The Medicalization of Grief
Posted by E on August 29, 2015
We like to think we live in a diverse, tolerant, understanding society, when nothing could be further from the truth. The Cult of Positive Thinking has made it socially-acceptable to be shunned for expressing real emotions: sadness, grief, any manifestation of loss that isn’t perfectly encapsulated by a prescribed set time, after which you are supposed to “move on.” There are craploads of online articles that purport to answer the question “What is normal grief?” (emphasis mine), “What is the difference between grief and clinical depression”, “Grief – What’s Normal and What’s Not?” and “A Helpful Guide to Coping with Grief and Loss” – as though something like this can be easily slotted into a How-To guide. As if, you can grief for a certain period of time, dependant on the degree of closeness to the deceased, and afterwards you’re clinically abnormal if you do.
So what is “normal”? Three to six months for an elderly parent? Nine months for a spouse? One week for a pet?
When my beloved cat Leo, who was like a child to me, had to be put down in 2012, I could tell that my grief wasn’t socially acceptable. Of course, no one actually came out to say, “It’s just a cat,” but I know that’s what they were thinking. His death affected me viscerally for two years, well past socially-acceptable norms. I didn’t think of Leo’s soul and spirit as a “cat.” He was a family member. But in our world, there is an unspoken denigration of any species other than Homo Sapiens. And in this society, nobody wants to talk about grief. After all, how long are you supposed to grieve a “pet”? A week? Is the loss even considered “serious enough” to take time off work?
What if it was a child? How long are you supposed to grieve, before you are expected to put your best face on and be a “role model” for the world? Years ago, I read about the tragic, violent death of two New York City children murdered by their live-in nanny. Stabbed to death in their bathtub, during bath time, to be precise – a violent and brutal end to lives that never had a chance to bloom. Their mother had kept a meticulous blog of their life, full of wonderful, creative activities – picnics, playdates, the best Manhattan kindergartens money could buy – and when they were murdered, social media swarmed upon those photos. There was a kind of disturbed glee at the fact that someone in an upper-class, $10,000 per month rental apartment, could suffer loss.
But loss always feels the same. Whether you’re in the lowest or highest income brackets, to lose a child – indeed, anyone you love deeply, with all your heart and soul – is the worst ache you can ever experience. And yet the expectation was that, after a certain period of grief (say, a year), the family would move on with their surviving middle child and life would go on. Indeed, they did – they established a foundation and art scholarships in the names of their dead children and nowadays are all about being positive and carrying on the dead kids’ “legacy”.
I wonder how much of that “positivity” is the result of social expectation. If you “get over” such a tragedy, you’re a role model for “moving forward.” You get to go on talk shows and get applauded for being “strong.” If you don’t, you’re a loser who must be mentally ill. Personally, I couldn’t recover from such a loss. I’d want to die. We all die anyway, right? So why live with pain for another 40+ years (statistically speaking, based on my current age)? How does one recover from such a loss and get to be a poster child for Positive Thinking?
We live in a fucked-up world where the DSM-5 (Psychiatry’s Holy Bible) classifies grief as a potentially-abnormal phenomenon, a mental illness to be medicalized and treated with psychotropic drugs (a billion-dollar annual industry) if need be: Prozac, Paxil, Lithium, Ridalin, and everything in between. The meds are only supposed to mask the grief that you’re not supposed to manifest in polite society, to mask the unacceptable pain we all feel but aren’t allowed to speak about.
Don’t make any assumptions about me and my stance on this field, by the way, particularly as my BA was a double major in Criminology and Psychology – essentially both being fields of study focused on classifying human beings as criminals or abnormal – but these days I wonder all sorts of things. I guess it’s understandable, especially since I’m grieving the loss of my own mother.
My mother isn’t dead – not physically, anyway. But for all intents and purposes, she is gone. Taken by a disease worse than cancer and stroke and traffic accidents and all things combined: Alzheimer’s. You see, when a person gets cancer, there is time to grieve and say goodbye. Preparations for departure get made. When it’s a car accident, the initial shock is brutal – but at least you don’t see your loved one in a vegetative state for years, trapped between here and there.
But this horrible, awful thing – nobody gets it. How could we evolve as a society in terms of human rights and technology, yet at the cost of burying our true feelings deeper and deeper?
Sadness is NORMAL. Grief doesn’t have an expiry date – it lasts as long as you feel it in your body. I experienced severe trauma in my first, formative ten years of life. It still affects me today. And it’s certainly not for a lack of counselling or Prozac. But sometimes trauma, grief and sadness can take decades to resolve. And sometimes, a part of it remains with you for life.
And that is perfectly fucking NORMAL.
I feel like my mother is dead already, but it’s not politically-correct to mourn her yet. People don’t understand when I say that she’s gone, because technically she’s still alive. And I recognise that for as long as she’s alive, it’s socially unacceptable to grieve as though she’s dead.
And yet, she is.
My mother was an awful, abusive, neglecting parent – mostly because her own “mother” didn’t care to raise her and her father had died in her infancy. She grew up wild and feral, with no maternal instincts, and I wasn’t a planned pregnancy. And therefore I too, skinny and alone, raised my own self.
And yet today I feel something I’ve never thought I could ever wish for – that the abusive, unkind person she used to be still existed.
Because I could be angry. I could hate her. Because I could try – as ineffectually as it might be – to lash out, and at least attempt to explain how her behaviour affected my life.
But all there is now is a shell – a person with the same DNA, but a body vacant of its spirit. She’s only 70 years old, but early onset Alzheimer’s has taken whatever had remained of her. I’m only grateful that, even though I had a 50-50% chance of inheriting the APOE gene from her (which she tested positive for) as well as from my maternal grandmother who also died of Alzheimer’s, my 23andme results show that I did NOT get the Alzheimer’s gene. Although it’s something that still terrifies me each time I forget someone’s name, each time I have to search my brain for a particular word.
And so yesterday, while visiting her at Mount Sinai hospital, I hand-fed her dinner and couldn’t stop the tears from flowing down my face. Because she is a child now – a child who harmed me in so many ways and will never understand how she has scarred me. But now there is nobody to stand on trial, nobody to hold accountable.
So while I spooned rice, turkey mash and gravy into her shaky mouth, it dawned on me that the person who wounded me is gone. Dead. There is only a small, vulnerable child left in her place. But nobody around me understands this because, for all intents and purposes, this woman is still alive.
So perhaps I’m not supposed to grieve and mourn the death of her. After all, we’re not allowed to mourn the non-dead. To mourn longer than usual. To express any sorts of feelings of raw pain and anguish, of depression and loneliness, because there is no motive. The pain of my childhood is long behind me, right? And my “mother” is not dead. Not clinically, anyway.
And yet, I am.
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