The Liberatory Deconstruction of the Bipolar Impaired Self

The Liberatory Deconstructionof the Bipolar Impaired Self

Facing another day

An exploration of the psycho-emotional

dimensions of disability is long overdue…

Reeve, D. (2002) Negotiating psycho-emotional dimensions of disability and their influence on identity construction. Disability & Society. 17, 493-508.

(Reeve, 2002)

The social model of disability should be

extended to include social processes and

practices which undermine the emotional

well-being of people with impairments.

Fertilegroundwasbrokenfor

exploration

of

the

psycho-

emotional

dimensions

of

disability.

My images on the Serendip websiteouted the inner turmoil of the impaired self.

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“Narrative is determined not by a desire to narrate but a desire to exchange.”

- (Rolad Barthes, S/Z)

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Professor Paul Grobstein Founder Serendip Bryn Mawr College























Readers commented on my images and narratives.

The process:

Patterns emerged in the narratives and the dialogues…

There were descriptions of feelings, talkof identity, allusion to societal gaze, and integration of bipolar characteristics and the emancipated self.

What follows are examples from Serendip web pages: My visual and written reflections and reader comments.

All would become the basis of my5 Phase Model for the Emancipationof the Bipolar Impaired Self.

The underscored words relate to feelings,identity, stigma, and integration and emancipation of the bipolar self.
















My life is a ‘room’ in which I dwell. It's been beaten down, battered and tattered. I do leave the premises and enjoy the outside world, but I only stay out so long. Then I return home where it's familiar, comfortable, albeit sometimes… unbearable..

There is some light coming through the window,perhaps a sliver of hope amidst chaos. There isa sense of isolation in a world of chaos, but there is someone watching over.

Submitted by Sophie














At their worst, neurological and mental disorders can make you feel like you’ve been stripped of your authentic self and replaced by a mere shadow…of your shadow. When it gets this bad, it can feel as though I inherited my genes from “someone” outside my real family..

This picture makes me aware of the socialstigma surrounding mental illness. Youare “bad” if you have one…

Submitted by Ryan
















If you knew me personally, you probably wouldn’t see me as impaired as I sometimes feel. I don’t appear crazy, but sometimes I have crazy ideas that can often be reframed as creative or epiphanies from the absolute. Ideas that are actually appreciated or admired by others.

An understanding and an acceptance of theself, and a realization that there are others outthere with whom community is possible. Howeverat the same time a sense of dissatisfaction, a sensethat the author knows he is being judged by the“normal” community…

Submitted by k
















…my “inner eye” sees the world differentlythan does my “outer eye”. It’s a different kind of observation and vision--more sensitive,intuitive and perceptive. People see my outereye and if they look closely enough, they maysee my inner one as well. And then sometimesits hard to tell the difference.

When any part of yourself is hidden orunacknowledged the whole self is limited inevery way. Self-acceptance means not onlyacknowledging the less desirable parts butalso allowing every aspect of the self torealize its full potential.

Submitted by A
















…not all disabilities are obvious. Which ismore problematic: When yourWhen your disabilities are hidden from those around you or when they’re hidden from yourself?

…We all have shortcomings, but ourultimate purpose in life is to reach self-awareness... i.e., to acknowledge whereand what we would like to improve/better about our self, and go about making/facilitating this change. This (according toMaslow’s hierarchy of needs), refers totrying to attain self-actualization.

Submitted by A



Laura Kerr explores the use of patient education and presenting psychical pain as disease (as opposed to personal weakness) to dispelstigma so that individuals might seek medical

attention for bipolar disorder.

Kerr, L (2001).Foucault and the care of self: Educating for moral action and mental illness. Philosophy of Education.

However, Kerr finds that being labeled ‘ill’can make one feel the stigma of being defective, which paradoxically can then cause the individualto avoid seeking medical attention.

Kerr states, “ Undeniably, psychiatry is thestandard to which other explanations andtreatments of the depression and mania are compared.

Indeed, it is extraordinarily difficult, and exceedingly frustrating to speak of mania and depression as anything but pathologies and disease states.”

Kerr, L (2001). Foucault and the care of self: Educating for moral action and mental illness. Philosophy of Education.

Positing The 5-Stage Liberatory Deconstructionof the Bipolar Impaired Self:

An alternative discourse to psychiatry for addressing Bipolar Disorder.

No it’s not.

as opposed to psychiatry’s medical model of “healing the sick mind.”

This 5 Phase social model facilitates the “emancipation

of the bipolar impaired self”

Deconstructing the Title

Lib-er-a-tor-y

1. To set free, as from oppression, confinement or foreign control.

2. To free someone from social prejudices.

The Liberatory Deconstruction of the Bipolar Impaired Self

De-con-struc-tion

1. Critically focusing on how situations in everyday life pass as assumed truths; alternative ways of looking at situations can reveal a hierarchy of power and alternative truths, enabling a ‘restructuring’ for social (or personal) change.

• To break down into component parts for analysis.


Bi-po-lar

1. A psychiatric diagnosis marked by by alternating periods of mania and depression.

2. A brain disorder that causes unusual shifts in mood, energy and ability to function.


Im-paired

1. Having been diminished as in strength, value or quality.

2. Damage or weakening of physiological, psychological or anatomical function or structure.


Self

1. A bodily felt sense of who one is, distinct from others.

2. The agent responsible for the thoughts, feelings and actions of an individual.


“I’m not quite sure I get it.”

Narrative Images: The Liberatory Deconstruction of the Bipolar Impaired Self

Think of this concept starting as Humpty Dumpty having been lulled into seeing himself as nothing more than an expendable food item with an imperfect shell. Let’s call it bipolar disorder.



However, through Humpty’s introspection and dialogue (through his narrative images) he has beenable to discover his inner egg, understand his imposed limitations within a social context, recognize his strengths, become a more effective self-advocate, and experience the viable nature of his unimpaired identity and self.



— M. Foucault

The person is not the problem.The problem is the problem.

The bipolar impaired self is not emancipated.

And what is the problem?

Bipolar characteristics and the self are not integrated.

How can bipolar characteristics become integrated with the self and the bipolar self become emancipated?

Through The 5 Phases of


Phase 1

Exploring Feelings Relating To Bipolar Disorder

Phase 2

Exploring Personal Identity Related to Bipolar Disorder

Phase 3

Exploring the Social Gaze and StigmaRelated to Bipolar Disorder

Phase 4

Integrating Bipolar Characteristics

and the Self

Phase 5

Emancipation of the Bipolar Impaired Self

Exploring Feelings Relating to Bipolar Disorder.

Phase Exploring Feelings Relating 1 to Bipolar Disorder

- depression - anxiety

- sadness - agitation - lethargy - frustration

- insecurity - inadequacy - burdensome - hopelessness

- hyperactive

Phase Exploring Feelings Relating 1 to Bipolar DisorderCont. - embarrassment - shame - envy

- fear - pessimism - confusion- inferiority- helplessness- out of control

Exploring Identity of Bipolar Disorder.

Phase Exploring Identity 2 of Bipolar Disorder

- confrontation of impaired self- ‘dys-appearance’ of impaired self- ‘normal’-ization

- condescension - ‘passing’; disclosing

Phase Exploring Identity 2 of Bipolar Disorder Cont. - fear of being exposed - information control - undesired differentness

- low self esteem/concept/efficacy- BPD community attachment

- need to be ‘cured’

Exploring the Social Gaze and Stigma of Bipolar Disorder.

Phase Exploring the Social Gaze and 3 Stigma of Bipolar Disorder

- employment restrictions- custody restrictions

- insurance restrictions - stereotyping - labels

- pejorative comments - social exclusion - undesired differentness

- infantilizing- generalizing- judging

Integrating Bipolar Characteristics and the Self

Phase Integrating Bipolar 4 Characteristics and the Self

- exploring feelings, identity, social gaze and stigma related to bipolar disorder

- social model of disabilities- environment specific- labeling/medical descriptors

- ‘normal’/neurodiverse

Phase Integrating Bipolar 4 Characteristics and the Self Cont.

- successes - culture and world view - autobiographical memory (for trauma-related

impairment)- embracing one’s

bipolar characteristics

- practicing assertiveness - universality of feelings

Emancipation of the Bipolar Impaired Self.

Phase Emancipation of the 5 Bipolar Impaired Self

Definition of “Emancipation” - to free from restraint, power or control of another

- to free from any controlling influence

- free from traditional social constraints

Phase Emancipation of the 5 Bipolar Impaired Self Cont.

Self-Actualization “…intrinsic growth of what is already in the organism, or

more accurately of what is the

organism itself… self-actualization is

growth-motivated...”


Positive Self-Regard “People have a need to view

themselves positively. This is easily the most common

and consensually endorsed assumption in research on

the self….positive self-regard is

thought by many to be essential for achieving

mental health.”


Self-Advocacy - understanding your strengths and needs

- identifying your personal goals- knowing your legal rights

and responsibilities - communicating these to others


Self-Advocacy, Cont. - making life decisions without undue influence from others

- being in charge of your own

care in the medical system

- take a more active role in your own care

- assertively communicating these to others

Phase Emancipation of the 5 Bipolar Self Cont.

Self-Advocacy, Cont. - increase self-esteem and self-confidence

- increase independence - break the stigma of

‘dependency on others’

The Result: The bipolar impaired selfbecomes the selfintegrated with legitimate bipolar characteristics.

Research Questions…

QIf a positive integration between the selfand bipolar impairment can be formed, is there a potential for generalizing theability of the self to positively integratewith other types of impairments?

QCan a positive integration between bipolarimpairment and one’s self be attained

acrossage of onset, comorbidity, duration andintensity of the bipolar impairment?

QCan a positive integration between bipolarimpairment and one’s self help to inform thedevelopment of humane psychiatric-related disability policies?

Special thanks to Professor Paul Grobstein Eleanor A. Bliss Professor of Biology Department of Biology Bryn Mawr College Founder of Serendip Exploratory Website



http://serendip.brynmawr.edu/exchange/

Much Gratitude to Serendip Website Visitors Your comments and insights on my images are invaluable to expanding my knowledge base on the Self, Impairment and Society.

David A. Feingold

DEE National-Louis University

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