The Stigma of Mental Illness

 

Friend Xerxes has written a recent column arguing that

1. There should be no stigma around mental illness.

2. People who are mentally ill should get professional help.

However, on the way he raises something else, which I think is more important. He argues that mental illness is really sin. Which explains the traditional stigma. But there should be no stigma around sin either. Sin is just a matter of “being different.”

“A medical issue,” he writes, “is probably better than lynching people for being different.”

This is a radical and a philosophically untenable position; ask Kant. Right and wrong are not arbitrary or random categories.

We should not condemn someone for rape or murder? They are just being different? 

How about, say, Hitler? 

And if there is no right or wrong, how then can you condemn anyone in turn for condemning anyone? They too are just being different. You have no basis to judge any action, to act or not act.

So is mental illness sin? Does this explain the stigma traditionally attached to it? 

The argument is plausible. 

A “mental illness” is self-evidently or definitionally spiritual—the mind is the spirit. This means, to begin with, that to refer them to medical science or a physician is obviously wrong. Spiritual illnesses are the preserve of the priest. And indeed, psychiatry and psychology say they cannot cure these things.

There are two forms of spiritual illness. Firstly, sin, a wilful turning away from truth and good, and secondly, being “dispirited,” a loss of meaning or understanding of what is true and good.

Most of what we call mental illness is the latter, a loss of meaning: a disorientation, a lack of confidence in what is and is not real or of value. 

There is nothing shameful about that. So why is shame attached to it?

The shame and guilt that is being concealed by pretending there is no sin and that it is a medical issue is in this case the guilt of the family, those around him or her, not the sufferer. It is pretty well established and understood that such “mental illness” is caused by childhood abuse and neglect. So sin is involved, but the “sufferer” from “mental illness” is the victim of the sin, not the perpetrator. It is in this sense that the Bible say that “the sins of the father are visited on the son, unto the third or fourth generation.” It is this that is implied by the concept of original sin.

This being so, the worst possible treatment for “mental illness” is the one currently always prescribed: to leave treatment to some family “caregiver.” This is to condemn the victim to a lifetime of torture. All to conceal the corporate guilt. They are, in effect, designated scapegoats.

This truth is complicated because other things we class as “mental illness” are indeed sins—or more properly, vices. These are the psychopaths, sociopaths, and narcissists, the “Type B personality disorders.” These are the guys who shoot up schools and drive cars into crowds. 

It’s all pretty straightforward, and solvable, “treatable,” once you accept the reality of sin. Lamentably, as Xerxes says, only “white American evangelicals” any more believe in sin. Properly speaking, Catholics do to, as does the Lord’s Prayer. But the torrent of the world has caused this to be suppressed even within Catholicism. I balked at the curriculum and pulled out of teaching Catechism class for the local diocese because the curriculum prohibited any mention of sin. “The message has to be only that God loves you.” Nor will you hear any mention of sin from the pulpit; for all that they still have the sacrament of confession, more recently renamed “reconciliation.” The core message at a recent “Life in the Spirit” seminar was “we are born to love, and learn fear.”

So the problem is not sin, but fear of punishment.

As a result, we have a growing epidemic of “mental illness,” suicide, addictions, and mass murder.