I have never, at any point, defined myself as having a “mental illness”.
I am a person who was diagnosed as mentally ill. Note the difference.
Was I really? Is anyone, ever? Isn’t it a cliche to go around saying “they made a mistake, I wasn’t mentally ill”? At hearings to determine whether one should be allowed to refuse psychiatric treatment it is common for the psychiatrist to say that your failure to comprehend that you are mentally ill shows how ill you are. Can a mind, as opposed to a brain or some other physical organ, “be ill” anyway? Is “illness” when applied to a mind a sort of metaphor, like saying someone who has no morals is suffering from a sickness of the soul or something?
I chose not to engage with that. I figured maybe I am different or maybe they made a mistake, but there’s no way to make that determination. You know what they put on your chart if you do not appear to manifest the mental illness with which you were once diagnosed? “Schizophrenia in remission”, or equivalent for other diagnoses. The functional, de facto definition of being mentally ill is that you’ve been diagnosed as such. There’s no rebuttal really.
Well, except that there is. My line on it is that I may or may not be neurologically or neurochemically (etc) different, but “illness” is a value judgment. And I like who I am. And how I am. And my opinion is the main one that counts. So I say that I am schizophrenic but that in my case, at any rate, it’s a difference that I’m proud of, and I have the right to remain schizophrenic, and uncured and untreated, because it isn’t a disease or illness if it isn’t undesirable.
If you want to know my opinion on whether or not I had, or do have, impairments, you won’t get a single simple answer. What got me my diagnosis was trying to come out at the University of New Mexico in 1980, as a genderqueer person. Well, except that in 1980 there was no such word. There are people today who think I have no legitimate gender-identity concern, that I have some kind of sick twisted need for attention, ego-compensation for being a boring person or some such thing, that genderqueer is bullshit, especially if the person in question is not interested in doing a medical transition to the other sex. (and they have said so on this and some other message boards that I frequent). Do I know for sure they aren’t right?
… no… not for absolute certainty, how could I?
And even if the gender stuff is exactly as I describe it, well, it marginalized me, I got subjected to stuff, so maybe it kind of messed me up, ok? Maybe I’m damaged goods in various ways.
I do not believe there is a known understood medical phenomenon called “schzophrenia” (or, for that matter, bipolar disorder or depression etc etc). I think there are some recurrent patterns. I do not think the psychiatric establishment knows much more than it did in 1885 what these patterns actually represent. They’ve invested very heavily in a biomedical explanation that research has failed to support. Many of them mean well but I regard them as quacks, akin to the medical folks in the 1700s who believed in the four humouirs and went around bleeding their patients.
But even if we dismiss them as charlatans, there’s still the general notion of being, well, you know, nuts. Not all there in the head. Am I? You seem to think not, at least based on my participation on the board. I’ll take that as a vote of confidence, thank you. But seriously, if I’m not at all nuts or neurotic or whatever you wanna call it, then I am a person who harbors a lot of peculiar ideas not widely shared and not quickly adopted by others when I try to explain them. And at least a goodly chunk of those can’t coexist as equally correct ideas alongside of those embraced by the general public. Someone sometimes has to be wrong, if not necessarily messed up in the head, and I can’t afford the luxury of not remembering that it could be me, if you see what I mean.
When I was on the locked ward, the other patients there didn’t seem particularly nutty to me. Their behavior made a lot more sense than the behaviors of the staff.
I think tensions and pressures and situations make a person’s mind do things, get distorted a bit. I think isolation and alienation are among those tensions. So anyone under the appropriate circumstances becomes schizophrenic, or begins careening in a bipolar pattern, or becomes depressed. Not a disease, just a condition that a person ends up in some of the time. I might be wrong about that but that’s what I think. Make of it what you will.