i have interesting conversations sometimes with people who frame questions about psych abolition as "what will xyz look like in the post-psych world" or "how will antipsychiatrists make sure that mad people get their needs met once the psych system is destroyed" and so on.
it reflects this fairly common idea I've encountered, mostly by people who are newer to antipsych ideas, who believe that psych abolition is going to happen as some sort of single event, as this discrete moment where later, we'll be able to point to it and say this is where everything changed. That there will be one point where we deinstitutionalized or decriminalized drugs or got rid of restraint or whatever accomplishment it is. and to be fair, there are some of those watershed moments—I could point at Basaglia and the democratic psychiatry movement, the movimento antimanicomial, the Socialist Patients Collective, and a few other sticking points of psych resistance throughout the past couple hundred years. it's not like there aren't moments where there is such a monumental shift that it makes sense to classify it with a Before and an After.
part of this mindset makes me consider how so often in antipsych spaces, we (rightfully) focus a lot of our energy on highlighting the extent of the violence that occurs on the whole continuum of psychiatric care. it's hard to find words to express the horrors of solitary confinement, restraint, institutionalized sexual assault, confinement, coercive drugging—the list goes on and on. When we're so often dismissed with rhetoric telling us that we are broken/unsafe/mad in need of cure/removal/confinement—it feels desperately, urgently needed to shout as loudly as we can that the violence we are surviving is real, that is is common, and that it should not happen to anyone, regardless if we're incarcerated in prisons, jails, psych wards, or residential treatment facilities.
and at the same time, I think that sometimes we forget that even amidst the overwhelming layers of harm and abuse, there are still so many ways that psych survivors are already, every day, exhaustingly fighting back. it stands out to me that in every psych ward i've ever been locked up in, that there is always a parallel world of in-jokes and advice and rituals and fantasies and histories and community norms completely separate from the understanding of any of the psych professionals who think they run the place.
So often when I talk about the violence of psych incarceration I talk about the harm of being removed, disappeared, and cut off from the world; at the same time, there is always a simultaneous lively, active, and chaotic world inside built by patients that directly challenges the claims by psychiatrists that our madness makes us fundamentally incapable of participating in society. The patient-world in the psych ward might not be coherent, it might not be anywhere close to a utopia--but it is a world built by the psychiatrized, for the psychiatrized, taking the hostile conditions we are placed into and shaping the parts of it we can reach into something all our own.
Fundamentally, psych abolition is about what we are doing Right Now—it doesn't require us to wait for the End Of Psychiatry before it becomes real. I know psych abolition is possible because it already exists—I find it in the corners of psych wards, where intimate conversations are hidden from the view of cameras. I find it every time someone hides meds under their tongue, sneaks in contraband, and refuses to go quietly into restraint. I find it every time a group of friends gets together to do informal suicide watch so that no one has to call mobile crisis and the cops, fundraises to build a new peer respite, and creates a hotline that doesn't do nonconsensual interventions from cops/licensed professionals with the power to incarcerate.
I know psych abolition is possible because every fucking day, there are already people fighting back and making abolition real, even if only for a little while. My allegiance will always be with the psychiatrized, the mad, those who are labeled under many different pathways that end in "deviant," who remind us that there is a path towards resistance because it is a path that is already happening.
