Social Research around depression
Assignment Instructions: please use the transcripts of the lecture and the chapter I provided
Karp uses the narratives of those who experience depression how depression can come to define a person\’s identity. How does this concept affect their interactions with others and their self-concept? How are their relationships and other aspects of their lives affected byt this identity? Finally, try to think of ways that these “identities” play out in our everyday lives. Do you see and experience folks who view their mental struggles are part of their identity? Explain and offer examples.
How do the narratives in this chapter shed light on accessing support from mental health professionals? In your discussion, include links to what you learned in the lecture about norms of professionalism. Also, please include specific examples from the chapter of people’s experiences.
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Hey there, welcome to a very short lecture, probably the shortest you\’ll ever see me do.
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Brevity is not my strength, by the way, just a quick sort of chat before you launch into the CARP chapter this week and the other short reading, I want to continue our conversation about how we treat or help people who are mentally distressed.
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And you\’re going to be reading one of my favorite cart chapters.
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This one really gets to the heart of why so many people who experience major depression don\’t ever fully get better.
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It\’s a very powerful chapter.
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He also reflects on his own work in the conclusion.
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And, you know, he shares his concerns about how his research and actually much of the Social Research around depression shows that people don\’t just sort of beat depression.
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So he\’s, he\’s sort of looking at his work and he\’s concerned that he doesn\’t have this big revelation about what works.
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And he doesn\’t claim to have a whole bunch of answers.
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But Dang, I have to say, he sure does do a great job of helping us to understand and to really listen and hear what it\’s like for people who are trying to get help.
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So I want to return to what I said before.
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And that\’s that overall, statistically, data wise, we do a terrible job of helping people who are mentally distressed.
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And the psychiatric profession has really lost its way as a healing profession.
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So many folks still really suffering and remaining not only unhelped, but as you will see, objectified and even dehumanized as they seek help.
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I know that this chapter is going to resonate with a lot of you who have tried to seek help.
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It always does.
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So, you know, talk to me if you need, if you need to.
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I know that it hurts for many of you to hear that we\’re doing a crappy job helping people who are suffering, especially if you\’re wanting to go into the field of psychiatry or social work.
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But you know, this is good for you to hear.
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You can change it.
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You can reject the kinds of norms that are associated with psychiatry and social work.
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So you\’re going to learn a little bit about all of that as we, you know, cruise through the semester as well.
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So this far, we\’ve learned about the history of psychiatry.
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It\’s moved towards aligning with a medical model in order to be part of a system of reimbursement.
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And also, we\’ve learned a lot about the political and economic factors that shape diagnosis.
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And Karp does a great job of painting a picture of what it looks like to seek help in this next chapter.
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He certainly talked about it in other chapters, but I love how he uses the words and experiences of real people to make his point, especially in this chapter.
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So I want to talk quickly about kind of how we use language around this in sociology.
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Everything that he talks about in this chapter connects back to this idea of norms of professionalism.
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And so when we do research in sociology, we tend to look at the power relationships involved with this.
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So norms of professionalism, these are norms or standards of practice that really value, teach and politicize the idea that a professional, whether it be a social worker, a psychiatrist, a therapist, that this person has a responsibility to keep a professional social distance between themselves and the people that they are supposed to help.
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This is very typical, a very traditional and valued approach in these kinds of helping profession professions.
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Totally the norm.
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What I\’m teaching you isn\’t some outlying thing.
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This is, I mean, you know, you read about Carlot and his experiences with being trained.
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He thought he was going to be doing, you know, talk therapy.
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And then he found that isn\’t at all what the training is like for him.
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So I do ask you to reflect on that in your reflection as well.
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So these norms of professionals professionalism come with certain roles.
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1 is there\’s no reciprocity.
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And this means that you as a patient must be willing to share pretty much your whole self.
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The expectation is that you can\’t get better unless you share of yourself.
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But you will not be allowed to hear or learn about your mental health practitioner.
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In fact, there\’s an underlying assumption that it\’s somehow dangerous for a practitioner to share of oneself.
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But we now find intersectional feminists working to call into question the traditional practice of psychiatry.
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So you should be calling this into question too, right?
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Who is psychiatry for?
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Who benefits the most if you want to help, is following the status quo going to lead the way for helping in a way that you imagine?
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So, you know, I hope that these lessons call into question for you what you\’ve been learning if you are someone who wants to be a mental health practitioner.
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And certainly if there\’s someone who\’s seeking help and recognize that there are many ways to help in that field, that that sort of break free from the status quo.
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So we also see challenges from critical race practitioners who argue that the field of psychiatry really just reproduces oppressive, you know, power over approaches and are more about social control and reproducing racial stereotypes than they are about helping.
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So I want you to jump into this CARP chapter chapter with new eyes, a new critical approach to how these professional norms wind up reproducing the status quo and even do a lot of harm, especially when we\’re talking about people who are vulnerable and suffering.
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So I hope you enjoy the chapter.
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Thanks for hanging in there with me with, you know, this quick little lecture.
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All right, everybody, take care.
Karp Chapter 5
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