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Dr. Sohom Das

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Mental Illness and Stigma - Interpretations of a Recent TV Advert

Posted: 1/02/2012 00:00

The other day, I was discussing the new TV advert by MIND / Rethink, called "It's time to talk. It's time to change", with my colleagues at the psychiatric inpatient unit where I work. You know the one - where Dave (from accounts) has come back to work after some time off with a mental illness, and his colleague is contemplating whether or not to ask him how he has been.

It really seems to polarise opinions amongst the folk at my work. Many thought it was funny and interesting, but a couple of people felt it was demeaning to people with mental health issues, by portraying Dave (from accounts) as unpredictable, chaotic, impulsive and... well, a bit nuts, really (sorry for the psychiatric jargon). I respectfully disagreed, because my interpretation (the advert is ambiguous, perhaps intentionally) was that the bizarre behaviour (e.g. crawling into a photocopier, turning into dust, and guzzling down a model building) was the other person's imaginary fear of how the conversation could go. Also, I pointed out that at the very least, it has people talking about the advert, and by proxy thinking about mental illness.

I'd be interested to know what you Huffington Post UK readers think, and would be much obliged if you could enlighten me.

One of my colleagues made a comparison to the Vinnie Jones recent resus advert, noting that this also tackles a grave medical situation (near death), which is no laughing matter, in a... well, laughing matter. I pointed out that there was a pertinent difference - unconscious people who are in immediate need of life-saving treatment are not stigmatised like some psychiatric patients. They are not vilified and unfairly judged by many or arbitrarily presumed to be violent.

Hell, nowadays, even Vinnie Jones isn't vilified and unfairly judged by many or arbitrarily presumed to be violent.

Of course, Jones himself promulgated his battle with depression, in a recent BBC documentary - a laudable, brave and progressive step.

I do not have the temerity to attempt to deconstruct the intricate and multiple reasons for such stigma in a blog. But I would say that ignorance is a salient factor. Whoever said it was bliss clearly doesn't sympathise with victims of such backward, archaic, hillbilly thinking. The media hasn't helped, with depictions of the mentally ill, as demonstrated by the unfounded language frequently found in newspaper articles, especially in tabloids. You only have to look back at the Sun's egregious gaff - the headline "Bonkers Bruno locked up", for an example. I wonder how the authors of these types of articles would react to equivalent epithets when being described themselves; such as "sensationalist, greedy, oafish tabloid journalist" or "insensitive, callous, attention-seeking, horrible, immoral reporter."
Too much? Sorry.

"Mental illness is nothing to be ashamed of, but stigma and bias shame us all" - Bill Clinton

The very same day of the discussion about the TV advert, I reviewed an outpatient who had recently been discharged after a long stay in our secure Forensic Unit. He was telling me his woeful experience of returning back home, and trying to reintegrate himself against all the prejudice and stigma he had to face.

Although very psychiatrically unwell at the time of his index offence (he assaulted a stranger, while suffering from paranoid delusions), he had since turned his life around. It took medication, psychology sessions and a lot of therapy, but most of all it took motivation, effort and dedication on his part. He is able to look after his day-to-day living, and elude the temptation of drugs and the company of old, nefarious associates. He exercises every day, is actively interacted with his community, and is trying to look for work.

Now, either I am watching too much Jeremy Kyle, or there is actually a significant proportion of our society, for whom the same cannot be said. But because of this invisible, yet heavy label hanging around his neck, he has felt stigmatisation all around him. When it came to looking for a job, speaking to old friends from his neighbourhood, and even spending time with his family, he sensed their fears and insecurities behind the looks they gave him, and hidden within the words they spoke.

I've been around many people with mental illnesses in my career. Some can be challenging and difficult, but the majority are friendly, pleasant and thoughtful. I've also been around many more people without mental illnesses in my life. It is the same.

I've been able to draw my own conclusions from my experiences, but struggled to construe how some people can be so judgemental and narrow-minded. More than a quarter of the population suffers from a mental disorder at one time in their life. And very, very few of those people crawl into photocopiers, turn into dust, or guzzle down model buildings. This means that the only way someone can realistically reach the corollary of mental illness always equating to unpredictable bizarre behaviour, is if they locked themselves in a cave, and barely interacted with anybody at all.

 
The other day, I was discussing the new TV advert by MIND / Rethink, called "It's time to talk. It's time to change", with my colleagues at the psychiatric inpatient unit where I work. You know the on...
The other day, I was discussing the new TV advert by MIND / Rethink, called "It's time to talk. It's time to change", with my colleagues at the psychiatric inpatient unit where I work. You know the on...
 
 
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09:34 AM on 03/30/2012
Dr Das,

When is your next post? You certainly have ignited some debate here...
06:05 PM on 02/06/2012
What's the question?

Anyway, respondents seem to have grasped the purport of it. Let's talk to each other! Mental ill-health is as much a reason to offer sympathy and support to a sufferer as physical ill-health.

You tell me you've never had a spell of mental ill-health and I'll say you've never loved, never lost a job, never had money worries, never failed an exam, never been bereaved, never had a row with a friend, never lived!

Admit it, people! Nothing to be ashamed of. I am Spartacus! I am mentally unwell. I have been mentally unwell. I fear I might fall mentally sick. Some people are less physically well than others. Some people are less morally strong than others. Some people are less resilient than others.

Courage! Spit it out.
01:23 AM on 02/06/2012
Well this Country had a perfect chance to bring mental health in to the open in the 90's, when myself and daughter did a media mental health campaign....We were used to boost TV ratings and left on slow burn to stagnate and die. My daughter is a very plucky human being, after being dumped by our Country and deemed trouble makers by everyone... We set out to regain our fight to stay alive in the most harshest environment of discrimination and hostility...We had no family, or friends only each other, it was like being thrown to the lions, and everyone wanting you dead...Just for speaking out on such a taboo subject....The media like any other business have a duty to the people, who take part in their press stories, or TV programs to be protected against corruption.. From other authorities like the NHS system ..Not left alone to die like we were, with no family or state protection....Very wrong what they all did,..Just for the record my kid survived all that you did, and got better... I thank you not Sirs... You all disgust me..
07:10 PM on 02/05/2012
I remember once running a bit of a fever, and the high temperature caused me to hallucinate while trying to get to sleep. Sort of whacky waking-dreams. Perhaps we ouht to dispense with the idea of "mental illness" altogether, since one's brain can go off the rails briefly, temporarily or permanently for a number of reasons, including physical causes. If we simply regarded the brain as another organ, and its malfunctioning as being just as unfortunate as renal failure, we might make a bit of progress.
11:12 AM on 02/02/2012
11 years ago mental health was a real taboo in the UK. I was depressed but kept it to myself as I didn't even know what was going on in my head due to lack of information on the subject. I lived in the US and for 10 years where it isn't a taboo and is addressed as easily as any other physical illness.
I'm now back in the UK and while its not so much of a taboo its still frowned upon, there is still the 'snap out of it' or 'pull yourself together' attitude, I have been also told by a GP that there is nothing wrong with my 6 year-old son with autism and he should go out and play with normal kids.... My son then saw a pediatrician and is now on DLA for his AUTISM.
The thing is that the government/health service might put ads out about mental illness but they don't have a clue how to deal with it and people do not want to see a doctor or therapist and be have their feelings and emotions belittled.

I support this advert as it gets it out there. Many people don't know how to socially interact with someone who has had depression as they have never had to put any thought into it but I hope they do now.
09:41 PM on 02/01/2012
I'm in the UK and I read it as the bizarre scenarios being the enquirer's fears, whereas the reality is that the returner is quite 'normal' and appreciates the care. But I think the misunderstanding is in the same category as the hoo-ha about the Little Britain TV series characters Lou and Andy. The butt of this joke is not Andy, the physically and learning disabled young man, but Lou the thoughtless, politically correct person who treats Andy not as the complex and rather devious human being he is, but as a 'case' and the recipient of his earnest but poorly considered do-goodery.

The British sense of humour is a bizarre creature!
08:34 PM on 02/01/2012
I have been a psychiatric in-patient three times due to suffering with depression. Both myself and my husband think the advert is funny, and like you we understand it... it's telling people it's okay to talk to colleagues/friends/family (like Dave) and ask them how they are and not avoid the topic of their mental illness. They will appreciate being asked how they are instead of avoided or felt sorry for or even feared. That you may imagine and fear that bring up the subject may cause some awful reaction or extremely strange behaviour (exaggerated in the TV advert to make a point and to bring humour and discussion to the topic), but that is highly unlikely.
If a colleague had been away from work with say cancer or had suffered a bereavement, once they had returned you wouldn't simply ignore the fact they'd been away. You might say you were glad to see them back, and ask them how they were. Bereavement and Cancer can both be difficult topics to approach, but most people find a way to discuss them, to check that the person involved is ok, see if you can find a way to be helpful. Why can't people be that understanding when it comes to mental illness?
07:27 PM on 02/01/2012
The audience it is trying to reach do not give 2 hoots about any mental health issues, mental health needs to be re named revamped and stop being represented as a different breed of people. This advert needs to be pulled with Immediate effect as I does nothing except dig a deeper whole! I would suggest the time to change team seek advice from sufferers rather than professionals that are not subjected to stigma
06:37 PM on 02/01/2012
I have Bipolar Disorder and find the ad very confusing.

David
06:27 PM on 02/01/2012
The advert is not an opportunity to encourage people with depression to seek help or for them to talk to people, that's not the purpose of the campaign which is, from my understanding, to battle the stigma surrounding mental illness, get everybody to start talking about it and stop treating it like a taboo subject.
The advert seems perfectly clear to me, it is not trying to mock mental illness, rather mock the attitudes that some people can have towards it. The first man is uncomfortable with asking the second man how he is, when there is no need to real uncomfortable, you would enquire how a colleague is if they returned to work after absence due to a physical illness so why not a mental illness, what is so scary about asking a person how they are, what is the worst that can happen, what does he imagine. In reality the most likely scenario is that a person in that situation would react as most others would and appreciate being asked..there's no great mystery there. I know Ive experienced this situation and even friends would avoid raising the topic or ask how I was after I had been ill for quite some time, those who did tended to look shifty and uncomfortable when doing so which left me shameful. Yet when I had the flu last year people were very understanding and couldnt have been kinder in asking how I was feeling and wishing me better.
05:30 PM on 02/01/2012
I cannot stand this TV advertisment. To me it increases the stigma around mental health and I don't think it's supposed to do that. The characters are not believable. Far better I think to get the message across that's okay to have mental health problems, to drop the "stiff upper lip" to talk, to cry, because releasing tears releases toxins in the tears that could otherwise contribute to depression, to seek help without fear and not to feel shame. None of these messages came across in this advertisement and an opportunity has been missed
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12:36 PM on 02/01/2012
"I'd be interested to know what you Huffington Post UK readers think, and would be much obliged if you could enlighten me.
What’s the difference between the two characters in the ad?" One is aware of how tenuous a human's grasp of reality is. While the other is a few of simple questions away from that.
06:19 PM on 02/01/2012
I have Bipolar, both my Husband & myself think this advert is confusing which is detrimenta­l to what it is trying to say. Meaning, maybe nobody will ask Dave how he feels because of the ridiculous scenarios set out in the advert. In my opinion it needs to be made clear, not to be left to the imaginatio­n of the viewers. I feel this advert will have left many thinking, maybe I won't ask how Dave is for fear of triggering him into eating the foam buildings. This advert really winds me up. This airtime could have been used so much more constructi­vely xXx