Not Waving, Drowning: Mental Illness and Vulnerability in Australia – Sarah Krasnostein

Quarterly Essay #85

Mental illness is so prevalent that it’s likely either you or someone you love will have lived experience. If it hasn’t impacted you personally, it probably means that it hasn’t yet, not that it won’t. 

Almost half of all Australian adults will experience mental ill-health during their lives, and almost one in five will meet the criteria in a given year. These numbers have likely risen during the pandemic. 

In this essay, Sarah Krasnostein traces the way mental illness has been managed (or perhaps it would be more accurate to say, poorly managed) over time in Australia. They outline the trauma experienced by convicts and the “increasingly lethal, state-sanctioned attempt to eradicate Aboriginal people” (a minimum of 270 massacres over 140 years, beginning in 1794!!) before exploring our asylum days, beginning with Tarban Creek Lunatic Asylum, Australia’s first purpose built psychiatric facility. 

Krasnostein evaluates our current system, where money buys you care if you’re cis, heterosexual and white, while pretty much everyone else has to fight for the scraps, if they can find any. 

What is known as “the mental health system,” for example, is really just billions of human interactions. And that is where the problems lie. 

We go down the rabbit hole of how people with mental illness are marginalised, looking at the failure of individuals, institutions and society at large. I grew weary hearing about the cascade of inquiries into the mental health system that consistently result in recommendation after recommendation that are not acted on.

We can memorise the stats and read the policies but what really stays with me are peoples’ lived experiences. You can intellectually know that people with mental illness disproportionately experience homelessness and that the ‘service gaps’ are really service chasms, but that doesn’t tell you the whole story. 

Being introduced to Rebecca, who despite being found not fit to stand trial and not guilty because of mental impairment, was imprisoned and kept in solitary confinement for up to 23 hours a day simply because there was nowhere else for her to go? Her story is going to stay with me. So is Daylia’s, a woman with a history of setting fires in order to try to gain control over her life.

The story of lived experience that stood above all others for me, though, was that of Eliza. A young woman who has survived extensive childhood trauma and is living with a diagnosis of borderline personality disorder, Eliza is now a peer worker, working to reform a system that in many ways has failed her. To say that I am impressed by her resilience and courage is an understatement. We need to be listening more to people like Eliza.

Quote I loved whose context I can’t remember but would be appropriate in so many situations

absence of evidence is not evidence of absence 

From the ‘I bet whoever approved this name didn’t give it a lot of thought’ files

The Australian Institute of Health and Welfare have spreadsheets collating cause of death called General Record of Incidence of Mortality (GRIM). 

Because there is no systems change without relational change – and no relational change without personal change – perhaps our best hope lies in a critical mass of those who are privileged by the current economic and social model following the lead of those people with lived experience and making the radical choice to normalise their own vulnerabilities – not just by refusing to participate in the stigmatisation of mental illness, but by calling out Othering in all its pernicious forms. 

There were a couple of quotes from the Correspondence section about Jess Hill’s The Reckoning that I wanted to make note of: 

Adrienne Rich wrote that when a woman tells the truth, she creates “the possibility for more truth around her.” 

Hannah Ryan & Gina Rushton

Silence and withdrawal by the many is what enables crimes by the few. 

Malcolm Knox

Content warnings include alcoholism, bullying, death by suicide, domestic abuse, drug addiction, eating disorders, homophobia, mental health, physical abuse, racism, self harm and sexual assault.

Rating: 4 out of 5.

Once Upon a Blurb

Mental illness is the great isolator – and the great unifier. Almost half of us will suffer from it at some point in our lives; it affects everybody in one way or another. Yet today Australia’s mental health system is under stress and not fit for purpose, and the pandemic is only making things worse. What is to be done?

In this brilliant mix of portraiture and analysis, Sarah Krasnostein tells the stories of three women and their treatment by the state while at their most unwell. What do their experiences tell us about the likelihood of institutional and cultural change? Krasnostein argues that we live in a society that often punishes vulnerability, but shows we have the resources to mend a broken system. But do we have the will to do so, or must the patterns of the past persist into the future?

“In our conception of government, and our willingness to fund it, we are closer to the Nordic countries than to America. However, we’re trending towards the latter with a new story of Australia. The moral of this new story is freedom over equality, and one freedom above all – the freedom to be unbothered by others’ needs. However, as we continue to saw ourselves off our perch, mental health might be the great unifier that climate change and the pandemic aren’t.” —Sarah Krasnostein, Not Waving, Drowning

The Reckoning: How #MeToo is Changing Australia – Jess Hill

Quarterly Essay #84

Jess Hill’s See What You Made Me Do is one of the best books I’ve ever read about domestic abuse. I was keen to see how she’d tackle #MeToo and have been impatiently waiting for my library’s copies to arrive so I could dive in. 

This essay traces #MeToo from its origins (before it became a hashtag), with a particular focus on how it has played out across Australia’s cultural landscape since 2017. There are examples from the media, education, politics and the legal system, all of which I’d followed in real time but which felt more overwhelming when they were explored one after the other. I don’t know that Australia’s celebrated mateship has ever felt so toxic to me.

There have been battles undertaken in courts, the media and public opinion. We’ve learned just how brutal Australia’s defamation laws are. There are powerful people abusing their power and systems supporting them in their endeavours.

Don’t get me wrong; there have been positives, like #LetHerSpeak. Conversations have taken place that were once considered taboo and there are more people visibly working towards implementing changes to legislation, processes and policies. There are survivors turned advocates who are transforming the way we think about consent and grooming, and their voices have led to others finding their own. Good things are happening.

So, why do I still feel so angry having read this essay? 

Maybe it’s about reporting a sexual assault to the police in 2017 and getting my hopes up about the positive impact #MeToo would have on the way my report was treated. Then being told that there was insufficient evidence to pursue criminal charges and subsequently learning that the investigation consisted solely of the detective phoning my psychologist to ask if I had a mental illness that would cause me to fabricate the sexual assault.

Maybe it’s about something a detective said to me a few months ago when they were trying their darnedest to dissuade me from formally reporting a series of sexual assaults (different detective, different perpetrator). No one ever gets a good outcome, they told me. Even if there is a conviction, and that’s a big if, it’s never going to be enough and what you’d have to go through to get it wouldn’t be worth it.

They talked about the things I would have seen in media (like some of the cases I read about here) and noted that they are the minority, and that I shouldn’t align my expectations with those outcomes. Even when someone reports a rape the same day and there’s physical evidence and CCTV footage, it’s almost impossible to get a conviction.They said they were telling me all of this to help me.

This is the same man who helpfully told me that my having a mental illness would be used against me because it would speak to both my credibility and character. ‘You mean the PTSD I have as a result of the sexual assaults I’d be reporting?’ The very same. Huh.

As I read this essay I wondered if the detective was right, that there’s no point in reporting. But you know what? It’s attitudes like this that contribute to silence, the antithesis of #MeToo. 

[And besides, this is the same police force whose representatives roll their eyes and pull faces at women who are reporting AVO breaches, who say that behaviour that clearly constitute breaches (written in black and white on the AVO) are in fact not breaches at all. Who write down what you say and then neglect to put it in their system so there’s no record you ever made a report. Who you have to insist write it down in the first place and give you an event number because, even though they think you’re overreacting, they don’t understand what this person’s capable of or how they may escalate.]

I’m mad because I read something like this essay and I get hopeful, but then think about all of the peoples’ experiences it doesn’t encapsulate because only some voices are heard. I want change for all of us, not just the lucky few who, let’s face it, probably shouldn’t be called lucky at all. Because they experienced what they did in the first place. Because even if they did get an outcome that looks like a win, it came at a great cost. Because being an advocate continues to cost.

In lesser hands, this essay could have been an absolute mess, but it’s not. At all. It is well written and clearly involved extensive research but, to be honest, I’d expect nothing less from Jess’ work.

It was a compulsive read. I gained even more respect and admiration for the survivors who tell their story publicly. The powers that be, political and otherwise, lost what little faith I still had in them, not that there was much to lose. I want everyone to read this essay and I want to read it again to pick up on anything I missed when I rushed through it the first time.

So, where do I currently stand on #MeToo? Despite my own experiences, I’m stubbornly hopeful. The systems still fail survivors but more and more of us are demanding change, and we’re done being silenced.

Content warnings include death by suicide (including the method used), domestic abuse, mental health and sexual assault.

Rating: 5 out of 5.

Once Upon a Blurb

In 2021, Australia saw rage and revelation, as #MeToo powered an insurgency against sexism and sexual violence. From once isolated survivors to political staffers, women everywhere were refusing to keep men’s secrets. 

In this electrifying essay, Jess Hill traces the conditions that gave birth to #MeToo and tells the stories of women who – often at great personal cost – found themselves at the centre of this movement. Hill exposes the networks of backlash against them – in government, media, schools, and in our national psyche. This is a powerful essay about shame, secrecy and, most of all, a revolutionary movement for accountability.

Everything Harder Than Everyone Else – Jenny Valentish

“There’s still a part of me that wants to be validated through doing things that other people don’t.”

Charlie Engle, an ultrarunner

In this book, Jenny Valentish introduces you to people who push themselves beyond what most people are capable of or even want to do. She interviewed endurance athletes, performance artists, a rogue scientist, bodybuilders, those who participate in BDSM, martial artists, porn stars, wrestlers and fighters.

Sometimes fascinating, sometimes sad and sometimes disgust inducing, their stories took me into their worlds. They attempted to give me some understanding of why people do things like running in heat that can melt your shoes, attempt to overcome your “notions of disgust by eating what many would consider to be inedible” or putting your body in situations where extreme physical pain is to be expected, not avoided.

Some flog their reward pathways like dopamine jockeys; some careen towards injury because of an unwillingness to slow their pace; some goad themselves on to ever-greater heights or more depraved depths; some explore new frontiers of physical pain as a form of self-flagellation; some have knitted their identity so tightly to their pursuit that they risk tumbling into an abyss if it’s taken away.

In some instances, trauma seems to have provided both the impetus to attempt the activity in the first place and the ability to endure, when body and mind are both screaming at you to stop. A need to prove something, to yourself or other people, is a motivating factor for other people. Others simply went for a run one day and discovered they loved it.

The final chapter also addresses what can happen when you have worked so hard to reach a goal and finally achieve it, leaving in its wake a void as you wonder where you go from here. I found the discussion around having your identity so closely linked with an activity or job and how difficult it can be to find your bearings when that is taken from you unexpectedly particularly relatable.

One word that I absolutely adored, which I haven’t specifically come across before, was ikagai. It’s a Japanese concept that is all about your reason for being; what gives your life meaning, worth or purpose.

Some people might read a book like this and be inspired to take up running or wrestling, but that’s not me. Although I marvel at the people who are able to push their bodies so hard, you’re definitely not likely to see me running anywhere anytime soon. Unless, of course, someone’s chasing me, and even then I’ll be stopping as soon as it’s safe to do so.

While I read some books because they mirror my life in some way, I read books like this so I can get a glimpse of what things like bodybuilding are like without having to actually do it myself.

Content warnings include mention of addiction, alcoholism, bullying, child abuse, death by suicide, domestic abuse, eating disorders, mental health, self harm, sexual assault and suicidal ideation.

If you’re squeamish, don’t want to read about the variety of animals people have eaten or what they have done to their bodies for ‘art’, or don’t want to experience someone making a mockery of COVID, maybe don’t read the second chapter.

There is also a doctor, who prescribes performance and image enhancing drugs, that I found extremely problematic. They’re speaking to the author about their blood test results here. “In fact, my immune system is so good, he says, that the coronavirus won’t stick; at which point I wonder if the phrase ‘with a pinch of salt’ ought to apply to everything.” You think COVID doesn’t have serious impacts on previously healthy people? Seriously, doctor?

Rating: 3.5 out of 5.

Once Upon a Blurb

When Jenny Valentish wrote a memoir about addiction, she noticed that people who treated drug-taking like an Olympic sport would often hurl themselves into a pursuit such as marathon running upon getting sober. What stayed constant was the need to push their boundaries.

Everything Harder Than Everyone Else follows people doing the things that most couldn’t, wouldn’t or shouldn’t. Their insights lead Jenny on a compulsive, sometimes reckless journey through psychology, endurance and the power of obsession, revealing what we can learn about the human condition.

There’s the neuroscientist violating his brain to override his disgust response. The athlete using childhood adversity as grist for the mill. The wrestler turning restlessness into curated ultraviolence. The designer who hangs from hooks in her flesh to get out of her head. The performance artist seeking erasure by manipulating his body. The BDSM dominant helping people flirt with death to feel more alive. The bare-knuckle boxer whose gnarliest opponent was once her ego. And the porn-star-turned-fighter for whom sex and violence are two sides of the same coin.

Darkly funny and vividly penetrating, Everything Harder Than Everyone Else explores our deeper selves and asks: what are your limits? 

See What You Made Me Do – Jess Hill

We talk a lot about the danger of dark alleys, but the truth is that in every country around the world the home is the most dangerous place for a woman.

If you only ever read one book about domestic abuse, please make it this one. While I’d like everyone to read it, I think it should be mandatory for so many professions, including anyone involved in the judicial system, medicine, politics, teaching and counselling.

Domestic abuse is not just violence. It’s worse. It is a unique phenomenon, in which the perpetrator takes advantage of their partner’s love and trust and uses that person’s most intimate details – their deepest desires, shames and secrets – as a blueprint for their abuse.

I thought I knew a lot about domestic abuse already. I’ve experienced it firsthand. I’ve read plenty of fiction and non-fiction books that talk about it. I have a psychology degree. I worked in a women’s refuge for a short time. Yet I learned so much from this book.

What should surprise us about domestic abuse is not that a woman can take a long time to leave, but that she has the mental fortitude to survive.

When the author introduced Biderman’s ‘Chart of Coercion’, saying there are parallels between the experiences of returned prisoners of war and domestic abuse survivors, I admit I was a tad wary. Even as someone well versed in the experience of domestic abuse, I wasn’t sure how the two would or could line up. The way the author outlined the techniques, step by step, sucked me in though. It all made perfect sense and it was horrifying, but I was learning something new and I needed to find out more.

Accompanying extensive research are stories of people who have perpetrated and been victimised by domestic abuse. Prepare to brace yourself as you read these accounts as they are invariably brutal and heartbreaking, but please don’t bypass them, even though that would be easier. (Or else you risk missing out on aha! moments, like when emotional abuse is explained as someone bashing someone with their emotions instead of their fists.)

If you’ve experienced domestic abuse yourself, you will easily recognise the truth of these accounts. If you are fortunate enough to have made it this far without being impacted by this type of trauma, know that these stories are representative of so many people’s lives. Friends, family, neighbours …

I can’t imagine reading these accounts without having a visceral reaction and if you’re struggling to ‘witness’ them on the page, please be sure to practice self care. I don’t know if what helped me will apply to other readers but each time I came across something that was too difficult, I told myself that my discomfort wasn’t even in the same ball park as the horror of actually experiencing that firsthand.

The people who have told their stories have courage beyond my comprehension and I feel we owe it to them to not shy away from their words. It’s too easy to maintain the status quo; maybe what we all need is a wake up call to spur us into action.

There’s so much we still need to do. A recent Australian survey, conducted by White Ribbon, found that

Four in ten young men do not consider punching and hitting to constitute domestic violence

Source: The Sydney Morning Herald 25/10/2020

In NSW, Australia, coercive control is not even a criminal offence. Yet. Hopefully this will change, if proposed coercive control laws aren’t squished by the powers that be. You can find Women’s Safety NSW’s proposal here.

I want people to stop asking ‘Why does she stay?’ and start asking ‘Why does he do that?’

SURVIVOR, QUEENSLAND

Content warnings include mention of death by suicide, domestic abuse, mental health and sexual assault.

P.S. There’s going to be a three part TV series in 2021 hosted by Jess Hill.

Rating: 5 out of 5.

Once Upon a Blurb

At the office of Safe Steps, Victoria’s dedicated 24/7 family violence response call centre, phone counsellors receive a call every three minutes. Many women are repeat callers: on average, they will go back to an abusive partner eight times before leaving for good.

‘You must get so frustrated when you think a woman’s ready to leave and then she decides to go back,’ I say.

‘No,’ replies one phone counsellor, pointedly. ‘I’m frustrated that even though he promised to stop, he chose to abuse her again.’

Women are abused or killed by their partners at astonishing rates: in Australia, almost 17 per cent of women over the age of fifteen – one in six – have been abused by an intimate partner.

In this confronting and deeply researched account, journalist Jess Hill uncovers the ways in which abusers exert control in the darkest – and most intimate – ways imaginable. She asks: What do we know about perpetrators? Why is it so hard to leave? What does successful intervention look like?

What emerges is not only a searing investigation of the violence so many women experience, but a dissection of how that violence can be enabled and reinforced by the judicial system we trust to protect us.

Combining exhaustive research with riveting storytelling, See What You Made Me Do dismantles the flawed logic of victim-blaming and challenges everything you thought you knew about domestic and family violence.