Failure to Comply: Madness and/as Testimony

  • Clementine Morrigan York University
Keywords: Psychiatric industrial complex, psychiatric incarceration, trauma, personal narrative

Abstract

Self-harm, suicide attempts, disordered eating, addiction, and other forms of “acting out” are associated with the trauma of surviving violence. While these behaviours are pathologized as symptoms of mental illness, they can be understood, instead, as strategies of resistance against violence. When violence is ignored or normalized, the “acting out” associated with trauma can be a means of sounding an alarm that something is very wrong. This “acting out” can be understood as an embodied form of testimony. When direct resistance to violence, such as fighting back or escaping, is thwarted or impossible, traumatic “acting out” can be a way to draw attention to and resist violence. Psychiatry, instead of answering the call of trauma by addressing the underlying violence, works to silence that call. Through incarceration, sexual violence, enforced isolation, restricted motion, threats, coercive drugging, gaslighting, and other abusive tactics, psychiatry works to undermine the embodied testimony of trauma by producing compliance. The source of the problem is shifted from the original violence and located instead in the body of the traumatized person. Successful treatment is understood as the reduction or elimination of the very “symptoms” which are in reality acts of resistance to violence. Therefore, successful treatment essentially means submission. The carceral space of psychiatry continues the work of producing compliance even after the patient has left its enclosures, extending the space of the psych ward into the everyday lives of psychiatric survivors. 

References

Ben-Moshe, L. (2014). Alternatives to (disability) incarceration. In L. Ben-Moshe, C. Chapman,
& A. Carey (Eds.), Disability incarcerated: Imprisonment and disability in the United
States and Canada (pp. 255-272). New York: Palgrave MacMillan.
Cresswell, M. (2005). Psychiatric “survivors” and testimonies of self-harm. Social Science &
Medicine, 61(8), 1668-1677.
Davis, A. Y. (2011). Are Prisons Obsolete? New York: Seven Stories Press.
Diamond, S. (2013). What makes us a community? In B. A. LeFrançois, R. Menzies, &
G. Reaume (Eds.), Mad Matters: A Critical Reader in Canadian Mad Studies (pp. 64-78).
Toronto: Canadian Scholar’s Press.
Fabris, E., & Aubrecht, K. (2014). Chemical constraint: Experiences of psychiatric coercion,
restraint, and detention as carceratory techniques. In L. Ben-Moshe, C. Chapman, & A. Carey (Eds.), Disability Incarcerated: Imprisonment and Disability in the United States and Canada (pp. 185-200). New York: Palgrave MacMillan.
Nelson, K. (2015, June 22). Gaslighting is a common victim-blaming abuse tactic – Here are 4 ways to recognize it in your life. Everyday Feminism. Retrieved from http://everydayfeminism.com/2015/06/gaslighting-is-an-abuse-tactic/
Piepzna-Samarasinha, L. L. (2015). Dirty River: A Queer Femme of Color Dreaming Her Way Home. Vancouver: Arsenal Pulp Press.
Shimrat, I. (2013). The tragic farce of “community mental healthcare.” In B. A. LeFrançois, R. Menzies, & G. Reaume (Eds.), Mad Matters: A CriticalRreader in Canadian mad Studies (pp. 144-157). Toronto: Canadian Scholars Press.
van der Kolk, B. A., & McFarlane, A. C. (2012). The black hole of trauma. In B. A. van der Kolk, & A. C. McFarlane (Eds.), Traumatic Stress: The Effects of Overwhelming
Experience on Mind, Body, and Society (pp. 3-23). New York: Guilford Press. Ware, S., Ruzsa, J., & Dias, G. (2014). It can’t be fixed because it’s not broken: Racism
and disability in the prison industrial complex. In L. Ben-Moshe, C. Chapman, & A. Carey (Eds.), Disability Incarcerated: Imprisonment and Disability in the United States and Canada (pp. 163-184). New York: Palgrave MacMillan.
Youthdale Treatment Centres. (n.d.). Secure treatment to help children in a safe environment. Retrieved from http://youthdale.ca/en/crisis_services/secure_treatment_unit.php
Published
2017-08-21
Section
Autoethnographies