All posts filed under: Mental Health

Suicide Prevention and the Social Science Cargo Cult

When white people began visiting the islands of the Pacific Ocean, the native peoples, fascinated by the abundance of good things coming to them, assiduously observed the visitors’ behaviour. They concluded that the great birds in the sky, filled with packing cases bearing the inscription “cargo,” were gifts from the gods. So, they began to imitate the newcomers, building runways in the middle of the jungle, lighting fires based on the pattern of airport landing lights, and constructing small control towers out of wood and bamboo. Then they awaited the benevolence of the gods, but the gods were not compliant. The planes did not land on their runways, despite the enormous effort they had put into building them and the meticulousness with which they copied the buildings and equipment of the white people. Even today, this cargo cult persists in some corners of Oceania. In a speech delivered at a degree ceremony at the California Institute of Technology, Richard Feynman, a noted physicist and Nobel Prize winner in 1974, compared the social sciences to the …

First, Do No Harm: A New Model for Treating Trans-Identified Children

We are two psychotherapists, husband and wife, with professional involvement in the therapeutic treatment of trans-identified individuals in the UK. The material that follows is connected to a paper we presented at a multi-disciplinary conference on January 23rd, Do Not Adjust Your Set: Sex, Gender And Public Policy, and reflects our serious concern about the transition of children before maturity—though, as we would like to emphasize, we are not taking a position in regard to an adult’s right to transition. Indeed, we understand that transition is, for some adults, the optimum way to lead their lives and present to the world. In all cases, we encourage a psychotherapeutic model that provides a process of psychological exploration, in which an individual’s personality structure, beliefs, defence mechanisms, and motivations are assessed and examined in a supportive environment. All of these elements, we believe, are helpful for anyone planning this kind of life-altering decision. Between 2003 and 2007, I, Susan Evans, worked for the Gender Identity Development Service (GIDS) at the Tavistock Clinic in London, a specialised facility …

Politics vs. Mental Health: How the Culture War Blocked My Healing Process

Donald Trump may be one of the most intensely psychoanalyzed figures in American history, with many critics casually labelling him “narcissistic,” “egomaniacal,” and “sociopathic.” Even if you disagree with these characterizations, it’s difficult to ignore how common they’ve become. Looking beyond politics, Trump’s legacy may serve to reinforce a specious connection between political preferences and mental health. As I’ve observed firsthand, even before Trump’s rise, some therapists took for granted a link between progressive ideas and good mental health. Trump’s ascendance, along with increasing overall levels of political polarization, and the well-known liberal bias that marks the fields of psychology and mental health, has helped popularize this linkage. I was raised in a socially conservative family, in which we were taught traditional values, including respect for one’s elders, loyalty to family, and the sanctity of the soul. For the most part, we also learned a creed of self-reliance, and were discouraged from attributing personal failings to societal influences. The idea of mental health wasn’t entirely unknown to us—but it tended to be discussed in a …