Middle Class Blues


It’s the early hours and I’m awake. On a psychiatric ward for about two and a half weeks, I’m suffering from broken sleep and in the ward’s lounge as a new patient is admitted to the unit.

Middle class, she clashes with a system designed around power and prestige applied to an often infantilised working class. The system isn’t ready for people like her – ‘it’s like some sort of fucking school’ – and she isn’t ready for the system. Staff are trying to negotiate their powers into realisation. She’s being assertive. I know how this will play out in the staff’s observation notes the psychiatrist will consult as he decides on medication.

Sectioned (legally detained in hospital for observation and/or treatment), she’s facing a culture shock and isn’t sure she’s going to be able to survive the experience. She has a story while being aware that everyone has, but hers is compelling and it looks at this early stage as if she’ll get off the section. I hope so. She’s edgy but that’s understandable having experienced for the first time the effects of the State’s power to remove your liberty and mind. But she’s nothing more than edgy.

With our traditional focus on key indicators like race and ethnicity, sex and gender, class from a working class perspective, and so on, we sometimes overlook the needs of the middle class in these scenarios, but if we’re going to champion equality in services, it surely makes sense to see and work around our blind spots. The system being largely designed around a rigidly patriarchal hierarchy engineering the conformity of an often infantilised working class, people can be unprepared for the challenges such a structure throws up where everyday behaviour can be pathologised for no adequate reason whatsoever.

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