Sathnam Sanghera
Attend an evening with Andre Agassi
Three charities have teamed up to tackle what they call “the social justice issue of the 21st century” - mental illness. About time too.
Some might sneer at the multimillion-pound Time to Change campaign for using celebrities - such as Stephen Fry, who was diagnosed with bipolar disorder at 37, but in my view anything, up to and including the use of Alastair Campbell in advertising material (“I said to Tony Blair, you do know about my breakdown, don't you?”), is welcome if it encourages more open discussion of mental ill health.
However, as someone with a parent and sibling who suffer from schizophrenia, the most severe of all psychiatric illnesses, I am concerned about the campaign. In its glitzy efforts to show that mental illness need be no bar to becoming rich and famous, and in its enthusiasm to tackle some of the myths surrounding the subject, it glosses over the harrowing effects of more serious psychiatric conditions and creates a myth of its own - that all mental illness is the same.
At the heart of this problem lies the claim that “mental health problems affect one in four people”, a statistic that encompasses conditions ranging from anxiety to depression and schizophrenia. Each of these conditions can, of course, destroy lives. But what do anxiety or mild depression have in common with schizophrenia? Not much, I would argue. Three of the six generalisations in Time to Change's “myth-busting” Tube adverts don't apply to schizophrenia.
The campaign, for instance, claims it is a “fact” that “people with mental illness can and do recover”, which may be true of types of depression but isn't necessarily the case with severe mental illnesses. What happens to people with schizophrenia varies greatly according to sex, age at its onset, the speed of onset, awareness of the illness and initial response to medication. But basically it is a lifelong condition with no cure. Only a tiny number of people have a single episode and then live their lives without medication.
The campaign also claims as a myth that “people with mental illness are violent and unpredictable” and that “people with mental illness are more likely to be a victim of violence”. Again, this is true for depression, but one of the many tragedies of schizophrenia is that sufferers are as much a risk to themselves as to others: between 10 and 15 per cent of sufferers take their own lives.
As E. Fuller Torrey, a leading US psychiatrist, has explained in The Wall Street Journal: “To be precise, mentally ill individuals who are taking medication to control the symptoms of their illness are not more dangerous. But on any given day, approximately half of severely mentally ill individuals are not taking medication. The evidence is clear that a portion of these individuals are significantly more dangerous.”
Then there is the assertion that people are wrong if they think they don't “know anyone with a mental illness” and that “someone you know or love has experienced mental illness”. In this case, my objection is not that the generalisation doesn't apply to schizophrenia, which affects 1 in 100 people, but that the silence surrounding the disease is much more profound and intense.
In my reading on the subject, I have been struck by how commonly friends and family members abandon sufferers because the symptoms - which can include hearing voices, feeling that your thoughts are being broadcast to the outside world, feeling that things are crawling beneath the skin, and believing an alien force is directing you - are so terrifying that people don't know what to do and end up running away. Indeed, it was not until my mid-twenties that I confronted the reality of my father's and sister's schizophrenia.
Schizophrenia really is the modern equivalent of leprosy. I have counselled friends through depression and, as shattering as the effects have been on them, they do not compare to what schizophrenia has done to my family. My father is a gentle and kind man and has been stable for a long time. But he had to live through decades of violent breakdowns, suicidal episodes, a period of imprisonment, endless firings from jobs due to erratic behaviour, and unexplained domestic violence before he got there. And this is what accounts of family lives blighted by schizophrenia are like: the painful narrative keeps lurching forward bleakly until the medication starts working or someone - usually the sufferer - dies.
Pain isn't relative, of course, but, frankly, even Stephen Fry's difficult experience of manic depression doesn't compare. He at least has had the choice of not taking medication, whereas sufferers of schizophrenia don't, and his symptoms have been such that he has managed to garner the nation's sympathy, whereas I can't recall the last time anyone stood up to defend someone with schizophrenia in public, if, as a result of involuntary symptoms, they committed an act of violence.
The Time To Change campaign is doing something noble in pointing out that mental illness needn't be a bar to personal achievement. But in its implication that all mental illness can be overcome, it trivialises more severe diseases and diminishes the harrowing experiences of sufferers.
Sathnam Sanghera writes for The Times. After graduating from Cambridge University in 1998, he joined the Financial Times, where he worked as its chief feature writer and a weekly columnist. His first book, The Boy With The Topknot: A Memoir of Love, Secrets and Lies in Wolverhampton, is published by Penguin
Industry sectors news at a glance. Interactive heatmap, video and podcast
Everything the Business Traveller needs to know to make a better trip
Get ready for the winter sports season, with our resort guides and snow reports
We are backing British business, what is the confidence of the nation and what businesses are succeeding?
Growing demand for energy, oil that is harder to reach and the rise of carbon dioxide emissions. We examine the energy challenge
With rail travel in Europe on the rise, we review the benefits of travelling by train
In this special section we explore new food trends to help improve your dinner party and impress guests
Enjoy further reading from Travel to Fashion, Business to Sport, discover more
Shortcuts to help you find sections and articles
1998
£47,955
12 months for the price of 11 and a 5% discount.
Offer ends 31/11/09
Check your free Experian credit report before applying
Car Insurance
to £60K + bonus (OTE £90k)
Lord Search & Selection
Location Flexible
PwC’s Consulting practice helps businesses of all shapes
and sizes work smarter and grow faster.
£85k
CPA
Highly Competitve
Specsavers
Whiteley, near Southampton
Moments from Battersea Park.
For sale with Winkworth
Find out about shared ownership.
See your free Experian credit report beforehand
7nts - Penang £499; Borneo £699; All Inclusive £799 including flights, taxes, accommodation and private transfers
For your ultimate tailor-made ski holiday, click here
Get covered on your travels with a superb range of policies at great prices. Visit InsureandGo.com
World Class Golf, Spa and preferential Beach Club. Private estate overlooking West Coast
Villas from £275 per night inclusive of Golf
Contact our advertising team for advertising and sponsorship in Times Online, The Times and The Sunday Times, or place your advertisement.
Times Online Services: Dating | Jobs | Property Search | Used Cars | Holidays | Births, Marriages, Deaths | Subscriptions | E-paper
News International associated websites: Globrix Property Search | Milkround
Copyright 2009 Times Newspapers Ltd.
This service is provided on Times Newspapers' standard Terms and Conditions. Please read our Privacy Policy.To inquire about a licence to reproduce material from Times Online, The Times or The Sunday Times, click here.This website is published by a member of the News International Group. News International Limited, 1 Virginia St, London E98 1XY, is the holding company for the News International group and is registered in England No 81701. VAT number GB 243 8054 69.