In a provocative new article in Psychosis, Elan Cohen argues for a transformative change in mental health care regarding psychosis. He envisions a “clinic of solidarity” that sees psychosis as a relational and meaningful experience rather than a mere symptom to be controlled. This perspective critiques the existing psychiatric practices, which often prioritise containment over connection, advocating for an approach rooted in human rights and mutual recognition.
Cohen explains that the notion of solidarity, derived from a Roman legal bond of shared responsibility, compels us to view the suffering of others as intertwined with our own. Acknowledging this interconnectedness allows for a more compassionate engagement with those experiencing altered mental states. Rather than objectifying and isolating individuals, his proposed clinical practice embraces the complexities of human differences and interpersonal conflicts.
In the article, Cohen highlights how prevailing practices in the United States compel mental health providers to quickly refer patients to higher levels of care and rely heavily on medication, perpetuating cycles of hospitalisation, homelessness, and incarceration. Instead of fostering healing, these systems often exacerbate anxiety and drive individuals further into distress.
Cohen argues that psychosis serves as a crucial aspect of human consciousness, intricately linked to our dreams and unconscious motivations. He posits that, rather than being perceived solely as a crisis, psychosis can be understood as a social response to relational ruptures in our lives, warranting deeper exploration and understanding.
His scholarly work employs psychoanalytic theory and historical context to critique how psychosis has been framed within psychiatry, advocating for a solidarity-centric clinic model that prioritises the processing of personal meaning over suppression. This represents a significant shift from traditional coercive methods towards relational and non-pathologising care.
Backed by empirical evidence, Cohen points out that psychosis is frequently caused by social trauma and structural issues like poverty. Reducing these socio-economic stresses has shown promise in preventing psychosis. Conversely, current methods often result in involuntary hospitalisation, stripping dignity and increasing trauma—finding medication-free alternatives can promote autonomy for those experiencing altered states.
Cohen calls for a compassionate, solidarity-driven practice that resists coercion. He emphasises the importance of healing spaces that allow mutual presence, fostering an environment where ambiguity is tolerated without imposing rigid models. To achieve this, clinicians must immerse themselves in the lived experiences of individuals without judgement.
The existing psychiatric system, which relies heavily on coercive measures, often disrupts the subjectivity of individuals, pushing them further into cycles of institutional neglect. Cohen’s vision of solidarity not only acknowledges psychosis as a meaningful expression but also presents an opportunity for deep, relational healing.
Transitioning to this model of care requires dismantling established frameworks that privilege control over connection. Cohen suggests cultivating an approach that is not only relationally responsive but also contextually aware, moving beyond a mere replacement of one model for another.
Elan Cohen’s article argues for a new ‘clinic of solidarity’ in mental health care, challenging traditional practices that pathologise psychosis. He calls for an approach rooted in mutual recognition and human rights, critiquing the coercive nature of current psychiatric systems. By viewing psychosis as a relational experience, Cohen proposes a shift towards compassionate, non-pathologising care that prioritises connection and understanding, supported by empirical evidence linking social trauma to mental health.
In conclusion, Elan Cohen’s article advocates for a radical shift in the approach to mental health care for those experiencing psychosis. By promoting a ‘clinic of solidarity,’ he highlights the importance of relational understanding and human rights in mental health treatment. This transformative vision proposes an alternative to coercive practices, supporting the notion that healing occurs through connection and mutual recognition, fostering autonomy and respect. Achieving this will require a fundamental rethinking of mental health care, prioritising solidarity over segregation.
Original Source: www.madinamerica.com
