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Press: Traumatic Brain Injury Makes Suicide Rational

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From a story on a professional athlete who committed suicide, suspecting he had traumatic brain injury:

BOSTON — The suicide of the former Chicago Bears star Dave Duerson became more alarming Monday morning, when Boston University researchers announced that Duerson’s brain had developed the same trauma-induced disease recently found in more than 20 deceased players.

What is amazing about this story is this: there is no recommendation for greater mental health screening, detection, and services among former professional athletes. There are recommendations, however, to actually SOLVE THE PROBLEM that made the guy’s life hell in the first place.

Duerson shot himself Feb. 17 in the chest rather than the head so that his brain could be examined by Boston University’s Center for the Study of Traumatic Encephalopathy, which announced its diagnosis Monday morning in Boston.

In this case, the reporter seems to clearly accept the proposition that the former athlete’s suicide was caused by his traumatic brain injury – but NOT because his traumatic brain injury made him insane. Rather, it seems that his traumatic brain injury made his life bad enough that it’s impossible to completely reject the notion that he committed suicide rationally.

The medical model of suicide – the idea that suicide is a pathological symptom of a curable medical condition – has always been dubious, but it is clear from accounts like this that not even the media (repeatedly warned by well-meaning bullies to self-censor) fully buy the story. Everyone knows that there are good reasons to commit suicide. What few acknowledge is that most genuinely good reasons to commit suicide are not as easy to verify as this former athlete’s brain injury.

As David Foster Wallace describes it in Infinite Jest:

Think of it this way. Two people are screaming in pain. One of them is being tortured with electric current. The other is not. The screamer who’s being tortured with electric current is not psychotic: her screams are circumstantially appropriate. The screaming person who’s not being tortured, however, is psychotic, since the outside parties making the diagnoses can see no electrodes or measurable amperage. One of the least pleasant things about being psychotically depressed on a ward full of psychotically depressed patients is coming to see that none of them is really psychotic, that their screams are entirely appropriate to certain circumstances part of whose special charm is that they are undetectable by any outside party. [Emphasis mine.]

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Written by Sister Y

May 2, 2011 at 5:17 pm

The Primacy of Physical Pain

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Many who do not support a general right to suicide nevertheless allow that a person in extreme physical pain has a right to have that pain alleviated through palliation, even where such palliation could render the person unconscious, cause addiction, or, in some cases, even hasten his death. However, although the technology exists to alleviate the suffering of individuals in extreme mental and emotional pain, no right to palliation for emotional pain is widely recognized. Although drugs such as opiates, barbiturates, and benzodiazepines are very effective at reducing mental suffering, they are seen as being counter-indicated for use in patients who experience so much suffering that they want to die. Where the suffering is extreme physical pain, the risks of addiction, excessive sedation, and even death are seen as slight in comparison to the harm of forcing a patient to experience the pain; however, when the suffering is “merely” mental, addiction, sedation, and the risk of death are suddenly more important than relieving the patient’s suffering. Patients with mental suffering are instead given drugs that do little to relieve their suffering, such as the SSRI antidepressants recently revealed to have no effect beyond that of placebo. The logic is cruel: “You are suffering so much that you want to die; but you can’t have this drug that might relieve your suffering, because you might use it to die. Better for us to force you to suffer needlessly than to allow you to possibly die.”

Where a society forbids its resources to be used to relieve the extreme mental suffering of its citizens, it is especially cruel to also prohibit suicide for those citizens who have been denied palliation.

Written by Sister Y

May 9, 2008 at 8:50 pm