September 08, 2006

The Divide

On Tuesday morning (OK, at 12.01 a.m.), I put up a post asking people in the mental health community to move slowly, thoughtfully and contemplatively in response to the murder of Wayne Fenton, a psychiatrist in Montgomery County, MD, who was allegedly killed by a psychotic patient. The reason I made the request is that there are those in the mental health world who will use every moment of tragedy and its consequent emotional tug to justify their particular political agenda—and in this case there simply wasn't enough detail available about the incident to draw a particular moral. What's more, Fenton was associate director of NIMH and very well respected in the psych world and it would be easy for the rhetoric around his death to become super-heated.

While it isn't exactly heated yet, it's interesting how one advocacy group—the Treatment Advocacy Center—is once again exposing, in ways subtle and not subtle, the ideological divide in the mental health community over outpatient commitment, TAC's raison d' etre. For example, in a post yesterday TAC noted that statements of condolence had been issued by NIMH (previously linked to by me), NAMI National (a group founded by TAC's president Fuller Torrey and its sometime ally in the push for forced medication laws), AFSP, and in a blog post by Liz Spikol. TAC did not link to NMHA's statement on Fenton's tragic murder—but then there is a long history of bad blood between TAC and NMHA, which tends to be less enthusiastic about outpatient commitment and forced medication than TAC would prefer. (TAC also ignored my initial olive branch, but whatever).

Such a move may not strike anyone as more than symbolic. It is interesting though that TAC links to Spikol, whose work I admire greatly, because she isn't particularly warm to forced outpatient commitment, especially the more extreme version favored by TAC (I prefer softer forms of outpatient commitment, a discussion for another day). Like me, she sometimes says respectful things about MindFreedom instead of dismissing them out of hand as do too many in the mental health world.

Where I think TAC has gone 'round the bend is in asserting that Fenton's murder makes a prima facie argument for forced medication laws in Maryland (there isn't enough publicly available evidence about what form of treatment the alleged murderer was on or wasn't on to make such an assertion) and elsewhere, and that somehow the mental health system in this country has become a victim of "political correctness." That's a bullshit statement, but I will dissect that and other TAC assertions in a statement by the group's executive director on Monday.

For now, I join with TAC and everyone else in the mental health world in mourning the loss of Wayne Fenton. Despite our many differences in the mental health world.

NOTE: I know that an inevitable outgrowth of Fenton's death, given his stature in the field, will be to create an award of some kind in his honor. That's a good idea. I am wondering if instead of creating the usual research award, however, if it might not be more in keeping with Fenton's deep concern for the sickest of patients to offer an award to a once-profoundly-ill schizophrenic or bipolar who manages to make it all the way back to a life of promise and accomplishment. My hunch is that that's what the endgame of Fenton's clinical and research life was all about.

Besides, there are plenty of patients out there who have made it back from the depths of hell. Their singular achievements seldom garner recognition and seldom generate column inches in the American media. It's about time that changed.

Posted by Philip Dawdy at September 8, 2006 12:01 AM
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Comments

Exactly what I was thinking, regarding honoring Fenton.

Being a concerned, caring and compassionate person that he sounds to have been, I would would assume , that he would want those he cared for..to be taken care of, that is what he was doing the day he died.

Speaking from my heart, I personally would want the care, compassion and love of the patient to remain intact.

I am not going to presume to know what Fenton would want; but I would imagine that Fenton would want love and compassion to be directed towards the young man who killed him-- right now.

If I was in a position to go see this young man, I would go in a heartbeat.


I also think that a Scholarship for patients who have come back from the depths of hell, and back into this world, would be a good start.


The Fenton Scholarship for patients to continue their education would be something I would support.

As I have written here before re: my own daughter, I can say that this has always been my plan, if she did not make it in this life due to her illness, that the first thing I will do is set up a Scholarship such as this.

She has made it through the depths of hell, and I am appreciative of the rare people like Fenton in this world that are helping get her back.

Being that Fenton had this on-call appt on a Sunday, represents to me, his true compassion.

I like the idea of placing the focus on patients who have achieved wellness, and are doing so many great things, you know, they are here, and really do need spotlights.

Some are nurses, staff, College students, volunteers, to be able to say they got to the point of doing any one of those things, well, like I've said before, they are truly my heroes.

So is a doctor like Fenton, a true hero of human kindness.

Posted by: Stephany at September 8, 2006 10:18 AM

I think that award idea is an excellent one.

Posted by: Kent at September 8, 2006 11:36 AM

http://photos-804.facebook.com/ip006/v39/37/2/10733829/n10733829_31770804_1621.jpg

Cappuccino

Posted by: Gwen at September 8, 2006 02:48 PM

Gwen,
What a beautiful, content kitty.

Wishing you much luck with School, you are a hero in my eyes.
--stephany

Posted by: Stephany at September 8, 2006 04:55 PM

I love my precious sweetheart Cappy Baby. I miss him. I wish he was here with me. I love more than anything else in the world.

Posted by: Gwen at September 8, 2006 06:07 PM

Gwen,
One of my daughters got permission from her University to have her cat with her, and the cat has now been deemed a "therapy cat"!
This took some negotiating on my part, but she's got her cat with her.
Though this may not be the ideal situation for all cat's and University settings, I just wanted you to know that anything is possible!

Pets are such good friends.

What a cute name too!

Take care,
Stephany

Posted by: Steph at September 8, 2006 08:30 PM

Hi Stephany!

Thanks so much for the compliment. That really means a lot to me. I really admire you too!

Yeah, that would be great if my baby could be here. But I think he would be happiest at home, and I definatley want what's best for him. I love my cupcake sweetheart way too much. But that's really cool that your daughter got her cat with her at school! That must make her really happy. Cats are so precious. I hope my cat lives forever.

And by the way, how is your daughter, the one who was struggling, doing? Is she still in the hospital? I really hope she's doing well. Tell her I'm thinking of her.

You take care too, and I'll, of course, continue reading your insightful comments!

Best wishes,
Gwen

Posted by: Gwen at September 9, 2006 06:46 PM

Gwen,
There is a photo of my daughter's University kitty on my blog.

Take care,
Stephany

Posted by: Stephany at September 9, 2006 06:48 PM

This is so well-written, and right on target, I just had to say, keep writing and pushing the thought forward to hear from and spotlight people who have, like a phoenix, risen from the ashes, and reclaimed a life.

I am always impressed with your ability to pick a topic apart, that I often have to re-read posts.

I would like to see an entry that details more specifically, the violence/non violence re: forced medications, and where one draws the line speaking from a Civil Liberties point of view at the determined allowance of physical violence that would prevail to force medication vs. not.

I would like ideally, to see consumers (patients) all gathered together, with a broad display of the spectrum of our illnesses, and brain storm, where, we would as a patient, draw the line.

I have a feeling, that one could not decide where to draw it.

What level of violence would be dismissed as low-level, not enough to fall into a forced medication law, and what would constitute the command of the law by what form of violence.

This is where the Civil Liberties question balances on such a fine tight rope.

The Professionals would, most likely go with a past history that could "lead" to more history, etc.

I would like to know here, what most readers honestly think re: violence, and mental health.

Because there are no guarantees that any one of us who has never been violence, don't change. A medication could be a trigger, for instance per the other entry re: the elderly man on Wellbutrin.


We all are at risk for over-assumption and judgement, whether we have ever been violent or not, of being smacked down with a law that would force treatment.

I really feel, that time is of the essence, for a panel to come forward, that has within its arena, consumers, Civil Liberties experts, and no pharma's allowed, sorry.

The consumer must take action now to decide what the future holds for mental heath. Especially due to the lack of forward thought re: recovery, and remission, and genuine lives being lived, we all know meds don't cut it alone.

Posted by: Stephany at September 23, 2006 01:11 PM

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