Arts and Minds

The Mind Behind The Wheel

Psychodynamics Of High-Risk Drivers

Road rage is a misleading term for pathological violence while driving. Rage is rage, anywhere. violence while driving. We enjoy our new crush-cage cars with air-bags. But they cannot protect us from ourselves. And each of us, sometimes, is a danger to ourselves and to others, especially while we are driving. Some of the danger is preventable by high-level driver training, but that training is not offered in ordinary driving schools, nor is it affordable in the defensive driving schools that do address it.

All drivers are a bit preoccupied some of the time. It is rare to see a driver totally focused who is commuting in traffic. Professional drivers like ambulance, police and fire-truck drivers responding to a call, and race-car drivers, and some accident-wise and wary motor-cycle riders tend to keep their attention more focused on the act of driving.

The rest of us, who are not professional drivers, relax, listen to music or talk shows, talk on cell-phones (rarely using speaker-phones), talk to passengers, consult the tiny print on the GPS or map. Some eat, brush hair, put on makeup, shave, and even read the newspaper. We discipline the kids in the back seat, argue with our spouse in the passenger seat, or search on the floor of the car for dropped cigarettes. Often without realizing it, we daydream.

INSTITUTIONAL ENVIRONMENTS

Fear, isolation, and a sense of numbing helplessness characterize the nursing home, the mental hospital and other institutional experiences for the majority of inmates. To enter a hospital, especially a mental hospital or a nursing home, either as a visitor or a patient, is to encounter an environment that has no equal in barrenness anywhere in our culture except for the prisoner's cell.

These environments may be described as dis-integrated or degraded because they lack wholeness; they are incomplete. Because the ordinary everyday settings for behavior are missing, they cannot adequately support the great range of human activities and behaviors that are associated with everyday life and particularly with the recovery process. Most institutions force inmates to ‘kill time’ without purpose. More typically and destructively, institutional environments may further impair the patients' faith in their own competence to take care of themselves and live normal independent lives. Prolonged institutionalization or hospitalization, especially in a mental hospital, nursing home, or prison may seriously impair the inmate’s mental health, as individual’s responsibilities and social behaviors fall away.

Psychiatry and psychology in particular, and medicine in general, all lack a clear vision or theory of mental health and ‘wellness’, as distinct from illness, that could inform and enrich the lives of patients in their care. Since the earliest records of institutional mental health treatment there have been relatively few reform revolutions during which the quality of the patients' experience, their environment, and their care were given enriching humane attention.