Why We Need To Rename The “Loony bin”

In terms of mental health, there are many slang terms used to refer to a psychiatric hospital, (“nuthouse/funny farm etc), but while these terms are still offensive, there is a particular slang term that I think is particularly dangerous. I understand that slang is useful in society and I am not demanding the removal of all slang from now on, but issues can arise with slang when the term becomes more notorious than the correct phrase and actually alters the perception people have of whatever is being referred to. That is the unfortunately the case with the term “loony bin”.
I realise calling a psychiatric unit a “nut house” isn’t accurate either, for example I have never encountered a “nut” when in hospital (other than the odd almond or macadamia in my fruit and fibre…I once heard someone claim they found a pecan in their bowl but I think that was just a myth so don’t take my word on it), but the “loony bin” slang term is particularly damaging as it conjures up ideas of a place into which the rubbish is tipped, a place that people don’t come back from and if anything is utter trash, it is that image.

I myself have had several admissions to various different “loony bins” and I can state with the utmost conviction that none of them bore any similarities to a bin, neither appearance wise or in terms of function. Firstly, on the whole they were all very clean (one had the bathrooms cleaned after practically every use so sometimes I was unable to shower BECAUSE they were being made extra clean), but more importantly none of the patients were anything like waste needing to be dumped.

The problem with the phrase isn’t even just damaging to the self worth of current or ex-patients. Potential inpatients may be scared of, and thus refuse admissions for treatment that they desperately need, because this whole “loony bin” perception has made people fear they will go in and never come out, that they are a lost cause who needs to be locked away from society for good. Admissions to a psychiatric hospital however, are not final destination. Instead they are more of a holiday. Ok, I will admit they are not exactly like a holiday, I know I would prefer a beach in the Caribbean over a stark white bathroom with a staff member watching me pee, but what I mean by this comparison is that they are a place that people come back from (albeit without the much revered tan or photo album). Going into hospital doesn’t have to be a terrifying endgame, define people or morph them into the branded mental patient to be impersonated at Halloween parties.

There is of course also the issue of this “bin” (a name of a place usually reserved for objects not people), being used as a place for “loons”. “Loons” sound like magical creatures, inhuman half breeds who are fundamentally different to “normal people”. The whole idea just emphasises the false distinction between “mental people” and “sane” ones when really they are both exactly the same. People in mental hospitals are not a different species, they are human just like you (unless dear reader, you are in fact a penguin in which case may I congratulate you on finding my blog without opposable thumbs).
I think it is comforting to label people with mental health problems as loons to be kept in a separate lidded inhuman/object bin world of restraints and locked doors, because by separating the sane and the insane, making a “them” and “us” situation, it perpetuates the idea that those crazy people are different and therefore you are not at risk of being contaminated. To think that a person screaming and being held down to be injected with anti anxiety medication is just like you is frightening and prompts all kinds of questions like “what if that happens to me”? It is nicer to think of all of that stuff as things that happen to “other” people, that the person cradling a wooden spoon and singing nursery rhymes is different, no possible image of you in the future. It is nice to put the lid on the idea and leave it outside the house for the rubbish collectors to remove so you don’t have to deal with it in your home.

The derogatory slang of “loony bin” and resulting “loon/human”, “them/us” dumping ground view of psychiatric units really is a use of language that has the ability make patients feel hopeless and forgotten, doomed waste discarded for good, and it creates judgement in people without mental health issues that just continue the stigma and fear that surrounds it all. I urge people to know that none of this is true.

For patients who have been admitted I want to say that life is not over, and being in hospital doesn’t mean that you are rubbish or damaged beyond repair and the landfill is not your future and final destination.
If anything I would say the slang for a psychiatric hospital should be “the temporarily out of order and in need of repair tray”, just like “normal” hospitals that treat only physical illnesses. It is not a place to be thrown in when you don’t have a place in the real world anymore, it is just a place in which you remain as human and as worthy of life as anyone else on the planet, you just have a few cracks in your porcelain skin that needs a little glue to help them stick back together.
We need to stop seeing psychiatric hospitals as bins or end games for the weird wastes of failed humanity, but as places for ordinary people who are just struggling in life and need a little support to get back into full working order, simply time and space to patch things up and get them well enough to leave that repair tray so they can go back home.

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An Attempt At Explaining Self-Harm:

Before anyone reads this I just want to put out a brief trigger warning that this post discusses the purposes and reasons as to why people may self harm so if that would trigger you in anyway please click away and read Harry Potter instead.

As I am typing this I am honestly surprised at how uncomfortable I feel discussing this topic. I am fairly open when it comes to my mental health, partly because I am currently unable to hide it, and partly because I want to reach out to other people to either help or offer a bit of company in what can be a very lonely battle of the mind. Writing a post that acknowledges that I self harm however is somehow harder than waffling on about having anorexia, OCD or depression as I find it really embarrassing. I feel when it comes to self harm there is a particularly high level of stigma and misunderstanding, it being a common belief that people do it for attention. For this reason I feel a lot of shame admitting that it is something I struggle with, which is silly because it isn’t something to be ashamed of at all. Equally it isn’t something to be proud of, it is just something that exists as a problem for a lot of people, and so I am going to try and explain it here as best I can to anyone out there who can’t get their head round it. Maybe if more people talk about it and understand, we can all be open and able to deal with it rather than keeping it as a shameful secret that will never get better unless it is talked about.

As always I cannot speak for everyone with this issue but I am going to at least provide a list of three reasons as to why personally I struggle with self harm and perhaps other people will be able to relate. I also just want to preface these points by saying that in explaining the rationale behind self harm I am not justifying it as a good thing to do whatsoever, it is an unhealthy coping strategy that needs to be talked about and treated to find alternative ways of managing difficult feelings that are not so damaging. Still, you can’t find an alternative until you know what purpose self harm serves in general or for you personally, so here goes:

1. It provides a release: When I am feeling particularly anxious/stressed/upset, it can feel like I am physically bursting with the emotions coursing around my body. It is like that buzz of adrenaline you get when you are scared of something, your skin prickles, you can feel your heart beating and the extra energy pulsing through your veins. You are full of so much extra emotion that you are going to burst like the lid off a pan of frantically popping popcorn. Without the heat on, the popcorn kernels fit in the pan, but with the heat/distress they expand and burst all over the place because they, like the emotions and upset, take up too much room. When I feel like a bursting pan of popcorn (and we all know what a common feeling that is), self harm is a way that helps release some of the pressure, it is lifting the lid a little so that some of the popcorn banging around inside can get out.

2. It makes the pain you feel visible, understandable and treatable:  A lot of the time, feeling extremely depressed or upset for no logical reason can be frightening as you know it doesn’t make sense for you to feel so distressed over nothing. When I self harm I make the pain that is frightening me understandable. I feel the same pain I was feeling but I can see where the pain is coming from, no longer is it an unknown mental pain, I know the source. I hurt because I have a wound, the pain makes sense and I know that physical wounds can heal, I can do something about it, I know what to do to treat it, and I can be proactive in it getting better. It is still unpleasant, but it is a distraction from the mental pain that was previously occupying all of my brain space, a pain that I couldn’t treat, nor did I know for certain if it was ever going to go away.

3. It serves as a punishment to relieve guilt: Like many people in this world, with or without mental health problems, it could be argued that I have low self esteem. I find this hard to believe, as rather than low self esteem I feel I have an accurate understanding of my inadequacies as a human, a self awareness that I am a terrible person, but I have been told this is all lies and the whole low self esteem thing by many people over the years so I try my best to believe them. Anyway, because of the way I feel about myself, I feel guilty for taking up a place on this planet. I feel guilty for wandering around this planet and forcing others to deal with my presence when they would be a lot better off without me, I feel bad for using up oxygen that would better be spent passing through the lungs of someone else. Self harm is a sort of punishment to lessen the guilt of living, it is to make up for my crimes committed just by existing. I am also not asking for people to tell me that I am not a terrible person because I have never been able to believe anyone else’s opinion (which is hilarious really…I think I am the worst person in the world yet simultaneously think I am right about everything…), but if I had to give a comparison to try and help people make sense of all of this, I would basically sum this point up as “I am Dobby the house elf”. I am sure everyone has read the Harry Potter books (and if you haven’t you really should), so I won’t explain this likeness in too much detail, but basically, like Dobby, when I do something wrong I feel I have to do something to punish myself for it.

Sitting here and reading all of that back, I feel as naked as the day I arrived on this planet (remain calm, I am technically wearing clothes right now, I just feel a bit exposed considering I am letting people into a piece of my brain). Still, this is important stuff, and like I said before if nobody talks about it then self harm becomes this big taboo that will never be understood. Again, this explanation of self harm is not condoning it in any way and if you are struggling please seek help right away as there are certainly other ways to fulfil the purpose self harm has in your life. I myself am currently working to battle this issue and find alternative coping mechanisms. When I find some good ones I will certainly be making a post about them to try and help people if possible.
Until then, please stay safe everyone, take care, and know that I am sending a lot of love and support to you all.
P.S Just going to end this post with a quick clarification to clear up any confusion resulting from my comparison of myself to Dobby the house elf. Though I admit I have a self harm punishment style likeness to Dobby, that this is the ONLY similarity I have to Dobby. I want it known that, contrary to popular opinion, I am not in fact a house elf, and that my job last December was as a CHRISTMAS elf. We Christmas elves are indeed a very different species, so to make that plain, below I have provided a brief diagram to demonstrate some of the key differences between House elves and Christmas elves. I hope this helps. Thank you.

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P.P.S If you read all of this then as a reward here is a photo of me as a Christmas elf. Feel free to make it your screensaver.

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