Not every mentally ill person is a poster child for mental illness

I’ve spent time in psychiatric hospitals; I look like a “normal” person, too. But what if I didn’t?

All hail the mental health stigma fightback! As the sibling of someone who suffers from schizophrenia, and someone who’s spent time in psychiatric hospitals herself, I am sick to death of all the bigoted crap that gets thrown our way, from “mental patient” Halloween costumes to fear-mongering Sun headlines. Enough! We are not all axe-wielding murderers! We are Stephen Fry! We are Alastair Campbell! We are that bloke in A Beautiful Mind who’s good at maths! And what’s more, we wear normal clothes! Get a load of my jumper – would a mad person wear Per Una at Marks and Spencer? I think not.

I’m not trying to be flippant (much). I think it’s incredibly important that we stand up to bigotry wherever we find it. I like the mass pressure that twitter and other social media forums can exert. Nonetheless, I wonder if I’m alone in feeling a certain unease with the route the mental health fightback is starting to take.

The #mentalpatienthashtag is a case in point. In response to a number of crass, bigoted “mental health patient” Halloween costumes sufferers of mental illness tweeted photos of themselves in their own #mentalpatient outfits – which look just like everyday clothes! Way-hey! It’s a funny and clever way of defying expectations, similar to the Fawcett Society’s This Is What A Feminist Looks Like T-shirts. And yet in both cases, I have my misgivings. So mental patients don’t look mental patients and feminists don’t look like feminists – but what if, sometimes, they do? What if we’re not challenging stereotypes so much as saying “these are indeed where the boundaries of our tolerance lie”?

I understand and appreciate the good intentions behind the hashtag. Nonetheless, I start to feel a creeping discomfort at the sight of so many people demonstrating how “normal” they look. I’ve spent time in psychiatric hospitals; I look like a “normal” person, too. But what if I didn’t? What if my clothes were unwashed, my hair matted, my skin stretched over prominent bones, just like it was in the days when I couldn’t muster the energy for self-care? What if I found myself dribbling incessantly due to the over-production of saliva, a side-effect of anti-psychotic drugs? What if my eyes looked wide and fearful because actually, I didn’t want to be photographed and felt terrified it would steal my soul?

Not every mentally ill person is a poster child for mental illness. While you could argue that those who put themselves forward – the Alistair Campbells, the Stephen Frys – are taking one for the team, it’s not so simple. Thousands would love to share tea with Fry, listening to witty and urbane chit-chat interspersed with stark tales of mental disintegration. Few people want to share instant coffee and out-of-date milk with someone who just doesn’t want to talk, or when he or she does talk is rude or accusatory or paranoid or just repeats the same stories again and again. The more we promote the “normal” mentally ill – the mentally ill on a good day, the mentally ill who aren’t difficult or hostile or embarrassing to be with – the more isolated the “non-normal” mentally ill and their carers will remain. Fighting stigma isn’t just a matter of replacing a Halloween monster with a successful media personality. In doing so we’re allowing the bigots to push us into a corner. We don’t need to go by their extremes.

We shouldn’t have to prioritise making others feel comfortable when it comes to fighting mental health stigma. Just as feminism doesn’t need “rebranding”, mental health doesn’t need “sanitising”. This is not the way that social norms are challenged and changed. If mental illness does not make you feel frightened, uncomfortable, bored or embarrassed, perhaps this isn’t because you’re a wonderfully open-minded, laid-back person. Perhaps it’s because you’re not close enough to mental illnesses, or only engage with sickness eloquently expressed on blogs or on Twitter. Perhaps it doesn’t seem ugly or challenging because your engagement is selective. Mental illness hurts, the way all illness hurts.

Ranting against the Sun and the Telegraph might be a worthwhile pursuit. Calling for better resources for those suffering from mental illness is even better. What’s also important, though, is ensuring that the goal of well-resourced, positive care for the mentally ill isn’t to hide them from view. Sometimes we can’t take away the fear and ugliness. Sometimes minimising suffering has to be enough.

Few of us would pass up the opportunity to spend time with Stephen Fry. Image: Getty

Glosswitch is a feminist mother of three who works in publishing.

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Erdogan’s purge was too big and too organised to be a mere reaction to the failed coup

There is a specific word for the melancholy of Istanbul. The city is suffering a mighty bout of something like hüzün at the moment. 

Even at the worst of times Istanbul is a beautiful city, and the Bosphorus is a remarkable stretch of sea. Turks get very irritated if you call it a river. They are right. The Bosphorus has a life and energy that a river could never equal. Spend five minutes watching the Bosphorus and you can understand why Orhan Pamuk, Turkey’s Nobel laureate for literature, became fixated by it as he grew up, tracking the movements of the ocean-going vessels, the warships and the freighters as they steamed between Asia and Europe.

I went to an Ottoman palace on the Asian side of the Bosphorus, waiting to interview the former prime minister Ahmet Davu­toglu. He was pushed out of office two months ago by President Recep Tayyip Erdogan when he appeared to be too wedded to the clauses in the Turkish constitution which say that the prime minister is the head of government and the president is a ceremonial head of state. Erdogan was happy with that when he was prime minister. But now he’s president, he wants to change the constitution. If Erdogan can win the vote in parliament he will, in effect, be rubber-stamping the reality he has created since he became president. In the days since the attempted coup, no one has had any doubt about who is the power in the land.

 

City of melancholy

The view from the Ottoman palace was magnificent. Beneath a luscious, pine-shaded garden an oil tanker plied its way towards the Black Sea. Small ferries dodged across the sea lanes. It was not, I hasten to add, Davutoglu’s private residence. It had just been borrowed, for the backdrop. But it reminded a Turkish friend of something she had heard once from the AKP, Erdogan’s ruling party: that they would not rest until they were living in the apartments with balconies and gardens overlooking the Bosphorus that had always been the preserve of the secular elite they wanted to replace.

Pamuk also writes about hüzün, the melancholy that afflicts the citizens of Istanbul. It comes, he says, from the city’s history and its decline, the foghorns on the Bosphorus, from tumbledown walls that have been ruins since the fall of the Byzantine empire, unemployed men in tea houses, covered women waiting for buses that never come, pelting rain and dark evenings: the city’s whole fabric and all the lives within it. “My starting point,” Pamuk wrote, “was the emotion that a child might feel while looking through a steamy window.”

Istanbul is suffering a mighty bout of something like hüzün at the moment. In Pamuk’s work the citizens of Istanbul take a perverse pride in hüzün. No one in Istanbul, or elsewhere in Turkey, can draw comfort from what is happening now. Erdogan’s opponents wonder what kind of future they can have in his Turkey. I think I sensed it, too, in the triumphalist crowds of Erdogan supporters that have been gathering day after day since the coup was defeated.

 

Down with the generals

Erdogan’s opponents are not downcast because the coup failed; a big reason why it did was that it had no public support. Turks know way too much about the authoritarian ways of military rule to want it back. The melancholy is because Erdogan is using the coup to entrench himself even more deeply in power. The purge looks too far-reaching, too organised and too big to have been a quick reaction to the attempt on his power. Instead it seems to be a plan that was waiting to be used.

Turkey is a deeply unhappy country. It is hard to imagine now, but when the Arab uprisings happened in 2011 it seemed to be a model for the Middle East. It had elections and an economy that worked and grew. When I asked Davutoglu around that time whether there would be a new Ottoman sphere of influence for the 21st century, he smiled modestly, denied any such ambition and went on to explain that the 2011 uprisings were the true succession to the Ottoman empire. A century of European, and then American, domination was ending. It had been a false start in Middle Eastern history. Now it was back on track. The people of the region were deciding their futures, and perhaps Turkey would have a role, almost like a big brother.

Turkey’s position – straddling east and west, facing Europe and Asia – is the key to its history and its future. It could be, should be, a rock of stability in a desperately un­stable part of the world. But it isn’t, and that is a problem for all of us.

 

Contagion of war

The coup did not come out of a clear sky. Turkey was in deep crisis before the attempt was made. Part of the problem has come from Erdogan’s divisive policies. He has led the AKP to successive election victories since it first won in 2002. But the policies of his governments have not been inclusive. As long as his supporters are happy, the president seems unconcerned about the resentment and opposition he is generating on the other side of politics.

Perhaps that was inevitable. His mission, as a political Islamist, was to change the country, to end the power of secular elites, including the army, which had been dominant since Mustafa Kemal Atatürk created modern Turkey after the collapse of the Ottoman empire. And there is also the influence of chaos and war in the Middle East. Turkey has borders with Iraq and Syria, and is deeply involved in their wars. The borders do not stop the contagion of violence. Hundreds of people have died in the past year in bomb attacks in Turkish cities, some carried out by the jihadists of so-called Islamic State, and some sent by Kurdish separatists working under the PKK.

It is a horrible mix. Erdogan might be able to deal with it better if he had used the attempted coup to try to unite Turkey. All the parliamentary parties condemned it. But instead, he has turned the power of the state against his opponents. More rough times lie ahead.

Jeremy Bowen is the BBC’s Middle East editor. He tweets @bowenbbc

This article first appeared in the 28 July 2016 issue of the New Statesman, Summer Double Issue