Posted at 9:05 AM on January 13, 2010
by Bob Collins
(10 Comments)
Filed under: Health, Politics
As a psychologist who often has to write evaluations of people for work or disability applications, I can tell you that there is almost no diagnosis that makes a prima facie case for disability. Churchill led the British through WWII on two quarts of brandy, several martinis and a bottle of champagne per day. Lincoln's depression was extremely severe but didn't keep him from leading the country with wisdom, grace and beauty. I thinbk perhaps the best contribution of your guests this morning is to light a fire under the mental health professions to do a much better job of educating people about the meaning of these diagnoses.9:47 a.m. - This e-mail just arrived:
The Midmorning guest's comment that 75% of men had Narcissistic Personality Disorder (NPD) was grossly in error. Presumably the guest was mislead by a published estimate that as many as 75% of the sufferers of NPD might be men, which is quite a different thing. Even that estimate may be too high, though the evidence does indicate a higher prevalence among men than women:9:48 a.m. - A caller with bipolar disorder asks, "If all things are equal, why would you pick the candidate with a mental illness?"
"Prevalence of lifetime NPD was 6.2%, with rates greater for men (7.7%) than for women (4.8%)."
(Stinson FS, Dawson DA, Goldstein RB, Chou SP, Huang B, Smith SM, Ruan WJ, Pulay AJ, Saha TD, Pickering RP, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder: results from the wave 2 national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2008 Jul;69(7):1033-45.)
I was so offended by Kerri Miller's coverage of this topic that I had to turn off the radio. Although it is very common and highly treatable, depression still has a stigma which prevents many from seeking treatment. I see Mark Dayton's openness as a role model. Yet Kerri and her guests aligned this with infidelity - "Do we have the right to know if someone has suffered from depression? How about if they lack integrity and ethics?" Wow! I see this more as akin to FDR and the press hiding the fact that he was in a wheel chair. Today we wouldn't do that with a physical disability, but we feel the need to shame someone for having a very common illness like depression.
Maybe the gubernatorial candidates from both sides of the aisle should get together and do a joint survey of Strib journos for any substance abuse and/or mental health concerns.
Abuse of political power/staff is nothing new and may or may NOT involve alcohol or mental health issues. It's often a case of attitude and ego. And actions that are at a minimum unacceptable, at worst, illegal. Big difference.
The press is in no position to place themselves above this fray? If a reporter has an alcohol issue (for instance) and is writing a story while intoxicated, am I as a consumer supposed to just give him or her a free pass and just blindly assume that their reporting is accurate?
I favor a warts and all approach. I'd go even further and require criminal background checks of candidates, as well as urine tests. After all politicians are in essence public employees, and should be subjected to the same hiring/employment requirements of police, firefighters, teachers, etc.
It was the Press that was complicit in protecting those politicians at those times in American history. We did not have the internet, Twitter, facebook, etc. It's a lot different to have 20/20 hindsight on Roosevelt and Kennedy, but it is a whole different discussion to consider the "what if" possibilities of a 21st century candidate.
As with any medical condition that can interfere with our daily lives, isn't it more important rather than knowing whether someone's suffered from it, if they've received treatment, how they responded, and if it has any effect on their ability to function on a daily basis.
If someone has been in remission from cancer for 5 years, I wouldn't assume that cancer will keep them from doing their job. So why do we assume that past treatment for things like this should automatically be a red flag? I think it says far more about how little the general public knows about mental illness rather than how well someone would be able to do his/her job.
As a psychologist who often has to write evaluations of people for work or disability applications, I can tell you that there is almost no diagnosis that makes a prima facie case for disability. Churchill led the British through WWII on two quarts of brandy, several martinis and a bottle of champagne per day. Lincoln's depression was extremely severe but didn't keep him from leading the country with wisdom, grace and beauty. I thinbk perhaps the best contribution of your guests this morning is to light a fire under the mental health professions to do a much better job of educating people about the meaning of these diagnoses.
I actually found Mark Dayton's admission of depression to be somewhat reassuring. I struggle with depression myself, but I don't believe that depression makes me a weirdo who is unfit for a public life. Hearing from Mark Dayton reminded me that I'm not alone. I can relate to him better now. He's more human. Thanks Mark Dayton!
I feel that mental health disclosure for politicians is a total invasion of privacy.
If it were to become law, it would prevent good civic individuals from serving their country. It takes a special person to run for politics. To get into the public arena to be blasted even when you're doing good, is not a job for everyone.
The health of mind and body go together. I agree with the Dr. that said the Mental Health Organization needs to better educate the public, and therefore they wouldn't be so paranoid about some politician who may have previously suffered from depression and was successfully treated.
I feel that the guests this morning have strayed beyond journalism and reporting to activism and attempts at shaping public perception and policy. I keep hearing the guests say that the public needs to be educated, and in fact one of the first two guests openly said that it was okay if a few lives were destroyed along the way in pursuit of forcing this change in the public arena. This is not journalism, this is using the tool of journalism to force change that you want. My respect for journalism as a profession at large is eroded every day, and that point is only reinforced when comments like this are made by people who are considered to be on the leading edge of the profession.
More to the point of the question, activity that is private and NOT ILLEGAL has no place in the public eye and should be above scrutiny by the media. The examples given by our guests of important figures who have been exposed by investigative journalism have all involved activity that is illegal, I have seen no compelling evidence that investigating a political figure for alcoholism or depression has shown that they are not doing a good job, only that they are not electable.
If we continue down this road, the only people that are going to run for office are going to be the "narcissistic" people that your guests are trying to expose in the first place.
One thing is for certain, a lot of qualified, thoughful, and likely humble, people will be discouraged seeking from public office.
Alison, I know several folks who fit your description who have been offered opportunities to run for varying levels of public office in recent years and have said "no thanks."
Aside from having professional (and, now, amateur reporters) tracing their every move 24/7, the thought of having every member of their immediate family being "fair game" was enough by itself to squelch the idea of running for office.
| January 2010 | ||||||
|---|---|---|---|---|---|---|
| S | M | T | W | T | F | S |
| 1 | 2 | |||||
| 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| 10 | 11 | 12 | 13 | 14 | 15 | 16 |
| 17 | 18 | 19 | 20 | 21 | 22 | 23 |
| 24 | 25 | 26 | 27 | 28 | 29 | 30 |
| 31 | ||||||