I wholeheartedly believe that experiencing another culture firsthand through immersion, meaningful dialogue, and learning is an incredible way to understand each other in context. Comparing and contrasting the nuances of my American culture to that of Ireland in every aspect I could has helped me better understand America and Ireland as countries and peoples regarding their attitudes, ideas, and beliefs about mental health.
Here I will summarize my understandings briefly, but my reflections on some of the specific events, programs, and causes that I studied during my time in Ireland will reflect upon these understandings in deeper and contextually significant ways on my Meaningful Moments page. America, from my 20 years of living in it and attempting to understand it, is a culture that values individualism. This has become evident to me through the systems and institutions we support proudly and intensely: capitalism, our prison system, our government, all reflect our cultural beliefs. In America, this tends to pave the way for legal and culturally acceptable institutional oppression of marginalized people, or really anyone deemed abnormal in a negative way. In the context of mental health, this is largely why "mental illness" disproportionately highly correlates with incarceration, homelessness, and other systematically driven ways to remove "different" people from the ability to live content, occupationally balanced, and meaningful lives.
In Ireland, there is a similar but different legal affect towards those with mental health difficulties. Ireland has an extensive and horrific history of incarcerating those deemed mentally ill into complete and utter occupational deprivation systems, often for the remainder of the person's life and without "just" cause (though I do not believe there can ever be adequate justification for incarceration as it has ever been or continues to be practiced). Catholicism, more collectivistic and familial/societal prioritization, and Ireland's historical traumas have all largely contributed to the attitudes of the country toward people deemed "mad". Through the people I have met, the organizations, institutions, and places I have seen, and most importantly, the voices that I have heard in my time in Ireland, I have understood that negative stigma and sanism drive the inequitable and systematic oppression of mad people, and it both parallels in oppression and divulges in historical and cultural context the attitudes towards mad people in America.
The concept of intersectionality has been on the forefront of my social understanding and subsequent sociopolitical belief system since I first came across it in the form of intersectional feminism. I have since encountered the concept in a few of my courses at Dominican, and have broadened my understanding and application of what intersectionality really means.
My definition of intersectionality is that it is the orientation and overlap of oppressions and privileges of people, systems, and institutions. It is my understanding that these intersections are often points of conflict in equitability.
This understanding is crucial to both my own and OT as a profession's orientation to and role in oppression of marginalized groups and identities. Through this OT 5230 course, I have seen how intersectionality can be applied to better serve people with mental health needs, and how it has intensely been ignored in the mass historical and naturalized ongoing oppression of people with mental health difficulties.
Institutionalization was also first introduced to me through the lens of feminism, and has creeped up into my awareness in nearly everything I witness and do. Through this course especially, I have received the insight and beginning of understanding of institutionalization within the healthcare system as it relates to mental health care.
I am compelled and enthusiastic to keep learning about the institutions that surround me and assess my orientation to or role within them. I aim to continually reassess my understandings to make sure I am not a part of oppressions or institutionalizations that hurt people, regardless of my or anyone else's orientation to them intersectionally.
I hope that through this, I can continue to be the best OT I can be, and protect myself from becoming institutionalized, and more importantly, attempt to reshape the institutions in place around me in my work as an OT to be more humane, ethical, and equitable for those I serve.