Tuesday 11 December 2012

Student (mental health) problems are “real” problems

Posted on December 10, 2012 by
 
Much attention has been paid to student mental health issues over the past year, and recently the level of coverage peaked with a new report from Queen’s University at the end of November (PDF here). The report came from an initiative prompted by a number of student deaths by suicide at Queen’s in 2010 and 2011. On a related note, some of you may recall a post I wrote a year ago (and a follow-up), regarding Ph.D. attrition and mental health issues such as stress and depression.

Last week, a blog post from HESA’s Alex Usher invoked both the more recent media attention to undergraduate stress, and my own (aforementioned) post, expressing skepticism about the reality of an “epidemic” of mental health troubles. The post is written as a kind of “Mythbusters 101” about student mental health, and the topic is unfortunately treated as if it is merely the fad of the month (or year) in Canadian postsecondary education (PSE). While it’s always a compliment when someone engages with something I’ve written, I believe the compliment is a backhanded one in this case, since the arguments I made about graduate education are quickly dismissed as a smokescreen for Ph.D. student “angst” and fear of (real or imagined) failure.

This choice of term is revealing; “angst” is a significant word because through connotation, it both individualizes and trivializes the problem. Here, it is part of an argument about “the tendency to over-medicalize daily life”, a comment that assumes there’s nothing going on in daily life that should be considered “stressful”. The very point I was trying to make in my post, a year ago, was that the problems of stress and anxiety are not just attributable to individual weaknesses or quirks of circumstance–not when we can identify certain patterns unfolding across systems over long periods. Suggesting that the problem lies with individuals’ interpretations of their circumstances, rather than being (also) a structural and cultural one, is dismissive of the elements in an equation that may be beyond the individual’s control. We need more understanding about what those might be, rather than an assumption that they aren’t part of the equation.

As others have already pointed out, there are a number of causes for increased visibility of mental health issues among students (not just in Canada), but that doesn’t mean the issues weren’t there before or that they haven’t been building over time; they’re long-term and influenced by systemic factors. For example, the massification of PSE, and related increases to costs, have changed the kinds of students who attend university and the circumstances from which they have to work on their education. This means more students who have fewer (academic, financial, and cultural) resources to draw on, and are more likely to be struggling to keep up for various reasons. So perhaps students are “a lot more fragile, and less prepared” than in the past — but not necessarily for the reasons provided by Usher.

It’s also a problem to assess students’ financial straits primarily by looking at tuition numbers. This is a very superficial way to examine finances, no matter what other argument is being made (in this case, Usher also argues tuition has not really increased–and neither has student debt). It’s particularly problematic when we know there has been a serious economic recession that has affected finances in many ways that go far beyond tuition and other fees. Stress from financial difficulty is a serious problem to which some people have much more immunity than others. To be financially vulnerable is to be exposed, perpetually, to the possibility of loss and disruption. It often signals, or in fact creates, a parallel social isolation; this is why it’s impossible to deny the reflexive link between mental health and poverty.

There’s also a recurring gripe, raised again by Usher and of course taken up with much enthusiasm by Margaret Wente in her latest column (the argument has been “answered” eloquently by Gary Mason here), that accuses young students of having (ironically?) “too much self esteem”. I’m not sure where this assumption could be coming from — perhaps the focus on “high achieving” students? — but it certainly doesn’t match the experiences I’ve had working with undergraduate students in universities over the past eight years or so. Perhaps this is all part of the new “young people don’t have it as bad as they think” discourse that seems to be emerging, though much of that commentary is coming from those who benefited most from what young people are now losing, i.e. the welfare state systems of education, health, and pensions.

Sure, the “kids” have expectations–which were happily passed along to them from their parents’ generation. They were told that if they worked hard and went to university, there would be a job at the end of it. They were told that standards of living could keep rising, and that they could do what their parents did, but somehow do better. Yet the real bubble–that 30-year blimp of post-war prosperity–has long since gone down in flames, and we’re finally seeing the long-term effects. This is about more than changes to the job market or periodic recessions; it’s about risk, speculation on long-term “outcomes” of larger “investments” being made by people when they’re at a young age, when they cannot expect the kind of socioeconomic mobility that their parents could. Yet commentators continue to assume that all this must be the responsibility of the individual, the family, perhaps even the school system (since education is supposed to prepare us for life — and it perpetually “fails” at this).

Wente’s comment that “stress is a fact of life at university” disturbingly echoes the “everyone has a breakdown!” mentality that I described in my initial post about PhDs and depression. While she describes herself as “extremely sympathetic to the issue of students’ mental health”, the actual argument is, “if I could take it–they should be able to take it too.” But if we take a step back, the larger context might start to look like a recipe for stress; and if you think undergrad students are worried about jobs, you should see Ph.D. students who want university faculty careers. So I must disagree that structural issues in the university, and in the larger society and economy, can be written off so easily as “angst”.

I would argue that comparisons to the 1990s are not really useful, because the problems of disappointed expectations and increasing stress (over outcomes), both at the graduate and undergraduate levels, are not just blips on the historical-economic radar. They signal the end of a way of life, or rather, a life trajectory, and at a deeper level, a kind of betrayal of trust that further dents our faith in social progress. Whatever we may think about “kids these days”, one thing’s for sure: unless you start out in a nice solid position on the socioeconomic class ladder, sustainable ascension is more and more of a challenge. That means it’s harder to have the things in life we’ve been told we should want — a home, a family, some security for the times when we can no longer work to sustain ourselves.

From what I can tell, the majority of young people entering university want to be able to do something reasonably meaningful, and sustainable, with their lives–without having to be perpetually concerned about whether finances and lack of social capital will trump opportunity at every turn. If those expectations are too high, then I would ask, what exactly is “reasonable”?

Melonie Fullick

About Melonie Fullick

Melonie Fullick is a PhD candidate at York University. The topic of her dissertation is Canadian post-secondary education policy and its effects on the institutional environment in universities.

No comments:

Post a Comment