The Bat Segundo Show: Norah Vincent

Norah Vincent appeared on The Bat Segundo Show #258.

Norah Vincent is most recently the author of Voluntary Madness.

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Condition of Mr. Segundo: Challenging pseudonymous authorities about his voluntary commitment.

Author: Norah Vincent

Subjects Discussed: The Lanterman-Petris-Short Act, homelessness and mental health care, the revolving door of mental institutions, Marvin Olasky and community responsibility, the bureaucratic process of mental health care, why Vincent didn’t break down the costs of staying in pseudonymous institutions, the unwillingness of Vincent’s health care provider to have Vincent pay for her stay in these institutions, experiential journalism vs. objective journalism, the trouble with corroborating stories within Vincent’s books, setting limits and journalistic ethics, quibbling with the term “diagnosis,” the distinction between psychotics and psychopathics, care for dangerous people, antipsychotic drugs, counseling vs. drugs, empirical solutions vs. medical expertise without arrogance, the moral question of whether or not doctors should inform psychopathics about the effects of drugs, the issue of consent in medicine and journalism, whether regular “reality checks” can help a psychotic improves her mental condition, and happiness vs. getting better.

EXCERPT FROM SHOW:

nvincentCorrespondent: You quibble with the term “diagnosis.” You write, “There are no diagnoses in psychiatry. Only umbrella terms for observed patterns of complaint, groupings of symptoms given names, and oversimplified, and assigned what are probably erroneous causes because these erroneous causes can be medicated. And then both the drug and the supposed disease are made legitimate, and thus the profession as well as the patient legitimized, too, by those magical words going hand in hand to the insurance company ‘Diagnosis’ and ‘It’s not your fault.’” But if there are no diagnoses in psychiatry, well, where is the starting point? I mean, obviously, you have to start somewhere and identify a particular problem — even on a simplistic level — in order to help another person. So what of this?

Vincent: Well, yeah, that’s the difficulty, I guess. Right now, we don’t have a test that can tell you, “You’ve got bipolar disorder” or you’ve got any number of all these so-called illnesses. Which I don’t doubt are real entities. Clearly, when you see enough of these patients, you see the patterns that they’re describing. And people who are schizophrenic tend to be paranoid. All these various things that — it’s not that the groupings are illegitimate in that way or the observations are wrong. It’s just that it does leave an enormous gray area. And it means that you can diagnose somebody as having this thing without any really concrete way of knowing that they do, in fact, have it. And I do think that can lead to a lot of problems. Such as, for example, people again have written a lot about the way that diagnoses of depression have, I don’t know, tripled in the last ten or fifteen years. And I think you have to ask yourself how many of those people have something that’s a pathological depression. Or is it a situational depression? Not being able to distinguish between those two things is, I think, problematic.

Correspondent: We’re talking then largely about the specific difference between someone who is psychotic, who is merely someone who cannot properly distinguish between their reality and their imagination and their dreams, and is not necessarily violent, versus someone who is psychopathic. Who is going to be prone to violent behavior and the like. Certainly there has to be some degree in which we have to prevent people from harming themselves or harming other particular people. I agree with you that “psychotic” does, in fact, get a bad rap. But nevertheless, there is this larger term of people who are, in fact, going to be committing violent behavior. So I’m wondering. Why quibble with the notion, as you do in one of the interim moments in the book, about this impression between so-called psychotics in movies and everything? When, in fact, there are dangerous people out there.

Vincent: Oh yeah. And there’s no question that, right now, medication and, in some cases, putting these people into an environment where they can’t hurt people is all that we have. It’s the best that we have right now. I would hope that someday we would have medications, for example, that can specifically address what’s going wrong in the brain of a schizophrenic person. And that’s just something we don’t have right now. We don’t know. We don’t understand the mechanisms of schizophrenia. Or what appears to be. There again is the question. Well, you may appear to be schizophrenic. But without a test that can tell us, we don’t actually know whether you are or not. Or whether you’re manifesting symptoms that may be entirely something else. An allergy. I mean, think about if you were to go to the hospital and say, “I’m having terrible chest pains.” And you were assuming you were having a heart attack. And there was no way to know whether it was that or indigestion. There are a lot of symptoms that can be caused by various different things. And I think that’s the part that’s missing for us right now.

BSS #258: Norah Vincent (Download MP3)

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What Everybody Can Learn from Anita Bruzzese

As a guy who writes unapologetically for both print and online outlets, I have a lot of fun reading smug and woefully out-of-touch posts from alleged “journalists” dictating precisely how to go about conducting this business. Thankfully, much of Anita Burzzese’s work is online, offering invaluable lessons for writers of all stripes on what not to do.

1. Don’t treat the reader like an idiot. In Ms. Bruzzese’s December 14th column, spends five needless paragraphs providing dumb buildup about why Kathy Caprino thought that losing her job was the best thing that happened to her. Instead of offering an uninterrupted paragraph of quotes, Ms. Bruzzese feels the need to interject this question to the reader, “So why does Caprino feel so great about what happened?” Actually, that’s what the journalist is there to tell us. Except that Ms. Bruzzese, who has both a focus and a worldview about as wide as a vise in a high school shop class that can’t be untightened, hasn’t considered that the average newspaper reader may not have Capirino’s expendable income, much less the remains of a “well-paying, high-powered position” to start a new life. Frankly, it’s insulting to the average newspaper reader to offer such a sheltered tale of redemption in a time of economic crisis. The more journalistic angle would involve Ms. Bruzzese asking Caprino why her life-relaunching strategy simply isn’t possible for a working mother who works two full-time jobs at minimum wage. Ms. Bruzzese doesn’t seem to understand that because you are published in a newspaper, this does not necessarily mean that you are a journalist. Journalism involves asking critical questions, not propping up gratuitous and self-serving figures for human interest stories. The reader wants to understand issues. And that means questioning everything and everybody, while likewise presenting many sides of the story.

2. Don’t rely on one source for a trend piece. In the same article noted above, it’s worth observing that Ms. Bruzzese has talked with only one person — Caprino — for a story that is ostensibly about how women can thrive in a tough economy. Now a real journalist would talk to some of the women who Caprino talked with, corroborating Caprino’s claims against those of others. Even if Ms. Bruzzese had juxtaposed even one additional subject against the others, it would be far more substantive than this puff piece. Furthermore, a real journalist would take the Caprino claim that “seven out of 10 working women report that they are facing a major turning point in their careers” and compare it against other sources. But Ms. Bruzzese is such a lazy journalist that she can’t be bothered to sift through the material in front of her. I’ve looked through Caprino’s book courtesy of Amazon’s Inside the Book feature and can find no trace in the text or the footnotes of “seven,” “7,” “ten,” or “10” that matches up to Ms. Bruzzese’s claim that Caprino notes in her book that “seven out of 10 working women report that they are facing a major turning point in their careers, especially middle-age women.” We are informed by Joyce Lain Kennedy that Caprino herself conducted this study with the Esteemed Women Foundation, an organization founded not by a scientist, but by a filmmaker. This is an organization that likewise features on its homepage an over-the-top, scantily clad image of Paris Hilton and an image of astronaut Eileen Collins standing in her flight suit, with the caption, “Which One Will Your Daughter Want to Become??” [sic]

What this tells us is that Ms. Bruzzese not only did not bother to read the book in question, but listened only to what Caprino told her. Never mind that the study is hardly objective, suggesting an inherently sexist and outdated dichotomy in which women are either pop stars or thoughtful astronauts. Since Caprino’s book is more of a motivational tome rather than a legitimate study, would it not have been journalistically responsible for Ms. Bruzzese to disclose the Esteemed Woman Foundation connection? (Oh, dear me. Such basic corroboration would require too much work!)

3. If your quote establishes a concept, there is no need to browbeat the reader with an additional paragraph. In Ms. Bruzzese’s November 30th column, we again see her troubling habit of offering a paragraph that explains what the source is going to say, only to have the source repeat what is essentially the same information.

Facella says the history of “elitism” by some workers — especially young employees — who believed they should be paid top dollar when they had little experience, may have been driven from the workplace scene by the current financial crisis.

“I think a lot of folks are going to be humbled by this experience,” he says. “I think they’re going to see that it’s OK to learn from the bottom and work your way up. They’re going to find that learning the ropes before taking over a business makes sense.”

If I were working the copy desk, I would demand this rewrite:

Some workers once believed that they could be paid top dollar for little experience, but Facella suggests that “a lot of folks are going to be humbled.” The current economic crisis may even cause a few workers to develop a new work ethic. “I think they’re going to see that it’s OK to learn from the bottom and work your way up. They’re going to find that learning the ropes before taking over a business makes sense.”

Not only have I cut thirteen words from Ms. Bruzzese’s two paragraphs, but I have improved the flow, captured the essence of what Facella told Ms. Bruzzese, and framed the quotes with topical thrust in mind.

Considering these severe missteps (only a handful of Ms. Bruzzese’s inefficiencies), I think it’s pretty safe to say that Ms. Bruzzese is ill-equipped to tell anyone how to practice journalism. Particularly when she remains mostly incapable of doing it herself. And that’s truly the appalling thing to consider here.

(Tip via Books, Inq.)

Why Can’t More Press Conferences End Up Like This?

From a press conference with Newcastle United interim manager Joe Kinnear:

JK Which one is Simon Bird [Daily Mirror’s north-east football writer]?

SB Me.

JK You’re a cunt.

SB Thank you.

JK Which one is Hickman [Niall, football writer for the Express]? You are out of order. Absolutely fucking out of order. If you do it again, I am telling you you can fuck off and go to another ground. I will not come and stand for that fucking crap. No fucking way, lies. Fuck, you’re saying I turned up and they [Newcastle’s players] fucked off.