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Living Through Doctor Bashir, I Presume

Bad Thoughts

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Within the last week, I experienced someone's mental health crisis. I would call her a friend, although many people said I should stay away, because she harbored romantic fantasies about me. She wasn't a best friend or a good friend, but in her state, I was probably her last friend. I helped her parents get her into treatment, and I hope she returns better able to manage her mental health. Although exhausted, I am proud of the role I played: I was the right person in the right place at the right time doing the right thing.



Needless to say, I spent a lot of concentrated time with the woman and with her parents. While she was manic and sometimes incoherent, she expressed resentment about her past and the control her parents had over her still. Conversely, I heard the parents talking about the struggles they had working through her learning disabilities, their pride that she earned an advanced degree, and their fear she would lose the ability to continue her career.



Where it struck the hardest was the mother saying, "She always felt different than other kids."



As I mull over my experiences, I am thinking a lot about Doctor Bashir, I Presume. The sense of being different. The struggle to keep up. The seemingly fruitless desire to help. The fear that it could all be lost.



Many people overlook this episode for the hard line it takes on genetic engineering and for the silly b-story. The strengths no only more than make up for it, it hit upon something real about family dynamics. Arguably, every family is a struggle between the father's ambitions, the mother's care, and the child's self-determination. The learning disability angle is more than a device to sharpen the dramatic tensions. It is a central worry, one that may make parents' dreams for their children seem unattainable. Bashir's father was obviously driven to make himself bigger than he was, including through his son. But he didn't have to be. The realism would still have been there.



Obviously, there is no mental health angle in the episode. Addressing all the experiences I had would take up half a season. That said, the episode shows how that baggage--what the parents want vs what the child wants--ends up being a hindrance to progress. Bashir and his father fighting over the past pushed dealing with the present into the background. And indeed, I had to tell the parents, this isn't about ten years ago, this is about now.
 
I'm going to quote myself from a different thread...

I'm likely neurodivergent. While I believe Asperger's isn't generally the term for it these days, I'd say I have a mild case of that, or whatever it's called now (I say mild having read an autobiography written by someone with it, and recognizing their atypical mannerisms within myself, though they had/have it to a much stronger degree than I (typically) do).

My father's a social worker, and when I was a kid he'd give me things that, as a kid, you think are fun activities and quizzes, but as an adult you recognize as diagnostic tools. Even Asperger's wasn't recognized when I was young, but I think my parents did know or at least suspect that I was neurodiverent.

I think that until I got into my mid-20s or so it probably did affect my social functioning, and I think sometimes it still does, and that the main reason it doesn't affect it as much these days is that I've developed adaptations over the decades, and I was lucky enough to only have a mild case in the first place.

I think about this episode and I recognize Bashir's resentment, because in a sense the person he is isn't the person he was, and his parents deprived him of the life he maybe could have had. But I also recognize that what his parents did they did at least to some degree out of love, because they were worried about him. It would be hard for me to be okay with my parents if they'd done something like send me away (IIRC my uncle was sent away at times as a child due to having developmental delays) for treatment...I didn't even really like going to summer camp and being surrounded by strangers for two months and deprived of the things I was comfortable with, even if it was probably good for me to have those experiences. And the uncertainty would gnaw at me a lot...maybe I would have ultimately been just fine if my parents hadn't done anything, or maybe I never would have been fine.

The more unsettling idea, especially given I only have minor symptoms (usually) to begin with, is that they could have treated me without me even knowing it. Like, imagine if in the episode Bashir hadn't only been Augmented but didn't even know until the events of this episode that he'd been Augmented. I don't know how I could reconcile with my parents for never telling me about that...but again, they probably would never have told me because they didn't want me to have to bear the burden of knowing.

It may not be the most well-executed episode, especially with the Love Quadrangle or whatever element added, but it raises a lot of compelling questions to me about how one, as a parent, deals with a child who they feel is struggling, and how far parents should be willing to go to try to help their children.
 
It's called type 1 autism now, not to be confused with the type 1 phaser.
 
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Thanks, everyone, for responding to this thread after several months.

Rereading my own post is enlightening. The tension I recognized, especially around keeping family secrets, has only become stronger. At one point, the woman had gone silent for several days after displaying extremely manic behavior. By silent, I mean, no noise and no light came from her house. The drop off was sudden, and I had feared she had harmed herself. Because of that fear, I called her parents to ask what I should say to the police if I asked them to check on her well-being. They told me the mental condition that she has and the medicine that she prescribed to her. I ask about any learning disabilities. They mentioned none. The father kept repeating that if she kept up with her medication, she would be fine. I heard him repeat this, like a mantra, when I came across him while she was hospitalized for a few weeks.

I was overjoyed when she returned. I spent those three weeks thinking--or overthinking--what I could have done better to help her through psychosis. I slept little. when she saw me, she seemed overjoyed as well. She blurted out, "I have [diagnosis]." She mentioned all those unusual behaviors, whether they targeted me or someone else. After several months, things have been quiet. I talk to her somewhat frequently, although the conversations are mostly short. Few, if any, other neighbors bother with her. She has been working on getting her practice going again, and has been mostly quiet. However, I saw the same pattern of secrecy, induced by the parents' concerns, creep up. I mentioned the diagnosis. She said that she does not think she has it, but she is taking her medicine and seeing a psychiatrist regularly. It could be anosognosia, but the way it came out, I could hear her father's voice. The reaction to the stigma of mental illness seems to have driven her response.

I hope that "our little secret" (use Sid's voice) doesn't affect her life. Her mother let loose that she does have a learning disability, which I suspect is autism. Her mental condition will require constant monitoring throughout her life. I can tell the parents think the long term solution is to find a man to take care of her. That outlook may be cynical, I hope that she does find someone willing to take on her care, if necessary. I hope that the denial of her diagnosis does not complicate finding that person.


[ETA] Lest anyone is wondering, I am too married (definitely) and too old (probably) to play that role. She had had some delusional thoughts of romance that focused on me, but I think they are almost extinct.
 
Let me add a little from my experience because it actually relates to a different episode.

When the woman acknowledged the delusions that pertained to me, expressing sorrow, I challenged her on one fact. At one point, she had justified certain actions because she believed that my family and I were trying to make her life difficult. I said outright, "that didn't happen. We never tried to hurt you." She suddenly became pained. I could see she was still trying to reconcile with reality, but the delusion was still present.

It was one of several moments in which I realized that she experienced her delusions (and eventually, hallucinations) as reality. They feel real, and the introduction of reality does not displace them. Challenging them creates anxiety and distress, not clarity. Indeed, people with delusions will likely become defensive and entrenched when forced to confront reality. It took me a while to realize this, and in some early interactions, I realized that when I confronted her, she developed more elaborate stories rather than came to reason. She effectively became more delusional.

Which comes to Hard Time. Too many posters come here believing that once O'Brien knew his time in prison was mental, not physical, and compressed, that he should have felt no remorse for killing Ee'char. Indeed, the entire punishment should have been rendered ineffective. I've come to realize that Hard Time didn't go far enough. If O'Brien was refusing treatment, or was withholding information about his own delusions, his beliefs should have become stronger, or he would find ways to make them more difficult personally to debunk. It would take time to stop thinking and feeling he had killed a man for a morsel of bread.

[ETA] Mistaken character.
 
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More seriously...that's the tragic thing about real delusions...they feel real to the person who experiences them, and you can try to tell them that their delusions aren't real, but you can't necessarily convince them of that, and you might get adverse reactions.

I'm so sorry for the struggles you've had with your woman-friend though. And my sympathies to her for her struggles; I hope she'll get the help she needs.

I've occasionally had situations where evidence was presented to me years after something had happened that fundamentally changed my understanding of the situation....most notable was when someone who I believed had outted me in highschool claimed he hadn't do so years afer the fact...but thankfully it's never been something where I was deeply invested in my understanding of the reality of the situation.
 
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