Monthly Archives: May 2021

The Hostility of Mental Health Stigma

Dr. Mullen is doing impressive work helping the world. He is the pioneer of proactive neuroplasticity utilizing DRNI—deliberate, repetitive, neural information. — WeVoice

Mental Health Stigma (MHS) is the hostile expression of the abject undesirability of a human being who has a mental illness. It is the instrument that brands the mentally dysfunctional (victim) defective due to stereotypes. MHS is purposed to protect the general population from unpredictable and dangerous behaviors by any means necessary. MHS is fomented by prejudice, ignorance, and discrimination. The stigmatized are devalued in the eyes of others and subsequently in their self-image as well.

Between 50 and 65 million U.S. adults and adolescents have a mental illness; 90% of those will be impacted by mental health stigma, a presence that elicits unsupportable levels of shame and jeopardizes the emotional and societal well-being of the afflicted.

Trajectory

The Signaling Event. MHS is triggered by a set of signals or a signaling event, i.e., an occasion, experience, news story, or encounter where the visibility of behaviors and mannerisms associated with mental illness elicit a reaction.

The Label. Labeling defines the signaling event and distinguishes it from other labels. ‘Woman’ is a label; it is specific, restrictive to gender, and says certain things that distinguish it from other labels. A successful label elicits a strong public reaction. The defining characteristics of the label become the stereotype. Labeling is subject to the labeler’s belief system and, like stereotype and stigma, is reliably inaccurate because of implied expectations of behavior. 

The Stereotype. Labeling gives the signal a moniker for identification; the stereotype defines it and gives it meaning. Stereotyping is a cognitive differentiation of something that piques one’s interest; everyone stereotypes. Mental health stereotyping is distinguishable by pathographic overtone that identifies the victim as unpredictable, potentially violent, and undesirable. 

Ironically, 14th-century asylums in Spain and Egypt were built to protect the mentally afflicted from the dangerous and violent members of society.

Mental health labeling and stereotypes support and collaborate with preconceived notions of mental illness, generated by the natural aversion to weakness and difference. This is supported by an ignorant and prejudicial belief system and, on occasion, personal experience. Labels and stereotypes are unbound by truth or evidence; believability is the ultimate criterion.  

Stigma. A stigma is a brand or mark that negatively impacts a person or group by distinguishing and separating that person or group from others. The branding concept originated with the ancient Greek custom of identifying criminals, slaves, or traitors by carving or burning a mark into their skin. Stigma is identified by three types: (1) abominations of the body, (2) moral character stigmas, and (3) tribal stigmas. The first refers to physical deformity or disease; tribal stigmas describe membership in devalued races, ethnicities, or religions; and moral character stigma refers to persons perceived as weak, immoral, duplicitous, dishonest, e.g., criminals, substance addicts, cigarette smokers, and the mentally ill. 

Mental Health Stigma. The objective of MHS is the perceptual protection of the general population from the unpredictable and dangerous behaviors associated with mental illness by any means necessary, including deception, misinformation, and fear-baiting. Its ultimate goal is to negatively impact the social reintegration of the victim. 

  • Anticipatory stigma is the expectation of a stigma due to behavior or diagnosis, and subsequent adverse social reactions. This causes resistance by the potential victim to disclose any physiological aberration.  
  • Stigma-avoidance identifies those who avoid or postpone treatment fearing the associated stigma will discredit them and negatively impact their quality of life. Studies indicate almost one-third of the potential victims resist disclosure, impacting the potential for recovery.
  • Family stigmatization occurs when family members reject a child or sibling because of their mental illness. Throughout history, it was commonly accepted that mental illness was hereditary or the consequence of poor parenting. A 2008 study found 25% to 50% of family members believe disclosure will bring shame to the family. (Courtesy-stigma denotes a supportive family member.)

An active stigma is a parasitic one. If it finds enough suitable hosts, the parasitosis can spread rapidly by traditional means. Studies show the aversion to mental illness is prosocially hard-wired which provides an abundance of hosts.  

Proactive Neuroplasticity YouTube Series

Contributing Factors to MHS. The stigma triad of ignorance, prejudice, and discrimination is generated and supported by preconceived notions, general obliviousness, a lack of education, and society’s deep-rooted fear of its susceptibility. The primary attributions to MHS are public opinion, media misrepresentation, visibility, diagnosis, and the disease or pathographic model of mental healthcare. 

How MHS Impacts the Victim 

MHS impacts the victim through a series of stigma experiences:

  • Felt stigma. The anticipated or implied threat of a stigma.  
  • Enacted stigma. The activated stigma. 
  • External stigma. The victim holds the perpetrator responsible for the stigma. 
  • Internalized stigma. The victim assumes behavioral responsibility for the stigma.
  • Experienced stigma. Victim’s reaction to the stigma.

The victim anticipates their mannerisms, behaviors or diagnosis will generate a stigma (felt stigma). When the stigma is realized it becomes an enacted stigma. The victim blames the person who originated the stigma (external stigma) or assumes responsibility due to behavior (internalized stigma). When the stigma impacts the victim’s wellbeing, it becomes an experienced stigma

MHS Impact. Mental health stigma can negatively affect the victim’s emotional wellbeing and quality of life by jeopardizing their:

  • Safety, health, and physiological wellbeing 
  • Livelihood
  • Housing
  • Social Status
  • Relationships

Solution

Mental health stigma will not be mitigated or eliminated until the mental healthcare community embraces the wellness model over the disease of mental health. The disease model of mental health focuses on the problem; creating a harmful symbiosis between the individual and the diagnosis. The wellness model emphasizes the solution. A battle is not won by focusing on incompetence and weakness but by knowing and utilizing our strengths, and attributes. That is how we positively function―with pride and self-reliance and determination―with the awareness of what we are capable of. 

Establishing new parameters of wellness calls for a reformation of thought and concept. In 2004, the World Health Organization began promoting the advantages of a wellness over disease perspective, defining health as a state of physical, mental, and social well-being and not merely the absence of disease or infirmity. The World Psychiatric Association has aligned with the wellness model and it has become a central focus of international policy. Evolving psychological approaches have become bellwethers for the research and study of the positive character strengths that facilitate the motivation, persistence, and perseverance helpful to recovery. Wellness must become the central focus of mental health for the simple reason that the disease model has provided grossly insufficient results.

A WORKING PLATFORM showing encouraging results for most physiological dysfunctions and discomforts is an integration of positive psychology’s optimum human functioning with CBT’s behavior modification, neuroscience’s network restructuring, and other personality-targeted approaches. including affirmations, autobiography, and methods to regenerate self-esteem and motivation.

This new wellness paradigm, however, should not be a dissolution of medical model approaches but an intense review of their efficacy, and repudiation of the one-size-fits-all stance within the mental health community. 

WHY IS YOUR SUPPORT SO IMPORTANT?  ReChanneling develops and implements programs to (1) moderate symptoms of emotional dysfunction and (2) pursue personal goals and objectives – harnessing our intrinsic aptitude for extraordinary living. Our paradigmatic approach targets the personality through empathy, collaboration, and program integration utilizing scientific and clinically practical methods including proactive neuroplasticity, cognitive-behavioral modification, positive psychology, and techniques designed to reinvigorate self-esteem. All donations support scholarships for groups, workshops, and practicums.

The Value of Mindfulness in Recovery

Dr. Robert F. Mullen
Director/ReChanneling

Dr. Mullen is doing impressive work helping the world. He is the pioneer of proactive neuroplasticity utilizing DRNI—deliberate, repetitive, neural information. — WeVoice

We share an intimate and unhealthy relationship with our emotional dysfunction that manifests in many ways. 

  • The tolerant relationship. We recognize our condition is detrimental to a healthy and productive lifestyle, but we are too lazy or apathetic to address it. 
  • The resigned relationship. We devalue our character strengths and virtues, convincing ourselves any attempt at recovery is futile. We have given up.
  • The self-pitying relationship. We wallow in our misery because it comforts us and confirms our victimization.
  • The assimilate relationship. We acclimate to our condition, adapting and incorporating it into our system. This is the odd relationship where we become our dysfunction.
  • The denial relationship. We refuse to acknowledge the problem, denying its existence, our dismissal so pervasive it subconsciously metastasizes, like unchecked cancer. 

Emotional dysfunction generates a correlated deficiency of self-esteem due to the condition and the corresponding disruption in natural human development. The overwhelming majority of dysfunctional onset happens during adolescence due to a toxic childhood environment caused by physical, emotional, or sexual disturbance. This disturbance manifests in perceptions of abandonment, exploitation, and detachment, engendering a disruption in natural human development which negatively impacts our self-esteem 

Self-Esteem

Self-esteem is mindfulness (recognition and acceptance) of our value to ourselves, society, and the world. Self-esteem can be further understood as a complex interrelationship between how we think about ourselves, how we think others perceive us, and how we process or present that information. 

Self-esteem deficits are the consequence of disapproval, criticism, and apathy of influential others—family, colleagues, ministers, and teachers. Any number of factors impact self-esteem including our environment, sexual orientation, race and ethnicity, and education. 

Proactive Neuroplasticity

Proactive Neuroplasticity. The primary objective or consequence of recovery is the restructuring of our neural network. When neural pathways reshape, there is a correlated change in behavior and perspective. Our brain is not a moral adjudicator, but an organic reciprocator, adapting and correlating to stimuli. 

Every stimulus we input causes a receptive neuron to fire, transmitting a message from neuron to neuron until it generates a reaction. Neural restructuring is the deliberate input of positive stimuli to compensate for years of dysfunctional negative input. Deliberate repetitious stimuli compel neurons to fire repeatedly causing them to wire together. The more repetitions the quicker and stronger the new connection.

Neural restructuring is deliberate plasticity—functionally modifying our neural network through repetitive activation. Neuroplasticity is our brain’s capacity to change with learning—to relearn. Studies in brain plasticity evidence the brain’s ability to change at any age. Behavioral Plasticity is the capacity and degree to which human behavior can be altered by environmental factors such as learning and social experience.  In theory, a higher degree of plasticity makes an organism more flexible to change, whereas a lower degree of plasticity results in an inflexible behavior pattern. Behavioral plasticity enables an organism to change its behavior through learning.

Mindfulness

Mindfulness is the state of active, open recognition and acceptance of present realities. It is the act of embracing our flaws as well as our inherent character strengths, virtues, and attributes. Mindfulness is the key to re-engaging our positive self-properties that constitute healthy self-esteem 

True mindfulness of our dysfunction is more than recognition and acceptance; it is embracement. By embracing our flaws as well as our character strengths, virtues, and attributes, we embrace ourselves. Love is linked to positive mental and physical health outcomes. Love motivates recovery. Embracing our dysfunction or discomfort is an act of love.

Our condition is a natural component of human development. It is evidence of our humanness. Think of it as an emotional virus. We are not our dysfunction any more than we are an accidental broken limb. We are individuals with emotional dysfunction. Embracing it does not mean we don’t want to transform into healthy and more productive individuals; it encourages transformation. 

Embracing is not acquiescence, resignation, or condoning. Acquiescence is accepting our condition and doing nothing to change it. Condoning is accepting it and allowing it to fester. Resignation is defeatism. Embracing is logically accepting ourselves for who we are—human dysfunctional beings abounding in ability and potential. It is embracing our character strengths, virtues, and attributes that facilitate the motivation, persistence, and perseverance to recover. It is embracing our totality. Healthy self-love is a fundamental component of self-esteem; we can never strive toward our potential until we truly learn to embrace ourselves. The value of mindfulness in recovery is immeasurable. 

WHY IS YOUR SUPPORT SO IMPORTANT?  ReChanneling develops and implements programs to (1) moderate symptoms of emotional dysfunction and (2) pursue personal goals and objectives – harnessing our intrinsic aptitude for extraordinary living. Our paradigmatic approach targets the personality through empathy, collaboration, and program integration utilizing scientific and clinically practical methods including proactive neuroplasticity, cognitive-behavioral modification, positive psychology, and techniques designed to reinvigorate self-esteem. All donations support scholarships for groups, workshops, and practicums.