Rendezvous with Madness

Last night I attended the Rendezvous with Madness film festival. I was invited by a friend in the final year of her psychiatry residency that was on the panel following the film screening.  It is the second time in a couple of weeks that I was at an event that had a focus on mental health. The other was at the Excellence Canada Performance Summit that I attended on behalf of a colleague. It had a session on mental health at work. These types of events and discussions are part of a longer-term trend of better understanding mental health and how to integrate dialogue about it into our community rather than hiding it away, sometimes literally (see this great Active History paper on how the stories of those in Toronto’s insane asylums, who used to be hidden behind walls they help build).

The session at Excellence Canada offered examples of how workplaces across the country are taking steps to better address metal health as part of their workplace health and wellness programs that have more traditionally focused on physical health. The activities and topics covered were broad reaching during the discussion, including identifying risk factors in organizations, employee access to benefits when experiencing mental illness, and approaches for how organizations can help their employees cope with challenges and stress in the workplace. The Bell Mental Health Initiatives was one of the projects covered. It is a $50 million commitment to enhancing the lives of Canadians by increasing awareness, understanding and treatment of mental illness across the country by focusing on anti-stigma, care and access, workplace and research. When large corporations like Bell are undergoing a paradigm shift with mental illness (or at least want to brand themselves as having done so), it is a good indicator of how far we’ve come.

The Rendezvous with Madness Film Festival is another indicator. The festival has been around for 19 years. The film I saw was “People in White” and told the stories of psychiatric patients through reenactment with other patients (and a handful of actors representing the stories of real patients. It showed the complexity of the doctor-patient relationship and raised questions about power dynamics and treatment method. It opened a discussion about how realistic these relationships were depicted and how dramatically things have changed in the couple of decades since the festival started, including that such a film that focuses on the stories of patients never would have been told until recently. The venue for the film screening was Workman Arts, an organization dedicated to working with artists with mental illness and promoting art that creates greater understanding of mental illness. It was inspiring to hear how far this project has come and how they have observed and reflected the changing perceptions of mental illness.

Masthead photo courtesy of floodllama

Expanding the Grey

Diversity is underappreciated.

What’s that you say, but we love diversity. Heck, we’re lowermainlanders, (those of us not off plundering the rich bounty of the sea anyway) we’re all about that stuff.

On the surface that may be true, we celebrate lunar New Year alongside Robbie Burns day. We appreciate the different smells, flavours, and the rich patina of a multicultural landscape. What we don’t seem to truly appreciate is mental diversity.

It’s not that we don’t recognize the breadth in our varying capacity to learn, cope, empathize, love, and generally thrive amongst our peers. The issue is that we have created a divisive atmosphere focused on the extreme. We built a black and white landscape where we’re either gifted or handicapped, and thus celebrated or medicated.

I’ve been thinking about this a lot recently, partially because of the rough waters in the k-12 community.

The B.C. Labour Relations Board has ruled that not administering FSA tests amounts to illegal job action, yet a substantial number of parents and teachers oppose the tests. Part of the problem is the tests don’t properly account for diversity in the classroom.

We’re not just talking social diversity here, but the breadth in maturity and capacity to thrive in a traditional learning environment.

There’s a whole grey area that comes into play between gifted learners and those with significant challenges. Our resources go to coping as best we can with those on either end of the spectrum, while to a great extent those in the great gray are ignored.

This mirrors life outside the k-12 community as well. In order to get support people are pushed to align themselves with one extreme or another.

There aren’t a lot of groups or programs dedicated to helping average people succeed, which is leading to the diagnosis and treatment (which all too often means medication) of ever slighter variances from the norm.

Feel awkward in social settings?
It’s not that while being told you were a unique snowflake during your formative years you found yourself amid a sea of indistinguishable yet equally unique snowflakes. Find the right diagnosis and you can be medicated for your pervasive developmental disorders.

Worried to the point of exhaustion?
That’s not because your education and upbringing didn’t equip you with adequate coping mechanisms for the realities of an uncertain future. It’s an anxiety disorder and you need TCAs and SSRI

I’m not trying to say that we shouldn’t strive to recognize and address mental illness. I’m sure each and every one of us has seen or felt the effects of mental illness at some point in our lives. I’m saying we should appreciate mental diversity as we appreciate physical and social diversity.

Those of us that are awkward, nervous, or prone to worries need patients, caring, and appreciation for what we bring to the table.

A complex grisaille.

So expand the grey. Find beauty in its complexity, and opportunities to help all of us who exist within its gauzy borders to thrive. After all, grey is a common companion to us landlubbing lowermainlanders for the better part of the year.

-mikeB