Showing posts with label Mental health. Show all posts
Showing posts with label Mental health. Show all posts

Tuesday, 12 January 2016

A queer review of 'More Than Two: A Practical Guide to Ethical Polyamory'

I've been actively polyamorous for about five years, before which I was not having relationships for a couple of years, and before that I was having standard monogamous relationships with men and not so standard…interactions (shall we say) with women. I have had unhealthy monogamous relationships. I have had unhealthy polyamorous relationships.
    If I had to say up front why this book is the one I would recommend to people (literally all people, from queer relationship anarchists living in hippy communes in the Arizona desert with seven partners and three date mates to Ian and Sharon from South Ribble who have been monogamously married for seventeen years) it would be- its barefaced honesty.
   I have educated myself on polyamory a lot. I read articles. I read academic papers. I read books, blogs, listen to podcasts, attend events and obviously have my own relationships. I observe the polyamorous relationships around me. I talk about polyamory to my friends. I discuss polyamory with my partners. From the theoretical to the practical. From the amazing to the awkward. I’m part of several large international groups online where people dicuss polyamory. I’m out at work. I’m out to my family. I launch into social interactions like a pro
   ‘One of my partners works there’ I say smiling and nodding at the embarrassed party guest in front of me. Or maybe I say
   ‘Wow, my boyfriend’s girlfriend bought him this exact model’ and act calm and cheerful all the way through the weird questions, giving them my spiel.

   What I need you to understand, my beloved reader, is that I am not a quitter, fair weather lover, cop out, or polyamory sceptic. I have chosen this ‘lifestyle’ (as my grandma calls it) as the best, most loving option for me and all my ‘friends’ (as my co-worker call them). But that doesn’t mean I am always good at it.
   Yeah, I’ve pushed relationships into primary/secondary hierarchies (ew, I know), I’ve been the trusting service secondary, I’ve been the person who allows crappy people to treat me in a crappy way and yeah, I’ve been the crappy person. We all have. That’s the point. Often polyamory resources are written on the premise that we’re all perfect all the time.
   The reason this resource is good because it doesn’t fall into the trap most other polyamory resources do. It doesn’t pretend that polyamory itself is a way escape the shit you have to own to have successful relationships. It doesn’t presume that all of us are ‘naturally’ polyamorous (whatever that means). It doesn’t divide polyamorous people up into ‘poly gods’ and ‘failures’. It doesn’t make it a competition of who can act the least emotionally invested in the most people.
   Here are some of the things it does do
·        Provide you with a toolkit for communication between yourself and partners
·        Provide you with a good moral and ethical framework for your polyamory
·        Address the (incorrect) idea that polyamory is never coercive or manipulative
·        Advise the reader on how to navigate relationships without coercion or manipulation
·        Guide you through all elements of polyamory with care and sense
·        Discourage the harmful and isolating measures we’re taught to put in place to protect our relationships.
   This book is Polyamory 101 and 201 and it's the text book you come back to in your first week in the job, and after a few years, and then again a few years later. This book is a helping hand on those days when you want to run away to Berlin & get a mullet. If you’re polyamorous you need to read this book (despite how long you’ve been polyamorous). If you’re monogamous you need to read this book. You need to read this book if you’re single. You need to read this book if you are mono-poly. You need to read this book if you are struggling. You need to read this book if everything is going perfectly. You need to read this book if you will never have a romantic or sexual relationship EVER.
   One of the mistakes we make in polyamory is thinking ‘Oh, well my relationships are radical and mutually respectful’. The truth of the matter is- we all have shit we need to address. Yes, you too. My advice is- read this book with your partners, discuss each chapter, ask questions, use the questions in the book. You deserve to have the best relationships possible your partners deserve the best relationships possible because as the book says ‘The people in the relationship are more important than the relationship’. 

 You can find out what others think and decide where to buy it here (including audio-book and kindle options).
You can find the website here
Follow the authors here @everickert and here @franklinveaux 

Good luck. x

Saturday, 10 October 2015

20 Things I've Learnt about mental health in 20 months of working for an NHS mental health trust



1. Mental health is misrepresented to make it more palatable. Anxiety & depression are often the only mental health problems discussed and are often reduced to "being a big worried" and "feeling a bit sad". These conditions are presented in such a manner that makes them easier to accept. This is damaging to people with these conditions and those with other conditions that aren't mentioned.


2. NHS services categories are often damaging. The NHS uses the following categories to provide services
- Adult Services
-Child & Adolescent Services
-Forensic Services
-Learning Disability Services
-Older Adult Services
-Substance Misuse Services
-Eating Disorder Services
 So essentially if you are a fifteen year old person with an eating disorder and a learning disability your treatment is decided by a clinician deciding which service you will use. It may be that you're stuck in the learning disability service, the only young person there, or that you enter treatment for your eating disorder only to find barrier to your treatment due to your learning disability.


3.  Anti-medication rhetoric is empty rhetoric. "People with mental health problems need support not meds". This is far from true and often contributes to the erasure of huge groups of people. Having been on psychiatric medication for my own anxiety & depression (whilst having a supportive partner and friends around me) I know for a fact that medication allowed me to live my life. In fact some people's medication alleviates symptoms like psychosis & delusions of grandeur that no amount of chatting about with friends would stop.


4. There is no shame in seeking treatment. Just like there is no glory in recovering from a broken leg without the appropriate treatment of a cast, there is no glory in "getting through" mental illness without treatment and treatment includes medication. If medical professionals, family or friends try to pressure you out of using medications with the shame argument they are using social biases towards non-disability to do this. You should consult (further) medical professionals who don't use this kind of argument for less biased advice.


5. Treatments aren't usually to cure. For most of us, the treatments we receive via the NHS or other avenues are mostly to help us exist with our condition rather than to "cure" us.


6. Treatments include (I've put some loose examples after each.)
 -Self help (practising breathing exercises for anxiety)
-Hospitalisation (being put under a Section to prevent suicide or harm)
-Peer Support (an assigned Peer Support worker assisting with everyday tasks such as filling in forms)
-Neurosurgery (surgery used to treat conditions not aided by other treatments, very uncommon)
-Social Care (a social worker to help someone leave an unsuitable housing situation that is causing stress)
-Medication (someone with bipolar disorder using the mood stabilising drug lithium)
-Psychotherapy (a child attending play therapy or a person with OCD being referred to Cognitive Behavioural Therapy)


7.  Since 2010 many local authorities have been forced to cut their social work budget increasing strain on NHS services (especially in dementia care, where people who were functioning in the community find their condition deteriorates due to reduction or removal of social care and support for their carer's or family).


8. Forensic mental health services should be more funded & prisons should be abolished. Forensic mental health services are those that cater to inmates of prisons. With statistics showing that 9/10 people in prison have mental health problems, it's clear that prisons aren't a suitable treatment to social 'ills' or to mental health problems. Now if 9/10 of those inmates would be better placed in a a mental health setting the population of prisons would essentially render them useless.


9. The reported statistic that  1 in 4 people experience mental health problems is actually much higher. ('Obviously!' I hear you groan).


10. Mental health services are a gendered experience. 'women more likely to receive treatment than men' & 'men three times more likely to commit suicide than women'  (no evidence about non-binary gendered people or even current statistics on transgender people's experiences in contrast to cisgender experiences)


11. Mental health services are incredibly institutionally racist. Black, Asian & Minority Ethnic people are 'less likely to report their mental health problems' & they are 'more likely to be turned away from services'. (http://www.jcpmh.info/wp-content/uploads/jcpmh-bme-guide.pdf)


12. NHS Staffs' mental health is impacted negatively by cuts. Now this is not absolute evidence, but as the person who coordinates the staff mediation service for a mental health trust that had £8 million cut from its budget, I noticed that after the announcement my case loads had basically tripled in comparison to my pre cut caseloads. Which means that for some reason (fear for their jobs, stress, etc) staff began arguing more.


13. You can see if NHS staff would recommend the mental health trust they work for (a very telling indicator) by looking at staff surverys. http://www.nhsstaffsurveys.com/Page/1015/Latest-Results/Mental-Health-Learning-Disability-Trusts/


14. The majority of violent crimes are committed by people who don't have mental health problems. (So you can stop using the word psychopath or schizo to describe behaviour of violent people, now, thanks.) http://www.time-to-change.org.uk/news-media/media-advisory-service/help-journalists/violence-mental-health-problems


15. Everyone has the legal right to NHS mental health care in an accessible language. This means whether you communicate in English, Urdu, British Sign Language or German, you are entitled to have letters, instructions, questions and results communicated to you in an accessible language. This is the same for all public sector organisations and is often a contentious issue for right wing pressure groups in the U.K.


16. Addiction services should be preventative services. Often in the U.K addictions are presented as something that puts a blame or burden of "cure" at the hands of the individual addict. The media (press & social media) tells us that addicts are weak and criminal. This is wrong. Addiction is a mental health problem that can be helped with mental health treatments such as therapy and medications. But importantly addiction is best treated by reform of drug laws, fully funded & appreciated social work & education. When I was 17 I found myself needing to enter treatment for addiction. I received help from addaction that I believe saved my life. When addiction is seen as the fault of individuals and not a societal problem addiction services are more likely to be cut which is dangerous.


17. Your employer has a legal obligation to make reasonable adjustments for you mental health condition. (e.g. Allowing a person with PTSD to work in a quieter office) http://www.nhshealthatwork.co.uk/images/library/files/Government%20policy/Mental_Health_Adjustments_Guidance_May_2012.pdf


18. Specific diagnosis's aren't always useful. Although often a necessary key to open doors to treatment, for many, the broad, changing and varied mental health symptoms they experience aren't always usefully diagnosed. Having a term to apply to something say 'anxiety' may mean medical staff don't always know to factor in symptoms outside of anxiety.


19. Even the government acknowledges that mental health problems can be disabilities. https://www.gov.uk/when-mental-health-condition-becomes-disability


20. Given that mental health and physical health are for most an intertwined state- our healthcare system should be able to treat both. It is exhausting, expensive & frustrating to have to traipse around to seven different medical appointments a month at different hospitals, in different towns and be treated as person who is purely defined by their need for psychotherapy one day  and a person who is defined by their need for physiotherapy the next. Many mental health services are working on making physical health more of a priority and I for one have my fingers crossed this works and is reciprocated by other health services.