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Reform is (Mostly) Not a Viable Career Path

Today I want to talk about power and disempowerment, and the harsh realities of reform.

If you want to go become a nurse or an educator, there's demand for it. Same thing, broadly speaking, with being an electrician or programmer. And most of these jobs are done under someone else's authority, following rules you yourself didn't sign up for.

What if you want a job changing the rules though?

Changing the rules is often a brutal, ugly, drag-out fight. Institutions, broadly speaking, don't pay people to hold them accountable or have opinions about how the world ought to be run. They pay people to "play the game" and only nudge small edges.

Society mostly does not support adaptive reform or change, and in fact outright punishes it. As the saying goes, "the first one through the wall always gets bloody".

And I think I'm writing to mostly say this - speaking out against the status quo more often than not punishes you.

When we talk about external determinants of mental health, that is one of the ugly modern truths that is waved away and, in my view, grossly underemphasized. Or, at worst, dismissed as either untrue or framed as a challenge to nobly and enjoyably overcome.

This a community full of disrupters, with a mix of success and failure stories. On average though, I'd say that failure is more common than success. That is a structural and cultural level problem.

I'm tired of waving that fact aside. I'm tired about not talking about that issue specifically as a barrier. I'm tired of a world where I see a hundred things wrong that are clearly fixable, and where no support is being given to go fix them.

I'm tired of being scolded for a "right way" and a "wrong way" to approach reform and advocacy. I'm tired of the burden falling solely on me - "be the change you want to see".

We live under a moral standard of "go way if you don't like it, I'm not accountable for you". Never mind that most people have nowhere else to go and did not choose what society they were born into.

I'm tired of empathizing with professionals and so-called systemic limitations. I'm tired of "good intentions" and "trying their best". Even the lowest hanging fruit, the smallest ask for something slightly different to be done, becomes seemingly the largest ask ever under current social structures. And no entity takes accountability for funding it.

Most reformers reading this feel helpless and I get that. To me, the path forward is calling out, loudly and clearly, the brokenness of the larger picture situation. Call it out plainly and clearly. Give language to it. Give description to it. Stop excusing it. Start speaking truth to power. And truth to powerlessness.

I am tired of reassurances. I don't need reassurance. I need truth. As Bernice King (daughter of MLK) so eloquently said..

"Being truthful about the state of our nation and world does not equal losing hope. Hope sees truth and still believes in better. That which dismisses or does not seek truth, but grins, saying "It will be okay," is naiveté, not hope.

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Regarding "truth" and "community", I can unfortunately report that so far my experience with communities (up to and including PACEs Connections) more often than not is one of debate and disagreement. One where experts claim they've found knowledge and come to share it. But often don't come to learn, explore, or be held accountable to critique. I've some good interactions here and also several profoundly hostile ones.

I find the state of affairs was touched on in the podcast linked below, featuring an interview with Boston College psychologist Justin Kerner titled Exploring the Fault Lines in Mental Health Discourse. Note his line excerpt about responses to an article on Cognitive-Behavioral Therapy.

"My very first research review for Mad in America had a critique of Cognitive-Behavioral Therapy. I received comments and emails from people who were happy or unhappy with the piece for a variety of reasons, everything from “how dare you critique a form of therapy when it’s the only viable alternative we have to Big Pharma” to “CBT and exposure is a form of thought control or emotional abuse, and your summary didn’t go far enough.”

I am stunned at how the professional community largely seems to refuse to come together to truth seek and build at least some baseline consensus on a debate such as the one Kerner is citing.

I would love if community platforms attempted to truly delve into these issues and I've mostly never found it, but I'm open to dialogue on how that could change.

I think, in part, my article is saying yet again that there seems like nowhere to go to get help working through these issues and debates. What is on offer, which is useful and not nothing, is a space to share results and findings.That's wonderful, useful, and needed. And PACEs Connections does better than most in that regard.

Like I mentioned though, support for the actual work of reform seems mostly non-existent, at least in my anecdotal experience. A platform of watching results that can be partially, or even wholly, disagreed with starts to feel extremely isolating.

I would love to truth-seek about both where I'm wrong in what I'm disagreeing with in the work of others, and also where my critiques might be correct.

All told, as context for all this, it's to say that on a personal level I'm extremely dissatisfied with current approaches and answers to the list of big questions in Kerner's interview transcript. Both objectively and subjectively, I don't feel like we're doing a good job as cultures and communities in truth-seeking answers to those questions. And I'm lost on what to do about it.

Big Questions
What does it mean to have a mental illness? What is a mental disorder? What does it mean to be in distress? How do we conceptualize that? How do we understand the causes and precipitants?

https://www.madinamerica.com/2...ogist-justin-karter/


@Carey Sipp posted:

“Changing the rules is often a brutal, ugly, drag-out fight. Institutions, broadly speaking, don't pay people to hold them accountable or have opinions about how the world ought to be run. They pay people to "play the game" and only nudge small edges.”

Spot on on all counts. Thank you, Max, for writing this incredible treatise on the supreme importance of truth.

Naiveté — especially chosen naiveté — will always keep us stuck. Like sand in an oyster, truth demands action. Recognition of pain is a starting point.

We owe much to people who have fought for rights for people who are differently abled. Despite or maybe because of their pain they have broken boundaries and forced change to even get to the table.

The PACEs movement could learn s lot from the disability rights and AIDs movements. While the people in this movement don’t appear to be differently abled or seem to have a disease-driven death sentence hanging over their heads, many trauma survivors working on their recovery or not are differently abled and do have undigested trauma festering in their bodies causing physical and mental challenges never visible to the rest of the world.

Thanks for this “call to truth.”  I am glad you ended your piece with the quote from Bernice King tying truth to hope.

PACEs Connection and its sister site, acestoohigh.com were created to be placed where people could go to find out the truth about what is happening in research, treatment, community building to prevent and heal trauma, advocacy, policy change, how to connect with others doing the work, celebrating the work, and more.

I am glad we can provide a forum for you to speak your truths, share hope, connect and see you are not alone.

Carey Sipp

PACEs Connection

“Changing the rules is often a brutal, ugly, drag-out fight. Institutions, broadly speaking, don't pay people to hold them accountable or have opinions about how the world ought to be run. They pay people to "play the game" and only nudge small edges.”

Spot on on all counts. Thank you, Max, for writing this incredible treatise on the supreme importance of truth.

Naiveté — especially chosen naiveté — will always keep us stuck. Like sand in an oyster, truth demands action. Recognition of pain is a starting point.

We owe much to people who have fought for rights for people who are differently abled. Despite or maybe because of their pain they have broken boundaries and forced change to even get to the table.

The PACEs movement could learn s lot from the disability rights and AIDs movements. While the people in this movement don’t appear to be differently abled or seem to have a disease-driven death sentence hanging over their heads, many trauma survivors working on their recovery or not are differently abled and do have undigested trauma festering in their bodies causing physical and mental challenges never visible to the rest of the world.

Thanks for this “call to truth.”  I am glad you ended your piece with the quote from Bernice King tying truth to hope.

PACEs Connection and its sister site, acestoohigh.com were created to be placed where people could go to find out the truth about what is happening in research, treatment, community building to prevent and heal trauma, advocacy, policy change, how to connect with others doing the work, celebrating the work, and more.

I am glad we can provide a forum for you to speak your truths, share hope, connect and see you are not alone.

Carey Sipp

PACEs Connection

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