Elusive Trope's picture

    Caucus Anxiety

    While looking up some information in order to respond to some thread comment, I came across the news that Washington State has suspended it 2012 primary elections as cost saving measure ($10 million savings). 

    The Pacific Northwest state will rely on a precinct caucus-convention system, used by Iowa for nominating national convention delegates, the Washington Secretary of State's office said.

    With what may be something from the Department of Too Much Information, I have recently had to start a new regiment of prescribe pharmaceuticals (better living through chemistry) to deal with, among other things, Generalized Anxiety Disorder (GAD).  Being the one to ponder political phenomenon among other things (with no assertion as to the quality of those ponderings), this has me thinking about the impact of anxiety on the political environment, and specifically on participation in such events as precinct caucus system.

    For discussion purposes, let me offer some statistics from the National Institute of Mental Health.

    According to the US Census, there are 234,564,000 people in the U.S. who are 18 years of age or older.  According to the NIMH, 18.1% of American adults suffer from some form of Anxiety Disorder, which would constitute over 42,456,084 adults.  Moreover, 22.8% of those people are classified as suffering a severe form of the anxiety, which translates into amounts to close to 9,679,987 adults.

    Moreover, only 36.9 % of those 42 million adults are receiving treatment, and of these 34.3% are receiving only minimal treatment.  This means that aside from the 26,789,789 who are receiving no treatment for their anxiety, another 5,373,539 are receiving minimal treatment for their affliction.

    There are a wide variety of anxiety disorders, including post-traumatic stress disorder, obsessive-compulsive disorder, and specific phobias to name a few. Collectively they are among the most common mental disorders experienced by Americans.  Two of these specific anxieties are GAD and Social Anxiety (or Social Phobia).

    People with generalized anxiety disorder (GAD) go through the day filled with exaggerated worry and tension, even though there is little or nothing to provoke it. They anticipate disaster and are overly concerned about health issues, money, family problems, or difficulties at work. Sometimes just the thought of getting through the day produces anxiety.

    People with GAD can’t seem to get rid of their concerns, even though they usually realize that their anxiety is more intense than the situation warrants. They can’t relax, startle easily, and have difficulty concentrating. Often they have trouble falling asleep or staying asleep. Physical symptoms that often accompany the anxiety include fatigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, nausea, lightheadedness, having to go to the bathroom frequently, feeling out of breath, and hot flashes.

    Social Phobia, or Social Anxiety Disorder, is an anxiety disorder characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. Social phobia can be limited to only one type of situation — such as a fear of speaking in formal or informal situations, or eating or drinking in front of others — or, in its most severe form, may be so broad that a person experiences symptoms almost anytime they are around other people

    People with social phobia have a persistent, intense, and chronic fear of being watched and judged by others and being embarrassed or humiliated by their own actions. Their fear may be so severe that it interferes with work or school, and other ordinary activities. Physical symptoms often accompany the intense anxiety of social phobia and include blushing, profuse sweating, trembling, nausea, and difficulty talking.

    According to the NIMH, for adults 3.1% suffer from GAD and 6.8% American adults suffer from Social Anxiety, with 32.2% and 29.9% of those cases being severe respectively.  43.2% of those with GAD receive treatment for the it and 40.1% of those with Social Anxiety receive treatment, with 43.7% and 38.7% respectively receiving treatment which is considered minimal.

    Now let’s see how these statistics translate in the adult population of Iowa and Washington, where there will be precinct caucuses:

     

     

    Prevalence in Adult Population

    Severe Cases

    Receiving Treatment

    Treatment is Minimal

    No Treatment

    Minimal or No Treatment

    All Anxiety Disorders

    Iowa

    419,624

    95,674

    154,841

    53,110

    264,782

    317,893

    Washington

    931,113

    212,294

    343,581

    117,848

    587,533

    705,381

     

     

     

     

     

     

     

    Generalized Anxiety Disorder

    Iowa

    71,869

    23,214

    31,048

    13,568

    40,822

    54,389

    Washington

    159,472

    51,510

    68,892

    30,106

    90,580

    120,686

     

     

     

     

     

     

     

    Social Anxiety Disorder

    Iowa

    157,649

    47,137

    63,217

    24,465

    94,432

    118,897

    Washington

    349,811

    104,593

    140,274

    54,286

    209,537

    263,823

     

    If we consider the total for both Iowa and Washington, there are 557,795 citizens who are receiving minimal or no treatment for their social anxiety or generalized anxiety disorder.  While some (most) of these individuals are still able to reasonably able to function in society, all of them can be considered to have a medical barrier to their participation in a caucus system, and thus give their voice in the nomination process for who will run for president of the country.

    Even those in intense treatment for their anxiety are – as many who are dealing psycho-emotional challenges such eating disorders, addictions, and mood disorders – focused on their recovery, which can be nearly all-consuming.  Moving beyond oneself to participate in a community political event can be, as one might say, just too much.  As Amy Liu puts it:

    Many of those whose biochemistry is locked in battle with emotional demons cannot participate at all in constructive social change. Many cannot even see past their own struggles long enough to cast a responsible vote.

    Not to pick on the Occupy movement, but its claims for a participatory democracy require individuals to voluntarily join a seemingly chaotic process with in most case all strangers, and at many times with the prospect of police intervention (violence).  Someone in the midst of a prolonged anxiety attack or who experiences intense social phobia cannot be expected to overcome their mental health hurdles and participate.  The same goes with a caucuses with their rooms filled with contentious individuals fighting for the votes of fence sitters. 

    In the end, it is those who have little or no internal resistance to (contentious) group processes that are able to make their voices heard in the political process.  Going forward, I hope to explore further the topic of the role such psycho-emotional phenomenon such as anxiety plays in our politics and possible means through which communities can better facilitate full participation by all of their community members.

    One interesting notion that the research seems to indicate is that anger is more likely to motivate political action as opposed to anxiety.  This can lead to possible conclusion that those who are more likely to respond with anger will have a greater influence on the exact nature of the political landscape than those who more likely to respond to world with feeling of anxiety.

    Another thread from this is that the lack of participation by those afflicted such disorders such as anxiety may explain why the mental health system is one of the most ignored and neglected of the social service safety net in this country.   And this leads to a greater number of individuals (citizens) who receive little or no treatment - a situation which can lead to more individuals experiencing severe cases of the disorders.

    That is all for now.

    Comments

    Not to mention the nightmare that is the untreated ADD sufferer's assault upon the franchise.

    I have sca...I have been told that when the adderall shortages hit, vacant eyed sufferers scan the ballot in panic, seeking meaning where there is, of course, none.


    someone within the controlling elite must have found out in some study that ADD sufferers tended to lean liberal like the depression and anxiety sufferers, and are doing a test run this year so as to decrease the likelihood people will suspect foul play when they create the shortage during next year's election.


    Interesting take. I totally agree about the huge problems currently created in society by the rampant neglect in mental health services. It isn't something that either party seems very concerned with. You highlight the quiet pain the vast majority of sufferers live with, but it seems the only time we even look at the issue is when ignoring it leads to a tregedy along the lines of Loughner's deadly rampage. And even then everyone is so hyped to advance their long-held pet partisan goals or come down with the sword of mighty vengeance and retribution that a bloody aftermath with directly traceable lines of causality to this neglect in our mental health services still isn't enough to have the issue be acknowledged, let alone addressed.

    If someone is mentally ill to the point where it goes beyond personal unease and they become unable to have human group interactions on any level, I can see where participation in many consensus-based aspects of strategic planning and implementation would be difficult or perhaps feel inaccessible to them. Seems to run the gamut. Hell, every city council meeting and P&Z hearing becomes disenfranchising. I don't have an answer beyond agreeing we really need to put some resources and national effort into mental health care.

    I suppose this variation in comfort levels for various actions and approaches is one reason why it is said that for every union worker (occupier) on the picket line, there are many more people behind the scenes providing support in whatever way suits their temperament and abilities. Personally, I think it is totally appropriate within the realm of supporting a protest movement that those in the trenches who's lives will be immediately and directly impacted by the decisions being made are the ones who should be making the decisions on what actions to take.

    But there are plenty of actions within the OWS movement that don't require contentious interaction. For example, at any moment you could join the Occupy movement and spend a lunch break to move your money from a corporate bank to a credit union. There are any number of such sub-actions proposed and carried out - with the ultimate democratic choice available to every American of joining in if they want to. Or sending their own idea out on the teh Twitterz for chrissake (where many of the ideas percolate and refine before being formally brought forward).

    My thought on OWS is that if one feels unable to participate in the GA due to mental illness, is disinclined to contact a facilitator and ask for concerns to be brought to the group on their behalf, can't establish a social media presence to share their ideas in the OWS social forums, and based on personal beliefs is not able to provide moral/material support the for consensus decisions being reached without their input ... it seems the most productive course of action would be to join up with a movement that better matches one's personal tastes. If people are genuine in their vision and are really working for the same end goals of seeing a broadly and truly empowered  American citizenry ... having more pokers in the fire can only be a good thing.


    Thanks for the thoughtful response. 

    I think what you say is pretty much right on until this:

    My thought on OWS is that if one feels unable to participate in the GA due to mental illness, is disinclined to contact a facilitator and ask for concerns to be brought to the group on their behalf, can't establish a social media presence to share their ideas in the OWS social forums, and based on personal beliefs is not able to provide moral/material support the for consensus decisions being reached without their input ...it seems the most productive course of action would be to join up with a movement that better matches one's personal tastes.

    [emphasis added]

    There is appears to be inherent in this statement that failure to get involved falls on the individual who may be experiencing some mental issues.  One can compare this with a household dealing with poverty issues.  There is most communities a network of governmental and nonprofit entities who are willing to provide some form of assistance.  Many of these households do not take advantage of these services and benefits - sometimes because of the stigma attached, a lack of knowledge, and the usually complexity of entities and paperwork involved in obtaining the full menu of services and benefits.

    One can put it on the individual or individuals in these households.  If they choose not to take advantage of electric bill assistance or subsidized child care or food stamps, then that is their choice.  Or one can put effort into outreach which takes into account, or at least tries to take into account, the particular barriers faced by the individuals.  Rather than poo poo their feelings of stigma, one can seek to design new outlets to provide services in which the individuals feel less stigma about accepting the "charity."

    Dan K offered the dollar bill initiative.  There are many more.  But getting the diverse range of people, each with their own barriers, limitations, stimulus windows, and sense of aesthetics (to name a few) involved will take energy and creativity. 

    Amy Liu point that many of those whose biochemistry is locked in battle with emotional demons cannot participate at all in constructive social change. Many cannot even see past their own struggles long enough to cast a responsible vote.  This is not just those who are in the worst state, but also those struggling with their recovery, and putting or trying to put the pieces of their lives together.  How can the one translate the efforts of OWS in such a way that it becomes a part of the recovery process rather than something one does on top of one's recovery?

    The key point here is that one cannot put all of the challenge of that translation on the people who, in the throes of their recovery, are in a place that makes them the least likely to accomplish that.  That may be inclined and want to establish and to support but just can't find the way, even though to you or someone else it seems to be right there in front of their nose.  My next blog I believe will address this idea of translation further, which will in part play off the work of such artists as Feel Tank Chicago, from which the picture of the bottom of the blog was taken. 

     


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