Psychiatry is a field that makes sense in the sense that if you have any sense (in the sense that you are sensible) you will find it difficult to make any sense of it. My feeling is that there is a nearly invisible boundary between effectively mapping out the currents deep in the id and prancing about at the shallow end of the ego, unless you can't swim.
Where do you look for meaning in relationships with people? Can a label that one uses to define a relationship be simply a preemptive defense of that relationship? I mean, saying 'we're married' is clear and in any case more an apology to one's tamed and beaten demons than anything else. But what about relationships that can be approached in an accusatory way? So-called platonic relationships, for example. If you have to specifically preface a friendship with 'platonic,' then is it really platonic? Psychoanalysts make phallic balloon animals out of unsuspecting platonists. True, sometimes an apple is just an apple, but that's so uninteresting. (Even a granny smith is mildly tantalizing at best, compared to a shiny green boob with a stem that grows on trees and tastes so sourly delicious.)
Enough psychobabble. I like the stuff and appreciate it, but I'm not creative enough to whip up a la carte syllogisms around a patient and still be composed enough to fill out the invoice with a straight face. Another feature of the inpatient psychiatric experience that has struck me is the staggering degree of impairment with which some psychotic patients have to live. I don't know what I would do without reality. Well, reality is reality, and what we experience is what we experience, and it is nothing if it does not depend on the sartrean cogito's automatic comprehension of existence--the human-reality at once creating and created by the juxtaposition of l'etre and le neant.
Saying that kind of crap without smoking a cigarette just looks and sounds stupid and I have the most delicate pink little lungs. Whether or not experience and reality are the same shouldn't make any difference to us, social interactions notwithstanding. If this is a blue ball, but I see a pair of orange galloshes, it's still my experience and its accuracy is irrelevant even though I am laughed at by my peers for stumbling around in the rain trying to balance myself on a blue ball like a clowning sad kierkegaardian lunatic full of anguish and pneumonia. So I suppose reality is not as important to me as I thought. Who's to say that I experience reality anyway except me? You can say I'm crazy but then I can say I know you are but what am I times infinity times infinity plus one squared to the power of you're stupid! In fact, I renounce reality. A bas la realite!
Alright enough of that nonsense.
Paranoia, on the other hand, is truly debilitating. Voices, hallucinations, the government melting your ice cream on purpose via satellite. So maybe reality is a good thing after all. But if my brain were forced to choose between a reality that really bites on the one hand and a Statler and Waldorf commentary trained with deadly aim on my inadequacies on the other, maybe I'd take the two grumpy old beans rather than the haldol. Of course, if I'm up in the balcony with them and they're telling me to jump off in that endearingly funny gruff heckling tone of theirs, I hope I'd reconsider or call for Dr. Bunsen's help. Yes I know he's a PhD, but who else am I going to call, the green frog? That's crazy.
Speaking of haldol, my tic has been out of control over the past few days and my neck, shoulder, and wrist are quite sore. Antipsychotics are good for mental psychosis as well as somatic psychosis but oh so bad for your liver.
Paradoxically, however, this is a sentence for which the word 'paradoxically' was completely unnecessary. But what discussion of psychiatry--no matter how half-baked--is complete without 'paradoxically'? In my next post, my judgement may improve but I will always lack insight.
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3 comments:
I think your post may have driven me insane.
Oh dear. You're my only reader too. Maybe I really should start wearing a cravat.
Well, you should advertise more. If you hadn't obliquely mentioned your site in a message to me I wouldn't have found out. Send a mass-email to all your friends, why don't you?!
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