Pain Dealer
Gotta give the PD props for keeping this issue in the public forefront because its going to get a lot worse. Of course, they’re not going to go for the real root causes of why some many middle aged guys are offing themselves. That’s where I come in.
In the early 1980s, young adults had among the highest rates of suicide in Northeast Ohio. Today that same generation of boomers, now in their late 40s and early 50s, is behind a surge of suicides among middle-agers.
While the elderly are most likely to carry out suicides, there is growing recognition of boomers in crisis. Experts say disappearing jobs, fraying families, drug and alcohol addictions and untreated mental illness are eating away at the generation that supposedly has the best of everything.
After spending three months in constant visits to a local convalescent center (where old people are sent to die) I can clearly understand that the elderly are the most likely to carry out suicides. In many respects, they carry them out for the same basic overriding reason the guys in their 40s and 50s are now on the fast track to catching up in the suicide sweepstakes do - they feel used, abused and tossed aside like yesterday’s garbage. Our society worships youth, money, sex and obscene conspicuous consumption. At some point, if you’re kicked out of the game you suddenly find you become invisible - you no longer count. And this is reinforced every time you turn on the idiot box - do you live like these people? Then you must be some kind of loser. And you should go away.
Research has found that post-World War II children are prone to depression and other mood disorders. Then recently some startling numbers came out of the U.S. Centers for Disease Control and Prevention: The suicide rate among Americans aged 45-54 jumped about 20 percent from 1999 to 2004.
The knee jerk reaction will be that this was truly a candy-ass generation that was spoiled and now has a hard time handling personal adversity. Insofar as this is true, one must remember that until this point in our history, we didn’t have a mass culture predicated on instilling the virtues of ‘you are what you own’ into its people. People could handle the Depression (the Great One) because the 1920s were a blip of prosperity that, contrary to popular mythology, most people didn’t really share in. We didn’t have televisions and the kind of mass consumerism we have today.
What you have to remember is that when you bombard a developing mind with images of how society is and how you should be, that kind of brainwashing has deep and lasting effects on people. Edward Deming and the tactics of mass commercialism and such things as ‘brand identity’ were in their infancy in the 1920s. Now we have a whole host of social pathologies that can directly trace their origins to advertising as propaganda. The whole body image crisis is a great example. Anorexia nervosa was unknown until Karen Carpenter died of it in the 1980s. These impressions, made thousands of times - cars, homes, clothes, lifestyles, etc., have an impact.
There as a time when all a man had to have was the love of a good woman and some kind of steady income. Now he has to show several different successful faces in society and at work. I also find it incredible that the base issues of home, family and love no longer hold the wolf from the door. Many women do not understand that how society sees the man has become, sadly, more important than how she sees him. To understand why more and more middle aged men commit suicide we have to face the fact that we have created, in the last 50 years, a society that made him useful and wanted and then, as they hit their 40s, changed the rules and those that were casualties of outsourcing and youth were told that their services were no longer needed - not just at work but on the street as well.
And to many men who were doing their best to hide mental illness, this was a death sentence of the soul.
The news was no surprise to Dr. Joseph Calabrese, a psychiatrist and longtime director of the mood disorders program at University Hospitals Case Medical Center. People born in the 1950s and ’60s have rates of bipolar disorder and major depression two and three times higher than previous generations, he said. Most are untreated or inadequately treated.
There are two reasons for that. One, of course, is that most American men still are taught by society that mental illness is a moral weakness to be hidden at all costs. Check out any site that tell you what to say and not say at a job interview: we have to present ourselves as grand, glorious and Godlike or we will be denied an opportunity to earn a basic living. And even when we get the job, so much of who we are must be sublimated at the worksite because there is no pity in capitalism. As I was told at the age of 16 at my first job at McDonalds: “either fake a smile or go home.” And that brutality, which is what it really is on a psychological level, takes a gradual toll on a person - regardless of age, sex or gender. But we won’t change that, will we?
The second reason is that therapy, even if one seeks it, is often beyond the reach of many men who have lost their jobs and their health insurance. In many cases, although this is starting to change, even decent health insurance pays paltry sums for mental health care. In America we still see people who seek mental health help as malingerers until proven otherwise and who wants to spend money to coddle someone’s weakness? Even battle hardened Iraqi war veterans with serious PTSD are being shamed as malingerers and denied precious mental health care. They understand that our country and society, having used them and abused them, now just wants them to go somewhere quietly to die.
It works the same in the military as it does in civilian life.
A Plain Dealer analysis found white middle-aged men in Ohio have especially high rates of suicide — more than twice the overall national rate.
Attention is often focused on triggering events such as financial crisis or soured relationships. But mental illness underlies the vast majority of suicides, experts say. It’s often compounded by substance abuse. Boomers have high rates of that, too.
Ohio has it tough due to our economy and a general malaise that I have found in the population, having returned from a 10-year absence. There is a certain sense of fatalism among northeast Ohioans that makes this population seem listless and depressed in many cases. Our winters and lack of recreation and resources taken for granted elsewhere also compound the problem. The thing is, you see drearier landscapes in Central Illinois and it seems to be different there. For what reason, I’m not sure. Perhaps its an agricultural base vs. a formerly robust industrial base. In any case, we live in are where one could walk into an auto plant or a steel mill and raise a family on your wages and have enough for vacations and some of the finer things in life. Now, again, the rules were rewritten, always to the detriment of the working class for the benefit of the smaller ownership class. But now people are noticing because the rules are also being rewritten for the white collar middle class who are now seeing their jobs disappearing. And they are being told in ways large and small - retrain, lower your expectations, keep your damn mouth shut and don’t complain.
Mental illness and substance abuse go together like a horse and carriage. You almost can’t have one without the other (apologies to Frank Sinatra). But it’s true and it’s a cruel irony that while more desperate people in pain seek to self-medicate, our society makes it more of a criminal act to do so. The legalization and regulation of marijuana would go a long way to helping people self-medicate because pot is so much more safer than booze. But, again, we live in a society that seems to take great delight in kicking people when they are down. More and more decent people who are looking for a few hours of being free from pain are being locked up to support local prison economies and for-profit prison industries. Rather than spending money on actually helping people in need, we choose to lock them up. Now I am not talking about legalizing crack cocaine or anything like that. But we have to find some way of making proper mental health and job resources available to people or we will continue to see these pathologies grow.
There are those who will always choose criminality over work. I’m not talking about those people. I’m talking about otherwise decent people who have done all they can, worked hard and obeyed the law and paid their taxes and petted their dogs, etc., even while, in many cases, fighting mental illness. But there comes a time, and middle age is right about it, where these guys look all of their efforts being eaten away by changing economic rules that they had no say in. Or maybe they were just victims of vindictiveness at work. The American Dream, that ever-shifting goal of attaining the ‘good life’ that is thrust in front of our noses 24/7 by the idiot box, starts to recede in the rear-view mirror. And these people start asking the central question many suicidal people ask before they start to serious contemplate offing themselves: “is that all there is?”
To those who are mentally healthy and reasonably affluent with strong family structures, all of this might seem like poking your head into a foreign dimension where nothing makes sense to you. I understand that. All I am asking is for you to try to understand what so many of these otherwise good people are going through. Don’t just read the PD story and say, ‘oh, too bad, those people need help’ because that person could very well be your brother or father or someone else in your life you never suspected was going through these agonies. And they are not weak and undeserving of your attention.
Carolyn Givens was busy running the Ohio Department of Alcohol and Drug Addiction Services when she found out her husband, Greg, was mentally ill and a substance abuser. In 2003, Greg drove to a park and slit his wrists. He was 50 and had lost his job a few days earlier, and had not told her. Police found him before he bled to death, and he survived.
“I missed signs,” says Givens, who is now executive director of the Ohio Suicide Prevention Foundation. “I thought he was tired. He seemed very tired. I didn’t know he was depressed.”
First of Ms. Givins, I don’t know you but please try not to be so hard on yourself. Most men keep these things closely guarded secrets precisely because they don’t want the people they love, the people closest to them, to worry about them.
But here comes a very big red flag and I’m glad to see it here: complaints of being tired. This is one of the most overlooked symptoms of the suicidal, especially in men. Often we will tell our loved ones when they ask why we seem so down that we are tired. And, truth be told, we are very tired both physically and mentally. It’s a fatigue that transcends simple sleeplessness and cannot be cured with a good night’s sleep, which is often elusive anyway. In the military, people speak of soldiers with the ‘thousand mile stare.’ Again, it’s the same in the civilian world. You’ll know that stare when you see it. It is a cry for help.
I’m not saying that a suicide watch should be mounted for every middle age man who loses his job, but there are signs to look for in addition to the obvious disappointment over being cast aside by your employer.
The thing I wonder, and I hate myself for typing this but it must be said - did her husband want himself to be found in time? I hope so for both of their sakes. I sincerely hope he is doing better now.
Several experts said job loss is high on the list of traumas that push some down the darkest paths.
From her vantage point in Stark County, Carole Vesely has seen it firsthand. A recurring theme in suicide notes is a former breadwinner who can’t support family and feels worthless, she said.
“When I interview people who have attempted suicide, the most classic statement I hear is, ‘My family would be better off without me,’” she said.
Ladies please hear me on this and believe me: for many if not most men, our jobs define us. We don’t like it, of course. We’d like to be thought of first as decent human beings, good fathers, loving husbands. But our peculiar system of American capitalism has cast many of us in the role of ‘we are what we do.’ Think about it in this way: how many women define themselves by how they get paid? In most cases, I’ve found women basically live for their after job hours - then they ‘do’ what they do to make themselves happy and derive gratification from life.
But we’ve been stuck in the world of The Man in the Gray Flannel Suit, like it or not. Note that the book and movie were from the mid-1950s and we still haven’t figured it out or admitted that this way of life is ultimately corrosive to the soul. With a fatalism born of hard experience, men still bear the burden of having to prove their worth as human beings in the marketplace. And as the bar of what is defined as success keeps rising and the ability to attain that bar get even more problematic, the casualty list of real lives will grow.
And we seem completely helpless to stop this crazy machine.
You can also use Arthur Miller’s 1949 play Death of a Salesman as a perfect example of what we’re talking about. Widely regarded as the most depressing of American plays, Death of a Salesman acts as a momento mori of the American Dream and is often shunned when performed by the very people to whom it speaks. But its essential truths continue to become even more prescient to our culture today.
Was Willy Loman a ‘loser?’ Many have commented over the years that, indeed, he was. I find the most poignant parts of the play when his wife Linda demands that “attention must be paid” to Willy by his sons and, perhaps, by society at large. Her plea resonates throughout American history and is most often ignored.
But the two works I have mentioned were created in a brief and rare period in American arts and letters when introspective pieces were honored and considered. Nowadays, perhaps, the best we get is something like Glengarry, Glen Ross or Wall Street, which still romances the dog-eat-dog culture of American business. And even Glengarry author David Mamet now seems to have drunk the Kool Aid of conservatism. Success and money will do that to some people. You start to believe the old adage: ‘I did it, why can’t these other useless punks?’
And the casualty list grows.
University of Akron psychologist James Rogers said suicide trends are not well understood, but he said lack of job stability and the collapse of pension and health benefits play a big role in the middle-age phenomenon.
“My dad worked 35 years in the same place. A lot of folks our age grew up in that world, which has dramatically changed,” said Rogers, who is president-elect of the American Association of Suicidology. “Those things have to contribute in some sense to a feeling of helplessness as we get older. Does it cause suicide? There’s no one thing that causes suicide.”
Of course those things contribute. And of course, there is no one thing that causes suicide, generally. There is, of course, a belief that whatever happens to our economy, such as the so-called non-negotiable inevitability of globalism, will cause some casualties and, while that is regrettable, not everyone can or should be saved. Despite protestations to the contrary, we need to admit that in most cases we still allow our society to operate under what has come to be called ’social Darwinism.’ To some people, the people that they step over on the sidewalks to get to their jobs are actually testaments to the effectiveness of our form of capitalism: some people simply aren’t fit to compete and live and, therefore, we shouldn’t spend our hard earned tax dollars trying to turn natural born losers into winners.
Now imagine the shock when that same self-sufficient denizen of the capitalist class hits 50 and his boss tells him that his ideas and ethics (let’s say its an ad agency, that’s always a good one but it can apply to many businesses) are outdated and new fresh, young-thinking blood needs to be brought in. We appreciate your 20+ years at the firm old man, but surely you see the rationale in our decision? We’ll give you a good reference of course. Now if you could just clean out your office and check in with personnel for your exit interview on the way out. . .
And then the same man finds himself a few hours later on the sidewalk staring at the ‘bum’ he had walked over just that morning and something clicks in his head. Not . . . that . . . far. . . from. . .
And what will he tell his wife and loved ones when he gets home? He’s a used up old man at 50.
Is that all there is?
Loree Vick, a former local TV anchor and now media relations manager for University Hospitals, lost her husband, John, when he committed suicide three years ago. His was another case of a man who largely kept hidden the psychic pain of depression, and what Vick now believes was unrecognized bipolar disorder. John lost his job as a business executive at age 51, and he began a two-year downward spiral.
“He was able to mask it by being successful, being with family, having things go well for him,” said Vick, who has joined a local group called the Suicide Prevention Education Alliance, and who speaks publicly to cope with the emotional fallout.
“If you have a mental disease, you’re less equipped to handle setbacks and traumas in your life. It becomes debilitating,” Vick said.
True. I’m glad to see this vignette in this story because so many people here know of Lori Vick from her TV work. And it brings home the painful fact that success and appearances are both deceiving and fleeting. When Sinatra sings “riding high in April, shot down in May” he wasn’t kidding. It happens to a lot of people and some are more equipped psychologically to deal with it than others.
To many men it is an absolute truism that a lot of internal pain can be masked by the outward trappings of ’success’ as defined by our capitalist/consumerist culture. Once the mask is ripped away, however, there’s little to fall back on. One would obviously ask - well what about his lovely wife and family and home, etc?
Again, like it or not: we are what we do. I wish it was different but do you ever notice when men introduce themselves to each other, generally right after the names its “so what do you do for a living?”
I am reminded of the Bruce Springsteen lyrics to “Out of Work:”
I go to pick my girl up
Her name is Linda Brown
Her dad invites me in
He tells me to sit down
The small talk that we’re making
Is going pretty smooth
But then he drops a bomb
“Son, what d’ya do ?”
I’m out of work
I need a job, I’m out of work
And then:
I’m out of work
These hard times, they’re enough
To make a man lose his mind
I’m out of work
Up there you got a job but down here below
The bounciness of the song belies the desperation in the lyrics.
And in the case of Vick’s husband, how many men want to admit that their wife is ‘carrying’ them until they can find a job? Ladies, most of you have no idea how hard this is for most men. Yes, it’s a sexist carryover of a society we thought we changed. But there is more about the society that never changed in regards to work, self-worth and sex roles, than did change.
In Cuyahoga County, which averages about 160 suicides a year, an effort is under way to conduct psychological post-mortems. Information about mental health histories and events leading up to suicide could bring greater clarity to populations at risk and guide prevention programs.
“We’d have some greater insight into what’s going on, because right now we don’t know,” said Rick Oliver, who oversees the county suicide hot line and sits on a county prevention task force.
The Ohio Suicide Prevention Foundation hopes to raise money for pilot programs in Cuyahoga and Franklin counties, Givens said.
Isn’t it funny in a dark sort of way that American society is so good at locking the barn door after the horse has escaped? Post-mortems are, I suppose, less expensive than actually providing easily accessible and affordable mental health services for people.
But as long as there’s more money to be made in Viagra than keeping depressed men from offing themselves, I suppose nothing will change. We’d rather have our tax dollars go to bigger and better warships, guns and methodologies of killing people than actually saving lives. If that sounds harsh, tough. It’s true. And it brings up something else that often gets overlooked among the suicidal.
It’s this: people who are very sensitive and intellectual suffer a great burden in American society. Introspection, intelligence and sensitivity are not valued in our society - try making money with those traits. But the thing is, people who have this hard gifts are the ones who figure out, many in their childhood, just how insane is the society they’re being brought up in.
In many cases, they struggle their whole lives feeling somehow that maybe they were put here by accident, that they are ‘mistakes’ in a culture or society that doesn’t quite feel what they feel or perceive what they perceive.
Many of them do their best all their lives to work and fit in. But they always know that this is a game they never wanted to play in the first place and they feel, not without reason, that the game is rigged against them.
We lose the resiliency of our youth in many cases, to bounce back, to pick ourselves up and dust ourselves off and try again. I suspect that for many of these men, they hit middle age and, having tried their best to play the game all their lives, stare into the gaping maw of the downside of their lives and ask:
Is that all there is?
And in their heart of hearts they absolutely believe that their families, most of whom do not understand them, would be better off without them bringing everyone down at Christmas time or at other family gatherings. After all, they know people don’t like to hear ‘whining’ and after awhile, it becomes apparent to them (in their minds) that no one really cares whether they, the core person inside them, lives or dies. They spare others the pain of themselves.
Calabrese of University Hospitals said the post-mortems would reveal “undiagnosed, untreated illness for a long time.” In the past 19 years, three dozen patients treated in his mood disorders program have killed themselves, he said.
“I always go back and obsess about these things — it was completely unpredictable,” Calabrese said.
“My explanation is we got them too late. We get them after they’ve had illness for decades.”
We “get them?” I’m sure you didn’t mean it but it sounds like your capturing butterflies in a net. And that’s another point. Many people are reluctant to seek mental health because they have a fear that if they confess their darkest thoughts, the analyst will press a little unseen button on the desk in front of them and the burly men in the white coats will come and take them away, after, of course, they check their insurance coverage.
This is exactly what happened to a woman I knew who went to seek counseling at Laurelwood in 1995 about problems she was having getting along with people at work. After checking her insurance coverage, the nurse locked the doors on her, told her she was ’suicidal’ and ‘homicidal’ and then the facility proceeded to see how many days they could collect on her insurance before ‘releasing her’ back to to the community.
Because of that incident this woman will never, ever, seek treatment again. And remember the poor guy who hung himself near Legacy Village a month ago? The one Regina Brett wrote about? Yep, they turned him out as soon as his insurance ran out. There’s the lesson - as long as your illness can make money for some doctor or corporate entity we’ll pretend to care about you. The second the money runs out, you’re dog meat on the street.
And with 19 fatalities in your program, maybe your effectiveness should be reviewed rather than this ‘aw shucks, too late’ mentality. Always gotta protect the institution, I get it. Believe me, I get it. And I bet your patients do as well.
Look, this isn’t all that difficult. In many respects all we have to do is completely remake American society.
Start with bullying in the schools. Listen to and respect people as human beings worthy of being here, not as disposable widgets like the readers of the Lone Star News replying to the story below do.
Get serious about ending the stigma about mental illness. Provide for affordable treatment and medications for people in need. Don’t like that? Then keep building more prisons and digging more graves. Your choice.
But most of all listen. The people who are thinking of killing themselves are really talking to you, albeit not always verbally.
Addendum:
Needless to say the brain-dead are crawling out from their mid-day rocks at the PD site to spew their little ignorant comments:
Posted by MrFlintstone on 03/27/08 at 12:00PM
Reminds me of the suicide crisis we had during the great depression, and the recession of the 70’s.
Not.People have been getting layed off, or flooded, or tornadoed, etc.. since the begining of time.
Only now they are whiny, spoiled, selfish, frightend, and MEDICATED.
So how do we attempt fix it?
Carolyn Givens was busy running the Ohio Department of Alcohol and Drug Addiction Services when she found out her husband, Greg, was mentally ill and a substance abuser. In 2003, Greg drove to a park and slit his wrists. He was 50 and had lost his job a few days earlier, and had not told her. Police found him before he bled to death, and he survived.
“I missed signs,” says Givens, who is NOW EXECUTIVE DIRECTOR of the Ohio Suicide Prevention Foundation. “I thought he was tired. He seemed very tired. I didn’t know he was depressed.”
We MUST do better than this…
Posted by jabb0 on 03/27/08 at 12:35PM
Selfish people do selfish things.