Stop…Don’t Put On Your Dancing Shoes

Let me transport  you back to your child hood and tell you a bed time story.  Fairy tales have often had a very special place in my heart . Years back it was given to me as a bribe to visit the dentist who excavated or at times uprooted my chocolate indulged teeth. Sometimes I got it as a prize for not failing in class . Whatever the reasons being quite an introvert who welcomes solitude wholeheartedly the wonders of the fairy tales always enchanted and captured my imagination.

A Fairy Tale

Out of the many stories the story of  “The Red Shoe”by Hans Anderson somehow scared me when I was small. The story is about a little girl named Karen who got a pair of red shoes by a kind old lady who adopted her after her parents died. She loved the shoes so much that she wore in everywhere. Every Sunday she put on her bright red shoes and went to the church with this lady . Oneday she met an old soldier near the church who cleaned their shoes for a shilling. While cleaning her shoes he kept on repeating’ pretty dancing shoes’. When she left the soldier she realized she couldn’t stop dancing , as a result she was forcefully hauled into the carriage and her shoes were taken out. For the next few weeks she did not touch her shoes . Meanwhile the old lady fell ill. Karen was stuck in the house and longed to go out dancing, but instead she had to look after the lady . Once seeing an opportunity for escape she put on her red shoes and ran to the village for dancing . While coming back the shoes seem to have a life on its own they kept on dancing taking her here and there till she was so tired that she could not dance anymore. Yet they would not stop dancing till she forced herself to go uphill to the house of a swordsman. Where she requested him to cut off her feet as the shoes were enchanted. The swordsman did as he was asked and also made her a pair of wooden legs and crutches. Only then she found peace.

A  Strange History

The story was meant to teach a lesson about vanity and avoiding responsibilities however while studying about mental illness I found a remarkable likeness with an illness called ‘ dance mania’ which erupted in the 14th century in the wake of the Black Death. This illness recurred for centuries in central Europe- particularly Germany, the Netherlands and Belgium- finally abating in the early 17th century.

Original caption: Dancing mania sweeps through Europe during medieval plague.

The term ‘Dancing Mania” was derived from “choreomania’ . Here “choreo” meant dance and Mania meant “Madness”. This took the form of epidemics of raving, jumping, dancing, and convulsions. Records of a  physician from the thirteenth century revealed that a person affected from this disease would suddenly jump out and feel the acute pain like a sting of a bee . Some saw spiders and others didn’t . They would then run out in the streets, marketplace and would dance in great excitement. Soon they would be joined by others who have been bitten previously or recently. They would dance wildly and erotically wearing queer clothes . Some would tear their clothes being naked, roll in the dirt, drink  and talk like drunken people.

In the end most simply dropped down, overwhelmed with exhaustion and some ended up in a state of ecstasy.

This disease was referred to as tarantism which was prevalent in Southern Italy from the 15th to the 17th centuries and was attributed to bites from the tarantula spider. and when it spread to Germany it was referred to as St. Vitus’s dance.

Possible Causes

In the 16th century this mania was considered as an ordeal sent by saint, or a punishment from God for people’s sins. However it is in this century that Paracelsus (1493-1541) refuting the idea that saints or God had created this suggested psychogenic cause or malingered etiology putting it under the purview of physicians. Some of the causes of dance mania has been attributed to

  • A mass stress induced psychosis
  • A mass psychogenic illness
  • A culturally determined form of ritualistic behaviour
  • A manifestation of religious ecstasy
  • Food poisoning caused by the toxic and psychoactive chemical products of ergot fungi.
  • ‘Shared stress’ by people caused by natural disasters of that time. (Hetherington and Munro,1997)

Dance Mania appears to have completely died out in the mid 17th Century. In reality dancing mania did not have a single cause.  Any of these could have been a reason for such a manifestation. Whatever the reasons it showed how strange human behaviour can be and how fascinating the realm of Psychology is.  So next time you put on your dancing shoes, think twice.

Reference:

  • Andersen, H. C. (Hans Christian), 1805-1875. (2006). The complete Hans Christian Andersen fairy tales. New York :Gramercy Books.
  • Bogousslavsky, J. (2017). Neurologic-Psychiatric Syndromes in Focus Part II – From Psychiatry to Neurology.
  • Coleman, J. C. (1950). Abnormal psychology and modern life.Scott, Foresman
  • Hetherington, Kevin; Munro, Rolland (1997). Ideas of difference. Wiley-Blackwell. ISBN978-0-631-20768-9.
  • http://cvltnation.com/dance-util-you-drop-the-dancing-plague-of-1518/

Silent Voices -Understanding Mental Health

On a Wed 27th of May,2020 a mentally challenged boy in his mid 20s was taken to the local hospital by his parents. His body was covered in cuts and bruises . The day after this incident angry locals ransacked the boys house claiming that the victim was hacked to death by his parents and younger brother.

July 17, 2018 a mentally challenged woman was beaten by a mob in Jalpaiguri over the suspicion of child theft.  This incident was an echo of an earlier incident in 2017, where a mentally challenged women was mercilessly beaten to death in Murshidabad. Through her incoherent speech and confusion she could not speak in her defence, so she was tied to a tractor and beaten for three hours.

Attitudes towards Mental illness 

Mental illness  , ‘pagol’ , the word immediately bring forward images of people like Norman Bates in the Alfred Hitchcock story Psycho , a murderer – voyeur who kept the corpse of his mother to a serial killer who skins his victims to make a suit of their flesh , (The Silence of the lambs). Mentally ill people are viewed by people as violent, aggressive, crazy, talks to themselves, stupid, born with brain defect.  The stigmatization is so extreme that it has led to prejudice and stereotype  regarding them. The truth and reality of the situation is quite different .Recent studies point out that individuals with severe mental illness are at a higher risk than the general population to be victimized .(Khalifeh et al 2016)

TLLLF_2018 Report How IndiaPerceives Mental Health.

According to the National Mental Health Survey 2016, conducted by National Institute of Mental Health 1.25 crore of Bengal ’s estimated population of 9.67 crore suffer from various mental health problems and are in need of immediate treatment.  When it comes to severe mental health disorders 1.8% of Bengal’s population is affected, the highest in the country. So an awareness regarding mentally illness needs to be there.

Risk Factors for victimization 

Studies have also attempted to seek risk factors for victimization. A meta-analysis of 20 studies found female gender, homelessness, substance abuse and history of child sexual abuse to be the most significant factors involved . Most patients get abused verbally through harsh voice, abusive language, blaming and threatening. Physical abuse takes forms of slapping, beating, being attacked with a weapon, whipping, chaining, mutilation or keeping patients locked up. Social neglect and discrimination are common. In a significant number of these cases, the abusers are acquaintances or family members of the victim (Brown and Anderson,1991). Intimate partner violence and domestic violence in females needs a mention in this regard (Coker et al., 2002) There are certain factors in the mentally ill people which makes them unable to perceive risk and protect oneself,  making  them vulnerable to abuse. These factors are:

  • Impaired Reality testing
  • A disorganized thought process
  • Impulsivity
  • poor planning and
  • problem solving
  • Feelings of hopelessness
  • helplessness 

In the upcoming months post covid a huge mental health crisis awaits us. Prolonged isolation will lead to both economic and mental health crisis. Unemployment, alcoholism, economic hardships, indebtedness, domestic violence and  child abuse specially if the perpetrator is in close contact with the victim will all become  contributing factors to mental illness. According to a survey conducted by the Indian Psychiatry Society, within a week of the start of the lockdown, the number of reported cases of mental illness in India had risen by 20%. Therefore it is important to de-stigmatize mental illness.

Certain common myths and facts about mental illness: 

Myth: Only ‘crazy’ people have mental illness 

Fact: When you are physically ill for eg. You have got a cold . What do you do? You would go to the doctor take medications for some time, take rest and get cured. In case of mental illness it is similar. The only difference is there is no stigma attached to you going to a doctor but you would think 10 times before you go to a mental Health professional. Change your perceptions 

Myth: People with mental ill health are violent and dangerous. 

Fact: Most people with psychiatric problems are not violent . It is true some subset of mental illness does contribute to the risk of violence, however the findings are inconclusive as there are other contributing factors such as substance abuse which aggrevates this risk. Do be alert but treat mentally ill people with compassion. Because their aggression is brought about by neurochemical changes and disturbed cognition.  

The unfortunate truth is that individuals with mental illness are more likely to be victims of violence than perpetrators.  

Myth: Seeking help for mental illness will lead to being ostracized.

Fact: A problem is categorized as mental illness when it is persistent and leads to disturbances in personal, social and occupational functioning. Seeking mental help would help one to come back to the optimum level of functioning. First you need to be convinced before you can convince others and alleviate their fears. 

Myth: Anybody with a counseling certificate are mental health professionals.

Fact: Don’t get confused by seeing the word counselor. There are different types of counseling for eg, academic counselor, career counselor and psychologists. It is important that the person you go to have a background in psychology preferably RCI registered. Just doing a course from different background is not sufficient to deal with ones mental health. 

Myths: Mental illness is incurable

Fact: When you have thyroid or diabetes you need to be on medications for prolonged periods. This helps you to manage your physical problems and adjust to your daily routine. Similarly in mental illness at times lifelong management through intake of drugs may be necessary, but with social support and lack of stigma it may be possible for them to be rehabilitated back in society.

Concluding Remarks

A lot of discussion remains on this issue, a lot of attitudes needs to be changed.  We all have to be in this together and change the social constructs based on misinformation. It is then only we can call ourselves truly humane.

References

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