How Mad Are You? A Search For Insanity: Film Analysis

Diagnosing an individual with a mental illness balances on a fine line between giving a life-long label and misdiagnosing. Mental illness is best viewed on a continuum allowing for a varying degree of severity. In the field, mental health professionals are faced with determining what signifies the appropriateness of diagnosing a mental illness. A professional’s judgment is impacted by their personal perceptions and observations, societies views and norms, and the patient’s history. The film, “How Mad Are You? A Search for Insanity” demonstrates the difficulties in distinguishing those who are mentally ill from those seen as healthy ( ). I will explore my reactions and thoughts regarding the participants’ experience as well as the mental health professionals. Additionally, I will share how this information is applicable to my future career in the field of social work.

In 1973, psychologist David Rosenhan published “On Being Sane in Insane Places” which documents the results of studies he and his confederates conducted at 12 different psychiatric hospitals across the United States. The studies were an examination into the reliability of psychiatric diagnosis methods. Rosenhan’s research focused on testing the hypothesis of whether or not psychiatrists and medical staff can distinguish the sane from the insane and if the characteristics that lead to diagnoses relate more to the patient or to the environment and context in which they’re being assessed. (Rosenhan, 1973) The study was divided into two main parts. Participant observations and comparative information studies were noted as well as they gave valuable insight into the treatment of psychiatric patients, conditions in psychiatric hospitals, and the effect that diagnostic labels had on how patients were perceived by staff. Ultimately, the study discovered that psychiatrists could not reliably distinguish the sane from the insane and insight was gained into how diagnostic labels and environmental context play a strong role in the perception of behavior.

The short documentary Crooked Beauty, directed by Ken Paul Rosenthal, narrates Jacks Ashley McNamara’s experience in a psychiatric ward and how her time in the facility shapes her new appreciation for her mental illness. One controversial issue has been trying to identify the true cause of mental illness. On the one hand, most people may think mental illness is simply a biological disorder that can be cured with a combination of medication and doctors demanding appropriate behavior until it sticks in the patient’s mind. On the other, McNamara contends that mental illness is a misconception with a patient’s oversensitivity, where it is harder for the patient to ignore certain events than “normal” people, and their doctor’s textbook knowledge. In McNamara’s mental institution, the psychiatrists simply trap her in a padded room and prescribe many different pills to suppress her mental illness instead of embracing her differences or showing her how to use those differences to her advantage. In attempt to prevent those who are mentally ill from feeling the same anger and frustration she felt, she demands a change in the line psychiatric treatment when she says:

Misinformation and misperception about mental illness can lead to the stigmatization of ourselves, our parents, our children, our spouses and others that we care about. The consequences of stigma range from social isolation to poverty to barriers to quality treatment and care. Stigma perpetrated on a grand scale can result in a system that reinforces the idea that people diagnosed with mental illnesses are unimportant and therefore are unworthy of access to quality and affordable care. Some media outlets (films and television) serve to perpetuate negative stereotypes and reinforce stigma. Although relatively few people with mental illness act out in

Mental illness can be described using two words, both of which start with the letter ‘I’: Inevitable, and ignored. It is inevitable, because there’s always going to be people born with mental illness, and nearly everyone is guaranteed to know of someone who is affected. It is ignored, because a lot of society passes it off as ‘fake’ or ‘attention seeking’. While this may be true in some cases, there are definitely some cases that are all too real. The fakers are the ones jeopardizing the lives of the individuals truly affected, because this causes others to not take the real cases seriously. In Nick Anderson’s cartoon that appeared in the January 12, 2011 edition of the Houston Chronicle, this is exactly what he is depicting. From the giant, daunting steps leading to the mental health professional, to the blinking, welcoming lights of the gun shop, Anderson is criticizing the accusatory society and government by providing a visual description just how hard it may be for some to get the help they truly need.

Although about 450 million people in the world currently are suffering from a mental illness, many untreated, the topic still remains taboo in modern society (Mental Health). For years, people with mental illnesses have been shut away or institutionalized, and despite cultural progression in many areas, mental illnesses are still shamed and rarely brought to light outside of the psychiatric community. The many different forms in which mental illness can occur are incredibly prevalent in the world today, and there is a substantial debate about the way that they should be handled. Some people are of the opinion that mental illness is merely a variance in perception and that it either can be fixed through therapy or should not be treated at

Entering the taboo world of mental illness, stigmatized as the crazy and psychotic by decades of

ts our study of the stigma related to mental health illness. There is a lack of research investigating the portrayal of psychologists, those affected by mental illness and issues of mental health; this lack of research prevents any interventions from being made to protect those at risk. “With the continued portrayals of therapy in the media, it is important to consider how these images may affect attitudes and beliefs that can contribute to help seeking behavior”. (Maier, et al., 2013, p.1). Although there is research supporting that psychological and medical treatment are effective for a broad range of mental illnesses, only around 11% of those who have a diagnosable issue will seek help (Corrigan, 2004). The researchers of this article were interested in how the media portrayal of psychologists and mental illnesses impacts those who should seek therapy, through the formation of stigma. The hypothesis of the article study is formed around the idea that turning to a professional for help is not viewed as a sign of weakness when the psychologists are viewed as trustworthy and have experience.

exaggerating symptoms and stereotyping individuals with a mental disorder. For example, Alfred Hitchcock’s classic film Psycho, in which man with schizophrenia murders guests in a hotel, influences viewers to believe that all individuals suffering from schizophrenia are dangerous. However, that is rarely the case (Polatis, 2014). Therefore, it is refreshing to find a movie that accurately portrays the true personality of and individual living with a mental illness. The movie Silver Linings Playbook chronicles the experiences of Pat Solitano, a man suffering from undiagnosed bipolar disorder who was recently released from a psychiatric facility. Although this paper focuses on Pat’s experiences, it is important to note that the film not only takes on the task of portraying bipolar disorder, but also mental illness in general with other major characters suffering from a mixture of psychological or personality disorders. The film opens with Pat at Karel Psychiatric Facility in Baltimore, Maryland. We later learn that Pat was institutionalized for nearly beating to death the man with whom he caught his wife Nikki cheating on him. The rest of the film details

This article, published by CNN, covers a topic that was thrown into the spotlight following the release of the fourth Diagnostic and Statistical Manual of Mental Disorders, or DSM IV, and has been heavily discussed as the release date of DSM V approaches. The article, which is supported by anti-DSM experts, theorizes that the medical community is over diagnosing patients with mental illnesses at an unprecedented rate. Unfortunately, the experts provide an extensive amount of bias to the article, which is clear by examining the antithesis to their arguments. Three clear examples of bias are the statements of Dr. Carroll, Kelli Montgomery, and the articles overall focus on the DSM. The bias

Dramatic stories of people with mental health conditions appear pervasively in almost every media outlet, beginning generations ago, and continuing steadily in modern society. These themes--of violent madmen, hysterical witches, insane criminals, and every other generalization of the mentally ill--perpetuate the harmful misrepresentation and stigmatization of mental illness, which is a common element in modern everyday life. One of the greatest factors contributing to this situation today is the presence of said misconceptions in printed media--not just modern works, but also the appraised classics, such as William Shakespeare’s tragedy Macbeth and Mary Shelley’s gothic novel Frankenstein. Even as centuries pass and contemporary society advances, it is evident that ultimately, as the reader analyzes both Macbeth and Frankenstein, definitive British literature strengthens the negative stigma surrounding mental health, as it similarly misrepresents the legitimate issues regarding mental illness.

While “movies, newspapers, magazines, television shows, books, radio programs, and advertisements have all been vehicles for communicating the experience of…mental illness” it usually “[tends] to be a misrepresentation of the experience” (Corrigan 201). This has a major negative impact on people suffering from mental illnesses because they feel sentiments of “societal scorn and discrimination” which ultimately “leads to diminished self-esteem, fear of pursuing one’s goals, and loss of social opportunities” (Corrigan 201). There seems to be a revival in the world of movies and television of depicting forms of exploring the minds of serial killers which started in the 60s with the creation of the Horror film genre. There is almost a strange fascination amongst audiences to know more about the minds of murderers and those who are too sick to see the wrong they are doing. Films depicting mental health have a great impact on the lives of those suffering from mental illness and also the perceptions of those who do not suffer from mental illness. The mostly negative stigma surrounding those who suffer from mental disorders gives them a bad reputation that impacts most aspects of their lives.

“The media’s the most powerful entity on earth. They have the power to make the innocent guilty and to make the guilty innocent, and that’s power. Because they control the minds of the masses.” -Malcolm X. It can be said without a doubt that media plays a massive role in how society views certain things. A negative media portrayal ultimately leads to negativity and stigma towards whichever group. One of the groups that is severely impacted by these dismissive representations is mental illness. The portrayal of mental illness in mass media as violent, amusing, or downright “nuts”, is inaccurate and vilifying, but can be resolved by the inclusion of mental health specialist in program planning.

Understanding mental illness for the average person can be challenge or even unattainable. Unknown aspects from each individual illness grasps differing urges that are unrelated to the majority of people. The film industry, however, is used as a productive machine of creating empathetic relationships between its audience and the people being portray in the film. A combination of the film industry and the implementation of characters struggling with mental illness delivers a provoking message to an audience of people willing to learn the situations of all people. The movie A Beautiful Mind manages to fulfill the dramatic effects of a film and the realities within an individual suffering through mental illness.

Mental illnesses and socio-cultural dynamics have a long association with each other from historical times to the present (Foucault 1988). The image of the mad person has evolved through the ages and across cultures, where he or she has been revered or treated as an outcast, or as an important accessory in contemporary mental health services (Jilek 1971). Whatever the image, the ‘mad’ person has been considered as being different from others in the population. As Foucault’s (1988) seminal work ‘Madness and Civilization’ shows, the ‘mad’ person has gone from being assimilated into ‘normal’ society to being segregated as an outcast and labeled in numerous ways through the centuries. With the advent of ‘modern’ society,