Equilibrium Magazine Issue 51 - Winter 2014-2-2

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    MAGAZINE FOR WELLBEING

    WINTER

    2013/14

    ISSUE51

    Winter Issue 51

    >> Singing4Health

    >> Philosophy & Psychiatry>> EFT

    >> Brain Behaviour

    >> The Happiness Project

    >> Reality TV

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    web alerts

    Equilibrium PatronDr Liz Miller

    Mind Champion 2008

    Photo copyright remains with all individual artists and

    Equilibrium. All rights reserved. 2011

    Equilibrium is devised, created, and produced entirely by team

    members with experience of the mental health system.

    If you know anyone who would like to be on our

    mailing list and get the magazine four times a year

    (no spam!) please email:

    [email protected]

    (www.haringey.gov.uk/equilibrium).

    Design: www.parkegraphics.co.uk

    Front cover:

    Eve Jones

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    contact usEquilibrium, Clarendon Centre, Clarendon Road, London, N8

    ODJ. 02084894860, [email protected]. We are in

    the ofce on Friday afternoons 2.30-4.30, but you can leave a

    message at other times and well get back to you.

    Equilibrium is produced by service users. Reproduction in whole or in part is strictly forbidden without

    the prior permission of the Equilibrium team. Products, articles and services advertised in this publica-

    tion do not necessarily carry the endorsement of Equilibrium or any of our partners.

    Equilibrium is published and circulated electronically four times a year to a database of subscribers;

    if you do not wish to receive Equilibrium or have received it by mistake, please email unsubscribe [email protected]

    Through sunshine and storms, the editorial team here at Equilibrium have been working hard to

    put this issue together and we hope you enjoy it. Packed full of the usual news, reviews and opin-

    ion pieces, wed again like to thank our guest contributors and photographers - do keep sending

    us your fantastic work! Wed love to hear your thoughts on this issue, so go ahead and tweet us

    at @teamequilibrium. And if youd like to join the team, contribute an article or picture, or nd out

    more, please do get in touch via [email protected].

    Wishing you warm wishes for 2014

    Kate, Editor/Team Facilitator

    editorial

    disclaimer

    contributions

    Wanted: contributions to Equilibrium! Please email us with

    your news, views, poems, photos, plus articles. Anonymity

    guaranteed if required.

    the team

    Facilitator/ Editor: Kate Massey-Chase. Editorial team: Angela, Dev,

    Ian, Alan, Polly, Chrissie, Nigel.

    Graphic design: Anthony Park.

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    Singing4Health

    It was that we felt like singing. Like singing

    songs, or learning songs to sing.

    And we wanted to sing the same song

    together. Do we have songs in common, so

    that we can sing them? Maybe not many,

    because we are diverse, so we should nd

    a song to sing.

    So we started to nd a song to learn to

    sing. But we couldnt read music. And we

    couldnt read the words, so someone would

    try to sing the words for us to remember.

    But the words were many and we couldnt

    remember so many words that were not our

    words. So we gave our own words to the song.

    And we gave our very own sounds to it too,

    as it felt natural to produce the sounds that

    where coming to our lips and to our body.

    And we sang, and it felt so good.

    And we knew we were singing very much

    our own song, and that was a song of

    nature, a song without words made out of

    our mood and feelings. A landscape of our

    very being made sound with our bodies.

    Since 2003 I have been a Primal Singing

    facilitator and performer, as well as an

    improviser and voice teacher with a healthapproach. I explore different ways of voice

    production that can be developed either

    in songs or vocal pieces, that integrate

    the creativity and abilities of the different

    groups of people who come to my work-

    shops. We do primal singing between other

    activities such as improvisation, relaxation,

    breathing techniques and songs.

    This has been an amazingly enriching expe-

    rience and a great opportunity for explo-

    ration of ways to sing and create healthy

    group dynamics, singers with a sense of

    community and to deal with stress in our

    personal life through developing an activity

    that will make people improve their breath-

    ing, relax their minds and enjoy the many

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    sounds a human voice can produce,

    giving value to self expression and vali-

    dation in the group over other aspects

    such as number of songs that one has

    to learn, observing how the group

    evolves and becoming more than a

    director who demands what has to

    be done, a catalyst of processes that

    will take in the group. Helping people

    connect with their voices, bodies and

    creativity towards the magical music

    that expresses our own.

    And then, other people who heard us,

    and who could read music, and read

    text, and remember words, and make

    complex rhythms all at a time... asked us

    what we were doing. We are singing our

    primal song.

    And they realized that it was a good

    idea to sing the song that comes out of

    you, and wanted to join and sing their

    primal songs too. And they discovered

    that it was liberating and aesthetic, and

    that it felt good too!

    Maria Soriano is a member of the Natural Voice

    Practitioners Network and the founder of Sing-

    ing4Health, that promotes physical, mental and

    social well-being through musical activities,

    primarily centred in singing.

    EQUILIBRIUM 5

    Maria Soriano

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    Philosophy & Psychiatry The Next 100 years

    Iwas led to this colloquium by a tweet

    from Medical Humanities a tremen-

    dously active and inspiring bunch

    of people at Durham University and

    thought I would enquire within. It was

    the third part of a travelling symposium

    marking the centenary of Karl Jaspers

    General Psychopathology.

    In the few weeks preceding it, there hadbeen a week long summer school in

    Oxford: Philosophy of Psychiatry: Mind,

    Value and Mental Health.

    After which was the 15th INPP confer-

    ence/travelling three centre UK Sympo-

    sium rstly in Durham. The one day

    workshop there was titled Current and

    Future Applications of Phenomenology

    in Psychiatry. This included presenta-

    tions such as Rethinking the First Person

    in Phenomenological Psychopathology

    and Incomprehensibility: A New Ethics for

    Psychiatry.

    The second part, at Kings College

    London, was entitled Conceptual Issues

    and the DSM. Among others, there were

    sessions on The Denition of Disorder

    in the DSM: Evolving but Dysfunctional

    and Lost in Translation: Dysfunction and

    Domains. I was to attend the third part.

    The dominant theme was (and still is)

    Making Change Happen. And how

    philosophy and psychiatry can work

    together to achieve this.

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    Polly Mortimer

    Back in January I was asked to provide

    a 100 word biography/declaration of

    interest and passed the rst test (and

    only test!). Then hefty reading material

    started to appear in my inbox some

    surely only decipherable by the initiated.

    Highly intrigued and appetite whetted, I

    set off at a punishing 4.30 am for Oxford

    one bleary July morning and was for the

    next two days buried in a fabulous mix of

    ideas, thoughts, secret languages, buzzy

    presentations and edgy controversy all

    adding up to a really mind-changing

    experience.

    Not being a philosopher or a psychia-

    trist I guess I, as A.N.Other, would havepositioned myself with the service user/

    survivor cohort if pressed. I began to

    boldly declare myself as an ex-psychotic

    (for that I am), as I found the environ-

    ment a safe and trusting one. Swiftly I

    realized that my lack of knowledge of

    academic philosophy was something

    of a hindrance (some of the presenta-

    tions were so arcanely worded that only

    the inner cabal could decode). But

    nevertheless no-one made me feel at

    all decient and the atmosphere was

    one of huge support and good will, and I

    summoned courage from somewhere to

    be able to feed back to the hall after the

    group sessions.

    Standout moments for me included the

    patience and kindness of academics

    within the groups, highlighting the moral

    courage of the survivor in sharing their

    stories and how possibly the psychiatric

    community could follow suit. Off-piste,

    the amazingly delicious conference

    dinner at which I talked to Anke Maatz,

    a young trainee psychiatrist from Zurich.

    Breakfast among European philosophy

    teachers from Lublin and Prague, lunch

    with a PhD student from Hearing the

    Voice and a researcher for SANE , and

    bonding with Alicia Monroe from Florida,

    Dean of Tampa medical school, whose

    words are very wise. Conversations with

    Sanneke de Haan working with OCDpatients who receive deep brain stimu-

    lation, and the ethics and outcomes of

    this intervention. Staying with me are Nev

    Jones (a US philosopher inter alia) and

    her erce but principled calls for alter-

    natives to heteronormative language

    and othering, as well as the dominance

    of men as main speakers at upcoming

    conferences. The power of the posterpresentations included a graphic repre-

    sentation of a state of breakdown by

    Gay Cusack from Australia, calling out

    for the work of post psychiatrists Bracken

    and Thomas; I was haunted by an eerie

    lm presented by a Social Sculpture DPhil

    student (and local psychiatrist) Dr Helena

    Fox which took us through an asylum

    cont.

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    like setting to an intricate study of folds

    of bedclothes and gradual revealing ofhands within.

    Topics ew around value-based

    models, narrative and the nature and

    form of narratives, deacademicising the

    language, critiques of CBT, the case for

    psychodynamic psychotherapy, true

    freedom of thought, meaning in delu-

    sions and hallucinations, recovery and

    all its meanings, service user engaged

    philosophical research, co-production

    (experts-by-experience & by-training),

    and Thomas Fuchs lifeworld .

    The colloquium opened with Victor

    Adebowale , cross bench peer and Chair

    of Turning Point, and his hugely inspiring

    words about change and how to effect

    it. The mindset has to change. In his

    experience there is a tendency of letting

    the excellent get in the way of the good

    enough. Renewal is crucial as well as a

    shift in power. Who holds the power is key

    power needs to be shared.

    We all parted with great goodbyes and

    huge goodwill for change. Future plansare being laid and hopefully the conver-

    sation that has been started will continue

    to gather momentum. Academia being

    naturally conservative and tending

    towards silos of expertise, the fact that

    the colloquium happened was a huge

    boost, and the power imbalances can

    start to be addressed. As a complete

    layperson and fairly philosophically nave,

    I had come to the conference with the

    thought that it was about the philosophyOF psychiatry, rather than philosophy and

    psychiatry. This set me thinking

    There is such a need to interrogate

    psychiatry for what it is. What is it? Does

    it need to be? Is it a cult or a construct?

    What could replace it? Could psychia-

    trists all become neuroscientists in this

    brave and sinister new world of diagnosis

    by brain scan? Where will that lead us?

    Is there a philosophy of psychiatry? What

    is it? How can the human rights abuses

    within the eld be ethical? What is psychi-

    atric care? How ethical is psychiatrys

    dependence on the major pharmaceuti-

    cal companies and the use of dangerous

    life-threatening drugs on young children

    and the elderly and others? The fact that

    recovery is higher in developing countries

    than in industrialised ones needs to be

    examined. People are still subjected to

    ECT and lobotomy; is this ethical?

    Theres so much to explore, and I hope

    that this wonderful and awe inspiring

    conference is just the start.

    St Catz Colloquium Philosophy and Psychia-

    try - The Next 100 years. Making Change Happen

    Oxford, St Catherines College. Organizers: Bill

    Fulford, Matthew Parrott and Laetitia Derrington.

    Department for Continuing Education.

    July 25 and 26 2013

    cont.

    EQUILIBRIUM 8

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    A blog on brain behaviour from the

    Research Digest could be a sign that

    mainstream science is catching up

    with the science that the late Maharishi

    Mahesh Yogi used to substantiate the

    benets that transcendental medita-

    tion can bring to its practitioners. In order

    to spread the good news of TM he

    reasoned that the square root of 1% of

    the population of the world practising TM

    (a law in physics that, to effect a mass,you only have to get 1% of the popula-

    tion to do it), is all that is needed to bring

    about more fullled and successful socie-

    ties, leading to world peace. His natural,

    easily learned technique is used to bring

    about optimum use of the brain and its

    ability to rise to higher states of conscious-

    ness, which he addressed in his Science

    of Creative Intelligence. The individual is

    the unit of world peace, he said, and it is

    through this experience of bliss that the

    mind can harness the laws of nature that

    are located at the minds unfathomable

    source. The blog in Research Digest refers

    to research on the brain using electrical

    stimuli to try to fathom the complexities

    of the brain and to produce bliss (Induc-

    tion of a sense of bliss

    by electrical stimulation

    of the anterior insula,

    Fabien Picard, Didier

    Scavarda & Fabrice

    Bartomolei, 2013).

    Transcendental media-

    tion means you dont

    need electrical stimuli,

    however, as the Maha-

    rishi advocated that by

    practising TM twice daily

    the unlimited creative

    intelligence or bliss

    that we all have within us

    can be tapped and brought to bear on

    our experience in an expert and methodi-

    cal way. It seems to me that while scienceis becoming aware of the possibilities that

    are within the capabilities of the brain,

    Maharishis science is dawning with it a

    world of possibilities is being opened up to

    us all.Research Digest

    Blogging on brain and

    behaviour

    Thursday 19th September

    2013

    Brain Behaviour Ian Stewart

    EQUILIBRIUM 9

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    Watercoloursby Eileen Smith

    EQUILIBRIUM 10

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    The Happiness ProjectBy Alice Croot

    EQUILIBRIUM 12

    Irst read The Happiness Project in early

    2012 after reading a spate of positively

    glowing reviews online. I did not really

    know what to expect a brand of zeal-

    ous, get-out-and-do-good, evangelical guilt

    trip was my worst fear but actually it did

    exactly what I had hoped it would do. It

    made me think about happiness and ways I

    could become happier.

    Rubin starts with the realisation that

    although she was not unhappy, she also

    was not appreciating everything in her life

    which she felt she should, so she set about

    methodically researching happiness and its

    causes and came up with a list of what her

    own priorities were. She dedicated a month

    to each topic eleven

    topics in all, with

    December being the

    chance to put them

    all into practice and

    worked out how shecould use that month

    to explore and appre-

    ciate her life more.

    She says early in the

    book that I wanted to

    change my life with-

    out changing my life,

    a theme which marks

    her out from many

    of the famous life-changing biographies

    such as Elizabeth Gilberts Eat, Pray, Love

    or biographies about loss, such as Joan

    Didions A Year of Magical Thinking, and

    this is precisely what holds its charm. Few of

    us could take nothing whatsoever from this

    book, with topics that range from vitality

    (January) to marriage (February) to money

    (July), and certainly in my case even when

    the topic had no obvious connection to me

    I have no children, which she spends April

    appreciating there were still things that

    made me think about how I relate to other

    people in general.

    For me, the most important point made

    is about how deep the connection is

    between your relationships with other

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    EQUILIBRIUM 13

    people and your own happiness. This

    may seem natural and particularly

    apparent with how you interact with

    your partner, your parents, your children

    and wider family, but it also includes

    your friends, people you encounter onlybriey, your critics, and even the way

    you gossip or preferably dont. She

    quotes Tolstoy, who said nothing can

    make our own life, or the lives of other

    people, more beautiful than perpetual

    kindness, and she does this throughout

    without seeming holier-than-thou; in fact,

    her frustrations and stumblings are part

    of what makes the book so relatable,and certainly make you feel you are not

    alone in nding it difcult to resist gossip,

    or not snapping when you have had a

    bad morning. In many ways it is about

    being aware of what is happening in

    your life and recognising whether or not

    your actions will contribute to your happi-

    ness, rather than attempting to live a life

    of impossible virtue.

    Rubin suggests that a key part of being

    happy is to be yourself, and to be true

    to yourself. Do not worry about what you

    should like, or think you should like, but

    invest in discovering what makes you

    happy. It could be a hobby, probably

    similar to what you enjoyed as a child,

    or it could be cutting out something you

    feel obligated to do but is not neces-

    sary or helpful. An oft repeated truth that

    she nds is that one of the best ways

    to make yourself happy is to make other

    people happy; one of the best ways

    to make other people happy is to behappy yourself. So if it is weight training,

    if it is foreign policy, if it is Barry Manilow

    wonderful. Find that passion and pursue it.

    Throughout the book she gives exam-

    ples of other peoples experiences with

    their own happiness projects as well as

    mixing in her research, which gives the

    reader a chance to think about howto apply these deeply personal resolu-

    tions to themselves (always resolutions

    rather than goals you achieve a goal

    in a way which does not apply to every

    day happiness), and this is followed up

    by notes at the back which help you to

    set up your own happiness project. She

    has set up a website (www.happiness-

    projecttoolbox.com) which will help you

    decide what your priorities are without all

    her painstaking research for example,

    her current front page article talks about

    making sure your habits are right, some-

    thing she talks about in her book. She

    recommends four things; sleep, exercise,

    external order, and managing eating

    and drinking, things which she works

    Gretchen Rubin

    HarperCollins: New York, 2009

    cont.

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    Photo: AnthonyEQUILIBRIUM 14

    on throughout the book and which do make a

    difference to her. She also talks here about her

    other books on happiness at home, and her

    forthcoming book about breaking habits.

    When I rst read this book I felt energised and

    motivated to change small things in my life. I

    started thinking about how I could do what I

    really wanted and implemented the one minute

    rule if something can be done in a minute or

    less then do it. My desk is now almost always

    clear and has been since that rst reading. The

    second time I read it, only a few months later, I

    made further plans and did some things which

    I would not have done otherwise I jumped

    from a boat into the ocean because it scared

    me, and that was as important to me as keep-

    ing my temper when someone was deliberately

    provoking my anger. But in reading it again for

    this review (which only took about a day, on and

    off it is a quick read) I have made the biggest

    changes. I was already much happier than I

    was when I rst read the book, that is true, but

    rather than taking small actions I have taken

    bigger steps. I have contacted people about achildrens literature book club I had been consid-

    ering for a while but not made time for, I asked

    my mother if she would like to do a happiness

    project with me next year as a way to keep in

    contact when we are in different countries, and I

    have thought about whether I am actually really

    helping people when I give my time to tasks

    which dont make much difference, even if I feel

    virtuous, or if there is a better way I could try to

    help.

    So would I say the book is for everyone? No,

    probably not. But if, like myself, you thought that

    owning one self help book would immediately

    spiral into a Bridget Jones-esque binge of life-

    changing intentions and no real action then I

    would urge you to try this. Gretchen is happier, I

    feel happier, and there is a real chance that you

    could too.

    PoetryThink of the beautiful garden

    With roses and garlands

    Flowers of all kinds

    And fresh air

    Taking a walk in the park

    Artistic endeavours

    Planting plants and exercising

    Good luck to everybody in the

    future

    And be good with behaviour

    Do something constructive with

    your day

    As long as its just one thing

    Communicate effectively

    Complete your education

    With knowledge and know-how

    I thank you for those special days

    you gave me

    Have fun with life

    Good luck for the future

    Everyone

    Denica Chaplery

    cont.

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    EQUILIBRIUM 15

    Here are 21 facts that you might not know, but are all true - even though they might

    seem strange!

    1. Crocodiles have over 240 teeth in their entire life.

    2. The worlds shortest man, Pinping, is only 2ft 7inches tall.

    3. The 14-foot-long narwhal is a whale whose teeth can reach up to eightfeet long.

    4. Night butteries have ears on their wings so they can avoid bats.

    5. The T-Rex had a jaw strong enough to chop a person a half in one bite.

    6. Female triceratops wore make up (painted their faces) to attract

    male triceratops.

    7. Chimps have their own form of political elections within their groups.

    8. Baby robins eat 14 feet of earthworms every day.

    9. Indian police are known to have the largest beer bellies in the world; inone case, an ofcer had a waste size that was triple his chest size.

    10. Cows in India can cause trafc jams for miles.

    11. The largest sandwich is over 3ft long.

    12. A tiny lizard called a Tiktiky can sever its tail and grow another within

    two weeks.

    13. The act of kicking a football, when in space, can cause a person to

    move 500 yards backwards, due to the lack of gravity.

    14. There are worms that are 4ft long.

    15. A baby Giraffe can already be over 5ft tall when it is born.

    16. An insect called a Mayfair only lives for 8 hours.

    17. An Astronaut sees about 36 sunrises and 35 sunsets in one mission.

    18. When the Mayans played football, they used the head of the losing

    captain as a ball for the next game.

    19. Dragonies can y up to 50 miles per hour.

    20. The rst light bulb was actually created by the Egyptians.

    21. An ancient ruler of North East India is known to have over a 101

    children and out of 100 only one was a daughter.

    Facts: Strange But True!!!!

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    EFT- Tapping into Potential

    So this week I was taking my rst webi-

    nar about the foundations of business

    practice in the arts, and this webinar,

    which was the rst to be performed by

    this woman, went severely pear shaped

    thats to say I could hear nothing through

    my phones but white noise. But I did hear

    her say You have to get this book: EFT

    Emotional Freedom Technique it will

    change your life.

    Well this kind if information is often ignored,

    Ive done it a million times before, but

    this time it came from Rosalind, who Id

    worked with and had much respect for.

    Shed already helped move my art busi-

    ness forward from a very stagnant place to

    quite a signicant place. So if she said EFT

    had the potential to change peoples lives,

    I thought it worth giving the time of day. As I

    write the book is winging its way to me.

    EFT, or also commonly known as Tapping,

    was something Id come across before; Id

    met others whod used it. Id read the Heal-

    ing Codes and used some of those touch

    techniques, but to little effect because Id

    become so frustrated with the process.

    EFT works by releasing blockages within

    the energy system which leads to limiting

    beliefs and behaviours. It is said that these

    blockages cause emotional and/ or physi-cal issues and include lack of condence

    and self esteem, feeling stuck, anxious or

    depressed, or the emergence of compul-

    sive and addictive behaviours, even physi-

    cal issues such as long term back pain.

    So it goes back to ancient Chinese beliefs

    based around the meridian system which

    believes there are electrical energies pass-ing throughout the body. These charges

    need to somehow be balanced in order to

    function at an optimum level. The tapping

    on these meridian points release blockages

    in these energy paths, allowing things to

    ow more naturally.

    So EFT treatment involves the use of nger-

    tips rather than needles to tap on the end

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    NigelPrestatyn

    points of energy meridians that are situ-

    ated just beneath the surface of the skin.

    So its like a kind of nger acupuncture,

    or acupressure.

    The process involves one focusing on

    their own specic problem whilst tapping

    with ngers on the end points of energy

    meridians. The combination of send-

    ing kinetic energy to our energy system,

    whilst uncovering and focusing on root

    causes facilitates a balancing of the

    energy system thereby eliminating the

    short circuit to the bodys negative

    emotion. The tapping areas are:-

    1) Top of the Head, 2) Beginning of the

    Eyebrow, 3) Side of the Eye, 4) Under the

    Eye, 5) Under the Nose, 6) Chin Point, 7)Beginning of the Collarbone, 8) Under

    the Arm. The setup area is the karate

    chop area of the hand. These would

    be classed as the basic tapping areas,

    though there are further areas around

    the body.

    So the Setup Phrase might be: I really

    dont deserve to be happy becausewhen I was a soldier at war I hurt many

    people. (Apparently EFT is great for post

    traumatic stress disorder.) This would

    involve tapping on the karate chop area

    of either hand. This is a difcult thing

    for me to get to grips with, because

    its repeatedly stating a negative, and

    focusing on that negative, and Ive often

    worked hard to do the exact opposite!

    But in order to shift the problem, we need

    to truly understand the problem and

    connect with it on a deep emotional

    level.

    After stating the problem, youd begin

    a round of tapping whilst using the

    Reminder Phrase which in this example

    might be, I dont deserve happiness.

    The key is to get to the real core of

    the issue, digging around until you nd

    statements that really resonate with

    your problem on a deeply profound

    emotional level. These core issues, the

    powerful ones which bring about real

    change, are often deeply buried, and

    stemming back to our early years. So it

    takes a little emotional intelligence toroot around until you nd these core

    issues. Often it is suggested to re off

    several arrows in the hope of hitting the

    true core issue.

    And the way to determine whether the

    process has been successful or not is

    by gauging the level of emotional or

    physical pain before you start, and againafter several rounds of tapping. So if the

    emotional pain in our example remains

    at 10, we need to try other statements,

    if it comes down to 5, then we continue

    through as many rounds as it takes to

    bring it down to 1 or 2, or even a zero.

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    Reality Television & Mental Health

    Long gone are the days when folks

    gather from all around to applaud the

    Gladiators ghting in the Coliseum, risk-

    ing their lives with blood, sweat and tears all

    in the name of active entertainment... Or

    have they?

    I recall being 16 years old and transxed to

    the television screen. Tonight was the night.

    Everyone was talking about it. It was a

    Saturday night and it was the Pop Idol nal.

    I was glued to the edge of my seat, eagerly

    awaiting the results. As I sat in the comfort

    of my family home, feet up with a cup of

    tea, I watched on as one of the nalists

    was rapidly losing condence, perspiring

    under the bright studio lights, desperately

    begging the audience to vote for him and

    stuttering as the masses of results from the

    public rolled in. They purposefully dragged it

    out. The lights got brighter, the music louder

    and cheers from the crowd bellowed from

    beyond. I remember thinking to myself,poor guy, whats going to happen to his

    condence if he doesnt win? More to the

    point: Why am I watching this in the rst

    place? Was it because I genuinely liked the

    sound of their voices covering songs I had

    heard a million times before, or did I secretly

    like having the power of holding peoples

    destinies in my hands, knowing that people

    all over the country were feeling the same

    pho

    tofrom

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    /a

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    library.

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    /2008/04/

    rea

    lity-tv.j

    pg

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    By Christina Clark, Psychiatric Nurse

    way? I was allowed to feel sorry for them,

    excited for them or even dislike them,

    and with a mere 50p phone call I could

    manipulate their destiny. Their future was

    in my hands!

    But can I really go as far as to compare

    a 50p phone vote to that of a Gladiatorsfate determined by the crowds thumbs

    up or thumbs down? Okay, so we

    cant exactly accuse the likes of Simon

    Cowell of placing peoples lives on the

    line in the literal sense its not as though

    contestants have to slay boars three

    times the size of them or wrestle wild lions

    to the ground. Perhaps though, society

    could go as far as to accuse some of

    the producers of reality TV shows of plac-

    ing peoples lives on the line in a more

    emotional sense.

    Reality is dened as the state of things

    as they actually exist, as opposed to

    an idealistic or notional idea of them.

    But who exactly denes this? We are

    surrounded by reality TV shows, but do

    they really portray reality? I mean, how

    many of us suddenly wake up one day

    and have become a global superstar

    overnight and what mental pressure

    must this surreal notion place on people?

    I dont think we can even begin to imag-

    ine what that must feel like. People are

    literally putting their futures in the hands

    of unacquainted strangers through a

    television screen. And questions must be

    asked as to who these audiences are

    and more importantly what their motives

    are. Are they really there to help people

    become a success in life or just partici-

    pants in a game, playing with other

    peoples futures?

    Andy Warhol once said In the future,

    everyone will be world-famous for 15

    minutes. But At whose expense?

    appears to be the question on lots of

    peoples minds

    Emily Marsden, a specialist psychiatric

    Nurse, who works with young people

    presenting with their First Episode of

    Psychosis explains how an overnight

    celebrity suddenly becomes very vulner-

    able. The media have the power to

    either maintain or crush their over-

    night status depending on what sells

    at the time. I imagine that the people

    in the media industry who are respon-

    sible for their overnight fame are more

    concerned about making money than

    whether that person is feeling okay and

    being well supported.

    When looking at reality TV and mental

    health, there have been a plethora of

    cases which have bought the subject

    to media attention and some much

    cont.

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    more ongoing ethical debates amongst

    professionals. In 2006, a Big Brother contest-

    ant, Shahbaz Chaudry, shockingly claimed

    he wanted to take his own life whilst being

    broadcast live on television. Not surpris-

    ingly, controversy and ethical debate arose

    after the contestant was placed on suicide

    watch and denied exit from the house after

    requesting to leave. He was subsequently

    pulled out of the show after increasing

    concerns were raised around his mental

    wellbeing. Unsurprisingly, this raised ques-

    tions around how much support the contest-

    ants were being given and whether or not

    they were intentionally pushed to their limits

    to increase entertainment and viewing; in

    other words, whether or not he had been

    exposed to intentional exploitation. Marsden

    agrees that reality programmes regularlyexploit those with mental health problems

    in the name of entertainment: In general,

    reality TV is purely a form of entertainment

    and unfortunately doesnt seem to exist to

    teach people anything. I feel that in a lot

    of instances, TV producers go for the shock

    factor to get good viewing gures, which

    often means issues arent covered very

    sensitively. This can often mean people withmental health issues are depicted as odd

    or different to you and I when the real-

    ity is that mental health issues can affect

    anyone.

    Big Brother producers, in a response to the

    incident, claimed that contestants are

    screened by professionals to ensure that they

    are psychologically stable and able to cope

    with such experiences. Is this good enough

    though? Marsden hopes that rstly, contest-

    ants have someone that regularly meets with

    the person to check that they are coping

    ideally someone with psychology train-

    ing that can provide therapeutic support if

    needed. I would also hope that producers

    and channel executives would have some

    awareness of the pressures and make sure

    people are not put under too much pressure

    Im sure that doesnt happen. I would want

    to make sure they were aware of all the

    pressures and negative aspects that come

    with being on TV/in the spotlight so that they

    werent going in to it blind.

    Another high prole example of the pressure

    that fame can place on a persons mentalhealth is the alleged mental breakdown

    that Susan Boyle endured after coming

    runner up on the reality show Britains Got

    Talent. Concerns were made public after

    Susan was rushed to a private psychiatric

    unit the day after the competition nale. This

    too led to numerous viewer concerns that

    she was not provided with the correct duty

    of care by the producers of the show. Thisspeed of overnight fame and public expo-

    sure must be enough for anyone to nd hard

    to grasp.

    Thankfully, after making a good recovery,

    Susan went on to become a global superstar

    with support from friends, professionals and

    even backing from the media. Perhaps in

    EQUILIBRIUM 20

    cont.

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    turn, shining the light for those with mental

    health problems and in turn potentiallyprojecting positive outcomes which show

    that mental health problems do not neces-

    sarily hinder success on reality TV shows.

    The public embraced Susan, even those

    who didnt watch the show were able to

    follow her journey due to the vast cover-

    age in the media; some even termed her a

    national treasure. She had been exposed

    to the world and had shown everyone thatshe could overcome mental health prob-

    lems and that it would not hinder her future

    success.

    Marsden discusses how reality TV shows

    could also be used to help tackle some of

    the stigma surrounding mental health prob-

    lems. For example, well made y on the

    wall documentaries can denitely tackle

    the stigma surrounding mental illness. I do

    however think its difcult to get that right as

    its a sensitive and complex subject. People

    making the programmes need to have a

    good understanding of mental illness them-

    selves or they risk reinforcing stereotypes.

    On the ip side of this, there have also been

    a handful of high prole cases of people who

    have entered reality TV contests and been

    denied continuation in the competition due

    to the fact that they have disclosed a current

    or historic mental health issue. This may well

    highlight the high levels of discrimination still

    apparent within the world of show business

    and perhaps even more so their concep-

    tions of the stigma this may bring from the

    wider public. It perhaps leads us to ques-tion the ignorance of the TV producers; just

    because you have a mental health problem,

    it shouldnt automatically exclude you from

    being a contestant. We live in a nation of

    equal opportunities and a history of mental

    health problems wouldnt legally be able to

    impact your employment aspects, so why a

    reality TV show? Where do we draw the line?

    Another point to also consider is what nega-tive affects rejection may have on a persons

    mental health and on a larger scale: the ght

    against stigma and discrimination. Marsden

    emphasises the need to make more effort

    to portray people with mental health issues

    as normal people rather than highlighting

    their differences or exaggerating their weak-

    nesses.

    Reality TV is a culture that denes a huge

    part of my generation. Sometimes it seems

    as though people around me are more

    interested in voting off the latest Big Brother

    contestant, keeping someone in the jungle or

    paying to see a contestant on the X Factor

    win the Christmas number 1 (again). I often

    wonder how many of these people vote

    in the general elections or even know the

    name of their local MP.

    It is apparent that much more education

    and insight is needed for the producers of

    reality TV shows and not just around mental

    health issues but also on the impact that

    overnight fame can have on anyone,

    EQUILIBRIUM 21

    cont.

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    regardless of their psychiatric history.

    More consideration needs to be given as to

    whether the entertainment aspect of making

    these shows really outweighs the ethical

    impact it has on issues such as human exploi-

    tation. None of us can fully predict whatsuch a phenomenon of becoming famous

    overnight would do to our mental health,

    hence the necessity for appropriate psycho-

    logical support and mental preparation

    beforehand, during and after the process.

    But on the ip side, why should mental

    health disclosure affect the opportunity to

    enter these contests? After all, with the right

    support and sensitivity around these issues

    perhaps more people will feel able to enter

    these competitions and be able to spin

    some of the unfortunate existing negative

    stigma and portray mental health in a more

    positive light. Some may even view peoplewith mental health problems as stronger

    than the average Joe; having already

    battled through problems they may be more

    mentally resilient and prepared for chal-

    lenges and difcult circumstances. They are

    also perhaps more able to accept the rejec-

    tion and also put into perspective the bigger

    picture and (crucially) the more important

    things in life.

    HumourDevHumour, also known as sense of humour, is

    dened in the dictionary as the ability to

    appreciate or express that which is humor-

    ous. There are several theories that make

    humour relevant to wellbeing, like the relief

    theory, which says that laughter is a mecha-

    nism by which psychological tension is

    reduced. This is because it releases a chemi-

    cal called serotonin, a feel good chemical,

    into the brain. The best way to see humour as

    a form of entertainment; if you think about it,it is trying to cheer you up or trying to make a

    funny point about a subject.

    Over time different styles of humour have

    been popular and have changed, from

    Charlie Chaplin, Laurel and Hardy and Buster

    Keatons slapstick silent comedy to todays

    style of stand-up comedy. Slapstick comedy

    continued during the 60s and 80s, with

    comedians like Benny Hill, Frank Spencer and

    Kenny Evert, which is tongue and cheek, and

    lots of people still nd funny now a days, as

    it is very visual. However, comedy since the

    mid nineties seems to have changed and Ithink some comedy sketches have become

    too over done. A constant use of one specic

    type of humour could be seen as rather tire-

    some; bringing in more new material it could

    be more fun.

    Humour also has a unique tendency to cross

    cultural backgrounds, even if you are from

    an ethnic minority. Sometime it is designedto make fun of how people in their commu-

    nity behave. A prime example is Goodness

    Gracious Me, which is about life as a South

    Asian person in the UK. As a South Asian

    myself, seeing this programme reminds me

    what people from this community are really

    like. You might also be able nd some similari-

    ties from your own background.

    EQUILIBRIUM 22

    cont.

    cont.

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    Politicians and celebrities are often mimicked,

    made fun of and vilied by comedians world-

    wide, most commonly leaders of countries

    (i.e. Prime Ministers or Presidents) and other

    leading Politicians. Most of the humour isbased on what they are doing or what they

    shouldnt be doing. They can be rather over

    exaggerated, no matter what country they

    come from.

    Comedians, or anyone who tries to be funny,

    rely on the reactions of people on the receiv-

    ing end. So if a person attempts a funny joke

    or something silly, and it does not go well,that person may not try that joke again or at

    least re-work the joke. Most comedians tend

    to do situation-based comedy or stand up

    comedy. One way of trying to be funny is by

    using language to play with different mean-

    ings, for example I am taking a break can

    be seen as a person trying to break some-

    thing. Another interesting way is to be funny is

    by nding the meaning of the word in another

    language, for example in English Hey dude

    mean you are saying hello to someone you

    think is cool, but in Bengali (a language from

    the subcontinent) Hey dude means Hello

    milk.

    When it comes to mental health, humour

    plays a very important part. When you have

    mental health problems you may nd your-

    self in a state where you have trouble control-

    ling your moods. Some people describe it as

    being in a big hole without any light at the

    end. In this state, gentle humour can be useful

    in making each step less daunting. It can

    slowly helping them get various ideas on how

    to get themselves out of any situation and to

    see things from a different perspective.

    EQUILIBRIUM 23

    A quote from Nelson

    Mandela

    Social equality is the only

    basis of human happiness

    Comment:

    In an ideal society, the human

    potential of the individual should

    always evolve towards an ever

    increasing harmony and diversica-

    tion with others in the direction of

    progress, achievement and full-

    ment. Social equality should be the

    accepted norm, indeed without it

    the society would cease to function

    for the benet of all.

    I believe an ideal society motivated

    by the aspirations of the individual

    should involve a technique like

    transcendental meditation to

    allow the individual to develop his

    personality so that the inner happi-

    ness of the individual provides a

    stability that resolves problems

    before they arise, enabling a soci-

    ety to be one of all solutions and not

    one of all problems.

    Ian Stewart

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    A Personal InterviewAlans Interview with an Anonymous Participant at the Recovery College:

    What is your diagnosis and how do you feel about it?

    Schizophrenia and OCD. I prefer not to think about it because it makes it worse when I think about it.

    How long have you suffered from mental illness?

    Around 18-23 years.How do you manage on a daily basis?

    Sometimes I nd it difcult to manage but I try to concentrate on what I am doing at the time.

    Have you thought about telling your story to the public (anonymously or otherwise)?

    I come from a South Asian background and mental health is seen as a NO GO AREA so I just keep it

    to myself.

    What advice would you give to someone else with a mental illness? What have you found most

    helpful?

    Take it day by day. If you are having trouble nd a friend or someone you can trust to tell what you

    are going through. Make sure you ask them to keep it to themselves.What are your hopes for the future?

    To deal with it better.

    Accepting a diagnosis of mental ill health, with

    all of the unknown lifestyle implications is let

    me argue easier to come to terms with if the

    patient can or could be considered already

    intelligent and well adjusted. Preserving the

    strengths of your personality is, Dr Johnson ESabine might argue, the very essence of the

    struggle with your mental illness.

    Alan was rst admitted to psychiatric hospi-

    tal in 1986 and many years later he continues

    to pursue work, leisure, and his pursuit of the

    Lords wisdom. He does not deny his needs for

    extra agency care and support. He is visited

    by his carer once a week on Sundays for help

    with maintaining himself and his home a well

    appointed and comfortably furnished one bed-

    room at, above and adjacent to the full array

    of locally needed facilities.

    Living only on a means-tested state pension,

    this still allows Alan the relative luxury of eating

    in local cafes and the occasional friendly invita-

    tion for a home-cooked lunch or dinner.

    Alan is self-employed and works in an advisory

    capacity doing consultancy work. Alan is also a

    well-regarded writer and, himself having been

    moved to do so many times, often prompts

    others to tell their life stories as a source of inspi-ration for others.

    Alan advises other mental health service users

    to carry on regardless. This does test us more

    than non-mental health patients. We all have

    our crosses to bear, however, and Alan is not

    alone in nding advantage in so-called disad-

    vantage. Take the problem-solving route and

    make use of relevant and wider learning oppor-

    tunities.

    As a parent, his day-to-day life consists of

    making an earnest effort to provide for his

    family and, who knows, one day he may have

    time to read a good book. Take one day at a

    time, is his maxim: be thankful and count your

    blessings in all things.

    ADiagnosis

    EQUILIBRIUM 24

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    FoodPhotographyHelen Grace Ventura Thompson

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