I want to use this article to examine the concept of mental health. As a professional counsellor I am tasked with aiding its cultivation, yet in my estimation the concept is not as clear as it may seem. I estimate that mental health is defined by most as a kind of general state of psychological stability that also includes accompanying behaviours that cause little distress of oneself and others. A socially accepted condition that is called psychologically healthy, well adjusted, normal.
However, upon consideration of what constitutes mental health I am minded to consider the statement of a venerated spiritual teacher from the 20th Century, Krishnamurti, who said:
‘It is no sign of psychological health to be well adjusted to an insane society.’
It should come as no surprise to anyone that in repeating the words of Krishnamurti that I am implying that society, the modern westernised society, is somewhat insane. As a result, I implicitly suggest that being accepted as mentally healthy in this society does not guarantee the achievement.
The claim society and its current manifestation is dysfunctional is clear to all who pay the slightest attention to the news or simply listen to the plight of the average colleague, friend or neighbour. With little investigation they will generally find a deep disturbance of mind, relationship or circumstance that would indicate a dysfunction for almost all they care to examine. Medications to treat depression and anxiety are commonplace, while the abuse of alcohol or other drugs are equally prevalent. In the realm of the personal, marriages fail, suicide is a leading killer of many in society and numerous other metrics indicate all is not well. The wider societal madness is so endemic it barely causes a register of concern, yet multiple apocalyptic monsters arrest us at every turn from nuclear Armageddon to new threats of climate disaster or manmade killer viruses to name a few potential global terrors. I accept this is a pessimistic view, but it is not without justification. I must admit that on occasion it is a wonder to me that anyone remains functional let alone mentally well.
Happiness?
To repeat, as a counsellor the formulation of and accurate definition of mental health is not without consequence. I have invested my career in aiding people in the task of becoming mentally well. So naturally it is imperative for me to have a grasp of what such a state constitutes.
Upon further investigation, I believe that what most people identify to be mentally well is another description of a more universally understood concept, happiness. I suggest that mental wellbeing is the more nuanced and sustainable definition of happiness, yet this is still a rather vague term. The state of happiness appears represented in much of the media. Smiling faces in good states of health fill scrolling media images. The pages of social media often curate the good times of life, moments of joy and happiness. Peak moments of pleasure that are desirous. But the reality that these images often ignore is that life is inescapably full of suffering. For instance, the pain of birth is the consequence of the joy of sex and death is the only certainty once life is under way. For me happiness as an indication of mental health excludes suffering as normal and essential to the conditions of life.
Psychological definition
The psychology profession may offer a more precise investigation. I will postulate that there is an implicit assumption in psychology that mental health is the absence of mental ill-health because much of what is examined in psychology is dysfunction. Mental ill-health is diagnosed, and the most accepted current source of diagnosis would be the DSM-V. Yet it must be observed that just as the number and scope of diagnosis appears to grow with each new addition of the DSM so does the number of sick members of the population. Once again, we return to the evidence of a sick and insane society as the norm. I am drawn to conclude with pessimism that the dire current social circumstances stated earlier are being reflected in the diagnosis of the troubles of the populace.
However, I speculate that if happiness and well-being become the implicit defining objectives of psychological health then there is a danger that their inverse states unhappiness, distress and so on become pathologized as psychological ill-health. The populace in seeking comfort from the psychological profession may add to their own propensity for diagnosis. I consider that much of the tendency toward diagnoses, particularly in areas of spectrum diagnosis, result as a natural conclusion of having a high and mostly illusory standard for mental well-being. I am more prone in my own practice to offer what I consider a more compassionate and forgiving judgement – that periods of mental distress or at least significant dissatisfaction, are normal and no definitive sign of ill-health.
With this claim for a lower standard of normalcy in the definition of mental health, I am aware that a low expectation of mental wellness could undermine much of the therapeutic field. To some degree I feel that this would be a good thing. A revised approach taking what is considered pathology back into the realm of the normal, at least within the dominant social setting. Yet people still will justifiably seek solace from pain, and I also believe the therapeutic field has lots to offer in providing genuine resolutions.
Integration of suffering
With these thoughts in mind, I turn to the religions for solace and guidance. Many world religions and those of which I am most familiar consider that human condition from a pessimistic view. Christianity considered the human condition a fallen state, birthed in original sin granted, but universally prescribed and universally shared. Buddhism considers the world to be Maya, an illusionary world of suffering and torment from which the Buddhist path offers an escape through the awakened state. These religions normalize suffering while also prescribing a cure.
It is my opinion that modern therapeutic professions need to adopt a similar stance to religions. I am pointing to the value inherent in a pessimistic view of reality because this normalizes unhappiness and suffering while also prescribing cures. Not quick fix cures but those born of wisdom and research that point to better strategies for living and relating that can, with reasonable expectation offer a more fulfilling life and greater resilience against the inevitable troubles that life brings. The normalcy of problems offers each of us a greater capacity to bear our sufferings as part of the shared state of humanity.
In this acceptance of the suffering in the human condition I am also advocating for the normalcy of the therapeutic professions. Not only is this good for business, but with the retreat of religions I believe the industry of professionally trained individuals is required to fill the gap vacated for many by religion. My attitude is that it is efficient to have an economy of people devoted to the task of the cultivation and maintenance of mental health, that illusive and amorphous term, to aid in resisting the pull of suffering that is the natural condition of much of human life. I conclude by advocating the normalizing of suffering as part of being mentally healthy and the normalizing of therapy in consequence.
If you enjoyed this article, please ensure you are subscribed to the True Word Newsletter:
https://stats.sender.net/forms/erDZ4b/view
Or share with someone who you feel may benefit from its content.
For counselling services and meditation and mindfulness courses please visit my website for information: