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is not just because of the stigma that the mainstream community
still attaches to mental disease, but because trends suggest
that illnesses of this type are becoming more widely spread.
If you haven't suffered from a mental health issue (yet),
you almost certainly know someone who has (even if you don't
know that they have).
Despite
all this, funding and facilities to address mental health
issues remain spectacularly poor. This will come as no surprise
to those who take a passing interest in the issue, or those
who were subjected to Alan Jones' rant about it on the channel
9's ...Today... show on 20 September 2004.
There
may of course be (and probably are) many explanations for
this. For instance, rather than spending money on mental
health issues, perhaps it is far more important that billions
of dollars are spent deposing a regime on the other side
of the world that the same western governments supported
for years during its war against Iran. Perhaps, still billions
more need to be spent on manufacturing an alignment with
that dictator and a terrorist group that the same governments
funded during the war in Afghanistan.
Yet
even considered in the context of the priority given to
the megalomaniacal pursuits that absorb our current batch
of politicians, the minuscule importance that they give
to the incredibly pressing issue of mental health in today's
society, seems extraordinary. The reasons for this are as
debatable as the reasons for mental illness itself. However,
it seems possible to find at least some explanation for
this extraordinary neglect if we analyse the very nature
of the disease.
For
starters, before the mentally ill can be treated, they need
to be identified. At first glance, this seems relatively
straightforward. Someone with a mental illness would seem
to be someone who knows ...reality... to be different from
the general objective understanding of the ...real... world.
However, this at first seemingly helpful solution plunges
us into the fraught pursuit of identifying what ...objective
reality... actually is. Locke tried to tackle this question
and concluded that all we can ever know is ideas, which
are ...sense perceptions... about reality and not of reality.
In other words, our individual perceptions of what reality
is, are actually some (essentially unattainable notion of)
objective fact, mediated through our subjective ...sense
perceptions... or ideas about those facts. Berkeley and
Hume considered the same issue and ultimately concluded
that there is no such thing as objective reality, and that
all we can ever know is subjective.
This
might sound like the musings of a bunch of philosophers
with too much time on their hands. But before you dismiss
it as rubbish, try (as a mundane example) asking an All
Blacks and a Wallabies supporter if that was in fact a "knock'on",
or ask a Carlton and Collingwood supporter if that was in
fact "holding the ball". You may get agreement, but you
are just as likely to get different "objective" perceptions
of what amounts to the same set of facts. More seriously,
try asking the general public about whether billions of
dollars are being misspent on the war in Iraq, or whether
the money being spent there is appropriately nipping the
bud of the most potentially destructive social, political
and economic threat of our time. We all lived through the
events of 11 September 2001, some of us lived through the
war between Iran and Iraq. Others might even remember the
USSR's invasion of Afghanistan and the USA's support of
Osama bin Laden and the Muja haddin, but there will not
be a single person on the planet whose considered "objective"
perception of what is happening in the world today is identical
in every respect to another's.
So
if we accept (on one hand) that those in need of treatment
for a mental illness are those that perceive ...reality...
differently from the objective understanding of it, but
(on the other hand) accept that there is actually no such
thing as ...objective... reality, then
where does this leave the task of identifying the ...mentally
ill... in order to provide them with the funding and assistance
they require? In a pretty precarious place, I would suggest.
This
problem seems even more complex if (assuming the mentally
ill can be appropriately identified) we consider the way
in which the success of their treatment might be measured.
It almost goes without saying that in the absence of evidence
of this success, further funding is difficult to come
by.
The
successful treatment of almost any other type of ...ill'health...
can be measured (in its simplest form) by assessing the
extent to which the patient has been returned to a state
in which they feel well again. By contrast, sufferers
of various forms of mental illness (such as acute psychosis)
may typically not consider themselves to be unwell. Their
experience of ...reality... in the height of an episode
of this type is as real and ...objective... as the alternative
...objective... experiences of the ...mentally healthy...
or those who are ...treating... their illness.
The
success of their treatment then (and perhaps even the
need for it), must inevitably rest in the hands of their
medical practitioner whose perceptions of how a mentally
healthy person should ...perceive... the world is inevitably
(at least in part) tied up with the Practitioner's subjective
perception of it. This perception inevitably changes both
over time and between cultures and (at least to some extent)
depends on the ...beliefs, religious and moral as well
as factual..., of the practitioner in question (Alexander,
P. (1973), Journal of Philosophy, 48, 137'151.). The unavoidable
conclusion from this is that an ...objective... means
of assessing the success of the treatment of the mentally
ill (and thereby substantiating a claim for further funding)
may be non'existent at worst and quite elusive at best.
The
appalling lack of funding for the treatment of mental
illness today undoubtedly has a number of causes. Almost
certainly though, the philosophical and ideological problems
inherent in identifying the mentally ill, treating them
and measuring the success of that treatment, play an important
part in the otherwise perplexing neglect of one of contemporary
society's most pressing medical and social issues.
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© Rene Mansi, Freestock.co.uk
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