
Baby pigeons are really, really ugly.
And there are two on my balcony.
The eggs were small and white and perfect, and I was kinda hoping for cute little things. But no. REALLY ugly.
Ah well, you live and learn.
About me? Mad, disabled, in debt, feminist, radical, angry, pacifist, warrior, radio 4 listener, geek, flower-power chick... About Hippie blog? Ramblings, photos, fury, giggles and musings about love, peace, friendship, madness, happiness, the state of the world, my life, cool pics, my health and general ranting...
Self-Harm and Medical Treatment
The National Institute for Clinical Excellence (NICE), in 2004 issued some guidelines on
The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care
These include instructions such as,
People who have self-harmed should be treated with the
same care, respect and privacy as any patient. In addition,
healthcare professionals should take full account of the
likely distress associated with self-harm.
[...]
•
If a person who has self-harmed has to wait for treatment,
he or she should be offered an environment that is safe,
supportive and minimises any distress. For many patients,
this may be a separate, quiet room with supervision and
regular contact with a named member of staff to ensure
safety.
[...]
•
Always treat people with care and respect.
[...]
•
Take full account of the likely distress associated with
self-harm.
•
Offer the choice of male or female staff for assessment and
treatment. If it is not possible to give people a choice, explain
why and write it in their notes.
•
Always ask the service user to explain in their own words why
they have self-harmed. Remember, when people
self-harm often, the reason for each act may be different on
each occasion; don’t assume it’s done for the same reasons.
•
Involve the service user in clinical decision-making and provide
information about treatment options.
[...]
•
Always offer necessary physical treatments even if the person
doesn’t want psychosocial or psychiatric assessment.
•
Always use proper anaesthesia and/or analgesia if treatment
for self-injury is painful.
•
Offer sedation if treatment may evoke distressing memories
of previous sexual abuse, such as when repairing harm to the
genital area.
[...]
• Don’t delay treatment because it is self-inflicted.
There is an awful lot of info in the report, but some of the pertinent points I have listed above.
I have heard endless stories of people in A&E being refused stitches to a self-injury cut, on the basis that 'You've got so many scars already, one more won't make a difference', or 'There's no point - you'll only do it again'. Similarly with people who have been refused anaesthetic before being stitched or having other painful treatments.
These situations appall me. People who have caused their own injuries deserve just as good (physical and psychological) care as those whose injuries were accidental or caused by others. People do not self-harm for no reason - it almost always occurs within a context of intense distress and desperation, and can frequently prevent the person from further harm (for example, suicide attempts) by releasing some of the pressure before it boils over.
People who need treatment for self-harm injuries are likely to be feeling dreadful, full of their own inner guilt for needing treatment, and very possibly feeling quite vulnerable. They do not need doctors or nurses or ambulance staff to reinforce their own feelings of self-hatred or to imply that they are wasting people's time.
I cannot talk for everyone who self-harms, and I also do not want to downplay the incredible sensitive and appropriate treatment offered by many medical staff. There are people who self-harm who won't relate at all to what I say, and there are doctors, nurses and ambulance staff who do brilliant work. There's no doubt about that.
However some people are treated appallingly, and this only leads to the person who has self-harmed to feel even worse about themselves, and further self-harm feels more appealing because they have had all their worst fears and feelings confirmed.
So, where am I going with this?
Well, there are cases of blatantly bad treatment (being refused stitches when they are needed, not using local anaesthetic where it normally would be used, derogatory comments by staff etc.), and these are easy to criticise. But there are also many, many occasions when someone who has self-harmed gets bad-mediocre treatment, but it is hard to know what the motivation behind the not-really-caring is.
I needed treatment the last couple of weeks for a burn. I went to a GP, who asked the Practice Nurse to dress it. The nurse's treatment was, well, lukewarm to say the least. She dressed the burn very badly - using inadequate dressings and suggested no follow-up at all. I needed to go back 2 days later because of the state of the dressing and the injury and although she dressed the injury better than the first time, it was still very careless, unnecessarily painful and there was no plan for follow-up again.
I came out of both of these encounters very upset, especially the second one. I was spinning between 'I deserve better treatment than this' and 'Why on earth should I expect decent treatment? It's my own stupid fault anyway'. On top of that, I really didn't know whether the nurse didn't treat me well because my injury was self-inflicted, or whether she was actually just quite incompetent and not very interested in general.
I still don't know the answer to that, but the following week I saw a different nurse at the practice, who dealt with my injury competently, and was actually nice to me. It made a huge difference to how I felt when I left the surgery. I didn't feel full of self-hatred, full of self-loathing, full of self-directed anger.
I have that age-old double standard. I believe, without a doubt, that people who have self-harmed deserve and require treatment which is as good as people who have injuries which were accidental or caused by someone else. However, when it's *me*, I of course don't deserve a single nice word or a dressing which actually deals adequately with the wound. I am stupid and a waste of time, though noone else is!
I really don't know if I got sub-standard treatment because the nurse wasn't up to speed on burn dressings, or on 'bedside' manner, or whether it was because she didn't want to deal with a self-inflicted injury, or didn't think it deserved time and treatment, or indeed deal with someone who could self-injure.
All I know is that I came out of the appointment with the second nurse feeling much more positive and capable and listened to. I'm no expert on dressings, but even I knew that the first two were inadequate. I came out of those appointments feeling disgusting and loathsome.
I do believe that in terms of avoiding future self-harm, feeling positive and capable and listened to is certainly a better place to start!
Take two on the first day, then OD.
16 Years for Murderer of Former Lover
A BRUTE who beat his ex-lover to death with a hammer and then tried to cover his tracks by arson must spend at least 16 years behind bars.
Vincent King, aged 59, of Norwich Row, Park Hill, was found guilty at Sheffield Crown Court in November 2002 of murdering mother-of-seven June Bond.
He had already pleaded guilty to arson being reckless as to whether life was
endangered. He was jailed for life.
Now his tariff - the minimum number of years he must spend in prison before he can seek parole - has been set at 16 years by Mr Justice McCombe, who was reviewing the case at the High Court in London.
Even taking into account the time he spent on remand, the ruling means King will not be able to even apply for his freedom before 2018.
Mr Justice McCombe said he had taken into account the fact King had been left in a "distressed mental state" when it emerged Ms Bond had begun seeing a neighbour, Oswald Darmudas.
But he also observed that King had a number of previous convictions for violence, including one against Ms Bond.
The judge also said he had tried to cover up the murder by starting a fire.
The court heard King met Ms Bond, who was 14 years younger than him, in 2001. In May 2002 she began seeing Mr Darmudas and split with King, but he 'stalked' her and discovered her new relationship.
On June 12 2002, he lured her to his flat by saying he had money for her, said Mr Justice McCombe, before killing her with a single blow to the head from a claw hammer.
At around 6.50am the next day he bought petrol from a filling station and set fire to his own flat with Ms Bond's body inside.
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Technorati tags: self-portrait challenge; andy warhol; incurable_hippie; self-portrait; digital imagery.
Dear John O,
Thank you for your emails, which I always read with interest and concern, and usually respond as best I can to calls for action.
I had to respond to this one, though, because of the way you are classing self-harm and attempted suicide as one and the same thing. This is just factually incorrect and very misleading.
There are many reasons why people self-harm, but it is most frequently a coping mechanism, indeed something which people can use in an attempt to *prevent* themselves getting to the point where they may end up attempting or committing suicide.
Some info:
There are probably as many reasons for self-harming as there are self-harmers.
Some people find that when they self-harm they experience a "release" which they cannot achieve in any other way. This can be a huge relief if feelings of depression, anger, self-hatred, fear or anxiety are becoming overwhelming.
Others find that when emotional pain becomes unbearable, if they hurt themselves in some way it transfers the pain to physical pain on the body. For many, physical pain (e.g. from a cut or a burn) is much easier to deal with than deep emotional pain.
On a similar note, some people find that hurting themselves physically gives them more control over their pain and their lives. Whereas it is difficult to control the emotional pain you may feel, if you then take charge of the pain and are in control of it, this can seem easier to deal with.
On the surface it could appear that self harming is similar to suicidal behaviour, especially if people are cutting their wrists, or overdosing. However for an awful lot of people, self harm is known to prevent suicide. By the means I mentioned above, self harm can take the edge off overwhelming feelings, and thus make someone less likely to attempt or commit suicide.
Some people self harm as a way of punishing themselves. If they feel guilty for something they have done, said or thought, they may then cut or burn or otherwise harm themselves because it is what they feel they deserve. Often the "punishment" is much more severe than is warranted, for example someone slashing their wrists because they overslept.
Self harm can also be anger turned inwards. For women in today's society, showing outward signs of anger is a socially unacceptable behaviour so if someone angers them, instead of shouting at them or taking their anger out in other ways, they may self harm to get rid of the supposedly unacceptable angry feelings.
There is also a scientific theory which could explain some people's self harming behaviours too. This is the theory that when we are in physical pain, endorphins ("happy" chemicals) are released into the body, leading to something resembling a "high". So when someone is feeling especially down or depressed, self harming could lead to a boost of endorphins which could make them feel better, albeit temporarily.
I would actually be surprised if incidents of true self-harm were not higher than those you quoted below. The disgraceful number of attempted suicides is probably much smaller than the incidences of self-harm which may often be well hidden and never receive medical treatment. So by merging the two in your mail you are possibly even downplaying the actual number of self-harm incidents.
Thanks for reading, hippie
John O wrote:
> ===========
> NCADC News Service
> ===========
>
> Self-Harm in Immigration Removal Centres
>
> Every other day a detainee incarcerated in a UK Immigration Removal Centre (IRC), makes an attempt at self-harm (suicide), serious enough to require medical treatment.
>
> In the 10 months from April 2006 to January 2007 there were 176 attempts to self-harm that required medical treatment. That is one incident of self-harm every 1.7 days.
>
> In the same period, 1,643 detainees were put on 'Formal Self-Harm at Risk'.
>
> Detainees and campaigners believe the actual numbers are way higher than those reported.
>
> Since the first Immigration Removal Centre opened in the UK, there have been 10 deaths from self-harm.
>
> Number of incidents of Self-Harm requiring medical treatment January 2007
>
> Campsfield House 1
> Colnbrook 12
> Dover 4
> Dungavel 0
> Harmondsworth 1
> Haslar 0
> Lindholme 0
> Oakington 1
> Tinsley House 0
> Yarl's Wood 1
>
>
> Number of individuals on 'Formal Self-Harm at Risk' January 2007
>
> Campsfield House 0
> Colnbrook 77
> Dover 10
> Dungavel 9
> Harmondsworth 3
> Haslar 3
> Lindholme 3
> Oakington 3
> Tinsley House 5
> Yarl's Wood 15
>
> A full break down for the 10 months April 2006 to January 2007;
> http://www.ncadc.org.uk/resources/self-harm2006.html
>
> 46 asylum seekers/migrants in the UK, have taken their own lives (since 2000)
> 30 in the community - 6 in prisons
> 10 in Immigration Removal Centres
> Details: http://www.ncadc.org.uk/resources/selfharm.html
>
> End of Bulletin:
>
> Source for this Message:
> NCADC
>
>--
>
> Disclaimer:
>
> NCADC's email bulletins are an important part of our work in educating the public on immigration, asylum and anti-deportation issues. As part of that work our bulletins hosts news and views from different individuals, organisations and campaigns working in the same field as us.
>
> The contents of this bulletin are the sole responsibility of the author/s and should not be taken as endorsement of any kind by NCADC.
> NCADC takes no responsibility for the content of external websites linked from our bulletins and links should not be taken as endorsement of any kind.
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>
> ========================
> National Coalition of Anti-Deportation Campaigns (NCADC)
> 110 Hamstead Road
> Birmingham
> B20 2QS
> ========================
>
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Technorati tags: self-harm; suicide; incurable_hippie; self-injury; asylum seekers; asylum rights; NCADC; mental health; mental illness.
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*Subject:* Counter petition in favour of road pricing
>
>Dear All,
>
>Friends of the Earth have created a counter petition which says:
>
>We the undersigned petition the Prime Minister to Don't Scrap the
>planned vehicle tracking and road pricing policy. *More details*
>http://petitions.pm.gov.uk/TRACK-CARS/?signed=a395b2a.ff1944#detail#detail
>
>Submitted by Tim Lewis – **Deadline to sign up by: **11 March 2007 –
>**Signatures:** 4,686
>
>Please sign up – link below. Please forward to friends
>
>Denise, T2000
>
>------------------------------------------------------------------------
>
>Dear Friends of the Earth
>
>I'm emailing you about the road pricing controversy that's in the news.
>There is a great deal of coverage of the million-signature petition
>against road pricing.
>
>The impression given is that the motorists lobby is an overwhelmingly
>powerful and vocal political force. I believe that the green lobby could
>be equally influential, but needs to make its voice heard more clearly
>in order to have a greater influence on political decision making. I
>also think that road pricing is an important step to reducing traffic
>congestion and carbon emissions, and to making the roads safer for cyclists
>
>I'd be very grateful if you could forward this link the the pro-road
>pricing petition to your members, or others who you think might be
>interested, or highlight the link on your website
>
>http://petitions.pm.gov.uk/TRACK-CARS/
>
>Let's see if we can show that there are a million people in this country
>that care about the effect that traffic congestion has on our
>environment. I'd hate to be shouted down by the motorists lobby again
>
>Thanks a lot
>
>Alice Brockington
Having recently received an email asking me to sign the a petition to scrap the vehicle tracking policy, I'd like to propose the opposite. I strongly feel that driving is a privilege and not a right. There are simply too many cars on the road and too many people making journeys by car when they could simply walk or cycle. Thousands die every year in road accidents and many, like myself, are forced to risk our lives in trying to get to work in a sustainable manner. We are dependent of foreign oil and the wars to secure such resources will only get worse if we don't curb our driving habits. Driving started off as a freedom but as we've redesigned our land around the auto mobile, rather than the pedestrian, it's become nearly a necessity. It is, however, perfectly possible to live a successful, car-free life. I would like to advocate that this become the norm and if this law helps driving to become even less attractive than it already is, I'm all for it.
CRAP ARREST OF THE WEEK
...for telling it like it is.
The keepin-it-real young hoodie who made a 'firing gun' gesture at David Cameron last week has ended up the one targeted.
Cuddly 'Eton Messy' Cameron had been on walkabout on a Manchester estate when the 17-year-old made the hand gesture as he walked past. Police swiftly arrested him, then raided his house and held him over the weekend for a few joints worth of weed. Well, no-one disses the Tory Krew!
District Judge Wendy Lloyd told the youngster she was "concerned" that he'd been kept in custody so long for such a small quantity of cannabis. She said: "That you have been dealt with differently causes me great concern." This concern didn't stop her from dishing out a £75 fine however...
The youth, who cannot be named for legal reasons, is now auditioning for the lead role in a local theatre production of "Taxi Driver". (my emphasis).
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Stage play The Vagina Monologues has been renamed at a theatre in Florida after a complaint about the title..
It will be known as The Hoohaa Monologues - a child slang word for the female organ - after a woman in Atlantic Beach complained.
Bryce Pfanenstiel from The Atlantic Theatre told local TV station Channel 4 the woman said she was "offended" when her niece asked her what a vagina was.
The TV network claim the play's director is not happy about the change.
Banned
The Vagina Monologues is being staged by a group of law school students who plan to donate all the proceeds to charity.
Eve Ensler wrote the first draft of the play in 1996 after interviewing 200 women about their views on sex, relationships, and violence against females.
Each monologue somehow relates to the vagina, through themes including sex, rape, birth and mutilation.
In 2004 the production was banned from the southern Indian city of Madras, as police there thought some of the script was "objectionable".
After premiering in the basement of the Cornelia Street Cafe in New York, its popularity has steadily increased.
It is now performed all over the world with a vast line-up of celebrity participants, such as Sharon Osborne, Trudie Styler, Kate Winslet and Jerry Hall. (read more...)
ad feminam
Main Entry: ad fe·mi·nam
Pronunciation: (')ad-'fe-m&-n&m, -"äm
Function: adjective
Etymology: New Latin, literally, to the woman
: marked by or being an attack on a woman's character rather than an answer to the contentions made -- compare : AD HOMINEM (read more...
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