The Destruction of America's Mental Health Care System

The Destruction of America's Mental Health Care System

hi everybody this is stefan molyneux I hope you're doing well this presentation the destruction of America's mental healthcare system and its consequences is very powerful I believe it's going to bear watching more than once I'm really going to beg you to pay attention to this presentation and not multitask while I'm talking about this stuff if you're just listening to the audio I strongly urge you to check out the video for the graphs and the diagrams and of course if you decide to dig deeper into any of the topics I've talked about here in the PDF linked below linked in the notes to the show are hundreds of detailed primary and secondary sources on all sides of the issue which I think will serve as a valuable starting point for us to have this conversation together I really really hope this presentation is a worthy contribution to a conversation that is frankly long overdue I've touched on my own experiences with immediate family members mental health crises in my show in the past just for those who don't know my mother was institutionalized when I was in my early teens after she battled a wide variety of mental health ailments from depression anxiety paranoia and so on and she was not kept very long she was then released into the general population and it did not work out very well and the numbers of people who are impossible to manage if you're not a professional that are dumped on to the community as part of a conscious process of dismantling a very hard one mental health system is something which we I really can't overemphasize just how destructive this has been to families to communities to the peace and security of people in society so let's get in and talk about this now the Western mental health care system was the result of centuries of effort to solve a fundamentally difficult problem how to best care for addicts the mentally disabled and the mentally ill although the system was of course far from perfect it was much better than what came before or since the critics of the mental health care system in the 20th century failed to appreciate the benefits of this system especially compared to realistic alternatives they exaggerated its failures for political and idea logical reasons instead of being reformed and improved the system of custodial care for the mentally ill was systematically undermined and ultimately destroyed the result was a sort of free-range psychiatry instead of living in specialized care facilities the mentally ill are often left to fend for themselves in the streets or in jails or in the homes of family members who are not equipped to properly care for them it is a story that didn't have to happen it resulted from specific ideological beliefs that were absolutely not just unsupported by data but frankly contradicted by data and a system of care which took centuries of trial and error to develop was destroyed in just a few short decades by people who had complete fantasies about what was possible in terms of cure look there's an unfortunate reality it is a tragic reality and it's very much under discussed some it's a small portion of the population but it could be as high as 1% they simply cannot function independently they require full-time care and supervision and potentially medication to avoid causing substantial harm to themselves and to others the consequences of failing to accept this basic truth have been devastating to the mentally ill and to society at large so let's look at the hierarchy of care goals that is the ideal place to start now each stage in this process of caring for the mentally ill builds on successes of the ones that come below it and steps higher up in this pyramid become increasingly difficult to achieve and maintain so the the main purpose down at the bottom here that the bare minimum of care is that society is shielded from chaos and disorder and violence now if that has been achieved then the patient can hopefully be protected from exploitation and self-harm because if there people have their on the streets they're easy to exploit particularly if they're self-medicating through other forms of drugs or through alcohol and of course they don't take care of themselves and so on so hopefully you can achieve that now if you can shield society from violence and chaos and you can help protect the patient from exploitation of self-harm then hopefully the patient's symptoms are managed and some of them are even eliminated now if you can achieve that then perhaps there are underlying causes that can be addressed and the patient is cured and if that is achieved then potentially the patient can return to normal independent life integrated into the community the this is all very very difficult to achieve listen I am very good at helping people think clearly I've had conversations with thousands of people over the course of doing this public philosophy show over the years I've got great reports people are generally very helpful it's very helpful to have conversations with someone who can help clear up clouds of contradiction and anti empiricism anti rationality and really good at it I had no luck with my own mother no luck I mean I can't even tell you how many thousands of hours I spent trying to talk my own mother into not being crazy and it was impossible it was not possible for reasons that we'll get into as we get into here I mean in my family tree there are people who have been hospitalized there who've been suicidal hospitalized for depression and there are people who've gone through electroshock therapy I mean there's a reason why I'm really interested in philosophy which is that the alternative to philosophy often seems to be a crash particularly if you're very smart like if you have a very fast car you need to be a very very good driver or you're gonna crash free crash for sure and the amount of creativity and intelligence and my family tree is it's truly spectacular but also the amount of dysfunction and craziness is there as well so I think that it was very personal for me having seen what a rejection of rationality can do to a human mind well it's like if you grow up with an alcoholic you you don't want to ever touch the alcohol again so treatment paradigms what is what is possible so care for the mentally ill and please remember I'm not an expert here this is just data that I've gathered my own opinions I'm not trained so please everybody just don't take this as any kind of advice on what anyone should ever do these are just thoughts that I've gathered gathered over the years so care for the mentally ill falls into four broad categories the first you see it at the bottom left is custodial care so this is a safe environment with closed professional supervision now another part of the toolbox is what's called moral treatment now this is the case that if the patient is rational enough to respond to rewards and punishments the patient may benefit from religious or moral instruction and meaningful work the third is medicine and surgeries in this case the goal of course are the ideal is that symptoms abort under control via physical or pharmacological means because of course some people go crazy because they have a brain deterioration they have a tumor they have injury or something like that so that's important as well there's also sociological intervention so this is the with the goal of addressing underlying social factors which might exacerbate or provoke mental illness now if you want to address addiction to mental illness in a any kind of scalable or sustainable way you have to use tools from all four treatment paradigms there's no one-size-fits-all solution interventions which rely on a single strategy to hammer in every nail are no match for the inherent complexity of the problems that fall under the broad category of mental illness look it's been really clear about the reality of this that there are certainly evidence that some people are born with a significant genetic predisposition to mental illness that combined with environmental factors such as stress abuse sexual abuse of violence chaos abandonment neglect and so on can cause a trigger where in the dominoes of mental illness begin to fall and that is very important the fact that my mother grew up in Germany during the Second World War was not incidental to what happened to her later in life it's kind of like smoking right so some people can smoke like George Burns smoke to be a hundred live to be a hundred was fine right other people they have like five cigarettes and get lung cancer you don't know your susceptibility which is why you have to act in tomorrow man or not use violence against children not stress them out not abuse them not neglect them because you don't know they're a boys with a particular gene and if they are physically violently abused 100 percent of them become criminals but if they're not you know so you act in a moral manner because you don't know people's genetic susceptibility in the same way that you don't smoke because you don't know your genetic susceptibility to emphysema or lung cancer or whatever else might happen to you as a result of smoking so some of it there's genetic susceptibility I believe there are environmental factors that are important to understand there are physical injuries and then there are bad mental habits which we'll get into now I really want you to understand what it's like with people who are crazy I mean my mother there would be a car backfiring on the street she would believe that people were shooting at her there were there was graffiti somewhere in the neighborhood she would believe it was a message of threat for her to change her behavior she slept with a knife under her pillow she was extraordinarily volatile and violent it's a tortured tortured life and there's worse here's here's an example because this is this is real people in the real world with massive problems in Washington a homeless woman sleeps every night on the sidewalk surrounded by plastic bags filled with dirty clothes and blankets according to her she is not homeless but is actually waiting for the movie star a few blocks away a man sleeps on a park bench because he believes he is conducting a long-term socio-economic study another man sleeps under a nearby bridge and claims that his identity was stolen by federal agents in San Francisco the mentally ill wander the streets gesticulating and speaking random phrases other stop traffic and bang their heads against Street polls or lie on the sidewalk hallucinating a Texas man with a history of hearing voices and repeated suicide attempts stabbed his wife and two children to death cut out their hearts and put the organs in his pockets on his way to confess to police while in prison he later pulled out one of his own eyeballs and ate it mentally ill prison inmates have been known to attempt escape by smearing themselves with feces and trying to flush themselves down toilets these are extraordinarily dysfunctional people who are often a risk to themselves and to others and what do we do with them this is what some people live with on a daily basis now we're going to flesh out some of the more details some details about the more common forms of mental illness remember I'm just a guy in the internet do not use this for any kind of diagnosis go to a professional bla bla bla right so degrees of severity and the first thing to understand is this is just about every social phenomenon there's a bell curve with respect to sanity so in America about 4% of Americans live with a serious mental illness that's abbreviated as SMI and that is an illness or a dysfunction in the mind that substantially interferes with or limits one or more of their major life activities now the most common of these severe mental illnesses are serious mental illnesses a schizophrenia bipolar disorder or major depression now of the Americans who have severe mental illness about 1 in 10 which pulls out to about 0.5 percent of the population make up the majority the mentally ill who are homeless who are imprisoned or institutionalized right so you remember this Pareto principle a small minority of the most severe cases are responsible for the majority of difficulty in care now of course it's important to remember there's a lot of people who suffer from mild versions of some of these symptoms from time to time but these issues are distinguished by the extremities of these symptoms so again remember following descriptions just education not sufficient for any non professional to diagnose any kind of mental ailment or disease so schizophrenia this is a chronic and severe mental disorder characterized by delusions hallucinations poor executive function flat affect which is kind of an emotionless robotic tone and agitated body movement symptoms usually begin late in adolescence or early in adulthood schizophrenia is highly heritable twin studies have suggested a strong underlying genetic cause which has been supported by molecular genetic studies differences in violent tendencies among schizophrenia patients are correlated with brain imaging differences patients show a substantial gray matter deficit that gets worse as the disease progresses the majority of potential biomarkers for schizophrenia are related to the body's inflammatory response and recent evidence supports the hypothesis that schizophrenia symptoms are at least sometimes triggered by overactive pruning of brain synapses during adolescence right so you remember we're born with all this crazy constellation of joint brain synapses and one of the purpose of maturation of the brain which happens in the early 20s for women and in the mid 20s for men is to get rid of all of the useless ones right so to speak right and so if you go too far with the pruning then you lose executive function like the ability like you have like a third of a second to intercept an impulse and decide not to do something like you've ever want to just yell it so I'm going to hit someone the impulse arises the executive function says well shut it down shut it down don't do that the consequence is a bad the consequences are dire you have a very short amount of time to be able to do that and being able to restrain impulses is very important basically what civilized it's what differentiates us from the animals right or other animals I suppose so now some research has suggested the childhood trauma and parasitic infections may also play a role in the complex gene environment interactions which underlie the disease bipolar disorder now this is a mental disorder this used to be called I think manic depressive disorder and mental disorder characterized unusual shifts in mood energy activity levels and an inconsistent ability to carry out day-to-day tasks it is widely recognized by alternating manic and depressive periods lasting after several weeks right so and the manic period you will believe you're incredibly creative you can do no wrong everything you do is brilliant you don't really need any sleep you're Restless often it's logorrhea or sort of verbal diarrhea and so on and then you crash to the point where sometimes you can't even get out of bed now bipolar is also highly heritable and some of these specific genetic genetic markers have men identified now again I focus very much on the environment right so if a child is raised peacefully I believe that fewer of these genetic predispositions will be triggered and also if you have good mental habits I believe that really helps so like here's an analogy let's say you have a family history of heart disease wrong you have genetic predisposition towards heart disease now if you you know work out religiously and watch your diet and stay at a reasonable weight and so on that's going to help now you might still die of heart disease but you're doing everything you can to prevent it and that's really really important if you have genetic predisposition to alcoholism but you don't touch alcohol well you probably can end up doing okay certainly not probably not gonna die of cirrhosis of the liver and this is why in the world when I talk about good mental health habits when I talk about thinking rationally and when I talk about the the value of self-knowledge and self-criticism and being honest about your past and the people in your life and and virtue at ethics and all that this all to help people not go crazy to help people not go crazy and I believe that level of environmental influence is a very positive effect in the world now brain-derived neurotrophic factor ah okay what is that so there's BDNF it's a protein that causes certain types of nerve cells to survive and grow it is primarily located in the central nervous system it acts on brain cells and the eyes in the peripheral nervous system BDNF promotes the growth of sensory and motor neurons so BDNF supports the survival and growth of neurons along with the formation of new synapses patients diagnosed as bipolar have greatly reduced BDNF levels especially during their depressive phases so look you have a personality you have an identity and there's almost no aspect of personality that is not affected by genetics you're dealing with the person who has thoughts and opinions and control and usually a control over what they do but you're also dealing with the constellation of genetics which is kind of why it's hard to talk people in and out of things there are significant genetic roots to political beliefs which is why sometimes trying to get someone to go from collectivism to individualism from socialism to capitalism is kind of like trying to verbally convince them to change their eye color or to change their height that's why these conversations tend to be so frustrating and repetitive but we are all of us sitting on a sub structure of biology of genetics of these BDNF systems and so on and it's just a reality I mean there's this famous stories of the they think as a 19th century story the guy who got a railway spike to the head and went from being peaceful do highly aggressive some of its moral some of its I believe choice some of it can be affected some of it of course we're just sitting on a superstructure a sub structurally of biology an increased risk of bipolar disorder may also be connected to certain autoimmune diseases and who might michael cera mitochondrial dysfunction now here is very interesting so if you look down here on the bottom left for those who are just listening in I'm sorry better so here you can see a scan on the left shows a normal brain and the scan just on the right shows the brain of somewhere some for someone suffering from bipolar disorder so patients show reduced cortical thickness compared to healthy controls along with enlarged lateral ventricles cavities within the brain that contain cerebral spinal fluid now for those of you who want to leap straight over the canyon – aha 100% genetic a hundred percent biological mmm be careful be careful because look if you look at say a 40 year old man who works out four times a week right he's going to have certain BMI he's gonna have a body fat percentage she's gonna have the presence of a particular musculature and if you look at a 40 year old man who doesn't work out at all well he's gonna be flabby he's gonna be flaccid for some reason they are neck bearded and so you're gonna send you do a scan of this person's body you're gonna say Wow their bodies are totally different but you wouldn't say that that's genetic right I mean I know that there's genetics involved in how much muscle you can accumulate there are some people genetically gifted they can eat as much as they want they don't gain weight and they swell up like crazy like you know lift fafa icons of the gods when they work out a little bit I've known people like that they've kattiline they work out like me Michelin Man holding in a sneeze of the gods but if you skin if you do a scan of someone's body one a person's worked out for 20 years one person not worked out for 20 years the body's gonna look totally different but that's the result of choice to a large degree well I mean in terms of development of muscle right I mean it's so looking at these scans everybody wants to look at these scans say AHA biological hundred percent genetic hundred percent outside our freewill yeah yeah be careful be careful be careful it's very early days with this kind of stuff and we always want to err on the side of freewill we always want to err on the side of freewill because the moment we start talking biology genetics and someone people give up and what if that becomes a self-fulfilling prophecy right what if somebody says if somebody like somebody here oh I got a family history of heart disease man so so to hell with it I'm gonna drink I'm gonna smoke I'm gonna eat badly I'm not gonna exercise because you know I got a family history of heart disease so what does it matter right whereas his brother says ah man I got a family history of heart disease I better work out I better make sure my cardiovascular health is very good I better make sure I get checked out regularly no smoking no drinking no eating badly and I mean you want to err on the side of freewill and control over these things as much as humanly possible in other words until there's a hundred percent proof of genetics I'm gonna err on freewill moral responsibility good mental health habits rationality philosophy and so on right this is why I mean I don't do calls with people I say oh would you like to be told well philosophy is your answer when you want to change your eye color or regrow hair whatever I mean it's right but if you want to be in a reason equals virtue equals happiness if you want to have good mental health philosophy for me it's a hundred percent philosophy mental health good habits until proven otherwise I'm just I'm telling you that right because the alternative of saying it's environment while it's not is you're literally gonna make people insane right understand that if it is open to choice and people say it's 100 percent genetics then people are just gonna give up and you actually get to make people crazy I don't want that on my conscience I'm sure you don't want it on yours as well let's look at major depression so this is a mood disorder characterized by you know persistent feelings of emptiness endless fatigue insomnia fatigue plus insomnia is Satan's gift to the planet right because insomnia let's say if you have insomnia because you your honor the manic phase of a manic depression or you just really excited by something or whether your kid getting up early on Christmas day oh I can't sleep but it's good right because at least you can be productive you get something done but if you have insomnia plas god-forsaken fatigue you're literally like a brain clouded zombie struggling your way through the day in the night people who have major depression also have difficulty concentrating they have poor appetite and they can be a bit of a black hole for other people's moods as well major depression is moderately heritable but has a weaker genetic influence than schizophrenia or bipolar prolonged depression and chronic stress are associated with reduced brain volume especially of significant regions like the hippocampus childhood maltreatment is a significant Rask risk factor for depression and abuse also seems to reduce the effectiveness of treatments yeah I mean if you treat it like garbage you tend to end up feeling like garbage if you are treated as an empty vessel for your parents or teachers or priests convenience then you're going to grow up I think without this sense of an identity without the sense of a freedom and the value of your existence if you're used like a tool you end up feeling as empty as a tool certain genetic markers such as an overexpression of GA ta one may predispose some people to greater physiological sensitivity to stress and depression by producing these synaptic connections between two brain cells and again we've got some graphics here which look perhaps to some people like oh it's all all genetics right but again it's a choice if you look at imagine these is the muscle fibers of somebody on the Left who'd worked out somebody the right who hadn't worked out regularly you'd say okay well it's not just genetics right some choice you make here the neuron the left shows the synaptic connections between neurons in a normal brain right so on the left while the image on the right shows connections from the brain of someone with an overexpression of GA ta one which is associated with major depression now one of these is just personal anecdote time so this is not science it's personal anecdote but one of the things that I've seen crazy people do is they are desperate to put their ailments on a physical basis right so for my mom it was like she says oh I have these diseases have these illnesses I have ba ba ba ba ba ba and get into all the details because she really really wanted there to be a physical non-moral explanation as to why she had the dysfunctions that she had now some of it of course had to do it with her environment growing up some of it had to do with her choices some of it I actually believe had to do with her physical beauty which was considerable and gave her the capacity to manipulate and also gave her a strength and a power that you know when she hit 40 she literally didn't get out of bed for two weeks I'd go to school I'd come home I'd make her tea I'd leave the tea I'd come up but back to school come back putting thrust into you she just didn't get out of bed I didn't really understand it at the time it took me many years to figure out oh that's when she turned 40 right gosh you know that's the wall and certainly post wall and when she lost her beauty as we all do I mean it's it was really really harsh and some of it was that she had committed great acts of evil against against me and and the violence and so on I mean she had when I tried to get out of the the house when I was I don't know three or four years old I tried to flee the little apartment we were living in because my mom was so violent she caught me and beat my head against a heavy door to the point where I just had to go limp because I was terror fight I was gonna get a permanent brain injury or possibly even die so there was great evil in the household and I kind of understood this more when I played Macbeth in the theatre that when you do a great evil it robs you a peace of mind it robs you of security and serenity and because she wasn't religious she didn't even have a place where she could go and confess and be absolved and I think that the guilt kind of made her up as well now this is a huge huge issue and it's got a bit of a long name and a signature so with major brain disorders it's common for brain circuits responsible for self-awareness to become damaged so this results in this condition called Anacin nausea in which the patient has a lack of knowledge or insight about their disease it is not to be confused with mere denial so denial is when you kind of know something deep down but you push back against it this is like you could pass a lie-detector test you know you're sitting in a bunny suit in the middle of the highway hallucinating that space aliens are trying to take your nipples to Aldebaran for experiments with a mouse utopia and you could pass a lie-detector test as you genuinely don't have an insight about how far you've drifted from reality and ass ignosi can be easily recognized in patients with advanced Alzheimer's whose memory is impaired but they no longer remember what they've forgotten or with patients who have suffered a stroke who may be partially paralyzed and not even realize that you can say to these people you know move your right arm and if they can't see it there I'm moving in right really feels that way but they're not now a substantial proportion of patients who are diagnosed with schizophrenia or other severe mental disorders are unaware of their illness but this is an old saying when I was a kid I read it in invasion of the Body Snatcher or something like that in a book I read when I was younger it's a movie I think more than one but the idea was if you think you might be going crazy you're not going crazy like if you think it's not happening and I've heard some pushback on this but this is kind of where where things are because patients with anesthesia do not think they have a problem or mistakenly believe they've been cured they often resist medication or other forms of treatment and they show a tendency to be more violent so the way that I process this in my head so I don't know it's like six years ago seven years ago I was diagnosed with with cancer and you know I went through the usual ungodly treatments it wasn't hugely effect it didn't hugely change my hairstyle but it certainly changed my levels of energy and all that and I've got a clean bill of health I think it was last year I passed my five years I'm fine now so I'm cured now if somebody came up to me and said Steph you got to go through chemo and radiation again it'd be like why I'm cured I'm fine but that's what I want that that was that was horrible it wouldn't want to I wouldn't wish that on my worst enemy and so if you and I but I ant like it literally am better I've ever bet the blood test of it the skin I am fine but if somebody said to me sorry man you got to go back on chemo and radio radiation therapy I'd be like not in your life so if you're crazy but you believe that you're better or you believe that you're fine or go up to a healthy person and say well you know just in case you might have cancer we're gonna put you on chemo and radiation therapy but no thanks right and that's the way to sort of understand it now of course if somebody grabbed me and tried to put me into these treatment centres that I went to for cancer I'd fight tooth and nail I would consider that a violent assault upon me and an endangerment of my health right somebody tied me down and and and was gonna put radiation on me time was gonna try and tie me down and put the chemicals into me the the chemotherapy into me I would view that as an assault upon me I'd fight tooth and nail all right so that's a way of understanding if you genuinely believe that you're fine a form of treatment would be considered incarceration and brutality and an assault so brain scans show a marked difference between patients who have an awareness of their disease and those who don't and again you know that I've said this I've told the story before I'm sorry to repeat for those I'm always very very self-conscious of repeating stories because I mean I really don't like it when people do it but these are sort of collected stories that are important so with my mom I think I was about maybe 18 or so and I took it a pizzahut and I said look look I accept everything that you're saying right like you have these ailments they were injected into you and and people are have to get accept all of that now that situation creates a lot of stress being persecuted in this way creates a lot of stress so listen as a library right across the street let's walk across the street let's get a book on stress management so you can deal with the stress of being persecuted in this manner and I thought okay well that's that's about as good as I can do like that's about as far I can go into crazy land without completely compromising and she just went nuts right here like through pictures of water at me and screamed and and flipped over the the plates and just went crazy because this was accepting everything but saying she still had some responsibility to to better her position it gave her one percent responsibility which at that point you know of course I mean if you've done evil against children you start taking responsibility that looms pretty hard in your review now so the role of medication like a lot of these issues the role of medication is complex and controversial I mean this could be an entire presentation by itself and you want to check out a book by Whitaker called mad in America I've had him on the show and I'll link to those shows below there's some significant doubts like as the role of certain forms of quote mental health medication have increased so have the rates of mental health which is the exact opposite of what you would expect if they were actually efficacious so I have enormous skepticism towards this but there is some data that shows there's effectiveness right in particular so look at psychotics right truly delusional other reality waking dreams you name it Martin antipsychotic medications seem to have a positive effect on patients in many cases although those the most extreme illness rooms still require long-term supervised supervised residential care a large number of patients can live independently if required to check in regularly with psychiatric staff so these touch points allow patients to receive ongoing support and to ensure medication compliance among other benefits right so the medications of course and people will say when they're on these sort of mental health medicines that they have side effects and some of those side effects can be pretty negative and so they feel better and they don't like the side effect so then they stop taking and then they get worse but they don't know it because the disease hides them from themselves right so medication compliance substantially reduces alcohol and drug abuse self-harm and attempted suicide public disturbances physical harm to others destruction of property incarceration rates and homelessness right so the idea that like somebody who's psychotic if they're sort of out of custodial care if they're not taking their meds they're often taking something else right which is not good alcohol and illicit drugs and so on so now medication can be moderately effective at controlling the symptoms of psychosis especially violence it seems to also substantially reduce the chance that a mentally ill person will themselves be the victim of violence right so if you're psychotic and let's say you taking illicit drugs you have to go out and procure those illicit drugs you may not be the wisest person to interact with criminals with and there may be escalations based on that some medications have been criticized for masking symptoms without actually curing the underlying problem in certain cases medication may even make problems worse especially if it is taken inconsistently or combined with alcohol or other drugs right so you know let's just take a silly example I mean it's not silly to the people who are experiencing it but compared to psychosis is less serious something like social anxiety right social anxiety now you may have social anxiety and I've made this argument I've had this argument before not that I have any capacity to diagnose of course just to remind you or you might just be surrounded by really nasty people I mean if you fell into a lion cage at no one would say you just had a weird kind of catyph obeah right you'd be like oh my god I mean the line if you got to get out and in the same way it's only an irrational anxiety if you're not actually in danger if you're kidnapped you don't have claustrophobia as some irrational thing if you're in an elevator you're probably okay but if you're kidnapped in the back of a locked in the trunk of a car you know like tragically hip style then it's not a phobia you're actually in danger and so the environment might be dangerous but the environment might be dysfunctional the environment your environment might be abusive you may be surrounded by abusive people in which case right it's the old saying it's not a mark of mental health to be well adjusted to profoundly disturbed circumstances all right how do we get here now of course way back in the day mental illness was often considered to be just demonic possession right because they didn't understand genetics they didn't understand like in dr. Vincent Foley team I've interviewed him and I've got a whole presentation called the bomb in the brain which again I'll link to below so he interviewed people about their childhoods and he developed something called the adverse childhood experience score which everybody should take and get people in your life to take it it's not perfect in my view but it's a great starting point and he found that the more adverse childhood experiences you had the worst was your overall health in the long run it was dose dependent in other words the more adverse childhood experience you had the more likely in a step-by-step where you were to have ischemic heart disease to be susceptible to cancer to be promiscuous to to be a cigarette or drug abuser to be an alcoholic and so on and severe child abuse took like 20 years off people's lives I mean on average it was oh it was brutal it's one of the reasons why knowing I had the child that I had that I exercise that I maintain a healthy weight that I eat well you know all that kind of stuff because I know the risks that have been associated and it certainly could very well be the case that you know cancer there was also my mom's gift to me as well it's a very stressful childhood I'll tell you that so there was this argument way back in the day that if you had visions while you were you were possessed by by Satan you were possessed by a devil or a malevolent spirit or something like that and there would be these rituals and so on and I believe that some of the practice if you look at something like confession in the Catholic Church where you kind of cough up your sins and your evils and you're given steps through which you can absolve the more if you look at the 12-step program where and you you take responsibility you apologize to people you try to make restitution for those you've harmed or wronged these are all good things to do and they're put into a framework sometimes self helpy sometimes theological but it really does help people and one of the things that's happened of course is with the fall of religion we don't have the pressure valve of confession and absolution and restitution right if you've wronged someone then you you owe them an apology and restitution to promise never to do we don't have a framework for doing that anymore and I think that's one of the reasons why mental health issues have have built up more we don't have I mean for the very wealthy you can afford therapy right I mean I did years of therapy when I was an entrepreneur talk therapy I did like three hours a week plus I did another 10 to 12 hours of journaling and self work and so on and I had the luxury in a sense to be able to do that I was able to leave work early twice a week to go and do that and so I was in a sense quite fortunate but many people aren't so just about everyone had access to the model of confession and absolution but you know how many people can can get that kind of release now it's right so there was this problem now before the development of specialized psychiatric institutions people with mental illnesses were usually taken care of by their families now let me tell you I mean you know this if you've had any exposure to this kind of stuff who it is mr. Debra wingers character in Shadowlands it's a great movie with Anthony Hopkins sort with my mom actually she says in taking care of her a destructive boyfriend like she's just worn out exhausting it is really freaking exhausting being up close and personal but somebody who's crazy on a daily basis it it sands down your will it shaves down your spine it you become so reactive it's almost like you don't have a personality anymore like reclaiming an actual identity after growing up with a mentally ill mom was a really really tough job which is why I won't surrender it back to anyone anymore and and sort of standing in the sand blasting whirlwind face and identity erasing craziness because my mom was not quiet about it she sit corner me and talk to me for hours about her crazy theories and ideas and I'm really trapped and I'm learning how to push back against that mentally I couldn't when I was young because she just get Mailand right but learning how to push back against that gave me a very sharpened sense of detecting and pushing back against anti rationality which I hopefully am using that musculature that was imposed upon me abusively as a child for good in the world as it stands but it is so tiring it is so tiring it wears you out and you can't even get good sleep because sometimes crazy people erupt in the middle of the night and it's dangerous for your your soul and and and reason and it's you know you you can't date and and like it's really a very very tough situation because if somebody's physically ill like I don't really have some terminal illness or cancer or something like that they're still there you can have a conversation they're not trying to impose any kind of insanity on you kiss that craziness radiates from crazy people and tries to implant itself and other people by bringing the same chaos and disturbance in anti rationality and no-win situations right like with my mom there was this constant pattern when I was younger which was she would give me instructions for something that were confusing or contradictory or incomplete and I couldn't possibly win with those instructions because if I came back for the clarification what would you say I already told you right she'd get really angry that I'd come back for clarification when she'd already told me but if I just try to puzzle things through and figure out what she wants and if I get something wrong it's like oh why don't you listen right so these impossible situations were all and they do they make you crazy like it's gaslighting its total no-win situations when you they destroy your sense of efficacy and what you're good at and can achieve is the foundation of your personality so it kind of erases the base of who you are and that's why I repeat was so important why I constantly talk to people who've been through abusive destruction destructive or or violence or neglectful childhoods like go to therapy because you're like you'll have the capacity to have opinions and ident and identity and understand the importance of your own internal processes without constantly being on God like you know I've had this Pleasant experience where you're kind of sitting in a hammock or some really hyper relaxed state just letting your mind wander and I mean that's kind of who you are tracking the migration of your mind is is a foundational to mapping who you are as a human being now imagine that you're sitting in your garden and you're just kind of mulling this stuff over and thinking about your life and what you want to do and achieve MIT's you know the big zoom a big perspective stuff where we get our moral clarity and strength from and then you hear a sense you wake up and there's a giant grizzly bear like snuffling right next to you well of course immediately all of your internal musings and and meanderings and wanderings vanish and you're like please don't rip off my scalp right you fight-or-flight kicks in and your identity vanishes because you become a bear biped bald mammal trying to not die and that is very important to understand for people who have to deal with this kind of stuff right so those were their families or those who were too difficult too violent for home based care were entrusted to special Awards within hospitals and poor houses others were imprisoned or left homeless quote care in such circumstances consisted largely of isolation and restraint I can't make him better but at least we can keep them from doing violence in the community and again this is it's not the same as a sort of criminal intent right if they're crazy right and whether see whether that craziness is genetic whether that craziness results from bad mental health habits meth whether that craziness is the festering bubbling lava scolding of a bad conscience spilling over into the soul with ill historical deeds can it doesn't matter it kind of doesn't matter once they're crazy right so once someone has let's say heart disease whether its genetic whether its environmental whether it's a result of bad choices well they still have heart disease right and maybe they can serve as a warning to others if it was based on choice like 70% of ailments are lifestyle related in other words they're around freewill but once they've gone crazy it doesn't matter why at that point right so asylums emerge from the idea that at least some mental illnesses can be cured by moral treatment moral treatment now this is a quote from the University of Pennsylvania school of nursing's history of psychiatric hospitals here we go the moral treatment of the insane was built on the assumption that those suffering from mental illness could find their way to recovery and an eventual cure if treated kindly and in ways that appealed to the parts of their minds that remained rational it repudiated the use of harsh restraints and long periods of isolation that had been used to manage the most destructive behaviors of mentally ill individuals it depended instead on specially constructed hospitals that provided quiet secluded and peaceful country settings opportunities for meaningful work and recreation a system of privileges and rewards for rational behaviour and gentle kinds of restraints used for shorter periods so I mean I think I think that's important will that automatically cure well there is the mystery factor of free will there is the mystery factor of choice in these situations so in contrast to family care our small-scale efforts by local communities asylums enabled far greater levels of professional care patients could be isolated from risks and prevented from harming themselves or others staff could monitor changes in patient's condition and ensure compliance with treatment plans you know expecting the average person I mean I was a child and I cost millions of other children dealing with this kind of craziness in their own immediate environment you can't get away you can't escape you know you marry a guy and he's crazy at least you're chose to be there you have the legal right to leave your parent goes crazy you're really stuck there and it also got to tell you honestly my friends it gives you a pretty freakin chilling perception of society's lack of empathy for this right I mean there are hundreds of people in my childhood I mean I lived in three different countries hundreds of people who knew that my mother was insane and not one person ever did or said anything about it in fact I was blamed a lot of times right so in schools I got this constant refrain I still remember the teacher giving me the feedback on our test if effort matched ability you'd be an a-plus right because everybody recognized I was very smart but they couldn't figure out why I wasn't doing that well in school I did okay I passed you know and I got so I got a certainly in English and other things that I had natural ability but people were like well it's incomprehensible that given how smart you are you're not getting straight A's across the board I mean you just you just lazy I mean that was the constant refrain that I got it's like man you try living with a crazy woman you try getting homework done when she's screaming and throwing things around yeah good luck the rise of state hospitals so over time procedures and training for work at asylums became more formalized in the modern psychiatric hospital evolved privately ran hospitals in colonial America had special rooms for housing mentally ill patients as early as the 1750s the first public funding for psychiatric hospitals began in Virginia in the 1770s right is this amazing when you think about it that the issue of dealing with mental illness which goes back as far as human history does we've got hundreds and hundreds of years ago they are beginning to try and find a different way of doing it that's not just religious condemnation and so on trying to get to the etiology of the source of this these issues and so on and so when you start to fast-forward right 200 years from the 1750s to the 1950s and you see how quickly and how distractedly all of this was just wrecking ball raised to the ground people turned loose in the streets Malu we'll get to that and just go straight back to I think leftist ideology so destructive so throughout the middle of the 19th century most US states built one or more state-run psychiatric hospitals right look at this place you know this is like something out of Downton Abbey was it where their problem of course there were problems in these places and one of the basic problems is I mean for the psychiatrists and the doctors you know they're well paid and so on but just think of the orderlies like who wants to spend their life who wants to spend their life cleaning human excrement off the walls being potentially attacked having people throw food at you and and having to wrangle people who many of whom aren't gonna get better and believe that they're saying and that you're an evil person who's unjustly imprisoned them that they all believe that they're Julian Assange and you're just some evil guy and and they believe that their medication is making them sick not making the better like who wants to spend their life dealing with that for low wages right I mean it is just one of these problems of supply and demand so interesting the there were early attempts at federalization right so there's always this hot potato between local governments and centralized governments right between federal and state between federal and provincial whatever you want to call it prevent and provincial and so state and county and so on everybody wants everyone else to pay their bills right this is government as a whole right and so a land-grant bill for indigent insane persons was proposed in Congress in 1848 the bill attempted to establish federal asylums under a land-grant model similar to what was later used for universities it passed in the spring of 1854 President Franklin Pierce rightly predicted that federal responsibility for mental illness would lead inexorably to responsibility for a wide range of other social problems and vetoed the bill so this basic corruption thing right the closer the government the less likelihood there is of corruption because I mean if it's a county that's a couple of towns or whatever everybody knows everyone so if somebody's corrupt if somebody's not doing their job that could be social ostracism there can be social feedback you can you know vote someone else someone else can vote someone out someone else can run for office or whatever so when you have really really local government there's much more feedback and and control over corruption pushback against corruption the further you get away from the population the more easy it is for corrupt people to just do whatever they want right and and and of course also the less likelihood there is for anyone in particular any individual to mount a big challenge against the federal government whereas they can't easily do so against the local mayor or something like that so there's always this this think of it like bubbles in the Mariana Trench Ryan takes an hour to drop a stone down probably takes an equivalent amount of time for a bubble to come up from the bottom responsibility always wants to bubble up in the States in in layers of government so that problems can be hidden in corruption can flourish so this is the veto message that President Franklin Pierce gave to Congress now this may sound like a foreign language akin to Klingon but that's simply because the Constitution matters so little these days in America but this is his veto message to Congress and I quote I readily and I trust feelingly acknowledge the duty incumbent on us all as men and citizens and as among the highest and holiest of our duties to provide for those who in the mysterious order of Providence are subject to want and to disease of body or mind but I cannot find any authority in the Constitution for making the federal government the great almoner right arm sort of charity and generosity the great all manner of public charity throughout the United States to do so would in my judgment be contrary to the letter and spirit of the Constitution and subversive of the whole theory upon which the union of these states is founded can you imagine such a thing being said today when the federal government runs all kinds of entitlement programs and it's the great almoner of public charity throughout the United States plus of course it's not charity it's if it's coercive government funds are taken and redistributed at the point of a gun so it's not charity if it's if it's coercive so President Pierce also anticipated that the establishment of federal asylums would undermine the sovereignty of the states so the idea of course what one of the original ideas of the federal government was have it do what states can't do everything that the state can possibly do the state should do and the federal government should only do what the states can't do like fired for national defense often if foreign countries these days so he also said with regards to this principle that's issued he said and I quote I cannot but repeat what I had before expressed that if the several states many of which have already laid the foundation of munificent establishments of local beneficence and nearly all of which are proceeding to establish them shall be led to suppose as should this bill become a law they will be that Congress is to make provision for such objects the foundation the fountains of charity will be dried up at home and the several states instead of bestowing their own means on the social once of their own people may themselves through the strong temptation which appeals to States as to individuals become humble supplicants for the bounty of the federal government reversing their true relations to this Union right so back in the day the primary the government was local was was state and the federal government was like a footnote or an afterthought so he's basically saying if the federal government takes over this stuff all that will happen is the local governments will stop funding it the federal government will get too much power and everyone will start kissing the ring of the federal government and of course the other thing too is if the federal government established if the big national government establishes a standard then competing experiments stop right how is bad as progress occur how does progress achieve progress it's achieved through competition and so if the federal government says okay here's the funding here's what mental hospitals have to do here's how it's all going to work and so on then it was just like okay but if you have states all experimenting with the best way to treat the mentally ill then you know Kentucky may do something that Louisiana and thought up that really works you can transfer that right so you stopped competition and improvement and progress when you get more centralized government control now let's look at the issue of overcrowding now first of all there are many different individual diseases in the broad categories of mental illness addiction or mental disability each with their own complex causes it's easy for even experts to be overwhelmed of course right now patients with mental disorders are vulnerable to neglect or even abuse in any setting because of their centralized nature the shortcomings of mental hospitals are easier to observe than in many other settings where mentally ill people live so from the 1880s in America through the 1920s local governments around the country took the opportunity to offload the residents of local charity housing or regular hospitals under state-funded mental hospitals right so everyone's got a budget and if you can kick an incurable highly expensive crazy person to a state hospital rather than running it in your local hospital you're more likely to do that and because these people are very very difficult to manage and to work with and this of course is before any pharmaceutical solutions had arisen and they had some pretty brutal quote solutions for mental health issues which I will talk about in in a few minutes but because everyone was kicking their problem upstairs or a lot of people were you had this issue of overcrowding so with state governments picking up the tab there was a moral hazard incentive for families charities and municipalities to relieve themselves of the burden to care for a wide range of difficult cases remember it's a tiny minority of the cases that consumed the vast majority of the resources so this contributed in the state hospitals to overcrowding and it increased the proportion of mental hospital residents who were merely old sick or poor and not necessarily mentally ill now funding was an issue of course 1929 it lasted for 13 years throughout Italy until the Second World War there was this massive catastrophic depression throughout the West in particular in the United States like 25 percent unemployment and a massive expansion and explosion of socialized control of the economy through FDR but of course during the Depression because there was so much unemployment and malinvestment of resources socially nationally government receipts went down hugely people who aren't employed don't don't pay their taxes don't pay taxes right so there were massive funding shortfalls throughout the depression this caused further overcrowding right remember 1880s and 1920s people kick in all their major expensive big problems upstairs to the state institutions and then you get the Great Depression and you've got overpopulation and then you get a collapse in funding now also during World War Two in America a substantial proportion of hospital staff were drafted I just yanked out enslavement style and put into the military the debilitating staffing shortfalls resulted of course in widespread and acute neglect of patients right you got overcrowding you've got underfunding and then a massive proportion of hospital staff are drafted conditions in psychiatric hospitals during this time were used to justify legislation that would ultimately destroy the state hospital system again not perfect and the thing is to like we look at something like the War Second World War we look at of course all the massive geopolitical the destruction the Holocaust you name it right but we don't see things like this is which is everything that was destroyed or undermined because people were yanked out of the economy and forced to fight now this is all also very interesting as well this has occurred more recently with the IQ issue although it the IQ issue like people with an IQ in the low 80s around 83 or so the army won't take them because you can can't find anything productive for them to do and in fact when the army did take them they were called McNamara McNamara's morons in in Vietnam when the army did take people of lower IQ it's one of the reasons why Vietnam was such a disaster is you had troops that that couldn't be trained that couldn't make good decisions and and thought it was funny to pretend to roll hand grenades into people's tents until they eventually made a mistake and blew people up and you know people who couldn't do a call and answer not shave and a haircut two bits call an answer and just shot people random we just didn't work right but in this instance in World War two mental illness became a big issue in other ways so of course they were draft a whole bunch of people and they would give them guests and they would interview them in sulwon and a surprising number of enlistees were rejected why for mental health reasons now this began to give people a map of just how widespread mental disorders are or were at the time now of course some of these would be or Jamie Farr and mash dressing up as a woman to get out of the army some of these may be draft-dodging but some of them are because the majority the Myra streamer work were quite real so the increase in rejection rates was true mostly to rising recruiting standards rather than an increase in the rate of mental illness but the numbers made a lasting impression and of course war had become more complex as time goes forward you I mean you give some medieval peasant a stick or a sword it's one thing right but you've got trained people and how to run that tanks or advanced missile systems or fly planes or or calculate two trajectories for shelling and so on you can't and eat smarter people in the army and if you have to raise your standard so that you keep more smart people than you're gonna end up with more people being rejected for four issues either to do with IQ or mental illness now this is interesting as well sorry when I say that it always like I'm aware but does that mean the other thing is no it's all interesting but here's something particularly fascinating thousands of conscientious objectors were assigned alternative duty in mental hospitals to attempt to make up for the staffing shortfalls right so if if you really hate the war then you can end up not fighting but you can be assigned somewhere else now I'm gonna go out on a fairly stable limb here and I'm gonna say that a lot of the people who were conscientious objectors were hard leftist if not outright communists rightness they're like why would I want to fight a capitalist imperialistic war against my fellow working Cross brethren across the sea which you know I can understand that perspective to some degree but they would be I think for the most part if not overwhelmingly hard leftist socialists and and and communists right now they have a particular perspective socialism communism hard left's it's almost a hundred percent environmental you've got a class consciousness that is based upon your relationship to the means of production and so if someone's crazy it's always the system epigenetics it can't be their own personal choices it can't be a moral failing it can't be whatever right everything is environmental and if you change people's relationship to the means of production you change their entire consciousness that we're a blank slate written on entirely by economics and so when a left is too hard left is the Communists the Socialists looks at a crazy person they see not a very complex constellation of cause and effect of genetics of choice of environment of injury of illness of you name it right it's a very very complex thing to deal with what they do when they look at a crazy person is they say capitalism made them insane and so all the crazy people around us have been tortured into madness by bourgeois ownership of the means of production right that's it's 100 percents it's it's simple it's simplistic it's ridiculous with ridiculous of course right because there are lots of crazy people who own the means of production too but all of this complexity and all of this slow developed evolution of how to deal with these very tough to solve problems it's like bomb this is capitalist exploitation it's all environmental these people are victims of an exploitive and destructive economic system and it's not their fault and also if you remember if you've ever read the book by Ken Kesey of the author of the author also author of the electric kool-aid acid test but Ken Kesey wrote a book in the 60s and give us a 60s called One Flew Over the Cuckoo's Nest later turned into a very famous movie with a very powerful and dynamic Danny DeVito actually I think completely missed that sorry a very powerful the dynamic Jack Nicholson playing rpm great acronym Randall Patrick McMurphy and sorry Danny DeVito was in it with his left last tuft or two of hair and in it of course Randall Patrick McMurphy was just this you know very independent guy who rebelled against Authority and was ground down in the pecking party run by this sociopathic fascist nurse called Nurse Ratched and he eventually because he rebelled too much and and disagreed with the medication and restraints and control of the mental healthcare system Bobby ended up lobotomizing him and then the native guy got free anybody it's one of these massive criticisms of the mental healthcare system that comes I don't know what Ken Kesey's politics were but I'm gonna assume left ish and so he would say well there's no reason for people to be here they should just get free and the entire mental health care system is used to harm and destroy and incarcerate dissidents or those who question the system now of course the reality was that that was actually occurring in the Soviet Union but a lot of the psychiatric hospitals where of course there were problems still a government program government-run institution but it was a lot of trial error in society and people were doing the best they could in many ways so when you get these conscientious objectors going into mental hospitals what happens well they start reporting about all of this you know one thing that is very true about people on the Left is they tend to have good language skills good reporting skills and their expert emotional manipulators right so they'll show someone being badly treated in particular ways I mean look look at how they break down the borders in Europe by showing a drowned boy on a Turkish Beach even though his father is responsible for what caused him to drown which was getting on an overcrowded boat because he wanted to get Canada for dental care or they show to try and erase the borders in the south of the u.s. they show a father and a daughter who have drowned at least his claim that they drowned in the water I'm sure they did and somehow this means you like so it's very emotionally manipulative so when they when the leftist don't like something they just start pumping out propaganda and emotionally manipulative stuff until people just give up the ghost and hand over their freedoms so the conscientious objects who got into these environments they reported dirty and dangerous conditions there were media expose official inquiries and this further undermined any public confidence in the existing system now here are some other problems and shortcomings there were some pretty primitive and barbaric if not downright brutal treatments so many of the most popular treatments for mental during the early to mid 20th century strike modern critics as little more than the intentional infliction of brain damage in an attempt to manage or reduce symptoms although such treatments sometimes quote worked in the sense of eliminating certain aspects of mental illness most people today recoil from the destructive side effects so electro convulsive therapy and in this situation electric currents were passed through the brain to cause seizures some versions of the treatment were performed without anesthesia and involved high amounts of current many patients suffered broken bones and memory loss I actually know somebody in my family who who went through this and know that they were the same there was another one and again if you don't know these kind of shocking we can see why people were pretty appalled insulin coma therapy this was an extreme state of hypoglycemia that was induced in a patient via high-dose insulin injections often leading to a brief coma the procedure would typically be repeated many times often resulting in long-term complications like obesity and severe brain damage and of course the pre frontal lobotomy so in this procedure two small holes are drilled in the top of the patient's skull and a surgeon will insert a sharp object to sever the connections between the frontal lobes and the rest of the brain many patients experience side effects such as seizures personality changes and lethargy now you hear the descriptions of these techniques and there were others and their side effects easy to see why people would say my gosh these these are torture chambers they need to be abolished but look this was before the invention of most modern psychiatric medications and hospital staff are regularly facing the prospect of patients who were violent who were dangerous to themselves or to others and I mean if you could imagine imagine this task difficult and often thankless task of managing hundreds of patients with extreme mental illness and I think of the guy fucked out his own eyeball and a dead people who are violent I remember when I visited my mother it's not violent this was just extreme anxiety when I visited my mother when she was institutionalized I've no idea how this came about I played table tennis with a woman there while I was waiting for my mother to come and she lost and she just like folded and sobbed and like just the loss was you know again I'm like 11 or 12 12 I think something like that so that's a lot of work it's a lot of work it so there's a lot of patience and and physically it's a lot of danger to these people can become violent at the drop of a hat some of them right now of course not not all not all but at all so here's the thing so when you're looking at these kinds of people are just going to try anything they get an experiment of anything and some of these treatments did appear to help some patients you know what I think that the electroconvulsive therapy was sometimes used for extreme depression where the talk therapy doesn't seem to work diet change exercise and so they just it was like a reset and and sometimes it seemed to work and of course in the future it may be that the very strong medications that are sometimes used for mental health issues at the moment I mean from the very strong antipsychotics to the milder ones for depression and so on they may be just considered as barbaric as we consider these now in the future cuz you know from a philosophical standpoint society from a philosophical standpoint society as it stands is kind of an asylum right I mean we have crazy institutions we have crazy education we have indoctrination we have the massive transfer of resources through coercive through the cross a power of the government children are born into massive debt because of unfunded liabilities and because of national debt and so on like we have a crazy system as it stands and it's saner in many ways that a lot of the systems in the past but we have a crazy crazy system at the moment and children are dumped in daycares they are often raised by single parents single moms who have a great deal of difficulty providing the safety security and stability that the children need and but we have this crazy crazy system at the moment and of course we have entire neighborhoods falling apart and people cocooning and isolating themselves partly as a result of diversity partly as a result of stuff we'll talk about here so we kind of have a crazy system as it stands and we need a lot of reform in what it is that we do I mean it's not like burn it to the ground and start again because we've got a lot of good stuff freedom of speech for instance there's a pretty good thing a very good thing an essential thing but we have a lot of crazy and immoral elements to our society and just saying well the only problem is crazy people is not the answer you know it's easy to just dump all the insanity that society has as a whole into the crazy people and say well we don't need to change they're the ones who need to change it's like well maybe some of the insanity is a response to a crazy environment and again I'm not going full leftist environment about it all but it's easy to just say well the dysfunctional people are crazy in our system is perfect and that's not true at all so let's talk about the federalization of mental health and I'm calling this part the tale of hubris of a vanity of I would say narcissism of ideology and of a rejection of data what did these people do oh it's taken thousands of years to develop the system that we have we're just going to kick it out real quick it's just ideology we're going to over promise we're going to under deliver we're going to set up a system that goes directly against the data well it's like marriage in a marriage it was in in the West in Europe and North America was an institution that had evolved to take care of children over tens of thousands of years people are just like marriage is a prison we're gonna end it charity was incredibly complicated remains incredibly complicated it's very very hard to help people in this way the only people who think it's easy or people who've never actually tried to help anyone in their lives very hard to help you because you want to help people but you don't want to enable their bad decisions you want to give money to people who are destitute but you don't want to pay people to become destined it's really complicated to help people and the idea is I well we're just gonna have the government take trillions of dollars from one group and give it to another group and that's gonna be something it's just it's it's mad hubris that goes against all of the depth and complexity of the challenges that we face so let's get into it let's talk about Robert Felix architect the National Mental Health Act and the first director of the National Institute of Mental Health or NIH so he believed that mental illness could be prevented by early detection and social intervention so what did he say here's a quote from the dude he said if we are ever to reduce the volume of mental disease and raise the level of mental health in this country we must go out and find the people who need help and that means in their local communities as physicians we know that the environment plays a significant role in the recovery of any patient how much more so in the recovery of the mentally ill the established pattern a federal-state cooperation in general health programs as well as in the campaigns against venereal disease and tuberculosis could be applied in an attack upon mental disease mental illness is incredibly complicated it's incredibly complicated it's not just oh you have a unit urinary tract infection take these antibiotics and you'll be fine it's it's not it's not that way at all at all it's incredibly complicated and you know he says as physicians we know that the environment plays a significant role in recovery of any patient how much more so in the recovery of the mentally ill where's the data for that where's the data that proves that's no data that proves that fact the data proves the opposite in many ways in the 1946 congressional testimony Felix said and I quote by the establishment of more outpatient clinics care would be made easily accessible to members of the community at a stage were assisting can be most beneficial thereby in many cases preventing the onset of more serious and deep-seated symptoms there's this thing called the dunning-kruger effect very very important where if you don't understand something it all seems simple if you don't really understand something if you've not worked with it at this had this guy been a long-term director of a mental health facility no these guys punch it in and out of these mental health facilities of these institutions and so on he didn't bring in employees and interview them and say ok oh you've been working with these people for 30 years what can you tell me about how they could get better he doesn't bring the data he doesn't bring the studies and he brings this stuff to Congress oh we just have to do this and wave this magic wand and everyone's gonna get better and Congress has no idea this guy is professional he seems very confident he knows what he's talking about and so on and of course Congress wants more power they don't ask him any particular tough questions yeah I mean mental illness is not the same as STDs and here's the other thing too this is right after the Second World War I mean how many children had mental health issues because their fathers had been yanked off to fight and their mothers had been stressed out waiting for that Saving Private Ryan visit about the death of their father how many men had post-traumatic stress disorder as a result of endless battles and privation overseas and just look at the Bataan Death March for heaven's sakes the people who survived that had some serious issues look at the PTSD seen in mrs. Miniver a movie about the Second World War I mean just oh all we have to do is this and if we just will just put people in the community and they'll be fine I mean there's no data for that there's a reason why these people ended up at institutions now I'm not saying it couldn't have been improved of course it could we just privatized the whole thing I mean that that's how things would be improved but this idea well you know we're just gonna do this and everything's gonna be better and it's just like STDs it's really really frustrating when you especially how badly all of this came out misguided hardly ever set foot in a mental hospital and later when the disasters unfolded it's like yeah you know mistakes were made right so this Robert Felix failed to understand that there was a profound difference between mere social maladjustment and severe mental illnesses like schizophrenia when his proposals weren't lacking in specifics they often amounted to the suggestion that those at risk of mental illness received life coaching you can do it think positive I mean this is all you don't try and talk someone out of having a tumor and and some of the stuff again even if it's choice and and bad mental health habits and lifestyle related and so on by the time they're crazy you can't just talk them out of it if someone has lung cancer because they chose to smoke it doesn't mean you can talk them out of having lung cancer so Felix said essential to the effective operation of a preventive mental health program our first a population which knows what to do and is prepared to act at the first sign of trouble and next services that can give the requested help they must know why they should seek advice when they plan for retirement when they consider having a relative live with them when they prepare a child for hospitalization all these situations can lead to emotional problems if people are not prepared to cope cope with them adequately there's no specifics to any of this it's just magic essential to the effective operation of a preventive mental health program a first population which knows what to do and is prepared to act at the first sign of trouble or wait a minute if the experts in the mental health asylums or the mentally ill asylums if the experts don't know how to fix it how is aunt Jenny the Baker supposed to know how to fix it knows what to do the popular population as a whole knows what to do if if the experts don't know what to do to fix these issues how on earth is the general population supposed to new know what to do it's magic and oh of course you know they with the professionalization of psychiatric care it was considered a very very bad you see for non-experts to diagnose it's bad for non-experts to diagnose but now you see this guy says well you know everyone should just be able to diagnose and get the help that's needed to solve the problem now can you imagine if there was some plague in the land and I said I went to Congress and I said well the important thing you see is for people to recognize when somebody is ill and then get them the help that they need I mean this is it's just it's stupid stuff that people say and maybe it sounds profound amazing it's like going to a some investors and say you know my goal you see my goal is to have a business that provides essential services to customers and makes a good profit yeah can you can you flesh that out a little bit any any specifics any any actual facts it's terrible so in other words in Felix's plan all of society was to become one big psychiatric hospital and everybody needed to become an expert on mental illness and health including the mentally ill themselves such unrealistic expectations were widespread at the time and did not make for good policy to put it mildly and see how that plays out now the state hospitals in this plan in this situation were intentionally undermined now in many cases opposition to state hospitals was ideologically motivated so rather than attempting to implement admittedly necessary reforms many key players sought to just end the system outright and again it's a lot of this is lefty stuff which says well people are crazy because of capitalism and we shouldn't blame them for that in his 1962 testimony before the Senate Appropriations Committee uh-huh everybody always tells the truth when there's billions of dollars to be had the National Institute for mental health director same guy Robert Felix said and I quote if the communities will enter into cooperation with the federal government and the private foundations and agencies with the right Goodwill public mental hospitals as we know them today can disappear in 25 years and you see how crazy and absurd this all is mental illness has been a central factor in defining characteristic of human society as far back as recorded history goes so this problem this challenge that has plagued human society for tens of thousands of years this guy just puffs up his chest and says well I can end it in 25 years just give me enough money and and and of course people in Congress do they say well where's the data like you're standing here saying that you can basically eliminate mental health issues or at least public mental hospitals in 25 years where where's the data that supports such an outlandish proposition a claim like well how I use such a stone genius that everyone who struggled with these issues for thousands of years just got it completely wrong but you can just magically make it right I mean I don't even know what to say it's mad enemies of state hospitals went so far as to claim that institutionalization was actually the cause of mental illness and claimed that the mentally ill could get better if only society would set them free and let them live as they choose right right where are some people unjustly put into mental institutions absolutely absolutely but some people are unjustly put into prisons that doesn't mean you turf all the criminals loose in society of all I guess and that's you're a leftist mayor in New York or Chicago or whatever right but no I mean it literally is like saying well the only reason that people have cancer is because they're undergoing chemo and radiation therapy and so we'll just kick them out and and the cancer will disappear so critics of state hospitals decided to replace them with outpatient clinics called community mental health centers or CMHC's instead of treating patients in hospitals mental illness would be dealt with in the community in relation to state hospitals CMHC's were designed to be a separate and even directly competing system so according to ralph nader's 1974 study group report on the implementation of these community mental health centers by the National Institute of Mental Health and I quote ni MH feebly communicated the original intent of the program to state and local officials failed to coordinate to the location of the centers with other social welfare efforts made little attempt to train people for community work did not engage consumers in the planning or operation of centrist and made only the most perfunctory evaluation of the program's performance furthermore from the same study quote CMHC regulations describe no plans mechanisms nor procedures to guide Centris in determining their relationship to state hospitals no method no methods to divert potential State Hospital admissions to community mental health centers and no procedures whereby patients released from state hospitals could be rehabilitated and assisted back into the community it's a scam it's a vain glorious manipulative scam in my opinion and the brutality of just taking people from state hospitals in a sense or taking people who otherwise who have ended up in state hospitals dumping them in local neighborhoods with ill trained undirected people I mean come on I mean come on this is I mean this is absolutely ridiculous and and incredibly dangerous and as it turned out to be we'll see now this institutional knowledge is very very important so as you saw this is back in the mid 18th century right so actually mid mid yeah mid 18th century so you've got a couple of hundred years of accumulated knowledge and wisdom on how to deal with this stuff it's not perfect of course I mean I understand that but the you know if you don't live in a perfect house what would you just detonate it and and live under the trees I'm come on I mean you you you improve you fix you you you tweak you you don't just detonate the whole thing as federally-funded CMHC's haphazardly replaced state mental health infrastructure institutional knowledge that had accumulated over more than a century was lost emerging state and local-level experiments without patient psychiatric services were bypassed and undermine remember the state hospitals always wanted to get people into the communities I mean because that would be cure that would be success and it would lower their budgetary requirements but all of this knowledge is lost in the same way like there used to be these friendly societies the turn of the last century where people had life insurance they could get access to high-quality health care for an entire year for one day's wages and all of that accumulated knowledge and wisdom and community was all destroyed was all destroyed with increasingly socialized health care like all of the hard-won stuff you know it takes forever to build a house of cards it takes one toe to kick it down and this loss is I mean think of like now they've been three four maybe five generations of people who've never had a job like their family their communities almost completely dependent upon the welfare state so now what right they don't have anyone who knows how to get a job or keep a job or deal with difficult bosses or difficult customers all of that knowledge gone I mean it's absolutely brutal the Community Mental Health Act was signed by President Kennedy on October 31st 1963 less than a month before his assassination despite big promises about the program it was never designed to address the reality of mental illness in a scalable and sustainable way and of course its implementation was botched from the very beginning now the Kennedys I mean I don't know obviously what was going on in JFK's mine but Kennedy had a sister Rosemary and she'd been born with a fairly mild intellectual disability and then became somewhat difficult to manage in her teenage years and Joseph Kennedy senior right his dad was afraid that Rosemary's behavior would embarrass the family so he just had her lobotomized and she ended up rotting away in an institution and her father never reportedly never visited her again so I don't know if this has anything to do with oh well these state institutions are bad I mean they lobotomized her sister just his sister was lobotomized and then she was tucked away in these institutions Zelda Fitzgerald style or I guess Tennessee Williams sister style now here's another court other federal programs have the effect of further emptying the state institutions Medicare provided funds for the elderly to be treated in nursing homes rather than hospitals in 1972 Social Security was modified so the payments could be made to individuals not living in a hospital to encourage people to live independently Medicaid was also designed to encourage states to move people out of hospitals and into smaller facilities states could only be reimbursed for expenses of individuals were living in a facility with 16 or fewer beds and all of this was largely in defiance of the actual science so there was no scientific evidence that existed at the time to support this idea that community treatment was better than psychiatric hospitalization in fact the published research already showed that the plan to prevent mental illness with CMHC's was unlikely to work so here here's some data in 1951 over a decade before the passage of the Community Mental Health Act the Cambridge Somerville youth study used interventions very similar to those contemplated for CMHC's and found that and I quote there seems to be no significant difference between experiment and control boys in the frequency of their appearance before the crime prevention Bureau before the courts are in the number of commitments to correctional institutions if anything the experimental boys come off somewhat worse right so there was a control group of people who stayed in the institutions there was a control group of people who were supposed to get this community treatment and the boys who got this community treatment which is basically no treatment I think they came off somewhat worse so there were negative outcomes this is more than ten years before right policymakers assumed with the encouragement of CMHC advocates that most mental patients would have homes or families to return to upon release but the National Institute for mental Health's own data already indicated that many discharge patients would have no alternative but to end up in the streets I mean this is this is I mean it's crazy there's a reason why the people ended up in institutions it's either because they didn't have someone to care for them or the people who care for them were too old or too frail or too broke or too poor too stressed or too tired or too busy to do it so just dumping people out and into the community like it's not fair people have made life decisions on the basis of having a place to put crazy relatives and just saying oh well they're coming back to your home oh and your taxes aren't going down by the way either how you mean how you supposed to have a career when you've got a crazy person at home how are you supposed to get educated how are you supposed to have a life it's crazy a 1958 study of 504 Admissions assess whether a sizable proportion of psychiatric hospital admissions might be treated equally well in outpatient clinics and found that inpatient care was overwhelmingly needed inpatient care was overwhelmingly needed can temporary reports showed that nearly half of discharged schizophrenia patients failed to take medication at the most had to be readmitted to full-time care again part of mental illness a substantial proportion of mental illness is not knowing that you're crazy but genuinely believing that irrational anti rational hallucinatory thoughts that you have are genuinely real and true and factual and you believe in your hallucinations are certainly as you believe that the world is round even while the bill was still in committee experts raised serious doubts about CMHC's ability to deal with severe mental illness because they're basically saying look we can't fix them in the state institutions we can't fix them when they're put involuntarily into these institutions where we have experts where we have medication where we have treatment we can't cure them so let's dump them back with their families and they'll be fine it's incredibly abusive and destructive to the people who are mentally ill to the family members who are going to end up having their lives read and destroyed trying to manage what professionals can't fix people who are now at risk at crime and predation in the neighborhood it's you know it goes to me all the way back to this distraction it's just destruction you know the mentally ill have been used before as bioweapon so if you look at Cuba under Castro he emptied out the asylums and the prisons and dumped everyone in Florida which I guess goes some way to explaining Florida politics but you can use crazy people as a bioweapon and this idea like a lot of the hard leftist really want to destroy the Republic they really want to destroy the remnants of the free market they want to sow chaos and destruction and they want to undermine the institutions and what better way to do that than to empty out the asylums and put people in the community without a treatment plan without any authority without trained people without you just destroying communities it's I mean if you were a hard leftist if you were socialist or communist and you wanted to really harm American society as they say they want to it's hard to imagine how you could have done a better job than this so acting in bad faith proponents of federally-funded CMHC's pressed on despite the substantial evidence against their proposals they also misled decision makers in order to get the bill passed Robert Felix told Congress in 1963 that the initial funding for CMHC staffing would be mere quote seed money that would stimulate funding from local sources but advocates of the bill had already privately planned that the federal staffing subsidies should be permanent oh yeah we just need a little bit of money and we'll get it locally just to get us up and running and it's like privately nope we're gonna keep this money forever so it's a massive fraud too massive fraud we try to do that but investor assume you get significant problems architects of the CMHC program cynically calculated that once the bill was passed quote temporary funding provisions could easily be made permanent and that initial limitations on the scope of the program could be removed once their political base was big enough and IMH would be fully entrenched into the administrative state and their power would be secured a key program sorry a key proponent of the program later admitted quote a federally financially assisted system of approximately 2,000 centers would provide n IMH with the same type of political power that the postal system possessed a Center located in every congressman's district would increase the patronage power of Congress and enhance the political viability of the ni MH as the coordinating agency of this new system because there's nothing as permanent as a temporary government program well at least until the whole system crashes and collapses come up here in Canada income tax just a temporary measure put in in World War one you know just pre-measure couple percentage points on the super-rich don't worry it's just temporary so it's bureaucratic empire building and it's using its using people's hope for a cure to exploit that resources it's monstrous I believe these people are crazier and worse than a lot of the people they were pretending to manage so National Institute of Mental Health leadership believed that mental illness was caused by factors such as poverty or a lack of creative outlet so again this is back to this Marxist socialist idea that the only dysfunction arises from economic factors and the curious lay in socio environmental factors like improved education and expanded cultural opportunities community health professionals believe that mental illness could be prevented and cured through quote prevention of social inequity end quote and these sociological approaches didn't work of course they didn't work of course they didn't work even if we say that poorer people have higher rates of diabetes we don't then give them money alone and assume that that Q is their diabetes we don't just move them to a nicer neighborhood and say well now even if these things do have courses by the time they're in your system and they're in your brain fixing them you don't cure someone's lung cancer with anti-smoking programs so even if all of this was the case which it's not the strong genetic risk factors for some of these mental illnesses even if they were right the fix is still wrong maybe you can prevent it down the road but what they should have done if they really believed in their own theory and weren't just trying to in my view destabilize the West what they should have done is said well we know how to prevent mental illness so we're gonna go fix it unfortunately the people already mentally ill there's no data that it's easy to fix but we can at least prevent it down the road right so despite the accumulating evidence from failed attempts to treat mental illness through social and the Presidential Commission on mental health continued to recommend in 1978 that and I quote the national effort to reduce societal stresses produced by racism poverty sexism ageism and urban blight must be strengthened as an important strategy for primary prevention of mental illness see how far back all of this stuff goes the isms racism poverty sexism ageism if we can just get rid of racism everybody's going to be mentally healthy CMHC's engaged in basic social welfare activities instead of directly helping the mentally ill what did they do they assisted local residents with tasks such as moving or finding employment they organized community meetings and social say held workshops about family planning in published community newsletters one center led a protest in favor of a new traffic light another CMHC lobbied the city government about the positioning of a crosswalk centers for homes to quote a range of activities which can include a coffee bar films peoples theater workshops and discussion groups and many other activities now of course all of this is on the taxpayers dime and none of it has anything to do with treating or preventing severe mental illness but you see it's a lot more fun to show a movie and and have a protest than it is to deal with somebody who's psychotic or has schizophrenia or is bipolar that is difficult to deal with but making signs and chanting stupid slogans well that's just a lot more fun why would you want to get involved in the other stuff which is not not as much fun right now here's the thing too when when you for a variety of complex reasons mental illnesses are not always equally distributed among the various ethnicities and races that make up the complex tapestry of the modern West and so you know there was this flourishing of the black community that occurred in the post-war period one of the things that happened when the asylums were emptied was a lot of these people went to go and live with their families and this had something to do with a negative effect on the black community right so you've got some guy he wants to go out and start a business or and then basically you know crazy uncle Ralph comes home and and you're now caring for the mentally ill instead of running a business or or starting a school or becoming a pillar of your community right so it has a disproportionate effect on crushing the the the aspirations and opportunities of about all communities and somewhat disproportionately in the black community as well most terrible terrible stuff so these CMHC programs were quote initiated with the vague goal of promoting a more positive self-image within the area population right so again nothing measurable nothing solid nothing where you're held accountable and you can't manage what you can't measure and now let's look at some of this political bias so in the 1950s and 1960s Americans overwhelmingly by a ratio of 9 to 1 opposed allowing admitted communists to teach in high schools and colleges by contrast the majority of psychiatrists in virtually all psychoanalysts felt that communists should be allowed to teach during the 1964 presidential election hundreds of psychiatrists indulged their political biases to diagnose Republican candidate Barry Goldwater with mental illnesses ranging from narcissism and paranoia to megalomania and even schizophrenia yeah of course the same thing has happened with Trump now Goldwater was later awarded $75,000 in damages in his suit against fact magazine and its editor right now it's not easy if you're a public figure to win damages for this kind of abuse but he did and that was a good deal of money now is a really good deal of money back in the day and but here's the thing right so people still think negatively of Goldwater but you should read his his platform I mean he was he was an interesting guy and could have done some great good for the country in many ways but of course by the time all of this smear has occurred it's the same thing with Joseph McCarthy Justin McCarthy was endlessly smeared as a paranoid crazy guy who was for Cystic and monstrous and and paranoid and he won a suit against the newspaper or for for this kind of libel but doesn't matter by the time these lies spread around the world by the time the public perception is shaped let's say that a couple years down the road you win some judgment doesn't matter damage is done right so here's the fact 1189 psychiatrists say Goldwater is psychologically unfit to be President so I don't believe they ever said that about a Democrat and if you look down here at the graph I look down here at the graph right this is psychiatrists and psychoanalysts conservative to liberal bias right and so you know post Second World War period for psychiatrists it was you know 50/50 conservative to liberals and then by 1964 the Conservatives are down below 25% the Liberals are all over the place right if you look at psychoanalysts if you look at the Conservatives they almost never got a toehold the highest worse maybe 20% in 1952 by 1964 there were almost no conservatives among the psychoanalysts and lots of liberals I don't know hard to say whether that's influence of Judaism or something else it's hard to know but this is not evenly distributed and of course these are all the people who say about diversity it's really really important but if you're is a conservative we won't have anything to do with you and anyway it's right so there is a lot of political bias towards leftism in the psychiatric and psychoanalytical community now part of this of the the Communists the Socialists this is an old story called the long walk through the institutions where they said we're gonna take over just about every public institution and subvert it for the ends of socialism and communism and pretty hard to argue that they weren't successful in these two fields of psychiatry and among psychoanalysts so communist agitation – is the old rule that every institution not specifically anti left becomes progressively leftist over time it's the case yeah well very quickly so these community mental health center activity activities them are limited to the just being ineffectual or benign or feel-good or showing movies and having coffee klatches these centers regularly engaged in power struggles and turf wars with other federal with other federal state and local entities such as universities hospitals at Department's of welfare staff supported and led quote groups that work towards obtaining improved services for the members of the community and influencing institutional change in the service providing agencies and quote what's that most political lobbying for leftist cause is all paid for by taxpayers CMHC's engaged in explicitly political activities under the guise of preventing mental illness including protests and marches community organizing rent strikes voter registration administrative consulting for local activist groups and other left-wing activism so these community mental health centers became enormous left-wing patronage networks funded by the taxpayer so of course that what is told to the taxpayer is old they're it's a humane and effective strategy for treating and preventing mental illness but what were they in reality well in reality they were bases of power that left-wing agitators used to hire their friends to promote their ideals of communist infiltration and revolution and to lobby the government for even more funds so that they could expand the whole corrupt organized operation and the fad that this was used at the expense of the community in terms of dumping crazy people into it and at the expense of the crazy people well all is permitted that furthers the revenue right comrades so CMHC's encouraged their communities to think in terms of revolution centrist dissolved into chaos on multiple occasions as patients and staff alike violently seized in occupied facilities sometimes for days or weeks at a time isn't it great that we have to deal with all these problems that are round probably before you and I have a born so dismantling the mental healthcare system so while we National Institute for mental health was busy politically entrenching itself and CMHC subsidized left-wing activists in the mental health infrastructure of America was being systematically dismantled de institutionalisation was the widespread and intentional release of most mentally ill and disabled patients from institutional settings into the community it began with relatively easy cases like mild disability and moderate mental illness and ultimately progressed to virtually all patients D institutionalization was caused by a perfect storm of factors so there were legitimate complaints about neglect and overcrowding inhumane treatments and the misuse of diagnosis to punish social misfits all valid concerns not to be dealt with by dumping crazy people into the community as a whole now part of the ste institutionalization was also triggered or gained some legitimacy because of the invention of these new antipsychotic medications such as glaucoma zine this is 1953 EMA prima mean in 1955 and this spurred optimism that it was like insulin for diabetes the cure was finally at hand and this could all be soft there was of course class-action lawsuits by patients and Guardians alleging mistreatment and again remember some of this mistreatment came out of the underfunding of the Great Depression it came out of the counties kicking their most difficult to treat patients upstairs and it came out of the resulting overcrowding of state institutions and of course understaffing as a result of drafting in the Second World War so there were states that shifted their financial burdens to the federal government naturally and changing legal norms which asserted a civil right of the mentally ill to refuse treatment and to remain in their quote chosen end quote state and of course there was this false assumption that if people are dumped out of the state institutions that you know they're going to be perfectly well treated in fact maybe even better treated by the community mental health centers but they were too busy fomenting communist revolution to actually deal with people who were intractable and nobody knew how to particularly fix and you could only manage some of the destructive nature's right and this idea that something is complex as mental illness again it's just like tuberculosis well you don't need a whole bunch of TB clinics the staple of nineteenth and early twentieth century novel tragedies right you don't need this because TB or smallpox or other things polio well you've got a cure you've got a prevention you've got an inoculation you've got whatever fixes it all so we don't really need these things anymore now we've got these miracle new drugs it's gonna fix mental illness and of course there's this huge hunger for a biological explanation from immoral people so as I said before my mother who did great evil desperately wanted a biological explanation as to what happened with her life now again it's complex right she had a traumatic childhood there were lots of issues and you know maybe she had some problem with her bright oh no right but the hunger for it's just biological now of course if somebody does have a biological problem and you morally blame them like let's some guy goes in and and punches a cat right it turns out he's got a brain tumor well it would be wrong very wrong to ascribe or to judge someone morally for the effects of something like a brain tumor or some sort of brain disease or brain injury or brain damage that's monstrously unfair – morally judge someone for something that's completely outside of their control and there are those situations I believe in the area of mental health of course right you it's like when when when people get what are they call them senior moments or they get cognitively somewhat when they experience a manifest cognitive deficits when they get older can forget how they forget there are keys there or whatever right why do they park their car I mean you wouldn't just spank them because they're being inattentive I mean for some reason it's fine when children have cognitive deficits due to being children that you spank them which is completely wrong but you wouldn't blame someone who had cognitive decline in old age or you wouldn't blame someone morally for forgetting your birthday if they have Alzheimer's or something you wouldn't write it says wrong so there are the biological explanations you need to be understood but in the same way that there are legitimately people who need money because they've had bad luck and right there are other people who just have made bad decisions who want to hide in camouflage in the legitimately needy and there are people who you would not want to morally judge for their failures because their failures have significant biological or genetic roots absolutely and our sympathy our sympathy for those people is used by other people to camouflage and gain access to resources in the same way that the asylum system into the West is very often abused by people in fact the vast majority was that 97% of people who were claiming asylum in Italy were found to be they weren't asylees right so so you have this oh well we really care for these people and then other people just come swarming in and try and pretend that they are those people so that they can get access to the same resources and separating the wheat from the chaff so to speak is really really complicated so this is great hunger for Biological explanations so people can just say well I mean not my fault it's just a biological thing I didn't do anything wrong I don't have to apologize to anyone I don't have to make restitution I don't have to admit fault I don't have to admit that it did something evil I don't have to admit that I beat children so we have to understand that this is great hunger for this and so if you're an abusive parent like let's say you you you you basically mentally or physically torture your child into going crazy but you can have a great hunger for the biological explanations well you know it's just a chemical imbalance in the brain you just got to take this medication because you don't want to admit that you tortured your child into dysfunction of course not you don't want to make amends you don't want to apologize you don't want that to come out you want to play the victim oh you know like some mysterious ailment struck my child and you know I want sympathy and we're gonna get him help and you know it's got a medical issue there's a great hunger for that because the alternative of admitting moral faults and improving is pretty unpalatable for nasty people and not all not all of it I understand it's complex but anytime you have sympathy for a group right the people who come across the border oh if you bring children in the south of America right southern border oh if you bring kids you get okay so they just bring a bunch of kids oh yeah these are my kids a lot of them out there are kids racist whenever you whenever a bad nasty exploitive manipulative people whenever they perceive a great wellspring of sympathy in society they camouflage themselves to be the legitimate recipients of that sympathy when they're not and this manipulation is a constant constant factor in human life so there were a lot of pressures on the system a lot of pressures on the system so from its passage in 1965 medicaid explicitly excluded funding for mental health institutions which encourage states to empty their mental hospitals in favor of programs paid for or reimbursed by the federal government right so if federal government is finding these community mental health centers and you're not getting funding for your state institution and you you know you believe all the propaganda and you've cost you have a huge financial incentive to do so then you say oh well we're gonna take all of our patients that were paying a huge amount of money to manage we're just gonna drop them in this community to mental health centers which are paid for by the feds and we're gonna save a fortune again these problems go back to I mean I hate to say like the distortion of incentives because it sounds really cold and and and huge numbers of people suffered enormously under this system and situation but terrible incentives produce terrible outcomes human beings do respond to incentives and if you're basically charging people to care well for mental patients and you are subsidizing them dumping them in the streets well guess what the existence of federal funding for mental health created a problem of the Commons that had not previously existed so individual states could quote cheat by shifting their state expenditures for mental health on to the federal government now this go back to may seem like a while ago we started President Pierce had vetoed this a hundred years before this is how people end up on the streets as state hospitals hemorrhaged patients nursing homes and assisted living facility stepped in to fill some of the void and cash in on all those Medicaid funds standards of care in nursing homes were often lower than in mental hospitals as shown by increases in death rates and patients who were transferred of the patients who were transferred there many former patients fell through the cracks and became homeless nursing homes intentionally misdiagnosed mentally ill patients to keep their Medicaid funds flowing to remain eligible for funding they had to keep their proportion of mental patients below fifty percent at least on paper so the way you just reclassify them right that's that's important now this release I'm gonna go slightly out on a limb here but you know forgive me if you'll just follow me for a minute or so so this subversion this release of crazy people into the society is you know this is this infiltration of leftists into the psychiatric and psychoanalysis not a DAB and so here January 10 1963 congressman Albert s her along jr. Florida read a list of the quote 45 communist goals to take over America into the Congressional Record the list was derived from a great researcher cleon's Cowens book the naked communists and here's one related to what we're talking about and i quote this is from the congressional record treat all behavioral problems as psychiatric disorders which no one but psychiatrists can understand or treat dominate the psychiatric profession and use mental health laws as a mean of gaming as a means of gaining coercive control discredit the family as an institution encourage promiscuity and easy divorce emphasize the need to raise children away from the negative influence of parents seems to have worked now throughout the 1960s and 1970s a series of federal and Supreme Court decisions undermined the moral legal and financial legitimacy of the mental health care system the standards for involuntary commitment changed from needs treatment to danger to self or others it's a very very big difference danger to self or others really tough to establish needs treatment is that kind of crazy in practice this often meant no means that mentally ill individuals must have committed a crime or attempted suicide before they can be admitted right you need evidence mental patients were granted a quote right to treatment meaning that psychiatric facilities had to actively administer treatments and could not merely hold patients and supervise to care asylums could no longer simply be a safe haven for the mentally ill in practice many patients who were difficult or expensive to treat we're simply discharged right so let's say somebody's dated a girl whose father was put into a section such home for incurable strike back we actually call things for what they were so it's more expensive to give someone continual treatment than it is to just say look you're crazy we're gonna give you a comfortable place with a nice garden and and you're probably never gonna get better like like Syd Barrett from from Pink Floyd writers who want to think you the founder of Pink Floyd the subject of the great songs shine on you crazy diamond pot 1 through pie or whatever it is well he went crazy and was incurable live with his mom I don't know if it was drugs or something else but a lot of drugs and you died recently and you couldn't couldn't be cure it couldn't be couldn't be fixed and so those people I mean you can provide a safe haven for them I suppose but it's more expensive to treat them but when you have a right to treatment it means that the more expensive and more chronic long-term problem patients you discharged them institutions became required to use the quote least restrictive alternative when treating people with mental illnesses this meant that a patient could not be institutionalized if medication or outpatient services could even plausibly or possibly help them and see these new legal precedents were based on two foundational assumptions that empirically in factually are frequently false and it's kind of important when you get this stuff wrong so the assumption is that people with severe mental illnesses number one know that they are ill and number two want treatment and help so if you know that you're ill and you want treatment and help then there's no need to treat you against your will right like when I wanted one I mean I didn't want but I was willing to accept chemo and radiation I know some people say it's bad but I'm just gonna go with majority opinion on this so nobody had to force me to be treated I knew I was ill and oh I had cancer I'd be you can see the scar here big giant lump on my salivary gland and I wandered the treatment because I wanted to not get sick again I wanted to live so nobody to force me but as we talked about earlier one of the things that happens in many cases of severe mental illness is the person no longer believes that they're ill they don't believe they're ill and they believe that any kind of treatment is is bad for them is making them worse right it's it's false and this is what happens when you you have some crazy ideology rather than you're just just dealing with the facts of the matter the facts of the situation because if you start looking at the data you realize there aren't any easy fixes and you can't just rip off the payer and lie to Congress in order to find your commie revolution it's a little harsh but it's true now the government also set minimum staff to patient ratios and what does that mean well it means you have to have obviously have you know I don't know what it was three three patients five patients and for every staff right so as you increase the number of patients you have to hire more staff so when you set this again this is like Obamacare said doesn't apply to people who are part-time Obamacare mandates don't apply to people to a part-time so a lot of people just gun shifted to part-timers just change things right oh we're gonna raise the minimum wage okay and we'll just find a few people and we'll it automates right you get those big giant tablets ordering screens and McDonald's right and then those jobs ain't gonna come back right so it's it's just low amount unintended consequences so if they're gonna set high staff to patient ratios just get rid of patients rather than hiring more staff and you make a lot more money that way it's terrible and CMHC's did drop the ball frankly so in the 1970s community mental health centers were supposed to be caring for patients being discharged by state hospitals but they weren't only a tiny minority of CMHC patients came from state hospitals even though the hospitals were discharging massive numbers of patients I remember when this will happened in Toronto here most of the issues being dealt with by the CMHC's were minor mental health problems like societal maladjustment or neuroses a substantial proportion of CMHC patients weren't diagnosed with any mental disorders at all these quote patients were mostly people with life problems rather than acute mental illness or substance abuse as had been originally promised I'm down many CMHC's engaged in fraud abuse of trust and misuse of federal funds a popular and seldom punished scam during this time was to claim funding to build a CMHC and then do something else with the fence or sell the facility to a private company at a profit oversight and enforcement of regulations continues to be a challenge today so this community-based psychiatry psychiatry paradigm it was kind of like an attempt to replicate the services of a psychiatric hospital but somehow translated into the scale of an entire community it's really expensive and it just plain doesn't work I mean most of the outpatient clinics didn't even bother to try and deal with the hard cases and millions of society's most vulnerable people have been left to fend for themselves or they've been dumped into the uncertain and stressful care of family members who are overwhelmed and at a loss and they're not being funded right you've got some crazy person moving into your house it's more expensive you can't work probably nobody's funding that for you everybody else is making a ton of money in this scam all the bureaucrats and the people there but you're just being I mean it's still a problem at this a scam where you say oh I'm gonna build a community mental health center and you and you get a bunch of funds and then you actually just build a motel and sell it to a developer and there's no community mental health center in the community but people believe there is so the state hospitals say oh you from the same neighborhood well here's this community mental health center there and they show up at a motel believing that they're being encircled by bats like rocks around Saturn and there's no help for them now there was of course recognition that some significant damage was being done so in an attempt to re-establish some state authority for mental health the Reagan administration switched to block granting CMHC funds to state governments but of course the damage was already done the bureaucracy was in the fix was in state control Authority and responsibility for treating the mentally ill was fully undermined and dispersed by 1981 there were 11 major federal departments and agencies administering 135 programs that had something to do with mental illness or disability but little if any coordination between them again fiefdom zan power and money and prestige and no or little actual help for crazy people who need support and money nursing homes and boarding care facilities are I frankly pissed poor substitute for state mental hospitals now they're geographically dispersed and subject to virtually no oversight and so they have many of the same patient care problems as the mental hospitals did but with no real help of fixing them right so this is what happens when you gather together the mentally ill into a centralized facility then the problems are easy to see and obvious but when you scatter them into the community they become much harder to see in there aren't reporters running around with photos and expose and so on so scatter disperse and hide the privatization of profits and public expense has exacerbated corruption of state governments owners and managers of private nursing homes and boardin care facilities spend lavishly and lobbying at the state level to keep Medicaid and other money flowing their way and now we can look at the bare numbers of the entire systems collapsed the system of mental health care that have been painfully developed over centuries collapsed in a few short years this graph from 1934 to 2000 the top lighter gray is all mental hospitals the dark gray below estate county and city mental hospitals and as you can see the rate was cooking in aggregate 550 a little north of 600 per 100,000 and then starting in the 1950s it collapses to virtually nothing by the 1990s the average length of stay in psychiatric hospitals declined from six months in the early 1960s to only 15 days by the early 1990s the number of psychiatric hospital beds per capita is down 90 percent from 400 per 100,000 a fewer than 40 per 100,000 where did all of the discharged psychiatric patients go they didn't all get better they weren't all magically cured by psychotropics I mean a lot of them don't even know that they're ill a lot of them believe that the cure is a poison where did they go there is an answer and the answer is about as bad as you can imagine we'll get to that in a moment so this is capacity for care this is as of 2014 so the u.s. now trails other developed countries in the number of available psychiatric care beds per 100,000 people so the red bar sort of right in the middle of this chart is the OECD the Organization for Economic Cooperation and Development member average and way down there on the bottom the black arrow points out the US near the bottom of the list now Japan and other loci low crime countries like Belgium and and Switzerland and the Netherlands uh near the top of the list hmm isn't that interesting so Japan has a great deal of psychiatric beds and very low crime Belgium the Netherlands Switzerland very high availability of psychiatric beds and very low crime rates that's very interesting there is in fact a strong inverse correlation between the countries available psychiatric beds and its incarceration rates so the greater a country's capacity to care to genuinely care for its mentally ill the fewer prisons it needs well until immigration changes that let's look at duration of care the u.s. also trails other developed countries in the average length of stay in psychiatric hospitals note again how the US trails lower crime countries like Japan if you look over there on the right Japan is very high and Israel Greece Korea and so on lower crime countries now this is not one-to-one there are a number of other factors regarding crime and I've got the truth about crime as a presentation here but this is a very important correlation so re institutionalisation this is very important so let's look at this graph in just a little bit more detail so the top bar the straight line that the solid line is aggregated institutionalisation right so that's mental hospitals plus the prison and jail rate so this is mind-blowing when you when you sort of understand this and I'm sure you get it so if you look at the prison and jail rate that's the one at the very bottom it's quite low and relatively stable until people get kicked out of mental institutions get basically thrown out onto the street and fingers crossed come back and see me sometime and what happens as the mental hospital rate institutionalization declines there's a crossover there's a bit of a delay and then what happens is the prison population goes up enormously and so you can see on the top right of the graph the aggregated institutionalization rate is back where it was slightly higher than in 1934 and this is per hundred thousand so it's not population related so all that's happened is you've taken people out of institutions where they were being cared for for their mental illnesses put them out onto the street where they generally often end up back institutionalized but not in a country-club setting where they can get the appropriate therapy and and care and medication and peace and quiet note you've taken them out of the mental institutions and you put them into prison it's all that's happened and once you understand this chart you understand why this is such an important issue it was just a transfer and how brutal a transfer it was and imagine how many prisoners are driven crazy by being incarcerated with people who have severe mental illnesses as the institutionalization accelerated and former psychiatric patients were discharged into their communities on mass what happened well homelessness crime and drug abuse surged now people didn't really understand the root cause of this increase in chaos and so what happened was you got this tough-on-crime staff so many Americans said while crime is exploding crime is going through the roof let's throw P as a reposed to saying well let's review these crap community mental health care centers and let's get back to what actually worked you can see what worked when the institutionalization rate was high in the state hospitals the incarceration rate was low so people said well we've got to just throw a bunch of people in prison because crime is going through the roof right so this heavily dashed line u.s. psychiatric institutionalized rate in institutionalization rate we saw just a few slides ago it starts in the nineteen thirty says you can see between 500 and 600 per 100,000 Falls to around 50 per 100,000 by the year 2000 the lightly dashed line total u.s. incarceration rate starts in the 1930s around 200 per 100,000 rises to over 800 per 100,000 the solid line on top this total aggregated institutionalization rate institutionalization rate all psychiatric hospitals prisons and jails combined so it's a mirror image it's a mirror image now of course a lot of the I imagine a lot of the psychiatric hospitals which has some of the most severely mentally ill people maybe but yet but probably gender segregated in which case people aren't out there having lots of babies and inflicting mental health chaos on the next generation harming people scaring people hurting people spreading dysfunction and chaos in community this is some this is brutal and of course the war on drugs too if you let a lot of people who are mentally ill you kick them out of their secure environment you they're out on the streets there's going to be a demand for self medication there's going to be a demand for drugs there's going to be a demand for alcohol there's going to be increased dysfunction prostitution theft theft rights I mean you can sell things that you steal that only about ten percent of their value so if you have a $400 a day drug habit you have to steal four thousand dollars worth of stuff just to pay for your drug habit or you become a prostitute which fuels massive profits to organized crime in general so just look at this this is appalling and horrifying people who are mentally ill are not evil they're not criminals but if you take them out of the environment that worked for them because you have weird leftist indoctrinated bullcrap ideas about the cause of mental ailments turn loose on the street this is say a weapon against the stability of the society you live in this is taking people exquisitely vulnerable often dangerous releasing them into the general population where they commit horrendous crimes a lot of times self harm harm to others and think of the destruction of neighborhood property values think of crazy people having kids and dropping them in school with those kids then may end up bullying other kids just think about the wall that it's broken between the mentally ill and the general population cutting a hole in this wall removing this wall this barrier between the crazy and the sign and the same it doesn't make the crazy people saying but it sure can make the same people crazy this is a weapon if this had been inflicted by a foreign government it would be considered an act of war so let's look at this relationship institutionalization versus crime so the top dotted line starts on the top is the homicide rate per 10 million persons this is from 1934 again to 2000 and the solid line is this aggregated institutionalization rate this is the combination of mental incarceration so to speak and prisons and jails and as you can see of course as the aggregated institutionalized in institutionalization rate falls in the mid 60s the homicide rate explodes and then as the aggregated institutionalization rate begins to rise in the panic of the late 70s and the early 80s you know when New York City was a dystopian nightmare inhabited by snake Plissken and guys with machetes for arms then the homicide rate began to fall and this is right so the decrease in aggregated institutionalization rate corresponds almost perfectly to the crime wave of the late 1960s that lasted until the early 1990s so as psychiatric populations were discharged into the general population the crime rates went through the roof and then the crime rates only began to fall again when the mentally ill began to be reinstitution alized again not in hospitals but in jails and prisons so this data if you understand that the crime wave of the late 20th century is is comprehensible right because it gives us also gives us insight into the origins of the war on drugs so before the institutionalization many addicts were institutionalized to one degree or another but by the early 1970s a lot of them were on the streets and so when they're on the streets you get demand for drugs you get crime waves to pay for these drugs the combination of rising homelessness epidemic crime rates and increasingly public addiction problems you know prompted this prompted this public outcry to to do something now unfortunately as is often the case it wasn't like the mental health professional said whoops we made a terrible mistake now they do something was a massive war on drugs rather than giving the addicts or the mentally ill the help that they desperately needed really needed and they used to get I mean it's it's appalling stuff this is appalling stuff now I understand I understand people are gonna say and it's a fair question correlation does not imply causation so how can we be sure that it was the discharged psychiatric patients that were actually causing this crime wave were largely responsible for this crime wave can we prove that there is a clear relationship the one that's shown on this graph between institutionalization and homicide can we prove that this relationship is more than a coincidence I'm glad you asked yeah the mentally ill on average I can't judge individuals they do commit more crime right so yeah maybe the correlation isn't causation but this proves causality again sources to all of this below you can check it out individuals with schizophrenia or bipolar disorder are three to six times more likely than average to commit violent crimes now again we were talking remember about the Pareto principle that a small minority of people in society caused massive amounts of chaos expense and often violence a long two to dnal study which followed 11,000 subjects for 26 years found that men with both schizophrenia and alcoholism were 25 times more likely than average to commit a violent crime now schizophrenia plus alcoholism in the past the schizophrenic would be within the confines of a mental hospital and therefore they would not have access to alcohol which would reduce their violence even within the mental hospital you put them out on the street schizophrenia plus alcoholism 25 times more likely than average to commit a violent crime in another study covering a 22 year period the presence of a major mental disorder increased the odds of criminal conviction by nine times four man and by 23 times for women I'm gonna give this again this is really really important the presence of a major mental disorder increased the odds of criminal conviction nine times for men and twenty-three times for women it's not 9 percent it's not 23 percent it's nine hundred percent and twenty three hundred percent increase do you see what I mean when I when I say that the mentally ill when released into society are a kind of weapon and I have great sympathy somebody's suffering from schizophrenia and alcoholism I mean that is not a fun life a great great sympathy for such suffering absolutely it's not evil it's not a moral issue but if you remember way back to that sort of pyramid of how you help society the first thing you have to do is restrain the chaos and the violence that the mentally ill can exact within society most murders of children are committed by people with psychosis and of course a lot of the mood majority of them are women the strong inverse relationship between the number of people in prison and the number in psychiatric hospitals was noted as early as 1939 these results were replicated with US data in 1991 now in a free-market situation in a free situation people are really freaking out about this kind of stuff there would it be an immediate review of policies and procedures and for but you know once the bureaucracy gets entrenched and once the lefties get control of these community apparatuses in Heaven's so this is known this was known from before the Second World War do they change course no I think it's because the hard leftists in the Communists this is the chaos and the violence and destruction that they want and then somehow they're gonna blame this on the free market on freedom on now it's not just an outward violence issue it's also a being on the receiving end a violence issue in addition to committing more crimes people with via mental illness are much more likely to themselves be victimized the mentally ill are more likely to be involved in deadly altercations with police estimates of the number of police killings involving a mentally ill subject range from 25 to 50 percent Ryan that's this breakdown and executive function there's this thirst you know if you're I remember when I worked up north gold panner and prospector er I was with a guy who got so thirsty he didn't bring his water and I was out he got so thirsty he drank from Moose Tracks there's a very bad idea and he got sick right so if you can't get fresh water and you're desperately thirsty you'll just take whatever if you can't or you won't get the medication or you're off the medication or you don't think you're L anymore but you're still tortured you will try and get a hold of drugs they will wreck your executive functioning they will put you in a very desperate situation because then you have mental illness plus addiction plus withdrawal symptoms and the suicide-by-cop is pretty important now this didn't used to happen now imagine this is traumatic for this society this is traumatic for the cops as a whole I mean I guess it's great dime fodder for the newspapers and so on but again because we talk we were talking earlier about the prevalence of mental health issues are not evenly distributed across various ethnicities and races therefore you may end up with a higher proportion of some groups being involved with these kinds of issues and then everyone's like oh it's racism atone it's like but you took people out of a safe environment it was safer for them they were getting professional care they were getting help and you put them out into society where they cannot function and this lays waste to entire neighborhoods lays away I mean did you have this when you were a kid I'm just I'm just curious you let me know in the comments below did you have this where it's like oh we can't go back because the crazy guys in that park I did it's appalling so this you know this proves causality right because there's such higher rates of violence among the mentally ill and again lotta mentally ill people not violent at all but statistically right when you get 25 times 9 times 23 times more yeah you have a problem so this shows you that when you take the people out of the institutionalized safety of a mental health hospital you put them out into these community health care centers bla bla bla they just turn to crime so often and then people panic and they freak out and of course government loves it in a way Hey look more power war on drugs more budget more bureaucracy more spending more funding it's an interesting question I don't think anyone's calculated the total cost of all of this stuff trillions of dollars I bet trillions of dollars so do discharged psychiatric patients commit crimes well that's a way to test this on a city by city basis it's turned out the data is clear that reductions in the number of per capita mental hospital beds correlate with a subsequent increase in violent crime and arrest rates throughout the United States right so not all cities are going to reduce the availability of hospital beds for people with mental illnesses at the same time right so one city does it in January and then at some point later there's an increase in violent crime another one does it in June and at some point later there's an increase in violent crime and you can see this repeated throughout the United States so yes this is causation this is not correlation a 10-year follow-up of 1,000 severely mentally ill patients discharged from mental hospitals in 1986 reported that 40% had a criminal record compared to less than 10% of the general public the most frequently occurring crimes were violent another follow-up of discharges from a psychiatric hospital found that 27% of released patients admitted to committing at least one violent act within four months of discharge now that's just admitting and the 40 to 10% remember the 10% includes the 40% so would the residue ratio is actually higher and mental illness related incidents more than tripled in Pennsylvania from 1975 to 1979 a period of rapid de institutionalisation kicked out of mental hospitals and end up on the streets and you get these these incidents write states with easier criteria for involuntary commitment have dramatically lower homicide rates for patients who have been institutionalized after committing a crime longest days in psychiatric care lead to substantially lower recidivism rates so what this means of course I'm sure you can follow it right so you commit a crime and you're institutionalized if you stay longer in psychiatric care you are less likely to recommit a crime and you leave this is essential staff this is essential stuff so these are all statistics they're hard to connect with emotionally so here's a couple of concrete examples of the carnage that can result in often has resulted from kicking mentally ill people out of the institutions that care from them who really are not ready to deal with the social world the economic world the living world in peaceful and productive ways fellow named herb Mullen was committed and released from psychiatric hospitals multiple times without requirement for further treatment between 1972 and 1973 he slaughtered 13 people after voices in his head told him a blood sacrifice to nature was needed to prevent an earthquake Marlon's victims were random and included a homeless man this is a guy he beat to death with a baseball bat a college student that herb Mullen picked up hitchhiking this college student that he picked up he cut open her body to release the pollution inside and left her remains in the wilderness around the Santa Cruz Mountains so what about the rise of mass killings or rampage killing so rampage killings were defined as and I quote multiple victim killings that were not primarily domestic or connected to a robbery or a gang and let's look at these two charts there's a couple of pictures below of course the people you may remember from the news so this is rampage killings with multiple victims at least one of whom died from 1949 to 1999 so you can very much see 1949 there was one nothing happened until 1966 great year for philosophy 2 1 1 1 2 2 very low right and as you can see as the effects of the institutionalization begin to accumulate in society you start to see rising 4 5 8 9 10 12 13 now the smaller graph on the bottom left here shows the relative rate of rampage killings per decade from the 1950s through the 1990s normalized for population from the 1950s through the 1990s boom boom boom it rises exponentially it's harder to get people institutionalized if they have mental health issues they can often leave and boom what happens half the offender's in these situations had a formal psychiatric diagnosis before they killed and the diagnosis was often schizophrenia and of course this is blamed on guns it's not blamed it's not guns it's not guns think of the rise in divorce rates right you take mentally ill people you put them out in the general population they have lots of sex they don't think about consequences they have sex without protection they get married massive divorces and then you get single moms who are crazy raising children and what that's like right I mean this is a recipe for disaster I mean the West's failure to treat the mentally ill to to take care of the mentally ill puts everyone at risk I mean including the mentally ill themselves it also provides this pretext for taking away the rights of law-abiding citizens to protect themselves and their families through gun ownership but the cause of these mass shootings love guns it's untreated and untreated mental illness and of course the sources for all of this Karbala the criminalization of mental illness the number of mentally ill prisoners is now many times greater than the total number of patients in all mental hospitals so correctional facilities whatever you want to call them have now become America's de facto psychiatric inpatient care system now since I believe a lot of mental illness results from trauma and abuse putting mentally ill people in with violent criminals and truly evil people is only going to reactivate earlier trauma and caused massive problems and psychotic breaks and you name it right so what happened was you dumped people out of mental institutions they turned to drugs they turned to prostitution they turned to crime violence exploded murder rates exploded and then what happened was everyone said oh my god we've got to fix this and there was a giant war on drugs which took crazy people off the streets where they had been dumped and put them into prisons this is appalling now ironically and painfully some decommissioned state hospital facilities have actually been converted into jails for the mentally ill all right so the more things change the more they stay the same because they say oh well you see we shouldn't put people who were crazy into mental hospitals because it violates their rights well first of all people have a right to a secure neighborhood and secondly if they end up back in there because they've committed crimes and they've been tried they're back in there in a far less voluntary way in a far less humane way than they would have been put into a mental hospital psychiatric hospitals have been shut down patients have been released and laws have been changed to make putting them back more difficult but changing the laws doesn't magically cure severe mental illness the society still needs a way to get severely mentally ill people off the streets so listen this is her from a 1972 study on the unintended side effects of national mental health policy and I quote as a result of laws that make involuntary commitment more difficult mentally disordered persons are being increasingly subject to arrest and criminal prosecution this is from 1971 people the quote continues they're often charged with crimes such as public drunkenness disorderly behavior malicious mischief or possession of dangerous drugs frequently mentally deranged youth come to police attention because of their disorderly public behavior and are found to have some marijuana in their possession on occasion concerned friends or relatives inform police that a mentally disordered person has a stash of marijuana in his room in order to secure his involuntary detention and treatment police seem to be aware of the more stringent criteria under which mental health professionals are now accepting responsibility for involuntary detention and treatment and thus regard arrest and booking into jail as a more reliable way of securing involuntary detention of mentally disordered persons here's from another study focusing on Wisconsin and I quote there was an increase of 73% in criminal commitments following court decisions and legislative revisions setting forth new civil commitment criteria right so you make it harder to put people in mental hospitals and then boom 73 percent increase in criminal commitments the quote continues aside from the obvious untoward effects per se of criminalizing mentally ill persons other untoward effects occur in terms of prolonging hospitalization depriving those people of prompt treatment and putting unnecessary and inhumane pressures on the family in the community as well as on the mentally ill person himself look I should not have spent 20 years of my life dealing with a mentally ill person I shouldn't have and and if you're out there and you're in the situation like my heart goes out to you if you've lost a family member if you've been the victim of a crime if you've been bullied if you've had danger in your environment because of this I my heart goes out to you and unfortunately it is just the result of very specific government policy I believe driven by left his desire to disrupt and undermine and corrupt society as it stands it's not easy it's not easy to know when people are quirky or the old British phrase is eccentric wise this crazy person with money there's eccentric and there are times when people get unjustly thrown into mental institutions and it's a complicated and difficult line to draw which is why you can't draw it using the mere power of law and bureaucracy it just turns into self-interested and easily corrupted empires of money and power when extreme addicts were institutionalized there was less need to limit the rest of the population from accessing drugs a lot of people use drugs you know Paul McCartney style and they move on from it right after the institutionalization the number of addicts on the streets went up enormously along with drug-related crimes and demand for drugs the war on drugs and all of its horrible consequences is at least in part a reaction to the chaos unleashed by the dissolution of the nation's mental health system it's terrible stuff I mean I hate to keep repeating this is absolutely the carnage the violence the the chaos the disorder the abuse so we can see the mentally ill are filling up the jail's right so this is residents and mental hospitals again adjusted for population this to have 100,000 from 1850 through to the late 90s and of course you can see resident patients it's increasing and some of this of course if if you're out in 1850 there's going to be fewer facilities available and I think you could argue that the settlers are robust people who are not easily stressed or broken down and so on so you get the solid line is the total the dotted line is the additions and as you can see again in the 60s late 50s early 60s you get this collapse and the number of residences goes down by 90% and the stays are 12 times shorter right 6 months to 15 days if you look at this bottom graph percentage of jail and prison inmates with serial serious mental illnesses right so the 18:41 I there's a lot there and then they those people get shipped to the state institutions and then boom you see this that just being transferred that coming out of the mental hospitals and going into the jails so mid 19th century reformers like Dorothea Dix worked hard to awaken Americans to the plight of mentally ill prisoners housing the mentally ill in hospitals dedicated to their care rather than throwing them in prison with criminals was a major moral victory at the time and rightly so but as a result of the institutionalization that moral victory has been largely undone there are now as many mentally ill prisoners as before the majority of mental hospitals were built you see this line on the bottom right so it's top graph complete rise and fall of state-run mental hospitals between 1850 in the year 2000 bottom graph percentage of jail and prison inmates with serious mental illness that was once virtually zero now it's climbed to the highest level in 150 years now jailing the mentally ill is inhumane ineffective and extraordinarily expensive so in Orange County Florida 44% of mentally ill inmates are back behind bars within three months one inmate has been in and out of jail more than 100 times over the past 20 years in one New York prison the average stay for inmates with mental illness is 215 days compared to an average of 42 days prisoners with mental illness cost 50 to 100 percent more than regular prisoners so I'm talking about the higher mental health cost they don't include incarceration rates or loss of property values or so on mentally ill inmates assault jail staff at rates of up to 40 times higher than regular inmates this is brutal – brutal – because they're in a highly stressed environment they're subject to to violence and there may be short of medication they may be short of certainly short of talk therapy and so on and this change is the kind of person who wants to work in a prison – among mentally ill prisoners 8% of males and 23% of females report sexual victimization within the past six months so people were really mad at state hospitals oh they're abusive or there are problems or there's violence oh this is I believe comparable or worse – state hospitals that they're very worse so the shortcomings and the challenges of mental hospitals they've not been fixed they've just been moved to jails where arguably they're worse much worse homelessness okay this is something the people this is such a huge issue homelessness but there is a qualitative difference in homelessness before and after this deinstitutionalization of the mental health care systems collapse systemic collapse of the mental health care system in studies before the 1970s here's a quote homelessness MOLLE mostly meant living outside family units whereas today's meaning of the term is more directly tied to the absolute lack of housing or to living in shelters and related temporary quarters end quote the vast majority of such pre-modern quote homeless people lived in cheap short-term housing which they paid for themselves concentrated in parts of cities called Skid Row's in the era before the institutionalization most social scientists who studied Skid Row's noted that they were declining in size and expected them to all but disappear by the 1970s this is a constant problem governments need broken people they need dependent people they need people who require them they need to be needed so if the free market and rising wealth is solving problems the government will often step in to fix them or tidy up the last little bits and then they end up reopening the wounds and starting the problems all over again poverty was being solved in the 1960s until the 1950s 1960s the poverty rate was declining by one percent a year but we're gonna run out of poor people then the government stepped in with the war on poverty bingo bango Bungo you have poverty entrenched in society government can't do without people who are dependent upon it so Skid Row's were declining and they were going to all but disappear but then that trend changed in January 2015 over half a million people or 176 per 100,000 were homeless in the US on a given night 69 percent were in shelters 31 percent on sheltered and the people say oh well we need more government control more government spending to deal with this problems like no you need to fix your mental healthcare system help people who can't help themselves it's a basic civilize thing to do to turn them out on the streets and lecture people about marks homelessness is up exponentially since the beginning of the institutionalization it's not a lack of funding more money is being spent on mental health issues than was ever being spent in the past it's not a lack of money let's look at the rise of homelessness this is the number of homeless people in New York shelters each night going back to the late 70s early 80s up to now now New York City's population has only risen about 20 percent during this time so per-capita homelessness has increased 300% since the early 1980s this is incredible Chicago Illinois Philadelphia Pennsylvania homelessness before and after so we're going to compare 1958 to 2015 in Chicago 1960 to 2017 in Philadelphia so Chicago the 1960 population was 3.5 5 million and it had 975 shelter beds that was total capacity they weren't necessarily used and there are about a hundred people sleeping on the street understand that 3.5 5 million people back when there were mental hospitals only 100 sleeping on the street 2015 you've got a population of 2.7 1 million interesting that it declined so much but I think we all know the reasons for that and there were 5329 in shelters 965 sleeping on the street she understand almost 10 times more people sleeping on the street despite a decline in population Philadelphia 1960 population 2 million about 500 and shelters only 64 people sleeping on the street 2015 population 1.5 7 million a lot of that of course is due to white flight 4737 in shelters 956 people sleeping on the street I mean it's this is appalling now nationwide data on homelessness before the 1960s isn't very reliable and was pretty rare it's incredible even adjusting for population size word especially in been adjusting for population size Chicago and Philadelphia's homeless populations have risen by massive amounts since the beginning of the institutionalization now again correlation causation is homelessness really driven by mental illness well 20 to 25 percent of homeless people suffer from a severe mental illness that's four to five times the US average in one city studied seventy percent of the homeless were receiving treatment or had in the past seventy percent of the homeless in another study 27% of discharged psychiatric patients became homeless within six months understand this more than a quarter of the discharged psychiatric patients became homeless within six months among mental health patients treated for schizophrenia bipolar disorder a major depression the prevalence of homelessness is more than 15 times the population average see you can have your criticisms of the state hospitals mental health hospitals sure but sleeping in the streets outside the supervised environment of mental hospital and living on their own most of the homeless mentally ill do not keep up with their medication routine which compounds their problems homelessness is incredibly costly so a long two to denile study followed over 500 homeless chronic alcoholics over three year period during this time the cohort tallied two thousand three hundred and thirty-five ambulance rides and 3318 emergency room visits in hospitals they have doctors right there if they're in a mental health hospital and no or limited access to alcohol again Pareto principle it's a tiny number of chronically homeless people who are extremely expensive outliers some individuals have been found to cost their king Unity's upwards of $100,000 per year in ER and hospital car salon during 2004 at one single California Hospital and I quote five individuals made 117 trips to the emergency room and spent a combined 523 days in the hospital in the course of 64 admissions you understand what this means not just tragic of course for the people who are in this revolving door and the ER but guarantee you people died because of this people who had to wait people for whom doctors weren't available people who went home because it was just too long to wait and ended up dying because of this people are dying at the rate of criminality among the mentally ill homeless is extremely high even compared to other mentally ill people the additional burdens on policing resources is enormous drug and alcohol addiction so most drugs and alcohol are consumed by people who are mentally ill or who have suffered from mental illness right so look at this graph 38% of alcohol is consumed by people who are currently mentally ill and an additional 31% is consumed by people who have been mentally ill in the past the percentages are similar for cigarettes and higher for hard drugs like cocaine so remember we're talking very few people are mentally ill so if you look at these proportions alcohol cigarette cocaine abuse and destruction and all of the attendant costs of drunk driving and ER visits and and then lung cancer treatments and and you name it the people who smoke don't tend to exercise so you've got heart problems and come on is this really some massive significant improvement in society now of course booze and cigarettes love this stuff and so do government's worse in taxes right pay people welfare they go out and spend money on booze and cigarettes governments get proportion but a lot of that money in taxes and so on some it's just again incentive problems are everywhere and here is another terrible and terrifying though of course not surprising fact that mental illness destroys the family so I'm just going to touch on these graphs you can pause you can zoom in you can go to the sources and here you can see schizophrenia shreds families enormous lis right so the the bottom line is the graph of intact families like the bottom row is the blue rose right bipolar disorder shreds families unipolar depression shreds families people who don't have or families where there's no schizophrenia or bipolar or unipolar depression stay pretty pretty intact over the age of the child right this is from age 1 to 17 for the children and this doesn't even take into account other mental illnesses these are just the big three I suppose so children of parents with severe mental illness are far more likely to be in foster care or in single-parent households by contrast the majority of children whose parents are not severely mentally ill live in intact households this graph right these graphs show the cumulative distribution of household type by child's age is the child living with both mother and father mother and father alone over stepparents or is the child in foster care so this blue segment this is the intact families as the children age there's a huge difference between the rate of intact families in situations without severe mental illness in the bottom right quadrant compared to the three categories of mental disorder in the top left single mothers are twice as likely to have moderate to severe mental disability compared to partner mothers teenage pregnancy among girls with severe mental illness is also three times higher than average and this is the issue right severe mental illness doesn't just destroy families remember some of it is also highly heritable highly heritable now heritability of mental illnesses we touched on this earlier I want to give you guys some data now remember heritability doesn't necessarily mean genetic alone right so common psychiatric disorders have been found to share several of the same single gene markers almost half of children in inpatient psychiatric care have at least one parent with a psychiatric condition children are depressed parents are twice as likely to be depressed and more than three times as likely to be bipolar again environment genetics is all such a complex web but we can certainly see that if you have a depressed parent who doesn't show much interest in you and doesn't show any show or delete that you may end up inheriting that just through the environment parents with severe mental illness are more likely to have children with ADHD and other mild or psychological issues the risk of autism in children is about 70% greater than average if one parent is diagnosed with a psychiatric disorder and twice as high if both parents have been diagnosed quite significant so if we look at the rise of autism that has been occurring in society I mean of course some of it is due to better diagnosis so on but some of it I guarantee you is also due to de institutionalisation lifetime risk of schizophrenia so for the overall population just 1% for the spouses of patients it's 2% uncles and aunts 2% nephews and nieces for the % grandchildren 5% half siblings 6% children 13% siblings 9% siblings with the schizophrenic parent 17% dizygotic twin 17% just having parents 6% monozygotic twins identical 48% child with two schizophrenic parents 46% so that is significant and the costs and dangers of this are astonishingly high and again would these people if they were institutionalized be having a whack load of kids with this genetic issue loss of social trust very important so stories have this kind of derangement and hora have become all too common place in America cities like so here's a typical example quote at first Larry Hogan was just another shambling homeless man who muttered to himself slept a barefoot in the snow and ate from the garbage but over the years his behavior became more bizarre he stalked a teacher and threatened to roast and eat her dog he dragged Raggedy chair into a busy intersection leaned back a munch de bagel as carve swerved around him he jumped on the hood of a red Jetta and banged on the windshield as a terrified woman tried to pull out of a parking space he heaved rocks through the vaulted stained-glass windows of a landmark Church he knocked a schoolgirl into the street where she was almost struck by a nun rushing truck mr. Hoge crouched behind cars sneaking from one to another with his arm outstretched and his finger pointing like a gun he set fires under cars and stuffed rags in their gas tanks he ripped off sideview mirrors then wandered into the street and shaved with a knife as he gave gaze at his reflection even suburbs in small towns have not been immune Ocean Grove New Jersey had the ill fortune of being only a few miles away from a state psychiatric hospital that was discouraging patients at one point discharged psychiatric patients made up more than 10% of the town's population according to local residents quote a store owner had to start locking his sight door because of increased shoplifting men and women were frequently seen urinating and defecating in public hedges planted in the 1890s had to be removed because they were being regularly used as a bathroom one woman noted quote my most unpleasant encounter was when jogging at the North End and coming upon a man with his trousers lowered masturbating on the boardwalk at seven o'clock in the morning the mother of two small children said she was afraid to let them play in the yard another mother noted quote visiting friends playing together in the parks in bike writing are not permitted unless I escort them some children picked up used condoms as playthings thinking that they were balloons the rise have stranger danger and the fear of letting kids outside alone since the 1960s is substantially attributable to the increasing presence of the mentally ill among us media terror now traditional news media the corporate news mirror isn't media is known to focus on violent crimes particularly sensational ones people with severe mental illness commit more crimes than average but they are even more disproportionately responsible for the extreme sorts of stories that lead to media coverage that terrifies the population random more gruesome crimes are usually linked to mental illness you remember John Hinckley jr. was a serial stalker of actress Jodie Foster he planned to assassinate President Jimmy Carter in order to impress foster and get her to like him Hinckley ultimately succeeded in shooting President Ronald Reagan in 1981 and John Hinckley jr. was institutionalized after his trial but before the assassination attempt he saw a psychiatrist for depression and overdosed on antidepressant medication Dorothea Puente was a schizophrenic serial killer who ran a Sacramento boardinghouse she made national headlines in the late 1980s when the remains of seven of her guests were discovered in her backyard Andrea Yates was treated for depression and psychosis in 1999 two years later she drowned her five children in a bathtub the destruction of public spaces so many public spaces have been made unpleasant unusable and even dangerous by mentally ill homeless people quote San Francisco quote one is hard pressed to walk around just about any San Francisco neighborhood without having to run a gauntlet of panhandlers step-over passed out drunk saw drug addicts maneuver around the mentally ill or try to avoid the stench of urine and the human feces littering the sidewalk men and women walk barefoot down Market Street talking to themselves or yelling obscenities that no one in particular they sit quietly in dim doorways rocking back and forth or sprawling on nests of dirty blankets in barred corridors Santa Barbara public library staff has seen an increase in the homeless population using the restrooms for bathing and storing their belongings in the facilities parks and recreational staff are dealing with illegal and aggressive behaviors on a daily basis including frequent drug use excessive alcohol prostitution and overnight camping anxious parents say they've seen homeless men urinating in doorways and loitering near a New York City school many mothers have stopped letting their children walk home alone the parent-teacher Association is working with local police to increase security on the street near the playground say all of the rights of the homeless the rights are the rights of the mentally ill and so on it's like well what about the rights of people to not be aggressed against to not be frightened to not be stolen from all murder this rights are complicated they just have elevate one person one group's rights at the expense of somebody else it's a complicated ecosystem quote on a cold night in New York City every subway line had a homeless contingent an older man on the a train had tied a luggage cart with some of his belongings to a pole while he slept on the e at the motley crue of 45 slowly assembled the man with the bag of cans men who matter didn't smell bad but also young people the bearded man in baggy jeans holding a kitten a young woman in thin tights with a ratty suitcase and of course I mean there are the infamous tunnels right underneath New York City and other places here on the on this slide is you've probably heard of this the infamous San Francisco poop map so this is an interactive map that allows residents to flag locations in the city but they have spotted feces left behind on sidewalks or on the streets or gumming up escalators in what used to be one of America's most beautiful cities I did business there in the 90s on it was a magnificent now what about the burdens on the other institutions and the infrastructure as a whole people with severe mental illness substantially increase the burden on the court system an entirely new subset of Courts has been created to deal with the mess mental health courts around the country are just another facet of the implicit impatient system that has grown up to attempt to replace the old state hospital system the additional burden on police forces from dealing with the mentally ill makes them less available for other tasks such as preventing or solving crimes or providing other types of community support he's an example in 2009 North Carolina police departments spent 228,000 work hours on 32 thousand trips transporting psychiatric patients for involuntary commitments right that's out and back out and back out and back so that's the equivalent of over 100 officers working full-time as drivers for psychiatric patients instead of doing actual police work I mean criminals love it diverts the police from catching them in addition to the public health risks posed by the homeless mentally ill people with severe mental illness are more likely to engage in behaviors that put them at risk for HIV along with other contagious diseases such as hepatitis a sample of psychiatric patients across multiple states found HIV prevalence eight times the US average hepatitis B and C rates were five times in 11 times the US average respectively let's talk about the fiscal disaster of the current hodgepodge of policies since the institutionalization began us spending on mental health has risen from 1 billion dollars a year to over two hundred billion dollars a year this does not include the cost of dealing with mentally ill criminals or homelessness which is substantial if not massive even using conservative figures and adjusting for inflation and of course population per-capita us spending on mental health has risen about 14 times during this period and the effectiveness of that spending has arguably declined I would say substantially this explosion in mental health costs is one component driving the ongoing increase in overall US healthcare expenditures right so we can see this this graph shows us health expenditures as a percentage of GDP I mean the many causes behind the steep upward trend over the past 60 years but the contribution of inefficient spending on mental health is not widely discussed but it really really should be so what is the reflection bin our thinking about this stuff this is three National Institute for mental health directors reflecting on their legacies the first is the guy we talked about earlier Robert Felix he was the director from 1949 to 1964 looking back on his accomplishments as the first n IMH director and a major contributor to the institutionalization in America Robert Felix admitted to overreaching in his attack against the mental health mental hospitals but stopped short of taking any particular responsibility for the disastrous that resulted here's what he said many of those patients who left two state hospitals never should have done so we psychiatrists saw too much of the old snake pits or too many people who shouldn't have been there and we overreacted the result is not what we intended and perhaps we didn't ask the questions that should have been asked when developing a new concept but psychiatrists were human too and we tried our damndest Stanly y'all's the second director of the ni MH went a bit further even admitting that there will always be a place for custodial care and I quote the current situation results in part from an assumption made in 1963 that is not proved to be correct at the time many community psychiatrists believed that almost all mental patients could be treated in the community this optimism was too euphoric it now seems probable that will that there will always be some chronic patients say 15% of the total who will require a long-term residential care this optimism was too euphoric Stanley you had data you had facts you had studies you had information you had experienced people screaming at you to not do it well we were just optimistic I mean talk about covering up a horrendous floor with a pretend virtue merge is too optimistic the third director of Ni MH Bertrand brown now openly admits that he and others forceful elements of the approaching disaster and I quote yes the doctors were over promising for the politicians the doctors did not believe that Community Care would cure schizophrenia and we did allow ourselves to be somewhat misrepresented we knew that there were not enough resources in the community to do the whole job so that some people would be in the streets facing society head-on and questions would be raised about the necessity to send them back to the state hospitals but it happened much faster than we foresaw in the real world and in the market world in the voluntary world there are consequences for these kinds of disastrous what do you get from bureaucrats who unleashed a hellscape of mental dysfunction and violence on American society yeah well stuff happens mistakes were made we're just human so right now severe mental illness has substantial biological causes and it is strongly heritable again that doesn't always mean genetic psychological or socio biological interventions may help with marginal instances but severe cases require sustained medical attention and often ongoing custodial care it's just a fact many people with severe mental illness do not comprehend the nature of their illness and will not voluntarily seek or sustain treatment they're not merely in denial but have brain damage which prevents normal self awareness if their families are unwilling or unable to take care of them they may need to be institutionalized even against their will I mean they're gonna most likely end up institutionalized against their will wouldn't you rather it be in a hospital than a prison with a trail of bodies in their wake the number of psychiatric hospital beds needed to deal with the seriously mentally ill is probably one to two million many times the current capacity rebuilding what has been lost what is being consciously destroyed will not be easy I mean there'd be plenty of money for it if you would shut down all of the community quote mental health care centers and have tons of money excessive money for it but shutting down government staff is really tough the cost of not dealing with these problems effectively is in the hundreds of billions of dollars annually and that's just money I think of the human cost the rights of the mentally ill to be crazy should not supersede the rights of other individuals to be safe enormous economic and political incentives caused the current mess and continue to push the mental health care system into further deterioration the job security bureaucrats the virtue signaling of activists and the profits of corrupt care facilities are just a few examples I've certainly had my experiences dealing with crazy people it is exhausting it is debilitating it is hopeless very often actually hopeless rather than just something that you feel I really want to thank you for your time and attention and this please don't forget to like the video too to share the show to comment to support to subscribe you can subscribe to this channel I'm gonna put out more great videos like this powerful videos like this and remember to click the notification bell so you get notified hopefully of new videos but I want to hear from you there's a lot of pain out there I know I've experienced it my family members have experienced it there's a lot of pain out there and I want to hear from you I want to hear what your experiences have been what's it been like to care for someone what's been like to go through something like this what is your experience been at the mental health care system not just in America but throughout the West as it stands I really want to thank you for taking the time to go through this presentation and process this information with me please engage this information these facts these realities in conversations with people around you and please please my friends if you can help out the show I really really would appreciate this is a lot of work to put together a lot of work to make sure the data is solid please please help out at forward slash donate and once again well thank you so much for enjoying this latest freedom and shell on philosophy and I'm going to be frank and ask you for your help your support your encouragement and your resources please like subscribe and share and all of that good stuff to get philosophy out into the world and also equally 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  1. I visited the U.S about 7 years ago and one thing that really shocked me was the amount of mentally ill homeless people in the big cities. It was quite sad to see. Thanks for bringing this important issue to light Stefan.

  2. California has mentally ill homeless people flooded in the streets of Los Angeles and San Francisco. It is very sad and unsustainable..

  3. I was thrown in a mental institution at age 12, because I was seen as a troubled kid who was doped up on many different trial medications which gave me uncontrollable shaking and would fall asleep in class uncontrollably. I had trouble doing well in school with my studies. I got along with my classmates okay, but the trouble with studies, sleeping, and uncontrollable shakes are what landed me in the institute. My mother was/is emotionally unstable with diagnosed bi polar disorder, and my stepdad just didn't want me around as I was an interference between their daughter and marriage. When I became homeless at 18 (was blamed for their divorce at 17), my friend's mother took me in, and I got to see what a stable environment was like for the first time. I went to college, graduated as valedictorian, and got a software developer position. I remember going back to visit my step father one time during a relatives get together… and he would tell me what a horrible child I was. Through watching many of stef's video's, I was able to recognize exactly why it wasn't me (the child) that was the problem, it was my extremely unstable environment and not being able to recognize just how unstable it was.

  4. mental health has become a big thing in my life since i was 15, i've only learnt in depth recently just how prevalent genetic mental illness is in my family, dementia hits half of them by 65-70 if something else isn't there already. When i was 15 (i'm 21 now) my mother just snapped, she just lost all grip on reality and reverted to as she was when she was 20 years younger. Doctors said it was a reaction to stress, gave her a laundry list of pills to take and shoved her out the door. There is really too much to possibly fit into a youtube comment but one experience really sums up treatment for me: while my mother was in a crying fit, unable to accept that it was 20 years later than she thought, she was just put into some spare room at a hospital and told to wait until someone could spare the time to deal with whatever it is needed to be done. I will never forget that wait, we were there for 9 entire hours before somebody even put their head in and the entire time i was alone in there with her trying to calm her down, doing anything i could to distract her. The entire time i was doing this she had no idea i was her son, it was the hardest thing i've ever had to endure in my life.

  5. Another case of trying something that sounds good vs. doing what facts and experience say will work.
    ?? Was this just leftist hubris, or was it deliberate disruption of communities/society in general?

  6. Most libertarians and old-time conservatives are very skeptical of the mental health profession and its pretensions. Not Stefan. He gobbles up their BS without protest.

  7. The mental hospitals of 50 years ago were horrible places and it was a big step forward to release as many people as possible to live in half-way houses. Also, the psychiatric profession poses a threat to liberty since dissenters or eccentrics can be labeled insane and imprisoned. That's another reason why it's better to emphasize out-patient treatment where the patient's humanity is more clearly recognized.

  8. Some people will always need someone to take care of.
    You need philosophy for intelligent people to prevent them from becoming depressed and suicidal.
    Genetics and environments play a role in developing mental illness.
    Stefan's content is to help people rationalize themselves in order to not go crazy.
    R&K theory plays a role.
    Mental ill people want their ill to be classify as a physical disease.
    Child abuse cut 20 years of your life.
    Crazy people put you in impossible situations.
    Fed Programs influence local gov to stop spending their resources on a local similar program.
    WW2, Great Depression and Gov destroyed State mental hospitals.
    Communist and Rs exploiting mentally ill.
    Leftist good at language, reporting and emotionally exploiting.
    Taking care of mentally ill people is complicating.
    Dunning -Kruger effect: When someone who doesn't understand something thinks it is simple and easy to implement.
    Socialized and communist subversion health care destroyed the mental health care system. Help put mentally ill back to their families.
    Terrible incentives produce terrible outcomes.
    Communist intentionally took over psychiatric institutions to destroy the west family, virtues, trust, rationality and individualism.
    Private psychiatric institutions run on welfare economy.
    Massive shutdown of psychiatric institutions.
    Greater duration of psychiatric care leads to lower criminal incarceration and vice versa, i.e. mass killings.
    American jails house more mentally ill people than psychiatric institutions.

  9. I've watched nearly everything you've put out on this platform and have great admiration for you and your work, be it as a historian, philosopher, political commentator and/or parent.

    That being said, of all the topics you've ever covered, it wasn't until today, until this topic, that I ever felt inclined to seek a means of contacting you directly. I generally avoid discussing my eleven year odyssey traversing the mental health care system and/or how utterly it repeatedly failed me (much to its financial gain), but were you open to listening, I'd gladly share the entire nightmare with you without hesitation.

    My affinity for your channel and your efforts aside, you're also William Molyneux's progeny and as much his modern equivalent as anyone could claim to be; Not only am I an actual Botticelli, but also a professional, classically trained portrait artist (that prefers painting with your content playing jn the background, btw), and as much my ancestor's modern equivalent as anyone could claim to be. I also, you know, kind of have his face.

    Cosmic bogglings aside, I can't think of anyone better suited.

  10. If you ever want an NP/nurse's perspective on the status of the US Mental Health System, I'm your guy. Locked inpatient psych unit in an urban setting.

  11. I will be watching this late tonight whist tidying up or organising my weekend.

    However, i would like to keep up to date with what you’re planning, future ideas/concepts. is there some way this is possible? Public input?

    Where is a safe space to share ideas? my reddit community has gone pretty bad as of late… discord community out there??

  12. 9:30 You are talking about a problem we only see in the black society. It is called the "warrior" gene.

  13. 9:03 Why do you have such a hard time, all of a sudden, admitting that your mother is Jewish?
    – Is it because that also renders you a Jew?

  14. Well Stefan,
    You do have Jewish roots through you mother and mental illness has always been very predominant in the Jewish diaspora.

  15. You need to read about James Fuller Fixx, He was an American who authored the 1977 best-selling book The Complete Book of Running. He is credited with helping start America's fitness revolution, popularizing the sport of running of which he did quite a bit. He did this because his father died at the age of 53 due to a heart attack. Jim Fixx's life was cut short at the age of 53. Why!? He had a heart of the same type that killed his father.

  16. And people wonder why prison to criminals into crazy violent criminals, and why the prison system is so crazy. When felons tell me about the way it is in prison I'm astounded with how insane and absolutely stupid it is in there. It's a hierarchy of crazies!

  17. Did we declare a war on drug abuse and drug dependency? Did we hear Trump and many leaders say so?

    So what came out of such speeches? Nothing!

  18. Stefan is a dude like in that movie Middle Men. He got in deep when the government threatened his survival to pay the rent and his desperation got him into a progression of really confusing erotic videos. Now he's going back and forth with every single life experience he's had and connecting it to his family, friends, and naughty peers whom some have developed mental illness according to the manipulative cartel boss he was ignorantly friends with. The educated and accredited got him focused on his own intelligence and encouraged his youtube presence to psychoanalyze him. This is all he talks about nowadays trying to rationalize his veering from Catholic ideals according to Catholics. For some reason no Catholic had the heart to speak honestly with him and he has become a Catholic sociopolitical tool, it's really tragic.

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