The Shame of the States

Public [psychiatric] hospitals became overwhelmed by the sheer numbers of patients. In the 1950s, there were only 26 U.S. cities whose population exceeded the aggregate population of public psychiatric institutions. The two largest hospitals each had a census that exceeded 16,000 patients. Never able to keep up with the needs of their patients, the hospitals went from awful to appalling when their workforce—from the farmer to the doctor—was pulled away to meet the manpower demands of World War II. The population at large learned of the horrors of their public psychiatric hospitals, tragedies long hidden away, through exposés such as The Snake Pit, Mary Jane Ward’s fictionalized account of her hospitalization at Rockland State Hospital (book, 1946; movie 1948); author Albert Q. Maisel’s article in Life magazine (1946) accompanied by some of the most painful pictures the American public had ever seen from Pennsylvania’s Byberry and Ohio’s Cleveland state hospitals; and The Shame of the States (1948), New York Post reporter Albert Deutsch’s opus based on research from 1944 to 1947.

Dana for Mayor

My day hasn’t gone as planned. I went to get lab work done early this morning only to find out the orders were never placed, which means I won’t have results in time for my appointment with the specialist who (should have) ordered them. This is the doctor who, in part, is following my cancer status, so the labs are important.

I came home to an attempted identity-theft scam that Jon and I both had to deal with immediately. Things like this are happening more frequently, and they’re harder to identify. Someone tried to hack one of my online shopping accounts just three days ago.

I commented on a story in The Salt Lake Tribune in support of a gay mayor in one of Utah’s cities. Someone else in the queer community, another Utahn, saw my comment and thought I was saying the opposite of what I was saying. Their response was to tell me that I’m attacking the mayor based on his sexuality, that I’m not being Christlike, and that I’m so ugly-looking that they’d never live in a city where I was the mayor. Humph. I have many grumpies around that set of assertions.

My Fitbit died. I have no data whatsoever, and I rely on that data for my health and mental health.

I drove half an hour each way to see my therapist, where I hoped to talk about the parts involved in my strong feelings about the SLT commenter calling me an unattractive, unkind homophobe, but the therapist forgot my appointment, which means I drove for an hour for no reason and have three exiles I need to deal with on my own now rather than in therapy. (Exiles are a type of part in the Internal Family Systems framework. It’s not ideal to be exploring them alone.)

These are all small problems in the larger scheme of things, and they’re counterbalanced by an incredible conversation and connection I had with a fellow poet today. We talked about organization, one of my favorite topics, and poetry and community and dogs and mountains. I mean, it was good stuff.

Also on the plus side, there’s my sweet dog. And my relative ability to handle all these relatively small problems. And my view of the laccolith, which I can see now that the clouds have started to dissipate or move on or whatever clouds do.

Oh, and someone ran over a raccoon in our neighborhood, so there’s also that sad occurrence. That’s another item for the negative side of today’s +/- list. I wouldn’t have known if I hadn’t been making that fruitless round-trip drive to see the therapist.

You can file this under grumpy with a lower-case g or grumpy with a capital g or dumpy if you also think I’m so unattractive you would never live in a city where I’m the mayor. The last part of that sentence was written by one of the exiles. She was called ugly by her classmates almost every day of her life from preschool until she was well into puberty. We’re working through it.

Selves and Others

Richard Schwartz, creator of the Internal Family Systems model, says some people are more easily activated in their relationships because they’re more dependent on those relationships to heal the most wounded parts of themselves. One of the goals of IFS is for folks to focus more on themselves for healing and less on others—that is, cultivating secure attachment with our internal parts.

I would add that this goes back to attachment traumas early in life. In my case, I have insecure attachment, which means I had my needs met some of the time but not consistently. There’s a lot more to it than that, but this brief explanation suffices for the purpose of this post. Having folks around me who have secure attachment is helpful. Having folks around me with insecure, avoidant, or disorganized attachment isn’t helpful. That’s because I haven’t developed secure attachment yet. IFS is one way to address that internally so I can bring my own secure attachment to my relationships with others.

Outside of IFS, being around those with secure attachment is the best way to learn secure attachment. This can happen over the course of about five years, for example, if someone with insecure attachment is in a relationship with someone who has secure attachment. The problem is only a subset of adults have secure attachment, and those with attachment trauma are often in relationships with partners who have attachment trauma. Pairings between those with insecure attachment and those with avoidant attachment are common, as is the case in my marriage. (My husband has avoidant attachment.)

The pandemic and moving to a rural area have made it even more difficult to interact with those who have secure attachment. I no longer work in a workplace, and I’m not around people on a regular basis. I spend more time with horses, cows, and birds than with human beings.

I need to work out how all of this maps onto the way I navigate and experience poetry spaces both real and virtual. Coupled with traumas I’ve experienced in poetry, the prevalence of insecure attachment styles among poets concerns me, especially when it’s not examined and when certain behaviors occur as a result, including those I witness that are directed at others and those that are specifically directed at me.

Questions I’m going to be asking myself as I work on IFS with a therapist and attempt to be less activated in my relationships with poetry and poets include: how can the behavior of a poet or group of poets have less of an emotional effect on me, how can I more effectively address issues I see in the poetry community in ways that feel less emotional, how do I cultivate relationships with poets who are aware of their own attachment styles and are also working toward or already have secure attachment, how do I measure progress to assess whether my efforts are working, and what decisions do I make if I don’t make progress (e.g., where else can I practice relating to others in ways that are less activating, how can I limit my exposure to interactions that aren’t helping me heal)?

I’m also not a fan of endogenous social networks, which I’m certain stems from my early traumas. I’ve always felt safer in exogenous networks where most of my friends and connections don’t know one another. You can’t get much more endogenous than the poetry community, where everyone seems to know everyone else and gossip runs rampant, especially in the social-media age. That’s a different issue in some ways, but developing greater security in my attachment style should help me navigate tighter social networks.

If things work out with this therapist, we’ll also be doing IFS-informed EMDR work. Or maybe it’s EMDR-informed IFS work. Either way, the work will address complex trauma as well as parts and attachment style. All of this matters: these intersections of self and self, of self and other, of self and community.

Midnight Dana

Bryan Johnson has a part of himself that he calls Nighttime Bryan. Nightime Bryan overeats, doesn’t sleep well, and makes decisions that aren’t in his best interest. Studies show that we all have a version of this within ourselves, and that this part usually comes forward in the middle of the night during a mid-night awakening. The typical scenario is that we wake up during the transition from deep sleep to REM sleep, which also happens to be when we’re vulnerable to things like worrying, ruminating, and catastrophizing, as well as seeing ourselves and the world through a clouded lens, one that tends to exaggerates our negative traits, minimize our sense of self-worth, anticipate the worst in every situation, and fail to recognize anything positive. I call this our Midnight Part. In myself, I call this part Midnight Dana.

Let me introduce you to Midnight Dana. She’s a little different from Nighttime Bryan in that she’s trying to help. (I actually think Nighttime Bryan is trying in his own way to help Bryan, or at least to call attention to a problem, but that’s not how Bryan Johnson characterizes Nighttime Bryan.) Midnight Dana remembers things. She doesn’t mean to. She just does. Her body remembers. She’s a time traveler who can go to any point in the past where she’s needed, and by that I mean where her memory is needed. She’s important and necessary, but witnessing her deep knowledge and attempting to communicate with her is not easy.

I woke up at 3:38 a.m. trundled from sleep into wakefulness by a disconcerting dream that involved countless rows of girls’ dorm-room beds extending into the distance behind Vince McMahon, the resident assistant, who was standing in the foreground in a light-gray plaid suit waiting for all the girls to arrive.

Midnight Dana did not like that dream. She immediately thought about the semi-private dorm room she’ll be staying in at the summer residency for Pacific University if I decide to enter that program. The thing that terrifies Midnight Dana about this situation is the shared bathroom. Bathrooms have never been safe spaces for Dana, and Midnight Dana remembers what’s happened in them. It’s as if every cell in her body knows, even the ones that have turned over countless times since those abuses occurred. Midnight Dana is part of the institutional memory of Dana Henry Martin. She lives in the decentralized array of awareness that resides within my body. She also interacts with the world around her, responding to inputs from my waking and sleeping worlds and experiences.

Still frothy with sleep, I receded and Midnight Dana came to the forefront. She laid in bed as the bathroom memories flashed like View-Master stereoscopes, but she was also running. Her heart rate was fast and erratic. She was sweating. She took quick, shallow breaths. Her head suddenly hurt like hell. Midnight Dana was in flight mode.

By 4 a.m., Midnight Dana had made a slew of decisions that started with not attending Pacific University and ended with not writing poetry anymore. Midnight Dana made a plan to do nothing but sit somewhere and listen to birds for the next thirty years or so.

Midnight Dana and I are in conversation this morning. We’re talking about ways she can feel safe at the residency and keep writing poetry. What does she need? How can I advocate for her? I want her to know I see her, hear her, and appreciate her. She’s trying to keep me safe and also keep me from walking into a situation that could be incredibly difficult and painful. She’s going to be there, too, if we go to Oregon. I need to meet her where she’s at and advocate for that part of myself so I don’t become a fear-driven organism whose only option is to run fast and hard and away.

This is the basis of the Internal Family Systems model. We all have parts, and we all need to listen to those parts and bring them into Self. Our Midnight Parts can be teachers if we let them. We can bring them into our awareness and into our hearts while ushering our whole selves to, or at least toward, safety.

Midnight Dana is both an exile and a firefighter. She’s been ignored, silenced, and shamed—even by me—and she looks for quick fixes that will allow her to avoid painful feelings. She makes sense developmentally given my past, namely my childhood. I want her to have that life of listening to birds. And I want her to have so much more than that, including poetry, which is where she sings alongside me.

The Letter

Several years ago, the poet who sexually assaulted me circulated a letter about me within the poetry community. In it, he made defamatory statements about me, including stating that I was expelled from my MFA program for behavioral health issues. That’s not the case. I withdrew after my first semester of study. It was too difficult to continue there because the sexual assault happened en route to that program’s first residency, the poet who assaulted me was friends with instructors there, and the director lowered my grade for the residency, calling into question my commitment to poetry.

That letter was terrifying. I’d just been diagnosed with a rare, life-threatening disease that affects my immune system. I had thyrotoxicosis, which is also a serious medical condition. And I had follicular thyroid cancer. The letter was circulating among poets when I was too ill to defend myself. It was me against everyone who adored him and believed him and had already been online making statements about victims being spineless or taking pleasure in our own pain. The poet who assaulted me successfully silenced me by lying about me, intimidating me, publicly shaming me, and using my trauma history against me, one he knew well and used as a way to connect with me and earn my trust.

It was too much for me to withstand, so I stopped writing and buried most of myself to salvage whatever remnants I could in an effort to create some kind of life outside poetry. Birding helped me get through it. Weaving helped, too. But when I had a suite of serious medical issues in 2022 followed by serious mental-health issues in 2023, I knew I needed words again. I needed poetry, so I started writing, and I slowly began to connect and reconnect with other poets, even knowing that doing so could lead me back into pain, into misunderstandings, into being labeled and shunned, into being formally and informally blacklisted and, perhaps, right into the arms of cruelty.

If anyone has any concerns or hears any murmurings about me, I hope they’ll talk to me directly and not make assumptions about me based on defamatory, inaccurate, incomplete, or decontextualized information. I’m terrified all over again because my work is appearing in literary journals, and I’m bracing for attacks. That’s why I’m writing this: not to set any record straight, but rather to make my fear transparent, as well as my genuine desire to respond to anything folks may have heard about me.

Hard News, Bad Choices

Several alarming news stories have run in The Salt Lake Tribune over the past several days. They all have ties to Utah and involve children. Each story is horrific on its own, but together, they’re overwhelming. I cried most of yesterday morning. It was too difficult to process this news, especially given what’s happened and appears to still be happening in [REDACTED], so I engaged in several forms of avoidance, including employing maladaptive coping skills that threw my metabolism off and undercut the work I’ve done following a ketogenic diet for mental health, doing intermittent fasting, exercising, getting the right nutrients, and maintaining healthy biomarkers.

I’m writing about this because I can see how something that’s upsetting can cause someone (in this case me) to do one thing that throws something off, which in turn throws something else off, which in turn throws something else off. Then maybe more bad decision-making gets thrown into the mix as things start to slip, and pretty soon a little movement in the ground turns into a mudslide that swallows an entire house, trees, retaining walls, and more.

Yes, the upsetting thing is upsetting, but the behaviors that follow and aggregate are what drive the mind and body into a state of disequilibrium that prevents a person (still me) from finding ways to sit with and work through what’s upsetting to whatever extend they (again, me) are able to.

Here’s what went down yesterday. Upset about the news stories, I developed a sudden craving for brownies. It was an all-encompassing desire. I went to Lin’s, where they sell Num Bars, which are ketogenic. They didn’t have them. (Turns out, the Utah-based company went out of business.) In my desperation, I got no-bake chocolate cookies instead. (This is when the whole ageism incident happened with the cashier, which added to my distress.)

I came home and ate the whole container of cookies, thereby consuming four times my typical amount of carbs, and none of those carbs were good ones. My body can’t tolerate carbs anywhere north of 50 net grams per day. (I have data from my cardiologist and endocrinologist that supports this assertion. It’s not just a thing I’m saying to be dramatic.)

The rest of the day, I made terrible choices or simply didn’t do what I should have done for my health. I failed to take my supplements. I didn’t drink water. I didn’t do my intermittent fast. I didn’t eat enough protein or, really, anything healthy for the rest of the day. I didn’t lift weights, something I do regularly for my metabolic health. I didn’t exercise. I didn’t meditate. I wasn’t mindful.

In short, one bad choice became more than one dozen bad choices.

Here’s the thing: I was terrified of having nightmares last night based on those news stories. I’ve already had several nightmares involving my family in the past couple of weeks, one of which was incredibly difficult to process. So I sabotaged my sleep before I even went to bed. I’m not surprised that I woke up at 3:46 a.m. this morning and had trouble falling asleep again or that my sleep was especially restless according to my Fitbit or that my sleep score was ten points lower than usual.

What I am surprised about is how difficult recovering is for me. I have a seven-day intervention I do when I need to really focus on my metabolic health. I told myself I’d start that intervention today. I didn’t. Instead, I stayed in bed most of the day. I just now made my way to my computer. My food choices today aren’t great but they aren’t stellar, either. My digestion is hosed, again, just after I got it back on track. I haven’t exercised. It was a struggle just to get dressed, to make the bed, and to make my way to the living room, where I stopped for a long while and watched reruns of “The Conners” as I mustered the strength to get to my computer. I haven’t bathed. My hair is weird. I didn’t even have it in me to put on lotion.

And it’s cold and the days are short, which makes getting on track that much harder.

This all illustrates how a single genuinely upsetting thing can lead to a systemic issue and why it’s so important that we recognize these kinds of patterns. I know I’ve been talking about me, but I’m not the only one who experiences this kind of domino effect under stress. Many of us do, perhaps most of us.

Right now, I’m trying to do things that will help my body recover. I’m starting with water. That seems doable. Then I have to process these stories about children without doing more harm to myself. I don’t know how to do that. Process the stories, I mean. How does one come to terms with the kinds of things discussed in this type of reporting, things happening here in Utah, across the country, and around the world? I want all living beings to be free from suffering and the causes of suffering, but we’re often the cause, and children should never suffer the way too many of us make them suffer.

A Cascade of Bad Choices

Several alarming news stories have run in The Salt Lake Tribune over the past several days. They all have ties to Utah and involve children. I can’t be more specific without being censored by Facebook. Two of the stories are linked in my feed if people want to read them. There’s a paywall, but you can get an idea of the subject matter by reading the parts of the stories that are visible.

Each story is horrific on its own, but together, they’re overwhelming. I cried most of yesterday morning. It was too difficult to process this news, especially given what’s happened and appears to still be happening in my own family, so I engaged in several forms of avoidance, including employing maladaptive coping skills that threw my metabolism off and undercut the work I’ve done following a ketogenic diet for mental health, doing intermittent fasting, exercising, getting the right nutrients, and maintaining healthy biomarkers.

In short, one bad choice became more than one dozen bad choices.

And it’s cold and the days are short, which makes getting on track that much harder.

Unthinkable

Awake is my least favorite word when I don’t want to be. Our water purifier started making a high-pitched noise a few minutes ago, a steady ewwww like a piece of industrial equipment humming in the distance, at once piercingly but almost inaudibly. I unplugged it, but the sound made me hyperfocused on my tinnitus, so now I’m just a body that screeches and won’t stop.

I took some sleep medicine, something I rarely do. As I wait for it to kick in, night thoughts do their dark work. I don’t ruminate about minor issues like some folks. My waking nightmares are about my father, my family, Oklahoma, me, the ways in which I’ve been purged, and the things I feel like I need to purge that find me at night when I’m closer to my personal unconscious and the collective unconscious than I am during the day.

I had an unthinkable thought that was immediately ushered by my circuitry to every central and distal part of my body. My feet. My hands. My tongue. My scalp. My shoulders. My gut.

What if, I thought. What if it’s true?

This particular thought is a hard one to put on a shelf until I can process it in the light of day. The “what if” feels less like a possibility than a haunting, a visitation declaring what the world is and who I am in it. I don’t like either. I hope I’m seeing an old lady that’s really an owl, like in one of those optical illusions.

The unconscious realms are beautiful and terrifying. I’d prefer a different ratio of beauty to terror right now. I’d rather experience both while asleep, not while sitting in bed awake, my warm dog pressed up against my calf doing what I can’t do: slumber. I feel her breath on my foot. I feel her chest rise and fall. I feel how soft and small and fragile she is. I feel how much I love her and how much I don’t want to be a monster in a monstrous world.

Awake is my least favorite word when I don’t want to be. Terror is my second least favorite. Monster is my third least favorite. To be an awake, terrified monster inside of what is monstrous is nothing I’d wish on anyone.

The House

The house has been doused with gasoline. (You’re welcome in it.) The floor of the house is littered with matches. (Take your shoes off.) The house has no fire alarms. (Have a seat.) The cops don’t respond to house fires in these parts. (Kick your feet up.) The house is on fire now. (Be a love and close the door to save the rest of us.) The house burned down. (We wrote you a loving obituary.)

The loving obituary: We adored them. For some reason, they always looked uncomfortable around us. We did everything we could to make them feel right at home. They died before their time. Sometimes, [insert adjective here] people aren’t meant for this world. We will always remember them fondly.

—

I wrote this July 12, 2023. It’s about how we treat people we want to exclude while they’re alive versus how we talk about them once they’ve died. I was thinking specifically about how queer folks and those living with trauma and/or mental health issues are treated—and the ways in which the very people who exclude those folks from their homes, lives, families, schools, workplaces, places of worship, communities, and societies take no responsibility for their eventual, often untimely, deaths. There wasn’t anything we could have done is a common refrain. Really? Nothing. Not one thing?

I was also thinking about how it felt for me to live as a queer non-Mormon person with trauma and mental health issues here in Southern Utah, where I was routinely excluded and reviled even in literary communities. The poets who run two separate chapters of the Utah State Poetry Society told me they’d close their chapters down if I ever attended them because my work was inappropriate. I was a member of the USPS at the time and had every right to attend any chapter meeting in the state. Their issue was with my gender and sexuality, not my writing, which they hadn’t read.

I’ve thought about this post a few times since the election, so I decided to share it again. We need to bring the way we talk about the dead and the way we treat the living into alignment.

Ableist Culture, Go Fuck Yourself

Folks with mental-health issues are encouraged to create emergency plans for when things go wrong, but scant attention is given to wellness plans that prevent things from going wrong in the first place. To make matters worse, emergency plans are behavior-driven, when we should instead focus on the dozens of easily trackable biomarkers that indicate the presence or absence of metabolic/circadian homeostasis and that precede behavioral issues by days if not weeks.

Why don’t we do that? Because those with mental health issues are routinely dehumanized, discriminated against, abused, maligned, written off, and seen as incapable of attaining health, wellness, and happiness. The system doesn’t even try to help us be fully human and to live full, productive, creative, enriching lives.

We aren’t as far away from locked rooms, back wards, lobotomies, electric shock, insulin shock, and chemical lobotomies as we think. The medical establishment still treats us like that’s where we belong and that’s what we deserve. (And in the case of electroconvulsive therapy and chemical lobotomies, they’re still happening, just not as barbarically, one could argue.)

So when I resigned from my role at the University of Arizona and passed a vehicle on my way out with a bumper sticker that read Ask Me About My Lobotomy, I was understandably livid. That sticker encapsulates all the sanist* comments I heard while working at UA, from library customers being called meth heads and trash humans to the word crazy routinely being used to describe people and situations to the phrase homeless people being used with derision.

Fuck all of that. UA culture, go fuck yourself.

—

* Sanism is a subset of ableism, so these are more examples of the ableism I witnessed or that was directed at me while employed at UA.

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