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Al Siebert's double binds

Posted Apr 22 2010 12:00am
Al Siebert, who passed away last year, has a website called "Successful Schizophrenia." Here is an excerpt from Psychiatry's Lack of Insight: Four Double-Binds That Place Patients in a Living Nightmare . The third double-bind below demonstrates the reason I have always had trouble with Dr. E. Fuller Torrey. I don't think he sees people with a diagnosis of schizophrenia as fully human. He's not alone, however. Family members often demonstrate the same lack of insight.

The third double-bind is to perceive someone as being "a schizophrenic" and then express humanitarian love and compassion for them.

The activity of allowing one's mind to engage in "negative nouning" is similar to swearing. Perceiving someone as mentally ill is a stress reaction in the mind of the beholder. It constricts and reduces the person into something not fully human. When the viewer sees a person as a defective or sick it prevents the viewer from experiencing the diagnosed person as unique in a special way (the basis for love.)

The authors of DSM-III recognized diagnostic labeling as a problem and took the following position: "A common misconception is that the classification of mental disorders classifies individuals, when actually what are being classified are disorders that individuals have. For this reason, the text of DSM-III avoids the use of such phrases as "a schizophrenic" or "an alcoholic," and instead uses the more accurate, but admittedly more wordy "an individual with Schizophrenia" or "an individual with Alcohol Dependence."

Yet, even with the adoption of this position by the American Psychiatric Association in 1980, statements about "schizophrenics" abound in modern psychiatry. Psychiatrist E. Fuller Torrey, for example, tours the country telling audiences "there are over 100,000 active schizophrenics roaming the streets of our cities."

An example of the "Love for Schizophrenics" double-bind can be found in Torrey's recommendations on "How to Behave Toward a Schizophrenic." He states, "In general, the people who get along best with schizophrenics are those who treat them most naturally as people."

Silvano Arieti is a leading authority on schizophrenia. In concluding his award winning book Understanding and Helping the Schizophrenic: A Guidebook for Family and Friends, he states: "...where modern psychiatric science and our hearts meet, is the place in which help for the schizophrenic is to be found..."

The experience of people viewed as schizophrenic is something like being told by a smiling, powerful authority "I have only love and compassion for rotten assholes like you."
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