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Deranged, unhinged, non compos mentis

To enter a madman’s world and see it his way is perhaps the greatest talent of the caregiver.

April 10, 2021 / 07:44 IST

The growing awareness on mental health issues has helped identify subterranean conditions. And while what afflicts us cannot ail us too much – since we never can judge our own levels of sanity or insanity – the slightest eccentricity or odd behaviour on the part of others does require understanding, empathy and practical methods of coping.

When a close family member or BFF suffers a mental breakdown or their latent psychological issues come to the fore, we may not notice it in any dramatic fashion overnight. There is no personality rulebook available on anyone; everyone learns about the other’s mental landscapes by and by, with interactions over time. But there does come a time when those around cannot live in denial anymore. If someone is behaving erratically and lives in a state of permanent upset, is paranoid or hallucinatory, goes through severe ups and downs, denies what they just said, contradicts themselves constantly, are glaring or gloomy for no reason, then the companion becomes caregiver automatically.

Dementia in older people sometimes leads to temper tantrums, accusations that their near and dear ones are robbing them blind, that their food is being poisoned, etc. Paid help may not react, but blood relatives will baulk. It is difficult not to go emo in the face of baseless allegations.

To enter a madman’s world and see it his way is perhaps the greatest talent of the caregiver. To cater to their whims and fancies as if they make perfect sense, to humour them, and focus single-mindedly on their nutrition and hygiene... In What’s Eating Gilbert Grape, the 1993 American film, a mother’s obesity has her children smartly adapt to the awkwardness arising from her extraordinary grief and girth. The woodwork is falling to pieces under her stamping foot, but they just carry on repairing the floor.

In Please Like Me, the hit Australian TV series, a mother’s suicidal and bipolar tendencies affect her son’s life. His friend circle, skirmishes with boyfriends and tiny giggles go on despite his mother’s demands on his time. There’s an almost cheerful acceptance of her condition. No blame game, no false drama. It is all a part of life, a loved one’s struggle with depression. Some days they need help, some days they don’t.

COVID-19 Vaccine

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How does a vaccine work?

A vaccine works by mimicking a natural infection. A vaccine not only induces immune response to protect people from any future COVID-19 infection, but also helps quickly build herd immunity to put an end to the pandemic. Herd immunity occurs when a sufficient percentage of a population becomes immune to a disease, making the spread of disease from person to person unlikely. The good news is that SARS-CoV-2 virus has been fairly stable, which increases the viability of a vaccine.

How many types of vaccines are there?

There are broadly four types of vaccine — one, a vaccine based on the whole virus (this could be either inactivated, or an attenuated [weakened] virus vaccine); two, a non-replicating viral vector vaccine that uses a benign virus as vector that carries the antigen of SARS-CoV; three, nucleic-acid vaccines that have genetic material like DNA and RNA of antigens like spike protein given to a person, helping human cells decode genetic material and produce the vaccine; and four, protein subunit vaccine wherein the recombinant proteins of SARS-COV-2 along with an adjuvant (booster) is given as a vaccine.

What does it take to develop a vaccine of this kind?

Vaccine development is a long, complex process. Unlike drugs that are given to people with a diseased, vaccines are given to healthy people and also vulnerable sections such as children, pregnant women and the elderly. So rigorous tests are compulsory. History says that the fastest time it took to develop a vaccine is five years, but it usually takes double or sometimes triple that time.

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Psychiatric problems post-pandemic are only starting to show. There is stillness in the air as everyone bravely goes on, not knowing how long, how much. In the UK, children and teens needing help went up in number to 400,000. According to the Royal College of Psychiatrists, 372,438 kids came in for help, up by 28% compared to 2020. In places like India where seeking help could come up against stigma and an absence of relevant aid, where large sections of society are reeling under poverty and starvation, where each one strides into his own personal battlefield alone and lonely daily, extending a helping hand to the needy could just remain in the realm of good intentions.

May our inner King Lear meet with a daughterly Cordelia when we go ranting in the wild, having lost it spectacularly.

Shinie Antony is a writer and editor based in Bangalore. Her books include The Girl Who Couldn't Love, Barefoot and Pregnant, Planet Polygamous, and the anthologies Why We Don’t Talk, An Unsuitable Woman, Boo. Winner of the Commonwealth Short Story Asia Prize for her story A Dog’s Death in 2003, she is the co-founder of the Bangalore Literature Festival and director of the Bengaluru Poetry Festival.
first published: Apr 10, 2021 07:40 am

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