Showing posts with label psychiatry. Show all posts
Showing posts with label psychiatry. Show all posts

03 December 2018

Bullies II — Town Without Pity, part 2


Yesterday, we brought you part 1 of a devastating story. That horrible situation is about to grow considerably worse.
girl crying
Part 2, Therapist, anagram of ‘The Rapist’

The court ordered psychiatric evaluation and therapy sessions. There, Honey Barrette encountered horrendous professional misfeasance.

Realizing the girl’s worst fears, the shrink didn’t bother to mask disapproval and dislike. The fault, she said, was Honey’s. Attention-seeking, she said, manipulative, narcissistic, unconcerned about others. False rape accusations are a nasty problem. Honey, she said, would be lucky to avoid jail time or even prison, which the prosecutor wanted.

Then the court-appointed psychoanalyst twisted the knife in a way the original perpetrator couldn’t approach. She ordered the child to apologize in writing to her so-called victim, the rapist. She instructed the girl to write letters of apology to the police and hospital for wasting their time, to the newspaper for headline grabbing. The therapist had perfected the art of bullying.

Protestations from the Barrette family fell on deaf ears. They pointed out the perpetrator was of age and Honey was only fourteen. At the least, statutory rape had taken place.

No, said the psychiatrist. No, said the police. No, said the prosecutor. The poor man had suffered enough.

Making the most of public shaming, newspapers printed the apology. One paper used the case to highlight attention-grabbing teens. The state’s premier, syndicated newspaper wrote a piece about false rape. It featured the psychiatrist’s assessment of the Honey Barrette case. It’s unclear if the shrink went on to publish it in an academic article.

School descended into a deeper nightmare than before. A delighted, self-righteous Alexis and her gang ruthlessly tortured Honey. The rapist’s best friend Colt organized insidious torments. Students stuffed Honey’s locker full of newspaper clippings. They elbowed, kneed, tripped, slapped, punched, and fucked over their classmate without mercy. Teachers failed to halt the unending hammering assault upon a 14-year-old child.

A numb, despondent Honey felt her life had ended before it’d begun. Dropping out of school made problems worse. She became pregnant by an abusive guy who resolved the pregnancy problem by slamming a 2x4 into her stomach, causing a miscarriage. Honey was falling faster than anyone could stop.

She prized one asset, her family. Parents and grandparents gathered around her. The packed up their precious girl and moved across the country.

It took their damaged daughter years, but she found her way back on track, a testament to her inner strength when it’s amazing she survived at all. She turned a sense of humor dry as the desert sands into a survival skill. She obtained her GED and undertook nursing studies.

Honey Today

She sticks close to family and a couple of close friends. Betrayal and horrible treatment at the hands of others has compromised her ability to find a decent man and forge a loving relationship, but she’s working on it. She’ll do it.

Recently she’s been awarded a well-earned promotion. Hard work and responsibility moved her up the ladder professionally. She started at ground level and worked her way up to management, now number three in line from the top. Any company would be lucky to employ her.

Living well is the best revenge, and Honey Barrette makes every effort to make that happen.

Afterword

The actions of the psychiatrist horrified me, a medical professional convinced of one’s own infallibility. Because of her evaluation, authorities forewent a slam-dunk case of statutory rape. Even if the judgmental shrink didn’t believe the girl, she should have considered the tiniest possibility rape could have happened, given the child the minutest benefit of the doubt, and not forced her to write those letters.

After Honey related her story, I spoke with her mother who filled in a couple of details.

Long after the court-ordered psychiatric sessions, the Barrette parents sat down with the court’s appointee to discuss issues. Too late to retract her words and reverse the fates, the psychiatrist revealed she’d misinterpreted the girl’s hostility toward her. She’d belatedly come to believe Honey and further concluded her rapist should have been prosecuted.

The shrink would have done well to remember the words of Omar Khayyám:
The Moving Finger writes and having writ,
Moves on: nor all thy Piety nor Wit
Shall lure it back to cancel half a Line,
Nor all thy Tears wash out a Word of it.
Honey at least, is beating the odds.



NB: Except for a single reference to the rapist, I've avoided the word ‘victim’. Honey didn’t use the term and I followed suit.

02 December 2018

Bullies II — Town Without Pity, part 1


As I was writing Bullies Part I, my dear, dear friend told me her story. I feel humbled she shared it with me and has given me permission to share it with you. Like the original Bullies article, the names have been changed as a condition of publication.
Part 1, A Town Without Pity

In middle school it started verbally, the wrong shoes, a lack of designer labels, boobs that were taking their sweet time to present. Honey Barrette was only fourteen, a waif, a wisp, small for Bad River Junior High.

Classmate Alexis, oversized in attitude and altitude, had been held back a grade, then held back again. She wasn’t stupid. She’d mastered a cruel vocabulary of peculiar biology beyond the ken of 7th and 8th graders, phrases to gobsmack an adult.

Honey did her best to avoid her in the eddies of students swirling through the halls, but Alexis glided the currents like a shark. A head taller than her classmates, she sought prey unerringly, She found little Honey Barrette easy pickings and confronted her.

girl crying
“What you staring at, slut?”

“Uh, nothing. You lunged into me.”

“Retard, you grabbed my jacket, bitch.”

“I-I didn’t.”

“You calling me a liar?”

“N-no. I was calling you mistaken.”

Alexis stabbed the girl’s chest with a hard finger.

“You’re the mistake. Christ, I had more tits when I was two. What’s with this sweater? Is this a fashion statement from your granny?”

“You two, break it up.” The hall monitor approached. “Alexis, get to class. You, whats-your-name, move it. Don’t cause trouble with Alexis.”

The bully honed her hunting instinct to a science, cutting victims out of the herd like a rodeo cowboy, especially Honey. She upped the ante in violence, secretive judo chops, rabbit punches to Honey’s kidney, slams and slaps to the back of the head.

“What’s the matter, little twat? You gonna cry? Want your mommy? Jesus, I can’t stand touching… what do you call them? Clothes? You never heard of Tommy Hilfiger? You steal them from Goodwill?”

The biggest girl in the class escalated to hair grabbing and tripping, hard shoves, hard punches, hard nipple yanks. One morning Honey couldn’t take it. She lashed back, throwing the bigger girl into the lockers. Naturally the hall monitor spotted them.

“You two, stop. Whats-your-name, you’re on report. Alexis, you’re suspended for the day.”

“Great. I can catch up on General Hospital, which is where this little bitch is headed.”

Seeking protection, Honey began to hang out with older kids from Bad River High School. They acted more mature and less mean. One hanger-on was no longer a student. Dick was a bit older. High school students looked up to him, a cool guy. Dick grew interested in the group’s youngest, Honey.

Later the Barrette family determined Dick must have stalked her, learned Honey’s schedule and route home from school, and found a lair to stage an assault.

The rape wasn’t spur-of-the-moment, it wasn’t accidental. It came as a blatant, broad-daylight attack in the middle of town. One afternoon Dick walked with her, then lured her into a copse beside the courthouse.

When Honey realized his full intentions, she fought back, but his height, weight, and strength dwarfed hers. Afterwards, he threatened to kill her and her family should she tell. With that, he abandoned her.

Honey gathered her wits and her clothes. She stumbled toward home, crying.

En route, a woman sat on her veranda, rocking, looking out upon the world. She noticed a slight girl hopelessly sobbing.

“My dear, what’s wrong? Come, come here so I can see you.” She drew the young one to the porch. “Dear, why are you crying so hard?”

Honey didn’t want to talk, she merely wanted home with her family. When the woman pressed her, Honey improvised the first of a series of devastating, spur-of-the-moment lies.

“Nothing’s wrong. I’m late, missing my curfew. That’s all.”

“My child, yours aren’t tears of a girl missing curfew. Your shoulders are shaking like… What’s that on your back? Is that blood? How did that happen? Oh my, oh my. I’m calling an ambulance.”

As they waited for paramedics, the woman, no mean amateur detective, drew the essentials from the girl’s trembling lips. Honey admitted she’d been raped, but refused to name her attacker.

By big city standards, Major Hospital was minor, but for three quarters of a century, it had served rural residents in three counties. They were expanding their facility and the small physician group, but the Women’s Health Center wouldn’t be completed for another two years. Whether the staff was trained in rape analysis isn’t clear, but they couldn’t state with certainty Honey had been sexually assaulted. They treated scratches and bruises separately before releasing her to reluctantly talk to police.

With Dick’s threats ringing in her ears, the last thing she wanted was to speak with authorities. She simply wanted to go home where it was safe, where she could curl up with a blanket over her head.

Not wanting to get anyone in trouble, she made up a pretend name for the rapist. The police ran with it, unsurprisingly not finding a perpetrator. Eventually, they figured out the real rapist and questioned him.

Naturally, Dick denied assaulting her. He opted for the consensual sex fiction, claiming she was all in and all over him. Afterwards, he implied, she suffered buyer’s remorse.

Life was about to grow far worse. She’d been raped by an amateur; now she was about to be gutted by a professional.

Tomorrow: The rapist, anagram of Therapist

08 April 2018

Hell hath no fury...


Imagine being so ill that you cannot even get out of bed. Or being too sick to spend time with your family and friends. Now imagine being too frightened and ashamed to tell anyone you are ill. Being so humiliated by your disease, that you can’t even tell your own doctor that you are ill.



One out of five people, 20% worldwide, have a mental illness. Many often go through this scenario. Some bravely ask for help. Some hide in the shadows. Some hide in alcohol or drugs.

When I was a young, inexperienced doctor, I was certain that the unfair stigma of mental illness would and should be eradicated in my lifetime. I felt that mental and physical illness were both simply illnesses to be treated. Now, after treating mental illness for decades, I know that I was correct.


The suffering of those with mental illness is real, and as varied, as patients suffering from anything from a broken leg to heart disease. Just as there is nothing shameful in having cancer, there is nothing shameful about having a mental illness.

Where I might have been a tad optimistic was in my hope that all the stigma of mental illness would be eradicated in my lifetime. However, since I am not dead yet there is, indeed, time. I have seen a lifting of the stigma of mental illness, a willingness to talk about it and reach out and get help.

What we still need to do is reach into the dark corners, the places where this stigma grows, and open the curtains and let the light disinfect the place.



The one prevailing myth that needs some attention is that the mentally ill are dangerous. This comes from articles about murders or violent crime, where mental illness is brought up as a possible cause. Also, from the books where murderers are often mentally ill: yes, I mean novels about crime.

If there is a disinfectant for myth, it is fact.

Since the U.S. has one of the highest incarceration rates in the world, with 666 citizens in jail per 100,000 of the population, we can assume that most of the dangerous people do end up in jail. However, if all those who are mentally ill were dangerous, that would mean that 20% of the population, more like 20,000 per 100,000 population, would be in prison.

How about an analysis of those who are in prison? Large scale reviews have shown that, in the prison population, less than 4% have psychotic illnesses.

The myths of mental illness and murder arise most frequently with the worst offenders: mass murderers. Dr. Michael Stone, a forensic psychiatrist at Columbia University who maintains a database of 350 mass killers going back more than a century, has found that only one in five are psychotic or delusional. This means that 4 out of 5 mass murderers are people who are clinically sane. 

Even analyses of those who are mentally ill and commit crimes shows that only 7.5 percent were directly related to symptoms of mental illness.


So, is there NO connection between mental illness and crime, particularly violent crime? The answer is that there is a very small connection, and one that is present largely in those who are not treated and who also abuse alcohol/drugs.

Those who are depressed are three times as likely to commit a violent crime. However, 60% of people who kill themselves have a mood disorder and suicide is the tenth leading cause of death in the US overall, and the second leading cause of death of 15-34 year olds. Since there are twice as many suicides as homicides, the most likely violence done by depressed people is to themselves, not to others.

With schizophrenia, the risk of committing a violent crime was 3-5 times greater, but this was found largely in those not on medication. This research on violence and mental illness also showed that those who are mentally ill are more likely to be victims of violence than perpetrators.

For a final look at mental illness and murder, I present the full quote from the title of this article: “Hell hath no fury like a woman scorned.” Most of us would say that scorn is a good motivation for murder and that Shakespeare was insightful for writing this. However, Shakespeare didn't write it - it was written by the playwright William Congreve. Further, this isn’t even what was written – the actual line is ‘“Heaven has no rage like love to hatred turned / Nor hell a fury like a woman scorned.”

Common, widespread ideas can be wrong – like the origin of this “Shakespeare” phrase and the idea that those with mental illness are inherently violent. Certainty is meaningless unless it can be backed by facts, and in this case the facts do not support the certainty that most people feel.

Sometimes our first impression is wrong. Even with things we feel that we know, such as Shakespeare or mental illness.



The US has the highest civilian incarceration in the world. — Ed.