The idea that all men are created
equal is a very attractive one. It is also politically correct and it pleases
every modern open-minded person.
Table Mountain, Cape Town, South Africa ©2013 Am Ang Zhang
When
I at last visited the great nation of South Africa South Africa
It
is a generally held view that world wide the rate of schizophrenia stays the same regardless.
However, according to some reports, in England
Could
it be that doctors and especially psychiatrists in England
Although
puzzling, it cannot be denied that at any one time half of our psychotic
patients were Ethnic, and all of our eating disorders were white.
Thomas
Thomas
was a white boy with loving and doting parents. He was the only child. His
mother must have been a ballerina at some point in her life as the house was
adorned with black and white ballet photos. His father worked hard as one of
these young store managers for a big national supermarket.
Thomas
had a good pocket money allowance. He had all the latest gadgets a boy could
want. PS2[3]
was his latest Christmas present. He used to have wall posters of Ferraris and
Porsches as he could not quite decide on which one he liked better. No pop
stars, no girl posters, no, that was not Thomas. Mother did let on later her
worries that he might be gay.
Then
during the summer school break, he suddenly tore off all his posters, stopped
playing with his PS2, as mother could no longer hear the racing car noise, and
started writing copious amounts. He used to get food for himself as both
parents had a busy social life and he was sixteen and liked to get his own
food. Mother noticed that he went through the ice creams, Mars bars and
biscuits but not much else. He was often up till the small hours, writing. He did not sleep much and when the family
finally saw him he looked dreadful.
One
day mother decided to go into his room to check. That was when she found all
the posters torn off.
His
bed was unmade and his dirty clothing and sweet wrappers and paper were all
over the place. She thought the room had a funny smell too. Not the usual boy
smell.
She
looked at the pages and pages of his writings. It was the Bible, the Bible
according to Thomas! Her son had turned into the new Saviour and was writing a
new version of the Bible.
She
looked under his bed. No, no Playboy or Penthouse or worse. No such luck.
Instead she found three strange glass structures.
It
is simply astonishing how little parents know of the youth culture of today.
Thomas
had been taking marijuana for some time and just had his first psychotic
episode. He had been having MUNCHIES[4]
and those strange glass structures were BONGS[5]
Drug
and sex education should be for parents not the children, I have always
maintained, but nobody would listen to me. U.K.
has now the worst teenage pregnancy problem in Europe
despite its vigorous Sex Education program and not far behind in teenage drug
problem.
Father
in his neat modern management way wanted to know how it happened, what Thomas
should take and how long it would be before he could recover, what his chances
of relapse were and what he should do to prevent future relapses. Mother just
cried, listened and cried.
“My
nice boy uses drugs and is now psychotic and the two are probably related! What have I done wrong?” wailed mother.
There
really was no family history I could find.
Even in my cautious way I had to concede that this white Caucasian
teenager had drug induced psychosis but the prognosis might not be
as bad as the parents feared. Only time would tell.
[1]
Detention figures in England
& Wales – Using datasets
for the purpose of examining detentions under Part II of the Mental Health Act
1983 in England ,
a study reported that Black people were over six times more likely to be detained than White people. In the
cases of Black men this rose to an eight-fold
increase, while Asian people were 65% more frequently detained under Part II
(Audini and Lelliott 2002). This study analysed 31,702 incidences of Part II
detention over the period 1988-99 from areas with a combined population of 9.2
million.
Previous studies have placed the figure for detentions for Black people
at closer to three times more likely
than for White people although one article that reported this statistic
included Asian in its definition of Black (Keating et al 2003).
An
update on current literature relating to Chinese mental health reported returns
to the Mental Health Act Commission detentions for Chinese as 0.3% for the
period from 1996-98 (Cowan 2001). This percentage detained is exactly the same
as the proportion of Chinese people in the England
& Wales
national population with 40% residing in Greater London.
A study
which conducted a retrospective case note analysis on hospital records and
clinical notes of restricted hospital order patients conditionally discharged
from a large medium secure unit in England between 1987-2000, compared data on
those of Black African-Caribbean race and origin with all other ethnic
categories (Riordan et al 2004). Most of the subjects in both groups had a
diagnosis of schizophrenia and there was an over-representation of Black people (36%) as compared to the general
population.
[2]
Migration and schizophrenia, a paper published in Social
Psychiatry and Psychiatric Epidemiology - The last decade of the twentieth
century has seen an unprecedented increase in the number of reports in the
psychiatric literature documenting increased rates of psychotic illness among
migrants in a range of European countries. In countries where high rates of
immigration have been long-standing such as Britain
and the Netherlands ,
these increased rates have also been seen in the second generation of migrants.
This has impacted on psychiatry significantly with regard to the aetiology,
diagnosis, and treatment of schizophrenia.
[3] PS2: Play Station 2. A Computer based game console made by Sony.
[4]Munchies
- Smoking cannabis often triggers an urge to eat - what smokers sometimes refer
to as "the munchies".
[5]
Bong - A bong, also known as a water pipe, is a smoking device, generally used
to smoke marijuana.
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