As both a psychiatric patient and a professor of clinical psychology, I was saddened to see painful lived experiences transmogrified into spooky entertainment. I was also unnerved to consider that I was someone else’s idea of a ghoul, a figure more or less interchangeable with a zombie.
I became severely, clinically depressed for the first time in 1994. I was unable to speak, unable to get out of bed, unable to function in the world, and I thought of suicide constantly. I was afraid all the time but didn’t know what I was afraid of; I was numb to my own emotions and stripped of vitality.
I have mostly done better these last two decades through the rigors of intensive treatment by both a psychoanalyst and a psychopharmacologist. I now take a cocktail of five medications and I go to therapy weekly. My mental illness is largely (though not entirely) under control, but as my therapist pointed out recently when I was cavalier about some warning signs, “In this room, Andrew, we never forget that you are entirely capable of taking the express elevator to the bargain basement of mental health.”
I wrote about my experiences with depression in a book, “The Noonday Demon,” and spoke about them in a TED talk, and I now get floods of mail from people who are dealing with mental illness — most of them isolated, terrified and bewildered; many of them unable to access the kind of decent care that has been so transformative for me.
For those of us with firsthand experience with mental illness — especially those who have experienced trauma in a mental hospital — such entertainment ventures cut much too close to the bone. When my mother was dying of cancer, she was admitted to some miserable wards, but I find it hard to envision a Halloween event at which you would pretend to be getting chemotherapy and vomiting constantly while surrounded by patients driven into the quasi-dementia that comes of unremitting pain.
I have a pretty good sense of humor about myself. We all use the language of mental illness cavalierly. We say that our parents or our kids are driving us crazy; we complain we will soon go mad if the traffic doesn’t clear; we accuse Donald Trump of having a personality disorder (which, whether accurate or not, is still intended as a disparagement). But I have also spent a lifetime trying to laugh when a friend has driven me past a psychiatric hospital and commented on the loons inside, to crack a smile when people have expressed their emotional extravagance with a jest about suicide.
Sanity and mental illness lie on a spectrum, and most people occasionally cross over from one side to the other. It’s the proximity of mental illness rather than its obscurity that makes it so scary. But it should be scary in a “fix the broken care system” way or in a “figure out the brain’s biology” way, and not in a “scream for laughs” kind of way.
The rhetoric with which Cedar Fair attempted to mollify the activists was troubling. The company wrote by way of explanation, “Our evening attractions are designed to be edgy, and are aimed at an adult-only audience.” But “edgy” is not in general a euphemism for “stigmatizing of a disenfranchised population,” and the defense that the attraction was for adults only seemed a very token mitigation — as though adults were not the progenitors of most chauvinism and hatred.
The attractions at Cedar Fair and Six Flags were not intended as representations of what mental illness is really like; they were incidentally demeaning, rather than willfully so. But how readily do such lapses approximate hate speech? And with what potential to provoke misunderstanding, fear and even harm to people with few defenses?
The misperception that mentally ill people are inherently dangerous is one of the most treacherous ideas in circulation about us. It surfaces widely every time a mass shooter is on the loose, and results in the subjugation of people who are not menacing in any way.
I recognize the free-speech claim that individuals and entertainment companies have every right to demean people with mental illnesses, but these representations have very real consequences — the stigmatization of the mentally ill, and the prejudice, poor treatment and violations of their rights that naturally follow.
Other people’s fear of us can have terrible consequences. There are regular reports of police who respond aggressively or violently to the erratic behavior of mentally ill people, whether they are armed or not — the latest being the killing of Deborah Danner, a woman with schizophrenia, by a New York City Police Officer. There are more mentally ill people in our prison system than in our health care system.
It is possible to honor the power of burlesque even as we insist on respect for people who are too frequently harmed by it. In some hypothetical Venn diagram, there is an extravagant overlap between fun and cruelty. Slapstick, farce, satire — all these involve laughing at people who are slipping on a banana peel, or knocking their teeth in, or sitting down on a chair that isn’t there to find themselves splayed on the floor. We laugh at big noses or flat noses, at vulgarity and buffoonery, at politics antithetical to our own. Clowns did this creepy work before there were creepy clowns on the loose.
I think of the effect these attractions would have not only on people without mental illnesses, who might be inspired to patronize, shun or even harm those of us who do have them, but also on the large portion of the American population who battle these challenges daily. Will they be more hesitant to come out about a psychiatric diagnosis? Will they be less likely to check themselves in for care? The injury is not only disrespect from the outside, but also a terrible doubting from within.
Our nation is in a moment when prejudice runs riot. In this election season, assertions of strength have often overtaken moral righteousness in the public imagination; success has been posited as incompatible with empathy. That rejection of empathy is an authentic poison, pressing some people to understand themselves as less human than others, a danger associated with a proliferation of suicides. It’s hard to think well of yourself in a world that sees you as a threat.