Article
Comment
Mental Health
4 min read

We need to weep over the wreckage of mental illness

While its now OK to talk about mental illnesses, we need to weep over the harm caused and how we’ve tried to treat them, writes Rachael Newham.

Rachael is an author and theology of mental health specialist. 

 

 

A grey and white wall graffited with a tag a image of a person crumpled and crying.

Today, February 1st, is Time to Talk Day. It's part of a long-running campaign encouraging people to have open and honest conversations about mental health. It's aim is to break down the barriers of stigma and misunderstanding. It has been a staggering success - what was a fringe issue talked by those only affected by mental illness a decade ago is now part of common parlance. Mental health training is widely available, and the charity’s work has been seen to have a significant positive impact on the mental health conversation 

However, as our familiarity with the language of mental health has grown so too has the way we use it. People might talk about having PTSD after a bad date, or their friend being ‘so OCD’ about the way they organise. Unwittingly, as psychotherapist and author Julia Samuels points out, “[we have] awareness without real understanding.” 

However, awareness without understanding means we actually don’t reach those most impacted by mental illness. We know about mental health in the way we know about our physical health - but we are no more aware about the serious, sometimes lifelong mental illnesses which rob people of hope, joy and vitality - sometimes leaving them with lifelong disability.  

If you ask most people about mental illness they may tell you about depression and anxiety; the two most common mental illnesses which have become the acceptable face of mental illness. It’s reflected in the way funding is channeled to interventions that get people with mental illnesses back to work, or to NHS ‘Talking Therapies’ which offers short term psychological therapies (both of which are important initiatives) but have cut the number of inpatient beds from over 50,000 in 2001 to under 25,000 in 2022[3] which means those at the more severe end of the spectrum of mental health to mental illness are left to travel 300 miles for the care they need. 

We have to survey the wreckage that severe and enduring mental illness causes, before we can begin to rebuild a society that is kinder - without prejudice or stigma. 

Whilst it’s right that we have raised awareness about the most common conditions, we can’t ignore the illnesses which are termed ‘severe and enduring mental illnesses’ which include those such as bipolar disorder, major depression, schizophrenia and complex post-traumatic stress disorder.  

For people living with these conditions, the general mental health advice that we give; for example getting enough sleep and time outdoors may not be enough to keep the symptoms at bay. Just as general physical health advice like getting your five a day will not cure or prevent all severe physical illnesses. Medication, hospitalisation, and at times even restrictions of freedom like being detained under the mental health act might be necessary to save lives.  

These are stories that we need to hear. The debilitating side effects of life saving medications that can raise blood pressure, cause speech impediments. The injustices to confront (such as the fact that black people are five times more likely to be detained under the mental health act than their white counterparts) and the adjustments to life that those with disabilities are required to make to their lives.  

We have to survey the wreckage that severe and enduring mental illness causes, before we can begin to rebuild a society that is kinder - without prejudice or stigma. We have to listen to the perhaps devastating, perhaps uncomfortable stories of those who live with severe and enduring mental illness. The mental health npatient units miles from home, the lack of freedom, the searing - unending grief.  

Weep for the lives lost, the crumbling systems, the harm caused both by mental illness and the way we’ve tried to treat them. 

By hearing these stories, we are accepting them as a part of reality. For those of us in churches it might be that the healing didn’t come in the way we expected, it might be also be all of us accepting that the systems designed to care for those with mental illness have in fact, caused more harm. It’s seeing the injustices and understanding that we, our systems and professionals need to change our attitudes.  

Understanding and acceptance of the injustice are the way forward- that’s the only way change can come.  

It might look like standing in the rubble, it might feel too huge and all but hopeless.  

And yet in scripture and in life that is so often the only way we can begin to rebuild. 

In the book of Nehemiah, one of the Old Testament prophets who had lived in exile far away from home for his whole life, we see that upon hearing about the state of the walls of Jerusalem, before he did any of the things we expect heroes and innovators to do- he wept. In fact, it’s estimated that for four months he wept over the state of the place that had once been the envy of the ancient world.  

Perhaps we too need hear the stories and then weep. 

Weep for the lives lost, the crumbling systems, the harm caused both by mental illness and the way we’ve tried to treat them and then slowly, we can begin the work of rebuilding.  

It isn’t a work that can be done alone by a single agency much less a single person - it requires society to hear stories of the more than just ‘palatable’ mental illnesses with neat and tidy endings to the messy and sometimes traumatic stories that are there if we just care to listen to them. It might be reflected in the petitions we sign, the way we vote, the stories we choose to read. 

So ,this Time to Talk Day - I’m saying let’s continue the amazing work of talking about mental health - we need to keep talking about anxiety and depression. But let us also make conversations wider, so that they encompass the whole continuum of mental health and illness. 

 We’ve seen the difference Time to Talk can make - now it’s time to talk about severe and enduring mental illnesses, too. 

  

Article
Belief
Creed
Mental Health
Spiritual formation
7 min read

We have become myopic when it comes to prayer

We have scienced the s**t out of how to talk to God
A woman stands against a sparse white background looking up.
Guilherme Stecanella on Unsplash.

When I was a kid in the eighties, Japan belonged in the realm of science fiction. The Land of the Rising Sun was the land of bullet trains, robotics, the Sony Walkman, the home of Sonic and Mario. British engineers and technicians learned Japanese to avoid being left out when the inevitable Nipponese future arrived.  

In recent years the news has been more concerning. One and a half million young Japanese people have become hikikomori, locked in their rooms in extreme isolation. The birthrate has bottomed out. Loneliness is pandemic, with restaurants designed to serve food to diners without needing to meet another person, not even a waiter. Yet Japan remains a place of profound spiritual heritage. Even its cultural exports reflect this. Take Studio Ghibli. There is a word for the moments of quiet contemplation that punctuate their films- ma. It’s the Japanese concept of the interval or space between things. A moment to breathe. If Pixar warms our hearts, then Ghibli heals our souls. 

One of the most impressive people I know is Japanese. When asked about his upbringing he is characteristically understated. His parents, he says, were very religious. What he means by this is that they were practicing Buddhists and by the age of three he was meditating with them for hours every day. He now speaks multiple languages, has worked in universities all over the world, and has single-handedly taught more people psychological wellbeing skills than anyone else know. He carries himself with an elegant and compassionate poise that gently permeates any room he enters. He’s very, well… zen.  

No doubt my characterisation of Japan is deeply culturally ignorant, unencumbered by any actual awareness of the economics and sociology that have determined the nation’s profile in recent decades. Chief among my many ignorances was the idea that the practice of meditation was widespread in Japan. You couldn’t throw a stick in Kyoto, I assumed, without hitting half a dozen robed monks perched on a rock. But it turns out I’m wrong. When I ask my friend, freshly returned from leading a retreat on Mount Fuji, if his meditative upbringing was typical, he says it wasn’t. It was very unusual. The notion of religious affiliation is not well matched to the complexity of Japanese culture, but more than one commentator has wondered whether the dominant ideology is not Buddhism, nor even Shinto, but Materialism. 

Perhaps then it is not a complete surprise that in a recent study of more than 200,000 respondents from 22 countries, Japan is ranked last of those who report praying or meditating daily. According to this analysis, only 10 per cent of the Japanese population pray or meditate each day, just behind Sweden on 11per cent and Germany on17 per cent. Nigeria comes top of the list, with 92 per cent of the population reporting daily prayer or meditation (a result which tempted me to wonder whether the study had measured prayer in decibels rather than percentages. If like me, you’ve been fortunate enough to join Nigerian Christians in prayer, you will know what a joyously raucous occasion that can be). The national data equally represents Nigerian Muslims engaged in daily salat. Even more so the data from Indonesia, ranked second with 84 per cent of the population reporting daily prayer. 

Roughly halfway down the table of results there is a sort of break, a statistical chasm if you like. Brazil is listed as 10th on the list with 65per cent of the population praying/meditating each day and then, after a bit of drop, Mexico and the United States come in as the best-of-the-rest at 48per cent and 42per cent respectively. The UK hovers just above the relegation zone, fifth from the bottom at 24per cent. If this was the Premier League, we would be Everton. Not good enough to win, but not great at losing either. I support Everton. They are my team. I pray a lot. 

Of course, the major thing the authors had to clarify in their first few sentences was whether they were right to treat prayer and meditation as the same thing. Many people would argue they are different things. Prayer is usually directed towards one or more divine recipients. Meditation may include the quietude and introspection of prayer but does not necessarily require a theistic focus. The authors argue – I think rightly – that while prayer and meditation can be differentiated, they are similar and overlapping practices, which psychologically perform similar functions. They have both been linked with similar outcomes for those who practice them: increased psychological wellbeing, higher gratitude, greater purpose in life, reduced aggression, greater social connectedness, longer life expectancy, and so on. And this research certainly confirms demographic findings across cultures. Those who pray or meditate daily are likely to be elderly, retired, women, homemakers, and regularly attend religious services. 

We’ve become myopic. Our technical prowess occupies the foreground, but the infinite mysterious background is chronically out of focus. 

The reason this research interests me so much is because prayer and meditation – which are pretty much the same thing for me – are the most important things I do, but probably the ones I talk about least. So when I read that one-in-four people here in Britain are praying or meditating every day, I’m surprised twice. First surprise: so few people pray. Second surprise: more people are praying than I thought.  

The first surprise is the realisation that it simply does not occur to many people to pray, even in situations when a bit of prayer would come in quite handy. This hit me most strongly when I watched Matt Damon playing The Martian. Stuck alone 140 million miles from home, he survives by growing potatoes in his own faeces, but at no point in his isolation does it ever occur to him to pray. Faced with a seemingly insurmountable problem he opts (in his words) to “science the sh**t out of it”. Personally, if I were stuck on Mars I would science the sh**t out of it and pray the sh**t out of it - though I suspect overcoming the disgust of wolfing down potatoes smeared in excrement would feature prominently in my daily devotions. But I can’t imagine not praying. I mean, Tom Hanks couldn’t survive two minutes on a desert island without worshipping a volleyball. Hopefully I’d do a bit better than that. 

Much of the daily prayer recorded internationally was corporate not solitary: people gathering to pray or meditate, not sneaking off to do so in secret. But there is something about praying alone that captures my imagination, that is both enthralling and intimidating. William James famously defined religion as what we do with our solitude. We are who we are when we are alone with God and no more, claimed C.S. Lewis. And mystics down the millennia have loved to cite the definition of prayer offered by Plotinus, the flight of the alone to the alone. Praying alone ups the stakes. Because if there is no God and we make time to be alone, we are truly alone. If there is no God and we whisper our deepest desires into the darkness with no one to hear them, we are exposed as ridiculous creatures wasting our breath. Not meeting with God, just talking to ourselves. 

Praying together is good, but it can be distracting, too susceptible to the mixed motives of impressing, appeasing or opposing others. Jesus was aware of this tension. His advice not to pray publicly for spiritual status, but rather to find a secret space where God could be found in secret, is pretty exacting. He knew that the danger of praying in a group is being satisfied with social rather than spiritual reward. To settle for the impression our prayers make on those around us, rather than surrendering to the impression God would make on us. 

So maybe all that worrying about Japan is really just a projection of my own hopes and fears for people closer to home. On the one hand I worry that we have scienced the sh**t out of our ability to pray or meditate. Everything is a problem to be solved. We’ve become myopic. Our technical prowess occupies the foreground, but the infinite mysterious background is chronically out of focus.  On the other hand, I find solace in knowing that every fourth person I pass in the street may have some inkling of what it means to connect with a deeper reality in prayer or contemplation. It gives me hope. Hope that wherever we are, whatever we are doing, whenever we wish to, there is always time to take one long deep breath in. And without fanfare or posting to Instagram, exhale our love, our worry, our sadness, our gratitude to the one Jesus called Our Father in secret. 

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