Land A Acknowle ledgements Native-Land.CA Arapahoe Cheyenne Núu-agha-t ʉ v ʉ -p ʉ̱ (Ute) Očeti Šakówiŋ (Sioux )
A History of Coercion Mental Health in Modernity
The Great Moralization Confinement • Dark Secrets • De- • “For their own institutionalization good” • Apocalyptic • Discipline • Psychoanalysis Visions • Treatment & cures • Prevention • Separation • Brokenness • Imminent Risk Risk Uneasiness Medicalization Management
State Sanctioned Coercion Danger Danger Grave to Self to Others Disability
Suicide & Rationality Sanity > Insanity Survivors are Sane People Thankful Define Reality We Must Sane People Intervene Want to Live Wanting to Prolong Life at Die Is Insane All Costs
Not Limited to Involuntary Treatment Threat of involuntary treatment Pressure from family Access to basic needs Access to things we want Safety plans and contracts Lack of other options Pressure from providers Social incentivizing Punishment avoidance
Impact of Coercion
Coercion Permeates Our Work Research Prevention Intervention Postvention Safe Messaging • IRB •Gatekeeper •911/Welfare •Used as • Good survivor Checks evidence for narratives • Positivism • Surveillance the need for •Assessment • Assumption of • Behaviorist • Indoctrination coercion fragility Metrics into epistemic •Competency • Censorship injustice • Censorship • Authoritarian • Bundling • Contagion • Individual services • Contagion • Epistemic Pathology • Drive toward injustice •Involuntary • Drive toward coercive • Screening Treatment coercive intervention intervention •Safety Plans and Contracts • Pathologizing
Liberating Suicidology Imagining a Future without Coercion
Decentralizing Behaviorist Measures Divesting from Center Lived Pathology Experience Departure from Focus on Positivism and Moving Toward Empiricism Suicidology Reparations Shared Power
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