Social stigma

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Treating Depression with Electroconvulsive Therapy

mcfadden-moMaureen McFadden, a two time Emmy Award winning journalist, at WNDU.  In November 2007, she documented a winning medical series called Rewiring the Brain. 

  See part of the Emmy award winning story on a local man’s path to a better life in the series “Rewiring the Brain.”

I am sharing my response to Ms. McFadden with you, my friends, colleagues, and community, because I choose you for company.  Thank you for that.

Hello Ms. McFadden,

Thank you so much for your work increasing community awareness of ECT and diminishing social stigma.  Thank you for having a life-work, such as this, for obtaining a powerful voice that people want to listen to, and doing what you have done to get attention.  Your influence, hard-earned, is collateral and that you spent it “here” is huge.  I am so grateful.
I am a psychiatrist.  It is difficult for me to work with these, community awareness and social stigma.  I am not special in this difficult experience, of course, and I know that the bummer feeling that I am “alone” in it is a distortion.  Thank you for your company and illuminating presence.  Keep on.
Sana Johnson-Quijada MD
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Stigma Can Hack At Us, But We Don’t Have To Lose Our Heads Over It

City of Canterbury budget 2010−2011 072a

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A few days ago we wrote a blog-post entitled “Be A Tall Poppy.”  I had more than one person ask in comments and in person, what the —-! did that mean!

Why a poppy?  Why discriminate against the many other lovely but apparently unapplauded flora of the world?

What does it mean to “be a tall poppy?”

This referenced the “Tall Poppy Syndrome” of Anglosphere nations.  It tells us that culturally people who wear their accomplishments openly and indiscreetly invoke jealousy in others who then correctively cut the “tall poppy’s” down.

No offense to other buds around the globe, but when we say, “Be a tall poppy,” we say be yourself without the “discretion” of hiding your beauty – flaws and desired traits included.

We probably can’t change cultural opinion much if we don’t work with our own feelings of possible social rejection of making these changes in ourselves.  Being a tall poppy means that we will not be reduced by stigma and other forces; we stand tall and live.

In our blog-post Paging A Testimony, Nancy told us about her discomfort with the response of others to the way her improving health demonstrates itself and changes the dynamics of their relationship.  The balance of energy, power and involvement between her and others is in flux.  Her courage of prevailing through can be coined with, “Nancy is a tall poppy.”

Way to go Nancy!  Stand.  Cowing to those negative emotions is the same as cutting the poppy’s head off and stem left short.  Feel the tension, but stand.  Be present with your emotional responses.  Stand tall.

Self-Care Tip #279 – Be present with your emotional responses.  Stand tall.

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Starting With Your Own Answers to The Big Questions Leads to Reducing Stigma In Others

Alexander Ostuzhev as Quasimodo, 1925.

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Question:  How do you see the paradigm of spirituality intersecting with the paradigm of biology?

As a psychiatrist who blogs that behaviors come from the brain and not a theater script we voluntarily revise to perform, this is a good question.  As readers, and perhaps subscribers to this same belief, this is a good question.

In church, Bible study, or circle of any kind, there are fewer things that goad me more than listening to descriptions of the moral value in emotions and behaviors.  I have found myself visiting the lady’s room more often, carousing the fellowship hall-kitchen and fridge, or thrusting myself on a poor unsuspecting soul loitering by the door with my fervent uncomplimentary words.  I do this before I stand up and pull rank on the speaker.

(I know.  The words “pull rank” sound just as arrogant, and probably are, but they were said in the heat of the moment.  Please understand that the emotion behind them and including the words came from my brain.)

It wasn’t so long ago that suicides were thought to be the ultimate separation from God.  Oh wait.  That’s still happening isn’t it?  It wasn’t so long ago that anger and sadness were thought to be from separation from God.  Oh wait, they still are.  Ok.  I’ll stop.  This is childish.

The hunched figure of Notre Dame comes to me now, ringing his bell, gazing at Esmerelda – pure heaven in flesh.  He offers up his humble life force, begging to be near her despite his biology.  He is ugly.  He is different.  He is separated by his own beliefs that he is forgotten by God.  His answer to our question is his own isolation.

This pithy topic has no boundaries across the world but yet I reduce it down to Me, one apparently arrogant psychiatrist, kicking up dirt where I stand.  I realize that the best way to protect us from stigma, to help you (again arrogant me swaggers in), is to start with my answer to this marvelous question.  I have to answer it for myself.  I have to start with self-care, spiritual care, relationship care, physical care – I have to start right here with Me.

These kinds of imposed opinions have never been reduced quickly.  We can’t take care of everyone before we take care of ourselves.  We must be patient.  We have the privilege to answer thoughtfully.  It is our freedom.  It is our right.

Self-Care Tip #193 – Answer the big questions in life for yourself, deliberately, and see that a secondary benefit is that it will protect you from the prejudice of others as well as reduce their prejudice.

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Leave Space in Your Beliefs to Grow

 

standing up to stigma - mambo.org.uk

Self-Care Tip #144 – Leave space in your beliefs to grow.  Be a friend to yourself.

Madeline brought her son in.  He was born male but has always allegedly believed he was female inside.  It was Madeline’s appointment with me, not her son’s.  But he came in with her and I could either listen to her concerns about her son or ask him to leave against her wishes and still hear her talk.  So I listened.

The issue was a matter of salvation.  Madeline was fighting for her son’s salvation as a mother might.  That part was lovely to watch.  I thought of God hearing her and being present with her pain and being The One behind her fierce love in the first place.

We talked a little about the biology of homosexuality.  What is transgenderism?  If God’s Word is absolute, what part does a progressive understanding of biology play in our perception of truth?

Madeline’s son asked to leave.  I thanked him for coming in and he shrugged.  His whole family abused him, Madeline said, gulping and losing form.  She had spent many years defending him even though in her heart she was terrified that her son was damned.

Some of you may have read the powerful blog-post, “My son is gay” in which a mother described her halloween experience.  Her son dressed up as Daphne from Scooby-Doo.  She and he were promptly abused. As a mother I empathized, and as a scientist, I wanted to scream things like, “You thought the world was flat too!”

But Madeline was worried not only about bullying.  She was worried about the Last Judgment.

Stigma comes from all directions.  Inside of us, our homes, our churches, our schools, our government, up, down, sideways, this way, that…  Stigma is everywhere and it is usually a painful encounter for everyone involved.  Perpetrator included.

So here’s the scoop folks.  Homosexuality is biological. We have as much choice in it as the shape of our nose.

I’ve seen kids be mean about noses.  I’m half-Lebanese and believe me, I know what big noses are.  The nose that makes you wonder how the head escaped the vaginal canal without injury.  But I’ve never heard anyone hate someone’s nose and believe that he’s going to loose his salvation for it.  I’ve never seen someone turn her back on her brother and leave him to die without the love of family around because she thought she was condoning his nose if she did.  I’ve never heard about moral judgment being attached to a culturally incorrect nose.

In my son’s church class the other day, the teacher was trying to get him and the rest of the other oppositional three-year-olds to wear angel and shepherd costumes for the song they were going to perform. Only the stage-hams garbed up.  She kept giving the rest of us parents her pleading eyes, pleading words, and pleading emotions. She was making the wrong people feel guilty.  The kids were unfazed in both compliance and emotion.  The ones who were genetically inclined to get energy from performing that way, were.  The others were not.  I could have said to my son, “Get this on!…!”  And made him feel like he was bad if he didn’t.  But attaching morality would never change where he gets energy.  That part is genetic and it won’t change despite his conditioning.

It’s a bummer that Paul’s letters were translated the ways they were in the 1950’s using the word homosexuality.  A lot of people are scared when they read it.  Fear has threatened and hurt a lot of people.  Reverend Mel White posts about this.

I don’t know if Madeline was given anything she came looking for.  I’m not always the best teacher or student myself.  But I do know that we, all of us, will continue to learn through all eternity.  We will never know enough, love enough, or be sinless and perfect enough to take over that awesome job of being Judge.  I once heard of a beautiful beloved angel who tried.

Question:  What has been attached to morality in your life that you know is not?  How have you dealt with stigma?  Please tell me your story.