Kesehatan Jiwa dan Gender dalam Konteks Indonesia

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Saat ini sebenarnya Indonesia sedang darurat kesehatan jiwa. Mengapa?

Karena ada 250 juta jiwa penduduk, sementara psikolog klinis baru ada 451 orang (15 per 10.000.000 penduduk), 773 psikiater (32 per 10.000.000). Padahal standar dari WHO untuk tenaga psikolog dan psikiater dengan jumlah penduduk adalah 1: 30 ribu orang. Selain itu, berdasarkan riset kesehatan dasar tahun 2013 oleh Kementerian Kesehatan tahun 2013, sebanyak 6% atau 19 juta penduduk Indonesia usia lebih dari 15 tahun menderita gangguan mental emosional yang ditunjukkan dengan gejala depresi dan kecemasan.

Selain itu, kesehatan mental merupakan gabungan banyak unsur dalam kehidupan manusia. Kondisi masyarakat secara sosial, politik, ekonomi, budaya, hokum, pertahanan dan keamanan secara langsung maupun tidak langsung memengaruhi kondisi kesehatan jiwa individu maupun masyarakat secara umum.

Kesehatan mental perlu dipahami sebagai suatu spektrum bukan dikotomi “ya” dan “tidak”, “ada” atau “tidak ada”, “sehat” atau “sakit”.  Selain itu, kesehatan mental perlu dirawat, dipelihara dan diperhatikan sama seperti kita menjaga kesehatan tubuh. Seperti berlatih membangun otot, tidak bisa hanya berlatih sehari semalam langsung bisa punya badan berotot. Butuh latihan setiap hari, daily practice. Because happiness is a state not an external condition. We have to build our mental health “muscle” yang disebut dalam istilah psikologis sebagai resiliensi/resilience.

Merujuk pada kekayaan dan tradisi budaya Indonesia maupun budaya Asia, kita sebenarnya punya sejarah panjang tentang usaha menjaga kesehatan mental dari dalam diri, memiliki kedekatan dengan Tuhan/Sang Pencipta, alam dan sesama manusia. It’s all abount balancing life, harmony, yin-yang.

Dalam perspektif Nusantara, kata “manusia” berasal dari bahasa Sansekerta “Manusya”, artinya lahir dari Manu/Brahma. Menyadari diri kita lahir dari entitas Yang Maha dan punya hak untuk mengaktualisasikan diri sesuai dengan citra Allah, Imago Dei, bukan membatasi diri karena peran gender adalah salah satu cara menjaga kesehatan mental.

Pada akhirnya, hampir di semua agama terutama agama Samawi/Abrahamisme menekankan pentingnya kontribusi kita di dunia sebagai makluk hidup. Bukannya membatasi diri tentang “kamu waktu hidup di dunia jadi perempuan atau laki-laki yang kayak gimana?”. Maka sudah layak dan sepantasnya kita kembali menemu-kenali kesejatian diri kita, siapa kita di kedalaman diri dan apa yang bisa kita lakukan di dunia sekitar kita untuk menemukan kebermaknaan hidup, kebahagiaan dan pada akhirnya kesehatan jiwa lahir dan batin.

Oleh : Anastasia Satriyo 

QUESTION TO THE STRANGER : Living Beyond Limits (Borders – Handicaps – Challanges)

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Hey Im curious, if you did not have to worry about time and money what would you do?

And if your life were a book and you were the author, how would i want the story to go?

Our borders and our obstacles can only do two things:

1. stop us in our tracks, or

2. force us to get creative.”


f your life were a book and you were the author, how would you want your story to go? That’s the question that changed my life forever.

Growing up in a hot Last Vegas desert, all I wanted was to be free. I would daydream about travelling the world, living in a place where it snowed and I would picture all of the stories that I would go on to tell.

 

At the age of 19, the day after I graduated high school, I moved to a place where it snowed and I became a massage therapist. With this job all I needed were my hands and my massage table by my side and I could go anywhere. For the first time in my life, I felt free, independent and completely in control of my life. That is until my life took a detour.

I went home from work early one day with what I thought was the flu and less than 24 hours later I was in a hospital on life support, with less than a 2% chance of living. It wasn’t until days later as I lay in a coma that the doctors diagnosed me with bacterial meningitis, a vaccine-preventable blood infection.

Over the course of two and a half months I lost my spleen, my kidneys, the hearing in my left ear and both of my legs below the knee. When my parents wheeled me out of the hospital I felt like I had been pieced back together like a patchwork doll. I thought the worst was over until weeks later when I saw my new legs for the first time. The calves were bulky blocks of metal with pipes bolted together for the ankles and a yellow rubber foot with the raised rubber line from the toe to the ankle to look like a vein. I didn’t know what to expect but I wasn’t expecting that.

ALSO READ:   Focus is a Muscle by Connor O’Leary at TEDxUIUC (Full Transcript)

With my mum by my side and tears streaming down our faces, I strapped on these chunky legs and I stood up. They were so painful and so confining that all I could think was how am I ever going to travel the world in these things? How was I ever going to live the life full of adventures and stories as I always wanted? And how was I going to snowboard again?

 

That day, I went home, I crawled into bed and this is what my life looked like for the next few months. Me passed out, escaping from reality with my legs resting by my side. I was absolutely, physically and emotionally broken. But I knew that in order to move forward, I had to let go of the old Amy and learn to embrace the new Amy. And that is when it dawned on me that I didn’t have to be 5.5 ft. anymore. I could be as tall as I wanted. Or as short as I wanted depending on who I was dating.

And if I snowboarded again, my feet aren’t going to get cold. And best of all, I thought I can make my feet the size of all the shoes that are on the sales rack and I did. So there were benefits here.

 

It was this moment that I asked myself that life defining question: if my life were a book and I were the author, how would I want the story to go? And I began to daydream. I daydreamed like I did as a little girl and I imagined myself walking gracefully, helping other people through my journey and snowboarding again. And I didn’t just see myself carving down a mountain of powder, I could actually feel it. I could feel the wind against my face and the beat of my racing heart as if it were happening in that very moment. And that is when a new chapter in my life began.

Four months later, I was back up on a snowboard, although things didn’t go quite as expected: my knees and my ankles wouldn’t bend and at one point I traumatized all the skiers on the chair lift — when I fell and my legs, still attached to my snowboard — went flying down the mountain — and I was on top of the mountain still. I was so shocked, I was just as shocked as everybody else, and I was so discouraged, but I knew that if I could find the right pair of feet that I would be able to do this again.

And this is when I learned that our borders and our obstacles can only do two things: one, stop us in our tracks or two, force us to get creative. I did a year research, still couldn’t figure out what kind of legs to use, couldn’t find any resources that could help me. So I decided to make a pair myself. My leg maker and I put random parts together and we made a pair of feet that I could snowboard in.

As you can see, rusted bolts, rubber, wood and neon pink duct tape. And yes, I can change my toe nail polish. It was these legs and the best 21st birthday gift I could ever receive: a new kidney from my dad — that allowed me to follow my dreams again. I started snowboarding, then I went back to work, then I went back to school. Then in 2005 I co-founded a non-profit organization for youth and young adults with physical disabilities so they could get involved with action sports.

From there, I had the opportunity to go to South Africa where I helped to put shoes on thousands of children’s feet so they could attend school. And just this past February, I won two back-to-back World Cup gold medals — which made me the highest ranked adaptive female snowboarder in the world.

11 years ago, when I lost my legs, I had no idea what to expect. But if you ask me today, if I would ever want to change my situation, I would have to say no. Because my legs haven’t disabled me, if anything they’ve enabled me. They forced me to rely on my imagination and to believe in the possibilities. And that’s why I believe that our imaginations can be used as tools for breaking through borders because in our minds, we can do anything and we can be anything. It’s believing in those dreams and facing our fears head on that allows us to live our lives beyond our limits.

And although today is about innovation without borders, I have to say that in my life, innovation has only been possible because of my borders. I’ve learned that borders are where the actual ends but also where the imagination and the story begins.

So the thought that I’d like to challenge you with today is that maybe instead of looking at our challenges and limitations as something negative or bad, we can begin to look at them as blessings, magnificent gifts that can be used to ignite our imaginations and help us go further than we ever knew we could go. It’s not about breaking down borders. It’s about pushing off of them and seeing what amazing places they might bring us.

ADDICTION

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That when a rat is a put in an antique cage all along with two water bottles, one normal and one drugged it gets addicted to the drugged water and eventually dies of malnutrition. The experiment was seen as a proof that drugs are uncontrollable and it laid the foundation for 40 years of drug policy with strict laws rehab centers that focused on withdrawal and a massive war on drugs making it clear that drugs are bad.

What most people don’t know is that in the same decade another scientist Professor Bruce Alexander thought it was obivious that lonely rats in boring cages would choose drugs over water so he put them in a rat park, a lush cage  with friend and everything a rat could want while stil having free acess to drugs, surprisingly his rats chose not to use the drugs. The researcher even took the study one step further and had the rats use drugs for 57 days in the lonely cage untill they become heavily addicted and then placed them in the rat park astonishingly the rats gradually reduced their drug use until they stopped using them altogether and live the rest of their lives drug-free.

Experiments like these happen to humans all the time, one example is in hospitals where heavily injured patients are given medical form of heroin, this heroin much stronger than the heroin used in the street. Despite months of use, these medical users just stop when they go home to a life where they are surrounded by a loving family. The same drug used for the same length of time turn street users who alone and unhappy into desperate addicts. The rat park experiments did not show that chemical addictions don’t exist but it showed that they are not the only thing that matters in drug abuse, maybe a person’s access to a functioning social life and a lush cage are even more important than continuing the war on drugs mission of making drugs unavailable and penalizing the users.

What causes, say, heroin addiction? This is a really stupid question, right? Its obvious; we all know it; heroin causes heroin addiction. Heres how it works: if you use heroin for 20 days, by day 21,.

Your body would physically crave the drug ferociously because there are chemical hooks in the drug. Thats what addiction means. But theres a catch. Almost everything we think we know about addiction is wrong. If you, for example, break your hip, youll be taken to a hospital and youll be given loads of diamorphine for weeks or even months. Diamorphine is heroin. Its, in fact, much stronger heroin than any addict can get on the street because its not contaminated by all the stuff drug dealers dilute it with. There are people near you being given loads of deluxe heroin in s right now.

The experiment is simple: you take a rat and put it in a cage with two water bottles. One is just water, the other is water laced with heroin or cocaine. Almost every time you run this experiment, the rat will become obsessed with the drugged water and keep coming back for more and more, until it kills itself.

But in the 1970s, bruce alexander, a professor of psychology, noticed something odd about this experiment: the rat is put in the cage all alone. It has nothing to do but take the drugs. What would happen, he wondered, if we tried this differently? So he built Rat Park, which is basically heaven for rats;.

Its a lush cage where the rats would have colored balls, tunnels to scamper down, plenty of friends to play with, and they could have loads of sex everything a rat about town could want. And they would have the drugged water and the normal water bottles. But heres the fascinating thing: in Rat Park, rats hardly ever use the drugged water none of them ever use it compulsively, none of them ever overdose.

But maybe this is a quirk of rats, right? Well, helpfully there was a human experiment along the same lines: The Vietnam War. 20% of American troops in Vietnam were using a lot of heroin. People back home were really panicked, because they thought there would be hundreds of thousands of junkies on the streets of the United States when the war was over. But a study followed the soldiers home and found something striking: They didn’t go to rehab, they didn’t even go into withdrawal. 95% of them just stopped after they got home. If you believe the old theory of addiction, that makes no sense. But if you believe Professor Alexander’s theory, it makes perfect sense. Because if you’re put into a horrific jungle in a foreign country where you don’t want to be, and you could be forced to kill or die at any moment, doing heroin is a great way to spend your time. But if you go back to your nice home with your friends and your family, it’s the equivalent of being taken out of that first cage and put into a human Rat Park.

It’s not the chemicals, it’s your cage. We need to think about addiction differently. Human beings have an innate need to bond and connect. When we are happy and healthy, we will bond with the people around us. But when we can’t because we’re traumatized, isolated, or beaten down by life, we will bond with something that gives us some sense of relief. It might be endlessly checking a smartphone, it might be pornography, video games, Reddit, gambling, or it might be cocaine. But we will bond with something because that is our human nature. The path out of unhealthy bonds is to form healthy bonds, to be connected to people you want to be present with. Addiction is just one symptom of the crisis of disconnection that’s happening all around us. We all feel it.

The War on Drugs we’ve been fighting for almost a century now has made everything worse. Instead of helping people heal and getting their life together, we have cast them out from society, we have made it harder for them to get jobs and become stable, we take benefits and support away from them if we catch them with drugs, we throw them in prison cells, which are literally cages, we put people who are not well in a situation which makes them feel worse and hate them for not recovering. For too long, we’ve talked only about individual recovery from addiction. But we need now to talk about social recovery. Because something has gone wrong with us as a group. We have to build a society that looks a lot more like Rat Park and a lot less like those isolated cages. We are going to have to change the unnatural way we live and rediscover each other. The opposite of addiction is not sobriety; the opposite of addiction is connection.

 

SONNET #6

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“That is love, to give away everything, to sacrifice everything, without the slightest desire to get anything in return.”
-Albert Camus


“Love is what makes sex more than masturbation. If there is no love even if you are really with a partner you masturbate with a partner.”
Sama kaya analogi tissue.
―Slavoj Zizek


We were so close we had everything, we could feel the others pain, we would have our hearts sync to each other’s rhythm but then something changed, either you changed or I changed and we started missing beats. We blamed ourselves and that grew into blaming each other. We used to be so strong together, and now we use that power to fight against one another but the problem is we don’t know how to stop fighting. We were just out of rhythm so we keep stepping on each others toes and we need to just get back into the beat of the song that we dance to and get back to dancing. Not yelling…


Life will break you. Nobody can protect you from that, and living alone won’t either, for solitude will also break you with its yearning. You have to love. You have to feel. It is the reason you are here on earth. You are here to risk your heart. You are here to be swallowed up. And when it happens that you are broken, or betrayed, or left, or hurt, or death brushes near, let yourself sit by an apple tree and listen to the apples falling all around you in heaps, wasting their sweetness. Tell yourself you tasted as many as you could. — Louise Erdrich


Hurricane of emotions. Tornados of doubts. Your enjoyment seeing me on the ground, is this what your love is about? — You cause storms and droughts. You move my soul left and right. You are the reason I die every single night. — On the brink of insanity, at my peak of despair. Like a nymph, you come and caress my hair. — Is this the way you want to love me? … Is this the only way you will look me in the eyes?


How can you say you know me. When you’ve only seen my skin — Don’t mark me with your footprints. If you plan to leave too soon. And only want to know me. Because the birdsong might be pretty. But it’s not for you they sing. And if think my winter is too cold. You don’t deserve my spring.


We’re born alone, we live alone, we die alone. Only through our love and friendship can we create the illusion for the moment that we’re not alone. – Orson Welles


Vision is the art of seeing what is invisible to others. – Johathan S


Interesting question only came up from an interesting person.


No-one has ever properly understood me, I have never fully understood anyone; and no-one understands anyone else.


The whole of life is but a moment of time. It is our duty, therefore to use it, not to misuse it. — Plutarch


All these years on my own. Fight my fight all alone. Till you came, I didn’t know the feeling. Till you left, I didn’t know the feeling. Now it’s a cycle — Unbreakable — Permanent. Never to leave me. Because of you, the feeling is stuck inside. You were once the highlight of my lowlife.


If you are the person who wake up next to me in the morning. Maybe I’d place my ear against your chest, and hear your heartbeat. Beat of the thing that has been working through the night, sound of bloodstream coursing through your vein.. Then you’d place yours too against mine. And you’ll hear the hollow resonance that tells you that I have depleted. You’ll know, that I’m not as picturesque as everyone fantasizes, but will give you every little things I have.. And at least in this barren vastness, there’s room for more of you, to keep and love.


I know you think this world is too dark to even color, but I’ve seen flowers bloom at midnight. I’ve seen kites fly in gray skies and they were real close to looking like the sunrise, and sometimes it takes the most wounded wings the most broken things to notice how strong the breeze is, how precious the flight. — Andrea Gibson


Darling, there are people who will touch your soul before they touch your body; people who will run their fingers through your mind and make you gasp from the profound of intimacy of being so thoroughly explored. — I want you to wait for those people. I want you to remember, you deserve people like that in your life. Just… don’t hold your breath. They’ll find you when it’s time… — R.S.


You think you’ve seen her naked because she took her clothes off?. — Tell me about her dreams. Tell me what breaks her heart. What is she passionate about, and what makes her cry? Tell me about her childhood. Better yet, tell me one story about her that you’re not in. — You’ve seen her skin, and you’ve touched her body. But you still know as much about her as a book you once found, but never got around to opening.


To the woman reading this with a restless soul and an aching heart, i want you to know that sometimes you have to break down in order to break through. – mba2 fluxcup


We real cool. We left school. We lurk late. We strike straight. We sing sin. We thin gin. We jazz June. We die soon. -G. Brooks


I would simply choose the person who has no one, so that they would have someone, even if that person is a complete stranger, as long as my loves are loved. I would seek out the unloved and mke them loved.


 

MESSAGES

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1:08am

“Hey, I hope you’re doing well and okay (but also that you remember to think about me from time to time, so I’m not forgotten).”
-I often type messages that I will never send to you

“It’s okay not to love me, after all, I’m working on loving myself.”
-The first step is me telling you I’m broken

“Please understand that it’s easier for me to make jokes rather than feel too much. There’s always so much to feel.”
-The second step is you trying not to fix me

“You never lose that aspect of hopeless romanticism you once put on the highest pedestal. Everything is disappointing, but that doesn’t mean you shouldn’t have standards.”
-I have never been one for intimacy without connection, my darkest emotions included

“Just give me a minute, I’ll stop crying soon.”
-I promise I’ll stop opening my mouth to scream when nothing comes out eventually