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  1. 1. Citizenship <ul><li>“ All human beings are born free and equal in dignity and rights ” </li></ul><ul><li>“ They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood ” </li></ul><ul><li>Article 1: Universal Declaration of human rights </li></ul>
  2. 2. Fair and Just Laws <ul><li>“ The law, in its majestic equality, forbids the rich as well as the poor to sleep under bridges, to beg in the streets and to steal bread ” </li></ul><ul><li>Anatole France (1884-1924) </li></ul>
  3. 3. Equality Legislation <ul><li>“ Wrongdoing can only be avoided if those who are not wronged feel the same indignation at it as those who are ” </li></ul><ul><li>Solon 638-559BC Athenian Poet, statesman and reformer </li></ul>
  4. 4. Mental Health Act 2001 <ul><li>“ No! No! said the Queen, sentence first- verdict afterwards ” </li></ul><ul><li>Lewis Carroll: “ Alice ’ s adventures in wonderland (1865) ” </li></ul><ul><li>“ It is better that ten guilty persons escape than one innocent suffer ” </li></ul><ul><li>Sir William Blackstone 1723-1780 </li></ul>
  5. 5. The limitations of Law <ul><li>Right to social inclusion and independent living- Article 19 UN Convention on the rights of persons with disabilities </li></ul><ul><li>European Convention on Human Rights </li></ul>
  6. 6. Changing attitudes in society <ul><li>Accepting mental illness in the community </li></ul><ul><li>The importance of relationships </li></ul><ul><li>“ Psychiatry is probably the single most destructive force that has affected the American society within the last fifty years.”  ~Thomas S. Szasz </li></ul>
  7. 7. It ’ s Only Medication <ul><li>“ The doctors were very brave about my illness ” </li></ul><ul><li>Dorothy Parker </li></ul>
  8. 8. The non-autonomous <ul><li>“ I think, therefore I am ” </li></ul><ul><li>Rene Descartes: “ Discourse de la methode ” (1637) </li></ul><ul><li>“ The sentient human being ” </li></ul><ul><li>Immanuel Kant </li></ul>
  9. 9. Risk Management? <ul><li>Restraint and seclusion </li></ul><ul><li>“ It is now recognised internationally that seclusion and restraint can be significantly reduced and in many cases eliminated. Our intention should be to eliminate it” </li></ul><ul><li>Queensland state policy document </li></ul>
  10. 10. STIGMA and Public Attitudes <ul><li>Just 41% of those </li></ul><ul><li>surveyed thought </li></ul><ul><li>people with mental </li></ul><ul><li>health problems </li></ul><ul><li>should have children </li></ul><ul><li>if they wished. Only </li></ul><ul><li>61% believed that people </li></ul><ul><li>with mental health </li></ul><ul><li>problems had the right to </li></ul><ul><li>fulfilment through sexual </li></ul><ul><li>Relationships </li></ul><ul><li>“ Public Attitudes towards people with disabilities ” NDA 2007. </li></ul>
  11. 11. STIGMA and Public Attitudes <ul><li>48% of respondents disagreed with the statement; “ People with mental health problems should have the same rights as anyone else ” </li></ul><ul><li>NOSP 2007 “ Mental Health in Ireland: Awareness and attitudes ” . </li></ul>
  12. 12. Social Exclusion <ul><li>“ People with a diagnosis of mental illness, as a group, are severely socially excluded in Irish Society ” </li></ul><ul><li>(Quarterly National Household survey, CSO 2004) </li></ul><ul><li>Negative generalisations </li></ul><ul><li>Stereotypes </li></ul><ul><li>Language </li></ul><ul><li>Media messages </li></ul><ul><li>Ingrained assumptions </li></ul>
  13. 13. The importance of Language <ul><li>“ Thank you for your submission ” </li></ul><ul><li>Letter from Govt. Department </li></ul><ul><li>Have you moved </li></ul><ul><li>your bowels today? </li></ul><ul><li>No, They are still in the same place. </li></ul>
  14. 14. Different Perspectives <ul><li>Seeing things from other viewpoints </li></ul><ul><li>Supporting the “ wrong ” choice </li></ul>
  15. 15. “ If you can ’ t explain it to a six year old, you don ’ t understand it yourself ” <ul><li>“ I ’ m drowning </li></ul><ul><li>here, and you ’ re </li></ul><ul><li>describing the </li></ul><ul><li>water ” </li></ul><ul><li>(Jack Nicholson, </li></ul><ul><li>“ As good as it gets ” ) </li></ul>
  16. 16. Thank you for listening