Time for another post that I will be adding to over the weekend, but will start off with what is hopefully an easy claim: many people who utilize community mental health clinics these days have no investment for real change to become healthy. Nope, these patients under 50 years old who are on disability, or eternally living with family, working through some type of legal process, or some other secondary gain that has no interest in restoring healthy, functional mental health, they HAVE to be sick, to stay sick, and to relish subconsciously at least, alleged benefits from being sick.
Hey, I shared this perspective with my chiropractor this morning, and he wholeheartedly agreed, as he sees it as well, mostly from the legal angle alone. And so, what can providers really hope to gain going to the office every day and seeing what I know to be more than 80% of the patients coming in just wanting to be impaired?
Really is a set up to burn one out, eh? So, the overall point to this post being crafted over the next couple of days is simply this: how can health care in general survive when people don’t have an interest to really return to sound, consistent good health?
I’ll leave readers with the definition of secondary gain:
“an indirect benefit, usually obtained through an illness or debility. Such gains may include monetary and disability benefits, personal attention, or escape from unpleasant situations and responsibilities.”
The power to be sick, quite fascinating, and pardon the pun, quite sickening too!
Addendum October 29 6PM:
OK, I am veering into politics a bit, but I don’t see it as ridiculously tangential:
I think an important read, but will share these points from it to show how the Personality Disordered that is prevalent on the Left/Progressive side of ugliness in cultural banter is creating quite the shit show throughout society.
“1) The Politicization Of Everything: Want to watch football? There are players protesting the flag. Turn on a Hollywood awards ceremony? There are actors making political statements. Want to go to the bathroom in peace? Well, first, we need to know if you’re okay with sharing it with someone who feels like the opposite gender today. You’re just a regular person telling an off-color joke you heard? Better be careful; that could turn into a front page scandal if the wrong group gets offended. Want to buy a Halloween costume for your kid? Well, you better make sure it’s someone of the same race or people will be upset. Want to go on a date? If you date someone of the same race, you may be racist. Ready to marry your honey? Then you better support gay marriage or you’re a homophobe. I can remember a time in America where you could just live your life without paying attention to politics at all if you wanted and that was a good thing. Remember that old saying? Never discuss race, religion or politics in polite company? Well, because of liberals, you don’t have a choice anymore.”
2 points later is this:
“3) Victimhood: Only in America do people get so excited about the idea of being a victim that they will even fake hate crimes against themselves to get that status. Only in America are there women publicly crying that they were sexually assaulted and traumatized because a 93 year old, wheelchair-bound President pinched their butt. Only in America do we have to come up with things like white privilege and institutional racism because there’s not enough real racism happening to allow liberal minorities to feel like victims. There was a time in America when people wanted to feel strong, capable and able to handle their own problems instead of being victims. There still are people like that today and they’re called conservatives.”
Which I think reinforces the pathetic rationalizations and minimizations that go on in my office day in and out. People do not want to problem solve, they just want an excuse why they should get a free pass!
Then finally this:
“6) “Non-Judgmentalism”: We’ve heard so many liberals talk about how important it is to be non-judgmental that it has seeped into the culture at large. When there’s a choice between what’s best for society and best for a particular individual who has done something wrong, we always default to protecting that individual. How’s that working out for us? Since the stigma around getting a divorce, having a child out of wedlock or having an abortion has faded, are we better or worse off? Are the kids who are aborted or who get raised by a single parent instead of a family better off? Are the guys who are extremely hesitant to get married because they fear divorce better off? Are we better off because people no longer wonder whether doing something horrible in public will hurt their good name or ruin their family’s reputation? The very fact that we are so unwilling to draw a line in the sand and say “That’s right” or “That’s wrong” has mired our culture in degeneracy. Maybe if there were more people who feel bad when they do things that “wouldn’t make their mothers proud,” there would be a lot more decent human beings.”
I purposely bolded just those two sentences there to show what I see repeatedly every week: little if any shame, no humility, and bold rejection of appropriate and healthy boundaries. Which is what the Personality disordered does, especially the Cluster B folks.
So, how do people come into health care settings and act like either they will dictate the treatment interventions, or dismiss any real efforts to implement a path for improvement, or worst, just basically come across as telling people who are dedicated to helping people try to help themselves “I want and like to be sick!”
And people think Single Payer Health Care will make things better?! Good luck with that plan… one more addendum tomorrow to wrap up the post.
Addendum Oct 30 11AM: Sooo, where are we today with all this hostility, anger, and rigidity in negotiation? I think it is what this culture has wrought, deeply flawed people who wind up in positions of power, influence, and control that have no interest in helping the public, but just aiding in entrenching these people who want to stay indefinitely in leadership. As in, people who just want to keep their jobs or their status, and not do anything of genuine substance to do their jobs and try to help the public and those who depend on said “leaders”.
Which comes back to my point here, people really don’t want to change and do better, to make a real difference, to try to improve the world even in just one’s little spot in it. People by in large are lazy, indifferent, and have near zero frustration tolerance, that last trait has infected me a bit but I am working on better tolerance of late.
So if I am wrong, and misinterpreting the situation, then all these people who are not having a real opportunity to be heard and have access to ways of change, will step up and show me my mistakes in observation.
Not holding my breath with that postulation…
Which is a shame with the way clinics are failing in large numbers these days, and they are, I see it every 3-4 months the last 5 years or so. Think about it, who with a genuine interest to help people can survive in these environments of quick fixes, demands of doctors being “yes” people to any and all requests, and signing off on all these disability requests and other socioeconomic “perks” to having any alleged Axis 1 Mood or Thought Disorder?? Oh, and some are so bold to even admit they have a primary Axis 2 disorder, and want a disability determination for that!
I’ll end with this pathetic joke, Attention Deficit Disorder is not a disability diagnosis, but, incredible how many get in your face to claim otherwise these days!!!
Less than 4 weeks to Thanksgiving, and my 5 year anniversary to Can’t Medicate Life blog, again wondering if I can keep it up longer…
Such a great picture!