Wednesday, 13 November 2013

Schizophrenia, Stigma and Donnie Darko

It’s schizophrenia awareness week this week and I’m going to contribute by writing about something that may seem like a subtle, mental health pedant niggle, but is actually a big contributing factor to the stigma people with the diagnosis face.

So when I was 15 through to, oh…I guess 17, Donnie Darko was one of my favourite films. I love dark sci-fi, and it seemed obvious to me that Donnie Darko was a sci-fi, if you watch the director’s cut especially, this seems abundantly clear. So it didn't bother me too much in the fledgling years of my study of psychology that the character is given the diagnosis of Paranoid Schizophrenia, of course the psychologist got it wrong, she couldn't possibly know he’s actually involved in a time wormhole thingummy.
The problem is that there are parts of the story where Donnie is taken over by Frank the rabbit, his ‘hallucination’, and made to do strange and violent things he has no awareness of.


Nothing, and I mean nothing, will make people with any mental health knowledge squirm and grind their teeth in annoyance like people confusing Schizophrenia with the controversial diagnosis- Dissociative Identity Disorder. People with Schizophrenia can have auditory and/or visual hallucinations (usually the former); they experience them and may react to them, but they are not embodied by them. People with Dissociative Identity Disorder have fractured personalities and give the appearance of having several personalities in the same body, ‘taking turns’ on the surface of consciousness. This is a fairly simple thing to explain to people when one is merely confused for the other, but with representations like the one in Donnie Darko, what could be taken as symptoms of both are mashed together and called Schizophrenia.

A lot of the longevity of the appeal of Donnie Darko was in the question of whether it was a psychological horror or a sci-fi. It was marketed as a horror film, and released on Halloween, continuing a long tradition of ‘eep look out it’s a dangerous mental patient’ horror films, only this time the patient is adorable and you want to give him a hug.
A lot of people who watch this film take this psych-horror reading, even if it wasn’t the one intended by its creators, that’s how it was sold, and for people to go back and forth on the question of ‘was it real or in his head?’ both options have to seem viable.

There a plenty of things in life where if they don’t directly relate to you, you won’t go out of your way to learn about them, this won’t always be the case, but there are only so many hours in the day so you are forced to pick and choose topics of interest and expertise. If mental health is of no real interest or significance to you (something I find hard to believe but it takes all sorts) pop culture referencing is all you have to base your ideas on.

The thing that worries me most about this kind of representation is it seduces the viewer with a sympathetic representation of the supposedly schizophrenic character, they are good natured and sweet but they have this disease that is very distressing to them, at the same time as presenting the character as dangerous, dangerous in a way they have no awareness of, never mind control over. So, although they are deserving of sympathy, making the viewer feel like a compassionate, progressive person, they are also to be feared and avoided, absolving the viewer of any obligation to treat people with the diagnosis like their regular human peers.

This stigma that people with schizophrenia are dangerous is widely believed. It is not helped by the way every time a schizophrenic person does commit violence, it is guaranteed front page news, this despite the fact that statistically mental health patients represent a tiny percentage of perpetrators of violence, are more likely than non-patients to be victims of violence, and are a much greater danger to themselves than anyone else. The schizophrenic killer just makes for a much more titillating story, and morbid fascination coupled with fear makes for high sales figures, in fact and fiction. (Fantastic fact sheet on this)

This has a real impact on the lives of people living with Schizophrenia; they not only have their symptoms to deal with, but the realities of interacting with people on a day to day basis who, if they knew about their diagnosis, would be frightened of them. This is hugely isolating, can compound existing symptoms and result in new ones. Imagine the stress it would cause you to have a chronic illness you were too afraid to tell people about because of how they would treat you- at the same time as suffering with the illness you try to hide it, which in itself looks like odd behaviour, so you worry about the way you hide at the same time as worrying about what you are hiding. I’m exhausted just reading that statement back.

What’s that? Donnie Darko isn't the most mainstream film in the world so what’s the big deal?

Ok, let’s talk about Hollyoaks.

I admit I was quite excited when I heard that they were going to have a Schizophrenia storyline and Mind had congratulated the move. Mind and I had reason to be optimistic. Whatever you may think of the show in general, they did a very good job of representing a character with Anorexia. The most impressive thing about it from my point of view was that Hannah’s eating disorder was presented as chronic and complicated, when every other time I've seen Anorexia represented on tv the character has it for about a week but makes a miraculous recovery when given a heart-to-heart from someone along the lines that she is beautiful the way she is, anyway it’s what’s on the inside that counts, everyone hugs, the end.

But with Newt, the Hollyoaks writers, rather than dedicate themselves to researching a relevant and fair representation of Schizophrenia, seemed happy to lift the symptoms from Donnie Darko and drop them in with a dollop of A Beautiful Mind. Both of these films are fiction, and although A Beautiful Mind is based on a true story, a lot of the details of John Nash’s symptoms were changed, for example, his hallucinations were exclusively auditory, which is most commonly the case, but that doesn't look as good on screen. I also believe this is often overlooked in representations of schizophrenia because it seems less relatable to outsiders, why would someone believe a voice was real if it had no body? Well partly because they’re ill, and partly because, to randomly paraphrase Dumbledore, just because something’s in your head doesn't mean it’s not real.

Anyway, so Newt sees and hears a young man who not only tells him to do violent things, he also takes over his body and makes him do violent things, (oh I forgot, there’s also a smattering of Fight Club in there, it’s like the writers didn’t realise that libraries have non-fiction sections). At this point I gave up watching in disgust. Hollyoaks has a large, young audience, this was a great opportunity to raise awareness about the real struggle that 1% of the population faces living with this diagnosis and it had been thrown away for a cheap, lazy, time-tested narrative about a violent mental patient.

These examples are from a few years ago now, but stats seem to show that stigma has been near constant for a long time, and stigma-enforcing events are common. Once this sort of thing starts to bother you, you see it everywhere. From misleading fear-mongering on front pages, to insensitive Halloween costumes- people just don’t seem to get why it’s wrong, or why it matters that it’s wrong.

Here is one article about a man who was fired from his job and ostracised when he was open about being diagnosed with schizophrenia, but there are many more. Not to overlabour the point, but stigma has real life consequences, when schizophrenic characters are badly written and portrayed; there are real human beings whose lives will be affected by that.

So mainstream media, I throw down the gauntlet, pleasantly surprise me with an accurate representation of schizophrenia. Here are some links to help you:

Facts:




Blogs by people living with schizophrenia:





(Of course I know nobody in the mainstream media knows I exist never mind gives a damn about my gauntlets but it’s worth a try)

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