Unconventional Wisdom: Exploring The Language We Use Workshop and Poem

Philip, Eleanor and Owen working on the poem

Yesterday, 9th October 2013,  I took part in the Powys DIY Futures Celebration Event in Llandrindod Wells.  I for one really enjoyed the event and the chance to talk to so many people.

I ran a workshop called “Exploring The Language We Use – Mental Health”.  You can read more about this below.  

The following poem, being worked on in this picture, was inspired by the workshop and written by the some of those who took part in it.

The Poem By Philip Moisson, Eleanor Barrow, Freda Lacey, Jill Dibling and Owen (Wordsmith for the Day)  

Der dar ... The Poem

More about the workshop: “Exploring The Language We Use – Mental Health”

Us all ... in action ...

The aim of the workshop was to discuss, explore and raise questions around the mainstream language that we use in the field of mental health.   It was not aiming to search for the right words or the words we think we should be using.  

It was not aiming to judge the words we do use.  Instead the aim of the workshop was just to look more closely at the language we do use and hear often.
 


We did this by taking 4 common sentences and asking two participant actors to speak the words to each other.  

One actor was identified as a psychiatrist, another her patient.  The rest of us bore witness to the sentences being spoken.

We were then asked to explore the simple sentences used by breaking the words that were spoken down into three areas:

• The actual words spoken – explicit meaning
• The context of the words spoken – identifying power, authority, emotions
• The assumptions underpinning the words spoken - the unsaid, the unspoken, the unchallenged facts

12 people took part.  The following pairs of sentences were discussed:

You are a service user.  I am a service user

You have a chemical imbalance of the brain.  I have a chemical imbalance of the brain

I am manic.  You are manic.

I am a carer.  You are a carer.

Feedback from the event!

I felt privileged to work with people who were willing to be so open, enthusiastic, thoughtful and supportive. 

I would like to thank those that took part for their time, their ideas, their kindness and their laughter.   

Laura G

The language of mental health: am I a person or a service user?

I wrote a bit about the language of mental health before. Surprise, surprise, there is no getting away from its complexities as seen in recent posts. So, this spurred me to go back to basics and look specifically at the language around the person and mental health. At the end of the post I’ve added our first blog poll to find out what you think.

Step 1 of seeking help and support around mental distress usually involves going to see our GP. At that point we are clearly regarded as the doctor’s patient – the language is so engrained that we barely question it. But that doesn’t mean that a) we like it, or b) we consider ourselves at the start of a medical “journey” - whatever diagnosis that we might have left the surgery with.

Before working in the field of mental health, I didn’t consider the terminology that much. But now the language around the person and mental health is very much to the forefront of my mind. It’s there every day I’m at work (and often outside – because the language of mental health is actually everywhere). At work colleagues and I regularly engage with “people in contact with mental health services” to find out what kind of services they would like. But what do we call them? We think we need some way to distinguish these people from everyone else. And we worry that we might offend or label people unintentionally, yet at the same time we want to make sure we are understood.

Patient is one word. It’s easy and everyone recognises it. Service user – a term increasingly common in the spheres of government, health, social care and even the voluntary sector – is just two. My feeling is that it is increasingly reviled by the people it is used to describe (which is all of us in effect). It hints at other negative terms such as drug user. The words don’t refer in any way to mental distress... the user could be accessing refuse services as far as we know. Other more acceptable descriptions are longer winded. What about – a person with lived experience of mental distress for example? But in a world where language is shortened repeatedly into – OMG – acronyms, never mind just quicker and shorter words.... have we all just become too lazy?

This topic is by no means new, though it certainly has not been resolved – not in Powys or Wales anyway. Research in England from 2010 reported on people’s preferences in The Psychiatrist, journal of the Royal College of Psychiatrists, at the time, and perhaps surprisingly “patient” was actually voted all out favourite term.

According to the Open University, “certain terminology should be avoided, such as the use of labels referring to one aspect of a person, such as calling them 'a schizophrenic', as well as the casual use of words such as mad or crazy. The way in which these terms become accepted as normal conversation is very damaging.” And yet several prominent and very successful organisations have now adopted previously stigmatizing language in their names, eg: Mad in America, and Madness Radio. 

Acceptance, humour and even rebellion are a large part of what has become known as the psychiatric survivor movement – originally the more radical and political side of the mental health arena but now seeping into the everyday at an ever greater pace. A forum member called Apotheosis created his/her own comic definitions, (more general than just about the person but relevant nevertheless), on mentalhealthforum.net – read them and make up your own mind!

So – to the poll. It’s very simple – just choose your favourite term – if you can find one in the list – and let us know. If none of these terms fits the bill as far as you are concerned – that’s fine – either post a comment or email pamhinfo@pavo.org.uk with your suggested alternative. We really would like to know what you think and how we should be referring to ourselves.

What should we call someone who has contact with mental health services?

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