Assistant Professor, Department of Psychology, CHRIST (Deemed-to-be) University, Bengaluru, INDIA.
Indian J Med Ethics. 2022 Apr-Jun;VII(2):127-133. doi: 10.20529/IJME.2021.090.
This commentary examines the space-attitude-administrative complex of mainstream mental health systems with regard to its responses to decriminalisation of non-heteronormative sexual identities. Even though the Supreme Court, in its 2018 order, instructed governments to disseminate its judgment widely, there has been no such attempt till date. None of the government-run mental health institutions has initiated an LGBTQIA+ rights-based awareness campaign on the judgment, considering that lack of awareness about sexualities in itself remains a critical factor for a non-inclusive environment that forces queer individuals to end their lives. That the State did not come up with any awareness campaign as mandated in the landmark judgment reflects an attitude of queerphobia in the State. Drawing on the concept of "biocommunicability", analysing the public interfaces of state-run mental health institutions, and the responses of mental health systems to the death by suicide of a queer student, I illustrate how mental health institutions function to further anti-LGBTQIA+ sentiments of the state by churning out customer-patients out of structural violence and systemic inequalities, benefitting the mental health economy at the cost of queer citizens on whom curative violence is practised.
这篇评论审视了主流心理健康系统的空间态度行政综合体，以探讨其对非异性恋身份去刑事化的反应。尽管最高法院在 2018 年的命令中指示政府广泛传播其判决，但迄今为止，没有任何政府运营的心理健康机构就该判决发起基于 LGBTQIA+权利的宣传活动，因为对性取向缺乏了解本身仍然是一个非包容性环境的关键因素，这种环境迫使酷儿个体结束自己的生命。国家没有按照具有里程碑意义的判决进行任何宣传活动，这反映了国家对酷儿的仇视态度。本文通过“生物可传播性”的概念，分析了国有心理健康机构的公共接口以及心理健康系统对一名酷儿学生自杀的反应，说明了心理健康机构如何通过结构性暴力和系统性不平等制造出客户病人，进一步助长国家的反 LGBTQIA+情绪，从而以酷儿公民为代价，从治疗性暴力中获益，推动心理健康经济的发展。
