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#and sort of the current era of psych survivior/mad lib activism. the ways its been growing and changing in the current decade
trans-axolotl · 3 months
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also: I mostly switched over from saying "antipsychiatry" to psych abolition after I started to see more groups like CPA use it, and thought I'd share some of my thoughts on it.
antipsychiatry is a fundamental part of psych abolition for me, but i think my definition of psych abolition contains a lot more. first, there's a lot more things than just psychiatry that i want to abolish and transform--the whole mental health system and many different belief systems, types of providers, forms of treatment, and types of incarceration that are encompassed in that. i think it's important to name and identify the particular harms of psychiatry as a value system in the way it is the strictest example of pathologizing, medicalizing, and the strongest adherer to the purely biomedical model of illness and how this creates so much harm. but i think that there are also so many other harmful structures + belief systems within the whole mental health system. i also sometimes see therapists, for example, portraying themselves as alternatives to psychiatry, and while that's true in the sense that they are a different treatment option than a psychiatrist, they are often still harmful actors in their own rights and entangled with the state in an equally bad way.
second thing for me is that i think it's really important to intentionally build cross movement solidarity, especially with the prison abolition movement and to expand the way psych survivors currently support support people fighting for abolition of all forms of incarceration. (i drew inspiration from sins invalid and the 10 principles of Disability Justice). I see so many people in psych survivor spaces saying " I can't believe we were treated like prisoners on the ward" with the implication that it's fine if prisoners are treated that way, but it's bad when it happens to them. i think that's fucked up and i think that any psych survivor movement that doesn't actively support people incarcerated in prisons is a movement that does nothing to dismantle white supremacy. we need to be able to recognize the ways carceral logics operate in many different structures, and approach our activism as a shared struggle, where we constantly are led by those most impacted. so i think that naming what we're doing as "abolition" is important (with the important caveat that our organizing must then actually be abolitionist, and especially for white organizers, that we need to learn about the history of abolition, actively support the Black leaders and thinkers who have created the prison abolition movement and not center ourselves, that we actually have to be actively involved in supporting abolitionist work happening in your area, instead of just stealing the work of Black abolitionist scholars to use it for our own benefit without any credit or reciprocity, that we need to actively interrogate ways white supremacy culture and antiblackness are showing up in our movement places so that we aren't inviting our comrades who are people of color into spaces that are not safe for them, or exploiting our comrades of color by expecting them to do the work of dismantling the racism within our shared organizing spaces--don't call yourself a psych abolitionist if you still call the cops on your homeless neighbors, if your solutions to psych incarceration contribute to gentrification, if you refuse to support currently incarcerated comrades, for example.)
third thing is that antipsychiatry as a specific term is often associated with the sociologist theory from the 1960s, some of which i think is useful, some of which comes from antisemetic and racist psychiatrists who should not be given any legitimacy. antipsychiatry also often gets associated with cults like scientology. although i think that scientologists bastardize a lot of antipsychiatry stuff and weaponize it for their own ends, a lot of the public thinks of them if you say antipsychiatry, and it can cause misconceptions. also think that people sometimes assume antipsychiatry is inherently against medication and while i don't think that's our responsibility to clear up every time people misread our words on purpose, i think it's been a lot more helpful for me to talk about medication in the context of autonomy, harm reduction, war on drugs, and the ways that psychiatry creates issues to consent, autonomy, informed use, risk reduction, etc etc etc. and i think psych abolition helps me do that a little better.
i get in a lot of conversations with people who say "well from what i've seen you are just against institutionalization. why not just say that instead of attacking psychiatry?" and my answer is always if we want to end institutionalization, we have to end the structures, belief systems, and power dynamics of psychiatry--psychiatry is one of the logics that enables institutionalization to continue, and abolishing institutionalization without abolishing the structures that allow it to continue mean that it just pops up again in a new form with a new name (asylums to hospitals to group homes etc etc etc). so i think psych abolition to me is a clearer way to encompass the ways that all these systems are interconnected, and that when we're fighting for mad liberation, the right for mad/neurodivergent/mentally ill people to access care, support, healing on our own terms, to be free from institutionalization and violent treatment, and have the right to exist as mad people, whether or not we're "cured."
TL;DR: I switched to saying "psych abolition" rather than antipsychiatry even though there are many core ideas of antipsychiatry that I agree with. I think that for me, psych abolition helps clear up some misconceptions that people have about antipsychiatry, more clearly connects to prison abolition, and makes it clear that we need to transform more of the mental health system than just psychiatry.
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