Copyright © 2019 by Larissa Bekker    All rights reserved. This book or any portion thereof may not  be reproduced or used in any manner whatsoever without the  express written permission of the publisher except for the use  of brief quotations in a book review.    Printed by SUN MEDIA in the Republic of South Africa    Text and book design by author.    SUN MeDIA  Office 5, The Woodmill  Vredenburg Road,  Devon Valley  Stellenbosch 7600  South Africa    www.africansunmedia.co.za
TABLE OF CONTENTS    1 PREFACE                  41 Mental health and the media    91 Affect Theory  3 ABSTRACT                 57 De-stigmatization on campus    105 Happy Objects and the Brand  5 Introduction : Poem      61 Towards a Relational Ontology  107 Summary  11 Background/Context      64 Summary                        103 CHAPTER 3  17 Aims and Objectives     65 CHAPTER 2                      105 Introduction  23 Methodology and TF      68 Introduction                   107 Tell my story workshop  28 Literature Review       69 A new way of designing         117 Documentation  30 Chapter Outline         74 Relational Design              119 Summary  33 CHAPTER ONE             79 E’rwody Sticker Initiative     123 ARTICLE CONCLUSION  35 Introdcution            87 Designer as Enabler            125 LIST OF SOURCES  37 Social Constructionism  90 Context
P R E FAC E    This is an interactive book. Wherever there are blank spaces.  use the stickers provided to fill in the gaps. Wherever there are  black spaces, use the corresponding morse code diagram  along with the key in the accompanying journal to unravel  the key words. Further, there are crosswords to solve, with  each crossword having a direction key to indicate the order  of the words. Although this book isn’t completely relational, it  aims to online you as the reader in some way, allowing you to  become part of the journey.
ABSTRACT / 4    ABSTRACT    The mental health of students has recently been an epidemic  thrust into the global limelight. Attention to this significant  problem within an international context has been able to  provide sufficient solutions. However, within a South Afri-  can context, the absence of sufficient and affordable public  mental health care services as well as the burden of providing  psychological care to students currently falls on universities.  Unfortunately, within Stellenbosch University, the lack of  providing sufficient psychological care has resulted in the  student body struggling with mental health issues. Within this  research article, the aim is to use a Post-Humanist Rela-  tional Ontological framework to analyse the problematic  societal constructs and the subsequent extractivist processes  it produces within mental health discourses of Stellenbosch  University Campus and how the stigma they produce position  the individual instead of the collective society at the root of  the struggle surrounding mental health.    I explore a possible solution through using my account of  the services provided by the university as reference. Looking  at how happy object theory and relational design can affec-  tively be used to deconstruct mental health discourses on  campus as it put emphasis on more relational ways of know-  ing. Through applying a theoretical framework of Relational  Ontologies in The Responsible Methodologist by Andrew  Kuntz (2015), Relational design practices in a variety of pub-  lications by Tim Holloway and Happy objects theory (chap-  ter) in the Affect theory reader by Sara Ahmed (2010), this  article intends on unpacking the ways in which mental health  discourses came to be constructed. In addition to this, how  active participation within a student body can deconstruct  the stigmatization they create as I address how mental  health should be viewed through relational processes instead  of being contained within social constructs.
5 / INTRODUCTION: POEM                              INTRODUCTION
INTRODUCTION : POEM / 6    By Larissa Bekker    Strolling through the Stellenbosch University Campus,  y o u c a n a l wa y s sen s e s o m e s o r t o f tension i n t h e a i r.  If you close your eyes,                the s o und o f rushing f oot s t e p s ,                     environment.  a n x i oa nuxsi o us v o i c es a n d f r u s t r a t e d c a r s                crushing the fallen leaves              overwhelms y ou.              We live in a world              where our human activity has become              the dominant influence on the enviroment    Disconnecting  ourselves    f ro mf rao mwoarlwd o rl d we u s e t o v i e w a s a p a r t o f u s .        Even though it is a world that is,        very much, still within us    and will remain so  for as long as w e d o .
9 / INTRODUCTION: POEM                            By Larissa Bekker    As the cold winter rain starts d u s t i n g the                      shielding  trees o n the uni v ers i ty ’s mo s t saturated rou t e ,    students emerge from the incubated buildings.    Although each expression being dissimilar from the    next, there is an overwhelming sense of                      urgency    and disquietude.    Overpowering the gift of the reposing rain droplets, as  crowds stream to their next destination.               Nervous words  Nervous words                          circulate through an array of voices.    It is nearly impossible to endure a day within these  streets without becoming a witness to    the mental struggle of    at least one            youthful being
INTRODUCTION : POEM / 10    – something, which this context,     this world so fruitfully produces
11 / INTRODUCTION: BACKGROUND    BACKGROUND  Mental health, or its more trivialized synonym ‘mental illness’              has been a particularly controversial, however highly relevant1              dialogue within contemporary society. Modern society’s current              comprehension of mental illness can be said to be a product              of Enlightenment - where mental illness was understood as              being ‘alien’ and irrational maladies to be fathomed and              remedied by science (Fee, 2000:3). This historical understanding              anchored the stigmatization1 of individuals who presented              negatively perceived characteristics or unusual behaviours.              Thus establishing an association between stigma and mental              illness, which became fixed in societal norms as it manifested              itself in attitudes and behaviours that prove to be arduous to              change. Society lacked the expertise and knowledge for the              effective treatment of problems pertaining to mental health              – causing a “gap in understanding” which was “filled with              misinformation and fear” (Sadag, 2018:40).
INTRODUCTION : BACKGROUND / 12    The gap in understanding, therefore, results in a discourse2  where views on mental illness are formulated through dichot-  omies of “health/pathology, normal/abnormal, rational/  irrational- which serve to justify conceptual boundaries and  real-world exclusions” (Fee, 2000:10). In turn constructing  categories, which become the ‘intellective currency’ flowing  around our private and social realities (Fee, 2000:10-11).  These discourses and the stigma they produce have been  identified as particularly troublesome for young people through  often hindering the instigation of treatment of mental health  struggles – resulting in a mental health epidemic predominately  affecting university students.    Notably, as University is a difficult time for young adults  where they have to negotiate multiple ‘tricky’ circumstances,  these range from becoming a young adult to handling varying  relationships with friends and family, moving away from home,  being thrust into a new social setting as well as having more  abundant availability of new (il)legal substances3 and more  challenging financial and academic pressure (Bantjes, Lochner,  Stein, Taljaard, 2017). Consequently, the stress attributed  to handling these ‘tricky’ circumstances is often directly  related to “poor psychological functioning” amongst students  (Bantjes, Lochner, Stein, Taljaard, 2017). Thus bringing into  light the reasoning behind why 10-20% of adolescents globally  experience mental health problems (Bantjes, 2018).    1Stigma refers to how we place an individ-   2 A discourse can be defined as “a par-  ual in the category of the stigmatized or    ticular knowledge about the world which  ‘other’ based on that which does not fit     shapes how the world is understood and  into our socially constructed categories,    how things are done in it” (Rose, 2001:136)  which identify what the ‘normal’ person is.    3Alcohol, weed and other illegal drugs.
13 / INTRODUCTION: BACKGROUND                    In South Africa, a study in 2017 highlighted that “12% of                  university students experience moderate to severe symptoms                  of depression and 15% report moderate to severe symptoms                  of anxiety” (Bantjes, Lochner, Stein, Taljaard, 2017). Questions                  arise within this context about whether universities have a                  responsibility to create an ideal academic environment, where                  they emphasize mental health for maximum academic achieve-                  ment (Bantjes, Lochner, Stein, Taljaard, 2017). Especially as                  South Africa lacks sufficient and affordable public mental health                  care services, student’s psychological wellbeing is currently                  – perhaps unfairly – the universities responsibility (Bantjes,                  Lochner, Stein, Taljaard, 2017).                    The relevance and urgency of change which drew me to this                  research topic are positioned within my own struggle with                  mental health- particularly depression and anxiety. Throughout                  the last few years at Stellenbosch University, I have witnessed                  my own mental health deteriorate as academic and social                  pressures have accelerated. Initially, I perceived the problem                  as being attributed to normal academic stress. However, it was                  not until I reached the point where professional (psychological)                  intervention was needed that I realized this was not the case.                  My own awareness and the awareness of those around me                  was lacking, preventing a problem to be identified before it                  became a medical issue.                    The universities current mental health awareness programs                  and resources only provide psychological care when one reaches                  the point of requiring it. They do not, however, provide mental                  health resources and services to prevent students from de-                  veloping severe mental health problems. In other words, as                  shown in Figure 1, mental health care is a spectrum ranging                  from healthy to reacting, to injured and lastly to ill. Instead                  of solely focusing on the ‘ill’ end of the spectrum, all aspects                  should be covered. I believe that students should be educated                  on managing their own mental health/identifying their own                  symptoms along with that of those around them. As through                  having a basic knowledge of mental health resources, students                  can be equipped with adequate and sensitive ways of helping                  others, thus strengthening the support within the student                  community at Stellenbsoch University.
INTRODUCTION : BACKGROUND / 14    In South Africa, a study in 2017 highlighted that “12% of  university students experience moderate to severe symptoms  of depression and 15% report moderate to severe symptoms  of anxiety” (Bantjes, Lochner, Stein, Taljaard, 2017). Questions  arise within this context about whether universities have a  responsibility to create an ideal academic environment, where  they emphasize mental health for maximum academic achieve-  ment (Bantjes, Lochner, Stein, Taljaard, 2017). Especially as  South Africa lacks sufficient and affordable public mental health  care services, student’s psychological wellbeing is currently  – perhaps unfairly – the universities responsibility (Bantjes,  Lochner, Stein, Taljaard, 2017).    The relevance and urgency of change which drew me to this  research topic are positioned within my own struggle with  mental health- particularly depression and anxiety. Throughout  the last few years at Stellenbosch University, I have witnessed  my own mental health deteriorate as academic and social  pressures have accelerated. Initially, I perceived the problem  as being attributed to normal academic stress. However, it was  not until I reached the point where professional (psychological)  intervention was needed that I realized this was not the case.  My own awareness and the awareness of those around me  was lacking, preventing a problem to be identified before it  became a medical issue    The universities current mental health awareness programs  and resources only provide psychological care when one reaches  the point of requiring it. They do not, however, provide mental  health resources and services to prevent students from de-  veloping severe mental health problems. In other words, as  shown in Figure 1, mental health care is a spectrum ranging  from healthy to reacting, to injured and lastly to ill. Instead  of solely focusing on the ‘ill’ end of the spectrum, all aspects  should be covered. I believe that students should be educated  on managing their own mental health/identifying their own  symptoms along with that of those around them. As through  having a basic knowledge of mental health resources, students  can be equipped with adequate and sensitive ways of helping  others, thus strengthening the support within the student  community at Stellenbsoch University.
15 / INTRODUCTION: BACKGROUND                                                                       FIGURE 1
INTRODUCTION : BACKGROUND / 16    This is where one can identify the relevance and urgent need  for the intervention of visual communication design practices.  A new method of communication4 has to be set in place where  awareness can be raised, coping strategies introduced, symp-  toms described and help offered without directly resorting to  medical intervention. Thus, design can enable new relational  ways5 of communicating these complex ideas and providing  possible solutions to be set into place. These solutions will  specifically address ways in which the stigma of mental health  as an individual’s problem can be shifted towards mental health  as a societal problem — eventually allowing for the recreation  of a dialogue within mental health, where new discourses can  become agents for social change, instead of sheltering social  confusion (Fee, 2000:10-15).     4 “relationality necessitates a dynamic con-      nection between all acts of knowing,      doing, and becoming” (Kuntz 2015:74)
AIMS AND OBJECTIVES    1. In this article I aim to research and           investigate the following question:    An Investigation                   Into an Integration                                          of Relational Ontological Practices                                                  and Relational Design    and its Affect as a De-Stigmatization Tool                                          against Social Constructionist                                        framing of mental health    within a Stellenbosch University  Context.
INTRODUCTION : AIMS AND OBJECTIVES / 18
19 / INTRODUCTION: AIMS AND OBJECTIVES
INTRODUCTION : AIMS AND OBJECTIVES / 20                         2. The following is a brief summary                             of the objectives of this study:        To understand and investigate how Social Constructionism’s        extractivist processes and the subsequent discourses and        a. stigmatization it produces has been reinforced by current mental        health campaigns on campus. Along with how applying a Post-Humanist Relational                                                       Ontological framework        can enable social change        and de-stigmatization of mental health on campus.    b.  To show how relational design integrated with a relational ontological        perspective and  happy objects theory can aid        us in addressing the stigmatization of        mental health on campus.                      To demonstrate the practicality of the theoretical frameworks      c. and methodologies discussed in this article by                              applying them to my own practice.
INTRODUCTION : METODOLOGY & THEORETICAL FRAMEWORK / 24     RESEARCH METHODOLOGY AND         THEORETICAL FRAMEWORK    Andrew Kuntz is a forefront theorist in New Materialism and  Relational Ontological perspectives. Concepts central to  relational ontology are logics of extraction, social construc-  tionism, dualistic attitudes, intervention, social irritants and  relational perspectives being activists for social change.  The term, relational ontology denotes a connection from  dominant Social Constructionist extractive and relativistic  onto-epistemologies and a rejection of the separation of  knowledge from its material environment. Adopting a relational  perspective is vital within the context of Stellenbosch University  as it can provide us with an understanding of the “processes  involved in the production of mental health and well-being”  as it makes visible that which would have remained unac  knowledged (Mcphie 2019:30) – therefore proving a basis for  the instigation of social change. A relational ontology provides  a new way of thinking to be applied to how mental health is  approached within the student community.    Furthermore, a relational ontological perspective directs my  methodological investigation into the field of relational design  and its relevance in my research practices. In : Conversations  - Dialogue and Discourse from Relational Design ,Tim Holloway  (2012:41) writes that relational design is “about networks, it’s  about being able to communicate with a vast number of people  instantly, there’s so much openness in these connections” as  he continues by saying that “ it’s no longer about fixed objects,  it’s about journeys and movement, space [and] flux”. Holloway’s  exploration of relational design is highly informative within  my inquiry, however in order for it to be effectively applied  within the Stellenbosch context, I will be integrating it with  Andrew Kuntz’s relational ontology to formulate a more  theoretically informed approach. Relevant relational design  techniques are emphasised and applied within my practice –  specifically in my workshop with the university students.
25 / INTRODUCTION: METODOLOGY & THEORETICAL FRAMEWORK                          Additionally, I draw on Affect theory, and more specifically ‘happy                        objects’ as a driving principle within my methodology. The                        theory of happy objects is promoted by Sara Ahmed as a new                        way of looking at the power of affective relations in creating and                        spreading happiness. It looks at “happiness functions as a                        promise that directs us toward certain objects” (Ahmed 2010:29).                        Considering my focus on relations between students mental                        health and the university context, the relevance of the theory                        of happy objects is vital and applicable to relational design                        practices. I specifically use the concepts informed by happy                        objects to successfully inform and guide the campaigns and                        brands within my practices.                          Jamie Mcphie’s (2019) discussion on mental health through a                        post-humanist lens in Mental Health and Wellbeing in the                        Anthropocene: A Posthuman Inquiry informs my theory and                        practice by integrating mental health discussion into relational                        practices – acting as a bridge between scientific underpinnings                        of mental health and my relational approach towards it. Her                        explorations further enable mental health to be centralised in                        this interpretation, as it creates a pathway for alternate narratives                        of human-environment relations to thrive more ethically. This                        validates my exploration of the contemporary and historical                        approaches that form how we view mental health, specifically                        when it comes to viewing mental health as extended into our                        environment, instead of located within the individual. Central to                        forming my perspective on mental health is her formulation                        of the term “being alive well” instead of ‘mental health’ as it’s                        a “concept less determined by bodily functions, but rather spread                        among political and ecological relationships”(Mcphie 2019:74).
LITERATURE REVIEW
INTRODUCTION : LITERATURE REVIEW / 28    Tim Holloway is a practicing graphic designer         I found his Chapter Two: Logics of Extraction  currently employed as the head of creative at         which expands upon Extraction as Social Con-  Graff Diamonds in London. Along with being            structionism governing logic that foregrounds  active in the design field he has also released       particular ways of knowing and coming to know,  several publications, three of which will be used     and Chapter Three: Materialism and Critical  in this article: Conversations — Dialogue and         Materialism which looks at how the materialist  Discourse from Relational Design (2012),              perspective offers relational formations of knowing  Practising Relational Design (2012) and Defining      and being that can never be fully severed from the  Relational Design (2012). In his writing he ex-       material contexts from which they extend, very  pands upon the origin of Relational designing         helpful. Particularly when looking at how dis-  and its definitions, origins and uses, consolidating  courses have perpetuated stigma and what  them with a more rigorous criteria for what           possible ways can be used to create social  defines a piece as ‘Relational’. He expands and       change. This book has deepened my under-  extends the theory of relational design through       standing of how a new perspective could allow for  highlighting three defining components: the           current discourses surrounding mental health to  design creating a social environment; content         be deconstructed and reformed through relations  being defined collectively through audience  engagement and the designer as an enabler:            Finally, I was also inspired by the deep and  moving from design for someone to designing           meaningful explorations of Affect in the Affect  with someone. These theories have been central        Theory Reader (2010) edited by Melissa Gregg  to my exploration into the medias’ reinforcement      and Gregory J. Seigworth. I was particularly  of mental health discourses in Stellenbosch           drawn to Sara Ahmed’s uplifting chapter on  university, using his perspective to relook at the    Happy Objects where she considers happiness  current mental health campaigns on campus             as a happening, as involving affect, intentionality  – looking at how focusing on process and rela-        and evaluation and judgement. Particularly, I will  tions instead of a final outcome can allow for        focus on her exploration of happiness func-  more effective social change.                         tioning as a promise that directs us towards                                                        certain objects and how these objects circulate  Another resource which has been fundamental           as social goods allowing for them to accumulate  to the research conducted on this article has         positive affective value as they get passed  been The Responsible Methodologist (2015).            around. These theories are a central element  This reader was written by Andrew Kuntz, a            to the basis of my practice- my brand – as it  leading education scholar who uses the most           allows me to discuss the importance affects  recent movements in social theory to encourage        influence on how certain things are perceived  methodologists to redefine their work beyond          and interpreted along with how it can be used  the limits of the technocratic toward intervention,   to re-direct something stressful to being con-  an ethical interruption of the norm, and an           sidered a happy object.  activist stance moving towards progressive            .  social change. Through enticing creativity and  vision, he has insisted that The Responsible  Methodologist will become a force that leads  the discourse towards social justice.
29 / INTRODUCTION: CHAPTER OUTLINE
INTRODUCTION : CHAPTER OUTLINE / 30        CHAPTER OUTLINE                 Chapter one will focus on contextualising the origins of our               current understandings of mental health and will aim to  1. provide us with a new way of approaching mental health the        Stellenbosch University student community. It will consider how        through the media and specific discursive practices facilitate a        reductionist view  of mental health by analysing existing        mental health campaigns on campus        Chapter two aims to investigate how applying an integration        of relational design and a relational ontological perspective can        aid to the instigation of social change within Stellenbosch University.        It will consider how a new relational approach to design can    2.  avoid the hegemonic ideologies reinforced by traditional      methods of designing. Thereafter it will explore how design        should allow material to accumulate relational meaning enabling        it to instigate social change. Lastly, it aims to provide a new        approach of branding that can produce a   non-representational        structure that avoids the production of preconceived        meanings and attributions.        Chapter three will discuss how the aforementioned methodologies    3. and theoretical frameworks can be applied to my design practice.      This chapter aims to show how through my                   “Tell my story” workshop        I was able to practically apply and asses the affectivity        of my theoretical explorations.
33 / CHAPTER ONE                              CHAPTER ONE
CHAPTER ONE / 34
35 / CHAPTER ONE : INTRODUCTION                                     INTRODUCTION    This chapter will provide an overarching                           contextual analysis    of the environment in which my research is being conducted:    a misinformed, stigmatized student community and campus    at Stellenbosch University. This chapter will investigate how    Social Constructionism’s extractivist tendencies have perpetuated    mental health stigmas through reinforcing mental health    discourses of danger, appearance and behaviour and biomedical    in our contemporary society. It aims to expand upon how    the media the media continuously draws on these discourses and to    show how the medias role as socializing agent has led to the    public being misinformed about mental health. Further, this    chapter will investigate how instead of fixating on the isolated    identities of those who suffer, we need to    to the discourses which stigmatize and alienate such identities.    Thus, it will explore and analyse  past mental health initiatives    at Stellenbosch University in order to highlight how we need    a campaign that focuses on the kind of relationships students    have with their environment and subsequently, the student    community they are a part of. I will thereafter introduce how    assuming a relationalssounmtoinloggaicarel lational ontological perspective can inform the    creation of such a campaign. In this chapter I hope to show    how mental health is currently being viewed on the Stellenbosch    University campus and how through changing the way knowl-    edge is spread it can                                                                       activate social change.
CHAPTER ONE : INTRODUCTION / x    redirect our focus
37 / CHAPTER ONE : SOCIAL CONSTRUCTIONSIM    SOCIAL CONSTRUCTIONSIM                     Upon hearing the word ‘language’, your immediate association                                             with the word is ‘communication’ – a tool which enables you                                             to converse with others. As humans, we use language to convey                                             information, thoughts, and feelings. We depend on a complex                                             network of spoken sounds to achieve our communication – un-                                             knowingly “associating language with such verbal intercourse”                                             (Abram 2010). In this sense, language can be seen as a                                             complex web of different relations, meanings, and concepts.                                             The complexities with language are often difficult to fully                                             comprehend. On these grounds Social Constructionism intends                                             to explore and make sense of these complexities (Burr 2003)                                               Social Constructionism promotes the idea that language                                             structures our experience of the world and subsequently our                                             identity (Burr 2003:47). Concepts that we use to describe                                             ourselves is made possible by language. How we experience                                             the world through our internal states are “undifferentiated                                             and intangible without the structure of language to give it                                             meaning” (2003:48). For instance, if you experience the feeling                                             of sadness, but you’re unable to express it through language,                                             your sadness is intangible. Therefore, it can be said that we                                             learn what sadness is through language - explaining some-                                             thing like emotion without language is like explaining colour                                             without sight – it cannot occur.
CHAPTER ONE : SOCIAL CONSTRUCTIONISM / 38
39 / CHAPTER ONE : SOCIAL CONSTRUCTIONSIM    Your understanding of the feeling of sadness as     The representation of aspects about mental  being a state of unhappiness is derived from        health permits discourses – such as the bio-  historical and present conceptual categories        medical discourse and the discourse of dan-  used by people within their respective societies    gerousness - to gain stigmatizing attitudes.  and cultures (Burr 2003:7). Put differently, the    Through representing things in certain ways,  language these categories produce pre-de-           certain forms of knowledge are produced – for  termines and represents how we understand           instance the ‘knowledge’ of someone struggling  things (Burr 2003:8). These concepts are based      with their mental health being ‘dangerous’ is  on Social Constructionism’s theory that our         created through representations in – for instance  common understanding of the world, and              – the media and education (Burr 2003:67).  therefore what we regard as the ‘truth’, is con-    These representations are important when  stantly being constructed through our daily         understanding how different discourses are  social interactions (like talking and listening to  constructed within a Social Constructionist  others talk) and not from nature or our mateal      framework. Primarily as they are formed through  surroundings (Burr 2003:6).                         emphasizing “overly linguistic interpretations                                                      of meaning”. This allows for modes of inquiry  The meanings which we derive from these             to return to a Cartesian duality “that extracts  social interactions are pre-determined by           the body and the material world from processes  discursive practices and discourses . Accord-       of meaning-making” (Kuntz 2015:49). Hereby  ingly, hegemonic discourses are constructed         resulting in “sounds, texts and narratives  based on the assumption and belief that the         standing in for material situated experience”  basis of their knowledge are true. Such an          (Kuntz 2015:49).  approach to meaning-making states that  pre-determined constructs regulate what is          Questions arise within the context of what  permissible for different people to do and          happens to practices and ways of existing  what implications these actions might have          outside of discourse, or within the material  (Burr 2003:6-19). Burr (2003:18-19) states that     practices that are not entangled within the  these dualistic power relations entangled in        conceptual web of logics of extraction (Kuntz  the representations of things correlate directly    2015:52). Andrew Kuntz (2015:52) answers  to how we treat each other in society. This is      this by describing how through discourses some  perhaps especially true when it comes to the        elements are dismissed or deemed unknow-  treatment of those who struggle with their          able as they are “rendered outside traditional  mental health. Considering that the hegemonic       formations of knowledge” Discourses claim that  discourses of mental health is the result of the    their truth is the only way in which we can come  “legitimization of unequal power relations and      to know. This is highly problematic when it  perpetuation of stereotypes” (Pitcher 2013:4).      comes to the media and mental health rep-  Therefore, highlighting how the way in which        resentations. Through hegemonic discourses  we might treat someone who struggles with           manifesting in texts such as newspapers, films,  their mental health is prearranged for us through   advertisements, and social media; the status  specific discourses and accordingly through         given to mental health has a stigma attached  the language that we use.                           to it and this stigma becomes dominant (Burr                                                      2003:65).
CHAPTER ONE : SOCIAL CONSTRUCTIONISM / 40
Social Constructionism has allowed for the negative stigma surrounding mental health to flourish. Emphasis on  language as being equal to reality permits discursive practices with the authority of determining what attributes  in a society are deemed ‘normal’ or ‘abnormal’. Any individual deviating from this social construction becomes  stigmatized (Goffman 1963:12-13). Goffman (1963:14) highlights how, by embedding these stigmas within our  societal framework, society is presented with a ‘theory’ or ‘ideology’ to account for the representation of differ-  ence. Subsequently, the mass attitudes this creates can be defined as ‘social stigma’ – where a belief held by a  majority of society uses stigma to justify social injustices along with the labelling and separation of individuals  with undesirable characteristics (Ahmedani 2011:5). As mentioned before, this becomes highly problematic  when the media comes into play. Particularly as mass media occupies the role of ‘socializing agents’ – reflect-  ing and shaping public attitudes. They also play a big role in “construction and perpetuation of perceptions  and learned behaviours” (Srivastava et al. 2018). Since hegemonic social and political institutions govern the  production of knowledge within the media, such institutions can maintain and reinforce the Cartesian Dualist  separation of mind, body, and matter within the information that is spread concerning mental health. (Happer &  Philo 2013:322). It can be said that the mass media makes mental health subjects knowable through extracting  them from the material contexts in which they exist – suggesting to society that this process of meaning-making  is “the most effective and productive means of accessing knowledge” (Kuntz 2015:44). Consider the theoretical  example of a news report about a student who suffers from anxiety and depression verbally confronting an ex-  aminer during an exam. The media might, for example, frame the story by saying that “depressive and anxious  student lashes out at examiner – how mental illness can make young adults violent”; however they might not  include that the examiner confiscated the students’ anxiety medication – thinking it to be illicit drugs – before  the exam commenced. Thus, resulting in the student having a ‘panic attack’.Although this is only one student’s  story, it shows how the media sways towards displaying mental health within a negative light – that media ex-  tracts mental illness from its material contexts. Accordingly, this example foregrounds how only certain sides of  the story are being promoted over others as the hegemonic institutions “systematically edit and interpret the  mass of information”. This succeeds in facilitating a false and reductionist view of mental illness or mental health  struggles (Happer & Philo 2013:321-322). On these grounds, Fawcett (2015) explains the role which the media  plays in constructing societies’ general knowledge of mental health through emphasizing that things such as  social media posts, movies, television shows or newspapers and magazine are the primary source of informa-  tion about mental health for the average individual. Therefore, one’s view of those who struggle with mental  health as ‘dangerous’, ‘violent’, ‘criminal’ (and that of mental health in general as incurable and solely caused by  either the individuals or biology) can be ascribed to the media (Fawcett 2015 Ref.). Expanding upon this, one  can explore three dominant discourses of mental health in the media: a behavioural/aesthetic discourse, the  discourse of dangerousness and most influential, the biomedical discourse.The ‘discourse of dangerousness’  perpetuates people who struggle with their mental health as dangerous, criminal, violent and deviant (Fawcett  2015). To provide an example of this, one can look at classic Disney movies such as Beauty and the Beast.  Within the film, the character of Maurice (Belle’s father) as shown in Figure 2 is described within the narrative  as being ‘crazy’ and ‘lunatic’. Figure 3 is a scene in the movie where Maurice is being hauled away in a lunacy  wagon. Disney movies such as these teach children and society that the mentally ill are dangerous and need  to be removed from society. Unfortunately, this is only one example of stigmatized representations of mental  illness within Disney films - where most villains are portrayed as being evil as a result of a mental health problem.
CHAPTER ONE : MENTAL HEALTH AND THE MEDIA / 42
43 / CHAPTER ONE : MENTAL HEALTH AND THE MEDIA                                                                     FIGURE 2 AND FIGURE 3
CHAPTER ONE : MENTAL HEALTH AND THE MEDIA / 44        The prominence and pervasiveness of mental illness rep-      resentations in media intended for children also raises the      question: if this is the way that children are taught to view      mental illness, how can we blame the general population for      having such uninformed views? Especially as stereotypical      views that adults have about mental health may have been      “originally acquired through media exposure in childhood”      (Lawson & Fouts 2004:311). Studies have shown that around  85%85% of (Disney) animated films contain references to charac-      ters (major and minor) with mental illnesses (Lawson & Fouts      2004:311).        Moreover, these representations are not only present in      animated films, they also extend into adult movies, television,      radio, social media and the news (Fawcett 2015). A possible      reason for this pervasive negative discourse is that mental      illness is perceived as ‘dramatic’ and ‘sensational’, and often      creates attractive and interesting storylines (Icannotes 2018).      The media often exaggerates and dramatizes these attributes      to make a character or even a real-life criminal appear more      interesting and intriguing (Icannotes 2018). The media clearly      extracts the sensational and attention-grabbing elements to      frame a mental health subject in a demeaning way.
45 / CHAPTER ONE : MENTAL HEALTH AND THE MEDIA                                                                    FIGURE 4 AND FIGURE 5
                                
                                
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