Delivered this Shabbat in anticipation of former Congressman Patrick Kennedy’s upcoming talk at RS about mental health/addiction parity and de-stigmatization. At some point during my adolescent years, my father came home with a package and presented it to my sister and me. It was a box of 1000 red pencils, each adorned with the words, “Just say no.” With the image of a skull and crossbones right beside the slogan, on each one. Never known for his subtlety, my father’s loving gift reflected the oversimplified messages he was hearing in the 1980’s, about how to keep your children safe.
By the time my red pencils ran out, scientists, educators, therapists and advocates began to discover more about struggles involving substance abuse and beyond. What does it mean to understand the role of the genetic component to addiction? Co-occurring disorders? Or that the stigma of addiction and of mental illness which can strip away respect, dignity and compassion?
Consider the complexities of genetics, co-occurring disorders and stigma, on top of the challenges of peer pressure and temptations to escape, and the presumably well-meaning Just Say No slogan can become an obstacle. The “just” makes abstinence sound simple. Originally a response to a question a young child asked of Nancy Reagan, Just Say No, makes avoidance sound easy.
If you fail to Just Say No, because perhaps you have a disease that appears to the rest of us as a choice, we blame you you for having a character deficiency. We assume your disorder is a result of your own wrongdoing, you are choosing a harmful path, you aren’t trying hard enough, we don’t want those choices to touch us, so we isolate you. You know we are going to isolate you, so you hide your vulnerabilities and those of your family. Perhaps so much so that you delay getting care. (Assuming you can afford care.) And the cycle of stigma continues.
In a nation where the suicide rate is double the homicide rate, we need to remove obstacles to mental health care. And societal stigma does not bring people to treatment.Continue reading