Posts tagged psychiatry
“Cunnilingus and psychiatry brought us to this”
Convinced that psychiatric wards’ bland, bad design directly affects patients like himself, Leadbitter and collaborator Hannah Hull spent months conducting workshops around the U.K. to crowdsource ideas from more than 300 patients, psychiatrists, architects, and designers on how to build visually appealing, patient-centered spaces in place of grim and institutional settings. Leadbitter told me in an email that the feedback was wide-ranging, including one memorable comment from a young man in Birmingham, England, who said: “All I want is a room with Fabergé eggs and a hammer.”
Just as Borges’s system groups animals by seemingly aleatory characteristics entirely divorced from their actual biological attributes, DSM-5 arranges its various strains of madness solely in terms of the behaviors exhibited. This is a recurring theme in the novel, while any consideration of the mind itself is entirely absent. In its place we’re given diagnoses such as “frotteurism,” “oppositional defiant disorder,” and “caffeine intoxication disorder.” That said, these classifications aren’t arranged at random; rather, they follow a stately progression comparable to that of Dante’s Divine Comedy, rising from the infernal pit of the body and its weaknesses (intellectual disabilities, motor tics) through our purgatorial interactions with the outside world (tobacco use, erectile dysfunction, kleptomania) and finally arriving in the limpid-blue heavens of our libidinal selves (delirium, personality disorders, sexual fetishism). It’s unusual, and at times frustrating in its postmodern knowingness, but what is being told is first and foremost a story.