Article
Care
Culture
Mental Health
3 min read

Separating mind and body still stigmatises mental health

Our minds and bodies are meant to be inseparable.

Rachael is an author and theology of mental health specialist. 

 

 

Two bird sit on wires facing in opposite directions.
Eduardo Soares on Unsplash.

I recently had a somewhat surreal experience whilst trying to get two consultants to agree to some treatment I needed to have.  

One was a cardiologist, the other a psychiatrist - both consultants, working in the same geographical area - and I found, to my surprise, that there was no recourse for my physical health records to be viewed by the psychiatrist and vice versa.  

And as I went through the process of trying to mediate between these two professionals, it made me reflect that whilst in theory there is agreement that our minds and our bodies are one and that they cannot be treated wholly separately, the reality is something rather different.  

Mental and physical health problems are, in fact, treated as entirely separate entities, with different trusts and funding models in place to deliver care and treatment for mental illness and physical illness.  

Now, there is probably a bureaucratic reason for this, but I believe it uncovers a perhaps unconscious belief that our minds and bodies are distant relatives at best, and not only that, but our mental health is still the poorer relation - best ignored unless it’s particularly bothersome.  

I think this separation sits at the heart of the stigma that mental health problems still face - a stigma that persists even in the mental health system. It has ancient roots. Go back to ancient Greece and its philosophers. They held to a  doctrine where the body and soul were completely separate - our bodies are simply houses for our souls. In a way, the stigma that exists about mental health is the inverse of this- that our minds are less important than our physical bodies and that caring for mental health always comes second to caring for physical health. 

Yet, also in those ancient times, the Bible's treatment of humanity shows that we are creations of mind, body, and soul—all equal, beloved, and cared for by God. In Mark’s gospel, we read that the command to love God and one another is multi-faceted: “Love the Lord your God with all your heart and with all your soul and with all your mind and with all your strength.’ The second is this: ‘Love your neighbour as yourself.’ There is no commandment greater than these.” To love one another, then, means we need to care for one another’s mental health as well as physical health and strength, as we love with our minds and bodies. 

In truth, we cannot care well for ourselves or one another without considering both our mental and physical health. To ignore the mental strain of physical illnesses like cancer, and ignore the physical pains that mental illnesses cause, such as their effects on digestion and blood pressure, is to ignore significant parts of people's suffering.  

In the Old Testament of the Bible there is the story of Elijah, one of the great prophets who flees from a murderous ruler and, whilst spiritually and physically exhausted, begs God for death. “I have had enough, LORD,” he said. “Take my life; I am no better than my ancestors.” 

These are words of desperation that echo those who struggle with their mental health, and God’s reply to Elijah’s pain is to meet him with an encounter with an angel who urges him to sleep and eat, comforting him with the words “the journey is too much for you”. There is no reprimand for Elijah’s suffering, simply comfort for a tortured mind and provision for an exhausted body. 

The answer, then, is to treat ourselves and others as the embodied creations we are, with mind and body inseparable and interconnected in ways that even science cannot quite explain or articulate.  

The answer is to trust in the embodied hope of Christ, who chose to save us through not only his bodily crucifixion and resurrection, but through experiencing the breadth and depth of human emotions so that we may never again feel alone in them. 

Both our bodies and our minds matter to God, and we need to see that reflected in society, where we care not just for single ailments, but the whole person. We need not just an awareness of our minds, but an understanding of what it means to be mentally healthy, as well as a recognition of the horrors of mental illness. Only then, I believe, can we see a society which cares and serves those most in need not simply as isolated symptoms, but as valuable creations.  

Article
Christmas culture
Culture
Film & TV
4 min read

This is love, actually

Love is not always simply a joy, delight, and comfort.
A sister visits a brother
Michael and Sarah.

I’m not a great lover of Love Actually, actually. I find it overlong, boring, and unrealistic. The plot holes are yawning. Aurelia’s lack of French despite her living and working in France with a father apparently fluent in French always irks me. Why would anybody in Keira Knightley’s shoes give her husband’s best man that kiss? On this year’s rewatch with my family, Joanna’s run all the way back through the airport, despite her plane to New York being on last call for some time, joined the list. The chauvinism and some of the jokes get more uncomfortable with each passing year. 

I guess the suspension of disbelief is the point with a film that is deliberately tongue-in-cheek. Amid the mawkish tat there is a little in the way of saving grace- Emma Thompson’s performance, both in support for her friend Daniel as he grieves, and in dignified devastation at her husband’s unfaithfulness, will always be masterful and deeply affecting. But it is in Sarah’s storyline, caring for her mentally ill brother Michael, that best demonstrates love, actually. 

Unless you’ve been under a rock for twenty years, you will know the story. Sarah silently yearns for her colleague Karl, something everyone in the office has become aware of. They get together at the Christmas party, and are about to get to it, when Michael rings, distressed, asking for the Pope, and needing Sarah’s reassurance. She answers the phone, twice, knowingly ending her chance with Karl for that evening, and possibly forever. 

Love Actually is mostly full of glossy and unrealistic love. Attraction is easy, love comes quickly, meet cutes are abundant, demonstrations of love are impulsive and Christmas romances happen all over town. Pretty much everyone ends up twinkly-eyed despite the origins of their own story arcs. But Sarah turns down this kind of romantic love for an older, deeper, more burdensome love and a less happy ending. 

In leaving behind her chances with Karl to care for Michael, Sarah self-sacrifices her own dreams to embrace the circumstances she has been given. In our current era of boundaries, self-prioritisation, and idealising of (particularly Christmas-orientated) romantic love, Sarah’s example is never more important. Hers and Michael’s story would not feature in a Hallmark Christmas film, and it feels the most real of all for that reason.  

Sarah demonstrates that love is not always simply a joy, delight, and comfort, but very often a scarred, painful, and deliberate choice to put oneself second even when some or all of our being is resentful and resistant. The hand she has been dealt, being the only family for Michael, carrying his care on her shoulders alone, is not particularly fair. The demands sacrificial love makes of us are often not fair; romantic, familial, or otherwise, but to love truly is to love anyway, bearing the cost of loving those who are a burden to us, and the humiliation of being loved by those to whom we are a burden. 

The siblings’ story strikes at the truest meaning of love at Christmas. Jesus’ birth is the eternal demonstration that God is not content to remain in the comfort of heaven in perfection, but instead comes to suffering and hurting humanity. In the same way that Sarah gently and firmly deals with Michael’s violence, so God deals with all the violence we throw at each other and at God, and loves us anyway. Just as Sarah sacrifices her own dreams of life with ‘lots of sex and babies’ with Karl to spend Christmas Day in a more costly, more true relationship with Michael, so God’s own Son gave up heaven and humbled himself to spend the first Christmas Day in a feeding trough, present to humanity and all its burdens. 

If you attend a carol service this year you will probably hear the title given to Jesus by the prophet Isaiah of Immanuel, meaning God with us. This name demonstrates that although we all carry our own instability, weakness, and selfishness, God’s love does not leave us, but is all the more present with us in our need to be loved although we offer little or nothing in return to God. On a cosmic level, we are the burden, with our individual and communal tendency towards self-destruction. And yet, the Christmas story reminds us that God remains present to us. 

This is love actually at Christmas. It’s not happy endings and spontaneous proposals. It’s painful, suffering, difficult, unfair, sacrificial love. Sarah and Michael’s story expresses the truest expression of love we will ever see. The kind that gives up dreams to be present to those who are suffering. The kind that gives up heaven to be present to those on Earth. The kind that accepts the love given by those who can give it, even if we feel humiliated by the depths of our need. If we choose to embrace the unglamorous, the burdensome, the inconvenient, we will never be closer to the first and truest of all Christmas stories. 

Thank God for Sarah and Michael, who point us to the cowshed containing the God who does not abandon us for better and easier things, despite our fragility.  

(And makes Love Actually a little less insufferable). 

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