1 Jeffrey Chen Fearing the Beast within the Mentally Ill The history of mental illness up to the present day has been persistently characterized by stigma. Awareness of this issue began in the early 1950s, during the start of the Civil Rights Movement. This resulted in increased public education of the mentally ill and the community mental health movement. These results, in combination with America’s increasing level of formal education in the past 50 years, led to the assumption that the stigma of mental illness has decreased significantly. However, recent studies have shown that not only the stigma still remains a major issue today, the level of stigma actually increased over the past few decades. Despite the increased awareness of mental illness, the stigma only worsened. If education and even a political movement are not enough to resolve this problem, what other solutions do we have? Instead of advocating solely for “traditional” answers, such as improving treatment of the mentally ill and increasing more public awareness, I propose an unorthodox approach to resolving this stigma. I propose that we, as a society, have never seen the mentally ill equally as a human being. Instead, we see an animal, something insanely dangerous and must be contained for society’s safety. In the public’s eyes, the mentally ill are reduced to animality, when they are dehumanized and become a beast. The stigma of mental illness today stems from this relationship. In their beast reincarnation, the mentally ill can only be seen as mad, insane, dangerous, savage, wild, needs to be detained, etc. These animal-like characteristics used to describe beasts derive into society’s description of the mentally ill, resulting in society’s fear of the mental illness. I believe we must sever this connection between man and animal, a connection that is centuries old. In order to relieve the stigma of mental illness, we the people 2 must change our perspective of the mentally ill from a mysterious, dangerous animal to a human being in need of support. In order to do so, society needs a deeper understanding between mental illness and animals from a historical context and how it appears in the modern age. I will be using Michel Foucault’s book, Madness and Civilization: A History of Insanity in the Age of Reason to explain the origins of the relationship between the mentally ill, madness, and animals and the limitations of a Foucauldian approach. From then on, I will continue to use Foucault’s work as a base for my argument as I further explore this relationship relative to the modern world. By having a better understanding of this relationship, we as a society can see the difference between human and animal, thereby stripping away the animal-like characteristics associated with the mentally ill and seeing the mentally ill in a more positive light. The book, Madness and Civilization: A History of Insanity in the Age of Reason, written by Michel Foucault illustrates the historical context needed to understand the stigma of mental illness and the dehumanization of the mentally ill. In the 3rd chapter, “The Insane,” Foucault begins the historical timeline during the Renaissance, a time which allowed “the forms of unreason to come out into the light of day; public outrage gave evil the powers of example and redemption” (Foucault 66). Unreason within this context consists of everyone who is considered “evil” appearing in many different forms. It groups together the average criminals, individuals who have broken the laws, along with those who are considered strange by the public, individuals whose ideas threaten society’s current status quo. However, unreason is also lumped together with madness, which consists of the mentally ill, people who are considered insane by doctors and society. There were no attempts made to distinguish between the two because people assumed the mentally ill were sinners, and their current state of madness was their punishment. Under society’s eyes, both madness (the mentally ill) and unreason (outlaws, heretics, etc.) are 3 the same, sinners. While the animalistic descriptions were not associated with the mentally ill at this time, we can see signs of these characteristics forming. For example, instead of educating themselves of the difference between the mentally disabled and unreason, society decided to trivialize the mentally ill. The mentally ill victims were publically shamed, forced to confess to ridiculous claims. The public shaming were disguised as a way for the mentally ill to “repent” from their sins and be “cured” of their illness when in reality, this so-called “repentance” is actually a form of public humiliation. These attempts to belittle the mentally ill established the foundations of the association of animalistic characteristics with the mentally ill. Foucault describes the confession of Gilies de Rais, who was accused in the 15th century as “a heretic, an apostate, a sorcerer, a sodomite, an invoker of evil spirits, a soothsayer, a slayer of innocents, an idolater, working evil by deviation from the faith” and was forced to admit to crimes "sufficient to cause the deaths of ten thousand persons" multiple times during his trial (Foucault 66). This confession is comparable to the humiliation of zoo animals. Just how the public humiliation creates an illusion of repentance, zoo gives the impression that “they are delightful to children, that they educate the public about wild animals or preserve endangered species” (Senior 119). In reality, zoos are “cruel institutions, born of colonial greed and vanity, Figure 1: Bear cages, one square meter in size, in Dalian zoo, Port Arthur, Liaoning Province, China, in 1997. (Wikipedia) built to satisfy a perverse human need to gawk at animals and dominate them” (Senior 119). Animals are suppressed, imprisoned within unlivable conditions not fit for their needs (Figure 1), all for human amusement. This situation is 4 similar to how the public shaming of the mentally ill was meant to trivialize the mentally ill. In both scenarios, an illusion is created in order to justify the suppression of the victim, in this case the suppression of zoo animals and the mentally ill. The zoo animals are literally imprisoned within their cages. The mentally ill are also imprisoned within cages, confined within jail cells along with the other forms of unreason or within hospital rooms. However, the mentally ill are also imprisoned by public ridicule. By humiliating the mentally ill, concerns about their mental health are trivialized by the public, and the victims are therefore considered “cured.” This “cure” is explained by James Rachels 1990 book, Created From Animals. In his book, Rachels uses Darwinism to explain the blurring of the metaphysical and moral boundaries between animals and humans. Rachels explains the notion of human dignity as follows: The idea of human dignity is the moral doctrine which says that humans and other animals are in different moral categories; that the lives and interests in human beings are of supreme moral importance, while the lives of other animals are relatively unimportant. That doctrine rests, traditionally, on two related ideas: that man is made in God’s image, and that man is a unique rational being (Rachels 171). In terms of human dignity, humiliation is caused by the violation of the dignity. This dignity fragile and is violated when the notion that humans are unique is in some way challenged. If anything proves or simply suggests that humans are not unique, then the human dignity is shattered, and the human is no different from any animal. The humiliation of Gilies de Rais and other mentally ill patients like him shatters the human dignity and breaks down the boundary between the mentally ill and animal. Differences between the animal and the mentally ill have been distorted. By being humiliated like animals, a part of humanity within the mentally ill is 5 blurred with animality. As a result of this new perspective, the mentally ill are trivialized and society’s fear of mental illness is diminished for the time being. Fast forward to the end of the 18th century, public shamming has evolved into imprisonment. Foucault notes that both unreason and madness were imprisoned. It is during this time that public shaming transformed into a world of confinement, a system we recognize today with our jails and hospitals. Foucault argues this is when the distinction between madness and unreason begins. The unreason (criminals, heretics, etc.) is simply imprisoned, hidden away from the public’s eyes, due to the amount of harm caused to society as a result of their crimes. Consisting of the mentally ill, madness was exposed to the public, unlike how unreason was hidden. Just how zoo animals are publically observed for human amusement, the mentally ill are also openly observed. Examples of this occur as late as 1815, when “the hospital of Bethlehem exhibited lunatics for a penny, every Sunday” (68 Foucault). This creates a strange contradiction where confinement was supposed to hide unreason, but it explicitly drew attention to madness. According to Foucault, the main intention of imprisoning the unreason “was to avoid scandal; in the case of madness that intention was to organize it” (70 Foucault). This meant that madness was supposed to be observed like animals. During the end of the 18th century, madmen were kept in hellish asylums and hospitals, where they were treated like animals and to be observed by the eyes of reason. For example, “at the hospital of Nantes, the menagerie appears to consist of individual cages for wild beasts” (72-73 Foucault). This practice still continues today in the present day. In Lee Correctional Institution, a prison in modern day South Carolina, the schizophrenic Jerome Laudman was sprayed with “with chemical munitions” during his transfer to his cell by the correctional staff, who then “physically abused him, and then left him naked on the floor of a cold, empty isolation cell” (LeCompte 752). This brutal treatment stripped madmen 6 of their humanity. The sense of dominance practiced during the late 18th to minimize the fear of the mentally ill still persists to this day. They are reduced to animality, when the madmen are dehumanized and become a beast. No longer is the feral spirit suppressed. The public believed this animality protects the lunatic from the cold, hunger, things considered fatal to normal people. “In the reduction to animality, madness finds both its truth and its cure; when the madman has become a beast, this presence of the animal in man, a presence which constituted the scandal of madness, is eliminated: not that the animal is silenced, but man himself is abolished” (76 Foucault). Of course, this is all within society’s imagination, only a myth. The feral spirit does not physically protect the madmen, but because the people are afraid of these madmen, they are seen as dangerous, mysterious beasts and treated as such. The presence of man is "rhetorically" and "symbolically" abolished, making madmen exempt of human morals and laws. This exemption is seen in today’s insanity defense, a defense by excuse in criminal trials that is based on the assumption at the time of the crime, the defendant “was incapable of appreciating the nature of the crime and differentiating right from wrong behavior, hence making them not legally accountable for crime” due to mental illness (Math 381). If the defendant is found legally insane, then the defendant is found not guilty by reason of insanity. However, the courts are not concerned with medically treating the defendant’s mental status. The courts are more “concerned with the protection of the society from the possible dangerousness” from those who are found not guilty by reason of insanity (Math 386). Instead of learning why these madmen become mentally ill or researching proper treatment, they were treated and reined in like animals. As a result of this beast metamorphosis, their confinement is justified in order to protect the public order. This confinement creates a sense of control over these “animals.” This 7 imprisonment of mentally ill “animals” is a particular form of relationship between the oppressor and the oppressed, an important observation I will discuss later. For now, I will finish up exploring Foucault’s observations of the relationship between the animal and the mentally ill. In the words of Licia Carlson in her essay, The Human as Just an Other Animal, “there is a complex story to be told about the presence and treatment of two kinds of beings on the philosophical stage: the non-human animal, and the mentally disabled” (Carlson 117). Like me, Carlson also uses Foucault’s Madness and Civilization to observe the relationship between the human other and the animal other. What is significant about her article is her observations of the limits of the Foucauldian approach. While Foucault’s work on madness “provides a unique window into the intricacies of the human-non-human relationship,” it only “paints a rich and complex historical and philosophical portrait of the animalization” (Carlson 128). What Foucault’s works does not do is explain the why of the relationship. Carlson concludes the purpose of Foucault’s work is to teach us to search for traces of “the human face and masks of the beast” in today’s world of unreason (Carlson 127). She then derives this conclusion into two solutions: “one which asks us to humanize our view of the ‘cognitively disabled’ and the other which demands that as humans we embrace our animality and rethink our relationship to the animal other” (Carlson 127). However, Carlson does not explore these two solutions in-depth, merely concluding that the Foucauldian approach creates new questions and different approaches that may one day end the silence of the mentally ill and shatter the relationship between the mentally ill and animaility. Although Foucault ends the historical timeline at the end of the 18th century, the stigma of mental illness and the relationship between animal and mental illness continued to develop. We must continue to apply Foucault’s work in contemporary society in order to better 8 understand the current relationship today. In Phelan’s and Link’s 1998 article, “The growing belief that people with mental illnesses are violent: the role of the dangerousness criterion for civil commitment”, increasing public awareness of the mentally ill since the 1950s as a result of (1) large-scale Figure 2: Percentage of respondents describing mentally ill persons as violent, stratified according to the use of ``dangerous to self or others'' language (Phelan and Link S8) public education campaigns, (2) the community mental health movement, (3) dramatic increases in level of formal education, and (4) increased levels of tolerance for other out-groups has led to the assumption that “the stigma of mental illness has declined dramatically in the United States” (Phelan and Link S7). The more recent report published by the Centers for Disease Control & Prevention (CDC), “Attitudes Toward Mental Illness — 35 States, District of Columbia, and Puerto Rico, 2007” reinforces this belief, reporting “most adults (88.6%) agreed with a statement that treatment can help persons with mental illness lead normal lives” (CDC 619). However, Phelan and Link found that the opposite was true. From their studies, Phelan and Link observed “In 1950, 7.2% of respondents mentioned violent acts, tendencies, or impulses in their description of what a person with mental illness is like. In 1996, the percentage had risen to 12.1” (Figure 1). After failing to find a reason why this increase occurred, Phelan and Link looked into an unlikely possibility, “the widespread adoption in the United States of the criterion of danger to self or others in involuntary civil commitment procedures” (Phelan and Link S8). Due to the Civil Rights Movement during the 1960s and 1970s, most states enforced stricter civil commitment “that required persons to be judged dangerous to themselves or others” before they 9 are committed to a psychiatric hospital (Phelan and Link S8). While the laws were meant to protect the mentally ill, Phelan and Link believed this legal change strengthened negative stereotypes of mental illness. The dangerousness criterion imprinted the phrase “’dangerous to self or others’ into the culture and connects it specifically to mentally ill people” (Phelan and Link S8). Their observations coincided with Foucault’s observation of madness and animality. Foucault noted the reason why the insane is imprisoned for the public’s safety was because of how dangerous the madman’s animality was perceived by society. The insane were seen as so dangerous that a system was created to restrain them. However, the system’s purpose was not to punish. It was “simply intended to fix within narrow limits the physical locus of a raging frenzy” (Foucault 71). Foucault gives a particular example of a woman subject to violent seizures at a hospital in Bethnal Green during the end of the 18th century. A woman subject to violent seizures was placed in a pigsty, feet and fists bound; when the crisis had passed she was tied to her bed, covered only by a blanket; when she was allowed to take a few steps, an iron bar was placed between her legs, attached by rings to her ankles and by a short chain to handcuffs (Foucault 71-72). Going back to the contemporary period today, we see that the mentally ill were seen as dangerous animals for centuries. This historical viewpoint of the mentally ill merely simplified into a new phrase, “dangerous to self or others.” While the two perceptions seem different at first, they both express the idea of danger. Despite the supposedly better awareness of mental illness today, the stigma of mental illness wasn’t alleviated. Instead, the stigma increased, as observed in Phelan’s and Link’s report. While the new phrase, “dangerous to self or others,” does not implicitly express the madman’s animality, these animalistic qualities still subtly persists in the contemporary world. The mentally ill are still perceived as dangerous, if not even 10 more so compared to the end of the 18th century. The only thing that changed was simplifying “dangerous beast that needs to be contained” to “dangerous to self or others.” Ultimately, Foucault only traces the historical background of the relationship between mental illness and animality. While the historical context is absolutely necessary in understanding this relationship, we are limited within a historical timeframe. Instead, we should use what we learned from Foucault’s observations and apply them to new problems and approaches. In order to do so, I will use another unlikely source, Paulo Freire’s Pedagogy of the Oppressed, to complete my exploration of this topic. While Freire does not discuss mental illness, his observation on oppression is important to understand the relationship Figure 3: The comic above shows the problems of the between the mentally ill and the “banking model” in a humorous way. (Calvin & Hobbes) beast. In his book, Freire proposes a pedagogy with a new relationship between teacher, student, and society. At first glance, it is bizarre to implement a conversation about education into a debate over the dehumanization of the mentally ill. However, Freire’s discussion of the oppressed and his “banking model” is critical in understanding why the mentally ill are associated with animals. The “banking model” mentioned is Freire’s interpretation of the traditional relationship between teacher and student. “The teacher talks about reality as if it were motionless, static, compartmentalized, and predictable” and deposits this empty information into the student, like a bank, who “records, memorizes, and repeats these phrases” without truly understanding the meaning behind this information (Freire 69). Freire argues that this results in 11 the dehumanization of the students and the teachers as well as stimulating oppression within society. Freire gives the rhetorical example of revolutionary leaders: In their desire to obtain the support of the people for revolutionary action, revolutionary leaders often fall for the banking line of planning program content from the top down. They approach the peasant or urban masses with projects which may correspond to their own view of the world, but not to that of the people. (Freire 94) This example is ironic specifically because it repeats the methods of the people that the revolutionary leaders are opposed to. The revolutionary leaders’ role was to liberate the people. Ironically, in their methods to win the people over, instead of freeing them by allowing free view of the world, revolutionary leaders push their view of the world over the people, repressing the public. As a result, the public is dehumanized, desensitized of reality. Just like how the revolutionary leaders and teachers are in a position of power to suppress the public and the students, society also have the power to suppress the public. Society can take on many forms, ranging from the obvious (police, politicians, etc.) to the more subtle (teachers, priests, doctors, etc.). However, in the banking model, society is always the oppressor. The repressed depends on what form society takes. For example, doctors and psychologists are both in seats of power to suppress the mentally ill. As a result, it is society’s job to judge the repressed’s normality and by proxy their humanity. Basically, society has the power to determine how the mentally ill should live. Interestingly, although there is no relationship between Freire and Foucault, Freire also describes the repressed people in the banking system as “animals”. According to Freire, “animals live out their lives on an atemporal, flat, uniform ‘prop’” and “cannot surmount the limits imposed by the ‘here,’ the "now,’ or the ‘there.’” (Freire 98-99). This remark of the oppressed can also be said about the mentally ill in the hospital of Nantes and 12 the Lee Correctional Institution mentioned earlier in the article. In both cases of oppression in education and oppression of mental illness, the oppressed are dehumanized as animals, unable to grasp reality. Freire then notes this inhumane “banking system” was created because those in positions of power wanted “to maintain the status quo” (Freire 102). Here, we now understand the why. Why does the relationship between animal and mental illness continue to exist in modern times? Maintaining the status quo is the answer. By maintaining this status quo, society can continue to ignore the problem with the mentally ill. If something were to arise and challenge the status quo, society will quickly repress it. Society will continue to throw the mentally ill into prisons, hospitals and continue to treat them like animals. If the mentally ill are seen as animals, they are unable to transform their realities, and society has free reign to deposit any forms of repression onto the mentally ill. As a result, only one reality can exist, society’s reality, and the status quo is maintained. This status quo maintenance can be seen in the recent Sandy Hook Shooting in Newtown, Connecticut, which violently shook America when 20-year-old Adam Lanza fatally shot 20 children and 6 adult staff members. The mass shooting re-sparked America’s fear of gun violence, rekindling America’s debate over gun control as a result. Among the positions in the debate the debate were increasing support for stricter background checks and stricter federal and state gun legislation over the sales of guns. While these solutions to gun violence differ in rationale, the rhetoric around the debate shares the same theme: mental illness. This focus Figure 4: Picture of Sandy Hook Elementary and Adam Lanza. (ABC News) 13 on mental health was the result of the Connecticut State Attorney’s office November 2013 report, which concluded that the investigation was unable to establish a conclusive motive, “the shooter had significant mental health issues” that disrupted “his ability to live a normal life and to interact with others” (Sedensky 43). Politicians, news articles, and journalists capitalized on this new information, using America’s unconscious fear of the mentally ill as fuel for stricter gun laws and background checks. Politicians have their background checks and gun laws all focus on preventing any form of firearm from falling into the hands of the mentally sick. Journalists love to blame mental illness as the cause of these mass shootings in their news articles. For example, the national newspaper, USA Today, stated that “early indications about Lanza's obsession with violence that were ignored or were not taken seriously by his parents, medical professionals or the school district” and how his mental condition “progressively deteriorated in the last years of his life, eventually living in virtual social isolation" (Stanglin and Bello). From the “banking system” perspective, we once again see the same pattern. Society, in the form of the media and activists, are working together to fight against the mentally ill, the repressed, in the context of gun control. In order to maintain the status quo, society tries to enforce various methods to continue repressing the mentally disabled. The media and politicians both publically attack the mentally ill, blaming them as the cause of violent shootings. While this particular example isn’t as explicit in describing the repressed as animals like in Freire’s book, negative animistic characteristics subtly appear in these news articles and debates. The ABC news article “5 Disturbing Things We Learned Today About Sandy Hook Shooter Adam Lanza,” written by news journalists Katersky and Kim is one of many articles that reinforces the negatively of mental illness. They describe Lanza’s level of violence since 7th grade as disturbing, so disturbing that his creative writings “could not be shared” (Katersky and Kim). 14 Katersky and Kim continued to paint Lanza as a violent child, a child “presented very differently from the other children” with “very distinct anti-social issues” (Katersky and Kim). Although words like “animal” or “beast” are not explicitly used to describe Lanza, Katersky and Kim do describe Lanza as violent and angry, adjectives used to describe wild animals. As a representative of the mentally ill, Lanza is seen as violent and angry. Because Lanza is seen in such a negative light, this implies that there must be control over people like Lanza, the mentally ill. As a result, the mentally ill community remains repressed, maintaining the hierarchy of power between society and the mentally ill. So far, I have only discussed how we can better understand the relationship between the animal and the mentally ill in hopes of stripping of these negative animalistic characteristics off the mentally ill and finding new approaches to this stigma of mental illness. However Freire does give us a solution, a new approach to this problem. In Freire’s eyes, the “banking” approach to education is a form of dehumanization of both the students and the teachers, oppressing each other’s potential in the world. Freire proposes instead a more “authentic” approach to teaching. He advocates for a more mutual approach where teachers and students trust each other and have mutual respect and love for one another. Only then can “the investigation of the people's thinking—thinking which occurs only in and among people together seeking out reality” can occur (Freire 108). From this investigation emerges the ability to intervene each other’s realities, giving rise to new thoughts, ideas, and realities. Freire coins this idea of “consciousness raising” as Conscientizagao (English term "conscientization"), “the deepening of the attitude of awareness characteristic of all emergence” (Freire 109). Referencing back to Carlson’s conclusion, Freire’s solution would be lined with humanizing our view of the ‘cognitively disabled.’ While not directly referring to the mentally ill, we can apply Freire’s solution to the 15 stigma of mental illness. If we as a society were to treat the mentally ill as human beings instead of animals, we can work together in order to overcome this stigma. At the end of the day, the stigma of mental illness still exists as a severe problem today. From a Foucauldian approach to this stigma, we can see that the stigma of mental illness exists because of its historical relationship with the animal. As a result, the mentally ill are often described with animalistic characteristics, a practice that still exists in the modern world. Unfortunately, Foucault never explains why this relationship exists, merely explaining the relationship only within the limits of a historical timeline. However, signs of his observations continue today, allowing us to eventually find not only the reason of the relationship but also a solution within Freire’s book. From Freire’s solution, I conclude that we as society and the mentally ill should mutually approach the stigma of mental illness together in hopes of finding new solutions to eventually peel off the negative animalistic stereotype the mentally ill and alleviate society’s fear of the mentally ill. 16 Works Cited Foucault, Michel. Madness and Civilization: A History of Insanity in the Age of Reason. New York: Pantheon Books, 1965. Print. Rachels, James. Created From Animals: The Moral Implications of Darwinism. Oxford: Oxford University Press, 1990. Print. Phelan, J. C., and B. G. Link. "The Growing Belief That People With Mental Illnesses Are Violent: The Role Of The Dangerousness Criterion For Civil Commitment." Social Psychiatry & Psychiatric Epidemiology 33.(1998): S7. Academic Search Complete. Web. 5 Feb. 2016. Carlson, Licia. "The Human as Just an Other Animal." Phenomenology and the non-human animal. Springer Netherlands, 2007. 117-133. Freire, Paulo. Pedagogy of the Oppressed. New York: Herder and Herder, 1970. Print. LeCompte, Jonathan D. "When Cruel Becomes The Usual: The Mistreatment Of Mentally Ill Inmates In South Carolina Prisons." South Carolina Law Review 66.4 (2015): 751-784. Academic Search Complete. Web. 1 Feb. 2016 “Attitudes Toward Mental Illness — 35 States, District of Columbia, and Puerto Rico, 2007”. Morbidity and Mortality Weekly Report 59.20 (2010): 619–625. Web Senior, Matthew. The Journal of the Midwest Modern Language Association 35.1 (2002): 119– 122. Web Sedensky III, Stephen J. Office of the State’s Attorney Judicial District of Danbury. “Report of the State’s Attorney for the Judicial District of Danbury on the Shootings at Sandy Hook Elementary School and 36 Yogananda Street, Newtown, Connecticut on December 14, 2012.” Washington: GPO, 2013. Print. 17 Doug Stanglin and Marisol Bello, “Sandy Hook killer carefully planned attack, study says.” USA Today. 21 November 2014. Web. Math, Suresh Bada, Channaveerachari Naveen Kumar, and Sydney Moirangthem. "Insanity Defense: Past, Present, And Future." Indian Journal Of Psychological Medicine 37.4 (2015): 381-387. Academic Search Complete. Web. 10 Mar. 2016. Kim, Susanna and Katersky, Aaron, “5 Disturbing Things We Learned Today About Sandy Hook Shooter Adam Lanza.” ABC News, 21 November 2014. Web
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