Dr. Philip O'Keeffe
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Afterthoughts

6/7/2015

 
I wanted to note further thoughts about health, physical health and mental health in particular the boundaries that separate the latter two. Currently these 'Chinese walls' are often noted by politicians and media commentators, some of whom are seeking more UK state funding for 'mental health' as distinct from 'physical health'. It seems everyone knows that a broken leg is a 'physical health' matter with a designated diagnosis, treatment, prognosis. But 'a broken mind'? 

http://www.time-to-change.org.uk/blog/understanding-anxiety-broken-leg-broken-mind

Just to 'check it out' I googled 'healing a broken mind' and found a sad chronicle on the 'time for change' website (see above) by 'Lucy', Oct. 2012, detailing her six year 'battle' with anxiety and panic attacks. Happily Lucy concludes "I'm having psychotherapy,which is really helping, and I plan to take as much time as I need to relax and let my nervous system recover".

One can only wonder, with regret, about the up to six years of pain and discomfort seemingly endured by Lucy between onset and access to help. I mean: what is it that stops the Lucys of this world from seeking help, wherever it may be found, as soon as or perhaps well before the pain becomes unbearable. Just like they do when they 'break a leg'. It's not as if counselling and psychotherapy is not widely available via NHS, GPs, EAPs, community and voluntary organisations and private practitioners. The available quality may range from less than poor to quite excellent but we know beyond a doubt that the client/therapist relationship determines outcomes. Don't we all know that by now?

A final comment: when we use the term 'physical illness' we know it's meaningless without stating its locus, its  effect on 'normal' functioning and/or behaviour, etc. Not so for 'mental illness'. Four portmanteau terms mental health, mental illness, mental disease, and mental disorder are widely deployed by those who should know better, often without any descriptors or further explanation. Consumers of these bare, vague, non-specific terms, viz. students, readers, electors, voters, audiences, and ultimately the general public are left to apply their own frequently threadbare, factually deficient definitions: why? Could it be those old, cob-webbed, hackneyed silencers and stultifiers of meaning, knowledge and wisdom viz. stigma, taboo and fear of ridicule. 

Ideally our health and well-being, individually and collectively should be capable of being regarded, understood, maintained and where necessary enhanced in a holistic manner. For now that's some way off. 


It is indeed time for change.   

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