Classism, Stigma and Mental Health

If a white collar worker is diagnosed with a mental health disorder, the medications given are intended to make it easier for that person to function in the mainstream workplace. But if an impoverished person is diagnosed with that same mental health disorder, the same medications are given with the idea that the person will be directed toward disability culture, and never work again.

If a person is arrested for a non-serious crime in which alcohol is involved, the Courts order daily attendance at A.A. meetings, where the paradigm of the Twelve Steps is geared toward reacclimating such people into the mainstream of modern life.   These meetings, by the way, are free of charge.  But if a person with a mental health problem is arrested for the same crime, the Courts will direct that person toward a community counseling center with a “sliding scale.”  In other words, the support is at cost.  In fact, the options for cost-free mental health support groups stop at the level of a MeetUp.  Dialectical Behavior Therapy (DBT) groups, for example, are difficult to find without paying good money.  A one-to-one Cognitive Behavioral Therapy (CBT) counselor will certainly expect to be paid.  Those in poverty culture can’t possibly afford the fees for mental health support, and often wind up finding them in psychiatric facilities only, where the price they pay is complete loss of freedom.

Step Two of the Twelve Steps of Alcoholics Anonymous reads: “Came to believe that a power greater than ourselves could restore us to sanity.”  Note the use of the word “restore.”  This implies that the alcoholic was, at one time, sane, and that through the application of the Steps, they may again become sane, and thus able to reintegrate themselves into mainstream culture.    So, even though the condition of active alcoholism is regarded as “insane,” a path toward sanity is indicated.

But for a path toward sanity to be recommended for one who has a mental health diagnosis, that person must have privilege from the start.   People of poverty with such diagnoses are considered to be unemployable.  This is pure stigma against those who have mental health conditions.  People of privilege with those same kinds of conditions are routinely encouraged to keep their jobs, their families and their social lives; the idea being that the very same treatment will enhance their ability to function in mainstream society.  But impoverished people with identical diagnoses are thrust into disability culture, made to subsist on minimal income, classified as “legally incompetent,” and threatened with loss of their cost-of-living income if they even try to go out and get a job.  This clearly amounts to class discrimination, when it comes to treatment of the mentally ill.

To understand why such discrimination is directed toward those thought to be “mentally ill” but not toward those considered to be “recovering alcoholics,” I think we need to examine the grounds on which mental illness is determined.    My theory is that one is considered to be “mentally ill” as soon as one displays an inability to function healthfully within the “box” of the status quo.   Those who flourish within normal expectations based on the work ethic and success model are considered to be mentally healthy.  Those who are focused on “climbing the ladder” are considered to be “successful,” and as role models for others.   But a person who thinks outside the box is somehow seen as a threat to society, and therefore limited to confinement within the realms of those labeled “incompetent’ and “unemployable.”

I would not doubt it if well over half of those who have mental health diagnoses are actually quite eminently sane, even perhaps brilliant, perhaps luminous visionaries.  Such people often focus, not on scaling the ladder of “success,” but on actualizing their own true selves, to make the most out of their own innate design and potential.  They often develop ideas and visions that would truly benefit society if given a chance to bloom.  But how can one be in orchid in a petunia patch?  The Powers That Be will continue to uphold the status quo, despite classism and social stigma on the grandest scale.  How sad it is that those who have vision are seen as pariahs by those who do not!

different drummer

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White Without Privilege

I like to post a youtube of my piano playing here each Friday.  Although I prepared something yesterday, by the time I got around to uploading it, I noticed that my screen was cracked.  I am now on my older, spare computer — but unfortunately have not yet determined an avenue to get the video onto this computer, and thus onto youtube, from here.  My apologies.  Here’s a Quora answer explaining my theory why there are more White homeless people per capita in the homeless populace in America than there are per capita in large urban areas where homelessness is prevalent.

Briefly, I am not certain (as someone suggested) that the question is “racist.” I believe that statistically, the homeless populace actually is over-saturated with the evidence of White people than those of other races, proportionately speaking.

My general feeling is that it relates to privilege and class distinction. In America, people of privilege are predominantly White, especially as we get into the upper middle and wealthy classes. I have found that among those of privilege, poverty (especially sudden and inexplicable poverty; i.e., such as may have resulted from an unrecognized or misdiagnosed mental health crisis) is often viewed as a sign of moral or practical failing on the part of the person who has fallen into straits.

homeless white man will work for foodIn such instances, there is a widespread feeling that the person can “pull himself up by his own bootstraps” and that this will “teach him” to manage money better, become more responsible, and so forth. This translates to less sympathy for the homeless on the part of the privileged classes, which are predominantly White.

In less privileged classes there is a greater saturation of people of color. Also, the “class gap” separating people in the middle and lower middle classes from those who land on the streets is not so wide. People in the lower classes are more likely to identify with the types of struggles that can lead to homelessness. Combining these factors, one will find that there is not nearly the degree of “blaming the victim” placed upon sudden victims of financial crises as there is among those who view the person in crisis as having “blown his privilege.” Therefore, there will be more compassion toward those who are struggling in the classes that are more multiracial.

I state this perception at the risk of coming across as a racist or a classist. However, I take that risk because I think it is a valid perception. It might explain in part why in a large urban area with a highly visible homeless populace, there really *does* appear to be a disproportionate number of Whites, with respect to the actual proportion of White people per capita, in that same area.

I’ll try to have the piano youtube of my song “Midnight Screams” posted later on today for your pleasure.  In the meantime, if anybody wants to kick down some filthy lucre to help me get a new computer screen, you know what to do.