Christmas, may you celebrate richly, and experience deeply.

 

The “Second Environmental Crisis”…

There was a great article by George Monbiot in the Guardian newspaper on Monday, discussing a theme previously discussed here, that of the relationship of our children and young people to wild places.

Monbiot sets his discussion in the context of PriceWaterhouseCooper’s prediction that even if we halve the worlds carbon emissions, the temperature rise over the next century is still likely to be around 6 degrees. This he regards as the first environmental crisis- but as for the second one;

We don’t have to disparage the indoor world, which has its own rich ecosystem, to lament children’s disconnection from the outdoor world. But the experiences the two spheres offer are entirely different. There is no substitute for what takes place outdoors; not least because the greatest joys of nature are unscripted. The thought that most of our children will never swim among phosphorescent plankton at night, will never be startled by a salmon leaping, a dolphin breaching, the stoop of a peregrine, or the rustle of a grass snake is almost as sad as the thought that their children might not have the opportunity.

Monbiot believes that his first and second environmental crises are linked- why else would we not be protesting on the streets? This logic is compelling, if not conclusive. Again, he quotes research by Luov;

Since the 1970s the area in which children may roam without supervision has decreased by almost 90%. In one generation the proportion of children regularly playing in wild places in the UK has fallen from more than half to fewer than one in 10. In the US, in just six years (1997-2003) children with particular outdoor hobbies fell by half. Eleven- to 15-year-olds in Britain now spend, on average, half their waking day in front of a screen.

Th causes of this decline in children adventuring into wild places are many and complex- the growth of the indoor entertainment industry with all its addictive qualities, the marketing of technology with in built obsolescence to children, and the increasing perception of the dangerousness of the outdoors.

How might we combat these things? Most of the people I know who are active in wild places got the habit early. They were dragged there, sometimes protesting, but something of the experience was internalised and carried forward.

In a study entitled Agricultural Literacy, giving concrete children food for thought  Dr Aric Sigman considers the positive affect of wild places on kids brought up in cities;

  • Children with symptoms of Attention Deficit Hyperactivity Disorder (ADHD) are better able to concentrate after contact with nature (Taylor et al. 2001).
  • Children with views of and contact with nature score higher on tests of concentration and self-discipline. The greener, the better the scores (Wells 2000, Taylor et al. 2002).
  • Exposure to natural environments improves children’s cognitive development by improving their awareness, reasoning and observational skills (Pyle 2002).
  • Results for schools with outdoor education programs show better performance on standardised measures of academic achievement in reading, writing, maths, science and social studies. Classroom behaviour showed improvements as well (Lieberman & Hoody, 1998).
  • A study of 120,000 children has found that gardening increases their self-esteem and reduces the degree of stress they experience (Waliczek, et al. 2000).
  • Nature buffers the impact of life’s stresses on children and helps them deal with adversity. The greater the amount of nature exposure, the greater the benefits (Wells & Evans 2003).

How the natural world can have this effect on us has been the cause of much speculation. Sigman again;

The explanations seem to revolve around the way countryside greenery effortlessly engages a child’s attention, allowing them to attend without paying attention. This is profoundly different to the arresting effect of for example, television on a child’s attention. One theory is referred to as ‘Attentional Restoration Theory’ whereby certain activities cause a temporary ‘attention fatigue’ which is corrected when a child’s underlying attention system has an opportunity to rest. And natural green environments help in recovery from this attention fatigue, in part because they engage a child’s mind effortlessly.

So, the sense of rejuvenation we often experience after spending time in the countryside may in part reflect a ‘recharging’ of some parts of our attentional system. It’s as if modern electronic media, with its compelling images and fast editing, arrests our attention while the rural environment disengages or liberates it. The countryside offers a child ‘soft fascination’ – holding their attention but leaving us ample opportunity to think about other things.

For the sake of our children, and the environment that their children inherit, let us hope that this kind of soft fascination may increase.

 

Coaching in wild places…

Life coaching has moved outdoors. Or at least Argyll based coach Nick Smith has taken it there. For Nick, wilderness is not just a pretty office- it is a dynamic psychoactive experience all on its own. What he has discovered is that by conducting coaching conversations in wild places, people are open to possibilities in new ways. Nick combines his experience as an outdoor instructor, life coach and business consultant in a business called Square Pegs Coaching, and I asked him some questions about how he used wilderness as a therapeutic tool. Firstly I asked him to describe his journey into his current business;

Following a short career in engineering and IT, I retrained as a youth worker and focussed on being outdoors, using wild environments to help people step away from ‘normal’ life and look at themselves. I subsequently left full-time outdoor work and got into more training and coaching but quickly realised that not only was I not cut-out for an indoor life but that there were many other people in the world who felt the same way. I now use a mix of environments, both indoor and outdoor in order to facilitate the training and development work that I am involved with. Personal development courses in leadership or team building subjects will have elements of outdoor work and I aim to do as much of my life coaching outdoors as possible.

Next I asked Nick why he wanted to site his activities in wild places- what is special about coaching outdoors?

Going to wild places helps us to cut off completely from the reality and busyness of everyday life, allowing us to immerse ourselves in a place without any distractions that relate to normality. We can choose to survey the surroundings or not. We can interact with the environment around us but there is no requirement to, no phones ringing or email to be checked. Time slows down and reflection sets in. This then provides the perfect environment for people to consider their lives and how to improve it. Coupled with that, with so many scenes of natural beauty to look at, it is quite acceptable to be talking and looking around – for people who find it hard to sit face to face and talk, this is the ideal excuse to never have to; walking side by side, admiring the view and yet still talking in depth.

I asked him to describe this process in action;

The wild places I pick for individual coaching tend to be picked for their proximity to travel options if it is a standalone session. Generally though I will try to pick somewhere with an elevated open aspect to allow us to gaze at the view, getting a long distance vision, providing a metaphor for the future they are looking to create. As well as that though, it tends to be the point where people realise why they decided to be coached outdoors – it makes it worthwhile for them and often is the point where you see visible signs of further relaxation. The coaching session / leisure time boundary is at its thinnest here. Group sessions will often be located in a place good for specific activities but again there usually comes a point of realisation that the surroundings are beautiful and special. This can bring on a great sense of connectedness with the universe as a whole and in one case specifically brought hope that there was a point to it all and a happiness appeared to ensue from that point on. People react differently to the natural environments that I use but all in a positive manner that brings with it an attitude that is more helpful for the coaching process

Finally I asked him where he saw his practice developing towards;

I plan to continue to use wild places for coaching people, possibly building in more metaphors that can be useful for them. Whilst I always want to be free to use convenient places,  I’m constantly looking for new places to journey with people which can provide more useful experiences for them in terms of relating it to everyday life.

If you are interested in finding out more about what Nick has to offer to both individuals and groups,  check out his website.

Peregrinatio…

Following on from my previous post about the psychological impact of wilderness, here is a bit of a case study of my own experience of  escaping to the wild…

For a number of years, along with some friends, I have been setting aside some time each year to make journeys to hard-to-reach places to find some real isolation and immersion in wilderness.

Sure, we all take trips into wild places – camping, walking, climbing, canoeing- but the annual trips that we have come to call ‘wilderness retreats’ are different. They are less about leisure and more about stillness. Less about exercise, more about immersion. Less about reaching the mountaintops, more about taking the wilderness inside us somehow. I suppose you could say that most trips into wilderness might achieve this in part- but we were interested in being more intentional, more deliberate. It has become a part of the ritual of our year.

For us, there is a holistic nature to these experiences- in terms of the body mind and spirit. I live in Argyll, out on the west coast of Scotland, and there is a long tradition of pilgrimage and retreat in these parts. The islands in particular are marked everywhere by places made special by the Celtic missionary saints, and it is to these places that we often go.

This usually involves a boat charter to drop us off for a few nights to make a camp in a nook that offers some shelter from the Hebridean winds. We then agree a basic routine, with planned periods of silence, punctuated by shared meals and discussions about what has been on our minds. In the evening we gather what driftwood has not been snatched away by the strong tides and sit around a camp fire sipping whisky and exchanging friendly insults.

So it is that we have found ourselves on Eilean Mor, with it’s ancient chapel and hermits cave with carved crosses made some time in the 7th Centuary, or Eileach an Naoimh, one of the Garvellachs in the Ross of Mull, associated with St Brendan the Navigator.

Small islands always have this way of expanding their elastic boundaries when you spend periods of time on them. Eilean Mor for example is tiny – less than a mile long and around a quarter of a mile wide – and whilst it is small enough to explore in its entirety, it is still big enough to swallow a small party(12 of us) whole allowing plenty of space for solitude.

The spiritual effect of wild places like this is of course highly subjective and difficult to define. Sometimes it seems wrapped up in romanticism, particularly when applied to the religion of Celtic missionaries whose context was so very different from ours. At other times, their idea of ‘thin places,’ where heaven and earth come closer together, seems entirely appropriate to our own experience.

It is also possible to connect with another old spiritual tradition of adventure, known as Peregrinatio, or ‘holy voyaging’ , in which monks would take to the sea in a boat, trusting to God, tide and wind to lead them to their place of mission, their place of being. This kind of oneness with the natural and supernatural way of things is lost to those of us who live in an age of technology. We believe that our lives are matters of choice, and when nature does intervene to alter these choices we are shocked and outraged.

The ancient Celtic monks had a totally different relationship to the place and time they lived in. They existed in a time of seasons, of mystery and of mission. Our times on the island remind us that life is not contained within a circuit board or an air conditioned box.

What of all this talk of the spirituality of wild places? To some this is all mumbo jumbo- psychology dressed up in the clothes of mysticism. However, in the words of one of our number who arrived in Scotland from a particularly frenetic period of his working life in London;

“Whenever I feel the stress of life closing in,” he said, “I close my eyes and I am back on the island. I am sitting on the shore watching the movement of the water. The salt wind is at my face and the sound of birds fills my ears. It is a peace that will never leave me.”

Small wonder, faced with this;

If you are interested in joining a ‘Wilderness Retreat’ of this kind, then see here.

How does wilderness help us?

The promised land always lies on the other side of a wilderness

Havelock Ellis

Many of us who love wild places constantly will describe the transformational effect of being immersed in wilderness. We may consider many subjective benefits- the lowering of our stress levels, a deeper appreciation of our place within the ecology of life, our sense of the ageless beauty of natural things.

Measuring these benefits objectively is more difficult. There are of course clear physiological advantages to exercising in the outdoors, but what (if any) psychological benefits can we point towards?

Peter Kahn and his colleagues at University of Washington have been working on this for a while- in one simple experiment  they installed plasma TV “windows” in workers’ otherwise windowless offices for a period of 16 weeks, and then took various measures of psychological function. They found that those with the “views” of parkland and mountain ranges had a greater sense of well-being, were clearer thinking, and a greater sense of connection to the natural world.

Next they compared office workers with plasma TV’s in their offices with people with real windows overlooking trees and grassland, and exposed them to mild stress- the sort that raises the heart beat- and waited to see how long it would take for them to calm down. What they found was that those with the real window calmed down quicker. The TV seemed to have no more benefit than a blank wall. If you are into reading academic papers, it is here.

What might be going on here? University of Michigan psychologist Marc Berman suggested that nature might actually shift our brain from one processing mode to another. In cities, we are constantly stimulated- so we use a more focussed analytical attention style. In this way we are able to deal with rush-hour traffic and sirens and all those other urban noises. Berman suggested that this is also the kind of attention we need to study for exams, make financial decisions, do business deals and so on.

It is also the kind of attention that we use up. It burns out, or burns us out. Berman’s theory is that being in wild places shifts the mind to a more relaxed and passive mode, allowing the more analytical powers to restore themselves. Berman too did some experiments to test his theory;

He gave a group of volunteers a very difficult mental reasoning test that measures the kind of focused attention needed for school and work. They were then given additional task to further deplete their normal ability to concentrate, to mirror a typical high pressure day at work. Then all the volunteers took a three-mile walk- half the volunteers took a leisurely stroll through a secluded park, while the others walked down a busy city street, after which the psychologists again measured their focus and concentration.

You can see what is coming- as reported in the journal Psychological Sciencethose who had been on the nature walk had significantly better focus and attention than those who had been required to negotiate the city streets. Being in nature does indeed appear to replenish our reserves of concentration and analytical attention capacity.

It also suggests that being in nature allows us to switch to a different kind of attentiveness- less focussed, more holistic and open.

There is also some interesting research about how this kind of attentiveness might affect irritability, even aggression. This from here;

The hypothesis laid out by Frances Kuo and William Sullivan of the University of Illinois was a marvel of logic and sequence: If fatigued attention is related to irritability, and irritability leads to aggression, then perhaps people deprived of nature’s restorative qualities would be overly aggressive (Kuo & Sullivan, 2001).

Kuo and Sullivan tested their premise on 145 female residents of a public housing complex in urban Chicago. The complex provided natural control and study groups: Some residents lived in buildings that overlooked “pockets of green,” while others had a view of only bleak concrete. The researchers reported significantly lower levels of aggression and violence in residents with apartments near nature than in those who looked onto barren lands. When handling disputes with their partners, women in the nature group used fewer “psychologically aggressive conflict tactics” and fewer “mildly violent conflict tactics” than those whose randomly assigned housing unit was denied exposure to nature.

So, the next time you need to undertake some kind of task think of this- if you need space, then find some.

It might do you more good than you think.

 

 

 

‘Recovery’, and the challenge to psychiatry…

Images taken in Argyll and Bute psychiatric hospital – which is still in use.

Over the past few years this word ‘recovery’ has found powerful new meanings within certain groups of people who have been treated within some parts of our health care system. It has become the label for a challenge to the dominant medically driven hegemony within psychiatry in particular, but has also found deep resonance amongst people who have struggled with addictions.

There is a shift at hand in the power dynamics within the system that has the whiff of revolution. All of us who are involved in working with people in some form of mental distress or using some kind of therapeutic process would do well to sit up take notice.

The concept of ‘recovery’ grew out of the lived experience of people who had experienced mental ill health, and perhaps more tellingly, had come through the psychiatric system. They described a process of treatment that often went something like this;

Loss of role and identity

As a result of illness and the separation that the stigma of illness enforces, people experiencing acute mental ill health start down a path of being stripped of who they are.

  • First people lose their job/career
  • As a result of which they struggle to hold on to possessions- home, car etc
  • The stigma of this puts a huge strain on relationships- and so they will lose friends
  • Perhaps they may also lose their life partner, and because of this also lose close contact with children
  • In all of this, it is incredibly hard to hang on to a sense of personal identity and self worth
  • Some people lose the ability to make choices, either through the limiting effects of the above losses, or because these have been taken away by the legal-medical system

New role and identity

For the best of reasons, society sought to find a solution to the mental distress, and so medicalised it- giving the power to detain and to treat primarily to the medical profession. They developed huge institutions, and billions were invested in drugs. The hope was that people might be made better, or if they could not be cured at very least they should be cared for and safe.

So people in mental distress were given a new role and identity-

  • They became patients, clients, service users
  • If they behaved well, they were ‘compliant’
  • If they resisted they were showing signs of  ’challenging behaviour’
  • If they tried to play the system they were labelled as ‘manipulative’

Treatment

Meanwhile, the system applied a model of care based largely on other forms of medicine. First your condition is assessed, then it is diagnosed and finally it is treated with scientific evidence based treatments. If you did not get better, then alternative treatments were used. If you still did not get better, then it became a little more problematic. Perhaps we needed higher doses, or more radical treatments. Or perhaps you were treatment resistant, and as such, not much could be done for you and the rest of your days might be lived out in a kind of half life- subject to constant care plans, risk assessments and packages of care.

People who had been through this process – the loss of who they were, then becoming a ‘patient’ – these people started to tell stories to one another. They were convinced that the system was not working- iIt certainly was not working for them. Some even questioned the very core assumptions that psychiatry was based on. They pointed out that despite the so called advances in science, the outcomes for people diagnosed with mental illness were largely unchanged.

Some of this began to gather together around what came to be called the ‘Hearing Voices Movement’.

However, possibly the most significant thing to emerge from this is what has come to be called the ‘Recovery Movement’. Recovery as a personal journey rather than a medical process. A journey based on hope and personal growth both in the presence and absence of symptoms.

The Scottish Recovery Network defines recovery like this-

People can and do recover from even the most serious and long-term mental health problems. Recovery is a unique and individual experience and while there may be common themes and experiences, no two people’s recovery journeys will be identical.

We describe recovery as follows:

“Recovery is being able to live a meaningful and satisfying life, as defined by each person, in the presence or absence of symptoms. It is about having control over and input into your own life. Each individual’s recovery, like his or her experience of the mental health problems or illness, is a unique and deeply personal process.”

This from the Mental Health Foundation-

Research has found that important factors on the road to recovery include:

  • good relationships
  • financial security
  • satisfying work
  • personal growth
  • the right living environment
  • developing one’s own cultural or spiritual perspectives
  • developing resilience to possible adversity or stress in the future.

Further factors highlighted by people as supporting them on their recovery journey include:

  • being believed in
  • being listened to and understood
  • getting explanations for problems or experiences
  • having the opportunity to temporarily resign responsibility during periods of crisis.

The challenge this presents to professional ‘helpers’; therapists, social workers, nurses and doctors, should not be underestimated. It is not just a change of language that is being proposed, but rather a root and branch change to what we are about. It requires a power shift away from the professionals, and back to the individuals themselves.

What is even more challenging is the idea that the whole system of psychiatric classification, diagnosis and treatment, driven as it has been by the medical model and the multinational pharmacology companies is being re-evaluated. The old divisions between ‘psychosis’ and ‘neurosis’ are being eroded and replaced by a return to ideas of how we might respond to trauma and develop coping behaviours.

As part of this transition, a number of helpful tools have been developed, intended for use by individuals themselves, with support only if they feel this necessary. Here are a selection-

Wellness Recovery Action Planning (WRAP)

Recovery Star

DREEM (Developing Recovery Enhancing Environments Measure)

Loads of free downloads here

SRN Narrative project- stories of recovery and hope

One more resource to mention which might be of particular use to those of us who work for organisations who provide direct support and intervention to people with mental health problems – The Scottish Recovery Indicator is a tool that can be used by staff and users of the service to rate how ‘recovery focussed’ the organisation is. Using it can be rather sobering!

It can open up all sorts of doors.

Nature Deficit Disorder?

Even the National Trust are doing it now – inventing classifications of mental illness.

In fact it was a US based writer Richard Louv who first began to use the words ‘nature deficit disorder’ to describe a growing dislocation between children and nature.

The NT are quoting findings from their Natural Childhood Report by naturalist and author Steven Moss, who suggests that a steady stream of surveys have highlighted how a generation of children are losing touch with the natural world.  The NT are planning to launch a consultation into what we all think about this.

The Trust argues that the growing dissociation of children from the natural world and the growth of what it calls the “cotton wool culture” of indoor parental guidance impairs the capacity of children to learn through experience.

It cites evidence showing that:

  • children learn more and behave better when lessons are conducted outdoors
  • symptoms of children diagnosed with ADHD improve when they are exposed to nature
  • children say their happiness depends more on having things to do outdoors more than owning technology.

Yet British parents feel more pressure to provide ever more gadgets for their children than in other European countries. This from here;

The statistics reveal that things have changed dramatically in just one generation:

  • Fewer than ten per cent of kids play in wild places; down from 50 per cent a generation ago
  • The roaming radius for kids has declined by 90 per cent in one generation (thirty years)
  • Three times as many children are taken to hospital each year after falling out of bed, as from falling out of trees
  • A 2008 study showed that half of all kids had been stopped from climbing trees, 20 per cent had been banned from playing conkers or games of tag

Authority figures and layers of bureaucracy have combined with a climate of ‘don’t do that’ to create an environment where fewer and fewer children play in the outdoors. This has led to a situation where kids having fun in the outdoors are painted as showing signs of anti social behaviour.

The research shows that capturing children before they enter the teenage years is crucial with the research clearly showing if you get kids hooked before they reach twelve years old, you’ll create a lifelong passion for the environment.

It has to be said that there are sceptics. Some see the NT study as nothing more than a slightly sensationalist money raising campaign, aimed at adding another layer of guilt/concern on to middle class parenting.  Others have questioned the science- writing in the Guardian, Aleks Krotosk had this to say;

…public discourse needs to be balanced and critical. Using emotive language such as “electronic addictions” and “the extinction of experience”, as this report does, undermines the so-called “science” that the National Trust is presenting in this document. Scientific claims are backed up by evidence. Preferably primary sources – not press releases.

Researchers have spent more than two decades untangling the web’s effects on our lives, and have discovered where it disrupts our existing social practices, and where it doesn’t. This is indeed an important issue for public scrutiny, but the method of wrapping up a half-truth in a lab coat and presenting it as an evidence-based review of the literature is as insidious as a PR company commissioning an academic researcher to find a predetermined outcome.

Evidence-based argument is the hallmark of the lively and informed debates we as a population have engaged in since the reformation, and is the cornerstone of an engaged and critical society. The 27-page press release published by the National Trust that describes a made-up disorder is only intended to inspire a reaction and fuel uncertainty. Rather than open up debate, this kind of thing serves to close it down. And that is just not scientific.

She has a point. People said listening to the wireless would make us deaf and watching TV would turn our brains to jelly. Of course all the changes brought about by the internet on the way we humans interact may indeed be considerable but they are also irreversible.  We are on the brink of one of those paradigm shifts and it is difficult to know exactly where it will all lead, but there is no going back.

However, many of us will read the words of the NT’s National Childhood Report and feel that it is saying something important. It may be rather difficult to scientifically quantify, but we instinctively sense that our disconnection with wild places might yet be a huge mistake.

It might be a huge mistake because in losing our place in the natural order of things, we lose something of ourselves.

It might also be a huge mistake because in losing our connection with the natural order of things, we might also be part of the destruction of everything.

When I was small, my mother took me camping. I found a dead squirrel and it was so lovely that I sneaked it into my tent along with a lot of still alive fleas. I swam in a river for hours and ended up with stomach ache from something I swallowed. I climbed trees and had to be rescued.

We also joined a rambling club. I still remember those long trudges through Derbyshire, almost too tired to speak.

These experiences, good and bad, never left me. They became the platform for my own adventures as an adult. I hope for the same for my own children. And theirs.

I believe these are reasons for optimism.

DSM 5; is it time to change the way we approach an understanding of mental illness?

In May, the American Psychiatric Association will publish the fifth edition of the Diagnostic and Statistical Manual of Psychiatric Disorders, otherwise known as DSM 5. Although originating in the USA, this publication is immensely influential and is likely to form the basis for Psychiatric diagnosis the world over, as with the out going DSM 4.

Does it matter?

Well, my answer to this question is YES.

It matters on an individual level because all of us will be affected by mental disorder. One in four of us will be diagnosed according to one of the classifications above, so even if this is not you it will be someone you love or someone you work with. Lots of us feel a strange relief when distress is given a name – it suggests understanding, companionship, a removal of uncertainty and the possibility of treatment. However, for many these can easily become self perpetuating and destructive as they may have the effect removing responsibility, ownership and even hope, which some never find again.

It matters too on a sociological level. Our societies are increasingly regulated by psychiatry. We medicalise, medicate and plan ‘evidence based interventions’ into all sorts of human variation. This may simply amount to the application of science and knowledge to the alleviation of mental illness, but the question is whether this is ‘healthy’? Are we seeking to make a world in which the mess and gristle of life is edited out, tidied away, chemically suppressed? And is it working?

Psychiatric classification almost always demands treatment, so step forward the drug companies. All those countless drug rep funded lunches, gadgets, even holidays in the name of publicity for the next wonder drug. Even if the drugs do half of what they promise there is no doubt that our population is increasingly medicated. This from here;

Prescription Pricing Authority data shows that more than 30 million prescriptions for SSRIs (selective serotonin reuptake inhibitors) such as Prozac and Seroxat, are now issued per year, twice as many as the early 1990s. Researchers at the University of Southampton found 90 per cent of people diagnosed with depression are now taking SSRIs either continuously or as repeated courses over several years.

Professor Kendrick adds: “Our previous research found that although these drugs are said not to be addictive, many patients found it difficult to come off them, due to withdrawal symptoms including anxiety. Many wanted more help from their GP to come off the drugs. We don’t know how many really need them and whether long-term use is harmful. This has similarities to the situation with Valium in the past.”

Unsurprisingly, there is evidence that the current economic recession is also having an effect. This from the Telegraph;

The number of prescriptions for drugs such as Prozac has risen from 16 million to 23 million since 2006 with many GPs saying patients are increasingly expressing concern about the recession.

Figures obtained by the BBC under the Freedom of Information Act found the number of prescriptions for the most common group of antidepressants rose by 43 per cent during the period covering the banking crisis and housing crash.

If we can agree that in terms of practice, prescription and intervention psychiatry is increasingly involved in our lives, then the emergence of a new set of diagnostic criteria must be a considerable significance to all of us. We should also know then that this classification process, already controversial, is in the middle of a storm of criticism following the release of advance details of the new DSM 5.

Firstly, what could be regarded as the ‘tabloid headlines’. This from here;

Bereavement, which has always been excluded from the mood disorders, will become a mental disorder. Mild forgetfulness will become a mental disorder (“mild neurocognitive disorder”). Your child’s temper tantrums will become a mental disorder (“disruptive mood dysregulation disorder”). Even preferring one of your parents to the other will become a mental disorder! (Yes, really: “parental alienation disorder”).

You will need to display fewer and fewer symptoms to get labeled with certain disorders, for example Attention Deficit Disorder and Generalized Anxiety Disorder. Children will have more and more mental disorder labels available to pin on them.  These are clearly boons to the mental health industry but are they legitimate additions to the manual that mental health professionals use to diagnose their clients?

You can listen to a short Radio 4 Today Programme debate on some of these issues between David Kupfer who chairs the DSM 5 committee for the American Psychiatric Association, and Peter Kinderman, professor and honorary Consultant Clinical Psychologist with Mersey Care NHS Trust about this between on this link.

Then there is the murky world of classification of ‘personality disorders’. Many people regard these as the ultimate examples of how abstract description of patterns of behaviour can become viewed as some kind of unassailable concrete ‘illness’, which then take on a reality in the same way as we might understand influenza or cancer.

DSM 5 complicates this further by adding more categories, for example “Apathy Syndrome,” “Internet Addiction Disorder,” and ”Parental Alienation Syndrome”. This has raised so much concern that the American Psychological Association has begun an on line petition to allow people to express their concerns. This from here;

It is particularly concerning that a member of the Personality Disorders Workgroup has publicly described the proposals as “a disappointing and confusing mixture of innovation and preservation of the status quo that is inconsistent, lacks coherence, is impractical, and, in places, is incompatible with empirical facts” (Livesley, 2010), and that, similarly, Chair of DSM-III Task Force Robert Spitzer has stated that, of all of the problematic proposals, “Probably the most problematic is the revision of personality disorders, where they’ve made major changes; and the changes are not all supported by any empirical basis.”

How about this side of the Atlantic? This from the British Psychological Society (not renowned as a radical organisation) response to the consultation;

The Society is concerned that clients and the general public are negatively affected by the continued and continuous medicalisation of their natural and normal responses to their experiences; responses which undoubtedly have distressing consequences which demand helping responses, but which do not reflect illnesses so much as normal individual variation. (p.1)

We believe that classifying these problems as ‘illnesses’ misses the relational context of problems and the undeniable social causation of many such problems. For psychologists, our well-being and mental health stem from our frameworks of understanding of the world, frameworks which are themselves the product of the experiences and learning through our lives. (p.4)

These comments go to the very heart of how we approach mental distress.

The Hearing Voices Network have been making a case for change for many years. Psychiatrist Marius Romme for example claimed that many people who hallucinate “are like homosexuals in the 1950s — in need of liberation, not cure.”

There is a change underway, akin to that of other great liberation movements pf the last Century and I believe that when we see chains on people it should be the intention and hope of those of us who do therapy to seek to break them.

What is unfortunate is that the classification found in DSM5 do little to break chains; it may yet forge new ones.

How might they be broken then? Here is my reading of (and my hope for) some of the changes that are beginning;

Away from ‘illness’ towards ‘distress’

Away from ‘symptoms’ towards understanding that we develop different  means of coping with this distress.

Away from restrictive labels towards listening to individual experience.

Away from medicalised interventions, towards encouragement and support of individual recovery.

Away from simplistic distinctions between ‘psychosis’ and ‘neurosis’ towards a greater interest and understanding of the effect of trauma.

Away from segregation and ‘otherness’ towards seeing mental distress as an essential part of the human experience and as such, part of all of our experiences.

Away from ‘maintenance’ towards, hope.