tools of capitalism

Two kinds of mental health stigma

Content note: This post contains both criticism of and respect for the mental health system. If you find one or the other upsetting, this post will likely bother you.

There are two basic kinds of mental health stigma: dismissiveness, and dehumanization. Mental health conversations tend to have trouble acknowledging both at the same time — usually it’s at most one.

Dismissiveness stigma is when people deny the reality of mental illnesses. This plays out in a number of ways. One classic example of dismissiveness is “antidepressants are just a tool of capitalism to stop people from noticing that things are wrong”, or “Stop complaining. There are people with real problems”. There are many other examples.

Dehumanization stigma is when people deny the humanity of people with mental illnesses. A classic example of this is people who believe that the purpose of mental health treatment is to reveal the real person underneath — and that therefore, any objections they might make to the treatment “aren’t the real them talking”. There are many other examples of this as well.

Dismissiveness and dehumanization are both major problems. They’re both real, and they both do a lot of damage, even up to the point of costing people their lives.

People tend to perceive the mental health system very differently based on which kind of stigma looms largest for them. For a lot of people, it’s much easier to see one type than the other.

People who mostly experience dismissiveness often see the psych system this way:

  • No one took my problem seriously
  • I was scared to turn anywhere for help
  • Once I finally took the leap and went to therapy, things got so much better
  • Or, once I finally stared medication, things got so much better
  • (Or even: medication and therapy saved my life).
  • (Or even: I’m so glad people finally pushed me to get treatment; they were right.)
  • I wish people wouldn’t be so afraid. I wish everyone had access to this.
  • We need to fight stigma so that people can get the help they need.
  • (And to reform laws so that everyone has access).

People who mostly experience dehumanization often see it more like this:

  • When I entered the psych system, people treated me like I wasn’t a person
  • They forced me to take medication I didn’t want to take
  • The drugs didn’t work, and had harmful side effects
  • When I complained, they treated it as a symptom and raised the dose
  • They forced me to be in therapy I didn’t want to be in, and that made me worse
  • When I tried to advocate for myself, people treated it as a symptom, and no one took me seriously
  • Things only got better for me when I stopped therapy and/or medication and started a different approach
  • (Or even: stopping therapy and/or medication saved my life)
  • I wish people wouldn’t be so uncritical of a system that hurt me
  • I wish “unmedicated” wasn’t used as a slur implying that people who make the choices I make are all terrible people
  • We need to warn people, and reform the laws and systems that allow people to be treated this way

Some people’s experiences in the mental health system are positive in ways that nothing else is; some people’s experiences are horrifying. (And for a lot of people, things are more mixed). Neither type of experience is universally representative; both are real and common. Both matter, and need to be part of the conversation.

When most of someone’s experiences are with dehumanization, it can be hard to understand that dismissiveness is also a problem. Or why anyone would regard mental health care as positive, or lack of access to it as a problem. They may also find the terminology of “mental illness” repugnant, and have a strong preference for “crazy”. But it really is the case that for some people, mental healthcare including therapy and medication is a really good thing. And that for some people, the biggest problem with the system is difficulty accessing it (either because others discourage it, or because it’s too expensive.)

When most of someone’s experiences are with dismissiveness, it can be hard to understand that the dehumanization experiences are also real. (Particularly for people who were really afraid of mental health care and then had a transformative good experience with it.) It can be hard to understand why someone would prefer an apparently pejorative term like “crazy” over an apparently-netural term like “mental illness”. It can seem like people must be exaggerating, or that these things only happened in the past, or something like that. But dehumanization is still a problem now, and fighting treatment stigma will not address that problem.

Both dehumanization and dismissiveness are important barriers to people being treated as they ought to be. Because of both types of stigma, people lack access to help they vitally need. For some people, that help is treatment. For others, it’s access to resources like housing, respite, and assistance with food. For a lot of people, it’s both. People’s very real mental health struggles should not be dismissed; neither should the humanity and human rights of people with mental illnesses be denied.

tl;dr There are two types of mental health stigma: dismissiveness, and dehumanization. Dismissiveness is when people deny the reality of your condition; dehumanization is when people think that your condition makes you less than human. Dismissiveness is often made better by the mental health system; dehumanization is often made worse. People whose experience is primarily in one category often don’t understand that the other category exists. Both matter, and both need to be part of the conversation.

hey, could you rate my fanfic? xD

(submission by @cheatsykoopa98) since you write so many of them, I’d like to know your opinion on mine


I do not wish to sound too intense with my critique here, but out of 10 I’d give it a solid 5! Your writing quality is way better than others I have seen on!

What I love:

  • Your characters are developed pretty well in this!
  • You got a nice plot going!
  • The romance is very cute!
  • You’ve formatted your dialogue correctly! That’s something not even I was able to do most of the time.

What I don’t love:

  • Remember basic writing tools! Capitalization and punctuation are key!
  • Try and use more fluctuating vocabulary. If you’re too basic with it, it’s harder to imagine!
  • For example: “she said, embarrassed by Foxy.” is what you wrote! However, maybe a good substitute would be “her voice shook as she explained, a tad flustered by the presence of Foxy.”
  • You seemed to get to the point rather quickly in the first chapter. I’m not saying to make filler, but it’s just kinda awkward to have the main plot revealed in the very first chapter so quickly!

I know you wrote the first chapter two years ago, but I don’t think I’m willing to read 68,000 words to critique it all. XD This is just what I got from the first chapter! Overall it’s okay, but there’s always room for improvement!

Okay this isn’t totally related to the usual content of this blog, but am I the only one who feels exploited by the communist/extreme socialist side of tumblr? As an LGBT+, person I mean. Because there are all these posts like “don’t buy stuff from pride parades because all they care about is CAPITALISM and CAPITALISM is evil and real LGBT+ people don’t buy these kinds of things-” like idk if they’re trying to convince LGBT+ people that they must hate themselves if they’re capitalists, as if we’re stupid (well lots of young kids on tumblr are) or convince straight people that they’re being “allies” by not being capitalists.

They don’t do this just with LGBT+ people, I’ve seen them tie it to feminism and Black Lives Matter as well. Like, if you’re not a member of one of those categories and you make a post about people from one of those categories being used as a tool by capitalism, I’m gonna think that you are the tool here. And at the end of the day, YOU’RE the one exploiting a minority by making their oppression about your politics.

Most game designers will tell you that Monopoly is terrible and stupid. But it’s pretty ok, considering the game was invented to be a didactic tool against gilded-age capitalism. It’s in the new episode.

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