Fleeing from domestic violence

By Elaine Attard

Domestic ViolenceThe introduction of the Domestic Violence Act on 28 February 2006 was a day of hope for people working with the victims of domestic violence, but those victims still face the prospect of finding themselves homeless when they reach the point where they can take the abuse no longer, instead of the abuser being ordered out of the family home.

According to Agenzija Appogg, the Domestic Violence Act provides for a protection order to prohibit or restrict access by the accused, for a period not exceeding six months or until final judgment, to premises in which the injured person or any other individual specified in the order, lives, works or frequents, even if the accused has a legal interest in those premises.

Normally, the perpetrator is evicted from the home following an application filed by the victim’s lawyer. The court normally accedes to such a request when it considers that the perpetrator is a threat to his/her family and/or that, as a result of his/her actions, his/her family would suffer if they were to be the ones to leave the matrimonial home.

Full story at Independent Online

The Addictive Personality

By Therese Borchard

addictive personality, craig nakken

In his insightful book, “The Addictive Personality: Understanding the Addictive Process and Compulsive Behavior,” author Craig Nakken explains why, even after an addict has given up the bottle or the weed, she will never be done with recovery:

“Addiction is a process of buying into false and empty promises: the false promise of relief, the false promise of emotional security, the false sense of fulfillment, and the false sense of intimacy with the world … Like any other major illness, addiction is an experience that changes people in permanent ways. That is why it’s so important that people in recovery attend Twelve Step and other self-help meetings on a regular basis; the addictive logic remains deep inside of them and looks for an opportunity to reassert itself in the same or in a different form.”

Full story at Huffington Post

Learning to Live Green is Like Learning a new Song

By Lyndsey Young

This week, I decided to restart something I’d always enjoyed – I rejoined my singing group.
I’ve been in my local singing group for nearly 9 years now, the group meets up every week and is lots for fun, but since the sudden death of my dad two years I had stopped going, as I just couldn’t control my emotions every time we sang.

Anyway, after seeing a fabulous Twitter singalong posted up by the lovely @debsylee (they were all singing Abba songs) I realized how much I was missing my weekly ‘feel good’ session, so I made to decision to return and I’m so glad I did.

However, rather than return to sing the songs I already know, the group has a new medley of songs which I quickly need to learn in preparation for a local show and to be quite honest, they are all very new to me.

Full story at Huffington Post UK

The Connection Between Sexual Pain and Pleasure

By Wendy Strgar

We must embrace pain and burn it as fuel for our journey.” -Kenji Miyazawa

The relationship between pain and pleasure in human sexuality is as profound as it is complex. It is a polarity that lives in each of us and deserves our curiosity. Sadly, it is not unusual for us to close down to situations that we fear will bring pain and discomfort. Replacing our tendency of avoidance with a capacity for wonder when it comes to our pain associations with sex is eye opening and has the potential to release an untapped capacity for pleasure.

Each time I have sex I am struck by the ecstatic release of deep pleasure, which ignites an equal release of intense pain. The pelvic cavity, one of the most miraculous wonders in the human body, balancing both the capacity to walk erect and procreate, is a truth teller for most of us. It is an internal space where sensation is leader and I have long wondered what begets what, if it is actually the intensity of the pain that arouses the pleasure or the other way around. So difficult it is to tease out, that I have come to believe that the pain/pleasure of our deepest sexual release is one in the same.

Full story at Huffington Post

Getting Someone to Psychiatric Treatment Can Be Difficult and Inconclusive

By A. G. SULZBERGER and BENEDICT CAREY


That question is as difficult to answer today as it was in the years and months and days leading up to the shooting here that left 6 dead and 13 wounded.

Millions of Americans have wondered about a troubled loved one, friend or co-worker, fearing not so much an act of violence, but — far more likely — self-inflicted harm, landing in the streets, in jail or on suicide watch. But those in a position to help often struggle with how to distinguish ominous behavior from the merely odd, the red flags from the red herrings.

In Mr. Loughner’s case there is no evidence that he ever received a formal diagnosis of mental illness, let alone treatment. Yet many psychiatrists say that the warning sings of a descent into psychosis were there for months, and perhaps far longer.

Moving a person who is resistant into treatment is an emotional, sometimes exhausting process that in the end may not lead to real changes in behavior. Mental health resources are scarce in most states, laws make it difficult to commit an adult involuntarily, and even after receiving treatment, patients frequently stop taking their medication or seeing a therapist, believing that they are no longer ill.

The Virginia Tech gunman was committed involuntarily before killing 32 people in a 2007 rampage.

With Mr. Loughner, dozens of people apparently saw warning signs: the classmates who listened as his dogmatic language grew more detached from reality. The police officers who nervously advised that he could not return to college without a medical note stating that he was not dangerous. His father, who chased him into the desert hours before the attack as Mr. Loughner carried a black bag full of ammunition.

“This isn’t an isolated incident,” said Daniel J. Ranieri, president of La Frontera Center, a nonprofit group that provides mental health services. “There are lots of people who are operating on the fringes who I would describe as pretty combustible. And most of them aren’t known to the mental health system.”

Dr. Jack McClellan, an adult and child psychiatrist at the University of Washington, said he advises people who are worried that someone is struggling with a mental disorder to watch for three things — a sudden change in personality, in thought processes, or in daily living. “This is not about whether someone is acting bizarrely; many people, especially young people, experiment with all sorts of strange beliefs and counterculture ideas,” Dr. McLellan said. “We’re talking about a real change. Is this the same person you knew three months ago?”

Those who have watched the mental unraveling of a loved one say that recognizing the signs is only the first step in an emotional, often confusing, process. About half of people with mental illnesses do not receive treatment, experts estimate, in part because many of them do not recognize that they even have an illness.

Pushing such a person into treatment is legally difficult in most states, especially when he or she is an adult — and the attempt itself can shatter the trust between a troubled soul and the one who is most desperate to help. Others, though, later express gratitude.

“If the reason is love, don’t worry if they’ll be mad at you,” said Robbie Alvarez, 28, who received a diagnosis of schizophrenia after being involuntarily committed when his increasingly erratic behavior led to a suicide attempt. At the time, he said, he was living in Phoenix with his parents, who he was convinced were trying to kill him. In Arizona it is easier to obtain an involuntary commitment than in many states because anyone can request an evaluation if they observe behavior that suggests a person may present a danger or is severely disabled (often state laws require some evidence of imminent danger to self or others).

But there are also questions about whether the system can accommodate an influx of new patients. Arizona’s mental health system has been badly strained by recent budget cuts that left those without Medicaid stripped of most of their services, including counseling and residential treatment, though eligibility remains for emergency services like involuntary commitment. And the state is trying to change eligibility requirements for Medicaid, which would potentially reduce financing further and leave more with limited services.

Still, people who have been through the experience argue that it is better to act sooner rather than later. “It’s not easy to know when we could or should intervene but I would rather err on the side of safety than not,” said H. Clarke Romans, executive director of the local chapter of the National Alliance on Mental Illness, an advocacy group, who had a son with schizophrenia.

The collective failure to move Mr. Loughner into treatment, either voluntarily or not, will never be fully understood, because those who knew the young man presumably wrestled separately and privately about whether to take action. But the inaction has certainly provoked second-guessing. Sheriff Clarence Dupnik of Pima County told CNN last Wednesday that Mr. Loughner’s parents were as shocked as everyone else. “It’s been very, very devastating for them,” he said. “They had absolutely no way to predict this kind of behavior.”

Linda Rosenberg, president of the National Council for Community Behavioral Healthcare, said, “The failure here is that we ignored someone for a long time who was clearly in tremendous distress.” Ms. Rosenberg, whose group is a nonprofit agency leading a campaign to teach people how to recognize and respond to signs of mental illness, added, “He wasn’t someone who could ask for help because his thinking was affected, and as a community no one said, let’s stop and make sure he gets help.”

At the University of Arizona, where a nursing student killed three instructors on campus eight years ago before killing himself, feelings of sadness and anger initially mixed with some guilt as the university examined the missed warning signs.

The overhauled process for addressing concerns is now more responsive, even if there are sometimes false alarms, said Melissa M. Vito, vice president for student affairs. “I guess I’d rather explain why I called someone’s parents than why I didn’t do something,” she said.

Many others feel the same way.

Four years ago Susan Junck watched her 18-year-old son return from community college to their Phoenix home one afternoon and, after preparing a snack, repeatedly call the police to accuse his mother of poisoning him. She assumed it was an isolated outburst, maybe connected to his marijuana use. In the coming months, though, her son’s behavior grew more alarming, culminating in an arrest for assaulting his girlfriend, who was at the center of a number of his conspiracy theories.

“I knew something was wrong but I literally just did not understand what,” Ms. Junck, 49, said in a recent interview. “It probably took a year before I realized my son has a mental illness. This isn’t drug related, this isn’t bad behavior, this isn’t teenage stuff. This is a serious mental illness.”

Fearful and desperate, she brought her son to an urgent psychiatric center and — after a five-hour wait — agreed to sign paperwork to have him involuntarily committed as a danger to himself or others. Her son screamed for her help as he was carried off. He was diagnosed with paranoid schizophrenia and remains in a residential treatment facility.

This week Erin Adams Goldman, a suicide prevention specialist with a mental health nonprofit organization in Tucson, is teaching the first local installment of a course that is being promoted around the country called mental health first aid, which instructs participants how to recognize and respond to the signs of mental illness.

A central tenet is that if a person has suspicions about mental illness it is better to open the conversation, either by approaching the individual directly, someone else who knows the person well or by asking for a professional evaluation.

“There is so much fear and mystery around mental illness that people are not even aware of how to recognize it and what to do about it,” Ms. Goldman said. “But we get a feeling when something is not right. And what we teach is to follow your gut and take some action.”

Web Source: http://www.nytimes.com/2011/01/19/us/19mental.html?pagewanted=1&_r=1&partner=rss&emc=rss