Words: Yes They Do Have An Impact

People suck at talking about mental health issues. Oh sure, there are some people who have taken the time to educate themselves who know not to use “OCD” to mean “neat, tidy, type A”, but the media as a whole is just not good at portraying mental illnesses as real, serious, and illnesses rather than choices. More often than not, writers rely on a few stock phrases to describe mental illnesses. And more often than not, these phrases are misleading, reductive, or flat out wrong. There have been a plethora of examples of a few of these recently, and I’d like to highlight two that are damaging and overused.

The first one caught my eye after an odd kerfluffle involving a pair of Victoria’s Secret models. One commented that she would never have a body quite like the other’s and that she thought the other was beautiful. Not too outlandish of a thing to say: even models have some insecurities and compare themselves to other people. The response? “Accusations of anorexia”. Sorry what? Accusations? This is somewhat akin to saying “accusations of having pneumonia”. Grammatically it sort of makes sense, but in the actual ways that we understand the word “accusation” it implies some weird things about anorexia. Namely that it’s a choice, that it’s something bad or wrong, that it’s something offensive and you should feel ashamed of it.

It’s a phrase that gets bandied about fairly often, as if anorexia were some sort of character flaw that we should all be above. In discussions of “skinny shaming” (a phrase that should have its own post), naturally thin people often comment that they are accused of having eating disorders because of their body type. It makes sense that no one would want to be told they have a mental illness if they don’t. It implies that you need to change or that there’s something wrong with you. More often than not, it’s impossible to convince the world otherwise if they already believe you have a problem. That sucks. Of course it does.

But having someone mistakenly think that you’re ill is not the same as being accused of something, and using that wording does a huge disservice to people who actually do have eating disorders. It tells them that their disorder is something they should feel some amount of shame over, something they shouldn’t be open about because it’s clearly still seen as a choice or a character flaw rather than an actual illness. The phrase often perpetuates the idea that people with eating disorders are all skinny and that you can identify them on sight, because it’s most often leveled at thin people with no other evidence of an eating disorder beyond “you’re really skinny”. Very rarely is someone “accused” of having an eating disorder because they express unhealthy or damaging attitudes towards their body.

Other ways of phrasing this idea might not be quite as succinct. “Believed to have an eating disorder” doesn’t come across in nearly as dramatic a light. But it is more accurate, and that means that it’s preferable. The way we talk about eating disorders contributes greatly to the perception of them and whether or not we see them as serious. This is an extremely easy adjustment to make that can help decrease the stigma around eating disorders.

On the other end of the spectrum we have the endlessly overused phrase “battling depression”. In my Google alert for depression today alone I saw three articles that used this phrase in their title. There are probably times and places to use the word “battling” when describing someone’s relationship with depression. There have definitely been times in my life when I’ve felt as if I’m waging a war inside my own mind. But it should not be the only phrase we can come up with to describe an illness. Especially because depression is not always incredibly active in someone’s life, even if they do still have it, the phrase “battling” can be misleading about what it’s like to live with depression. Sometimes you’re surviving. Sometimes you’re struggling. Sometimes you’re being beaten up by your depression. Sometimes you just have it.

Of course it’s hard to have depression, and most people who have it end up fighting back against it in some fashion or other at some point in their life. But not all of us feel like we can do it all the time. Not all of us have the energy to constantly be “battling”, and the implication that having depression is always a battle means that if you aren’t fighting back then you’ve accepted it and you’re not trying hard enough. While depression has started to move past some of the stereotypes and stigmas that still seriously plague eating disorders, we do tend to have a single narrative about it, and it’s rarely one that recognizes the complexity of what it means to experience depression.

We rarely note the fact that people with depression live like most other people, have hobbies, sometimes enjoy themselves, have relationships, hold down jobs, have good days and bad days, sometimes let the bad feelings happen and sometimes work really hard to feel better, just like most other people. They have an additional stressor to deal with, but they’re more complicated than a single trait.

I’m certainly not proposing a complete ban on the phrase “battling depression” but for goodness sakes could we shake it up every once in a while? This is just getting to the point of extremely bad writing, and we can do better.

 

Pay Attention

There is a fairly common trope that is directed towards people (primarily young, female, white people, often those who self-harm, attempt suicide, or have an eating disorder) who engage in unhealthy behaviors that they are only doing it for attention. You’ve heard it before. “She only hurts herself for attention, it’s no big deal,”. I’ve had this trope directed at me before, and absolutely seen it directed towards my friends. I don’t like it.

 

At first glance it seems fairly insightful, and provides a reason to not give the individual the attention they want: don’t want to reward bad behavior do we? Nobody likes an attention whore, and we absolutely don’t want to feed in to their need for attention. None of us particularly want to deal with negative, difficult situations, and if you can avoid them while telling yourself that your actions are positive, then all the better. But despite the first blush appearance of good advice, this kind of attitude relies on some extremely negative premises and is actually incredibly unhelpful to the individual struggling.

 

First and foremost, this trope rests on the idea that it’s not ok to want attention, or that you’re bad if you do something strictly because you want attention. It suggests that wanting attention is an inappropriate motive, and that it undermines the entirety of an act. This is straight up wrong. Pretty much every human being in the world wants attention. It’s part of what makes us social creatures. We want others to listen to us, to hear our troubles, to help us out, to be with us, to tell us stories. This is part of what confirms to us that others care. Mutual attention is how we form relationships. Wanting relationships is good right? So wanting attention is good.

 

Interestingly enough, when someone engages in what’s viewed as a positive behavior in order to gain attention, we often praise them and give them the attention they want. Imagine the star football player in high school: if someone were to become the quarterback because they liked the popularity, we wouldn’t think twice about it. Those individuals still get the support and attention of the school and their peers. We understand in many circumstances that trying to get attention is good. So why do we use it to undermine certain behaviors?

 

The second element of this trope that kicks into play even if we do accept that wanting attention is acceptable is the idea that we shouldn’t reward someone for negative behavior. We know from little kids that if you react to someone throwing a temper tantrum, they’re getting what they want and they continue to engage in that behavior. If you don’t want someone to hurt themselves, then you shouldn’t give them what they want when they hurt themselves, right?

 

There are two elements that can be important to remember here. The first is that even if someone is being ineffective or unhealthy in their behavior, that does not mean that their motivation is inappropriate or wrong. This is something we forget a lot about all sorts of emotions. Let’s take anger for example. Oftentimes when someone gets angry and yells or breaks something we tell them that they shouldn’t be angry. However there may actually be a perfectly good reason the individual is angry. What is not appropriate is the action they undertook with the anger. So while you may recognize that someone is doing something unhealthy or inappropriate with their need for attention, you can still recognize a very real need and true emotion that needs to be addressed.

 

In addition, you can address someone’s needs without promoting or validating what you view as a negative or unhealthy behavior. For example if someone is cutting and you believe it’s because they really want and need attention, the way to deal with it may not be by getting extremely upset with them or by focusing on the cutting. You can give them attention without connecting it to the negative action right away. Asking them how they’re doing, what’s going on in their life, or simply asking them to hang out are all good ways to give them the attention they might be seeking without indicating to them that you’re doing it just to get them to stop cutting. Of course at some point down the road you may want to bring up the self-harm, but only giving attention to stop the symptom is not a good way to go.

 

If someone is desperate enough to hurt themselves, to attempt suicide, to restrict food, to purge, to do drugs, to drink excessively etc. just to get someone to pay attention to them, then this is a fairly good sign that they really do need more attention than they’re getting or that something bad is happening in their life that they need help with. Many times these techniques may be the only way they can get someone to pay attention, and that indicates that they really do need something from those around them. If someone wants attention that badly, they truly do have a problem. When we blow off people’s negative actions by saying “she just wants attention”, we seem to be saying that the problems are not real if they were motivated by the desire for attention. We are telling individuals that those desires for attention invalidate all of the very real struggles that they might be going through. We tell them that their problems are fake, made up, or not worth our time and energy. It gives us an excuse not to do anything and it invalidates all of their feelings.

 

The motivation of attention does not make something trite or unimportant. It doesn’t turn a problem into a joke. In fact it’s a good indication that the problem is real and severe and requires attention. Let’s stop blowing off the very serious problems of people we just don’t want to deal with by casting aspersions on their motivations and step up to the plate to find a healthy way to give them the attention they clearly need.