'Reaction Paper on Crazy by\r'

'Ha Song Pham PSYCH 252 02/17/2012 Reaction typography 1 on waste When lecture near prison house, unitary unremarkably thinks of cardinal kinds of citizenry, the guards and the pris singlers. besides nowadays, when 16% of inmates stick severe and persistent psychic untowardness, it is not move to r totallyy head-shrinkers working in prisons. The Miami-Dade County pretrial conference Detention Center menti whizzd in Crazy was not an exception. On the ninth for of Miami jail, we order affablely rachitic prisoners, guards, Dr. Poitier who was the chief psychiatrist of the jail, and the nurses.The medical module and the prison officers tally opposite viewpoints most how the inmates should be treated. The majuscule conflicts and complications between the fullice clay and the mental wellness system had made the trading of the psychiatrists in prisons crossways the United States an exceedingly difficult task. Dr. Poitier and nurses on the ninth root of Miami j ail worked free-and-easy in a actually unhygienic originator: â€Å"The diffuse in C wings stinks. It is a putrefied scent, a blending of peeing expectorant, persperition, excrement, blood, flatulence, and dry and discarded jailhouse food.When the jail’s antiquated air conditioning breaks smoothen during the summer, which it often does, some officers claim C wing’s pink debate actually sweats. It’s decades of filth and filthiness bubbling up, rising by means of coating of paint”. I wonder how one could be expected to live, let whole work in a condition as such. Under such grievous conditions, I wonder how effective the doctors were doing their clientele. And flush if they were seek to do the outdo they could, I don’t think the inmates’ conditions could detect any disclose when they did not correct catch to live in basal living condition which has a measuring rod level of hygiene.If the bring ups were paying for the psy chiatrists to treat the inmates, the fresh part thing they should have thought most was the working conditions of the doctors and the living conditions of the inmates because those played a key role in the energy of one’s job and the recuperation of one’s disorder. In appendix to the poor working conditions, the medical staff were not treated well by both the officers and the inmates. The nurses got screamed at, threatened, and humiliated. In Crazy, Earley told the incident of one nurse having a prisoner welt a cup of feces and urine at her.Neverthe slight, the nurse did not break off the job for she understood that she could not train anything personally at her work. Most of the nurses were women. Inmates often masturbated in front of them. They did not force back any harborion from such risk of exposure because the state attorney thought that it was not a crime that was worth pursuing. Doctors and nurses saying inmates as patients, while officers saw the m as prisoners. The officers (or correctional staff as referred to in Crazy) treated the inmates really great(p)ly when the doctors were not around.Due to the opinions that were at cardinal extremes with from each one other, the efforts to support the inmates by the medical staff rancid out to be useless by the poor treatment that the inmates authorized from the officers. On a larger scale, the psychiatrists received very little to no religious service from the state government. What’s more, they had to comply with the ridiculous, non-sense regulations that were originally constructed to nurture the estimables of the mentally sinister. In Crazy, Dr. Poitier had no entree to resources. The inmates were booked into jail without carrying their medical records.He had to rate medication based largely on what the inmates told him. Plus, he had to follow the Miami-Dade County Public health Trust’s instruction to grade Risperdal initial whe neer possible rathe r than Zyprexa, which was untold more expensive. He had no emancipation to do his job even though he received sufficient psychiatric training, while those people at the health trust were only thinking about the â€Å"so-called” economic benefits. Civil right laws such as Baker puzzle out out prevented the doctors from forcing inmates to take medication unless they posed an imminent danger or a threat. Dr.Poitier was very disappointed by the serve. He give tongue to that: â€Å"A person who is a inveterate schizophrenic doesn’t have the proficient control over his thoughts. He burn’t annoy rational decision. If you unwrap him untreated back into the community, you aren’t defend his civil rights. You’re condemning him to curb sick and a horrible breeding of suffering on the streets. ” The Baker Act was particularly complex when viewing it at different angles. For psychiatrists like Dr. Poitier, it hindered them from treating the i nmates. They believed that the inmates were not mentally healthy enough to make ecisions about whether or not they wanted to to treated. On the contrary, public defenders and civil rights attorney mat up that they had to protect the constitutional rights of the mentally ill. But what if what the mentally ill chose to do went against the appetency of their loved ones, and negatively affected community. â€Å" playing crazy is not a plectrum”. The mentally ill didn’t involve to be crazy. I couldn’t booster but wonder what exactly these attorneys were trying to protect here. Were they trying to say protect a excerption that no one wished to make?But after all, I did not experience a mental illness, which would invalidate any opinions I would have about how a mentally ill person would feel or react. In the end, there was a price to everything. one and only(a) could not expect to do a thing without having to face a trade-off. The decisions should be made in a focal point that benefited most people as it perhaps could. Even though I was full aware that the psychiatrists in the prisons were doing their best to garter the inmates, I believed it was better if they understood the job that they were doing affect more parties than them and the inmates.In Crazy, Dr. Poitier pointed out that: â€Å"My first impact is restoring this man’s mental health. But that is not the first c erstrn of the lawyers, or of the judge who will be making this decision. This should be a medical matter, not a legal takings”. I didn’t think that was just a medical is carry out. Doctors alone would not be able to sponsor the mentally ill without the support of other forces. Where would they find the resources such as medication, facilities, accommodation to sanction the patients without the regulation or policy that allowed them to do so? It was never one man’s business.It took the cooperation of a whole system in order to effective ly help the mentally ill who also happened to move crime. Despite innumerable difficulties and controversies involved in their jobs, the doctors and nurses were getting paid practically less than the medical staff in mainstream hospitals. For example, the nurses on the ninth floor earned an bonny of $2,000 per year less then their counterparts in Miami hospitals. Part of the causa was because they were recent immigrants who had received their formal qualifications in a expanse other than the US.Working in the section for the mentally ill in a prison was certainly not their first choice nor their second nor their third. It could be the only choice that they had. However, they did not complain about their jobs. They did not go on strike. They did not sue the states for providing such little support. Instead, they were doing as practically as they possible could to help the inmates. Dr. Poitier address inmates as â€Å"Mr. ” to show them respect. He asked very common quest ions that a doctor usually asked a patient: â€Å"How are you tactual sensation today? He was treating the inmates as patients who necessitate help, and did not care whether they were also criminals or not. For him, they were just very ill people who call for medical help. He once said: â€Å"Most mentally ill inmates do stupid things, not bad things”. Dr. Poitier believed that the inmates on the ninth floor essential help that they would not get there. I wonder if he ever tangle hopeless when he knew these people needed help, and he could give help, but those two things certainly would not happen in the prison. The inmates were unable to understand that Dr.Poitier was trying to help them because of their dysfunction. Dr. Poitier was fully aware that he would not be able to do much to help the inmates because of messiness of the system and the daily conflicts between doctors and prison officers. They were stuck in a place where no one was better off. The question that b affled me the most was why they decided to stay at their jobs. there must have been something great and purposeful that made them almost irrationally wrap up their work. In Crazy, Dr. Poitier answered this question for me: â€Å"The inmates who end up here have been given up on.But some can and do get better. And that’s the driving force that keeps me advent to work each day †designed I can make a difference. Knowing I do make a difference. Besides, if I didn’t do this, who would? ” No matter how much anguish and confusion the job has brought, Dr. Poitier and the psychiatrists in global have managed to put their work ethical motive on top of everything else. Thanks to them, the mentally ill inmates get the support that keeps them through the days. Otherwise, the prison could actually become the hell on earth hole on earth. It takes a accord of efforts in order to do correct in any jobs.But for the psychiatrists in prisons across the United States, they have to go to unnecessary lengths in order to help the mentally ill inmates. However, their efforts alone are never enough, every other force involved in the system has to do their best as well. In addition, it is importance that they all try to come to understand each other’s job and the reason behind it so that they can make the whole system work for the inmates kind of of the current climate when the mentally ill are stuck in the revolving doors of the jails and the hospitals.\r\n'