Coronavirus And Benefits Propaganda

Photo of Boris Johnson at a podium. The words ‘demonising claimants’ are written in a white space over his right shoulder and the words “herd immunity” over his left shoulder. Below him are the words “sacrificing disabled people protecting profit”

Boris Johnson’s argument for an acceptable number of deaths for herd immunity to work is a useful analogue to look back at how propaganda about benefits was to push through austerity.

A lot of arguments about benefits hinged on an idea of mythical distinction between deserving and underserving benefit claimant, the ‘you’re alright mate it’s that other lot’ attitude (an argument also known to people who put up with racism at work), like some petty gangster protection racket we were supposed to accept that argument about ourselves, whilst selling out other claimants in the hope we wouldn’t be picked on ourselves. Obviously on accepting this protection, we are no longer allowed to criticize government policy as were we to we would subsequently lose the protection offered by the prejudiced person taking us under their wing. The protection is flimsy though as of course whilst this person is ‘acknowledging we are different from those ‘others’’, obviously so in order not to have to challenge his own prejudices given he knows more details of your case, he has to separate you as exceptional to ‘those others’ he is talking in ignorance about (so in fact the ‘protection’ is also for his own ignorance from his conscience) and you arguing your defence based on a more universal principle challenges that. However, there are others offering the same ‘protection’ to others that they in turn know who are ignorant of you. If you get shit from them, your ‘protector’ has to challenge his ideological affinities with the other bigot, and you are just expected to get used to it. So, you can be ‘killed’ at any time, where being ‘killed’ is a metaphor for putting up with prejudice, just so long as you don’t rock the boat, so the ‘protection’ is in fact just from each individual bigot.

Given this, let’s return to herd immunity. A certain number of people have to take a fall, die basically (not a metaphor this time), so the others can be protected (herd immunity – but based on poor science), an ideological argument that is in fact cover for protecting the economy. If we turn back to the early days of austerity, the attack on benefit rights came early. The first Household Survey after the coalition came to power showed a large drop in attitudes of respect for benefits, an acknowledgment of rights that had previously been stable for some time amongst the broader population.

The purpose of this change in attitude from the propaganda pushed by the government was to push through austerity, as there had been a crisis of capital it was necessary for the capitalists to consolidate their class position, this means, using Thomas Piketty’s formula for inequality, r>g (where r is the return on capital, and g is growth), increasing r again (after its drop) relative to g. Given g is growth, that includes both wages and profit from production (total revenue of all ‘firms’ – GDP (excluding dividends from shares and rents)), and that wages are paid based on the supply and demand in the marketplace for labour, but all labour-time contributes to total revenue, thus profit is the difference (after costs), then to increase r, wages had to be kept low. But this needed to be sold to wage earners. It’s quick to point to the demonisation of benefit claimants, but in an inverse of Cameron’s argument that ‘it wasn’t right that people earned less than those claiming’, it is in fact true that therefore benefit claims, especially the ‘humanitarian measure’ of how much was needed (based on relative poverty measures – in fact this form of measuring poverty was also attacked as part of the propaganda), were in fact a bottom level it is true below which it was not worth working (hence also the need for punitive sanctions for benefits), it’s just that the issue was that these wages were already too low, not that benefits were too high. The other bottom level was the minimum wage so it was here the demonization was required on top of the 1% freeze on benefits, minimum wage and public service wages (this would then have a weighting effect on supply and demand of wages in the private sphere through the competition for jobs), not just as a distraction from the attack on wages, but to give popular assent to the perceived minimum amount that wages themselves were worth in order to work.

But for a propaganda campaign like this to work that would give popular assent to austerity (with regards the other part of this campaign that involved lowering the average wage – the economics of it – it turns out, this aspect was tackled on misinformation about debt (it is worth noting that there was a ‘popular justification disjunct’ between the claim that austerity was necessary to pay off the debt, and that the debt was in fact rising)), given there were many reasons why people still understood the purpose of a social security system, it needed to meet a large enough audience.

We live in a world of targeted advertising, but it is still not an exact science, to get enough sales you still need to ‘reach’ far more people than will eventually buy. Similarly, the propaganda analogue therefore is that you need to negatively affect more people than the propaganda appeals to, to get sufficient support for the propaganda to push through its agenda. So, if demonization of benefit claimants was necessary, and part of that method was ‘deserving and undeserving’ distinctions. Then sufficient ‘genuine’ claimants had to be demonized in order to ‘get’ the perception of this mythical ‘cheat’ or ‘fraud’, at least in the popular imagination, to be a sufficiently large amount. It is here we get back to the protection racket mentioned above and its relation to herd immunity. In order for sufficient demonization to occur, a certain amount of harassment of ‘genuine’ claimants had to be tolerated. This included not allowing even the ‘genuine’ claimants to protest their treatment lest the Emperor’s New Clothes be exposed and people realise that more people were genuine than the ‘benefit bashers’ would otherwise allow, lest they realise their own behaviour might be more morally questionable than, ironically, the supposed ‘cheats’ they were demonizing. A certain amount of denial of equal rights of ‘genuine claimants’ had to be accepted, which included a silencing of them, even, by their ‘protection racket’ allies, often friends and family (who wanted a clear conscience demonizing other claimants), much as a certain amount of Covid-19 deaths had to be perceived as necessary to protect the economy, which given we are due a recession after this, and again r will have to be reconsolidated with regards g (again – before we had full recovered from the damage done by austerity) would again involve lowering the average working class wage further.

The Double Life Of The Recovered Professional

In or Out

I find myself in a dilemma.

I have spent the past 15 years engaging in ‘recovery’. I have spent the last six years (or thereabouts) shouting about how utterly grateful I am to the services that ‘saved’ me. I have worked hard to come off benefits and pay my way. From being the most difficult patient, I have become the poster girl for the recovered individual. I have been an (unpaid) service user facilitator in a DBT group, I have a chapter in a book edited by a renowned clinical psychologist and I have delivered motivational talks to groups of professionals. The dilemma I find myself in is that I no longer believe what I have said. My dilemma is further exacerbated by the fact I work in mental health services.

I would not be writing this if my internal self was congruent with my apparent external state. I keep thinking, ‘well, I am in a much better position than I was 10, 7, 4 years ago’, and this is true to a point. I am not attending A&E every weekend; I am not getting myself so drunk, I wake up two days later; my financial situation is much more stable. I have been able to maintain a relationship to the point of marriage, and I am able to interact with others in a socially acceptable way. In all of that, however, I do not state I actually feel better.

I imagine I must feel better because I am not doing the things I used to do…although I am. Recently, my spouse went away for a few weeks and I was left to my own devices. I took a ton of codeine (not to harm myself, just to get off my head, to feel better), I drank a fair bit (a litre of whiskey in one sitting), and I self-harmed (pretty fucking badly in all fairness). Not having work to go to and actually still being as isolated as I was 10 years made brought home the stark reality of my existence. All I have done is supress how I feel, ignore my experiences and distract from reality. With work removed, I am scrabbling around, afraid of myself and wondering what the fuck is it all about?

I thought I wanted to be a clinical psychologist, but it turns many of them are narcissistic, egotistical, elitist sociopaths. Furthermore, the selection process for the clinical psychology training is based on many things, a key one having the ability to interpret statistical data. I’ve met too many clinical psychologists who are excellent with graphs yet not so skilled with people. As long as I adhere to their way of thinking, then I am doing just dandy. Any deviation from their thought processes, then we are being difficult, wilful, and defensive. Their toxicity is disguised, however, as they talk about trauma as opposed to personality disorders (which isn’t a bad thing, as at least experiences are being somewhat acknowledged). What further happens is that the good ones think, ‘fuck this shit’, and they leave. Whilst I’m definitely not a clinical psychologist, I’m at that point of wanting to leave. Everything I thought I wanted has fell around me, and I realise that recovery is but a concept coined by the professionals who have no peripheral vision.

As someone who grew up in the care system, what am I trying to recover? I was sexually, physically, and emotionally abused. I did not see my biological mother for over 20 years. My child was removed from my care. I have struggled, but been made to feel guilt and shame for my responses. I was instructed to hide old self-harm scars during DBT. We were not allowed to talk about self-harm within group, because of the risk of glorifying or romanticising it. I have been indoctrinated just as much as the people from my childhood indoctrinated me.

I work as a mental health care support worker. Some of the people I work with are genuinely nice people, but I see their limitations created by the system. Terms such as, ‘it’s personality’, ‘they’re med seeking’, and ‘they’re a nightmare’ are bandied around without thought or reflection. How offensive is it to term someone’s personality as disordered following a whole heap of childhood trauma? Why are we ok to dispense diazepam when ‘patients’ are not asking for it, but when they request it for the same problem, we no longer see it as a beneficial? What makes someone a nightmare?

What I am left with is a fear of someone finding out about me and my ‘stuff’. I work in an office with a whole bunch of mental health ‘professionals’, yet I am terrified they will find out my secret. This fear comes from the stigma I have witnessed and been subject to throughout both my non-working and working life. I was stigmatised as a service user with a diagnoses of BPD, and I am unwittingly stigmatised within my profession. There are mental health nurses who quite happily state that people with mental health difficulties CAN NOT work in mental health. When asked what recovered, ex-service users can do, they cannot answer, just that we shouldn’t be working in mental health.

Why can’t I find someone to talk to, without them trying to fix me? Why can’t I say, ‘you know, I feel shit, and there’s a good chance I will always feel shit given my start in life, but I accept that. I might self-harm from time to time, as safely as possible, I might engage in some other behaviours, but I am not asking anyone to patch me up. I’ll do that myself. I just want space to talk about it’? Why is this not acceptable? Why am I not accepted as I am, cuts and all? Why do professionals only care if you are ‘engaging’? Engaging in what? I have done everything asked and expected of me, and more. I’m lonelier than ever because I have been trained to put up and shut up.

The mental health sector does not believe in the recovery they try and push, but they do not recognise this. If difficult, PD, nightmare patients cannot recover or work in mental health, what are the mental health service doing with their service users? What are they working towards? There is such a blatant, screaming irony in the system, yet most are blind to it. I see people who have started out with good intentions, but they quickly get swallowed by the toxicity around them. At least two thirds of the employees talk about how they won’t come out of the NHS because of the bloody pension. Right now, I feel trapped by the money, and hate myself for it. I do not want to be that person. I have been that person, in the past, screaming at professionals that they are simply ‘doing it for the money’. That’s me, right now, in this moment in time, doing my job for the money. I care about the people I work with, but that care is overshadowed by the misery of what I am witnessing. I am at the bottom of the pile, sneered at for being a band 3 HCSW (I am asked ‘why don’t you go and do your nursing?’ at least twice a week). The hierarchy is real, and damaging, and people are made to feel shame.

I am in a quandary, a place of unease. I need to live, survive, so I need my wage. For a few years, I believed that people were not doing ‘this’ for the money, but we are. When our motivator is money, what have we become? Our priority is us, not the people accessing the service. It’s not a bad thing to want a wage, to have the right to earn a living. It’s certainly not a good thing, however, when the wellbeing of others is dependent on the wage being offered. Every day in work, I hear judgement and disdain, frustration and contempt for both users of the service and for the system as a whole, yet people continue to work in the same environment for many years. I am not the only one who hates their situation, but I see few, if any, doing something about it. Those in-office attitudes should remind us of how the system is run, and who is running it – a group of unhappy individuals, entrusted with the care and treatment of unwell individuals.

Mental health services need a complete reform, yet I do not see that happening any time soon. The good ones leave, the weak ones follow the crowd, and the leaders bully and intimidate. Stigma remains rife and continues to grow, and treatment is based on the egotistical needs of the practitioner. Where therapists have told me, ‘it’s not your fault’, they have instilled a deep shame within me regarding my reactions. My words are out there, on paper, as the model patient, and I cannot undo that. I was so desperately trying to please, that childlike need in me still searching for a mother, and professionals have either been blind or willing to take advantage of it. I’m trapped, and I am afraid of becoming ‘one of them’.

About the Author: I would like to be able to be transparent with who I am, but it is difficult to do so right now; Because of the institutional nature of current services – once in, you cannot have a voice, or as a service user, you don’t have a voice unless it is tokenistic. I hope to be able to come out of the NHS safely and be more open about my experiences.
– L

Covid-19 and Eating Distress

Eating Distress sits at the intersection of physical and mental health making us particularly vulnerable at this time. 

This blog piece is written by a member with their own experience of eating distress and uses quotes from Twitter followers (with permission).

Empty supermarket shelves. Text: Covid-19 and Eating Distress

Turns out that successfully managing a 30+ year eating disorder for years by shopping infrequently and buying multiples of the same few items doesn’t work in a pandemic with restrictions. The gradual erosion of parts of life that feel possible, in the absence of help, is a worry.

For those of us with current or former difficulties with eating this is a mental health nightmare. Some of us took years to painfully regain some health and we can’t replace ‘safe’ foods with just anything. 

I’m struggling to get my ‘safe’ foods. Dx anorexia many years ago and still feel in control if I eat certain things and certain times. Been going on for so many years. I feel uuurgh too when many have no food at all. Also with all other things in the world out of my control, my control is needed more… if that makes sense 

Covid lockdown has had enormous impact on our mental and physical health. Many of us are having to self-isolate and are having to rely on supermarket deliveries, friends and family and volunteers to deliver our food. 

We may be unable to access possibly the only source of viable food due to restrictions on the number of items supermarkets will allow customers to buy.

We may have to purchase expensive meal replacement drinks not prescribed. 

We may feel embarrassed by volunteers seeing how restricted our food intake is.

Does anyone else feel that if they asked someone to get some food for them that it must be ‘essential’ ie no junk food lol

The inability to obtain key items can unravel a finely balanced ability to eat. The constant fear of ‘where does the next X come from?’ or ‘when will a delivery slot become available?’ leads us to focus and obsess.

I finished CBTE for this a couple of months ago, and everything I worked so far for has completely unravelled (CBTE – Cognitive Behavioural Therapy for eating disorders)

Some of us have permanent health problems as a consequence of anorexia, bulimia or binge eating . These can include dental, bowel and/or bone conditions, which require permanent prescribed medicines and affect what we can and can’t eat. 

The Government registration covers limited physical conditions but not mental health conditions. Relevant charities could have made representations to the supermarkets – but it shouldn’t be based on BMI like services!

Food bank and government food parcels rarely contain fresh vegetables, fruit or dairy. Many of us struggle to eat a lot of rice, pasta, lentils or beans because of our health conditions. 

yes the food bank and Age UK parcels are very limited. The sad thing is many of us would be ok (enough £ permitting and yes it’s more expensive now), if we could access supermarket delivery slots. Some people I talk to in private need things like fortisip and are trying to get it online (fortsip – supplementary food)

Cooking is an issue for people who struggle with eating distress. Some of us can’t cook from scratch and many of us need ready meals which have the calories on the box.

Once you’re no longer seriously underweight and your eating has some semblance of ‘normality’, most people think that it’s all behind you. However, this is often not the case. 

Eating disorders in the context of a global pandemic are not easy. After a decade and a half of solid recovery from Anorexia nervosa, within days of the lockdown becoming inevitable I was under the duvet, barely eating and planning an exercise regimen to see me through being housebound. My appetite went AWOL due to anxiety and my weight started dropping.

Eating distress can often centre on issues of control  so finding ourselves in a situation where we are suddenly finding ourselves without the control over what food we can get hold of – and even allow into your home – can trigger more dangerous methods of control, methods we had once relinquished, such as the tyranny of the scales.

I felt really silly — I consider myself fully recovered from my ED. I never imagined I would be triggered like this. I started to speak out a little, expecting to be ridiculed. Many people do not know that I ever had an ED diagnosis. I suppose at some level I am ashamed of ever having had it at all. ED is a horrible illness that wrecked havoc in my life and seriously affected my family as well. I do not want a full-blown relapse. 

These issues are difficult to raise at a time when it is assumed that if you are in need of food help, ‘you will eat what you’re given’.

I think those feelings are heightened at a time of ‘we must be grateful for anything’ and there are sooo many people around us in dire circumstance

yes, and also related to feeling guilty about spending “badly” when income so reduced…sometimes feel my life is held together with bits of sticky tape (and this situation is pulling away some needed bits)

Mutual aid groups are doing brilliant work, but it’s not easy to say something like ‘I need 7-14 of these yogurts to live’ or whatever it is you need. So many issues – safe food no longer available, scarcity of food causing lots of ED. 

Thoughts and actions can get worse, getting used to having an empty stomach again because I can’t access the food I need which is a vicious cycle. 

And then there’s the impact of covid-19 on eating disorder services. 

For people who are at a clinically dangerous BMI some services have cut support or downgraded the BMI eligibility bar from 15 to 12. Some people can die at 15.

Have heard that eating disorder units are limiting admissions even more. You now have to be BMI 12 or under. People are dying because of this and it may not be listed as Coronavirus on the death certificate but it sure created the conditions to cause it.

Advice from members and followers who are dealing with eating distress at the moment.

  • Don’t beat yourself up for how triggered you are or how much you are struggling. This is the first global pandemic in our lifetimes. Give yourself time to freak out as you need to but keep this in check so that your ED cannot get a stronger hold on you. 
  • Speaking out about what you are struggling with helps. If you are ashamed to speak out publicly, discuss privately what problems you are facing and brainstorm solutions.
  • There is an enormous amount of exercise porn on the social medias, as if lockdown is an excuse for a fitness bootcamp. Acknowledge that this kind of messaging is not aimed at you right now and try to minimise exposure to it — unfollow unhelpful social media accounts, change the subject when talking to friends, figure out your own plan, check that out with friends, family or your treatment team and stick to that instead. Remember, Permitted Exercise takes place once per day! [Government guidelines at the time of writing.] 
  • Similarly there is a lot of productivity porn around. Cut yourself some slack. As someone said “The current era is crap enough without having to feel guilt that we aren’t learning Greek and painting watercolours of daffodils. If you brushed your teeth today and got showered and ate something and spent ten minutes not looking at the news then well done it’s an achievement.”
  • Keeping eating going is a priority, for all that your ED might tell you that it isn’t. Whether you’re finding it difficult to get hold of your safe foods, struggling to stick to a routine (like me), trying to work out how you can avoid binging when you cannot shop only for one day’s worth of food, or anything else, there will be solutions. ED loves rules. It’s time to make new ones, or adapt the old ones for these changing times. 
  •  Things will settle, they won’t be changing this fast for all time. Even if we are locked down for a while, the supply of foods will level out and new routines will be established. In the mean time it is about not getting worse for now. Reach out to your support networks both professional and informal and figure out what you can do today and this week. 
  • It is possible to buy nutritional shakes from Amazon (but it’s expensive) or ask your prescriber to prescribe them. They help me to reestablish a regular eating pattern without really thinking too hard; this might be an option for you, too.
  • Your ED makes you vulnerable to interruptions in the supply chain for foods. You need to work around this. Use family, friends and formal and informal support services as you find out how to keep your own nutrition going.
  • Accountability is an option. Make virtual lunch, snack or dinner dates and check in with each other. As the disability community, we owe it to each other to look out for each other. If you know your pal is struggling ask them how eating is going; respect each others’ boundaries though and back off if your pal would prefer not to talk about it for now.
  • Being underweight or undernourished will not be good for your immune system. Healthy immune systems are important. If you cannot eat for yourself, take care of your physical health for the sake of the rest of us. I’m not trying to guilt trip anyone but ED sits at the intersection of physical and mental health making us particularly vulnerable at this time. Hold onto your recovery, it is precious and a real asset in the fight against COVID-19. 

What has your experience been? Tell us on Twitter @RITB_ 

Useful links

An article by Radical Dietician, Lucy Aphromor Stress Eating is Life-Affirming and Can Help Us Cope in Troubled Times