Johnathan Sher”lock” of the London Free Press calls himself an “investigative bulldog” all the while missing even simple hospital signage.

“Health Care: Ministry wants more done to protect nurses, patients in psych ward” was the headline on the front page of the London Free Press yesterday.

I have been a mental health consumer for over 30 years and I have never been on a “psych ward”. Apparently writing at a grade six level isn’t enough for the London Free Press and they have reverted to making up their own words. Unfortunately, these words carry meaning for many.

I would like to ask Johnathan Sher”lock” or his exaggerating editor which hospital they have observed signage directing the public to the “psych ward”? If a hospital has enough sense to be sensitive and current the same should fall to any reporter. I would not fault a reader for such references but an award winning health reporter should be ashamed and admonished. Sher”lock’s” misconceptions and sensationalism unfortunately have an effect on the general public. There must be a scarcity of space in the London Free Press and words like psychiatric need to be pruned. We all know it is on purpose. Sher”lock” and his editors have made a cheap attempt at an attention grabbing headline and the casualty is everyone who has, will have or is on a mental health journey. The social impact and perpetuation of stigma are incalculable.

Do we refer to the ICU as the Intensive Care Ward? Is there such a thing as a Neonatal Ward? Governments, organizations and individuals spend an inordinate amount of time and money to combat stigma and we have Sher”lock” and the London Free Press printing phrases that all but dismantle those efforts. There’s an award for that right Sher”lock”?

Sher”lock” calls himself an “investigative bulldog” all the while missing even simple hospital signage. I have a dog and all I know is it is full of feces twice a day. Thankfully the London Free Press does not have an evening edition. Often people’s misconceptions are solidified by headlines. A headline is a means to grab attention but it should be factual and current. Sher”lock” the “investigative bulldog” has stopped at the hydrant of hype and drenched the psychiatric community in stigma.

Johnathan Sher”lock” of the London Free Press reports that “Ontario’s Labour Ministry has ordered London’s biggest hospital to do more to combat violence and overcrowding…”

When I was being admitted to a jail I was placed in solitary confinement because the jail was at capacity. One of the female guards said “a full jail is a happy jail.” This is, was and always will be an oxymoron. I have been in lock-down situations and stacked three men to a cell and if my experience counts for anything the Labour Ministry, London Health Sciences Centre, Johnathan Sher”lock” and the London Free Press only need to understand one thing. If you address overcrowding you have little need to address violence. They are near being mutually exclusive.

Unfortunately, I can speak to the issue of overcrowding, segregation and the suspension of privileges and personal privacy and freedoms. Each and all have an effect on any individual but they are amplified by symptoms and serious mental illness. If individuals with physical symptoms were exposed to a similar environment we would see similar behaviors. The violence occurring at London Health Sciences Centre is environmental more than mental. Psychiatric units under normal conditions are not a breeding ground for beatings.

If Johnathan Sher”lock” was truly an “investigative bulldog” he would have sniffed out reality. Possibly Sher”lock” could have sniffed out statistics surrounding violence in Alzheimer’s patients and individuals experiencing dementia. The psychiatric community holds no ownership on violence. Head trauma can also result in personality changes and problematic behaviour but we paint psychiatric patients with a brush we would not use on other individuals in society who are also vulnerable and compromised for fear that they might be tarnished.

Sher”lock” reports that the “Ontario Nurses’ Association this week accused the hospital and the Labour Ministry of sitting idle while attacks on nurses last year surged 20-fold..”

Firstly, I am saddened by this as my mother was a psychiatric nurse and during my journey I have met dozens of nurses who deserve safe working conditions for themselves and to accommodate the great work they do. My issue again falls to language. Sher”lock” has a legal background and the word attack does not appear in quotations so I can only assume legal relevancy flew out the door when they brought in sensationalism. People are not charged with “attack”, they are charged with assault. Call a spade a spade. Surely not all of these incidents were “attacks.” Any logical person would assume some of these incidents are a harmful or offensive contact with a person. I understand there have been severe incidents but to call them all attacks is stigmatizing and sensational. To use this language to invite change is one thing but to use it to sell a newspaper is prostituting language. Only an overzealous crown attorney or a defunct defence lawyer would refer to an assault as an attack. In a court of law inflammatory inferences are often objected to and sustained. A lawyer writing for a newspaper should also be reminded of their contempt.

London Elect: You’ll all look swell when you’re sworn in. Thankfully only the mayor will have to pull something over his swollen head.

I’m a little perturbed by our local politicians. Elected, incumbent and future. As I have stated earlier, I enjoy being alone and I am slightly agoraphobic. I like it out there but I am more at ease between my own walls. That being said or in fact re-said, I don’t often poke my head far from the perimeter of my property. For others it may seem odd but to someone who has spent a few days in cells of confinement, it is endless acres to stride and stretch about 200 feet by 75. I can run a marathon with such dimensions.

This is my present and most thought out excuse for not getting out to meet the candidates. It makes me wonder how many citizens with disabilities that make “getting out to meet the candidate” more difficult than my anxieties, were accommodated in some way?

I hope it happened. It must have. It did! My mistake. It must have been in the small print on the thousands of signs I saw posted about the city. My windows were rolled up when they were shouting and waving from street corners to tell me the number to call if you have political and or municipal concerns you want to share with a candidate but are somehow disadvantaged.

I’m sure the city has accessibility plans for people with disabilities but how many candidates had that as part of their mandate and operating platform?

It does seem a stretch to accommodate someone politically who has a disability. Sure, you’ll pick me up and almost cast my vote for me but what about what I think? What about my ideas? Disabled may be a political disadvantage but it is rarely an intellectual challenge that would preclude being listened to. I know a man who uses a computer to speak and his wit is unquestionable. Did anyone take the time to listen to him? He is a citizen of this city. We can make voting accessible for him but democracy is lopsided when a citizen does not have the opportunity to speak. Asking questions and making your ideas and feelings known is what gives flesh to bone. Maybe my vote won’t count. Maybe my candidate won’t win but if I should be able to voice my ideas and concerns.

It would be a double stretch to accommodate let alone seek out a community advocate. I don’t have enough cash to propel a politician but the sadness is that none of the candidates had enough cents to question my questionable self.

I know many first thoughts will be: “the vanity of this fool.” I won’t argue vanity (though my baldness is a statement in itself) but this fool has been fairly front and center in the London community when it comes to mental health. It wouldn’t be impossible to overlook me but it could be argued that not a single candidate paid much attention to the citizens of London who have or do suffer from serious and persistent mental illness. I think it’s safe to say none were sought out and queried as to how to best serve them on council.

Can this city influence, progress and promote better mental health for its citizens?

I’m a fool for this page so I shall step on my tongue as to how but possibly one of these politicians elect can make up for not considering people who are marginalized and stigmatized; in their political vision.

For Immediate Release: Documentarian John Kastner To Issue Public Apology

http://www.cbc.ca/q/popupaudio.html?clipIds=2547280251
http://www.theglobeandmail.com/globe-debate/forensic-psychiatric-patients-are-ill-not-evil%E2%80%94and-we-should-stop-hiding-them/article18205568/?utm_source=Shared+Article+Sent+to+User&utm_medium=E-mail:+Newsletters+/+E-Blasts+/+etc.&utm_campaign=Shared+Web+Article+Links

I am calling on one of Canada’s most respected and accomplished documentary filmmakers to issue a public apology to those he seems to advocate for. The four-time Emmy Award winning John Kastner should have no issue with saying sorry to the forensic patients he claims to care about.

I am not calling him out as someone who has been found Not Criminally Responsible On Account of a Mental Disorder (NCR); I am calling John Kastner out as the 2014 Canadian Alliance On Mental Illness And Mental Health Champion of Mental Health.

Please read and listen to Mr. Kastner. If his own syllables do not solicit indignation to everyone involved in mental health I can only assume you don’t mind using stigma for a serviette.

Mr. Kastner has not lived up to the standards of respect and empathy for those affected by the issues. His words are not only offensive but in their context they are thoughtless and a serious error in judgment. Using his own words they are “grotesque stereotypes.”

Many seem to be shouting about how great Mr. Kastner’s productions have been but we’re so busy patting each other on the back that we have failed to realize we are seeing John Kastner’s reality. Has anyone stopped to consider the cognitive bias, confirmation bias and facilitated communication that went into these films? I suspect the presence of all three when even one would undermine a documentary’s validity.

Thank the heavens for ratings and awards or the voice of John Kastner may never have been heard. The public would be bankrupt of his beneficial benevolence or is it barely bull? It brings a tear to my eye to have someone so informed and sensitive to my situation and experiences refer to me as a glassy eyed lunatic who spouts gibberish. Such a saint deserves recognition and awards from other incestuously informed liberals and cultural trendsetters. “Look what we did for the monsters and freaks.” I can hear the martini glasses clinking among the society that at least Sean Clifton is included in.

I don’t know about other individuals who are marginalized and disadvantaged in some form but I find it incredibly insulting to be considered not eloquent enough to defend myself. It isn’t exactly empowering to have someone who sees the world through an eyepiece speak for me. Further, even if I was tongue tied I don’t think I could do a worse job.

I can think of no other disability or minority whose self proclaimed spokesperson in fact has no personal experience or stake in the issue outside of wanting to be placed on a pedestal for personal promotion. Having Mr. Kastner speak for me is like having someone with two legs explaining the meaning of amputation and the problems of a prosthetic. It would be profoundly presumptuous for me to sit in a wheelchair and walk away singing the sorrows of being dependent on one for mobility. Further, to take that self-righteous responsibility on myself would denigrate that disadvantaged person and vanquish their voice which may be where they excel; where they dream and dance.

John Kastner is not a patient nor a psychiatrist, therapist or clinician. He has no relevant experience or education related to forensic mental health. It is obvious to me that while he was looking through his lens of presumptions he missed the entire reality of possibilities. When John Kastner speaks it is like asking the horse what it’s like to be a fish. John Kastner felt a raindrop and now he thinks he has gills.

John Kastner could make a dozen movies about NCR and never understand patients. He clearly doesn’t comprehend their feelings and is without any argument not even clinically trained to appreciate what is actually happening to these individuals. Awarding this author of stigma is an affront to my efforts and the abilities of all Not Criminally Responsible individuals. Thanks for the help but it is in fact harm.

I believe white people can advocate for African Americans but when they use any and all derogatory descriptors they become little more than a man on horseback with eye holes cut in a sheet. You may not be the one to lynch but you are doing little more than fueling the flames that allow the rest to fasten the fibers that tear my flesh.

I don’t need to speak to each of John Kastner’s stigmatizing statements. I could easily refute “glassy eyed“(should be in medical journals as a symptom) “monster” (meaningless and obtuse), “scary as hell” (like he’s even been to the border of it), “raving lunatics” (what constitutes raving and lunatic is an 1800’s misnomer) “spouting gibberish” (read my blog and letters from solitary confinement) but I will speak to his preoccupation with the “Jekyll and Hyde transformation.” This seemingly real transformation he shouts about from Canadian Broadcasting Corporation’s “Q” radio and the Globe and Mail should be easy for any documentarian to prove. I challenge Mr. Kastner to show me the factual footage of this apparently very real phenomenon. John Kastner spent 3.5 years in a forensic facility so it should be simply a matter of reviewing a few reels.

John Kastner doesn’t seem to poke his head from polishing his awards and promoting his victimizing views so in the meantime any of us should be able to find this transformation on Google if not in a dictionary. If it is a recurring phrase in ‘John jargon’ it is obviously a recurring event that anyone with an interest in psychiatry could uncover. It must be in every psychiatric and psychology textbook in the nation. Even pharmaceutical companies should have images of this remarkable transformation to promote their anti-psychotic pills or in John Kastner’s world, injections. I have mainly experience to fall on so I will eagerly wait to eat my words which is becoming easy when John Kastner thinks he’s the one who should be using them.

A fantabulous film should not excuse the damage John Kastner has done with his mouth. Mr. Kastner calls on forensic patients to “stop the apologizing.” And he should start.

Catherine Zeta Jones

An anti-stigma campaign I follow on Twitter sent me a message that “Actress Catherine Zeta Jones has been living with bipolar for several years and rejects any stigma attached to it.” Easy for her to say. It was further Tweeted that Catherine Zeta Jones says there is “no shame in seeking help.” For someone with fame and finances this might even be true.

For Catherine Zeta Jones, mental health stigma and treatment are vastly different from the experiences of many who also suffer from mental illness. For her being open about her diagnosis and experiences is at least unintentional personal publicity. As they say: There is no such thing as bad press. In the case of celebrities a personal persona and public appetite is created and nourished by being a news story. It would appear that Catherine Zeta Jones has thrown herself in front of an oncoming car for the benefit of many but I would argue that the car has already driven by. The lack of blood and guts, spell evidence.

Catherine Zeta Jones is portrayed as some patron saint of bipolar but what has she really risked? Stigma is at a point that it is rarely rolled out for the famous. I am not inferring that there is no such thing as stigma but little if any cuts through fame and favour. Call me cynical but these revelations don’t seem to affect these individuals beyond increasing their brand, public persona and popularity.

If I’m depressed in bed or manic at the mall, am I apt to seek help or find relief in Catherine’s revelations? The rubberneckers look but the rest of us are too busy trying to survive. These celebrities don’t give interviews in their underwear next to dust bunnies; they follow a loose script in their personal libraries in Bermuda. Speaking of which, what meds do I take to find myself in Bermuda with a maid?

I think “Catherine The Great” has been a source of conversation around mental illness but I would argue that her battle with stigma is similar to Don Quixote who mistakes windmills for giants and charges at full speed. My suspicion is that stigma is a word, for Catherine Zeta Jones. For many stigma is no windmill but a true giant. It affects self image, personal and family relationships, employment and status.

When I think about bipolar I don’t envision a person like Catherine Zeta Jones who uses overpriced shoes for bookends because they’re too cute for closets. In my world people with bipolar have their shoes taken away so they can’t asphyxiate themselves with the laces.

I imagine Catherine’s experience with mental illness has been challenging and difficult but in the scheme of things we are talking about First World problems in comparison to Third World problems. Did she have to wait six months to see a psychiatrist? Were the chairs in the waiting room plastic or leather? Did she have to wonder if she could afford her medication? Was she worried about missing work? Did she have to resort to disability assistance to feed herself?

I’m waiting for one of these famous sacrificial lambs to tell us about their hemorrhoids. That experience is the same for us all and if I knew Catherine Zeta Jones used “Preparation H” I could actually hold my head higher at the pharmacy. There’s little fame in swelling so I shall suffer in silence.

“It is a kind of cold and uncaring environment”

A 30 year old father has died at Elgin-Middlesex Detention Centre. On the surface it seems no correctional officer or administrator can be faulted because it was a suicide and because this particular inmate did not voice an intention or thoughts about suicide. Corrections sidestep the corpse and deny responsibility because protocol was followed. What if protocol in fact hastens or facilitates the death? Following the rules in this case could be considered the smoking gun.

According to London Lawyer Kevin Egan, who represents hundreds of London inmates “It is a kind of cold and uncaring environment.” I hope Kevin Egan didn’t have to research too many legal documents to come up with the understatement of the century.

Inmates are screened at admission about their mental health and suicidality. “Do you feel suicidal?” if answered in the affirmative will bring about a second strip search and the inmate is placed in solitary confinement or for those who like to justify its use, segregation. The inmate is given a tear proof gown and blanket to go with their toilet and 24 hour light.

For any inmate who is familiar with this system of sadism there is only one answer to the question. “No.” Inmates in solitary confinement because of suicidal ideation or behavior are checked on every 10 minutes. Interestingly, it takes about 5 minutes to die. In the case of this young man because he was segregated but not on suicide watch he would have only been checked every 20 minutes in comparison to the usual 30 minutes in the general population. This deviation points to the admission that solitary confinement creates a dangerous situation that needs increased supervision.

I realize Elgin-Middlesex Detention Center is understaffed and poorly designed but is it not possible for “cold and uncaring” correctional staff to ask an inmate if they are suicidal after intake? Surely, while under the arguably tortuous conditions of solitary confinement an inmate could be spoken to and asked if they are suicidal. Would any institution grind to a hault if such a protocol was implemented? It would require conscience and a degree of compassion but it may save a life.

To be placed in solitary confinement deteriorates mental wellness and exacerbates mental illness. This is where it becomes difficult for guards, administrators and healthcare staff to sidestep culpability. This particular inmate was taking prescribed psychiatric medication and was placed in an environment where whatever mental wellness he possessed was compromised. His mental health was compromised by the correctional system which did little proactive to prevent his eventual death.

There have been 16 coroner inquests into jail suicides since 2007 and the recommendations of better screening and monitoring of inmates has been ignored. This is not only a dereliction of duty but it is outwardly reckless and a foundation for legal culpability.

Slightly Medieval Misconceptions

There seems to be a public misconception perpetuated by the media that when an individual is brought before the courts anyone can make an attempt to use the “mental illness card” and seek a designation of Not Criminally Responsible On Account of a Mental Disorder (NCR). Firstly, when a lawyer seeks the designation of NCR it may be the prosecution or the defense and it is rarely at the direction of the accused. Secondly, it is not pursued for any individual with a mental disorder but only in those cases where there is a possibility that the mental disorder rendered the accused incapable of appreciating the nature and quality of the act or of knowing that it was wrong. There needs to be a causal relationship between psychiatric symptoms and the offence. To have a mental disorder itself does not automatically lead to a loss of reality.

A finding of NCR does not simply mean that the accused has a diagnosis but that the disorder removed a crucial element of a crime. In order to be convicted of a crime the prosecuting crown must prove that there was criminal conduct or a guilty act but also that there was a criminal state of mind or a guilty mind beyond a reasonable doubt.

In certain instances a mental disorder can render an individual incapable of appreciating that an act was wrong which can subsequently prove that their mind was not guilty. It is not a matter of being ignorant about a law it is a matter of being incapable.

Individuals who are found to be NCR are not innocent or guilty and are thereafter referred to as the accused. They are usually confined to a forensic hospital for treatment and rehabilitation for an indefinite period. Their progress or lack thereof is reviewed yearly by a Review Board and a disposition is decided by a panel after hearing evidence from the hospital, the crown, the accused and the victims. Restrictions may be removed or added depending on the evidence. Public safety is paramount and it follows that the least restrictive and least onerous conditions for the accused are put in place. Treatment and rehabilitation are important but they do not overshadow public safety.

There are instances where a finding of NCR could be pursued but some lawyers do not pursue it as it places their client in a position of indefinite custody. To act in the best interests of their client a finding of guilt is preferred as the freedom of their client is determinant. This is logical but serves no one as the underlying illness is sometimes ignored. From the perspective of public safety this is the less desirable option as treatment and rehabilitation reduce recidivism.

There is a misconception that to be found NCR is some form of getting off. In some instances NCR individuals gain community access sooner than if they were sentenced but the opposite is just as probable.

My interest in the Luka Magnotta case is that it provides me an opportunity to inform and educate. These high profile cases highlight the stigma and misconceptions that permeate our society. The attitudes that spring forth are of little consequence to me personally but I am alarmed because they affect all individuals who experience mental illness. NCR is not a club or union that seeks members. Like anyone I would prefer to see no NCR cases as I am acutely aware that there are victims on both sides.

The NCR provisions in the Canadian Criminal Code protect us all on many levels. They insure humane and progressive treatment of the accused and for anyone with insight who realizes they are not immune to mental illness it is a relief to know you would not be punished for an illness that rendered you incapable of appreciating the nature of a wrong. No one should be punished for events that are beyond their control. This is civilized and this is humane.

I personally believe that the defense in the Luka Magnotta case has a difficult task but my mind remains open to all possibilities and I will wait for more evidence. There appears to be evidence of knowledge of wrongfulness but even this could be explained in the light of a mental disorder. There can still exist an impaired ability to reason or appreciate. It has to be proven that Luka Magnotta had the ability to apply the knowledge that his actions were wrong. To form an opinion and tie the knot of the noose in the first week of a trial is unfair, dangerous, irresponsible, unjust and slightly medieval.

The Toronto Sun’s Failed Attempt at Facts Using Michele Mandel As A Moronic Media Mistress

It seems the London Free Press is not satisfied with their own ignorance and stupidity so they are borrowing from the Toronto Sun. It all reminds me of a group of children trying to find answers about the big world without leaving the playground. The result is a group of bedwetter’s who are confused as to what Santa Claus actually looks like.

Information mixed with ignorance and opinions are the things we find in schoolyards or typed up as an article in Sun Media. It is not journalism and it has to be dissected to be considered news. It all reminds me of some Conservative Action Plan sign where we have to discern what is real and what is simply political propaganda.

Michele Mandel seems to have fallen from the teeter totter and bruised her cranium. When your head is up your derriere these things happen. My condolences go out to her proctologist in having to figure out what is what.

According to Michele Mandel, jurors in the Luka Magnotta case “have the unenviable task of determining the murky line between evil and madness.” Evil and madness seem like simple words but beyond sensationalism they could mean anything. Evil could even be the person in the drive thru who gives me the tomatoes I decline but it seems Michele Mandel is the only one among us with a handle on it. We haven’t been able to figure out evil for eons but in this case it’s whatever Sun Media wants it to be.

Madness seems the more manageable moniker but it is not discerned in any fashion by Michele Mandel. Is she referring to mental illness in general or is madness a specific disorder? Is bipolar disorder madness? Is Obsessive Compulsive Disorder madness? Is Depression madness? Or is, as it is being argued in the case of Luka Magnotta schizophrenia madness?

What exactly is madness? I have perused my medical library, Google and Wikipedia and I can’t find an answer but it seems some journalist with a phoney degree in jurisprudence knows what it is exactly. Do share Michele Mandel. The world needs your expertise.

Let’s assume Michele Mandel knows a lick about schizophrenia and because we are speaking about Luka Magnotta that she is referring to abnormal social behavior and failure to recognize what is real. That being said Nobel Prize winner John Nash and author Jack Kerouac must also be considered mad. As a side note and prediction I doubt Michele Mandel will ever be as accomplished or recognized. We will assume Michele Mandel’s mental health is directly linked to her mediocrity.

According to Michele Mandel’s schoolyard logic there was a murky line with regards to John Nash and he somehow narrowly missed being named evil person of the year or he was at least accidentally awarded with a Nobel Prize. I realize Luka Magnotta is not in the running for any award but if he is found to have been incapable of appreciating the nature and quality of the act or of knowing that it was wrong he is neither evil nor mad, he has a mental disorder. Michele Mandel should be able to appreciate incapable as would most journalists recruited to spew for Sun Media.

I don’t mean to infer that Michele Mandel has a language deficiency as her article has an array of words for mental illness; it’s almost poetic. She gets quite technical and medically irrelevant with words like “crazy”, “insanity”, “ravings” and “diabolical.” For those with an IQ it is journalistic junk recorded in a rag.

If nothing else Michele Mandel is honest as she admits it is impossible to discern between madness and evil. Thankfully the courts do not depend on a journalistic joke and literary lightweight. Canadians don’t need to depend on people who are barely capable with a keyboard. We have forensic psychiatrists who use science to make their way through what to her is a murky line. For them it is not a political penchant but a matter of training, knowledge and experience.

Michele Mandel’s rambling recount of selective facts is thankfully not what the jury will use to determine a verdict and to utter such nonsense is a disservice to impartial journalism, justice and mental health in general. My advice to Michele Mandel is to keep your childish notions out of print so Canadians with integrity can better determine the line between guilt and Not Criminally Responsible On Account of a Mental Disorder. Your agenda and that of your employer should never find its way into print.