Let’s Talk About Mental Illness

 

I started thinking about this when the whole Richie Incognito thing went down with Jonathan Martin. It became popular in the media to wax about the brute nature of the NFL, and several writers and commentators compared his mental illness to a physical injury. How could anyone blame Jonathan Martin for anything that happened to him? So went the argument: Punishing someone for their mental illness was no different than calling someone out for their torn ACL. You cannot hold someone accountable for what’s broken inside them. Yet, for me, the analogy fell short. Try as I did, I could not help but identify with the frustration his teammates and coaches had with him (minus the racial slurs). Was Jonathan Martin completely without responsibility? Isn’t making him the martyr hurting the mental health cause more than helping it?

I’d wager there isn’t a reader here who hasn’t known someone (or perhaps BEEN someone) who suffered from what we’ll loosely call mental illness. I’m not talking about schizophrenia or whatever lands you in a padded room sucking on towels. I mean active, “I’m getting out of bed and getting through this day” depression specifically, but eating disorders and hypochondria, too, all of which are as American as apple pie. Hell, Xanax is more readily available than weed. I’d also wager that the mentally ill person you knew was a complete asshole. I’m sure they were difficult to talk to, self-obsessed and lacked confidence. They got driven home early from parties, talked frequently of their frustrations, and sulked in bars. Chemically induced or not, depression is a disease of narcissism: my life, my pain, my fears. And all normal-feeling people can do is attempt to accommodate, because we’ve all been taught since we were kids to play nice with others. And there is a form of aggression in there, right? We’re all left to just deal while they do whatever they want. I know that they are not solely to blame, but I have to ask because no one else seems to be; aren’t they just a little bit? When an alcoholic gets a DUI, we acknowledge a certain level of choice. Yes, they are genetically predisposed. But they had to pick up that beer, had to turn that ignition. So when your friend doesn’t show up for work, doesn’t speak to anyone at dinner, won’t see a doctor, or take a pill, can’t we consider that the same sort of indulgence into the disease?

I just listened to a comedy special by Maria Bamford where she has a bit called “Stigma” in which she uses other physical diseases in place of depression to illustrate, and thus criticize, the way we all judge the mentally ill. In one example, she uses poor eyesight as a stand-in for depression, wondering aloud why someone would ever need glasses because good eyesight is “all about attitude.” It’s an effective bit, and I’ll admit it illustrates our lack of empathy for our sulking, unhappy counterparts. But shit, isn’t it overlooking the difficulty in telling a friend to “see someone?” Isn’t that different than “Hey Magoo, get some glasses?” Isn’t there some responsibility on their end? I know, I know: there are real, chemically imbalanced depressives out there. And I know that minute piling on minute can bring a pressure to their chest, and that looking anyone in the eye can carry the fear of crying, and that any love they receive never feels deserved, and that sleep is hard and food is harder, and that the sadness they put on others can only bring them more sadness – an infinity of sadness all spiraling inward until it feels like dawn will never break. But, ultimately, that’s a prison no one can break into – only out of.

I’m not saying this to shame the ill, but rather to ask the rest of us if we’re all looking at this the right way. I believe there is a point where normal socialization has to come into play. If we continue to avoid challenging people for actions that offend others and coddle the notion that it’s OK to be an emotional mess, I wonder if anyone will ever seek the treatment they need. If you yell at your mother one minute only to fall crying into her arms the next, that shit can’t just be waved off with “I’m depressed” without following up with what the hell you’re going to do about it. And while I don’t agree that the open abuse Jonathan Martin experienced was righteous, I do know that the world around him cannot stop spinning to accommodate his struggles. He needed to leave the team and that needed to be his choice. Not everyone else’s. So maybe the only thing a depressed person needs to hear is the words “we spoke about this yesterday, you need to get help,” rather than affirmations of their worth in this world. Because, honestly, the rest of us just need to get to the dry cleaners before it closes and we can’t go on like this. Maybe acting like we don’t care is the best care we can give.

  1. roundrockdonuts

    According to the DSM (diagnostic and statistical manual of mental disorders) any mental illness or disorder has to cause “deviant, distressful, and dysfunctional” behavior. Being mentally ill isn’t fun. People suffering from mental illnesses usually know they are sick, and don’t enjoy not being “normal”. People who are legitimately suffering from depressive disorders don’t want to take their lives. Narcissism is a personality disorder, completely separate from a depressive or anxiety disorder. The idea that depressed people have a responsibility to perform well in the NFL during their miserable lives is borderline retarded.

    11 years ago at 9:44 pm
  2. Virginia Gentleman

    I don’t agree with everything in this column, but everyone commenting against JTrain in these needs to fuck off. I’m sincerely sorry if you lost a loved one to depression, but the reason we have free will is to exercise it. While I agree that mental health, especially in athletes with chronic head trauma (a physical condition), needs to be more publicly discussed, I don’t think that we should treat grown adults like babies. Everyone, myself included, has problems. Sometimes these problems are pretty shitty, but it’s an individual’s responsibility to deal with them and/or ask for help from their peer group. If they don’t, that’s a decision that they made. I’m sorry if that sounds too pragmatic, but it’s true.

    Strangely, none of these problems were such an issue 50 years ago, before the rampant pussification of America. Nobody is willing to say it, but I’m one of the few that is. News flash everyone, the world can be a shitty place. Bad things can happen, you can make bad decisions, and sometimes you can just have shitty luck, but the quote that comes to mind most easily “Why to we fall? So we can learn to pick ourselves back up.”

    On another note, Jonathan Martin is a gigantic pussy that lacked the courage to stand up for himself the way a grown ass man should and at the very least, he should have gone to his god damn head coach before the media.

    11 years ago at 8:45 am
  3. fratmcgee

    Jtrain, in all seriousness, I respect your attempt to bring up a serious subject that actually does need attention, but based on this article I don’t think you’re qualified to write about mental health. This is a dangerously simplistic take on depression and on mental health in general. I think alcoholism is the most relatable “disease” to depression so I’m going to use that as an example.

    We all know there are plenty of completely worthless alcoholics out there who don’t care about anything other than getting their fix and end up on the street begging for money for more booze. But we also all know someone, whether it be a friend, family member, or acquaintance, who is striving to live a good life and be a productive member of society but for whatever reason becomes addicted to alcohol. To lump these two types of people into one category and decide that anyone who is an alcoholic is a narcissist, and furthermore that our best course of action is to tell them to get help then stop caring about them, would be irresponsible. People are driven to alcoholism for different reasons but once they have become addicted it is an affliction of both the mind and body and is not easily overcome.

    Similarly, there are different types of depressives, some who are mostly unwilling to help themselves or accept help, and others who are trying desperately to better themselves but struggle to actually get better. Like alcoholism, people fall into depression for vastly different reasons, but once they are there it as an affliction of both the mind and body. As has been pointed out in this comment section, seeking help is only the first step to overcoming depression. Fighting your way out of depression takes mental changes but also takes physical changes, including changes to your daily routine, exercise habits, eating habits, and social habits. It is not something that can ever truly be fully overcome and like the battle against alcoholism it is something that has to be dealt with everyday for the rest of your life.

    I agree that coddling people with mental illness is not the answer. But that does not mean the extreme opposite reaction of “acting like we don’t care” is the right answer either. People who struggle with mental illness need help, and to truly get help they need discipline and importantly they need support. It’s very true that sometimes the best course of action is to take a hard line and to insist someone needs help, but it’s also crucial to communicate with and support that person throughout the process.

    It’s ironic that you’re framing depression as a disease of narcissism and then go on to make the case that not caring may be the best option because we all have important things to do in our own lives. Sometimes all a mentally ill person needs to turn their lives around is the genuine concern and true support from one person.

    11 years ago at 10:54 am
  4. frattpilot

    I commend jtrain for writing about such a sensitive subject. However it shows a true ignorance of mental disorders. As others have said there is no ‘one size fits all’ treatment for depression or any mental disorder for that matter. There is no easy fix as you have described, it is hard for people with Major Depressive Disorder to even go about their daily routines. I have never had depression problems but from many psychology classes I cannot imagine how hard it would be. As someone else said this is a dangerously simplistic approach to an issue that is extremely complex. Please educate yourself on sensitive topics before writing about them. This article misses the mark by miles.

    11 years ago at 3:08 pm