Categories
ADHD Bob Dylan conflict resolution

Bob Dylan On ADHD

To regular readers of “From Insults To Respect,” and to first time visitors, I’m delighted you’ve dropped by.

Bob Dylan2From time to time, I like to enrich some ideas that I introduced in earlier posts with some relevant thoughts that Bob Dylan has shared on his Theme Time Radio Hour show. His entertaining mixture of insightful observations with songs, humor, and poetry leaves us with a deeper sense of the topic at hand.
adhd2

In several earlier posts (see HERE, HERE, HERE, and HERE), I have discussed ADHD. I’ve mentioned in those posts that, on the one hand, there are many people who love this ADHD idea, and feel they have been helped by being classified as having this challenging condition. On the other hand, there are many who feel that this notion of ADHD pathologizes, in a very disrespectful manner, their style of functioning. Moreover, the treatment that they were subjected to is something that they have come to detest.

child taking pillAre the drugs used to treat ADHD as safe and effective as the pharmaceutical industry claim? Are many of the students now classified as having ADHD really more aptly construed as having an “attention priority  difference?” Are many of those who are classified really just the youngest students in their class? Are there safer ways than drugs to deal with the challenges that are associated with the behavior patterns that lead to an ADHD classification? These are some of the questions that I addressed in my earlier posts. Let’s see what Bob has to say about this.

Bob’s Take On This Subject

Bob brings up ADHD on his show that focusses on the theme of “dreams.” He segues into the topic by playing us the old Lovin’ Spoonful song, “Daydream,” which begins,

Daydream350What a day for a daydream
What a day for a daydreamin’ boy
And I’m lost in a daydream
Dreamin’ ‘bout my bundle of joy.

Of course, most of us daydream from time to time, some of us quite a bit more than average. From this observation, Bob drifts into some thoughts on the matter:

bob dylan black and white“Back when I was going to school you would see kids daydreaming and sometimes not paying attention, running around or acting impulsively. I always thought that was being a kid. Nowadays, everybody’s got Attention Deficit/Hyperactivity disorder–ADHD. They say it’s hyperactivity, impulsivity, and all sorts of other things. I’m sure there are kids with real problems. But quite often people just didn’t want to pay attention. I see parents not wanting to spend time with their kids, and for them, not paying attention or being bored or acting impulsively is the kid’s problem. I don’t think so. Spend time with your kids. You might find that they don’t have ADHD, they have other needs, a need to see their parents. I’ll tell ya something, I didn’t pay a lot of attention, and I was known to daydream in class and things turned out pretty good for me. I’ll be the first to agree with you that sometime medication is necessary. But maybe we are too often in a hurry to treat things chemically and not look at what the real problem is. Sometimes there is not even a problem there, at least one that couldn’t be solved with a little bit of patience, attention, care, and love.

Could Bob Dylan Have Been Classifiable as Having ADHD?

When Bob was a student, there was no such label as ADHD. If there was, would he have been given that label?

Bob’s own statement on ADHD reveals that he didn’t pay a lot of attention in school and he also daydreamed in class. Add this to some descriptions of Bob, as a young adult of twenty-two years of age, by Daniel Kramer that appears in his book titled Bob Dylan.

bob-dylan-kramerMrKramer is a professional photographer, who got a sweet deal when he was hired to follow Bob around for a little over a year to take pictures of him at home, going around different places, and before and during performances. Here’s a little of what he observed.

“Dylan…impressed me as being a strong, quick, active person. He was always on the move; even when sitting he was not still–there would usually be movement: one foot beating time in the air, or jiggling nervously. This is characteristic of Dylan, especially when he is forced to sit for any length of time. If standing, he would often bend and straighten one leg to a steady pulsation, as if he needed an outlet for his energy. His restlessness keeps him on the move.” (p. 13)

Mr. Kramer’s other descriptions of Bob are, “preoccupied,” and,

Bob Dylan x“he would grab at moments that were available, often writing in a small black looseleaf notebook, in which he probably wrote new material or kept ideas. He would interrupt something in order to glimpse a TV screen to see another performer. I’ve seen him use ten minutes working out melodies on a backstage piano while someone was out locating the key to his dressing room.” (p. 36)

These descriptions of Bob reminds me of something psychologist and philosopher William James wrote about the type of person who today gets the ADHD label.

William James“No matter how scatter-brained the type of a man’s successive fields of consciousness may be, if he really cares for a subject, he will return to it incessantly from his incessant wanderings, and first and last do more with it, and get more results from it, than another person whose attention may be more continuous during a given interval, but whose passion for the subject is of a more languid and less permanent sort.

“Some of the most efficient workers I know are of  the ultra-scatterbrained type…. I seriously think that no one of us need be too much distressed at his own shortcomings in this regard. Our minds may enjoy but little comfort, may be restless and feel confused; but it may be extremely efficient all the same.” (quote from William James’s Talks To Teachers, p. 114)

Certainly Bob’s passion for his art has led him to produce far more of value within that field than many who are excellent at maintaining their attention on a subject during a given interval.

Comparing Bob’s View of ADHD and My Own

ClassroomIn typical American classrooms, a subject is brought up by teachers at a given time and for a specific period of time. Those in the class who have the ability to switch their attention to what the teacher brings up at a given time and then stay focussed throughout the scheduled time, are often more highly valued by teachers then those students who are less skilled at this. Teachers often refer to the Special Education Department those children who are not following along in lockstep with their schedule and they urge parents to take these children to doctors to get prescriptions for drugs. Like Bob, I’m not comfortable with this.

Of equal concern is that even before kids start school, many are already being prescribed ADHD drugs. The Center for Disease Control and Prevention (CDC) recently pointed out in a report that “About 2 million of the more than 6 million children with ADHD were diagnosed as young children aged 2-5 years.” It cautioned that the drugs used as treatment of ADHD should not be the first step in dealing with this condition because

boy-with-stomach-painADHD medicine can cause side effects, such as poor appetite, stomach aches, irritability, sleep problems, and slowed growth. The long-term effects of ADHD medicine on young children are not known.”

Although the CDC attempts to avoid blaming parents for their child’s behavior pattern, they do recommend that “healthcare providers first refer parents of young children with ADHD for training in behavior therapy before trying medicine.”

What does “behavior therapy” mean? In a very general sort of way, it means working with parents in a manner that encourages them to utilize positive ways to deal with kids when they are not acting the way parents want them to act. A large part of this involves recognizing, as Bob says, that sometimes there is not even a problem there, at least one that couldn’t be solved with a little bit of patience, attention, care, and love.

I recognize that for today’s parents, oftentimes pressures at work can leave them exhausted. For single parents this becomes ever more difficult. kids playing computer gamesTrying to get the kids off your hands by sticking them in front of a TV or computer game terminal may be a pretty enticing thing to do. If that doesn’t work, it is oh, so easy to just give them some pills.

I’m not blaming parents who just run out of steam. I recognize the many serious societal conditions that parents have to face which tremendously complicate the challenges of being a parent. But ultimately, it is the parent who must take the responsibility to seek to improve conditions for their children as best that they can.

responsibility 1When I say, “take the responsibility” I don’t mean to imply that parents should blame themselves. Blame suggests that parents should seek to punish themselves whenever their approach at discipline doesn’t work well. Punishing themselves in such situations only makes a challenging situation worse.
responsibility 2What I mean by taking responsibility is that we recognize within ourselves that we are dissatisfied with where things are at. We observe in a nonjudgmental manner how this goes along with some physical sensations in our body–perhaps a tightening in our chest, and tension around the forehead. Perhaps we might observe ourselves making some nasty comments about ourselves because of old habits. Although we observe these nasty comments, we don’t accept them as correct, just habitual statements learned oh, so many years ago. But as we observe all of this, from time to time we consider the attitude that these sensations that we are experiencing have the potential of spurring us to make some improvement in our own actions.

Well, that’s my “From Insults to Respect” post for today. I hope you find that it provides some food for thought. Please stop by again soon.  

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.

 

Categories
conflict resolution Dealing with gay insults Gay Insults

On Being Called Gay

When I first started writing a blog about name calling, insults, and respect, the very first comment that I received was from a guy who called himself Richard from Colorado.

I'm afraid to come out of the closet.
I’m afraid to come out of the closet.

“Even if you don’t think that your words hurt,” Richard wrote, “they can. I’m gay and struggling with it. I don’t want people to know yet, but it still hurts inside when someone says that’s so gay because it puts me down.”

I replied,

“Hi Richard,
Thanks for your comment. Yes, there are certain statements that we hear that are really hard to bear. I’m wondering if you have found a response to such comments that you feel works for you. And when you use that response, what kinds of reactions do you get? I think those of us following the blog would be interested in this and your experience.”

gay 1I never heard back from Richard, and so I put the gay issue aside believing it wasn’t necessary to take it on directly because it is only a small minority who could relate to this. According to a 2015 Gallop poll, less than 4 percent of the adult population identify themselves as gay. It seemed to me that my blog posts should focus on issues with which the vast majority of people could identify. Moreover, the many suggestions that I do provide in my posts to deal with insults in a general way could easily be applied by someone who is called gay in a disrespectful manner.

But last week I received an email that made me think a little more about this.

 “Hello Dr. Rubin,

I recently enjoyed reading a few posts from your blog, and I have a question. I suspect other readers have had similar questions, so if you’ve addressed this in a post, please feel free to just send me a link, if so. Any response would be appreciated.

I was interested in your idea of ‘four levels of maturity’ in which the highest level of maturity is to listen thoughtfully to an insult or criticism, and to accept the criticism offered. I agree there are many situations in which this kind of response would indeed be best.

However, I was one of those young men who, especially when I was in school, was frequently verbally abused by other young men who would for instance call me a ‘fag.’

I don’t happen to be gay, but my daughter is, and she gets very upset when other kids taunt her with slurs she interprets as ‘homophobic.’ A ‘level four’ thoughtful acceptance of such a slur would obviously not be appropriate. What do you counsel young people to do in those situations?”

gay 4I responded with an email directly to the writer of this email, offering some suggestions. Then, after a little more thought, I decided that the issues raised earlier by Richard from Colorado and the writer of the email I recently received actually do impact a majority of people. Moreover, even if it didn’t, taking a little time to directly address a concern that a minority are dealing with is a decent thing to do. And so, in this light, I offer the following meditation on this topic.

Why This Topic is Relevant to a Majority of People

The first time I gave any thought to this topic was way back in the early 1960s. I was about twelve years old, watching TV with my mom. liberaceA pianist, Liberace, played a pretty impressive number, and then, as he was being interviewed by the show’s host, my mom turned to me and said, “He’s a faygala, but I like him anyway.”

Faygala is a Yiddish word that literally means “little bird,” but in the Brooklyn neighborhood that I grew up in it typically referred to a gay man. I didn’t know that at the time, so I asked my mom, “Liberace’s a faygala? What’s a faygala?”

“Oh, it means a guy that likes other guys like most guys like women. They prefer to sleep with a man and have sex with a man, rather than with a woman.”

Liberace 2The fact that my mom still liked Liberace despite his being gay was not all that unusual. With his unique blend of piano prowess and over-the-top showmanship, Liberace was one of the most loved performers of the 20th century. For several years he had his own TV show, with an estimated 35 million mostly female viewers. He sold millions of records and was one of the highest paid performers in Las Vegas.

With this fresh, saucy news that there were guys called faygalas who like to have sex with other guys, the next morning in the school yard I revealed all that I had learned from my mom. One of the older guys, after listening to me, informed us that the type of guy I was talking about might be called a faygala in Yiddish, but the usual words for this, as far as he was concerned, was either a “faggot” or a “fag.”

I was surprised by this because I, and many of the guys in my neighborhood, were very familiar with these two words. We often used them ourselves when we wanted to throw an insult at someone, and others, likewise, had used them against us. At the time, my friends and I had just thought they were general insults that meant something similar to “stupid jerk!”

I’m a little embarrassed to say that even after I learned that the words faggot and fag were put downs to gay people, I continued to use them as general insults for a good few more years until one particular incident.

gay 5I happened to be talking to a friend of mine that we’ll call for today Nick. As we discussed some stuff, at one point he told me that a guy who was a mutual friend of ours was insulted by someone. As soon as I heard about it, I immediately called the insulter “a dirty faggot.”

Jeff,” said Nick, “I don’t like you using that word.”

I was puzzled by this, and after a moment thinking about this, I wondered if Nick was a guy that had sexual interests in guys. I doubted it because we had gone on some dates together and it seemed to me that he was mighty attractive to the young lady he was with. But I said, “Nick, you like guys in a sexual way?”

“That’s not it,” he replied. “It’s just that there’s a guy I work with who is interested in guys that way, and he spoke to me about how he feels when he hears someone using words like faggot. You’re Jewish, Jeff. If the guys in the neighborhood started using an insulting word for Jewish people as an insult for everyone they got angry with, how would you feel about that?”

gay 6“Hmmm,” I said. And then, after giving this some thought, I replied, “I see what you mean. I’ll try to stop using those types of words. It’s an old habit, so if you catch me slipping up some time, feel free to call me on it.”

Now let’s flash forward about twenty years. I happened to be having dinner with my family and one of my two sons suddenly used the phrase, “That’s so gay,” to indicate that he didn’t like something I had done. And so I launched into the type of conversation my friend Nick had with me so many years ago.

So, from what I have written, I hope you can see that even if most of us are not gay, this issue of people being called gay as a way to insult others probably enters into most of our lives. We may have a friend or family member that is gay. We might be using the terms that refer to gay people in very insulting ways. We may overhear others using these types of words as put downs, and then we are faced with whether or not to speak up and defend fellow human beings.

What do I Counsel Young People to do in These Types of Situations?

 Obviously any suggestions I make here can’t be perfect for every conceivable situation. But let me try to present something that some might find helpful.

gay 7If you hear someone using terms for gay people in an insulting manner, consider having a similar conversation that Nick had with me. Perhaps it might motivate you to do so if you keep in mind that someday you might find out that your own child might turn out to be gay, and if you had remained silent all those years before you became aware of this, how would you end up feeling?

If someone does call you gay and you are, this is indeed a tricky situation. If you admit that you are, you risk losing friends, and it could lead to some more mean hearted attacks either verbally, or physically. You will have to consider carefully whether you want to take on this type of challenging situation.

For those of you who decide to come out and openly reveal that you are gay, I suggest trying out the following types of replies, well rehearsed beforehand, that you might use when someone tries to insult you by calling you gay.

Fred: “You gay guys are disgusting.”
Hank: Looking squarely into Fred’s eyes, “You don’t like anyone who is gay, Fred?”
Fred: “No. They’re disgusting pigs.”
Hank: “Well, Fred, I met some gay guys who weren’t too cool, but I met some that were pretty decent guys.”
Fred: “They’re all disgusting pigs!”
Hank: “I’m sorry you feel that way, Fred.”

Throughout this conversation, Hank would remain friendly and self assured.

Before giving this a try, I suggest giving the following some pretty careful thought–Just because someone is throwing an insult at you doesn’t mean you have to choose to feel insulted. You could, instead, feel sorry that person hasn’t learned yet that there are a great number of gay folks who have something enormous to offer this fascinating world of ours.

If some of you out there have some suggestions for a helpful approach, please join the discussion. I would love to hear from you.

Well, although there is so much more to be said about this topic, that’s all the time I have for today. Here’s hoping you join us again right here at From Insults To Respect.
gay 2
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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.
Categories
ADHD ADHD medication conflict resolution Ritalin

Research Update On ADHD Drug Treatments

In earlier posts, I have reviewed the research on ADHD drug treatments. The findings have led me to the conclusion that medicalizing the behavior pattern that medical doctors refer to as symptoms of ADHD causes far more harm than good. New readers can check out my earlier posts on this subject HERE, HERE, HERE, HERE, and HERE.

boy-with-stomach-painBriefly, the main side effects of the commonly prescribed drugs for so called “ADHD” are:

  • Sleep problems
  • Decreased appetite
  • Delayed growth
  • Headaches and stomachaches
  • Rebound (irritability when the medication wears off)
  • Tics
  • Moodiness and irritability

Fears have been raised about potential long-term effects of stimulant drugs on the heart and on the child’s developing brain. But the available data on these outcomes is limited, so the true effects are still unknown but legitimately worrisome.

On June 15, 2009, the FDA put out the following warning: “The FDA reported on a study reviewing 564 healthy children taking stimulants who died suddenly. They notified the public that there might be an association between the use of stimulant medications and sudden death in healthy children.”

school workIn my earlier blog posts, I also reviewed research studies that indicate that almost immediately after taking these types of drugs, many children will complete more academic work and get more of the items correct. Parents also tend to report behavioral improvements. But these effects begin to wane. According to the best available evidence, by a little over a year, any perceived improvement, when objectively measured, had completely disappeared. The available studies indicate no lasting benefits for those who use them in terms of academic achievement, social outcomes, and high school graduation rates. In the end, thousands of dollars have been spent and the drug treated children, having suffered the various side-effects and been subjected to serious risks are no better off than children who had similar behavior challenges but did not take any of the ADHD drugs.

So, after I carefully weighed all of this information, I concluded that children would be far better off if we rejected the ADHD medical model. Since my last post on this subject was published, three new relevant research studies have been carried out. Let’s take a look at them.

First Study

On March 3, 2016, News4Jax, out of Jacksonville, Florida reported that “ADHD medications associated with diminished bone health in kids.” Here’s what they had to say:

“ORLANDO, Fla. – Children and adolescents who take medication for attention-deficit hyperactivity disorder (ADHD) show decreased bone density, according to a large cross-sectional study presented today at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons .

“This is an important step in understanding a medication class, that is used with increasing frequency, and its effect on children who are at a critical time for building their bones,” said senior study author Jessica Rivera, MD, an orthopaedic surgeon with the U.S. Army Institute of Surgical Research.”

This study recently appeared in the online edition of the Journal of Pediatric Orthopaedics.

Second Study:

On March 12, 2016, the New York Times published an article titled, “Is It Really A.D.H.D. or Just Immaturity?” There we learn of a study published in The Journal of Pediatrics indicating that the youngest students in a classroom are more likely to be given a diagnosis of attention deficit hyperactivity disorder than the oldest.

chinese students“Researchers in Taiwan looked at data from 378,881 children ages 4 to 17 and found that students born in August, the cut-off month for school entry in that country, were more likely to be given diagnoses of A.D.H.D. than students born in September. The children born in September would have missed the previous year’s cut-off date for school entry, and thus had nearly a full extra year to mature before entering school.”

The authors of the study concluded, “Our findings emphasize the importance of considering the age of a child within a grade when diagnosing A.D.H.D. and prescribing medication for treating A.D.H.D.”

These findings support similar results of an earlier study in the United States, which found that roughly 8.4 percent of children born in the month before their state’s cutoff date for kindergarten eligibility are given A.D.H.D. diagnoses, compared to 5.1 percent of children born in the month immediately afterward.

Third Study:

school work bOn March 13, 2016, The Sydney Morning Herald published the latest article describing a study that provides further evidence that drug treatment provides no lasting benefits for students classified as having ADHD. The study was funded by the National Health and Medical Research Council in Australia and carried out by the Murdoch Childrens’ Research Institute. It has been following 178 children with ADHD for three years to identify what factors make a difference to the development of children with the disorder. One of the chief investigators of the project is pediatrician Daryl Efron. He reported that,

“The 13 per cent of children in the study who were taking medication such as Ritalin to treat their ADHD were doing no better or worse than their unmedicated peers at age 10. Medication doesn’t alter the long-term outcomes of kids [with ADHD].”

Analysis

The kind of attention that you have to use in school is difficult for many people. This certainly was true for me, and I was not one of the youngest students in my grade. The teachers had us sitting way too long, and some subjects, such as spelling and grammar, were not as interesting to me as it was for some of the other students. And so I became awfully restless.

basketball-playersIn my opinion, I did not have a medical illness. Out on the streets of Brooklyn, I was as healthy as a horse as I got into handball, basketball, and stickball games for hours and hours during my free time. Nevertheless, I am certain that if my parents had taken me to a doctor in this modern world of ours, I very likely would have been given an ADHD label and placed on one of the ADHD drugs.

Even if the drugs actually did lead to some positive lasting outcomes, their potential harm in terms of physical problems and thousands of dollars of wasted money should be weighed against these positives. But the research has repeatedly demonstrated that there are no lasting benefits. And so, I’m continuing to urge parents to remain cautious as they become bombarded by the drug treatment options they surely will be facing in our pharmaceutical dominant society.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence.  To begin at the very first post you can click HERE.

Categories
conflict resolution DIG Conflict Model Donald Trump Presidential candidate rally interrupters

On Trump Taunting Rally Interrupters

By now most of you have seen numerous examples of Donald Trump taunting rally interrupters. If you haven’t, there is a collection of them put together by the New York Times that you can see HERE. Early on we see Mr. Trump stating, “I certainly don’t incite violence.” But then there is a video clip showing security going through the process of removing an interrupter at a rally, while Mr. Trump cries,

Trump7“I love the old days. You know what they used to do to guys like that when they were in a place like this? They would be carried out in a stretcher, folks. I’d like to punch him in the face. I tell you.”

At another point, we see Mr. Trump, during another rally disruption, tauntingly crying out,

trump2“All right, get him out, try not to hurt him. If you do, I’ll defend you in court. Don’t worry about it.”

There are many other similar examples that you can see in the NYT‘s collection, but it is hardly complete. In one such case, while security officials are trying to do their jobs, Mr. Trump is shouting at an interrupter derisively, “Why don’t you go get a job!” And in another, again while security personnel are trying to handle things, Mr. Trump is seen baiting a protester, “Get out! OUT!”

trump 5After an incident of this kind, Mr. Trump, when questioned about it by a reporter, stated, “This guy started screaming by himself, and, I don’t know, roughed up, he should have, maybe he should have been roughed up because it was absolutely disgusting what he was doing.” Then he said, “Violence would help to deter protesters.”

trump12In perhaps the most disturbing example that I have seen, Mr. Trump is seen defending a guy who sucker punched an interrupter who was being escorted out of an arena. Thus, when Mr. Trump was asked about this incident by a reporter, he answered, “He obviously loves this country, and maybe he doesn’t like seeing what’s happening to the country.”

To be fair, Mr Trump sometimes says he doesn’t condone the violence. Trump-punchingBut then he says things like, “In the good old days this doesn’t happen because they used to treat them very, very rough. And when they protested once, you know, they would not do it again so easily.”

So, if he thinks those were the “good old days,” it sure sounds to me that he wishes we could be doing this type of thing today.

Now, as president of the United States, he faces a lawsuit for inciting violence at his rallies. Judge Hale has ruled that the lawsuit can go forward. Trump’s lawyers argued that the lawsuit should be dropped based on free speech, free speech, but Judge Hale rejected that, saying speech that incites violence is not protected and Trump’s words “at least ‘implicitly encouraged the use of violence or lawless action.'” Plus, the judge wrote, the plaintiffs successfully lay out at least one prior example of protesters being attacked at a Trump rally.

From my own perspective, given the context of how Trump has been handling the very types of incidences being discussed in the lawsuit, it sure seems that he indeed supports being violent toward rally interrupters. But be that as it may, my question for today is, When rally interrupters do indeed interrupt, is it helpful for the candidate to be seeking to taunt the interrupter?

To help answer this question, let’s first look at the situation that we have been discussing as a type of conflict.

The Trump Supporters versus the Trump Rally Interrupters’ Conflict

conflict triangle 2On this blog, when we discuss conflicts we utilize the DIG Conflict Model. The word DIG reminds us to look into the situation to see if we can identify the three conditions of a conflict, the “desire,” the “interference,” and the “guilt.” When we do this for this situation, we see that the Trump supporters, which includes, of course, Mr. Trump, desire that at the rallies that they attend for Mr. Trump they get to hear what he has to say. They view the interrupters as interfering with this desire when Mr. Trump is trying to speak at the rally and an interrupter begins to shout anti-Trump sentiments. Trump supporters typically would say they believe interrupters are guilty of doing something wrong when they interrupt.

This conflict statement is my best guess of the perspective of Trump supporters. I have derived it from discussions that I have personally had with a few of his supporters and what I have heard from them during TV interviews.

different perspectiveWhen we use the DIG Conflict Model to describe a conflict, we try to get the perspective of not just one side of the conflict, but from both sides. Unfortunately I have not personally met any of the interrupters, nor have I seen any interviews with them. trump9So, hazarding a guess, perhaps it typically involves one or more of the following three desires: the desire to discourage people from voting for Mr. Trump, the desire to express their anger at Mr. Trump for stirring up hatred toward groups of people they care about, or the desire to get attention.

My Views On Resolving This Conflict

First of all, at the outset, let me say that I have some sympathy for the Trump supporters regarding their perspective on this conflict. I hold the position that regardless of who the rally is for, those who come to hear the candidate should be able to do so without people interrupting him or her.

trump1There are fair opportunities for demonstrators from the full spectrum of opinions to put forth their views as people file into the site of the rally and when people leave. As long as this is done peacefully and without interfering with the flow of people into and out of the site, this seems consistent with principles of free speech, which is something I personally treasure.

Once in the arena, I believe the candidate should be treated civilly. Interrupting the candidate’s speech is not in the interest of the supporters who took the time to get to the site, nor is it in the interest of the interrupters. 

A supporter of Republican presidential hopeful Donald Trump scuffles with a protestor during a rally in Richmond, Va., Wednesday, Oct. 14, 2015. (AP Photo/Steve Helber)

Interrupters, by their actions, will only succeed in hardening the positions of the supporters who tend to become infuriated at such interruptions.

Now, when I began to think about how this conflict can best be resolved from the perspective of Trump and his supporters, the first thing I thought about is that this is a common conflict that candidate supporters have been facing for years. Apparently, the best minds in professional arena security personnel and law enforcement have designed a process to deal with these types of situations. The process varies slightly from place to place, but basically it goes like this:

A protester is removed by security as Republican presidential candidate Donald Trump speaks during a campaign stop Saturday, Nov. 21, 2015 in Birmingham, Ala. (AP Photo/Eric Schultz)

Typically, whenever someone begins to create a disruption, security officials hustle over and firmly inform the interrupter that if he or she continues to do anything that seeks to disrupt the speaker, he or she will be ushered out of the rally site. This usually takes a few seconds and is sufficient in most cases to settle things down.

If not, several additional security officials are called for. When they arrive, they now are an overwhelming presence and are well trained to handle aggressive conduct.

The disrupter is then told, “You have a choice, either agree to be ushered out of the rally site with us, or law enforcement will be summoned. If law enforcement is summoned, you will be placed in handcuffs, arrested, charged with disturbing the peace, taken to the police station, and you could end up facing a fine and/or imprisonment. trump11Moreover, once law officers arrive, any effort that you make to avoid the law officers’ arrest will lead to the far more serious charge of resisting arrest. So, those are your options–either you now come peacefully with us as we usher you out of here, or deal with law enforcement. We recommend coming with us. Let’s go.” Then the security officials firmly, but not violently, lead the interrupter away.

This message to the interrupter takes less than one minute and in the vast majority of incidents it is sufficient to peacefully resolve this type of situation. In my opinion, Mr. Trump is not doing security any favors when, during this process, he begins to taunt the disrupter.

reasonableThe effective use of the technique I just described works best when the disrupter is in a state that he or she can think somewhat reasonably. Mr. Trump’s baiting the disrupter while the process is going on increases the probability of igniting rage within the interrupter, and the probability of violence goes up. Even well trained security personnel can become injured dealing with this, and the whole process can take far more time to resolve.

Moreover, Mr. Trump’s actions tend to drum up rage against the interrupter, and as we saw in one incident, this led to a Trump supporter sucker punching someone. Now law enforcement has to deal with this incident at considerable cost to taxpayers. Finally, the rage that is produced at the rally, when witnessed on TV leads to increased rage of others who oppose Mr. Trump’s candidacy, and thus they begin to show up to subsequent rallies seeking to create a commotion. We saw this happening on March 11, 2016 in Chicago shortly after Trump’s taunting was televised. Trump supporters and protesters clashed so viciously that the event had to be cancelled. Then, the next day, at another rally, this one in Vandalia, trump10Ohio, a furious man jumped a barrier and rushed the stage. No one was hurt, but Mr. Trump was obviously shaken up from the incident, sweating profusely. Since then, he has been more vocal about not supporting violence. I hope he has learned to let security and law enforcement do their job without interfering by wildly throwing out taunts.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.

 

Categories
conflict resolution Ethics in Mental Health Care Ethics in psychiatry

The Problematic Ethics of Psychiatric Diagnoses

EmpowermentThis blog seeks to empower its readers, many of whom are directly involved in the mental health arena or will become so in the future. Others are, or will become, involved indirectly because of someone they care about. Thus, it makes sense to spend some time learning how to effectively engage with mental health service providers.

ethicsOne way to achieve this is to be aware of some of the arena’s major ethical challenges. Today, we will focus on four involving psychiatric diagnoses.

We will begin by noting that there is no clear line for mental health providers to distinguish between those they claim have a mental disorder and those who they claim do not have a mental disorder. This vagueness, as we will see, opens the door to the arena’s major ethical problems.

We will then look at the most serious psychiatric diagnoses ethical problems. An alternative way to look at the concerns that now lead to a psychiatric diagnosis will then be presented, along with an explanation of how this alternative can be empowering.

The Vague Line

Vague 1

DSMThe American Psychiatric Association provides a definition of a “mental disorder” in its most recent version of the Diagnosis and Statistical Manual of Mental Disorders (DSM-5). Let’s take a look at it:

Although no definition can capture all aspects of all disorders in the range contained in the DSM-5, the following elements are required:

A mental disorder is a syndrome characterized by clinically significant disturbance in an individual’s cognitive, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental process underlying mental functioning. confusedMental disorders are usually associated with significant distress in social, occupational, or other important activities.  An expected or culturally approved response to a common stressor or loss, such as the death of a loved one, is not a mental disorder.  Socially deviant behavior (e.g., political, religious, or sexual) and conflicts that are primarily between the individual and society are not mental disorders unless the deviance or conflict results from a dysfunction in the individual, as described above. (p.20) 

vague2Notice how broad this definition is. It makes mention of a “disturbance” that reflects a “mental dysfunction in the individual.” We all run into some disturbances in our life. How can a professional reliably tell if the disturbance is due to a “mental dysfunction?” We are left in the dark about this. The process described in the DSM-5 for assessing the subjective notions of “clinical significance,” “disturbance” and “dysfunction in the individual” provides clinicians an opportunity to include anything that benefits their set of values.

Certain socially deviant behavior and conflicts are not mental disorders, although they may be. DysfunctionIf the social deviance or conflict results from a “dysfunction in the individual,” then a mental disorder exists in the individual. Once again we are left in the dark about how this distinction is made. It is left to the subjective judgment of the clinician.

Another distinction that the definition attempts to make between what is a mental disorder and what is not appears in the following sentence:

deathAn expected or culturally approved response to a common stressor or loss, such as the death of a loved one, is not a mental disorder.

Let us try to apply this sentence to the following situation. A soldier in combat has his vehicle blown up. soldierAlthough he survives, he suffers the loss of a leg and an arm. Moreover, in the attack, two of his closest team members had burned to death in front of his eyes. This soldier seeks psychological help. He tells his story with tears running down his face and his one hand that he has left is shaking. He reports having nightmares and difficulty functioning in social situations. The clinician is well aware that such stressful experiences are fairly common under the set of circumstances faced by this soldier. And yet can anyone imagine the clinician denying services to this soldier because his response to the stressor is expected and culturally approved? If the clinician does agree to provide services, he or she would have to provide some mental disorder “diagnosis” on an intake form.

ignoreIn my view, clinicians routinely ignore the “expected or socially approved” clause. It might have sounded like a good idea to insert into the mental disorder definition for those who developed the DSM-5, but I think few people genuinely believe that in practice clinicians are turning away paying customers when someone seeks help after having experienced the death of a loved one, or any other common stressor. To see such clients, clinicians are required in most mental health settings to assign a mental disorder “diagnosis.”

Now, let me make a couple of other quick points about the DSM-5‘s definition. First, note that clinicians are not at all required to follow even this vague definition. They are free to use any definition that suits them. Second, from my experience, the vast majority of clinicians can not even state the DSM-5‘s definition. Some that I have asked say they had glanced at it when their copy of the book arrived, but are at a loss at taking a guess at what it precisely says. Most say that the American Psychiatric Association’s definition is simply of no interest to them.

So, keeping in mind how loose the definition of a mental disorder is even among clinicians, let’s take a look at some ethical problems that exist in the mental health arena.

Conflicts of Interest

conflcit of interestMost clinicians have a financial interest in deciding whether or not those seeking their services have a “clinically significant” condition. When they judge that their clients’ conditions are indeed significant, they indicate this on the third party intake forms by assigning a mental disorder “diagnosis” and this allows them to continue to see these clients and to get paid for additional visits.

On the other hand, clinicians who work in an underfunded community government clinic that is being swamped by those seeking to access mental health services might apply a more stringent standard for what constitutes a mental disorder. Thus, we can hypothesize that this type of clinical judgment may often be more of a self-interest decision than one based purely on some objective criteria.

Stigma

StigmaClinicians refer to mental health service users with “mental illness” and “mental disorder” terminology. These are the same terms that many people use as insults and the media regularly pairs with the most heinous crimes. The stigma associated with such terminology is well recognized. There would be some justifiable reasons to continue to use such terminology if it provided scientific precision to those who wish to communicate about those utilizing mental health services, but as we have seen, this is not the case.

Violating the Respect of Service Users     

got respectThe current psychiatric diagnoses approach focuses on the “dysfunctions” of individuals accessing mental health services rather than human strengths within a cultural context. Moreover, it seeks to legitimize the privileging of the “expert” who supposedly has access to the truth and who can see the truth of the truth. We see this reflected in the mental health arena when we find that it is the clinician that makes the so-called “diagnosis.” The expert is thus seen as always equipped with technical knowledge and jargons without which the truth of knowing would be imponderable. This perspective can paralyze the power of choices for mental health service users.

Not Emphasizing That These Concerns have the Potential to Serve an Adaptive Function

Many of the greatest achievements in human history were born out of strife. These experiences always have the potential to challenge us to seek a new way to live in harmony, and to generate creative ways to express our most challenging experiences. A loss of function in an area has the potential to lift one or more of the remaining functions to intriguing new heights.

An Alternative Way to Look at the Concerns that lead to a Psychiatric Diagnosis

In my opinion, there is a much better way to conceptualize the types of concerns currently addressed by mental health service providers than the one provided in the DSM-5.

The CSM: A Person Centered, Culturally Sensitive, Recovery Oriented Alternative to the DSM

The Classification and Statistical Manual of Mental Health Concerns (CSM) is a proposed alternative to the DSM. It would begin with the following statement: “The developers of the CSM fully recognize that individuality outruns any classification system. It is for this reason that the CSM does not seek to classify anyone. Instead, it classifies the expressed concerns of individuals seeking to have their concerns addressed by a mental health service provider.” A mental health concern, as defined in this proposal, occurs when a person seeking mental health services expresses to a mental health service provider a concern about any of these topics: behavior, emotion, mood, meaning of life, death, dying, managing chronic pain, addiction, work, relationships, education, eating, cognition, sleep, and stressful situation. The classification process of the proposed CSM respects the perspective of persons seeking services, recognizing that they have far more expertise about what is going on in their lives than any expert can have by interviewing them. In addition to classifying mental health concerns, the CSM would describe a collaborative approach between the person expressing the concern and the mental health service provider for creating a psychological formulation narrative that eschews the DSM psychopathologizing jargon and emphasizing that they have the potential to serve an adaptive function. In contrast to the CSM, the DSM seeks to legitimize the privileging of the “expert.” We see this reflected in its classification systems when we find that it is the clinician that makes the “diagnosis.” This perspective hinders the empowering of mental health service users. It is argued that when compared to the DSM, the use of the CSM would increase the self-efficacy of individuals struggling with these concerns, improve their outcomes, be less stigmatizing, as well as more person centered, culturally sensitive, recovery oriented, and offer a new preferred option to both, mental health service users and their providers.

KEYAlthough the CSM has not yet been fully developed, becoming familiar with its basic ideas are empowering. Combining these ideas with knowledge about the three psychiatric diagnoses ethical challenges–conflicts of interest, stigma, and violating the respect of mental health service users–can assist people to become far more effective in interacting with mental health service providers.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers at no cost to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.

Categories
ADHD Alcohol Anonymous conflict resolution Depression mental disorders Mental Illness responsibility William James

The Mental Illness Construct: Does it Reduce Shame and Guilt?

Some people find that their actions are violating certain societal norms and feel guilty and ashamed about this. When they try to stop doing these actions, they may find they can’t just stop, and thus they end up feeling even more guilty and ashamed.

Some parents, when they see their offspring act in ways that violate certain societal norms, find that they feel guilty and embarrassed. These parents believe that they are to blame for the actions of their children, and they also feel ashamed because they believe others believe they are “bad” parents.

shame and guilt 2

Shame and Guilt 4The idea that certain actions that violate societal norms are mental illnesses like any other illnesses is attractive to many people because they believe it helps to reduce this guilt and shame. To understand this a little better, let’s take a look at a quick parable:

The Parable of Rachel

Mom-and-Son-TalkingRachel, the mother of five-year old Jonathan, recently went through a very sad divorce. Now, at Jonathan’s parent-teacher conference, his Kindergarten teacher expresses some serious concerns. “Your son is very hyperactive and he has a great deal of difficulty paying attention. Have you considered taking him to a doctor? He may have ADHD.”

Upon leaving the meeting, Rachel begins to cry. “I feel so ashamed,” she thinks to herself. “It’s all my fault. I shouldn’t have been so critical of Ron (her former husband). That’s why he left me for a younger woman. Jonathan has been so upset since Ron left, and he blames me for the breakup. And it is all my fault! I’m a rotten mother.”

Later, Rachel takes Jonathan to a doctor who, after asking a few questions, states that he has diagnosed Jonathan as having ADHD and prescribes Ritalin.

“I’m so ashamed,” cries Rachel.

guilt and shame 1“There is no need to blame yourself,” the doctor explains. “ADHD isn’t caused by bad mothering. It is an illness very much like diabetes. Just like insulin is a drug that treats diabetes, the drug I’m prescribing for your son’s ADHD will treat his medical condition.”

As Rachel leaves the doctor’s office she feels a little less to blame. angry manBut when she tells her father what the doctor has said, he grumbles and says that the doctor is full of crap. “Jonathan is angry and upset because of the divorce and not having his father with him any more. Anyone can see that!”

“You think you know better than a doctor!” cries Rachel.

Her father waves his hand in disgust, but says nothing more. Rachel interprets his silence as meaning that she won the argument, but her father is not at all convinced.

Later, Rachel discusses what has been happening with her closest friend, Lora. “I felt so ashamed about how Jonathan has been acting at school, but the doctor explained that I’m not to blame, that Jonathan has ADHD, which is an illness.”

child taking pill“Well, Rachel, I certainly don’t think you are to blame, but I don’t think Jonathan has an illness. I’m sorry to hear you are thinking about putting him on one of those ADHD drugs; they have a whole bunch of side effects.”

“If it’s not an illness, then I am to blame!” Tears start to roll down Rachel’s face. “I shouldn’t have criticized Ron so much. I should have been a better wife!”

responsibility1“You did your best, Rachel. I think it makes sense that you take some responsibility for what has happened, but blaming yourself isn’t being fair, nor is it helpful. When people blame themselves a lot of the time they think they deserve some type of punishment. In my opinion, a better way to take responsibility for what went wrong is to accept the strong emotional experiences that go along with taking responsibility, accept that you played at least a part in what went wrong, and then set yourself on becoming determined to take steps to improve. The genuine sad, heartfelt feelings that come with taking responsibility leads us to do a search for making improvements.”

Does The “Mental Illness” Construct Help To Reduce Shame and Guilt

Shame and guiltIn the above parable, a doctor tries to reduce the shame and guilt that a mother is feeling about her son’s behavior by framing the behavior as an illness. Although this initially appears to help, she runs into some people who refuse to go along with this anti-shame/mental illness notion. Let’s explore this notion a little more thoroughly with the help of some of the writings of psychologist and philosopher, William James.

William James’s Letter to his brother, Henry James

william James QuoteIn an earlier post, I discussed William James’s bout with a depression that many might refer to as a type of “mental illness.” There, we found that he came to believe he succeeded in overcoming his struggle with the help of his own will and effort, although he also recognized that as he went through the experience he received a great deal of support with the “will and effort” thinking from reading certain poets and philosophers.

Shortly after his recovery, James found that when he met other people who were struggling with their own bouts of depression, if he brought up the topic of will and effort it was not at all well received. James explains this type of reaction to his brother, Henry, in the following 1885 letter:

shame and guilt 8To suggest personal will and effort to one “all sicklied o’er” with the sense of weakness, of helpless failure, and of fear, is to suggest the most horrible of things to him. What he craves is to be consoled in his very impotence, to feel the Powers of the Universe recognize and secure him, all passive and failing as he is.

Why would one believe that framing one’s difficulties as an illness would lead to the Powers of the Universe providing some type of help? Perhaps it stems from a related experience.

Mother Taking Care of Sick Daughter --- Image by © Royalty-Free/Corbis

Anyone with even an ounce of maternal feeling is familiar with the altruistic emotions that spring up when a baby is stricken with an illness. Generalizing from such experiences might lead to the belief that an illness is especially worthy of altruism.

Although this may make sense to some, others just don’t buy the illness notion, and feel that it is an excuse to avoid responsibility. Thus, the “mental illness” construct comes with it some pluses and minuses.

AAFrom my discussions with people in Alcoholic Anonymous, it seems to me that many of its members found themselves in a state similar to what James describes in his letter. The program seems to provide them a way to stop blaming themselves by using the “I have a real sickness” idea. It also offers a sense that they could put themselves in the hands of a higher power, while, at the same time, they receive a great deal of support from peers who have managed to recover.

Group therapy session

I think the real active ingredients in the program are the reduction of blame that is experienced by becoming a member of a group that stops the blaming rhetoric while also providing peer support to its members to work toward their common goal. However, for people who have a religious background, perhaps the additions of the “real illness” and “higher power” ingredients do offer some added benefits, but they come with negative reactions from those who believe in taking responsibility for one’s actions. Some of those who believe in responsibility think mainly that certain actions are “deserving of punishment.” In my view, it is much better if we come to understand responsibility as a strong emotion that spurs us on to actively pursue better ways to deal with the present and the future.

Now, to further our thinking of these issues, let’s turn our attention to something else that James wrote on this topic.

James’s Talk to Teachers

In James’s book titled Talk to Teachers he tells us, “The teacher often is confronted in the school with an abnormal type of will, which we may call the ‘balky will.’  He then explains what he means by this: “Certain children, if they do not succeed in doing a thing immediately, remain completely inhibited in regard to it.”

Father yelling at son (8-10)

James then tells us that “Such children are usually treated as sinful, and are punished; or else the teacher pits his or her will against the child’s will, considering that the latter must be ‘broken.’

Clearly, James opposes this approach. “Such will breaking is always a scene with a great deal of nervous wear and tear on both sides, a bad state of feeling left behind it and the victory not always with the would-be will-breaker.”

In his next paragraph, which I quote in its entirety, the theory that pathology as a concept is used by James to protect individuals can be seen rather clearly.

When a situation of the kind is once fairly developed, and the child is all tense and excited inwardly, nineteen times out of twenty it is best for the teacher to apperceive the case as one of neural pathology rather than as one of moral culpability. So long as the inhibiting sense of impossibility remains in the child’s mind, he will continue unable to get beyond the obstacle. The aim of the teacher should then be to make him simply to forget. Drop the subject for the time, divert the mind to something else: then, leading the pupil back by some circuitous line of association, spring it on him again before he has time to recognize it, and as likely as not he will go over it now without any difficulty. horse-whispererIt is in no other way that we overcome balkiness in a horse: we divert his attention, do something to his nose or ear, lead him around in a circle, and thus get him over a place where flogging would only have made him more invincible.

Note that James doesn’t say that the child actually has a neural pathology, only that it would be helpful for the teacher to apperceive the child as having this condition. Neural ActivityBy apperceiving the case as neural pathology, what does James hope to gain? He does not explicitly say. The technique that he describes of dropping the subject, diverting the mind, then springing it on the pupil later, is stated plainly enough so that many individuals can employ it without first apperceiving the case as neural pathology. I have done so, myself, on numerous occasions.

James appears to feel that some individuals who are prone to apperceive the case as one of moral culpability are likely to use will-breaking and flogging. If, instead, they can apperceive the case as neural pathology, it would be easier to use the technique that leads to a good state of feeling.

Viewing someone as “sick” can elicit altruistic behavior for some people. Feelings of caring, as if for a child with an illness, are conjured up. Such a chain of reactions is more commensurate with James’s circuitous technique than the clashing-wills technique.

Here again, we are faced with the dilemma–whether it is wiser to use the “mental illness” construct to promote caring, which may short circuit the habit of blaming someone in the sense of seeking to punish someone, or is it wiser to promote notions of responsibility that leaves out the desire to punish, while constructively seeking to make personal improvements? Today, I leave this dilemma in the hands of my readers.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional and social intelligence. To begin at the very first post you can click HERE.

Categories
conflict conflict management conflict resolution interpersonal conflicts Listening skills Resolve conflicts in private

Resolve Conflicts In Private Whenever Possible

One day I was presenting to a high school class a lesson on mature ways to resolve conflicts when a student we will call Tony raised his hand. school conflictWhen I called on him, he said, “Dr. Rubin, how would you resolve this? This here Tina (he points to her) and I were dating, and now I decided to end it. I’m seeing another girl. But Tina, she keeps calling me even though I told her to stop.”

Tina’s face has now turned red and other students have started calling out their views about what was going on. Some shouted that Tony didn’t just tell Tina not to call, but he had done so by becoming verbally abusive toward her in an effort to get her to stop calling. Some felt that Tony had to be abusive or Tina wouldn’t stop calling, although she had continued to call him despite his abusiveness.

Part of me wanted to begin an intervention to resolve the conflict right there in the classroom in order to model some of the very skills I had been teaching. privateBut seeing the emotional reaction of Tina, and noticing the escalation of feelings that were being expressed by others in the classroom, I quickly explained to the students that it is usually best to work these types of conflicts out in private. I offered to meet Tony separately, and then Tina, and then, if they both agreed, I would meet with both of them together without the rest of the class watching on. I then asked the rest of the class why this might be the best way to work this out.

As the discussion continued, I mentioned that there are a few research studies that are related to this issue. angry-couple-arguingThey suggest that people are more likely to escalate an argument into a fight when spectators are around (see, for example, “Impression Management and the Escalation of Aggression and Violence,” R. B. Felson, Social Psychology Review, 1982). There are, of course, exceptions to this. For example, if two people agree to have a third party mediator help to resolve a conflict, the presence of the mediator tends to reduce subsequent aggression. courtroomAnd in a courtroom, the public has a right to observe the legal proceedings involving certain conflicts for a number of valid reasons. To protect everyone in this process, there are courtroom officials on hand that help to assure that disagreements don’t escalate to violence. Moreover, if the presiding judge sees audience members interfering with the legal process, he or she can order them removed by trained security personnel.

questionsAs my classroom discussion continued, it became clear to me that the topic raises four relevant questions worth thinking about:

  • At what point does it make sense to ask for a private meeting?
  • Where is the best place to have the meeting?
  • What is the best way to ask for the meeting?
  • Are there useful things to do to prepare for the meeting?

Although every situation is different, and each situation may require a different answer to these questions, in the remainder of this post I will offer some suggestions I think are worthwhile to consider.

At what point does it make sense to ask for a private meeting?

tensionIn my opinion, usually as soon as you recognize that some tension is beginning to surface, it’s time to ask for a private meeting. I say this because even if you think you can tolerate the tension, others around you may not. In many situations, in addition to the participants in the conflict beginning to feel uncomfortable with what is going on, others are also feeling roughed up. People may feel as if they are walking on egg shells in the presence of the antagonists.

workers-angry-fightingIn a business environment, this can create a hostile work environment for the other employees not directly involved in the conflict. Many supervisors are trained to intervene in such situations in order to put a stop to this, and for some, they hate this part of their job. Thus, they may just choose to get rid of one or both of the antagonists. Additionally, some supervisors may be less inclined to promote employees that can’t get along with one another.

schoolIn a school setting, it also usually makes sense for a student to seek to work out a conflict with another student as quickly as possible. As in the business setting, in addition to the two antagonists in the conflict being affected by the mounting stress, other students can start to feel uncomfortable. For example, one party in the conflict might say something to the other party, and when this is overheard by others, some may be torn between two friends. school tensionSometime one of the two parties may insult the other who is a relative of the insulted party. Before long, the whole school climate can be adversely affected.

It is also important for students to keep in mind that there may be a time when they will need a recommendation from a teacher or counselor for a job or college application, and the last thing that you want is for someone to write that you have difficulty getting along with peers.

Where should the meeting take place?

In my opinion, whenever possible, a face to face meeting is way preferable than a phone conversation, texting, social media platforms, or emails. The use of the eyes, facial expressions, and hand gestures, humanize the interaction far beyond what is achievable in less personal interactions.

Now, my next suggestion might sound contradictory because I earlier emphasized that the meeting is best held in private. coffee shopHowever, in my opinion, the ideal place is a semi-private place such as a coffee shop or fast food restaurant that is unlikely to have present anyone either party knows, and at a time when the place would be relatively quiet. In such places, you can find a seat that if you speak softly you are unlikely to be overheard. And even if you are overheard, it is very unlikely to really matter.

The value of having a few people around just out of earshot is that you and the other party will be less likely to get into a shouting match. Moreover, just knowing that someone in the semi-private place might end up calling 911 if things begin to look like they are turning dangerous can keep stress at levels that are more conducive for clear thinking.

phone conversationNow, I understand that for high school students, setting up a meeting in an ideal place might not be possible. Many students live far from a convenient meeting place. If there is no public transportation available, setting up a phone conversation might be your best option.

What is the best way to ask for the private meeting?

Rehearse in your mind what you are going to say at least ten times. I suggest using a soft, concerned voice. It seems to me that you would want to avoid any name calling or threats. Something like the following has worked for me:

For this example, let’s call the other person in the conflict, Jill. Eye-ContactLooking directly into Jill’s eyes, say, “I’m beginning to feel some tension between us, Jill.” Then pause, to see and hear how Jill reacts. Listen carefully, and look like you are listening carefully, by looking up to her eyes from time to time. summarizingWhen she appears to be finished, summarize what she has said without trying to defend yourself in any way. Then pause to see if she wants to add anything more or to correct something you said in your summary. Then say, “I think I understand, Jill. Listen, not only am I concerned about what feels to me like tension between us, but the others around us are going to start to feel pretty uncomfortable about it as well. That’s not good for them, and for a number of reasons it’s not good for either of us. So, I think it makes sense that we discuss this fully in private.” Then tell her where and when you want to meet.

Quiet ConversationThis can be done in a couple of minutes by calling Jill over to a relatively quiet area and speaking softly. If Jill refuses to meet with you, let her know that that is her choice. Then, just end by saying softly that you hope she thinks about the concern you raised and let her know that you hope she changes her mind about meeting to discuss this.

In my opinion, even if the other person chooses to not meet with you, bringing this issue to his or her attention plants a seed. It is very possible that you might begin to see some improvements shortly afterwards.

Are there useful things to do to prepare for the meeting?

writing-glasses1I suggest writing out a statement in advance describing the situation in your own words. If there is someone you respect that is not involved in any way with what is going on between you and the other party, consider showing that person what you have written. Then have a discussion about the situation with this respected person.

Before the meeting, remind yourself that you want to give the other party a chance to tell his or her side of the situation without interruption. listeningAbove all else, you want to give the impression that you are a good listener. This involves looking, from time to time, into the eyes of the other party and summarizing what he or she says.

Well, obviously there is far more to resolving these types of conflicts, but that’s all the time we have for today. I hope you give these ideas some thought.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional and social intelligence. To begin at the very first post you can click HERE.

Categories
Bob Dylan conflict resolution laughter Laughter and sadness Theme Time Radio Hour

Bob Dylan On Laughter

Bob Dylan2Regular visitors to “From Insults to Respect” know that from time to time I like to select one of Bob Dylan’s “Theme Time Radio Hour” shows to help enrich our understanding of an important topic. Bob’s shows have so far helped us to take an insightful look at why people might seek to insult us by calling us certain types of names, and at how crying, happiness, luck, and being rich or poor is related to respect.

laughterToday, we turn to Bob’s show that explores the theme of “laughter,” a topic that is related to insults and respect in a number of ways. For instance, some people throw insults at us in a playful way in the hopes of provoking laughter. If we learn to take it well, laugh along, and show we don’t take ourselves too seriously, this potentially can enhance our reputation. NAME 7Then there are situations during which someone throws out an insult in the hopes of humiliating us, and it leads to derisive laughs from those who are listening. In such situations, if we can learn to keep our heads up high while making allowances for the level of maturity of the insulter, this too can potentially enhance our reputation.

There are a host of other connections to laughter, insults, and respect as well. So, without further ado, let’s see what Bob has to contribute to this not always humorous subject.

Bob On the Theme of “Laughter”

After a few opening lines, Bob tells us:

Ernie Chaffin

“To start things off, the rockabilly performer with a mile high wide country streak. Here’s Ernie Chaffin, “Laughin’ and Jokin’.”

Hardly a funny tune, the lyrics have led many a hearty fellow to shed tears in his beer. Here’s a few of its lines:

Well, I’m laughin’ and jokin’
Tryin’ to fool a heart that’s broken
Tryin’ to tell myself that I don’t love you no more

Well I’m jokin’ and clownin’
Gotta fool a heart that’s drownin’
Though I feel like dyin’
There’s no use to cryin’ no more

Got to hide somehow the way I feel
I gotta save my pride, though I hurt inside
‘Cause you went back on the deal

Laughing and cryingThe song deepens our understanding of both laughter and sadness because it reveals how some people think they might lose some respect if they appear, even to themselves, to be sad over the loss of a love. Better, they think, to appear to be laughing and joking about the whole mess. And yet, the song became a big hit in large part because in actuality most of us can deeply relate to someone who experiences at such times genuine sadness. Meanwhile, some may actually see through your pretense of taking the breakup so lightly. If they do, might this enhance or diminish the respect they have for you?

After the song, Bob tells us, with the sounds of an opera in the background, that,

Caruso“A lot of people laugh and joke no matter how they feel inside. The tradition of the sad clown goes back to at least 1892 when the opera “Pagliacci” was first performed. The opera is about the saddest of clowns. Enrico Caruso’s recordings of the arias of “Pagliacci” were the first records to sell over one million copies.”

I guess this makes it pretty clear that it’s not just rockabilly fans who can relate to the connection between laughter and sadness.

ClydeNext up, Bob plays us a little number by Clyde McPhatter, called “Everyone’s Laughing” that has a related theme. Let’s take a quick look at some of the lyrics:

Everyone’s laughing at me.
Though everyone’s laughing, I hold my head up high,
Fair weather friends, I just as soon forget.
When we broke up, I wasn’t to blame,
But everyone’s laughing at me just the same.

At this point the song eases into the most soulful saxophone rift this neck of the Milky Way. Listening to it, I found myself coming to an understanding that to “hold your head up high” in these types of situations doesn’t mean we have no feelings inside about what is occurring. To me, it’s a sign of maturity to be able to perceive rich soulful emotions deep within even while holding one’s head up high. To my way of thinking, there is missing in the lyrics of the song a mature understanding of why those who are laughing are doing this.

Hard TimesThe singer of the song just labels the laughers, “fair weather friends.” Perhaps it would show more insight if he realized that perhaps the laughers were laughing because they knew deep inside that this type of breakup either has happened to them, or may very well at some point in their lives happen to them. Thus, they laughed because they are relieved that they are not the only ones that have to go through such a heartbreaking experience. Some sympathy for the laughers would be a mark, for me, of a higher level of maturity than the simple name calling that appears in the song’s lyrics.

A little later in the show, Bob tells us,

Bob Dylan
Bob Dylan

“You know, doing a show about laughter isn’t all fun or funny. A lot of times people laugh just to keep from crying. At other times, the tears come unexpected on the heels of a laugh. It’s like what Leonardo Da Vinci once said: ‘Between the expression of laughter and weeping there is no difference in the motion of the features of either the eyes, the mouth, or the cheeks.'”

brain-2In an earlier post (“Insults Among Friends: Why We Do It“) I discussed this biological connection. In brief, I described the theory that we have deep down in the emotional center of our brains, a sensitivity to any perception that we might have done something that might prove to be harmful. This perception is registered as a threat. It occurs so quickly that it arrives before some more thoughtful processing has occurred.

As seconds begin to pass, our reasoning has time to do its part and we may come to realize things actually are fine. This is experienced as a relief, which is expressed as laughter.

laughter 4However, as we think upon this a little more, it may suddenly occur to us that we do have some reasons to feel threatened. At this point our emotional center, having already been sensitized from the earlier threat perception, leads to our laughter quickly turning to sadness.

When it comes to applying this theory to hearing jokes and finding them funny, for a fraction of a second we fear that we’re not getting the punch line. Then it begins to dawn on us, as our reasoning begins to have time to do some processing, that we have now got the joke. At this point, we feel relieved, and this is expressed as laughter.

sadHowever, something about the joke might bring up a memory of something sad. Since the threat region of our brain has already become sensitized from the fear of not getting the joke, we may quickly fall into sadness.

Okay, let’s move on. As Bob’s show starts to wind down, he starts to feel a little guilty.

“Here I promise you a show about laughter and it’s been one tear jerker after another. Why don’t we raise the roof a little and see if we can cheer everyone up.”

With this, Bob plays us a song from the Oklahoma Playboys called, “Laughing at Life.”

OklahomaDon’t mind the rain drops
Wait till the rain stops
Smile through your tears, laughing at life
No road is lonely, if you will only
Lose all your blues laughing at life

Live for tomorrow, be happy today
Laugh all your sorrows away
Start now and cheer up
The skies will clear up
Lose all your blues laughing at life

HessThe song is in a lively tempo, and is pretty cheery. Moments afterwards, however, Bob waxes philosophical with a quote from the Nobel Prize winning writer, Herman Hesse–“Seriousness is an accident of time. It consists in putting too high a value on time. Eternity is a mere moment, just long enough for a joke.”

Mark Knopfler
Mark Knopfler

Then Bob turns very serious by playing us the lovely, plaintive duet by Mark Knopfler and Van Morrison, “The Last Laugh.”

Don’t you love the sound
Of the last laugh, my friend
Don’t you love the sound
Of the last laugh, at the end

Games you thought you’d learned
You neither lost nor won
The dreams have crashed and burned
You still keep on, keepin’ on….

Van Morrison
Van Morrison

They had you cryin’
And you came up smilin’
They had you crawlin’
And you came up flyin’
They had you cryin’
And you came up smilin’
And the last laugh, baby is yours

And don’t you love the sound
The last laugh goin’ down?
Well, don’t you love the sound
Of the last laugh, goin’ down?

This is a fascinating song because the lyrics might lead you to think it has a delightful, upbeat celebration feel to it, but actually it is sung in the most mournful manner. It led me to feel Mark and Van were singing about the very last laugh that someone they cared about was having just before leaving this laughable and sorrowful world of ours.

As Bob’s show begins to wind down, he tells us,

Ricky Gervais
Ricky Gervais

“Ricky Gervais is a funny guy. Sometimes I ask him questions and sometimes he lets me tape him. Listen to what he had to say. ‘I think my hero in comedy would be, if I could have two, would be Laurel and Hardy. It began and ended with them. Everything was done. laurel-and-hardyThey have that warmth, they have that dynamic, that relationship; you love them, you want to hug them. I think comedians should never be better than the audience. I hate a comedian that comes out and he’s slick and he’s cool, and he’s got these one liners. It won’t resonate, it won’t mean anything to me. I want a comedian that gets their hands dirty. You know, I like someone to laugh at them. I love everything about them. They were just lovable geniuses.”

It looks like Ricky and I have something in common. I too am a great admirer of Laurel and Hardy. I think that for me, because I liked them so much, when they started to get into trouble, I felt it acutely in my emotional threat center. Then, when I realized that they were just play acting, I would feel relieved, and end up laughing much harder than if the same thing happened to someone I cared less about.

Well, there you have it, a little meditation on the nature of laughing. I hope you enjoyed it. Please join us back here at “From Insults to Respect” soon. Until then, may you find wisdom in all of your humorous moments.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.

 

 

 

 

 

Categories
antidepressants conflict resolution Depression panic attacks

Depression As Illness: A Case Study

sadness 1In a past post I asked the question, “Is Depression an Illness?” Many expressed strong feelings on this subject. Some argued that it is indeed an illness; others made the case that it was an experience that most of us go through, some more than others for sure, but classifying it as an illness leads one down a path toward taking unhealthy drugs that in the long run cause more harm than good.

In another post, I described Ms. Laren Stover’s story, who, rather than pathologizing her experiences of deep melancholy, she avoided taking psychiatric drugs to deal with it, and defended her experience as having artistic value.

sadness 3“Whatever happened to experiencing the grace of melancholy, which requires reflection: a sort of mental steeping, like tea?….It visits you like a mist, a vapor, a fog. It is generally uninvited. And as some people are born into royalty, wealth and prestige, others inherit a disposition for sadness.”

Shortly after writing my article, I came upon another one published in the AARP Magazine titled, “The True Story of My Life on Antidepressants.” Today I thought I would summarize this story and then provide my personal comments.

A Summary of Meg Grant’s Story

Meg Grant, tells us that the first 25 years of her life was “pretty darn good.” She had a good marriage, wonderful friends, and both she and her husband had excellent jobs–she a journalist and he a clinical psychologist.

Then, after a major move to another city and taking on a new job, one morning she woke up very disoriented and fearful. She describes this incident as follows:

panic 1“My ears buzzed, my leg muscles spasmed, and my throat closed. What was worse: I did not know where — not even who — I was.”

After about five minutes, she started to become less confused. And then, as she tells us:

I shook my husband awake, paced the living room floor, then finally ran out into the street, where I doubled over, struggling to catch my breath.

“Take me to the hospital!” I demanded. Instead, Greg [her husband] walked me back into the house and calmed me down, telling me I’d probably just had a disorienting dream. “We’re in a new place,” he said, donning his therapist hat. “It’s normal that you might at times feel scared.” He managed to coax me, still shaking, back into bed, where he held me tight. With him at my side, I tossed and turned until dawn.

We then learn that over the course of the next three weeks Ms. Grant was concerned about her hands trembling, lack of sleep and appetite. According to her, she “was in panic mode 24/7.”

Ms Grant as a young reporter.
Ms. Grant as a young reporter.

To help her through these experiences, she conferred with her internist, increased her exercise, and went to counseling. When none of this led to feeling as well as she would have liked, she decided to go to a psychiatrist. He or she explained to Ms. Grant that she was suffering from a serious depression, along with panic disorder, and then convinced her to take one of the drugs that the pharmaceutical industry refers to as “antidepressants.” She felt that this drug tamped down her anxiety enough to allow her to sleep. Nevertheless her problems continued.

ocean tidesFor months my symptoms swept in and out like pernicious tides. One day I’d be able to savor a meal or talk to my sister on the phone without crying; the next, nothing would seem real, including me. I’d be lost in a fog — numb and dull. Travel, meeting new people and unstructured time all made me uneasy, which quickly morphed into a vague feeling of free-falling, then anxiety, then hopelessness about ever feeling normal again. Indeed, merely anticipating what I saw as the next inevitable bout of panic seemed to bring one on.

CONSTIPATIONHer second psychiatrist, a Dr. Verhulst, at one point, upped her “antidepressant” dosage, which gave her dry mouth, constipation, and fatigue but quelled her panic. She felt that to live without all the angst was worth the side effects.

At about the time that she decided to have children, she was feeling well enough to see if she could withdraw from the drug that she was taking. There are some good reasons to consider getting off such drugs before a woman does become pregnant. Research studies suggest that there may be a number of very serious negative effects on the developing fetus and newborns when a mother takes these types of drugs during her pregnancy.

ProzacMs. Grant’s efforts to get off the drug that she was taking at that time, Prozac, was not easy. She first tried cutting her dose in half. She learned that these types of drugs can lead to a very uncomfortable withdrawal syndrome. She experienced muscle cramps in her thighs, trembling hands, a dry lump in her throat, obsessive thoughts about going crazy and being locked away in a mental hospital.

By tapering off the Prozac in much smaller increments, she found that she was able to wean herself off entirely after six months. Now, med-free, she and Greg welcomed the birth of a baby girl. How did she fare off the drug?

My unmedicated life was kind of a beautiful thing. Yes, I was better. And yes, it felt liberating to no longer rely on a chemical crutch. But most important was my fading sense of alienation. I could now count myself among the normal masses, a healthy woman who, with my husband, had just started a family — something, in the throes of my illness, I feared would be closed off to me.

baby-boyI remember those four years free of antidepressants as a cheerful but busy blur of baby-raising — decorating a nursery, changing diapers, hiring a nanny — while balancing my career. But after the birth of our second child, a strapping son, signs of a relapse appeared.

Ms. Grant quickly scheduled an appointment with a new psychiatrist. Without hesitating, he put her back on Prozac. Three months went by with no relief. She then tried Zoloft, again with no success. Finally, a colleague of Greg’s recommended Effexor. This seemed to help. As Ms. Grant tells it, the “crashing waves of fear and hopelessness began sliding out to sea.” It had taken her two years to regain what she referred to as “a sense of stability.”

Since then, she has decided to stay on her drug for the rest of her life. In making this decision, she conferred with a number of experts. Kenneth Duckworth, M.D., medical director of the National Alliance on Mental Illness, told her that there was not enough research on the long term safety of these types of drugs to offer any assurances that down the line she might have to pay a serious negative health consequence. “Medicines are tested for weeks or months, not years, to get FDA approval,” Dr. Duckworth said. “Once things are on the market, we rely on voluntary reporting for side effects.”

NIMHA researcher at NIMH, a Dr. Rudorfer told her, “It took many years to figure out that the older antipsychotics could cause tardive dyskinesia — a terrible, permanent neurological disorder. There does not seem to be anything that drastic with these antidepressants, but we’re talking about medications we are intentionally getting into the brain — and that should be taken very seriously.”

risksDr. Rudorfer, did offer Ms. Grant some words of encouragement. In his opinion, “The risk of untreated depression is greater than the risk of any adverse effect of antidepressants.” Toward the end of her story, Ms. Grant states that she recognizes there are more ways to treat depression and panic experiences than with the drug that she was taking, but she came to believe that she could never have recovered without it.

My Comments

Jeff Rubin
Jeff Rubin

First of all, I wish Ms. Grant well, and I fully support her right to choose how she wants to deal with her challenging experiences. She has far more expertise in what has been going on in her life than I do. I mean her no disrespect because of my disagreement with her drug approach for dealing with the type of experiences that so troubled her. Moreover, I have met people who chose to take drugs to deal with these kinds of experiences and they struck me as intelligent, decent folks.

That said, I wish to point out that in 30 plus years of providing counseling, I have met many people who struggled with panic experiences that sound very similar to what Ms. Grant described. As Ms. Grant mentioned, there are other ways to deal with panic and depression than drugs, and it just so happens I have experience using one such method. I taught people expressing concerns about their personal panic experiences that they can easily get through them by finding a quiet place, sitting in a comfortable position, and then practicing a type of meditation which involves observing the physical sensations they are experiencing in a nonjudgmental manner, as if they were tasting for the first time, fresh island mountain water. I encourage them to learn to befriend these experiences. I then taught them how to meditate on a regular schedule (twenty minutes in the morning and twenty minutes before the evening meal) even when they were not experiencing a panic episode.

Some found that after a while they stopped having these experiences. The others continued to have panic episodes from time to time after learning these skills, but they became less intense, occurred less frequently and lasted for much shorter periods of time. All my counseling cases got on with their lives without having to deal with the side effects of the drugs and being concerned about their long term health risks. None were ever hospitalized or committed suicide as a result of such experiences.

Besides the panic attacks, how would I handle the other sad and fearful experiences that accompanied Ms. Grant’s concerns? In an earlier post, I discussed three ways to deal with emotional pain that does not cost any money (see HERE). I refer you to that article. For those who find that they can use some additional help getting through these challenging experiences, counseling can be very helpful.

There was one particular part of Ms. Grant’s story that irked me. risk-zoneIt occurred when Dr. Rudorfer told her that in his opinion, “The risk of untreated depression is greater than the risk of any adverse effect of antidepressants.” As someone who has participated in a number of debates on the use of psychiatric drugs, I have heard a number of physicians make the same claim. Whenever I asked these doctors what risks they were referring to regarding untreated depression, the answer has always been an increased risk of suicide. The doctors’ statements about this imply that if treated with “antidepressants” this can decrease the risk of suicide enough so that the depressed patient, by taking the drug, is better off than facing the risk of any adverse effects of the drug. But the doctors don’t know what the long term effects of taking the drugs are. What’s more, the scientific evidence currently available indicates that these drugs do not reduce the risk of suicide; for some, they may actually increase it. So, I did want to clarify this issue a bit.

Okay then, that’s my “From Insults to Respect” post for this week. I hope you have found in it some ideas worth thinking about.

My Best to You All,

Jeff

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional and social intelligence. To begin at the very first post you can click HERE.

 

Categories
conflict resolution ISIS Middle East Conflict President Obama Steven Pinker The Better Angels of Our Nature

Dealing With ISIS: A Developmental Psychologist’s Perspective

Welcome to From Insults to Respect.

Toward the latter part of President Obama’s presidency, he laid out his approach for dealing with the ISIS situation. Although our new president has not said so, it looks like his approach is no different in any discernible manner that I can detect. There was, early in the Trump presidency, a chemical weapons attack by the Syrian military on its citizens, and  based on the advice of the same generals who served under Obama, our new president ordered an airstrike on the airbase from which the chemical attack originated. Afterwards, the Trump administration resumed the basic Obama approach.

Today, we’ll take a quick look at the Obama approach, and then a brief summary of the main alternatives that have been discussed in the media is then presented. I’ll then describe an alternative perspective based on principles of developmental psychology that makes the most sense to me, and explain how this perspective suggests a set of actions that is more promising than the others.

President Obama’s Approach

In a nutshell, here is what the US conflict with ISIS is all about: The vast majority of US citizens desire that they be free of violent acts from foreign forces, and no one should be enslaving people. Interfering with these two desires of these US citizens is the fact that ISIS has killed a number of US citizens, is encouraging its supporters to kill more of them, and is currently enslaving people. A substantial number of US citizens believe that ISIS is guilty of terrorism and violating basic human rights.

Barack ObamaOn December 6, 2015, President Obama, who refers to ISIS as ISIL, explained to the American people how he intends to deal with this conflict:

First, our military will continue to hunt down terrorist plotters in any country where it is necessary. In Iraq and Syria, airstrikes are taking out ISIL leaders, heavy weapons, oil tankers, infrastructure. drone attackAnd since the attacks in Paris, our closest allies — including France, Germany, and the United Kingdom — have ramped up their contributions to our military campaign, which will help us accelerate our effort to destroy ISIL.

Second, we will continue to provide training and equipment to tens of thousands of Iraqi and Syrian forces fighting ISIL on the ground so that we take away their safe havens. In both countries, we’re deploying Special Operations Forces who can accelerate that offensive. We’ve stepped up this effort since the attacks in Paris, and we’ll continue to invest more in approaches that are working on the ground.

Third, we’re working with friends and allies to stop ISIL’s operations — to disrupt plots, cut off their financing, and prevent them from recruiting more fighters. Since the attacks in Paris, we’ve surged intelligence-sharing with our European allies. syria-turkey-border-guardWe’re working with Turkey to seal its border with Syria. And we are cooperating with Muslim-majority countries — and with our Muslim communities here at home — to counter the vicious ideology that ISIL promotes online.

Fourth, with American leadership, the international community has begun to establish a process — and timeline — to pursue ceasefires and a political resolution to the Syrian war. Doing so will allow the Syrian people and every country, including our allies, but also countries like Russia, to focus on the common goal of destroying ISIL — a group that threatens us all.

Alternative Approaches

As for the suggested alternatives to Obama’s strategy that I’ve seen bandied about in the media, they tend to be of the following types: Doing what Obama was doing, but more of it under a stronger leader. no fly zoneSome want to impose a no fly zone over Syria despite the objections of the Russian government. Others want us to bring back a full scale ground invasion similar to what we did during the Afghanistan and Iraq Wars, but now we would have to expand it into Syria and several other countries where ISIS currently has a presence. Then there are those who would like us to do less than what Obama had us doing. The range of opinions that fall under this type of proposal include ending the bombing while continuing to offer support to those in the region willing to fight ISIS; to those who believe we should let those living in the regions that ISIS is operating work out their problems without any US meddling in their affairs.

What I have not seen discussed as an alternative is a proposal that utilizes a developmental psychological perspective as it applies to violence and human rights.

A Developmental Psychology Approach

pinkerThe Better Angels of Our Nature: Why Violence Has Declined is a brilliant book by Harvard University professor of psychology, Steven Pinker. In the course of reading its 700 plus pages, we learn that human violence has not only dramatically declined, support for civil rights has surged. As we become familiar with important aspects of these trends, we also begin to discover clues about the factors that foster these developmental changes.

In thinking about what I learned from reading the good professor’s book, along with some other knowledge about the nature of human development, I have come up with a five step plan for dealing with the ISIS situation that strikes me as a more promising alternative to those I outlined above. Before we get into these five steps, let’s first take a few moments to look at some crucial aspects of the “reduction in violence and increase in civil rights” trends.

The Reduction In Violence and Increase in Civil Rights Trend

hunters and gatherersIn the earliest period that humans thrived, they were chiefly hunters and gatherers. At that time it has been estimated that death came as a result of one person killing another about twenty percent of the time. Evidence for this was obtained by looking at the skeletons from that period. Quite often we find arrowheads imbedded in chest cavities and fractured skulls.

Then came the development to an agricultural civilization with cities and governments, beginning around five thousand years ago. With that, there was a more or less fivefold decrease in rates of violent death. With the consolidation of a patchwork of feudal territories into large kingdoms with a centralized authority and an infrastructure of commerce, violence decreased another tenfold to fiftyfold.

age of reasonAnother dramatic decrease occurred around the Age of Reason and the European Enlightenment in the 17th and 18th centuries. It saw the first organized movements to abolish slavery, dueling, judicial torture, superstitious killings, sadistic punishment, and cruelty to animals.

After World War II, two-thirds of a century has passed without the European nations waging war against one another. This is unprecedented.

European countries that used military interventions to maintain its colonies have largely gotten out of their colonial enterprise and replaced it with engaging independent countries in peaceful commerce. The Berlin Wall came down without a shot being fired. The Soviet Union collapsed not as a result of a foreign invasion, but by ongoing observations of comparing the results of their own economic and civil rights system with that of the other countries that utilized a more open free market-free speech approach.

American-civil-warReflecting on the changes that have occurred, note that the United States is made up of 50 states, and since its Civil War 150 years ago, none of them have violently attacked another. To the US’s north is Canada, the largest undefended border in the world, and yet over 200 years have gone by without a war between these two countries. To the south is Mexico, a country that the US has managed to live in peace with for over 150 years.

In most places on Earth, humans have now reached a point at which they kill other humans at a rate of approximately 2 per 100,000, a tiny fraction of the amount of earlier times. And there are signs that this number has been continuing to go down during my own lifetime.

The first war that I remember during my lifetime was the Vietnam War. It began for the US basically in 1961. I was 11-years old at the time. It went on until 1975. Approximately 60 thousand US military personnel and a million Vietnamese died in that conflict.

After that war, Americans campaigned and succeeded in ending the US military draft. Consequently, with its now all voluntary army, from 1976 to the present there has been a dramatic reduction in the military death rate. Approximately 10 thousand US Service personnel have died in battle over the course of this 39-year period–a 6-fold reduction compared to the amount killed during the 14-year period of the Vietnam War. And while it is has been difficult for me to track down how many people who have been defined by the US as enemy combatants that ended up getting killed during the 39-year period by the US military, the number that comes up most frequently is about 500,000–a 50 percent decrease from the much shorter period of time that constituted the Vietnam era.

Since President Obama has taken over the US administration, the vast majority of Americans have made it clear that they are opposed to using any military ground offenses to deal with conflicts abroad. Respecting this position, the president has dramatically reduced this type of military action which has led to far fewer deaths over the course of President Obama’s two terms in office than the deaths that occurred under the previous administration.

Also during my lifetime, there has been dramatic increases in civil rights afforded to people. When I was born, blacks were not permitted to play major league baseball. Then Jackie Robinson came along, as did Martin Luther King, Jr. Meanwhile, women began entering into a host of professions they had been quietly excluded from, and we have, in just a very few years, seen a sea change in the attitudes toward gays and lesbians. The previous president’s administration supported torture; the current administration has put a stop to this.

Now, despite these changes in huge sections of the world, we find that the people who have joined ISIS have not followed a similar developmental trajectory. Since these people are Muslims, many are asking the question, Are Muslims, because of their religion, less capable of psychological development?

Muslim peaceActually, we find that the vast majority of Muslims who are living under the same set of conditions as other religious groups in the developed countries are in no way more violent, nor are they more likely to violate what are now viewed by most as basic human rights. Also relevant to this question is the fact that people from religious groups other than Muslims, when raised under the conditions that were present in earlier times were every bit as violent as those currently pledging their allegiance to ISIS.

In one single war in China, one third of its entire population were killed. When Christians began to run away from European countries to find religious freedom in the New World, a substantial amount of them worked toward killing the natives and enslaving people. Historian Ron Chernow describes one such setting on an Island in the Caribbean in the early 1700s,

slavery“Violence was commonplace in Nevis, as in all of the slave-ridden sugar islands…. The Caribbean sugar economy was a system of inimitable savagery, making the tobacco and cotton plantations of the American south system almost genteel by comparison. The mortality rate of slaves hacking away at sugarcane under a pitiless tropical sun was simply staggering: three out of five died within five years of arrival, and slave owners had to replenish their fields constantly with new victims.”

The evidence that people can alter their attitudes and behavior as a result of shifting conditions, whether they are Muslims, or some other religious or national group, gives me considerable hope.  When I examined the various conditions that actually foster the type of psychological development that leads to a reduction in violence and an increase in supporting basic civil rights, and then sought to apply them specifically to the ISIS situation, I managed to come up with the following five step plan.

The Five Step Alternative For Dealing with the ISIS Situation

In my view, ISIS is at about the same psychological developmental level as the largely Christian southern states were just about when the American Civil War began. These southern states had, like ISIS has today, an ideology that slavery was essential to their way of life, and outsiders (the northern states) were actively interfering with what they believed is right. Moreover, the confederate states used quotations from their holy book to defend their beliefs and to justify going to war to protect their ideology in a way that is similar to how ISIS utilizes sections of their holy book.

Now some may believe that the only way to have created the conditions for the confederacy to change their ideology to one more consistent with a higher level of development was to engage them in a bloody civil war. I hasten to point out that in many other places in the world, the slavery ideology changed without a war. In England, for example, certain conditions changed and its citizens peacefully ended slavery within its own borders. gandhiEngland continued, for some time, to use force to maintain its hold on colonial labor, but Mahatma Gandhi effectively used nonviolent resistance to put an end to colonial rule. Soon afterwards, colonialism ended elsewhere.

I will just add here, that the American Civil War actually did little to change the ideology of those who lived in the southern slave states. Rather, it embittered many, and in fact hardened, for many, their prewar positions. This was reflected in how southerners instituted “Jim Crow” laws. In the end, the non-violent approach of Martin Luther King, Jr. proved to be far more effective in creating the conditions for real psychological development in that region of the US.

So, given where ISIS is on this theoretical developmental level, let’s take a look at five steps that, when taken together, might be a better alternative to dealing with ISIS than the others that were discussed at the beginning of this post.

Step1: We would want to reduce the impression that we are guilty of seeking to violently control the lives of the people in the regions where ISIS has a presence. As Alexander Hamilton once aptly noted, “Tis only to consult our own hearts to be convinced that nations like individuals revolt at the idea of being guided by external compulsion.”

CIA-controlling-worldThere are some credible reasons for supporters of ISIS to feel that there has been an ongoing effort to force them to do whatever is in the interest of the US. Years before the creation of ISIS, meddling in Middle East affairs occurred by the US’s CIA.  Then came the US invasion of the largely Muslim inhabited Afghanistan and Iraq countries. Now we have the current US bombing campaign while President Obama has been calling for destroying ISIS.

A fair balance to this idea of the role that the US has played in the level of violence in the region would necessarily point out that before the US had any involvement there, the patchwork of various sectarian groups in the region had been engaging in devastatingly violent actions for centuries. Nevertheless, to begin to reduce the impression that the US is guilty of currently seeking to violently control the lives of the people in the regions, my plan calls for the president to openly state that the US has indeed been involved in using force in the past. He would then state that we now realize this causes far more harm than good, it took us some time for us to develop to this point, but we are now ready to move forward in a non-violent manner. The president would declare that he or she is ending any violent approaches including its ongoing bombing missions.

Step 2: It is my belief that we, the citizens of the US have not come so far in our development that we can stand by without doing anything if after step 1 has been announced ISIS chose to continue to call for killing US citizens or those of our allies. Nor can we stand by and just watch ISIS enslave people. The president, under my plan, would inform ISIS that in the event any supporter of ISIS were to carry out a violent act against a US citizen or the citizens of any of our allies, our response would be a brief retaliation bombing mission. Working in cooperation with our allies, we would only engage in a retaliation bombing mission designed to produce no more harm than the amount ISIS had done. Once this specific mission is accomplished, the US would again cease violence toward ISIS members. Such retaliation bombings typically would take a few days at most, in contrast to the current approach of ongoing bombing missions with no end in sight.

boycottWith regards to responding to the enslaving of people, the US would use nonviolent approaches such as boycotting any goods or services that might fund ISIS operations, along with boycotting any country or enterprise that does business with ISIS.

Step 3: In contrast to seeking to destroy ISIS, as President Obama has declared, my plan calls for declaring that we only seek to provide the conditions that have led to other countries freely choosing a more peaceful style of interacting with others. In this regard, the US would make it clear that it will continue to seek to encourage those who have become members of ISIS, and others living in the region, to engage in a mutually beneficial manner. However, this encouragement will not use force, except for the retaliation missions described above. UN peacekeepingThe US would launch an all out peaceful advocacy effort to have the United Nations offer to fund a constitutional convention for all of the stakeholders in the regions that ISIS is operating. ISIS representatives would be invited. UN Peace Keepers would be employed throughout the convention period to help decrease the likelihood that some would seek to violently sabotage such efforts.

un 2Professor Pinker points out that although UN Peacekeeping missions, at times, had its share of failures, when all of the available data is looked at, these missions led to an 80% reduction in the probability of a subsequent war.

The constitutional convention would aim for dialogue on how to set up an infrastructure that would justly and peacefully resolve the various types of conflicts that have been occurring in these regions for centuries, and to create a declaration supporting basic human rights.

Step 4: In step 2 of this proposal, it was mentioned that the US, in response to ISIS’s enslaving policies, would boycott its commerce as one means to nonviolently encourage a change in policy. It is important to point out, however, that one of the conditions that Professor Pinker has identified as hugely important for the development of nonviolent approaches for resolving conflicts and an increase in respecting basic human rights is improvements in commerce. When people wish to do business with others, they typically seek to improve relationships with them, make them feel welcome, and offer opportunities for shared benefits.

The Middle East region does have some unique challenges in this regard. And in fact, many believe that it is this set of challenges that is the main cause of the region’s problems. middle east landscapeIn mid-day much of the region is often so hot it could make the Dalai Lama ignite in irritability. Large sections of this region are as parched as the moon’s surface. But the region does have plentiful sunshine. Thus, solar power is a major natural resource. Couple this with plentiful oil supplies, we find that inexpensive energy is one of the region’s major assets. Nevertheless, the region remains rather poor in contrast to the more developed countries.

Under my plan, the US would work with the United Nations to offer the stakeholders of the region an opportunity to set up a convention that can tap world experts on economic development with the goal of coming up with plans that are designed to improve sustainable commerce in the Middle East region. ISIS would be invited to participate if they change their violent actions and position on slavery. However, without such an agreement, these convention efforts would go ahead with the hope that with improved commerce in the regions that are not under the control of ISIS, fewer people will be drawn to join ISIS. Moreover, once ISIS members begin to see the progress of others in the Middle East, many will end up abandoning the current ISIS ideology.

Step 5. One of the conditions that foster psychological development is the availability of stories that reveal the humanity of people that lie outside our immediate circle of family and friends. printing-press-invention-6Professor Pinker notes that prior to the invention of the printing press there were very few books available. Those people who lived in the upper classes rarely had much direct contact with the lower classes. A nobleman’s quick glance while passing by a downtrodden worker often merely left the impression of a filthy, smelly soul, hardly human at all. After novels became available, a nobleman might read of a poor young woman pressed into very sad circumstances by a cruel person of the upper classes, and discover tears running down his cheeks. To discover that people all over the world, in all classes, and other religions have very similar desires, dreams, and feelings that we can all relate to, increases empathy and the desire to deal with a wider range of humanity in kind and respectful ways.

Stories-Desktop_WallpaperA few story lines that would be particularly relevant with regards to promoting the psychological maturity of those sympathetic to ISIS are:

A few young friends living in America have become bored with the routines of their daily lives. They begin to hunger for what has been displayed in the ISIS literature as the thrilling lives of men fighting for a just cause. When they leave America and join up with ISIS, they soon learn that there is even more drudgery in the day to day life of an ISIS recruit. Whereas they had some choices that they could make living as an American, in their ISIS camp they are assigned to a leader who insists his orders are followed exactly, and the slightest violations lead to brutal consequences. After some of their fellow recruits who they have grown to care for, are brutally killed, the former Americans reach a point at which they have had enough of the ISIS approach to getting into heaven. They have come to realize that there are ways within their Islamic faith to enter into heaven through acts of kindness and mercy. Now, when they have decided to leave the ISIS camps they discover that although they were welcome to join the group, leaving is not so easily accomplished.

***

A group of young women who have grown up together find that they are drawn to different paths. A few like the idea of following the strict Islamic codes set out for women, but the others are interested in trying out some more secular options. The trials and rewards of the different paths are revealed.

***

Some workers at an airport in southern Egypt begin to discover that a couple of their fellow workers are hatching a plan to place a bomb on a Russian plane. Because those who have discovered this have some sympathy to the ISIS ideology, they turn a blind eye to the deadly plot. However, once the bomb succeeds in bringing down the plane, some unanticipated events come to light. Many people who used to choose to fly in and out of their airport end up choosing to fly a different air route out of fear that something like what happened to the Russian plane could happen again. With far less business going through this airport, their entire livelihood is destroyed, leaving them, their family, and many other completely innocent workers destitute.

How would we get these kinds of stories before those who are prone to join ISIS and those who are current ISIS fighters living in their occupied territories? There are ways to make these types of stories particularly accessible on internet sites that people prone to join ISIS tend to visit. And instead of the steady dropping of bombs in the ISIS occupied regions, an international coalition could drop little parachuted packages that include a little tasty healthy treat, a little toy or stuffed animal as a gift to the children, an interesting puzzle that adults would enjoy doing, and the type of short stories that I have just described.

Conclusion

proposalOkay then, there you have it, my proposal for an alternative approach for dealing with the ISIS situation. In coming up with it, I leaned heavily on what I learned from reading Professor Pinker’s book, but also drew on my own knowledge of psychological development.

Let me be clear that I am not suggesting that Professor Pinker would fully support my alternative, and in fact, I’m not sure I wholeheartedly support it either. Before it would be placed into action, I strongly advocate that a thorough vetting process would occur.

In sum, my proposal begins by recognizing that pretty much all people, regardless of their religion, where they currently live, or where their parents came from, have connections to the past that were every bit as violent and disrespectful to basic human rights as ISIS members are currently displaying. Rather than trying to destroy ISIS, my proposal calls for fully confronting the fact that we Americans have engaged violently in the largely Muslim region occupied by ISIS, including using acts of torture. We would emphasize that we have ourselves undergone, in recent years, considerable psychological development. This is evidenced by our people more fully recognizing that our violent military interventions can lead to far more harm than good. We have thus dramatically reduced our violent ground operations and, under President Obama, eliminated the torture of prisoners.

Under my plan, we would be ready to take five more steps consistent with our new level of development. First, our president would declare that he or she is ending any violent approaches, including its ongoing bombing missions designed to compel Muslim people to follow American desires. Second, although the US would retaliate against ISIS violence against our own citizens and those of our allies, it would do so only very briefly, and only to the extent that the same amount of harm occurs to ISIS. Immediately after, the US would again cease any violent actions toward ISIS. Rather than violent approaches to encourage ISIS to end its violent actions and support for slavery, nonviolent approaches would be utilized, such as boycotting all ISIS commerce operations. A clear statement would be made to ISIS members that once they put a stop to their violence and end their slavery, US nonviolent efforts would end. Third, the US would launch an all out peaceful advocacy effort to have the United Nations offer to fund a constitutional convention for all of the stakeholders in the regions that ISIS is operating. Fourth, the US would work with the United Nations to offer the stakeholders of the region an opportunity to set up a convention that can tap world experts on economic development with the goal of coming up with plans that are designed to improve sustainable commerce in the Middle East region. And finally, the US would step up its efforts to bring more realistic stories than ISIS propaganda to those who are prone to join ISIS and those who are current ISIS fighters living in their occupied territories.

I present this plan in the spirit of seeking a less violent approach to dealing with ISIS. To those who might see it as too weak, I argue that it may actually be a far more powerful approach than the heavy handed violent approaches of the past that have needlessly cost so many lives. The nonviolent resistance approach has its share of successes.

mandella, as I walked outTo those who feel that they can never forgive such acts as occurred in Paris and San Bernardino, I offer Nelson Mandela’s story as something to humanize their position. No one had more reason to not forgive, than Mandela. In the end, he found a far more helpful path forward for his people, both white and black, from the old South Africa, to a new, less violent, and more just South Africa.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.