Locking Up The Mentally Ill – Good or Bad? by Art Smukler, MD, author & psychiatrist

Back in the early seventies we still had plenty of homeless people bunking out over subway grates and sleeping in doorways. But, not nearly as many as we have today – all over the US.

Thousands and thousands of the homeless are mentally ill or suffering from an addiction.

As a first year psychiatric resident in Philadelphia, at PGH, Philadelphia General Hospital, the mentally ill were brought in for evaluation by the police. To place someone on a psychiatric hold, the law was clearcut, two psychiatrists needed to sign the admission papers. Once that was done, the patient was admitted to the inpatient unit and treated, most commonly for psychotic thinking secondary to schizophrenia, bipolar disorder, paranoid disorder, addiction etc.

Then what happened?

After treatment, they were discharged to return to their families, homes, or given appointments to attend sessions at a community health center. Their psychotic thinking was under control.

Yes. You read that correctly. THEY WERE DISCHARGED.

Then we closed the state hospitals, lost funding for Community Mental Health Centers and ignored the problem.

Well, you see where that got us.

Liberals who think that placing someone who is overtly psychotic in a treatment center is unfair and wrong don’t sufficiently understand the problem. When a psychotic person is adequately treated, they are often no longer psychotic! They can return to being a productive member of our society.

If Prop 1 doesn’t pass, and it’s very, very close to whether it will or not, we’re back to watching our mentally ill sleep under freeways, yell obscenities, and even attack innocent people. Delusional thinking can’t be reasoned with. More about that in another post.

Thanks, Art

#Prop1, #Delusionalthinking, #homelessness, #mentallyill

Trump As A Mass Delusion by Art Smukler, MD, author & psychiatrist 

Why in the world would anyone in their right mind support a convicted sex offender, known serial liar, thief, and malignant narcissist? 

I was reading Michael Lewis’ latest book Going Infinite about Sam Bankman-Fried who as a young child was shocked that kids believed in Santa Claus and similarly adults believed in God. It made no sense to him that mass delusions were so common. 

That got me thinking about democracy’s arch-enemy, Trump. The trumpers (small t on purpose) are deluded. They actually believe that this charlatan will save them and the country. Some followers say it’s because he’s pro-Israel, others because he’s anti-abortion, others because he wouldn’t act against gun control, some even see him as the next rising of Christ, or they identify with rich self-centered bullies…

But the main thing that holds them all together is that they are in love with him. It’s like the delusion that occurs when you first fall in love. There’s no flaw to be found in your new amour. 

But wait. Why then do 50% of all marriages end in divorce? Why? Because the delusion disintegrates. Eventually sanity reigns. 

Maybe when Trump is behind bars half the country will finally wake up? 

Maybe they won’t?

If we don’t speak out, nothing will change!

Don’t passively watch as our frightened Republican officials publicly support this man and privately condemn him.

Art

#Trump, #MichaelLewis, #Bankman-Fried, #delusions