Are people with mental illness responsible for their behavior, and for how their behavior affects others? If so, to what degree? Does the degree of mental illness affect how we answer this question?
I’ve been thinking about this question for a long, long time. Many years, in fact. I’ve been thinking about it harder in the last year or so, since my father died, and since my most recent bout with depression. I’ve been thinking about it in terms of my own life and my own mental health; I’ve been thinking about it in terms of the lives and mental health (healths?) of my friends and family members who are dealing with mental illness, or who have dealt with it in the past. But mostly, I’m thinking about it in terms of my father.
My father died on Oct. 1, 2012. Dad was a pretty mixed bag: many wonderful qualities, many not-so-wonderful ones. Specifically, he was an alcoholic, apretty bad one for many decades, and a significantly worse one as the years and decades wore on. And largely due to his alcoholism, he often behaved very badly. He wasn’t abusive, but he was often selfish, irresponsible, callous, quick with a barbed comment or a cruel joke just for his own entertainment, dismissive of other people’s feelings, unconcerned with how his actions affected others. It got worse, much worse, as the years went on and the disease of alcoholism progressed.
By the time he had his first stroke, the alcoholism had advanced to late-stage, brain-damage, memory- and speech-impairment territory, and the accompanying selfishness and irresponsibility got worse with the deterioration. (According to the doctors, the years of alcoholism almost certainly contributed to the stroke itself, and may have even been a primary cause.)
I don’t want to get into the litany of the details of his behavior right now. It’s too upsetting, and it’s kind of not the point. The point — the question I’ve spent decades asking myself, as I kept taking step after step away from my father and it kept not being far enough — is this: To what degree are mentally ill people — including alcoholics and other drug addicts — responsible for their behavior?
Thus begins my latest piece for AlterNet, Are Addicts and the Mentally Ill Responsible for Their Behavior?. To read more about some of the many sides of this complicated and difficult question, read the rest of the piece.