Cracks in the Cover Up

derg

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original article


Cracks The Cover-up
By Helen Davey


The recent very public emotional meltdown of a JetBlue pilot -- just weeks after an American Airlines flight attendant broke down in front of passengers waiting for take-off -- has many people wondering about the psychological health of pilots and flight attendants. What is going on with the employees in our airline industry?

As a former Pan Am flight attendant for 20 years, and now a psychotherapist and psychoanalyst for 25 more, I've been writing at length to sound the alarm about the decline of the American airline industry. In particular, I've discussed the traumatic emotional consequences to employees due to the massive changes they've had to endure.

In addition to ensuring the safety of passengers, pilots and flight attendants understand that their major role is to create the illusion of the flight crew's emotional invincibility. In other words, they reinforce the denial of death. This is what I mean by the words "cover-up." On board every aircraft are passengers who wonder how in the world this huge machine can actually fly. Moreover, they depend upon the comfort of knowing they have a fearless and confident crew taking care of them. Not always an easy task for the flight crew.

Having been a flight attendant, I know how psychologically stressful that job can be. Even in the glory days of American aviation, when all employees got to share in the largesse of the industry's perks, the emotional demands of the work could be grueling.

Maintaining an outward persona of friendliness, calm, and utter fearlessness for countless hours on end can be very difficult indeed.

Pilots have a particular problem in this arena, especially when it comes to seeking help. Due to antiquated 1940's FAA standards, it's very difficult, if not impossible, to get help for psychological distress. For example, given that statistics show that at least 10% of the population suffers depression at some time in their life -- and I think that number is vastly underestimated -- then what are pilots to do?

In 2010, four anti-depressants were approved by the FAA for pilot use, but he or she must be grounded for at least six months (usually a year), and subjected to constant re-evaluation for the rest of his or her career. I understand the flying public doesn't want to hear or think about this, but restrictive and sometimes punitive measures discourage pilots from seeking the help they need, even for "talk therapy." This creates an atmosphere of shame about needing emotional help, and is paralleled by the shame that so often accompanies combat-related trauma.

Despite the herculean efforts by EAP programs in unions and airlines to get proper help for vulnerable crew members before their behavior explodes into headlines, some people slip through the cracks. I personally would much rather put my life in the hands of a pilot who has received proper psychological treatment than one who suffers silently but has a "clean" record.

A salient factor that has been left out of media reports and pundit observations about the pilot and flight attendant incidents, is that what they have in common was that both employees began ranting about terrorism. In fact, the flight attendant screamed about having a friend killed in the 9/11 terrorist hijacking of an American Airlines plane, as well as about the recent bankruptcy of her company.

When you see airline crews walking across the terminal with their suitcase on wheels, just know that they are also carrying another kind of baggage. There is always the possibility of a hijacking, a bomb on the plane, or unruly and violent passengers on board. Most people who go about their daily lives and work don't have to be hyper-vigilant about terrorists. They have not had friends or colleagues murdered by political/religious extremists. They don't have to imagine ways in which they can protect their own lives and those who depend upon them in the air. Nor are they plagued by nightmares about getting stuck on another continent with no way to get home.

The "cover-up" of their vulnerability by pilots and flight attendants with a facade of emotional invincibility used to be all about the reality of occasional airline catastrophes, but it has now been extended to the nightmare of worldwide terrorism that is often aimed at airlines. Cracks in the "cover-up" are beginning to show.

There are many reasons for that, and one only has to look at the strained relationships between airline management and employees to understand what's happening. Not only are employees feeling attacked from the outside, but they are feeling equally attacked from the inside by their own companies as well. The executive hierarchy of airlines has changed dramatically, and we are long past the glory days of aviation when men like Juan Trippe led the way, and airline employees were all imbued with a passion for flying.

Long-promised wages, benefits, and pensions are being slashed, and flight attendants are increasingly on the front lines of an angry and disgruntled public with no tools to offer the public for passenger comfort. Mergers and takeovers and bankruptcies are forcing airline employees to adapt to a new and unfamiliar workforce in which many feel like the ugly, unwanted step-siblings in a blended family.

And on top of all these issues, there have always been expectable hardships for airline personnel that come with the job, requiring a stable, flexible person who is physically strong. Passengers take this for granted.

Working conditions have worsened to the point that along with emotional invincibility, physical invincibility is being demanded as well. Extremely long workdays, constant time changes, irregular schedules, and the feeling that their companies don't have their backs, are wearing down the employees to an extent I have not seen before. After all, no human being ever "gets used to" jet lag, exhaustion, sleepless nights, or the feeling of not being valued.

As I've mentioned in previous posts, similar things are happening to employees in other venerable old companies and industries in the past few years. In the wake of the recent economic turmoil, traditional emphasis on pride in one's company and loyalty to it is being replaced by concern only for profit. This has had a shattering impact on the emotional lives of many people.

And nowhere is this more apparent than in the current state of the airline industry. As long as it stays in denial about this massive undermining from within, we're going to see more cracks in the cover-up. Another airline employee succumbing to the pressure, captured on tape and broadcast tonight on your evening news!
 
It's a very good article. I hate to see the stigma of mental illness. It is a very real, very debilitating, and very treatable (if the person will accept and follow treatment) disease.

But when a person is shamed into hiding it or forced to hide it to keep their jobs, they WILL hide it, and the results can be devastating.
 
Granted I was not yet in the industry in 2001, I think the part about terrorism was a little overemphasized. Even though I am sure to comply with all security procedures in place, I can't say I think about the possibility of terrorism much.

The rest is spot on. The long days, the feeling that you are a liability instead of an asset, having to do everyone else's job too (call for fuel truck, call for jetway driver, ask why you aren't boarding yet, etc.), and having to do more with less, this job can be very stressful. I have to take a day after any multi day trip to de-stress and relax, and I'm very much one of the "why stress, it's not going to change anything" kind of people. One of my favorite past times at work is listening to guys go off the handle on ops frequency.
 
" I understand the flying public doesn't want to hear or think about this, but restrictive and sometimes punitive measures discourage pilots from seeking the help they need, even for "talk therapy."

That is an excellent line, and something I agree with. The fact that any one of us could potentially lose our jobs because we might want to go to the doctor for something, really discourages the seeking of treatment. I know guys who think they need to go see a doctor, or need some kind of medicine and refuse to do so because they'd have to show it on their medical. If someone's career wasn't on the line, maybe more people would step up and show interest in actually going to the doctor.

I would love to put anyone in the general public in our position of needing a medical clearance to work, and see how many would admit to having a sickness, or be willing to seek treatment if they knew their job was on the line.
 
I'll be a witch in church on this one, I'm sure, but the hard thing about our jobs isn't the button-pressing, it's the showing up fit, rested, and fed (and the being prepared for whatever might happen, because there is no Higher Authority to which to appeal when something goes wrong). I don't have cat-like reflexes or the proper amount of salt-and-pepper, or a deep and reassuring voice, but I do have the ability to focus and pay attention to what I'm doing when I'm operating an aviation appliance. Sober. Dead sober (if you'll pardon the expression). And AFAICT, Recreational Substances are no different from Prescribed Substances in that regard, which is to say that if you can't hack it without either, you shouldn't be sitting in the pointy end.

In short, if in fact we're different from a bus driver, it's because of our probity and ability to rational decisions sans chemical assistance. Absent that, we really are just appliance operators. Not me, brother. As per the FARs, I am the final authority for the operation of the flight. No codacils, no excuses, and no "medications". If you "need" to be on Paxil, go fly a desk.

I read all of these posts about how Pilots ought to Demand a Higher Standard by Dressing Correctly (obviously, in the eyes of the person making the claim). I don't give a toss how you dress...the real Higher Standard involves probity, seriousness, and sobriety (in the larger sense) w/r/t the operation of the aviation appliance.
 
Depression is treatable without medication. Medication helps, and makes the treatment faster, but recovery is actually more improved when it's done with exercise and talk therapy than just relying on pill popping. The changes in brain chemistry can happen without taking antidepressants. The person has to want the help, and make the necessary changes to experience the recovery, of course, but it can be done.
 
The tricky part with mental illness or injury versus physical is you cannot see the damage, treat it, see it heal, and assess when healing is complete visually. There is a definite stigma attached to it.

I totally understand reasons for hiding problems and not seeking treatment. FAA Medical issues. Financial Issues. Company issues: Sick time, FMLA, LTD, attendance & reliability. Health Care issues: Doctor visits. Billing. Health Insurance. Medications. For someone who's already facing mental issues, the prospect of putting the puzzle together is too much. There are too many traps that could end a career.
 
You want safe pilots? Make a way for them to be able to seek treatment without putting their career in jeopardy. Frankly, the medical process is a bit draconian and over the top for what it is. A buddy of mine got appendicitis, he was grounded for 5 months. No pay for 5 months...but it's ok because..? Who here can take a 5 month pay hit with no compensation safely? Even if you have "good" health insurance how do you feed your family because you needed to see a councellor about some psychological issues that needed worked out? And people wonder why there are issues in the system of self reporting. Take a good long look into how many pilots kill themselves. That's a sobering dose of reality. If we're going to operate safely, there's more to this job than infinite self-control and rapidfire regurgitation of memory items. People react under stress in weird ways and a failure to recognize that is dangerous.
 
I'll be a witch in church on this one, I'm sure, but the hard thing about our jobs isn't the button-pressing, it's the showing up fit, rested, and fed (and the being prepared for whatever might happen, because there is no Higher Authority to which to appeal when something goes wrong). I don't have cat-like reflexes or the proper amount of salt-and-pepper, or a deep and reassuring voice, but I do have the ability to focus and pay attention to what I'm doing when I'm operating an aviation appliance. Sober. Dead sober (if you'll pardon the expression). And AFAICT, Recreational Substances are no different from Prescribed Substances in that regard, which is to say that if you can't hack it without either, you shouldn't be sitting in the pointy end.

In short, if in fact we're different from a bus driver, it's because of our probity and ability to rational decisions sans chemical assistance. Absent that, we really are just appliance operators. Not me, brother. As per the FARs, I am the final authority for the operation of the flight. No codacils, no excuses, and no "medications". If you "need" to be on Paxil, go fly a desk.

I read all of these posts about how Pilots ought to Demand a Higher Standard by Dressing Correctly (obviously, in the eyes of the person making the claim). I don't give a toss how you dress...the real Higher Standard involves probity, seriousness, and sobriety (in the larger sense) w/r/t the operation of the aviation appliance.

You're talking about someone who actually might need to pop a pill to stay fit. What about the guy who doesn't need all the prescription bottles, but is STILL afraid to talk to a doctor because of what the feds may say? I remember a couple years back I was afraid to go see a doctor because I had a sore throat that wasn't going away. I thought,'what if he gives me something that grounds me? Screw it I'll just tough it out'. That's the wrong attitude to have, but that's the attitude of most pilots I've met.

What if a person is so stressed about something outside of work that they want to actually go talk to someone about it, but fears that they will be prescribed something (when in reality they wouldn't), and because of that fear, simply ignore the doctor all together? This is a serious problem, because instead of seeking help, they ignore it completely.
 
Derg has said it time and time again, but it bears repeating: this business is stressful especially during times like these when business is bad and everybody is on edge. We've got to, got to keep an eye on each other and help each other deal.
 
A couple of weeks ago, I finished reading Ascent From Darkness by Captain Al Kent:

I was employed as a commercial airline pilot until a hereditary mental illness caused my career to come to a screeching halt in 1993. Being grounded by the Federal Aviation Administration after seeking treatment for major depression was mandatory in order to comply with strict medical standards under the Code of Federal Aviation Regulations. My official diagnosis was eventually changed to bipolar disorder, and the ensuing loss of my career was rather devastating. Battling severe depression initially and later intense bipolar mood swings were extremely heavy burdens placed upon me at a fairly young age. Many people in our society are stricken with debilitating illnesses of the mind and often face difficult uphill battles. I share my personal experiences in an attempt to illustrate that serious mental health issues can be treated successfully and ultimately conquered. Depression can strike anyone out of the blue and transform life into an extremely challenging struggle. Facing the barriers that such illnesses place in the lives of the afflicted often seem insurmountable, but can be overcome. Ascent from Darkness is a factual account of my life thus far. I trust it will serve to inspire those individuals trapped in the darkness to have enduring hope...

He illustrates perfectly the problems faced by pilots with mental issues. It took him a while to get his health back, but OK City didn't even want to look at his records. Even though now his is completely stable. I don't know what airline he works for, but he's now a Sim Instructor on A320s.

I've asked my non-flying friends if they'd feel comfortable with a guy like Captain Kent in the cockpit. Every single one of them flat out said no, that he was a danger since he was still under medication. When I told them that there are likely many pilots who need treatment in the cockpits around the country getting no treatment, their eyes just glaze over. They won't admit they'd rather have the "lose cannon" rather than the stable, under treatment, pilot.
 
You're talking about someone who actually might need to pop a pill to stay fit. What about the guy who doesn't need all the prescription bottles, but is STILL afraid to talk to a doctor because of what the feds may say? I remember a couple years back I was afraid to go see a doctor because I had a sore throat that wasn't going away. I thought,'what if he gives me something that grounds me? Screw it I'll just tough it out'. That's the wrong attitude to have, but that's the attitude of most pilots I've met.

What if a person is so stressed about something outside of work that they want to actually go talk to someone about it, but fears that they will be prescribed something (when in reality they wouldn't), and because of that fear, simply ignore the doctor all together? This is a serious problem, because instead of seeking help, they ignore it completely.

Exactly this. Also, the medical profession wants to diagnose you with everything under the sun these days. Look at all the perfectly normal people out there whose flying career was ruined before it started because some middle-school guidance counselor thought they had ADD ffs.

I haven't been to a doctor or taken any prescription medication since I was 16. I've had little things now and again, but they just eventually went away. (For that matter, I think people are too quick to go to the doctor anyway, but that's a sidebar we don't need) I'm 32 now and in great health, I think, but no way am I going to go to a doctor to run the risk of him diagnosing me with something that I may or may not have, that may or may not be a real problem, that would never affect my ability to safely aviate.

I definitely think it's a significant problem.

Then again, to take a step back, when I read the article it occurred to me that the overcriminalization endemic to modern law enforcement activity might share some responsibility here. Maybe the guy had a reason to be angry in the initial altercation (in which, I might add, he never struck her). But the police came, and next thing you know the guy's been arrested and charged, all for a minor domestic dispute. At that point, he's probably thinking his career is already in jeopardy. The poor guy's working at a regional, and it's probably taken all he has to get there, and now his entire life is over because someone called the police and they decided to charge him with a crime.

So now the guy feels like he has nothing left, maybe.

I mean, on one hand I can see how people might go "ZOMG he broke a computer" ... but on the other hand, people do get angry and do stupid things. Offering the opportunity for him to replace the damaged property without criminal charges, or maybe offering counseling, very well might have kept him from descending the path he did.
Basically, the "system" doesn't seem to realize or care that a criminal conviction can basically destroy someone's life, and it often seems like the police are so locked into the "Bad guy" routine that they cannot or will not exercise discretion in their arrests.

Whether that's applicable in this case I do not know -- I'm purely speculating based on what I've read. I just think that the system is right now at its most unforgiving point in a long while. I have a friend who is now a "sex offender" because he took a leak beside the road at night. A good portion of society wants to see him drawn and quartered because surely he raped an infant. That, and other things like it, along with privatized prisons and all the associated corruption, have left quite an impression on me about the direction this country is taking with its justice system, and it leads me to scrutinize it more than many.

rabble, rabble, rabble

~Fx
 
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