Friday, 30 January 2015

#ShameOnShonda Is Bullshit: On Black Women, Mental Health And Intersectionality

via IB Times

This morning, there was grumbling on my twitter timeline about the storyline of last night's episode of Grey's Anatomy. A hashtag, #ShameOnShonda, had been started in protest of what was perceived as a stigmatization of mothers with post-partum depression, or PPD. In the story, a black woman had driven her two children into a lake, almost killing them, and causing a major traffic accident in which other people were also injured. Many of the doctors of the show speculated about what kind of mother she must be to have tried to harm her kids. One doctor in particular, April Kepner (pictured above), who is heavily pregnant, deeply religious and had just found out her fetus suffers from Osteogenesis Imperfecta (brittle bone disease) was especially severe in her condemnation of the mother's actions. In the end, it was revealed that the mother had a tumor of sorts on her pancreas that explained her behaviour and her escalating symptoms before the accident. The mother was neither "crazy" nor evil; she was ill.

To me, the episode was very clearly commentary on the differences between the relationship of black women and white women to mental health and motherhood. (Expertly complemented by the relationships of black and white women to each other on How To Get Away With Murder later that night.) I tweeted about the misinterpretation of the episode earlier today (storify below) but I wanted to expound on some of those thoughts in a longer post.






To me, this episode is about the different ways we treat black and white mothers. In the story, the black mom had been displaying symptoms for some time. Her husband even mentions that he had noticed changes in her behaviour, but didn't think that it might be indicative of anything larger. This sets the stage for the idea that for a BW, erratic behaviour is nothing out of the ordinary. It is innate to us, and not an indication of health issues.

Meanwhile, April is ordered out of her operating room against her wishes at the request of her husband Jackson, who believes that she shouldn't be in surgery after receiving such difficult news. Without consulting her, Jackson makes the decision that she is no longer emotionally equipped to work, and must be coddled and cared for. To add insult to injury, Chief Owen Hunt, their boss, agrees with Jackson's assessment without actually knowing what April is going through. By my count, that's two men (and one woman, if we count Dr. Stephanie Edwards, who initially diagnosed the baby) who are so concerned for her well-being that they take (highly misguided!) steps to ensure that April's mental health is tended to and addressed.

As an aside, there is another conversation to be had about Stephanie's role is all this re: black women versus white women, and Stephanie tending to April's emotional health over her own, considering their personal history, but we'll save that for another time. If you keep up with the show, you know what I'm talking about.

In this episode, Shonda presents these two women, these two mothers and contrasts the way their mental well-being and mental health is approached. The black mother, who had been exhibiting signs that something might be medically wrong for some time, was treated to scorn, disdain and judgement, even by the doctors who were supposed to be treating her. The white mother, who had just received devastating news about her unborn child, was immediately coddled to the point of condescension in the rush to ensure that she was okay.

That... is brilliant. It is an incredibly nuanced approach to a very sensitive and important topic and Shonda handled it well. Because this situation reflects the real life experiences of black women who are punished for not being in peak mental health rather than offered care. Meanwhile, white women are more often given the benefit of the doubt, and their mental health is not only paramount, but often used to excuse truly atrocious behaviour. It is telling that the backlash to this episode centered on "shaming" women with PPD, (which the mother did not have) while nothing was said of Homeland's depiction of PPD. Protagonist Carrie Matheson literally tries to drown her baby before changing her mind. Where was the outrage about the depiction of PPD then?

In the end, #ShameOnShonda is bullshit, and it only further illustrates the growing gulf between black and white women within the feminist movement. That so many black women could understand the nuances of that storyline while many white women missed it, shows that there is a lack of intersectionality that is creating a massive blind spot in how we treat with these issues.


8 comments:

  1. I don't watch Grey, but based on the description of the episode it's clear that Shonda was making commentary about PPD and not demonizing it, especially since the mother had a medical condition and was not "crazy" (which is still a dangerous label, even if she did have PPD it is an illness, which is what Shonda was clearly getting at here). I feel that certain people are looking for Shonda to "slip up" and catch her on that especially since she is a Black woman who is introducing images of Blackness that is outside the norm of what we see.

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  2. As a Black woman and as a survivor of Postpartum Depression and Anxiety and as a fan of Shonda and all things Shondaland I have to say that I don't agree with you. Once she was diagnosed with an actual - to use your word - HEALTH issue then, yeah - everything was ok. And that is exactly the problem. Black women are chronically underserved in mental health field and women in general are massively underserved. 1 in 7 mothers will face maternal mental illness. The stigma is HUGE, it is real and hearing the things that the doctors - all of them put to and including Meredith (maybe she needs a nanny) said was shameful. I was really, really disappointed in the writers room on that episode. They had a chance to actually talk about how a Black mother with a mental illness struggles to get help and how all of the things you mentioned (about our just being seen as irrational, etc) can and do lead to the death of mothers and children each year.
    Sure, once it was a 'real' issue everyone felt so bad. What they missed is that mental illness is a real illness.
    For a subject that they have dealt with really, really well in the past (addiction, PTSD, Schizophrenia, Alzheimer's)to be botched so spectacularly really feels like a slap in the face to all the moms out there who don't have brain tumors, who are told that we're crazy and horrible, who do have our symptoms overlooked because of race and lack of access and who never, ever get the ah-ha moment of having a 'real' illness.
    I don't think it was meta-anything. I think they missed the point.
    I did watch the show, I'm not stupid. I am a Black mother, a survivor and every one of those lines was a slap in the face and NOT ONCE did I get the idea that any of them would have thought of Postpartum Depression, Anxiety, OCD, or Psychosis as a HEALTH issue.
    We don't see images of Black women getting adequate care for mental illness. We don't see images of Black mothers healing from mental illness. We see women killing their children, people calling them crazy and we see a favorite show doing the same thing and then taking it back because she wasn't 'crazy' she had a tumor. How does that help the young Black mother in the depths of a maternal mental illness who is watching that show. What message does she get from that - other than being told once again that her disease isn't relevant because it can't be cut out of her. Will she watch that and feel more alone and afraid, or less?

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  3. Well I'm definitely open to dissenting opinions, but as the essays says, I totally disagree. That said, it doesn't make your feelings on the matter invalid and I don't want to make it seem as your experiences are wrong. As a black mom who suffered from PPD, you have every right to weigh in. Probably more than me if we're honest.

    But I think all the reasons you stated are exactly what the episode was tackling. You're 100% right that BW have such a tenuous relationship with mental health because our race and lack of access to healthcare makes people overlook our issues. But the episode illustrated JUST THAT. Literally every doctor was willing to write her off as some crazy lady who tried to kill her kids, (probably because of her blackness) and it was only Meredith's persistence that something HAD to be medically wrong that absolved her. It was due to one doctor's insistence on recognizing that this mom's behaviour combined with her previous symptoms pointed to a medical issue, and she pushed for better care for her. If I remember correctly Owen wanted to close her up and move on, but Meredith insisted on looking further to find the tumor. Meredith was the example of what BW need more of, while the other doctors were the illustration of what BW are usually up against when it comes to mental health and the system. Because you're right. The stigma is HUGE. And the way the doctors behaved likely very closely mirrors the real treatment that black moms have to deal with.



    I also think it's really bad that PPD has gotten drawn into this discussion because this woman didn't HAVE PPD. She had a tumor. At no point was it suggested that she had PPD. How that became part of the narrative in the first place I'm not really sure. But my point in this essay was to show that the black mom's mental health was largely ignored until it led to a dangerous situation (as you noted) while the white mom's mental health was attended to before it had even really become an issue. Shonda is not a fool. That contrast was intentional.

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  4. The thing is that the 'crazy lady trying to kill her kids' DOES have something medically wrong with her. That's the point that I think keeps getting lost.

    That's how PPD and all of the other maternal mental health issues got involved. They kept calling her crazy - as if that is a thing, as if that makes her evil, as if that is the end.

    You even just did it yourself - you made a distinction between her being some crazy lady and her having this serious underlying 'medical' condition. I don't think you did that maliciously, just like I don't think that the writers on Grey's did it maliciously. But they did make a judgement and they made it over and over again out of the mouths of multiple characters, that crazy moms try to kill their kids and this mom was worth saving because she was actually sick. Meredith fought for her out of the belief that she wasn't crazy. Because if she was - then what?

    I get that it's more dramatic to have it play out the way it did. What I don't get, what I doubt anyone will ever be able to explain in a way that doesn't really hurt me, is why it's completely fine to say horrible things about her if she is 'crazy'. The writers didn't have to have their characters say half of the things they said. Things that people actually said to me in real life - maybe you just need a nanny, you can't be one of those crazy women who tries to kill her kids. The stigma in Black community is even worse (or at least it is here in SC).

    In real life it's the mental illness far more times than it's the pancreas and in real life she would be dead, her kids would be dead and the internet would be full of people wishing her to hell. There are fresh examples every week of mothers falling through the cracks. We call them crazy. It's dismissive and stigmatizing and I honestly believe that it is killing mothers and children.

    So that's why advocates for mothers stepped in and that's where the anger is coming from. Watching that episode as a mom who has honestly wondered more times than I could count if I WAS one of those crazy moms - every single time they said something like that it hurt. The anger is coming from the pain. Because once she was 'really sick' she was worthy. Which can only mean that if she hadn't been 'really sick' she wouldn't have been worthy.

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  5. Oh, okay I see where we're missing each other. When I say "she wasn't some crazy lady" I don't mean to imply that she only deserved help because she had a diagnosable health issue. I mean that Meredith disproved the notion that a black woman in her RIGHT MIND (as in, without a diagnosable mental health issue) would choose to harm her children because of her blackness. It's a semantic issue, because we as a culture use "crazy" as a shorthand for everything even vaguely out of the norm (which is actually very ableist and it's a habit I'm trying to break). Does that explain it a little better? I obviously wasn't clear the first time around.

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  6. It does, it does explain where you are coming from and I am glad that you are trying not to use that word.


    It doesn't explain why they used it repeatedly during the show - or why, like I said earlier, she went from being an evil crazy woman to a sick woman only once a 'cure' was found.

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  7. I really like the comparison to how Homeland handled PPD and the reaction from the audience that ensued. I think what most people will struggle with when reading this article is that nagging "But two children, human beings, died! How can you not hate their killer?"

    And I think a point that is present in this article, but not driven home with a lead hammer (and it probably needs to be whenever you have the death of innocents) is that audiences are more comfortable feeling complicated emotions in reaction to an ill white mother killing her child, but that complexity goes out the window when the mother is a POC, especially black.

    My favorite definition of a tragedy is a story in which bad things happen to noble people. You have to believe the black mother is noble to see this episode as a tragedy, and I think some people have trouble accepting that because racism is baked deep into how we see black women.

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