What is the BizOMadness Blog?

This blog is devoted to raising critical awareness of psychiatry generally. It is likewise devoted to the antipsychiatry research projects, publications, and related activities of Dr. Bonnie Burstow. Especially foregrounded are The Psychiatry Project, The Madness Project, and "Psychiatry and the Business of Madness". Related to one another, The Psychiatry Project and The Madness Project involve hundreds of interviews, a dozen focus groups, analysis of several hundred documents and their activation, and dedicated periods of institutional observation. The culmination of both as well as of decades of related interviews and activities is "Psychiatry and the Business of Madness" (timely updates on its publication will be provided)--a cutting edge book in which psychiatry is investigated from multiple angles and which begins to tackle the inevitable question: So if we get rid of psychiatry, where do we go from there?

For the Events page to find events related to this research or this book, see
http://bizomadnessevents.blogspot.ca/

To check out reviews of Psychiatry and the Business of Madness and related publications, see http://bizomadnessreviews.blogspot.ca/

Sunday, May 28, 2017

Conferring Legitimacy on the Counterhegemonic


Those of us who are radicals are commonly struggling to find ways to confer legitimacy on positions which substantially challenge hegemonic constructions/ruling  (oppressive status quo ways of constructing/operating made to look like common sense). In this article, via a case study, I will be exploring how to accomplish such feats successfully, leveraging the authority of mainstream organizations in the process (obviously, not the only way to go). Highlighted are: what kind of problems happen along the way, and how you might deal with them. The “case” in question involves two separate but related campaigns to establish an antipsychiatry scholarship at a leading university. What makes this case particularly instructive is that psychiatry and all that surrounds it is the height of hegemony, universities are recognized gatekeepers of what counts as knowledge, and academic psychiatry is pivotal to psychiatric hegemony (for a discussion of academic psychiatry, see Burstow, 2015). 

The Case

The first of the struggles to launch such a scholarship began early in 2006.  Knowing of course that someone personally endowing such a scholarship would be pivotal to making this happen—for the extremely counterhegemonic are hardly agendas that mainstream organizations rush to implement—I wrote the Senior Development Officer in the Gift Planning Office at the University of Toronto with this proposition:  That in accordance with previsions that I was creating in my will, my residual estate would go toward creating scholarships in two different areas—antipsychiatry and combatting homelessness, and such scholarships were to be awarded annually to thesis students at Ontario Institute for Studies in Education (OISE).  The stipulations were: 1) students who were psychiatric survivors and students who had experienced homelessness would be given priority; and 2) the words “homelessness” and “antipsychiatry” would both be squarely in the title of the award. Why I put these two areas together, to be clear, is that besides that they often interact and that I was committed to both, I was counting on the fact that the antipsychiatry area could, as it were, “ride in on the coattails”  of the homelessness area.

At this point, you may be wondering why did I not just let the will speak for itself after I died?  I did not because that would seriously jeopardize the success of the venture. After I died, the president of the university, the university’s lawyer, and the dean of OISE would have to agree to the terms of scholarship, and I would not be around to marshal my arguments.  Given how out-of-the-box the antipsychiatry part was, given, moreover, that it conflicted with the teaching of psychiatry, and given that academic psychiatry is a mainstay of most universities, such a gift would hardly be approved easily.  However if I could prevail upon the current dean, current lawyer, and current president to agree in principle in now, it could pave the way for future agreement.

Was there any interest in the scholarship?  There was. Nonetheless, what followed was a very difficult nine-month struggle—at this juncture, all of it at OISE.  Examples of challenges presented and how I responded were: I was told that having such a scholarship was probably a no-starter for it would outside of everyone else’s area of expertise and so no program at OISE would ever agree to administer the scholarship.  I realized that this was likely to be the first of many obstacles, and if I did not deal them thoroughly, the initiative would go nowhere. I proceeded to ask the coordinator of my program (adult education) if our program could oversee it.  She sounded doubtful.  I instantly suspected that my best course of action would be to see if I could interest another program in it, for this might well result in two programs agreeing to oversee the award. Whereupon I turned to “Sociology and Equity Studies” (SESE), who quickly passed a motion agreeing to administer it.  Then I returned to Adult Education. As I had intuited, in response to SESE, adult education passed a similar motion (see minutes, Adult Education Program October 11, 2006).  So now I had official minutes of meetings showing that two different programs were happy to oversee the scholarship. With such obvious “buy-in”, would it now be “clear sailing” for the scholarship?  Of course not!

Next problem: I was informed that while it was just fine giving priority to students who had experienced chronic homelessness, there was a serious problem giving priority to students who were psychiatric survivors for doing so would constitute a human rights violation, moreover, no students “in that position” would even want such a scholarship. Leaving alone the question of possible prejudice here, I quickly demonstrated that it was not a human rights violation for we have queer scholarships for which gay students are given priority.  Correspondingly, I went on to write both an antipsychiatry and a mad organization, who forthwith consulted their membership, then went on record stating that their members very wanted such a scholarship (Coalition Against Psychiatric Assault and The Mad Students Society). All of which evidence, I duly presented. Was this the end of the objections?  Hardly!

Though naturally, this had been the issue all along, the word “antipsychiatry” was now objected to. I proceeded to successfully defend the term/concept.  Whereupon, I was asked to sign a variance clause that in essence would allow the university to do anything they wanted with the money if they thought that the area was no longer relevant.  Knowing that no gift is acceptable to the university without a variance clause, I immediately created a substitute variance clause that seriously limited what they could do, would ensure that the money would be used for the purposes intended. And indeed, they agreed to the clause.

Now I thought that this must surely be the end for nine months had passed and I had dealt with every single objection. However, at this very juncture yet a further objection arose: I was told that it would be important to consult with the head of my department to see if antipsychiatry made sense to her as an area (a very nice person but one who, significantly, had no knowledge of the area at all). Realizing that the same issue was just returning in a new guise but that it was possible that they wanted my money more than they hated the area, I figured that the moment had come to “play hardball”, so said to the dean, “Thanks for the consideration, but this has been going on too long, and if the general tenets of this scholarship have not been approved by you, the university lawyer, and the President of the university within the next week, I will extend the offer instead to the School of Social Work at Carleton University.” Three days later an agreement had been reached—all three players had consented. And a few days after that, in a highly collegial spirit, the dean, the gifting specialist, and I got together for a celebration.

Now I proceeded to go on to other projects as if this matter had been thoroughly resolved. However, about eight years later it dawned on me that the antipsychiatry part of this scholarship might not be secure after I was dead, for here lie the bones of contention—moreover, no one else would fight for it as skilfully as I did.  My solution? To endow and to endow now a scholarship in antipsychiatry only —an initiative that I took on partly because it would be good for the movement if such a scholarship existed now, partly to prepare the way for the later and far larger scholarship which would materialize upon my demise.  I named the new scholarship “The Bonnie Burstow Scholarship in Antipsychiatry” and I constructed it as a  matching scholarship wherein I would be matching up to $50, 000 of contributions by others, and where I would do the fund-raising work necessary.

Negotiations quickly ensued. Now this battle I deliberately fought on the grounds of academic freedom—something that was transparently an issue and something dear to the hearts of all of us academics.  And “sellable” grounds it proved, for everyone at OISE quickly understood the relevance. Nonetheless, on four separate occasions I was asked to remove the inconvenient term “antipsychiatry” from the name of the award—something which, of course, I refused.  In fact I was even asked to consider endowing instead a scholarship in counselling—obviously, an attempt to depoliticize. Now at one point for reasons unclear to me, the process stalled for about a year, though I used this time profitably to construct lists of possible donors.  Then something utterly unanticipated happened—the administrator who had been the central contact for both scholarships was let go—at which point I found, much to my chagrin, that no one at OISE had any record whatever of the previous agreement. Fortunately, I had kept 7 years worth of email and found what I needed.  New people stepped up and negotiations continued, and support at OISE grew. With the new dean agreeing, we approached University of Toronto.  Where once again, we encountered stalling.

It is here where my having upfronted the issue of academic freedom really paid off.  Interceding on my behalf, picking up on my words, the person doing the negotiating for OISE, repeatedly told the relevant official at University of Toronto, “I have two words for you—academic freedom”. And in the fullness of time, the scholarship was approved by University of Toronto. 

And was everything okay now?  With respect to the University of Toronto part of the struggle, yes.  We happily signed on the dotted line, and with helpful staff at OISE lending a hand with the fundraising, the next stage of the work commenced. However, this was also the time where the most unpleasant of the obstacles presented themselves.  From where?  From the mainstream media.  Not exactly surprising that the media would react highly negatively once they heard tell of the development, as for decades now, they have “tripped over themselves”, rushing to support psychiatry’s standard line (e.g., psychiatry is progressive; its treatments are life-saving, and anyone who says otherwise is an enemy of progress). Though who would have guessed the extent of it?

Both the scholarship and I personally were forthwith trashed in several major newspapers, including The National Post (see http://news.nationalpost.com/full-comment/barbara-kay-u-of-ts-antipsychiatry-scholarship-and-not-believing-in-mental-illness-is-an-attack-on-science). We were likewise trashed on one national television program, on approximately a dozen radio programs, and several leading social media blogs. Although I am a recognized scholar in the area, who, among other things, has challenged psychiatry precisely on the basis of science, I was portrayed repeatedly as unscientific, as the enemy of progress, and someone who was unconscionably placing vulnerable people at risk, this by people most of whom had read virtually nothing that I had written, never mind checked their own bogus claims. Correspondingly, the scholarship itself was depicted as “affront to science”. On top of which, I began receiving death threats. I was likewise warned (read: threatened) that several lawsuits were in the process of being drawn up against me. Moreover, I was repeatedly urged by an OISE ally not to talk to the media at all.

Now amidst this onslaught, this utter ignoring of the principles of good journalism, I “kept my cool”. I decided carefully what to respond to and what not.  I ignored the lawsuit threat for it was not credible.  Despite being urged to, I never once cancelled a speaking engagement—and the public turned up to my events in droves. I asked one particular publication as a counter to the sensationalistic article penned by their reporter that they grant me an op ed piece, to which they consented (see http://thevarsity.ca/2016/11/13/op-ed-understanding-what-is-at-stake/). I gave an interview to a solid reporter—Kevin Richie—who worked for a sympathetic lefty newspaper—Now—and he wrote a terrific piece (see https://nowtoronto.com/lifestyle/class-action/bonnie-burstow-launches-worlds-first-antipsychiatry-scholarship-at-oise/). I likewise rallied students and other allies to respond to some of the attacks. More significantly, along with students, I created a video about the scholarship (see  https://www.youtube.com/watch?v=SJyA6RyQmMo), wherein, among other things, antipsychiatry students shed light on  the bias which they face when applying for scholarships—and how this award counters the inequity. Moreover, we created both fact sheets and letters. Along with allies like Coalition Against Psychiatric Assault, correspondingly, we all of us together created fundraisers, with one that was particularly enjoyable and participatory being an auction facilitated by a joke-cracking auctioneer who donned a thick Yiddish accent for the event. In essence we created our own good press, while making what we could of the bad press.  We created community. And we all of us watched as the contributions rolled in.

What is especially interesting here is that while the bad publicity pieces greatly outnumbered the good, if anything this only encouraged more people to join the cause. The point is that bad publicity is still publicity—in fact the contributions to the scholarship picked up considerably after the bad press began for now way more people knew of it, moreover, many were outraged by the shoddy journalism.

Now by most standards, our fundraising was proceeding well. This notwithstanding, as the campaign began to draw to a close, we still had come nowhere near reaching the $50,000 target—and please remember we needed to, for this was a matching scholarship with me matching up $50,000 of donations by others.  That said, close to the very end came a most unexpected development.  An anonymous Texas donor materialized who pledged enough to bring the amount to be matched to $50,000.  How did he know about it? In a word, because of the deluge of negative publicity. 

And were this not gift enough, the anonymous donor proceeded to create a second stage of matching. That is, he signed a contract with the University of Toronto committing to match every Canadian dollar subsequently contributed over the next period with an American dollar.

In short, we had prevailed beyond our wildest dreams!

As an aside, I would add, I received a call around that time from the executor of my will, who said, “Bonnie, I can’t tell you how relieved I am that you did all this! Otherwise they would never have honoured the conditions of your will.”

Lessons to be Gleaned

While every situation is of course unique, what follows are general “take-away” lessons that arise from this “case”, some guidance for others, whatever their cause, in their efforts to involve a mainstream organization in the struggle to bestow legitimacy on their counterhegemonic area:

1)   Ask for something relevant to your cause, that fits with their standard ways of operating, and which they have the power to grant.
2)   Always keep your eye peeled for what could go wrong imminently or in the long run.
3)   Keep in mind both the instrumental goal and the final goal, as well as various accompanying goals. In this case, the instrumental goal was getting the scholarship approved.  An example of an accompanying goal was assuring that students doing research in this area had access to scholarships. The final goal was raising the credibility and enhancing the profile of antipsychiatry.  Now by way of example, had my only concern been the immediate goal and the accompanying goal, I could have simply contributed the whole $100,000 myself and saved us all literally thousands of hours of work. Creating a matching scholarship, however, and involving many in the campaign was a way of mobilizing the community—which community, in the final analysis, are critical to what Foucault (1980) calls “the insurrection of subjugated knowledge”.
4)   Know the law or consult an ally who does.
5)   Prepare for a long haul and prepare to do a whole lot of educating.
6)   If you think at any time that you are “home-free”, think again.
7)   Be prepared for the fact that parts of the fight that seem to have been won will return in new ways, for such is the nature of hegemonic rule. Do not get frustrated. Just tackle whatever new form emerges.
8)    Do not accept the concept of impossibility. In this regard, take every obstacle in your path as a practical problem for you to solve.
9)   While working cooperatively with the organizations whose cooperation you are requesting, always be prepared to challenge and to stand your ground.  Note they will likely want you to “water down” what you are asking for—and please note, this is just not the way that revolutions happen.
10)                  If there is money that you are giving in the process, know that this gives you leverage and you should use it (if not, do spend time figuring out what your leverage is or might be—for battles of this significance are seldom won without leverage).
11)                  Identify principles held in common by you and those whose cooperation you are seeking.  Then use this as leverage, and what is even more significant, use it as a basis of solidarity (note the enormous importance of the principle of academic freedom in the saga above).
12)                  What relates to the last point, help people comprehend exactly what they are standing for in aligning themselves with this project.  In the case study, they were standing for academic freedom, they were standing for the creation of new knowledge, they were standing for liberatory knowledge; and they were standing up for equity. 
13)                   Realize that the very slowness of the process can work in your favour. The time taken gives folk with whom you are dealing the experience necessary to truly identify with the cause.  Then by the time the inevitable challenges arise from higher ups or the public at large, the people that you have spent all this time educating have become so identified with the cause, they are not simply fighting for you. They are fighting for something they have come to believe in, something that they too have invested their care and energy in. 
14)                  Be very clear what the organization as a whole gets from taking the measures that you are suggesting and help people internalize this.  In the case study just presented, note, they got money, they got the opportunity to both be moral and be seen as moral, they got the opportunity more generally to be leaders in the sense that the University of Toronto would be the first university anywhere to have such a scholarship. 
15)                  What relates to the foregoing, help people take in that they have something to lose if they do not get involved.  This sense of gain and loss and can enter in in a variety of ways.  Sometimes the issue is that someone else might get what you are offering them—in which case it starts to look more attractive.  Note how the coordinator of adult education became more interested in an adult education connection once it looked like SESE as opposed to adult education would end up associated with the award, similarly how the dean of OISE in 2006 became more committed to the scholarship once the prospect arose of it going elsewhere. Other times, it is simply the reality of losing the chance to be associated with and to be part of a wonderful and ground-breaking venture.
16)                  Hold on to evidence of agreements reached for institutional players come and go, and when they leave, institutional memory typically goes with them.
17)                  Be aware that most of the press will be lined up against you, and so begin developing a media strategy early on.
18)                  Even if you and the venture are being attacked mercilessly, never devote more than 2% of your effort to responding to attacks.  Instead spend the time getting your message out.  Note in this regard, I personally responded in writing to only one attack (in the OP Ed piece referenced earlier).  Correspondingly, I quickly summarized what was wrong with the article, then devoted the vast majority of the piece to explaining what made this scholarship vital. To put this another way, be active, not reactive.
19)                  Rally your allies wherever you can. You at once receive considerable help and what is far more significant, you turn this struggle into what it absolutely has to become —a community effort and a common cause.
20)                  Build in fun events, optimally using art and celebration.  In this regard, remember anarchist Emma Goldman’s famous remark, “If I can’t dance, I don’t want to be part of your revolution.” (see http://www.ificantdance.o rg/About/00-IfICantDance/OnEmmaGoldman)
21)                   Upfront the voices of those who will benefit from the measures being taken (note, in this case, the up-fronting of voices like the Mad Students’ Society and the voices of current students who would themselves benefit directly or indirectly from the scholarship).
22)                  Figure out what to counter and what to ignore.
23)                  Reach out to sympathetic media and create/co-create your own positive coverage.
24)                  Never let threats scare you off. The more they threaten you, the more visible/audible you need to become. Such is the nature of revolutions.
25)                  Operate on the principle that “bad publicity” is almost invariably better than “no publicity”.

Finally, keep in mind that there is a type of dialectic by which issues of this ilk operate. That is, in the very ways that the forces of hegemony go after you lies the seeds of your eventual (and collective) success. You have but to apply the moral jujitsu of principled social activism.

Concluding Remarks

My hope is that these general principles are of service to you in your ongoing work.  Whatever your counterhegemonic battle is, whether it be antipsychiatry, or prison abolition, or gender-bending, feel free to use them, add to them, share them with friends. This said, I, along with many of my readers have a special interest in their use in the war against psychiatry. May they help us reach new heights! May they help us slowly but surely turn antipsychiatry/critical psychiatry into an accepted form of knowledge.

In concluding, to return to Dr. Bonnie Burstow Scholarship in Antipsychiatry itself: I’d like to take this opportunity to thank all who joined the cause, including my ever trusty allies Lauren Tenney, Don Weitz, Peter Breggin, and Cheri DiNovo; thank you all who contributed money; all organizations who put time and effort into the venture (e.g., Coalition Against Psychiatric Assault); all the students and others who phoned people, mounted fundraisers, co-created videos, responded to critics, spread the word (e.g., Sharry Taylor, Sona Kazemi, Efrat Gold, Lauren Spring, Simon Adam, Rebecca Ballen, Mark Federman, Edward Fox, Nichole Schott, and Oriel Vargas). Likewise, a special thanks to OISE employees for your enormous support, for going the “extra mile” (e.g., Mark Riczu, Inna Hupponen, Charles Pascal, and Sim Kapoor). 

To close, correspondingly, with a timely reminder: A new stage of matching has just begun—so if interested in contributing to the cause, check out the OISE website (http://www.oise.utoronto.ca/oise/About_OISE/Bonnie_Burstow_Scholarship.html); also see https://donate.utoronto.ca/give/show/271).

References

Burstow, B. (2015). Psychiatry and the business of madness. New York: Palgrave.
Foucault, M. (1980). Power/Knowledge (C. Gordon et al, Trans.). New York: Pantheon.


Thursday, March 2, 2017

A Curse for a Cursed Profession


But a short while ago, I was slugging away on a work-related report – a dreary task that nudges the mind to drift – when I found myself wondering what I might add to the premiere launch of my book Psychiatry Interrogated, soon to be upon me, to lend it that extra “oomph.” Before I knew it, I had set aside the report and was in the midst of penning a poem – one modelled on the Victorian poet Elizabeth Barrett Browning’s masterpiece “A Curse for a Nation.” 

Now, in “polite society,” cursing is largely verboten. Let me suggest, however, that if done in the correct spirit and adroitly, cursing can be a highly useful type of anti-oppression work. How so? It can at once shed light on oppression, express the outrage warranted, and motivate action.  On top of which, it can be personally liberating. Moreover, as Browning so sagely points out, paradoxical though this may seem, it can itself be a loving act.

In Browning’s poem, what Browning was cursing was the United States. Why?  Because of the abomination of slavery. Read the poem and you will see the force, the satisfaction of “saying it like it is,” the implicit consciousness-raising, all of which made it enormously popular within abolitionist circles at the time. It was precisely with this awareness that as the day of my book launch neared, I instinctively found myself turning to her poem. 

Now to be clear, I am not intending here any kind of comparison between – let alone an equation of – American slavery and the practices of modern psychiatry. Obviously there are profound differences. Nor am I weighing in on either side of the debate that every so often surfaces in venues like Mad in America as to whether or not slavery and psychiatry should be compared. What am I doing? Approaching both as institutional oppression, just as I would approach sexism or classism. Correspondingly, I am allowing the poem to inspire me.

Nor, as it happens, am I the first antipsychiatry theorist to be inspired by this poem (nor likely to be the last). I would refer readers in this regard to psychologist John Breeding’s wondrous Jungian poem “An Anima Curse for a Profession.”

That said, what happened in the days leading up to the launch might best be described as being “taken over.” Half mesmerized, again and again I found myself turning to Browning’s poem, reading, rewriting, rewriting anew, drawing on key phrases and sections, all the while conjuring up the everyday practices of modern psychiatry. What particularly captivated me about Browning’s poem is that the very worst curse that she could imagine bestowing on the targeted oppressors is that they be themselves – that is, they continue to do exactly what they have always done.

What emerged from my labour is a poem entitled “A Curse for a Cursed Profession.” And on February 24th, at the premiere launch of Psychiatry Interrogated in the Nexus Lounge at OISE/University of Toronto, I read this poem to an audience of 200 people. It was the culmination a very different type of pedagogy in which I, as editor of the book, and four other contributors (Dr. Jennifer Poole, Lauren Spring, Mary Jean Hande, and Rob Wipond) introduced the audience to the anthology. 

As Psychiatry Interrogated is the world’s very first anthology of institutional ethnography investigations into psychiatry – itself a major achievement – there was an emphasis that evening on scholarship as we explained the benefit of institutional ethnography as a methodology and, bit by bit, laid out the findings of our various projects. An excited audience learned, for example, how it is that perfectly competent nurses lose not only their jobs but their very nursing accreditation through the everyday activation of psychiatric texts. They likewise learned how the compulsory “mental health” framing in Canadian workplaces routinely operates to the detriment of those purportedly helped.

Following the speeches was a highly animated Q&A. Then came my poem – something far less scholarly and far more visceral. From the smiles of recognition and triumph that quickly inundated the room, nothing could be clearer that that it struck a chord, hence my decision to reproduce it here.

A few words about my poem itself: As with Browning’s, the first section is a prelude; the second, the curse.  In my prelude – and this happened with Breeding too – many of Browning’s phrases and ideas are used, as is her general design. My curse, on the other hand, differs dramatically from Browning’s. This, nonetheless, remains the same: In both cases, each stanza ends with a refrain that gives voice to the curse. Correspondingly, the worst curse that I too could imagine bestowing on my target is that they be themselves. 

Which bring us to the poem:

Please accept this poem as intended – as a part of an account of a Toronto book launch, as a critique of psychiatry in a new key, as a creative way to go about activism, as a moment of inspiration. And do enjoy, ponder, change, build on, and curse as the spirit moves you.

A Curse for a Cursed Profession

I heard an angel speak last night. 
And he said: Write
Write a curse against the profession of psychiatry for me
And send it over and against the therapeutic sea.

I faltered, taking up the word.
“Not so, my lord,” I answered.
“If curses there must be, choose another
To send this curse against my brother

For I am a soul moved by love.
Love of everyone around me
Love of the vulnerable, love of the lofty
Love of everyone who is or ever will be.”

“Therefore,” said the voice, “shalt thou write
My curse tonight.
From the summit of love a curse is driven
As lightning is from the tops of heaven.”

“Forgive me, liege,” I answered. “Ever more
My heart is sore
For the sins of the modern state: For the little feet
Of drugged urchins who stagger across the street
But curse, I cannot.
Cursing is a man's job.
I a woman have only known
How the heart melts and tears run.”

“Therefore,” continued the angel,
“Shalt thou write my curse tonight
Weep and write
For a curse from the depths of womanhood
Is salty, and bitter, and good.”

So thus I wept and thus I wrote
What all may read
And thus, as was beholden on me
– For well I understood the necessity –
I sent it over and against the therapeutic sea.

The Curse

Because thou hast broken the Hippocratic Oath,
Because ye lie about science while donning its garb
And never so much as feel an ounce of shame
As ye and thy professional brethern grab ever more power and fame,
This is thy curse: Prescribe.

When others uncover thy mistakes: Cry foul!
Dismiss without consideration.
When women whom thou hast electroshocked forget who they are,
Call it progress and stand thy ground,
And when the children of women arrive early at the grave,
Having been on Prozac since age 5,
Never forget, as doctors, you do no wrong
Unlike the common throng:
This is thy curse: Prescribe.

Like Bismarck, like Attila the Hun,
Have thy arsenal always ready at hand,
With words begin, with words end.
“Schizophrenia,” call it, “bipolar,” “ADHD.”
If thou thinkest thou might later commit,
Tick “paranoid” next to “PTSD.”
Verily, verily,
Off thy tongue, let the fateful words roll trippingly.
Then before thy office the poor wretch starts to depart,
This is thy curse: Prescribe.

When thou runnest out of people here on whom thy kindness to bestow,
Like the merchants of old,
Be bold
And set sail for lands yet untapped.
How about Sri Lanka? How about Ghana? How about the Congo?
Surely they too can gain
From the white man's game.
This is thy curse: Prescribe.

And if, perchance, thou findeth thyself losing the credibility battle,
Time it will be to name the latest disease –
Prognostically speaking, the horror of horrors! -–
“Acute Antipsychiatry Disorder.”
Quick! Enter it into the DSM, ensuring that no other diseases it borders!
And as the ignorant celebrate in the noonday sun,
And as liberation rings from the mountain top,
This is thy curse: Prescribe.