सीधे मुख्य सामग्री पर जाएं

Important to situate lot of mental health problems within the wider social crisis

By Bharat Dogra 

Our troubled world appears to be progressing much more in terms of estimating and measuring problems than in terms of understanding and solving them. This wider truth appears to be particularly applicable to mental health problems.
The capacity to recognize mental health problems at an early stage is much higher in more prosperous societies which also have much better access to mental health facilities. Hence it was hoped that with early diagnosis and treatment, these countries would show the way in minimizing mental health problems. Unfortunately the recent experience appears to be exactly the opposite in many of these societies as alarming indicators of a very serious mental health situation are being reported.
In October 2021 three leading child health organizations in the USA issued a statement warning that a child mental health emergency already exists in the USA. In April 2022 the US Preventive Services Task Force recommended that children as young as 8 should be screened for anxiety.
In September 2011 the then largest study on mental health in Europe found that “Europeans are plagued by mental and neurological illness, with almost 165 million people or 38% of population suffering each year from a brain disorder such as depression, anxiety, insomnia or dementia” ( Reuters report-- Nearly 40% of Europeans suffer mental illness).
In 2015, in Japan suicide was listed as the number one cause of death among children in the 10-18 age-group. In much of the western world this is the number two cause. Over half a million people in Japan (541,000) are identified as hikikomori--social recluses who withdraw from all contacts, sometimes for years.
In the USA 1 in 4 adults suffers from a diagnosable mental disorder in a given year, according to the National Institute of Mental Health Disorders. In 2019, a typical year, according to official data, 12 million Americans thought about suicide and 1.4 million attempted suicide. Suicide ideation affects 4.6% of population in a year and has seen steady increase during the last decade.
According to a statement released by the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry and Children’s Hospital Association in October 2021, “Rates of childhood mental health concerns and suicide rose steadily between 2010 and 2020 and by 2018 suicide was the second leading leading cause of deaths for youth age 10-24. The pandemic has intensified the crisis: across the country we have witnessed dramatic increase in the Emergency Department visits to all mental health emergencies including suspected suicide rate.”
According to Trevor Project, 42% of LGBTQ youth in the USA covered in their study had experienced suicide thoughts. In the context of bullying, not just the victims but also the perpetrators of bullying have a higher suicide rate. By the age of 13, a third of bullies have already considered ending their life, according to a study published in the Journal of Adolescent Health. Children living in families having guns have suicide rates four times higher than those living in families without a gun.
According to UNICEF annual report on children for 2021, in Europe in the 15-19 age group, 19% boys and 16% girls are affected by mental health disorders. In the 10-19 year age-group 9 million teenagers in Europe are affected by mental health disorders, one half of them by depression and anxiety. A WHO report said in 2020 that 1 out of 4 children in Europe are affected by nervousness, irritation and problems in getting to sleep. 35% had started drinking alcohol by age 15. Only 41% of boys and 33% of girls said they were mentally healthy. A German health insurance company DAK stated in 2019 that 1 in 4 German children were affected by mental illness problems.
While generally the focus is more on children of poorer families, some other studies indicate the serious situation in prosperous households as well. A study of 15 year old British girls in more prosperous sections of society revealed a high and increasing trend of mental health problems-- startling increase from 24% to 38% from 1987 to 1999.
Clearly such disturbing increase in mental health problems needs to be better understood in the context of wider problems and changes in society. We should not forget that mere calls for increasing mental health budgets and wider coverage of mental health care, although certainly needed, have not been adequate for preventing a worsening situation. These should be backed by more and better preventive steps rooted in a more holistic understanding of the crisis.
In particular it is important to situate a lot of the mental health problems within the wider social crisis. Some components of the social crisis which need to be emphasized in this context are –increasing economic inequalities, rising costs of living and economic difficulties for a significant number of people, worries over such basic needs as housing rents and mortgages, increasing spread of consumerist culture and saturation advertising of seemingly desirable products , overselling of expensive life-style accessible only to some and spread of cultural values which seek life’s fulfillment in accessing it. A culture of celebrating narrowly defined success and condemning all too soon any inability to access this narrowly defined success adds to this. Discriminations on the basis of race, class, ethnicity, color, faith, gender and sexual orientation etc. are also important factors. Widely pervasive feelings of dominance and the violence inherent in them can be very hurtful, as seen in domestic, school, workplace or street violence. Breakdown of social relationships, relating these more to sensual gratification and selfish instincts instead of more durable, sincere and affectionate ties, can be very distressing and disrupting, increasing a deeper loneliness within the multiple relationships and partying of a society always linked to and influenced much by social media.
All this is partially relevant, at a different level, in less prosperous societies as well, but in many of these, with high levels of poverty and inequalities, what is most tragic is the almost shutting down of doors and opportunities for many as they are exposed to more ups and downs of highly globalized, linked up systems, something which can be more disruptive than the more traditional forms of poverty.
It is important to understand that several socio-economic trends, which have been normalized by society as commonplace, can be much more distressing and disruptive than is commonly believed, resulting in a big increase in mental health problems, which concerns us here, but in addition also in some other serious problems like crime and confused, irrational groupings. If more than one in five or one in six in a society have mental health problems, it may be more relevant to ask if the society is sick, not so much the individuals, as individuals may be merely manifesting the scars of society’s sickness. Heal the society, therefore and most individuals within it will heal too.
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The writer is Honorary Convener, Campaign to Protect Earth Now. His recent books include ‘A Day in 2071’, ‘Planet in Peril' and ‘Man over Machine—A Path to Peace'

टिप्पणियाँ

ट्रेंडिंग

दाँव उल्टा पड़ा: राहुल गांधी के रूप में हम एक साधारण इंसान को नायक होते देख रहे हैं

-  अमिता नीरव  संघ औऱ बीजेपी ने राहुल गाँधी पर जो सोचकर ‘इन्वेस्ट’ किया था, उसके परिणाम गंभीर रूप से नुकसानदेह आ रहे हैं। ये थोड़ी अटपटी बात लग सकती है, लेकिन सोचिएगा कि संघ और बीजेपी ने राहुल गाँधी को जितना गंभीरता से लिया, उनकी संभावनाओं को लेकर वे जितना श्योर थे, उतना तो खुद राहुल और कांग्रेस भी नहीं थी।

બે-રોકટોક રણ અભયારણ્ય વિસ્તારમાં માફિયાઓનું અન-અધિકૃત અને ગેર-કાયદેસર પ્રવૃત્તિઓ

- અગરિયા હિત રક્ષક મંચ  કચ્છના નાના રણમાં શિકારપૂર, કાનમેર રણ વિસ્તારમાં જમીન માફિયા જુથ વચ્ચેની આંધાધૂંધ ગોળીબાર થયો તેમાં એક વ્યક્તિ નો જીવ ગયો. આ ઘટનાથી ફરી એકવાર કચ્છના નાના રણની જમીન પર ગેરકાયદેસર કબજો કરી તેનો સોદો કરનારા જૂથો, ટોળીઓની વાત ચર્ચામાં આવી છે. 

हिंदी आलोचना जैसे पिछड़ चुके अनुशासन की जगह हिंदी वैचारिकी का विकास जरूरी

- प्रमोद रंजन*   भारतीय राजनीति में सांप्रदायिक व प्रतिक्रियावादी ताकतों को सत्ता तक पहुंचाने में हिंदी पट्टी का सबसे बड़ा योगदान है। इसका मुख्य कारण हिंदी-पट्टी में कार्यरत समाजवादी व जनपक्षधर हिरावल दस्ते का विचारहीन, अनैतिक और  प्रतिक्रियावादी होते जाना है। अगर हम उपरोक्त बातों को स्वीकार करते हैं, तो कुछ रोचक निष्कर्ष निकलते हैं। हिंदी-जनता और उसके हिरावल दस्ते को विचारहीन और प्रतिक्रियावादी बनने से रोकने की मुख्य ज़िम्मेदारी किसकी थी?

ગુજરાતના સ્થાપના દિવસે યાદ કરીએ ભારતના વિશ્વપ્રસિદ્ધ ગુજરાતી પુરાતત્વવિદ્ ને

- ગૌરાંગ જાની*  આજે કોઈ ગુજરાતી એ કલ્પના પણ ન કરી શકે કે વર્ષ ૧૮૩૯ માં જૂનાગઢમાં જન્મેલા એક ગુજરાતી વિશ્વ પ્રસિદ્ધ બની શકે! પણ આપણે એ ગુજરાતીને કદાચ વિસરી ગયા છીએ જેમણે ગિરનારના અશોક શિલાલેખને દોઢસો વર્ષ પૂર્વે ઉકેલી આપ્યો.આ વિદ્વાન એટલે ભગવાનલાલ ઈન્દ્રજી. ૭ નવેમ્બર, ૧૮૩૯ ના દિવસે જૂનાગઢના પ્રશ્નોરા નાગર બ્રાહ્મણ પરિવારમાં તેમનો જન્મ થયો હતો. જૂનાગઢના એ સમયે અંગ્રેજી શિક્ષણની સગવડ ન હોવાને કારણે તેમને અંગ્રેજી ભાષાનું જ્ઞાન ન હતું પણ પાછળથી તેમણે ખપ પૂરતું અંગ્રેજી જાણી લીધું હતું.

राम के महल में आग लगाता हनुमान: चर्चित सोशल मीडिया इनफ्लुएंसर दिलीप मंडल

- प्रमोद रंजन  चर्चित सोशल मीडिया इनफ्लुएंसर दिलीप मंडल ने अचानक राजनीतिक पलटी मारी है और राजद-सपा-स्टालिन आदि के खेमे को छोड़ कर राष्ट्रीय स्वयंसेवक संघ के लिए बैटिंग करने लगे हैं। कई लोगों में उनके कथित पतन से दु:ख खीज और गुस्सा है।

नफरती बातें: मुसलमानों में असुरक्षा का भाव बढ़ रहा है, वे अपने मोहल्लों में सिमट रहे हैं

- राम पुनियानी*  भारत पर पिछले 10 सालों से हिन्दू राष्ट्रवादी भारतीय जनता पार्टी (भाजपा) राज कर रही है. भाजपा आरएसएस परिवार की सदस्य है और आरएसएस का लक्ष्य है हिन्दू राष्ट्र का निर्माण. आरएसएस से जुड़ी सैंकड़ों संस्थाएँ हैं. उसके लाखों, बल्कि शायद, करोड़ों स्वयंसेवक हैं. इसके अलावा कई हजार वरिष्ठ कार्यकर्ता हैं जिन्हें प्रचारक कहा जाता है. भाजपा के सत्ता में आने के बाद से आरएसएस दुगनी गति से हिन्दू राष्ट्र के निर्माण के अपने एजेण्डे को पूरा करने में जुट गया है. यदि भाजपा को चुनावों में लगातार सफलता हासिल हो रही है तो उसका कारण है देश में साम्प्रदायिकता और साम्प्रदायिक मुद्दों का बढ़ता बोलबाला. इनमें से कुछ हैं राम मंदिर, गौमांस और गोवध एवं लव जिहाद. 

આપણા સમાજમાં દીકરીના માતપિતાનો દરજ્જો દીકરાના માતાપિતા કરતાં નિમ્ન કક્ષાનો કેમ?

- તૃપ્તિ શેઠ  થોડાંક દિવસ પહેલાં એક દુકાનમાં ખરીદી કરવાં ગઈ અને એ બહેન જે દુકાન પર બેઠાં હતાં એ ફોન પર વાતો જ કર્યા કરતાં હતાં . હું કંટાળીને આગળ જવા ગઈ તો એ મને કહે , "સોરી !  મારી મમ્મીને હું રોજ આ સમયે ફોન કરું છું કેમ કે એ મંદિરમાં રહે છે અને ત્યાં ઈલેક્ટ્રિસિટી નથી. એ પાંચ રૂપીઆમાં ફોન રોજ ચાર્જ કરાવે અને મારી સાથે વાત કરે." મે પૂછ્યું તારી મમ્મી કેમ એકલી રહે છે, તો એનો જવાબ હતો કે મારા બે ભાઈઓએ મારી મમ્મીને એના ઘરમાંથી કાઢી મૂકી છે એટલે એક ગામના છેવાડે આવેલાં મંદિરમાં રહે છે અને ત્યાં કામ કરે છે . મે કહ્યું ,” તું કેમ તારી મમ્મીની બોલાવી લેતી નથી ? “ તો મને કહે, મારી મા કહે છે કે છોકરીને ઘરે પાણી પણ પીએ તો  પાપ લાગે. 

તત્વચિંતક રાજનીતિજ્ઞ મોદીનાં લોકસભાની ચૂંટણી સંદર્ભે મહાન વ્યાખ્યાનો પ્રકાશિત કરવા જોઈએ

- ઉત્તમ પરમાર  વિશ્વના મહાન તત્વચિંતક રાજનીતિજ્ઞ અને આપણા મહાન વડાપ્રધાન આદરણીય નરેન્દ્રભાઈ મોદી 2024ની લોકસભાની ચૂંટણી સંદર્ભે જે જાહેર વ્યાખ્યાનો આપી રહ્યા છે, એ માત્ર ભારતના વડાપ્રધાનોના નહીં પરંતુ વિશ્વના વડાપ્રધાનોના પ્રવચનો પૈકી સર્વશ્રેષ્ઠ પ્રવચનો છે.

एक बहुत बड़ा झूठ: मुसलमानों की आबादी बढ़ती रही तो हिन्दू अल्पसंख्यक बन जाएंगे

- राम पुनियानी  चुनावी मौसम जैसे-जैसे समाप्ति की ओर बढ़ रहा है, वैसे-वैसे समाज को बांटने वाला प्रचार भी अपने चरम पर पहुँच रहा है. भाजपा के मुख्य प्रचारक स्वयं प्रधानमंत्री मोदी है. इस चुनाव में उनका पूरा नैरेटिव इस झूठ के  आसपास बुना गया है कि अगर इंडिया गठबंधन सत्ता में आया तो वह सारी सुविधाएं और लाभ केवल मुसलमानों को देगा. हर चीज़ पर मुसलमानों का पहला हक होगा और संविधान में इस तरह के बदलाव किये जाएंगे जिससे हिन्दू इस देश के दूसरे दर्जे के नागरिक बन जाएंगे. मोदीजी हमें जॉर्ज ऑरवेल के उपन्यास “नाइनटीन एट्टी-फोर”  की याद दिलाता है, जिसमें सच को सिर के बल खड़ा कर दिया जाता है. हिन्दुओं में यह डर पैदा किया जा रहा है कि देश में मुसलमान सारे विशेषाधिकार हासिल कर लेंगे.

हीट-एक्शन नीति में अनौपचारिक व खुले-में-कार्यरत मजदूरों को शामिल नहीं करना निंदनीय

- नेशनल अलायन्स ऑफ़ पीपुल्स मूवमेंट्स  पूरे भारत में 'चुनावी गर्मी' ज़ोर पकड़ चुकी है, जो हम सभी को साफ़-साफ़ दिखाई भी दे रही है। हालाँकि, एक और गर्मी है जो नागरिकों, विशेष रूप से करोड़ों खुले में काम करने वाले श्रमिकों को प्रभावित करती है, यह न तो 'चुनावी मुद्दा' है और न ही इस पर सामाजिक रूप से पर्याप्त ध्यान दिया जाता है। भारत के ग्रामीण और शहरी दोनों हिस्सों में मेहनतकश लोग, जो चिलचिलाती धूप में भी हमारे गाँवों और शहरों के लिए अनाज पैदा करते हैं, हर तरह का निर्माण कार्य करते हैं, शहरों व गांवों को चलाते हैं, हमें विभिन्न प्रकार की सेवाएँ प्रदान करें, लेकिन इसी वर्ग का अभी तक 'मुख्यधारा' के जलवायु न्याय और नीतिगत विमर्श में पर्याप्त रूप से प्रतिनिधित्व नहीं किया गया है।