Care Not Courts w/ Liat Ben-Moshe, Sasha Warren and Leah Harris (DP x S24) (10/10/24)
Oct 11, 2024
auto_awesome
In this thought-provoking conversation, Liat Ben-Moshe, an activist scholar specializing in incarceration and disability, joins mental health worker Sasha Warren and journalist Leah Harris. They explore the troubling intersection of psychiatric care and social justice. Topics include the failings of mental health legislation, the impact of capitalism on psychiatric services, and the need for grassroots advocacy against coercive practices. The discussion emphasizes liberatory care and the importance of solidarity in combating systemic oppression.
The political economy of psychiatric incarceration reflects systemic failures, highlighting concerns over coercive practices masquerading as care for the mentally ill.
Legislative measures like California's CARE Act reveal troubling shifts towards enforced treatment, raising ethical questions about individual rights and state control.
Community-driven initiatives, such as the SHIELD program, emphasize the importance of solidarity and grassroots movements in resisting oppressive mental health frameworks.
Deep dives
Political Economy of Incarceration and Madness
The political economy of incarceration, particularly concerning individuals labeled as mentally ill, is a critical topic in contemporary discourse surrounding healthcare and justice. The panelists emphasize that psychiatric hospitalization and forced treatment are not merely healthcare issues but rather carceral practices that reflect broader systemic failures. Historical examples illustrate that both 19th-century asylums and modern psychiatric practices serve similar functions of control and marginalization, especially towards the homeless populations branded as mentally ill. This categorization is presented as a problematic framework, perpetuating assumptions about mental illness that often neglect the socio-economic factors at play, thereby reinforcing the rejection of individuals deemed undesirable.
Changes in Legislative Approaches to Mental Health
Legislative measures such as the CARE Act in California are examined, showcasing a troubling shift toward aggressive psychiatric interventions under the guise of care. This act permits the mandatory treatment of individuals identified as needing care, leading to significant concerns about individual rights and increasing state control over personal health decisions. Actual implementation figures reveal a stark contrast to promises made, with fewer successful petitions than anticipated, reflecting systemic inefficiencies and a lack of real enhancements in mental healthcare. The oversimplification of care as merely a legal obligation raises ethical dilemmas, especially given the historical context of coercive psychiatric practices.
The Role of Coercion in Mental Health Services
Coercion processes, including involuntary outpatient commitments, are critiqued for their potential to further entrench societal stigmas while undermining genuine care dynamics. The use of euphemistic terminology, such as 'assisted outpatient treatment,' masks the reality of enforced compliance, challenging the authenticity of care claims. This coercive framework often sidelines patient autonomy, casting the legal system as a primary player in mental health management rather than a safeguard for individual rights. Historical examples, such as Kendra's Law in New York, illustrate how coercive policies have proliferated, creating a dangerous precedent that extends beyond intended boundaries.
Impact of Social and Economic Factors on Mental Health
The socioeconomic landscape significantly influences the accessibility and quality of mental health services available to individuals, particularly those from marginalized communities. The tension between public and private sector roles is highlighted, where privatization often leads to profit-driven motives that leave vulnerable populations without adequate support. Current systems frequently result in a cycle of institutionalization and emergency responses rather than substantive treatment, creating precarious living conditions for those diagnosed with mental illnesses. This scenario complicates the narrative surrounding mental health, emphasizing the urgent need for systematic reforms that align with the realities faced by those deemed mentally ill.
Community Resistance and Alternatives to Coercion
In response to coercive mental health practices, community-driven initiatives like the SHIELD program offer a means of resistance and support. This program aims to monitor and assist individuals who might face involuntary treatment, emphasizing a collective approach to safeguarding rights. Additionally, the push for harm reduction strategies highlights the importance of creative, grassroots movements in countering oppressive frameworks. By fostering a sense of solidarity and vigilance, such initiatives challenge the dominant narratives surrounding mental health and promote an alternative vision that prioritizes autonomy and dignity.
Liat Ben-Moshe, Sasha Warren, and Leah Harris discuss the political economy of psychiatric incarceration and strategies for resisting surveillance and carcerality that center liberatory care and international solidarities.
Transcript forthcoming.
This episode was recorded live at the 2024 Socialism Conference in Chicago in early September, under the session title "Care Not Courts: Resisting Carceral Psychiatry and the Pathologization of Dissent." This panel was the rare exception where a DP member was not able to chair the session, so our thanks to Eman Abdelhadi who graciously stepped in as moderator.
Thanks to Han Olliver for our Death Panel x Socialism Conference 2024 poster image, which is being used as the cover image for this episode on platforms that support it. Find and support Han's work at hanolliver.com
Find our book Health Communism here: www.versobooks.com/books/4081-health-communism
Find Jules' new book, A Short History of Trans Misogyny, here: https://www.versobooks.com/products/3054-a-short-history-of-trans-misogyny
Death Panel merch here (patrons get a discount code): www.deathpanel.net/merch
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode