Fuck the DSM. Seriously, fuck the DSM.
The DSM is and always has been used primarily as a method of rationalizing mistreatment of the people it labels as "deviant." When you look at the history of psychiatry, it becomes clear that things like drapetomania, protest psychosis, hysteria, and homosexuality as a disorder were not just thrown into there randomly. Rather, it showcases the power of the DSM: labeling and categorizing ways of being as mental illness opens up new paths of incarceration, social control, and curative violence. I need people to understand that the modern DSM still works like this: these classifications of madness/mental distress/neurodivergence into psychiatric labels encourage society to treat madness/mental distress/neurodivergence with the apparatuses used to eradicate "deviance." Diagnosis is not neutral.
As mad/mentally ill/neurodivergent people, we deserve access to more explanatory models of madness/mental illness/ neurodivergence than what the psychiatric language of normalcy and disorder offers us. Whether this looks like rejecting diagnosis, embracing varying cultural understandings of mental experience, or any million different ways of interpreting our bodymind, we deserve the option to move beyond clinical language that tries to convince us not to trust ourselves. We deserve to view ourselves wholly, leaving room for all our experiences of madness/mental illness/neurodivergence--the meaningful, the terrifying, the joyful, the exhausting. We deserve to have our own relationship with our madness, instead of being pushed to view ourselves as an inherent "danger to self or others" simply by existing as crazy.
Here's another truth: I hate the DSM, and I still call myself bipolar, a diagnosis that came to me through psych incarceration. While I wholeheartedly reject the DSM and the system intertwined with it, I simultaneously acknowledge and believe that many of the collections of symptoms that the DSM describes are very, very real ways of living in the world, and that the distress that they can cause are very very real. When I say fuck the DSM, I don't mean "Mental distress, disability, and neurodivergence aren't real." Rather, I mean that the DSM can never hold my experience of what it is like to be bipolar, the meaning I derive from experiencing life with cyclical moods. The DSM can't hold within its pages what it's like to see my mood cycle not as a tragedy or disaster, but instead as an opportunity, a gift, to grow and shift and go back to the same place over and over again, dying in winter and blooming again in spring. The DSM can't hold the fact that even though I experience very, very real distress due to those mood cycles--they're still mine and I claim that as something that matters to me. I call myself bipolar as a shorthand to tell people that I experience many things both extreme high and low, but I do not mean the same thing when I say "bipolar" as a psychiatrist does.
When we build community as mad/mentally ill/neurodivergent people, I want us to have room to share, relate, and care for each other in ways that isn't calling to the authority of a fucked up system with strictly defined categories. I don't want us to take those same ways of thinking and rebrand it into advocacy that claims to fight stigma, but really just ends up reinforcing these same ideas about deviance, cure, control, and danger. I dream of the day when psychiatry doesn't loom as a threat in all of our lives, and I think part of that work requires us as mad/mentally ill/neurodivergent people to really grapple with and untangle the ways we label and make meaning of our minds.
ok to reblog, if you want to learn more about antipsychiatry/mad studies check out this reading list.
