Policing in Europe: disability justice and abolitionist intersectional care

Over the last few years, the intersections between mental health and punitive violence have gained more attention within scholarship and activism around race and policing. Disability justice and intersectional approaches have argued that the discourses around and categorisations of various forms of disability are deeply rooted in projects of colonialism and enslavement, and their legacies. These discourses are strongly enacted in contemporary logics and practices of policing, as racialised people who identify or are categorised as mad, neurodiverse, mentally ill, psychiatric survivors and disabled are particularly vulnerable to police harassment and violence. This article discusses how policing is deeply intertwined with discourses around saneism – institutional and systemic oppression of people who identify, have been diagnosed as, or are perceived to be, mentally ill, which has implications for abolitionist intersectional thought and practice. Foregrounding a black feminist abolitionist analysis, in dialogue with intersectional disability justice and mad studies, the author argues that an accountable engagement with the mad analytics of policing of black lives has important implications for intersectional and abolitionist thought and activism as forms of care/ing for black lives.

When Madness Meets Madness: Insider Reflections on Doing Mental Health Research

Insider–outsider relations in qualitative research have been heavily studied. Yet there is a dearth in the literature exploring how people who have experienced madness produce knowledge and overcome trying circumstances when they do qualitative mental health research with other survivors. This article fills this gap through a critical reflection on my experiences with psychosis and involuntary hospitalization and how they shaped dialogue with my participants. Situated within a narrative framework of inquiry, I reveal how self-disclosure and critical forms of relationality during interviews with 10 psychiatric survivors produced a survivor-centered knowledge that nuances biomedical understandings of mental illness and the mental health system. Practices of self-disclosure revealed how survivors and I had to navigate familial expectations as we recovered and tried to regain a sense of identity. Doing insider research also helped me overcome the periods of embarrassment and stigma in my psychosis, as I learned through critical dialogue how traumatic events can provide unique avenues for intense self-reflection and the development of greater empathy for mental health survivors. I also discuss some of the ethical concerns and limitations of having an insider status in qualitative mental health research, and how self-disclosure may present certain epistemological challenges in the research process.

Failure to Comply: Madness and/as Testimony

Self-harm, suicide attempts, disordered eating, addiction, and other forms of “acting out” are associated with the trauma of surviving violence. While these behaviours are pathologized as symptoms of mental illness, they can be understood, instead, as strategies of resistance against violence. When violence is ignored or normalized, the “acting out” associated with trauma can be a means of sounding an alarm that something is very wrong. This “acting out” can be understood as an embodied form of testimony. When direct resistance to violence, such as fighting back or escaping, is thwarted or impossible, traumatic “acting out” can be a way to draw attention to and resist violence. Psychiatry, instead of answering the call of trauma by addressing the underlying violence, works to silence that call. Through incarceration, sexual violence, enforced isolation, restricted motion, threats, coercive drugging, gaslighting, and other abusive tactics, psychiatry works to undermine the embodied testimony of trauma by producing compliance. The source of the problem is shifted from the original violence and located instead in the body of the traumatized person. Successful treatment is understood as the reduction or elimination of the very “symptoms” which are in reality acts of resistance to violence. Therefore, successful treatment essentially means submission. The carceral space of psychiatry continues the work of producing compliance even after the patient has left its enclosures, extending the space of the psych ward into the everyday lives of psychiatric survivors.

Review of Psychiatry Disrupted by eds. Burstow, LeFrancois, & Diamond

This ground-breaking collection represents a significant challenge to psychiatry and is an inspiring collaborative venture between academics, activists, and psychiatric survivors from Canada, England, and the United States. It would be a great text for undergraduate and graduate students in fields like psychology, sociology, social work, disability studies, and women and gender studies. It explores various arguments for opposing psychiatry and can assist those training in mental health professions to raise their health care practice to a higher standard of accountability.