 Originally Posted by tommo
Considering that other thread on the ability to be honest that turned into a schizophrenia related debate, i don't think it can be easily answered.
It digressed.
Yes, some people certainly need help. By cataplexic schizophrenics you mean they are unable to function right? So overcome by their emotions they basically stop function on a physical level? I'm guessing so.
Put this way I think maybe these people would not be able to function in any society. I know I said some schizophrenics could survive happily in shamanic cultures but whether these cataplexic ones could or not I'm not sure. Maybe they could before they got this bad? I mean it's not like they turned this way overnight. Most of the damage to brain function in 'mental illness' could be attributed to stress/fear. So as they got more and more scared of becoming insane, they adversely caused more damage to themselves.
No, cataplexis schizophrenics become to be so (and it can happen over night) because of central nervous damage and theories exist simply to explain how emotional distress might exacerbate it but not ilicit it. Make no mistake, schizophrenics do not choose to be so.
Anyway, yes, we call these people insane. But what is sane? That is what we need to answer first. If sane is having the ability to interact with and perceive the world as majority of people do, then insane would be defined as not having this ability; thinking mostly of internal things and excluding the outside world for the most part.
Right, so we can define it operationally. Just because we do so does not mean we have to make the leap of saying, "how dare you judge x and y!" becaue we need certain judgments in order to facilitate a functional society. Correct? Unless you want to argue that anarchy is actually more beneficial, which would obviously digress into another topic of discussion.
I just want to clear this up because I'm not sure where we are going with this to be honest. It's a tough issue to discuss because nobody fully understands the human mind. I mean, who's to say that the so called cataplexic schizophrenics if left alone for a few days on a deserted island, even though dying within a few days, would not experience the most enlightening and amazing things that no 'sane' person could even begin to comprehend?
We could say the samething about any person; every person has individual and relative experiences.
However, a schizophrenic, left alone, will die. It is easy to see this by simply referring to evidence.
Furthermore, even if a schizophrenic experienced something "amazing", they would have no means or even understand any way to convey that experience to any other mind because schizophrenics are so lost in their delusions that they are not even aware of an externally existing reality.
Why do we choose to 'help' these people when we don't really know what they are experiencing. Of course we shouldn't just let them suffer because they might be having the time of their lives, but I think we shouldn't assume we know what is best for them. Why do we always choose longevity over quality? Because that's how our society is. That's why a lot of teenagers are now doing drugs; to escape this type of thinking. One of the most amazing girls I've ever met is a big time drug user, she says 'live fast, die young'. Of course she wouldn't care if she lived to be 100, but she isn't wasting her time, she has fun as much as possible, and she would live every one of those days doing something she loved. I myself find it hard to accept because I want her here for longer.
I would really, really, love to see you say this very thing to the following cases (all schizophrenics):
- Someone who eats their own fecal matter and believes that they are Jesus
- Someone who is insistent that George Washington if their father and that they have to collect all the straws in the world to create a dam to stop him from raping them.
- Someone who is paralyzed and cannot even feed themself.
As I said, we can take your line of logic and say, "Oh, why should we help someone with a bullet wound? They may be experiencing something amazing and who are we to say that we should stop them from experiencing a bullet wound?" It is because it is obviously a terrible thing to experience and the goal is to be able to help someone to the point where they can decide wether or not they want to experience these things and let others know. If a person has the incapability to even do this but still communicate on other terms, then they are doomed! It is as simple as that. We can also argue, from your point of view, that we should not help suicidal people because they may be on an enlightening path that we should not interrupt.
My point here is that, just because we help someone, does not mean we are a tyrant over their life. The goal of psychiatry and medicine is to perpetuate individual providence.
If we want to help these 'insane' people live longer, more boring lives, then that is really insane.
What are you suggesting? So, if we should not help people live longer, because their lives will be more boring; then we should, logically following, shoot anyone that comes to the hospital?
We are born different and that makes us unique. Why not incorporate the way our brains function into our lives? I mean, people who are unbelievably good at maths could be deemed insane if it weren't for the fact that they are needed in certain jobs.
If maths wasn't a part of our society they would sit at home, which would probably be the streets, completing maths problems in their head or drawing them on walls with rocks because this is how they were made to function. If we then took them and 'rehabilitated' them, causing them to stop thinking about maths altogether. They would then be called sane.
In our society right now, we would call that action, insane.
Do you see what I'm getting at?
This is not how I am using the term insane. I defined it earlier as the incapability to function and survive alone and, as a result, depend on others in order to survive. Furthermore, we can add implications about how their delusions can be a danger to others (ie. those that believe that they have to drink others blood in order to keep their father from cutting off their penis).
I see what you are getting at with the latter part, and I think that is the wrong function of the word "insane" when it comes to the medical world. The layman has a completely distorted and different definition of insane that seems to be analogous to "retarded", "stupid", "idiotic", etc.
Needing help should not be a pejorative term. Please do not perpetuate the negative connotation. For the love of all medicine and those that depend on it.
What do you think...?
~
|
|
Bookmarks