Last week I read a tweet about a BBC article on prosthetic Hollywood masks
being used to educate trainee mental health nurses. The writer of the article seemed enthusiastic
about the idea and so were the people in the attached video.
What surprised me most was that they seemed to be unaware of the stigma attached to using those masks. To me they seemed to portray people with mental illness as weird Hollywood movie characters. They didn't look at all like the people I have been supporting in my 25 years of mental health nursing.
This article shows again that there is still a lot of stigma's to
beat within the profession. Besides: what about non-verbal
communication, the most important thing to learn about because most people put
their 'mask' on pretending they are fine. As very often, do we all. But maybe
more when we are anxious or paranoid and don't feel safe enough to express
ourselves.
"I am fine" is the most commonly told lie. When
you use masks you can't see the look in someone's eyes or their facial
expressions.
This idea isn't helping trainee mental health nurses and
as a result of that its not helping the people who have mental health problems.
Its counter-productive. A much better idea would the use of trained actors
as we had when I was at nursing school.
We all stigmatise and probably much more than we think. The stigma attached to mental illness is a major obstacle to our patients and to better care. Lives will be improved if we keep
ourselves and each other aware of that.
The stigma within the profession leads to a lot of unwanted and serious effects. A few examples:
The stigma within the profession leads to a lot of unwanted and serious effects. A few examples:
It makes people feel unwanted;
I'm not understood and;
I'm uncared for.
Apart from that it's a great danger to their physical health
because it leads to not being taken seriously when having a physical health
problem. I have seen people die from stigma, from not being believed, from
assuming it was "psychosomatic"or "attention-seeking" It's
that serious.
I once supported a patient to ER after she suddenly lost the
sight in one eye. She talked very slowly, a reason for the triage nurse to
think that it was psychosomatic and if I had not been there to urge her to
contact an ophthalmologist that patient would have been blind now.
The stigma within the profession discourages our patients to
dare to take chances in life, to improve their future. It prevents family
members from being important team members. It leads to people feeling labelled
instead of being a person with many strengths and skills, someone who is more
than just a diagnosis. It prevents us from really listening to someone.
I have a patient who was put in an isolation room for
throwing a glass on the floor because a voice told her so. She wasn't hurting
anyone. Later she said : "if only someone had asked me why I did that they
would have known I had voices. And I would have cleaned it up and paid for a
new glass if they had asked me ".
I used to get annoyed about stigma's but nowadays I find beating them a challenge instead of a problem. The stigma on mental illness is an important reason why people don't understand and why those who with mental health problems often don't dare to seek help in time.
I hope this mask issue will lead to better awareness of the stigma within ourselves and our colleagues.And to improved support of people with mental illness so they feel listened to ,accepted and cared for.
I hope this mask issue will lead to better awareness of the stigma within ourselves and our colleagues.And to improved support of people with mental illness so they feel listened to ,accepted and cared for.