Hyperbolic mental health metaphors are unhelpful

A mental health-oriented publication headline blared, “Mental illness is a clever, hard-to-kill beast, and escaping it is akin to defeating a cluster of wild boar. But with proper strategy and weaponry, the invasive species can be taken down.” 

In Interpersonal Neurobiology (IPNB), what is commonly called “mental illness” is viewed as a manifestation of impaired integration within the brain and between individuals’ neural and interpersonal systems. This impaired integration can arise from various factors, including adverse experiences, disrupted attachment relationships, and genetic predispositions. Therefore, healing and recovery from mental illness are often approached through interventions that promote integration across multiple levels—neural, relational, and experiential. By fostering greater coherence and connectivity within the individual’s mind-brain-body system and enhancing attuned relationships, IPNB aims to facilitate healing and promote well-being.

It is best to avoid metaphors that evoke adversarial or mechanistic imagery, such as battling wild animals or describing the brain in terms of “wiring” or other IT terms. These metaphors can inadvertently reinforce unhelpful narratives about mental health and overlook the complexity of human experience.

Instead, it’s beneficial to use metaphors that highlight the interconnectedness of mind, brain, and relationships, as well as the potential for growth, resilience, and transformation. Metaphors drawn from nature, such as gardens, ecosystems, or flowing rivers, can convey the dynamic and evolving nature of mental health and the importance of nurturing supportive environments for healing.

By choosing metaphors that align with the principles of IPNB—such as integration, attunement, and the promotion of neural plasticity—we can better support individuals in understanding their experiences, fostering self-compassion, and engaging in healing practices that promote well-being at multiple levels.

About Shay Seaborne, CPTSD

Shay Seaborne CPTSD teaches Relational Neuroscience for stress reduction, trauma recovery, and community building. Shay has studied the neurobiology of fear / trauma /PTSD since 2014 and Interpersonal Neurobiology (IPNB) since 2019. They write, speak, teach, and make art to convey their experiences as well as their understanding of the neurobiology of fear, trauma theory, Interpersonal Neurobiology concepts, and principles of trauma recovery. A native of Northern Virginia, Shay settled in Delaware to sail KALMAR NYCKEL, the state’s tall ship. But once they finally had mental health insurance, their life rapidly changed. The standard treatment for PTSD nearly killed them. The psychiatric abuse began a cascade of negative medical encounters that repeatedly caused additional harm and the development of severe Medical PTSD. Shay wishes everyone could recognize that "mental health problems" are symptoms of dysregulation, our mainstream culture is neuro-negative, and we can heal ourselves and each other through awareness, understanding, and safe connection.
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