Category: conflict resolution

Special Education Name Calling: Is It Time to Put a Stop to It?

Post author By Dr. Jeffrey Rubin
Post date May 31, 2015
2 Comments on Special Education Name Calling: Is It Time to Put a Stop to It?

Today, every child is entitled to a free appropriate public education. If someone, such as an educator or parent, becomes concerned about a child’s progress at school, he or she is obligated to refer the child to the Committee on Special Education (CSE).

The CSE is made up of a multidisciplinary team, the parent, and, if parents want to bring in other people for advice, they are entitled to do so. CSE members, working collaboratively, design an individual evaluation, and then it is carried out at no cost to the student’s parents. Based on this evaluation, the CSE then designs an Individualized Education Program (IEP), that by law, must be carried out. If parents are not satisfied with the plan, or how it is being carried out, they are entitled to extensive due process rights.

I am fully supportive of all that I have just described. However, currently in most school districts, in order for students to receive an IEP, they must be provided a couple of labels. That is, they must first be designated as having a disability, and then the specific disability, such as “learning disability,” “intellectually disabled”, or “emotionally disturbed,” is entered into the child’s school records. Although there are parents, students, and educators who embrace these labels, many find this aspect of the IEP process highly objectionable. For those individuals who do object to the labeling part of the process, why not just eliminate it?

The Argument For Permitting Parents and Students to Opt Out of the Labeling Part of The Process

For quite a few years I was employed as a school psychologist. In that role, I served as a member of my school district’s CSE. During these years, I saw first hand many examples of the labeling process becoming harmful.

In one case, a young teenager had managed to get to high school without any special education services, but now he was having a great deal of difficulty passing some required classes. When he was told that in order to get help he would have to be labeled mentally retarded, he became furious, walked out of school, and we never saw him again.

In other cases, despite full agreement on all other aspects of the IEP, the “emotionally disturbed” label led to anger, increased personnel time and financial school district expense in order to resolve differences over this matter. “Why not just give my child the IEP!?” yelled one parent. “I don’t want anyone putting in my child’s record that she is emotionally disturbed. It’s not right!”

I have seen many examples of the “learning disability” classification causing problems as well. “First of all, I don’t have a disability,” said one young teenager. “I have a learning difference, not a disability. In most areas, I learn fine, and even better than most kids in my classes. I find it hard to read, that’s it! The learning disability label paints too broad a stroke. It makes me look like I have trouble learning everything, which isn’t at all true!”

From time to time I see some of the students who were labeled as having a disability when they had been in school now all grown up. Many are not receiving any disability services, are fully employed, and raising beautiful families. Why did they have to be assigned a disability classification when they were young just so they could get services that helped them succeed? Why not give students a chance to show what they can blossom into before we have to label them in school?

My Recommendations

Phrases in the law such as “Rights Afforded to Students with Disabilities” would be changed to “Rights Afforded to Students with an IEP.” Rather than classifying students, the education system would classify educational concerns. If a teacher was concerned that the child was reading below average, the CSE would design an IEP that would address that concern.

At the CSE, parents would be informed that it is the philosophy of the school district to view each student as an individual. The student’s strengths would be emphasized along with the concern that led to the student being referred to the CSE.

There are a number of school districts that have come pretty close to trying out the approach that I am advocating. The federal law still requires that the student be “viewed” as a person with a disability, but beyond that, no other label is required by these districts. From what I have heard, the students in these school districts are doing as least as well as those still requiring records be littered with all of the standard labels.

Labels are like masks held on by rubber band straps. They hide some of the student’s characteristics. Wearing such masks may serve some purposes, but after awhile they may start to get uncomfortable, particularly around the ears. Let those who want to wear these masks be free to do so, but let those who want to meet us face to face, also be free to do so. This is in the best interest of our students.

——————————-

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.

Tags Emotionally Disturbed, Learning Disabilities, Mental Retardation, Special Education, Special Education Labels

conflict resolution emotions happiness Hope positive emotions

Hope and Happiness as Emotions

Post author By Dr. Jeffrey Rubin
Post date May 24, 2015
5 Comments on Hope and Happiness as Emotions

“What’s happening, Josh?” asks Bob.

“Well, I decided to ask Julie out on a date. Oh, how I’m hoping she’ll say yes! My mind keeps going over and over what I should say when I ask her.”

Two hours later.

“Hi Bob. I just got off the phone with Julie. She said yes! We’re going out on Saturday. I’m so happy!”

“Nice!” Bob replies. “You must feel relieved to get that over with.”

“Well, now my mind is racing on how to plan the night so we have a wonderful time together!”

As in the above, the emotions of “hope” and “happiness” often come up in conversations. If you can learn to speak artfully about them, there is an excellent chance that you may increase the amount of respect people have for your intelligence. Here is one way to think about these emotions that has worked for me over the past several decades.

The DIG Conflict Model’s View of Emotions

In the DIG Conflict Model, there are four basic emotions. The first two, threat and grief, are said to be negative emotions.

The second two basic emotions, hope and happiness, are said to be positive emotions.

Emotions turn our attention from some less important situations to some specific situation that we have appraised at the moment as the highest priority. At the same time, they provide an extra boost of energy so we can deal with the highest priority situation in a manner that may require more than the usual level of effort. The negative emotions help us to deal with situations that people typically view, at least at first appearance, as negative, while positive emotions can help us to deal with situations that people typically view, at least at first appearance, as positive.

In a previous post, I focused in on the negative emotions. Today, our focus is on the positive emotions. Let’s look at a parable to help us better understand the nature of hope and happiness.

The Parable of Santo

Santo is a waiter in Saint Paul and the father of two teenagers. He works the midnight to 10 a.m. shift at Mickey’s all night diner. He has been struggling to support his family with this low paying job.

This morning, after finishing his shift at work, an exhausted Santo drags himself into his car. Hector, one of the diner’s dish washers, slides into the passenger seat. Santo plans to take Hector home first before going on to his own home.

At this moment, Santo’s immediate desires are expressed to Hector as he starts up the car. “All I want right now is to get home and go to sleep.” To achieve these desires, Santo understands that he will have to drive through some modest traffic and make several different turns. There have been some serious accidents along his route, but Santo is not thinking about this danger. He has a set of well practiced skills that have become so automatic that he is fully confident that he can get Hector home, and from there, he can go on and get himself home without much further thought about this.

As soon as Santo pulls his car into traffic, Hector begins to check his cell phone messages. “Wow!” Hector suddenly exclaims, “I got a text message from Rudy Anderson, the owner of Rudy’s Restaurant. Rudy says his day waiter has just quit and he wants to know if you’d be interested in applying for the job!”

“You’re kidding!” yells Santo. “Rudy’s waiters get paid three times what I’m getting at the diner and it’d mean no more midnight shifts or moving my family into my beat-up van—that’d be great!!!”

“I’m not kidding,” says Hector. “Rudy wants you to stop by his restaurant as quick as you can.”

“YES!” screams Santo, now full of the emotion of hope. He had been expecting to drive home and go to sleep. Wow, now what a change this unexpected news has created for him! His heart is beating rapidly and he no longer feels tired at all. After dropping Hector off, Santo rushes home and takes a quick shower, puts on some clean clothes, carefully combs his hair, and hustles over to Rudy’s Restaurant. There, Rudy greets Santo warmly, and after a discussion, Santo is hired.

When he leaves the restaurant having signed a contract, Santo now realizes his life has just changed from having hoped to land this job to knowing he now has the job. He experiences this change as the emotion of happiness.

At home, Santo gets into bed to get some sleep, but finds that he can’t conk out even though he hasn’t slept in over twenty-four hours. With his mind racing, he thinks, “I have to buy some new clothes tomorrow. Man, what did I do to land this job at Rudy’s? Well, the big thing I did was to stop by there during an off-hour and introduce myself to Rudy even when he wasn’t looking for help. I told him that he had a great restaurant. I think it really helped when I told him that if he needed a sub for a day at any time I’d work for half the normal salary just to show him what I could do. Rudy liked that and tried me out, and I bet that’s what really sold him on me. I’ll remember to do that some more if I end up out of work again.”

Parable Interpretation

Let’s see if there is anything useful about hope and happiness that we can discover from this story. Notice that Santo, as he was heading home, had a plan to deal with his feelings of tiredness. Santo has confidence that he has a set of well practiced skills that are very likely to achieve this as he heads home in his van, and he begins to carry them out by guiding his car into traffic. As he does so, he is unaware of any emotion. He does feel tired, and this type of feeling is less intense than a full blown emotion

As soon as Santo hears about the new job opportunity, he immediately recalls his desire to get a better job. Santo quickly appraises this new information. Clearly he notices that this is a change from what he was expecting. This change leads to the emotion of hope. The function of this positive emotion is for him to shift his attention from all that he was thinking about before the emotion began and to instead focus on getting the job at Rudy’s. The emotion also functions to give Santo a boost of energy so that he can increase his chances to get this job. Even though he had felt sleepy and exhausted before having the emotion of hope, he uses the boost of energy to think about what the best things to do right now, and he changes his plan to go to sleep as soon as he got home. Instead, he decides to wash up, get to Rudy’s Restaurant and apply for the job.

Upon landing the job, Santo has achieved his desire, and with that, he realizes this means that there will be some good changes in his life, and he experiences the emotion of happiness. This happiness serves the function to give him a new burst of energy. We oftentimes need this extra burst of energy when we achieve a desire for two reasons.

First, we have to spend some extra time making arrangements for the new set of circumstances that led to the happiness. In the example involving Santo, he realizes that his new job will require some new clothes. He will have to carve out time during this transition period to pull together money so he can purchase the clothes.

Second, not only do we need the burst of energy to make preparations for our new circumstances that led to happiness, we also can benefit by taking some extra time to think about what led up to our success. By doing this, we can usually find something important to remember that we can reuse in the future. In our Santo example, he recalls how he had offered to work for Rudy at half the usual salary for a day or two so he could show him what a fine waiter he is. Santo will use part of the extra energy from his happiness to do the work necessary to place this very strategy in his memory bank in a form that will be more likely to be recalled if he ever loses his job again.

We see from this story that the positive emotions of hope and happiness function to shift our attention for a period of time to something appraised as particularly important and to provide us extra energy. We use this extra energy to carry out some important skills that can help us better achieve our desires.

Now, sometimes we use the terms “hope” and “happiness” in a broader sense than when we are referring to the emotions of hope and happiness. For example, some people, if asked if they hope to retire in a few years, may reply, “Yes.” At the moment that they say this, they are not in any real emotional state about this issue. Perhaps some pleasant, gentle feeling sweeps through some for a few seconds as they think of a time when they can do more of what they would prefer to be doing as time drifts by. In a few seconds they are thinking of something else.

Sometimes I am asked if I am happy. I might quickly think to myself that nothing is currently bothering me, and so I might reply, “Yes, I guess so.” Here again, there is no emotional state actually occurring as I say this, and the word “happiness” is being used to mean a relatively calm, non-distressed, pleasant experience.

Emotions are feelings, but more intense than most. Although there is no clear dividing line between relatively pleasant feelings and a full blown positive emotional experience, most people can sense when their heart has distinctly quickened, their attention has fastened firmly on a particular desire, changing the subject is hard even if they try, and they find themselves vigorously planning and carrying ideas into actions for a period of time that extends far beyond some fleeting few seconds. Emotions are of this nature.

Okay, there you have it. Here’s hoping the Santo parable and this little discussion gives you a better sense of what positive emotions are all about.

——————————-

Tags DIG Conflict Model, emotions, happiness, hope, positive emotions

Bob Dylan conflict management conflict resolution crying dig for the conflict Emotional pain respect tears

Bob Dylan On Tears

I have discussed the topic of crying and how it relates to how much respect a person might have for the crier in several earlier posts (see here and here). In those earlier posts we looked into the following questions: If I cry when criticized, does that mean I should view myself as acting like a baby? Is it right to view someone who cries as immature? In today’s post I’ll try to enrich some of these earlier issues by discussing Bob Dylan’s “Theme Time Radio Hour “show on the theme of tears (most of his shows are available on YouTube”.

Bob Dylan on Tears

Bob begins his show on tears as follows:

Well, welcome to Theme Time Radio Hour. In the background, some very sad music because this week, we’re gonna learn about sad clowns, crocodiles, and tear-stained make-up. We’re gonna look at a river of tears as we learn about crying. So grab yourself some Kleenex, heck, you better grab the whole box. Not that songs about crying are necessarily sad. This one at least sounds happy. It’s by Question Mark and the Mysterians–“96 Tears.”

Here are some of the lyrics to the song:

Too many teardrops
For one heart to be crying
Too many teardrops
For one heart to carry on

You`re way on top now since you left me
You’re always laughing way down at me
But watch out now, I`m gonna get there

We`ll be together for just a little while
And then I`m gonna put you way down here
And you`ll start crying ninety-six tears
Cry, cry, cry…

Hmmm, if this guy who is singing was a friend of mine actually going through a similar experience, how could I be helpful?

Well, just listening for awhile in a caring manner is almost always a good start. Rather than to be too quick to start offering advice or criticizing in any way, I might just softly summarize, every couple of minutes, what my friend has been saying, thus assuring him that I am accurately listening. If my summary is off the mark in any way, my friend will clarify.

At some point, I might explore with my friend his desire to not be crying. I understand that many people in our culture feel it is an immature act. You see this when someone does begin to cry in front of you and he or she quickly starts to apologize for crying. Is there some reason to change this attitude that crying is an act that only immature people do? Different people have different views about this.

Getting Back to the Dylan Show

After Bob opens his tear-soaked Theme Time Radio Hour show with “96 Tears,” which gave us an example of a man being bitter about his break-up with his lover, he plays a song by the lovely and talented Anita O’Day. In “And Her Tears Flowed Like Wine” Ms. O’Day provides us a woman’s perspective on what it’s like to be crying over how a lover mistreated her.

And her tears flowed like wine
Yes, her tears flowed like wine
She’s a real sad tomato
She’s a busted valentine
Knows her momma done told her
That the man is darn unkind

Next up on Bob’s show is a tune by the great blues singer, Bobby Charles, who reminds us that even “Big Boys Cry:”

I cried last night until I couldn’t
I’ll cry tonight, I know I shouldn’t
It hurts to know that I can’t reach her
I learned to lose, she was my teacher

Well I try to hide all the tears down deep inside
But even big boys cry

I climb the walls, I chew my fingers
I run around but her love lingers
Her friends say she don’t talk about me
They say she’s doing fine without me

Well I try to hide all the tears down deep inside
But even big boys cry
Oh

Well I try to hide all the tears down deep inside
But even big boys cry

There are quite a variety of songs that Bob Dylan plays that remind us that crying is part of life for pretty much everyone. Bob introduces one of my favorites like this:

Thomas Fuller once said, “We’re born crying, live complaining, and die disappointed. Hank Williams knew what he was talking about. This song is about a very specific depression inspired by a troubled relationship with his wife, Audrey Sheppard. Here that Lonesome Whippoorwill. He sounds too blue to fly. I’m so lonesome I can cry.

What human being is unable to relate to these sad lyrics?

I’ve never seen a night so long
When time goes crawling by
The moon just went behind the clouds
To hide its face and cry

Did you ever see a robin weep
When leaves begin to die?
Like me, he’s lost the will to live
I’m so lonesome I could cry

The silence of a falling star
Lights up a purple sky
And as I wonder where you are
I’m so lonesome I could cry

After a couple of more sad songs, Bob lightens things up a bit:

We still have plenty of tears to shed here on Theme Time Radio Hour’s crying edition.

He then plays a little of the audio track from the movie A League of Their Own. Tom Hanks, playing a manager of a women’s baseball team begins to shout criticism of one of his players. We hear the player begin to cry. Incredulous, Tom asks, “Are you crying?”

“No,” comes the reply from player, but then we hear her weeping.

“Are you crying?” Tom asks again, but now he is yelling. “There’s no crying! There’s no crying in baseball! There’s no crying in baseball!!! No Crying!!!!!”

For those who didn’t see the movie, it might be hard to understand why this scene strikes so many of us as funny, while touching at the same time. I guess you just have to see the movie to understand. I will say this, despite what Tom says in the movie, I have seen many men even in the major leagues crying after losing a big game. Often, they throw a towel over their head in an effort to hide their tears.

As Bob’s tear-fest show begins to wind down, he provides us a quote from Oliver Wendell Homes-“Laughter and tears are meant to turn the wheels of the same machinery of sensibility. One is wind power, the other, water power.”

Then he he tells us that “poets have always used crying as an inspiration. Here’s an example by Dylan Thomas.”

Clown In The Moon

Dylan Thomas

My tears are like the quiet drift
Of petals from some magic rose;
And all my grief flows from the rift
Of unremembered skies and snows.

I think, that if I touched the earth,
It would crumble;
It is so sad and beautiful,
So tremulously like a dream.

Well that’s pretty much my blog post for today. I hope it has provided you some food for thought about this whole crying stuff. And with that, let’s end with the words that Bob uses as he ends his show on tears:

Well, the old clock on the wall says it’s time to go. It’s a good thing because I’m out of Kleenex anyway. So I’m gonna hop in my car, head down the Robinson Freeway and get myself a beer I can cry into. In the meantime, remember the words of our former president, Woodrow Wilson: There is little for the great part of history except the bitter tears of pity and the hot tears of wrath.

———————
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.

Tags Bob Dylan, conflict management, conflict resolution, crying, respect, tears

conflict resolution DSM mental disorders Mental Illness Name calling psychiatrists psychiatry psychologists The Diagnostic and Statistical Manual of Mental Disorders

Psychiatric Name Calling: What Do People Say About It?

Post author By Dr. Jeffrey Rubin
Post date May 10, 2015
13 Comments on Psychiatric Name Calling: What Do People Say About It?

In recent weeks, I have been providing a series of blog posts on psychiatric name calling (see here, here, here, and here). In these posts, I have expressed some negative opinions about the Diagnostic and Statistical Manual of Mental Disorders (DSM).

The DSM provides the names for the various mental health concerns that mental health service providers are often required to use if they want to be paid for their services or if they want to have their research published in professional journals.The language of the DSM places its terminology under the umbrella concepts of “mental illness,” “mental disorder,” and “psychopathology.” In my blog series, I have argued that the pathologizing of human experiences in this way does far more harm than good.

As part of my discussions on this topic, I quoted the opinions of some who agreed, and some who disagreed, with my opinions. The quotes that I used were selected from my own personal readings. Therefore, they may not have been characteristic of how a wider range of different people may think and feel about the DSM approach to labeling the various mental health concerns.

A few years ago, two teams of researchers have sought to obtain a broader range of views on this topic by carrying out surveys. Jonathan D. Raskin and Michael C. Gayle surveyed psychologists who regularly use the DSM, and published their findings in the Journal of Humanistic Psychology (DSM-5: Do Psychologists Really Want an Alternative? 2015, pages 1-18). Lois Holzman and her team surveyed people in some New York City communities, and published her findings on the DxSummit.org website (A Report on Community Outreach: Lay Opinions on Emotional Distress and Diagnosis, http://dxsummit.org/archives/2249). Let’s take a look at their findings.

What the Psychologists Had to Say

Here’s a summary of the survey data by Jonathan D. Raskin and Michael C. Gayle:

Only two published studies, both from the early 1980s, have specifically examined psychologist attitudes toward the Diagnostic and Statistical Manual of Mental Disorders (DSM). The current article rectifies this by presenting the results of a recent survey of attitudes toward the DSM-IV-TR and DSM-5. Though the DSM has changed over the years, psychologist attitudes toward it have remained remarkably consistent. Although more than 90% of psychologists report using the DSM, they are dissatisfied with numerous aspects of it and support developing alternatives to it—something that psychologists over 30 years ago supported, as well. The finding that almost all psychologists use the DSM despite serious concerns about it raises ethical issues because professionals are ethically bound to only use instruments in which they are scientifically confident.

In the above summary, the number 5 after the letters DSM, refers to the fact that the DSM has undergone five major revisions. Since the 1980s, there have been three such revisions. Ideally, users of the DSM would see clear improvement for each revision.

When a survey was done in the early 1980s, psychologists were clearly skeptical of the DSM-2. As described by Raskin and Gayle,

More than 40% felt it (a) distorted clinician perceptions of clients, (b) applied medical labels to psychosocial problems, (c) was not reliable and valid, (d) emphasized diagnosis over treatment, (e) obscured individual differences, and (f) overemphasized pathology. Almost 60% were dissatisfied or somewhat dissatisfied with the DSM-2 with only 17% satisfied or somewhat satisfied.

When the DSM-3 came out in 1983, Smith and Kraft carried out an updated survey on this revision of the DSM-2. The findings indicated that psychologists at that time (a) preferred social–interpersonal diagnosis, nondiagnosis, and behavioral analysis over DSM-3—in that order; (b) felt that most conditions in DSM-3 were best seen as nonmedical problems in living; (c) believed too little had been done to develop scientific alternatives to the DSM; and (d) thought that client welfare and integrity would be better served by abandoning the medical model. Eighty-five percent disagreed that mental disorders are a subset of medical disorders.

In the latest survey that was carried out by Raskin and Gayle, 128 anonymous psychologists participated. Among the questions that were asked was, “How satisfied are you with the changes being proposed for DSM-5?” Their answers indicated that they were significantly more negative about it than neutral. The general attitude about the latest version of the DSM were very similar to what was found three decades ago, namely, that a significant number of psychologists are unhappy with the DSM.

What Community Folks Had to Say

In the community outreach survey of lay opinions on emotional distress and diagnosis carried out by Lois Holzman and her colleagues, people were asked questions at two annual NYC street fairs attended by millions of people. Conversations lasted from five to over ten minutes each. In all, 143 people participated in the survey in the first of these two surveys, which occurred in 2013. The second one had 149 people who participated, which occurred in 2014.

In the 2013 survey, the focus was on how psychiatric diagnosis affected kids. Forty percent felt that psychiatric diagnosis was not valuable. For the 60% that felt that psychiatric diagnoses can be valuable, 90% of them had reservations. That is, they said that it was only sometimes helpful, there was a danger of misdiagnosis, there was racism involved in diagnosis, and it leads to stigma and over-medication.

Ten percent were completely against diagnosis under any circumstance, some sharing their experiences pertaining to children. Examples of comments from this group follow:

“Medication makes you act out. My grandson was hyperactive, not ADHD and they wanted to put him on Ritalin – I told them no. Drugs at an early age can lead to hard core drugs later in life.”

“I worked with kids who had wrong diagnosis, and this is prevalent.”

“Kids get told in 1^st grade they’re crazy—then it becomes a self-fulfilling prophecy.”

In the 2014 survey, the researchers:

“tried to go a little deeper and see if we could help people explore the apparent conflict around diagnosis, i.e., its value and its dangers. We also wanted to learn what they thought about the necessity and mandate of diagnosis.

We all know people who have gotten very depressed when they’ve lost a loved one, or children who cannot sit still in school, lots of folks who are angry and demoralized about not finding a job. Do you think any of these people need to get a diagnosis in order to get help with their emotional pain?

(IF THEY SAY YES, ASK THE NEXT 2 QUESTIONS):

Do we need to relate to them as having brain disorders? Or chemical imbalances?

Right now, in most settings, if you want to get help with ANY kind of emotional pain from a mental health professional, they are required to give you a diagnosis. Do you agree with that?

Are there other ways to support people emotionally? What do you think could help them?

Like me, you probably know people in your family, church, or at work who have serious emotional problems, who may have been diagnosed with major depression, bipolar or schizophrenia. Obviously people deserve and need top quality mental health care including access to medication. Do you think that even in these situations a diagnosis can limit the person, label them, and stigmatize them? If so, how?

From our past surveys we have found that people are conflicted about diagnosis and labels. They find it relieving to get a diagnosis and at the same time feel like the diagnosis can stigmatize or label them. Why do you think that so many of us are conflicted about this, feel it can be both helpful and harmful?

Here’s a brief summary of the finding, as described by Dr. Holzman:

Diagnosis Needed: 60% of respondents said no, people did not need a diagnosis to get help with their emotional pain. The majority of the 40% who said diagnosis was needed told us that that was the only way to get to talk to someone.

Only those who said yes, diagnosis was needed (40%), were asked the next two questions.

1a. Biological Basis: 89% of those who said diagnosis was needed said we shouldn’t consider such people as having a brain disorder or chemical imbalance.

1b. Diagnosis Required: 75% of those who said diagnosis was needed did not agree that it should be required.

Other Ways to Support (alternative types of treatment):

Everyone offered an alternative, with most people suggesting more than one. The most frequent responses involved talking to people—therapy, counseling, group therapy being the most common (including, “A center they can go to without getting diagnosed”), followed by family, friends, self-help and support groups.

A wide variety of social activities and life style changes were recommended—volunteering, hobbies, music, dance, writing, meditation, exercise, yoga, diet, prayer and creating community (“Have events that bring people out, like this fair”).

& 4. Concerns about Diagnosis: 90% (including those who thought it was needed) expressed concerns about the stigma of diagnosis, the dangers of misdiagnosis, and/or the over-medication that too often accompanies a diagnosis.

Once you have that label it doesn’t stay at the clinic. You carry it with you for a long time.

People start calling you crazy. It can be a shame for the family.

I had to fight to get counseling for my kid. They just wanted to give him drugs.

Getting a diagnosis limits life experience, you’re treated differently, you feel like an outcast.

It’s helpful to the clinic but not in everyday life.

It’s good to know what’s wrong, but it might make them feel worse about themselves and put them in a box.

It pigeon-holes people and the diagnosis becomes all that I am.

It stagnates them. It keeps them on one path with only one destination.

They think something’s wrong with them.

There is too much use of medication. It is a quick fix to avoid a real understanding.

Against it – children are still growing. Against medication.

So there you have it, some views other than mine about psychiatric name calling. In interpreting these findings, I think it’s important to bear in mind that the views of the people surveyed developed in the context of a multibillion dollar advertisement campaign by the pharmaceutical companies over many years that is designed to convince them that emotional concerns are diagnosable illnesses requiring medication treatment. How might the views of those surveyed been different without this high finance selling of the illness model?

——————————-

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.

Tags DSM, mental disorders, mental illness, psychology

Bob Dylan conflict resolution fools insults Listening skills Name calling

Bob Dylan On Fools

Bob Dylan begins his Theme Time Radio Hour show about fools, with a beautiful instrumental version of “Why Do Fools Fall In Love.” After a few bars of this tune, it continues in the background as Bob begins to speak:

James Thurber

James Thurber once said, “You can fool too many of the people too much of the time,” and for the next hour we’re going to try to do just that. Welcome back to Theme Time Radio Hour. Today we’re going to talk about patsies, stooges, marks, jesters, jokers, buffoons, clowns, tricksters, harlequins, and the village idiots, because in honor of April first, it’s our fools’ program. Everybody plays the fool sometimes, and for the next hour we’re going to play the greatest records about our favorite halfwits, the fools.

Recently, I provided a post on this blog titled, “Bob Dylan on Madness,” as an entertaining way to practice some of the basic principles I regularly discuss. That post was so popular that I thought, Why not do a similar post utilizing Bob’s show on fools? After all, in addition to people at times seeking to insult themselves and others by saying such things as “You’re mad” or “You’re crazy,” they do likewise by saying such things as “You’re a fool” or “You’re a buffoon.” Are there more respectful, helpful ways to deal with situations that give rise to such name calling? I think so. Let’s see if we can have some fun thinking about this issue as we review Bob’s show on fools.

Chain of Fools

After Bob’s brief introduction, he dives right into Aretha Franklin’s emotionally charged song, “Chain of Fools.”

For five long years
I thought you were my man
But I found out
I’m just a link in your chain

You got me where you want me
I ain’t nothin’ but your fool
Ya treated me mean
Oh you treated me cruel

Chain, chain, chain
(Chain, chain, chain)
Chain of fools

Every chain, has got a weak link
I might be weak yeah
But I’ll give you strength

Oh, hey
Chain, chain, chain
(Chain, chain, chain)
Chain of fools

Here we find a woman calling herself a fool because she sees herself attached to a man who treats her cruel. I wonder how I would react to a woman telling me a similar story. I guess I would not rush into giving her any advice, but rather, give her some time to be with her emotional experience while I listened in a caring, empathic manner.

As we discussed in an earlier post titled “To Listen, Or To Criticize,” we often jump too quickly into providing advice. If you would like your listening skills to be respected, it helps to summarize, every few minutes, what is being said in a caring manner, thus reassuring the person talking to you that you are indeed listening and accurately hearing what is going on.

After perhaps fifteen minutes or so of listening and summarizing, I would continue to listen, but I might begin to start asking, as gently as possible, a few clarifying questions. I often use the DIG Conflict Model to come up with my questions. The letters of the word “DIG” would remind me to ask about what she “desires” in this situation, what is “interfering” with her desire, and if she feels she is “guilty” of doing something wrong. I would gently encourage her to be as specific as she could be. A statement like, I’m guilty of being a fool” is way too vague to be helpful in coming up with any practical plan. “I’m guilty of not going out to social events on Friday evenings so I can find a loving relationship with a man who would treat me with respect,” fits better with my image of being specific.

Aretha Franklin’s song continues with these words:

One of these mornings
The chain is gonna break
But up until the day
I’m gonna take all I can take, oh hey

Chain, chain, chain
(Chain, chain, chain)
Chain of fools

We see a glimmer of hope in these words. That weak link in the chain is not completely unbreakable. I think that at some point in my relationship with a woman dealing with this type of concern, I might ask what she thinks she might do if the chain would indeed break. My overall goal at this point in the relationship would be to focus not so much on what is wrong with what is happening in her life, but what she could specifically do to improve her situation.

Further On In the Show

A little later in Bob’s show, he introduces another song:

Hank Snow

Everyone plays the fool sometime. Hank Snow knew that. We talk about Hank an awful lot [on my show], and he was one of the biggest voices in country music from 1951 and 1955. He had a remarkable number of top ten hits. This is from the tail end of that streak, in 1955–“Now And Then There Is A Fool Such As I.”

Here are some of the lyrics:

Pardon me, if I’m sentimental
When we say goodbye.
Don’t be angry with me should I cry.
When you’re gone, yet I’ll dream
A little dream as years go by.

Now and then there’s a fool such as I.

…

And now you say that we are through.
I’m a fool, but I’ll love you dear
Until the day I die.
Now and then there’s a fool such as I.

Like the Aretha Franklin song, this Hank Snow song is about someone in love who is feeling like a fool. As it turns out, almost all of the songs Bob plays over the course of his hour show is about love and someone feeling like a fool. But they differ nevertheless. In the first two songs we find out about two people who are calling themselves fools, but the first one is about a woman who feels she’s a fool for staying connected with a man even though he treats her bad. The second song is about a man who feels foolish for continuing to love a woman even after she said they are through.

In other songs that Dylan plays during his show, a singer is trying to convince her parents that she’s no fool for loving a man that they think is less than ideal. Then there’s one about a man who is trying to convince a woman that she’s a fool for not loving him despite all that he has to offer.

One of the highlights of Bob’s show is a little audio clip of Humphrey Bogart, as Sam Spade, confronting Mary Astor as the femme fatale, Brigid, in the classic film noir, The Maltese Falcon.

Brigid, desperately: You’ve been playing with me, just pretending to trap me like this. You didn’t care at all. You don’t love me.

Spade: I won’t play the sap for you.

Brigid: You know it’s not like that! You can’t say that!

Spade: You haven’t played straight with me for half hour at a stretch since I’ve known you.

Brigid: You know down deep in your heart that in spite of everything I’ve done, I love you.

Spade: I don’t care who loves who, I won’t play the sap for you. You killed Miles and you’re going over for it.

As you can see, even when used in the context of love difficulties, the word, “fool,” or its related terms, are used to refer to quite a variety of different circumstances.

As we leave the love arena, we see that the term is used in even a wider set of circumstances. Thus, Bob tells us about the enormously talented singer, Frankie Lymon, who died way too early with a heroin syringe by his side. As another example, he tells us about a couple of football games:

Every field has its fools, and the biggest mistakes are made on the football field. For example, Roy Unsway Regales played for the University of California, and in the 1929 Rose Bowl Game, he got turned around and ran 65 yards in the wrong direction.

Jim, upon realizing his mistake.

That’s nothing compared to Jim Marshal who played for the Minnesota Vikings. On October 25, 1964 the Vikings were playing against the San Francisco 49ers. Marshal recovered a fumble and ran 66 yards in the wrong direction into his own end zone. He was so excited he threw down the ball in celebration. The ball landed out of bounds, resulting in a safety for the 49ers. Fortunately for him, the Vikings won the game anyway, 27 to 22, and I was there that day. Strange but true.

We All Sometimes Play the Fool

Throughout the show, Bob reminds us repeatedly that everyone plays the fool sometime. He does it in a variety of ways. Thus, before playing the song, “Three Times a Fool,” Bob tells us “It wouldn’t be bad if you were just a fool once a year, but all of us are fools on more than one occasion.”

A little later, he says:

We’re talking about fools of all stripes here on Theme Time Radio Hour. As Jean Brown once said, “Foolproof systems don’t take into account the ingenuity of fools.”

And still a little later, Bob gives us some quotes from Shakespeare and Twain on the subject of fools.

Shakespeare looking a little foolish in his outfit.

Shakespeare spoke quite often about fools. For example, in A Midsummers Night Dream he said, Lord, what fools these mortals be? Twelfth Night gave us the following line, Foolery, Sir, does walk about the orb like the sun. It shines everywhere. And From As You Like it, The more pity that fools may not speak wisely what wise men do foolishly.

Shakespeare, hell of a cat.

…

As Mark Twain says,”The first of April is the day we remember who we are the other 364 days of the year.

And so when people call us a fool, perhaps we may find that the sting of the comment is lessened if we keep in mind that no doubt these name callers have had their share of playing the fool on plenty of occasions. And when, out of old habits, we find ourselves calling either ourselves, or someone else a fool, perhaps a little sympathy with the human condition is in order.

Tags conflict management, criticism, fools, insults, name calling, negative criticism, respect, types of criticism

conflict resolution learning through stories respect

On Being Respected

How does someone learn how to become a person people respect? Arguably, the best way to develop a deep understanding of this is through stories that depict characters that, as they mature, grow into individuals that have the set of characteristics that people highly respect. In the Cool Steve Stories, a coming-of-age trilogy of a boy growing up in Brooklyn, I have attempted to provide my readers with just this type of story.

A Hero Grows in Brooklyn

The first novel of the trilogy, A Hero Grows in Brooklyn, can be downloaded for free on any e-book reader, iPad, or computer. It is also available as a paperback book.

In the trilogy, the topic of respect initially arises when Steve is only five-years old. His Uncle Ricky has taken him to Yankee Stadium, and Mickey Mantle has just won the first game of a double header with a spectacular catch in center field.

The story continues from here:

“Hey Steve,” says Ricky as he stretches his arms way above his head, “while we wait for them to get ready for the next game let’s take a walk. My legs are getting stiff.”

“Can we go way up there?” Steve asks pointing to the seats high above them.

“Let’s go see,” says Ricky.

In the crowded aisle between the dark green seats, slowly they make their way up to a covered cement walkway with hordes of fans on long lines seeking to buy peanuts, hot dogs, ice cream, beer, and soda. Uncle Ricky looks around to get reoriented.

“Let’s try this way, Steve.”

“Wow, Uncle Ricky, I never seen so many people!”

The crowd thins out along an upwardly sloping tunnel. Soon, they emerge into bright sunlight and Steve finds himself in the upper deck behind home plate. This view provides a bird’s-eye perspective. Looking down from the wall in front of the upper deck’s first row of seats, Steve’s mouth flies open, and he suddenly takes a step back. “I bet a guy could get pretty hurt if he fell from here!” he cries.

“Ya wanna find out,” Ricky responds mischievously. “Here. I’ll give ya a boost,” and as he says this he bends down, interlocks the fingers of his hands together and holds them by Steve’s feet.

Steve feigns anger, throwing some mock punches at his uncle while laughing.

As they begin the journey back to their seats, Steve notices the unique smell of stale beer and Cracker Jacks.

“So, Steve, you getting excited about starting kindergarten in the fall?”

“I hear they got some mean kids there.”

“There are always a few kids trying to earn respect by pushing kids around.”

“Resect? What’s that mean?”

“Not resect, respect.”

“Yeah, re… respect, Uncle Ricky, what’s it mean?”

“Well, if ya like a guy then ya…” Ricky begins to say but then pauses. He was about to say, If you like a guy you respect him. But then he thinks about his older brother Mike, who happens to be Steve’s dad. Ricky realizes that he likes Mike, even loves him, but he doesn’t truly respect him. Then Ricky wonders to himself if you can dislike a guy and still respect him. Hmmm.

“Well?” says Steve.

“I guess I’ll tell ya what my dad used to say about respect. You’re a little young ta understand this yet but anyway, every now and then your nonno, in his heavy Italian accent, would say ta me and your dad when we were young, ‘Ricky, Mike, if ya wanna get respect ya gotta learn how ta use this-uh, wit’ this-uh, and wit’ this-uh,” and as Ricky imitates Steve’s grandfather saying these words he points first to his right arm’s biceps, then to his head, and then to his heart.

The little Yankee Stadium scene that I just described, only begins the process of encouraging people to start thinking about the nature of respect. Why Ricky doesn’t respect Steve’s dad, and how Steve, when he becomes a teenager, manages to become respected are answered by reading the rest of the trilogy. By following over the course of a few months the characters as they deal with specific situations that we can relate to, we find ourselves envisioning how we might handle similar situations. As psychologist Rollo May put it, these types of stories are the fibers with which a person weaves a coherent fabric of identity and meaning.

Other Ways to Learn About Respect

An alternative to stories for learning about respect, is to review a list that some people put together of the characteristics that they believe lead to respect. One such list, for example, is provided by wikiHow’s, titled “How to Be Respected.” Among the items listed is:

Being a Good Role Model

Present yourself well

Set an example for others

Make your own decisions

Don’t be overly materialistic

Don’t procrastinate

Be a cultured person

Keep your language clean and respectable

Exude confidence

Be optimistic

Stick to your word

Excel at something

Admit to your mistakes

Avoid getting overly intoxicated in public

Stick up for yourself when you need to

Respecting Others

Greet people in a proper and friendly manner

Never bully others or take advantage of their weaknesses

Give everyone a chance

Be prepared to see other people’s side of the story

Don’t act like a know-it-all

Be discreet

Each item on this list comes with a few examples along with a picture illustrating the point that is being made. Although I believe that there are some essential characteristics left off the list, and many of the examples are too vague to readily put into practice, the items are worth thinking about.

I think the list can be usefully employed as part of a discussion on this topic, especially if those participating in the discussion are encouraged to tell a little story of their own depicting an incident in which someone they know acted in a way that illustrates the items on the list.

Of course another way to learn the skills that lead to respect is to begin reading this blog, starting with the first post, and systematically going through each succeeding post at your own pace. It’s free, and engaging in discussions can be done by posting comments in the “comment section” that appear at the bottom of each of the posts.

Conclusion

Regardless of how else you choose to learn about respect, the Cool Steve Stories is a great way to supplement your learning. The process has elements of fun, sadness, frustration, excitement and humor.

To end today’s post, let’s take a little look at how five-year old Steve ended his day at Yankee Stadium.

After Steve’s mom, Marie, makes him take a shower, it’s time for both of them to watch the Ed Sullivan Show, a Sunday night tradition of theirs.

“Did it start yet?” asks Steve hurrying into the room wearing his pajamas, still dripping from his shower.

“Not yet,” says Marie as she turns the RCA dial to channel two. “Hmmm. That doesn’t look so good.” She adjusts the rabbit-ear antenna so she can get rid of the shadows that are interfering with the picture quality. “There,” she says, “that’s better. You need anything before the show starts?”

“I’m fine, Mom.”

“Well, in that case, I’ll just come over here and sit by my handsome young man.” Together they settle in on their green sofa to enjoy the night’s variety acts.

Steve likes the juggling act. Not only does the guy get balls flying all around, but he also performs a smooth routine using cigar boxes that dance in the air.

During a commercial, as Marie goes into the kitchen to get something to nibble on, Steve gets two pink rubber balls and a baseball and tries to juggle. As he tosses one ball up and then the second, he observes that he is already too late to catch the first because it is about to hit the floor. He tries again and again.

Marie comes back into the living room with a large bowl. The aroma of fresh buttered popcorn enters Steve’s nostrils. He puts the balls down, goes over to the sofa, snuggles with his mom, and together they munch away on the soft, fluffy treat.

“Steve, what was all that commotion I heard in here while I was making the popcorn?”

“I was trying ta juggle, Mom. It’s kinda hard. I’m gonna practice a little everyday till I get it.”

The show drifts by. Marie recalls the quarrel she had with Mike before he left for the bar. He had promised to defrost the refrigerator today, and it hadn’t gotten done. Oh, if this had been the only unfulfilled promise of Mike’s she would have said nothing, nothing at all. But time and time again!

Aching memory after aching memory drift through her thoughts as Dean Martin croons his way through “That’s Amore.” Then Marie looks over to her son. She sees the golden highlights of his dark brown hair, his beautiful face, his sweet lips, the sparkle in his eyes… and as she gazes at him waves and waves of joy flow through her.

The show comes to an end. Steve begins to yawn. It’s been a long day.

“Come on, Steve, it’s time to go to bed,” says Marie.

When they get to Steve’s bedroom, Marie tucks Steve in with his teddy bear. “I love you, Steve,” she says as she leans over and kisses him on his forehead.

“I love ya too, Mom.”

Snuggling with his teddy bear, Steve closes his eyes. His mind drifts here and there. After a while, he begins to dream of one day becoming the next great Yankee centerfielder.

——————————-

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.

Tags A Hero Grows in Brooklyn, learning through stories, Mickey Mantle, respect, respect list, The Cool Steve Stories, Yankee Stadium

Bob Dylan conflict resolution crazy criticism DSM insults madness meditation mental disorders Mental Illness Name calling negative criticism psychiatry psychopathology The Diagnostic and Statistical Manual of Mental Disorders

Bob Dylan on Madness

As some of you may know, Bob Dylan has a show called “Theme Time Radio Hour.” As the title suggests, each episode is centered on a theme. He begins his episode on madness as follows:

“Let me ask you a few questions, friends. Are you disinterested in work or family life? Do you suffer from sleep disruption? Have you had significant changes in appetite? Have you had paranoid thoughts? Thoughts of grandeur or invincibility? Any feelings of persistent anxiety or perhaps panic attacks? Are you hearing voices or seeing people who are not there? Do you have thoughts of dying? Do you exhibit strong or violent anger? Do you have the inability to pursue a normal life, normal activities or normal relationships? Well, I’m no doctor, but perhaps you’re mad as a hatter; crazy as a loon. Have you lost your morals? Are your bats in the belfry? Maybe you’re nutty as a fruitcake? Crazy as a coot? Taxed in the head? Bunkers? Bananas? Deranged? Are you crackers or daffy? Unhinged or loco? Not all there or all around the bend? Maybe you’re cuckoo or buggy or simply non compos mentis? Do you talk to yourself? Do you ever binge out on food? Do you swing suddenly from one mood to another? Do vague acquaintances treat you as though they know you far better than you would expect?

Allan Ginsberg

“Allan Ginsberg once said that he had seen the best minds of his generation destroyed by madness. Now for the next hour we’ll be providing the sound track. We’re going to look at madness, insanity, and craziness.”

Introducing his theme in this way may seem like quite a mouthful for Bob, but he manages to carry it off rather well. There is deep, dungeon-like music in the background, and he varies his voice in a manner that is full of concern and dramatic interest. Besides, if you think Bob’s description of his theme is lengthy, take a gander at the latest American Psychiatric Association’s description of a related topic. In its book titled Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, over 900 pages are consumed describing various “mental disorders.”

The theme of “madness” is relevant to this blog’s theme because when people seek to insult others, we commonly hear words like, “You’re mad,” “You’re crazy,” “You have a mental disorder,” and “You’re mentally ill.” Negative consequences often flow from such name calling. Individuals flinging these efforts to insult often become less respected by those who are their targets. Those who are their targets sometimes end up having less respect for themselves. From here, conflicts can escalate, leading to losing friends, problems at work, and even violence.

Dylan’s First Madness Song

Bob introduces the first song for his show on madness as follows:

“If craziness was a country, this would be the national anthem. Here’s Patsy Cline in a little number written by Willie Nelson–“Crazy.”

Patsy’s beautiful voice, accompanied by gentle piano riffs, drifts into its melancholy words–“I’m crazy, I’m crazy, for being so lonely. I’m crazy, I’m crazy for being so blue.”

The song goes on from here to weave the sad story of a woman calling herself crazy for loving a man whom she knows will soon be leaving her. She feels she’s crazy for worrying when he’ll leave, and crazy for trying, and crazy for crying, and crazy for loving this man.

Here we learn of just one type of experience that falls under the enormous umbrella of madness.

Connecting Madness With Genius

As the song phases out, Bob begins to tell us that according to Aristotle, “No excellent mind is without a tincture of madness,” a position with which Bob heartily agrees. He declares that “There is a thin line between genius and madness.” Defending this, he introduces us to several individuals who had been declared mad by some, and yet achieved at impressive levels in many valued fields. Thus, he tells us about the brilliant writer, Ernest Hemingway:

Earnest Hemingway

“Ernest Hemingway, for example, was convinced that people were out to assassinate him. His wife, Mary, tricked him into a mental hospital by telling him it was to treat his high blood pressure. He got shock therapy and maybe a dozen other treatments. It didn’t help. It left him more paranoid, delusional and depressed. He was afraid that his wife would put him away again, which many people believe is what led him to take his own life with a shotgun in July of ’61.”

Bob then tells us about the great jazz musician, Charlie Mingus:

Charlie Mingus

“Charlie Mingus spent some time away, although he later claimed he only had gone in to get papers declaring he was incompetent to get out of a contract with the gangster, Joey Gallo. Whatever the reason, he spent some time in Bellevue and was diagnosed as a paranoid schizophrenic.”

After this, Bob tells us the story of two more jazz greats–Bud Powell and Charlie Parker. Both at times were troubled by demons.

Then there was a comic writer:

One man that was no stranger to madness was Bill Gates. He was the editor of E. C. Comics. He had a series of horror comics in the ’50s, but then he was targeted by the government who said that his comics were ruining the morals of America’s young people. He was supposed to water down all of his books. He had one humor comic he called “Mad.” He changed it to a magazine so it wouldn’t be subjected to the comics’ code of authority. It became a huge hit and generations of kids got their first lessons on comedy from the usual gang of idiots that he assembled. He never sold advertising in the magazine while he was alive and there were no sacred cows. Bill Gates, madman of free speech.”

Bob soon moves on to the story of a hell of a fine baseball player:

“One guy that was accused of cracking up was Jimmy Piersall. He became a professional baseball player at 18, signing with the Boston Red Sox in ’48. On May 24, 1952, just before the game against the New York Yankees, he got into a fist fight with Yankee infielder, Billy Martin. After that, he scuffled with his teammate, Mickey McDermott. The final straw came when Jimmy Piersall spanked the four-year old son of his teammate, Burnt Stevens during a game in the Red Sox clubhouse. The four-year old had tried to tweek his nose and poured lemonade down his shirt. You can see Jimmy’s position–Boy, you need a spanking. There were a number of incidences like this and he was sent down to the minor leagues. He got into a lot of trouble down in the minor leagues, and spent some time in the West Borough State Hospital. He was diagnosed with manic depression, but he still returned to baseball by the opening of the ’53 season. And get this, he finished ninth in the voting for the MVP award, and the next year he was the Sox’s regular center fielder.”

Feeling That We Are Crazy Is A Common Experience

In addition to describing these individuals who were thought to be mad by some and yet achieved greatness in various valued arenas, Bob provides diverse examples of regular Joes and Jills who displayed behaviors that were viewed as crazy by either themselves or others. These examples touch a chord in the listener because they illustrate experiences that are pretty close to what we have all experienced at different points in our lives.

Thus, the show’s take away lesson, as I see it, is that if you catch yourself calling yourself names such as “crazy” note that many of the most talented people have had similar experiences. Note, as well, that such criticism is too vague to be helpful. Learn to become more aware of these thoughts, to stand back and simply observe them passing through your mind–“Oh, there I go again calling myself mad.’ In time, you will come to a point at which you will formulate some more specific approach to make improvements in your life. The practice of meditation can help you to learn this skill.

If you are tempted to call someone else these types of names, remember that such names are way too vague, encompassing thousands of unusual and usual experiences. For criticism to be truly helpful, it is usually best to craft a statement that avoids name calling and statements about what someone did wrong, and instead provides specific suggestions for what the target of the criticism can do to improve. If you can not come up with such a statement right away, perhaps it would be best to delay the criticism until you have some time for your creative impulses to come up with something better than “You’re a crazy, mentally ill fool!”

Although these are my take away lessons for today’s post, let’s end with how the more poetic Bob Dylan ends his madness show:

“Time flies when you’re talking crazy, and we gotta get out of here. But before we do I want to leave you with the words of the man who is the voice of the barroom, poet of the gutter, and Shakespeare of the alleyway. Here’s a poem by Charles Bukowski called “Some People.”

some people never go crazy.
me, sometimes I’ll lie down behind the couch
for 3 or 4 days.
they’ll find me there.
it’s Cherub, they’ll say, and
they pour wine down my throat
rub my chest
sprinkle me with oils.
then, I’ll rise with a roar,
rant, rage –
curse them and the universe
as I send them scattering over the
lawn.
I’ll feel much better,
sit down to toast and eggs,
hum a little tune,
suddenly become as lovable as a
pink
overfed whale.
some people never go crazy.
what truly horrible lives
they must lead.”

——————————-

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.

Tags Bob Dylan, conflict management, conflict resolution, criticism, insults, intrapersonal conflicts, madness, mental disorders, name calling, respect

anger conflict management conflict resolution criticism insults interpersonal conflicts negative criticism respect Responding to Criticism Uninvited criticism Unsolicited criticism

A Conversation About Unsolicited Criticism

Post author By Dr. Jeffrey Rubin
Post date March 30, 2015
6 Comments on A Conversation About Unsolicited Criticism

A while back, I published on this blog a post titled, “Unsolicited Criticism: Good or Bad?” Regular readers may recall that it begins as follows:

Illustration by Aviva Maltin

“Judy, it’s so nice to see you,” I say as she comes into my office and sits down on my couch.

“I’ve been reading your blog again, Dr Rubin. It’s filled with a bunch of hogwash.”

“Hmmm, it sounds like there are some ideas in it that you don’t care for.”

“I read last night two of your blog posts–Is Criticism Bad and Criticism and Wisdom. What a bunch of nonsense!”

“I’m very interested in your point of view, Judy. Please tell me more specifically about what you disagree with in those posts.”

John Stewart Mill

“Well, you talk about this John Stuart Mill. According to him, if people criticize us, even for holding an opinion we are very sure of, we should thank them for it, open our minds to listen to them, and rejoice. That’s ridiculous! If you don’t have something nice to say to somebody you should keep your stupid mouth shut! And, as far as I’m concerned, unless I give someone permission to criticize me, that person has no right to inflict it upon me!”

The rest of that post provides my response to Judy. As brilliant as that response is, it is my considered opinion that my readers and I benefit from hearing a variety of views on these types of issues. And so, with that in mind, I went about seeking these views by introducing the post to the Facebook groups that I belong to. Thus, I wrote for each group the following:

Some say that unless you are invited to provide criticism, you should keep your mouth shut. How wise is that?

Then I provided the link to my post. It led to quite a few excellent insightful discussions. My favorite happened to appear on the wonderful group, The Brain Cafe. To our good fortune, several of its participants graciously granted permission to use their comments for the current post. These permissions do not mean they are providing a blanket endorsement of this blog or its writers. And, with that, let’s take a look at the discussion that had taken place.

The Brain Cafe Discussion

Brad Esau, prior to reading my blog post wrote: Uninvited “advice” makes me go thermo nuclear. Uninvited criticism is courting death. Perhaps I should read this.

I, Jeffrey Rubin, replied: Please do read it, Brad Esau, and then let me know what you think.

Barry Kort: I suppose the context matters. As a retired academic, I hang out in Internet venues where my fellow academics schmooze with each other and with interested lay people who are arm-chair aficionados of the subjects on the table. In academia, we have a scholarly culture such that we routinely peer-review each other’s work in a collegial and congenial manner. I view this culture as being characterized by an informal tacit social contract that defines a scholarly culture.

There is, on the other hand, the unscientific (or non-scientific) political culture which has its own inscrutable ground rules which admit of some rather dicey and sleazy practices.

What is the lay person to do in these Social Networks? Clearly we find a mix of behavior that spans the spectrum.

I don’t mind conscientious scholarly criticism of the sort one would expect in academia. I’m not fond of the kind of snarky or mean-spirited dismissals that one finds in our ofttimes toxic political culture….

Brad Esau: This seems to be a cultural thing. I’ve noticed Americans (I’m Canadian) seem to have this notion that they have the “right” to speak out about anything at any time. This is much different than most cultures.

I happen to believe a) I – or anyone – absolutely has the right to deny anyone’s “right” to offer “criticism” or “input” and b) through much, much, much hard won experience, I learned that most people’s “criticism” was largely invalid and of poor construct. In other words, they had no idea what they were talking about.

I am very, very open to critique – if it’s from someone whose expertise or experience I trust and they’ve *earned* my trust. Otherwise, I have no time to waste on most people’s hot air.

So while I think your approach is valid for within American culture, it should be limited to that.

E. C.: Well said Brad! (also a “fellow” Canadian). Love your courage for taking this on Jeffrey. And Brad, you make me THINK

Brad Esau: Thanks, E. C. After growing up in polite Canada and spending a decade and a half around Asians (Japanese, Taiwanese and Chinese) where this kind of “right” to openly criticize is unthinkable, I still find this jarring. Most of my online exchanges are with our friends south of the 49th. Just could never get used to their unrestrained forwardness.

And thank you for the compliment.

Barry Kort: What stood out for me in that vignette was that Judy was enacting a practice that she abhorred when the roles were reversed. About the only scenario where that’s kosher is in scripted psychodrama as a theatrical performance.

Brad Esau: Thinking on this further, I think unsolicited criticism is warranted in cases where intervention is needed. Somebody is clearly going about things in ways that will harm their future or… their chances at their goals, and then I think it’s quite correct to voice some well founded constructive criticism….

The thing with most people, they’re not nearly as “smart” or “wise” or “expert” as they believe themselves to be and most of their “criticism” or “advice” is nothing more than egotistical bluster and hot air.

After some time had passed, Brad added: I now just sort of have this iron clad rule for when anyone – and I mean anyone – offers “advice” or “criticism” I ask for or dig into their credentials and poke into what their motivation might be. 98% of people don’t pass those simple tests.

Of course the trick then is to learn to check one’s own premises and to see if whatever criticism or feedback they might have had to offer was warranted.

There are so many variables at work here!

I could fill a city with people crippled by the criticism they received all their lives from their mothers. Hell, maybe a whole continent. I’d have to say raising motherly criticism is invalid.

Judges are different – you purposely go there to be judged. The topic here is *unsolicited* criticism and how to deal with it.

E. C.: No one wants or needs to hear “bad things” about themselves. That is not constructive criticism. What is helpful is solicited advice on how I can improve on something. That is entirely different, and it requires the “advice giver” to have to actively listen to what it is I am asking and what information I am giving as far as what I need advice or help with.

Lyra Alves: I agree that it is highly determined by our cultural background, but we surely can work our way out of having it as “taboo” and adapt to it. I find criticism, from whatever source it comes, from people who know me or not, who have something interesting to say or not, an incredible gift for my personal growth. I trust much more people who are straight forward than those who are over-polite. I also tend to feel that often those who resist to criticism or those who only accept it if it comes from certain “certified” sources may have self-confidence issues, some hidden insecurities to be sorted out. Every chance we receive some criticism is a chance we have to review various concepts we have about ourselves, about what is the best or not. I think it is always a valuable chance to expand our view on the world and increase our ability to empathize.

Susan Clemens: I have a Facebook rule: Your wall; your opinion.
Other than that, constructive criticism can be offered if you have a relationship with the person, if the person is otherwise at risk of injury, or if you are approaching a business from the customer perspective.
“Pat them-poke them-pat them” works best. I have a few friends who welcome criticism and others who can’t stand it. I try to respect them and vice versa.

Brad Esau <irony>

I’ve recently posted a piece critical of America and Americans along with my own well founded views.

Going by the universal angry responses and denial I’ve gotten so far, it seems like the people who enjoy criticizing the most and defend their “right” to do so, are most uncomfortable with criticism of themselves.

</irony>

Jeffrey Rubin: Brad Esau, I’ve noticed the same thing–that many people who hate to be criticized are among the quickest to criticize, and often are the ones who are the nastiest criticizers as well.

E. C.: I wonder, am I the only one who kind of “bristles” at the word “Criticism?” I am all for constructive feedback but for some reason framing it as “criticism” feels far less helpful and like others have said does become more about the person giving it than about the person needing it. Jeffrey Rubin – do you see a difference? If so, why or why not?

Jeffrey Rubin: Hi E. C. I see the difference that you are trying to make, and it is an important and worthwhile distinction to make. I don’t see that that difference has to be made by using the word “feedback” for one and “criticism” for the other. However, if I am in a conversation just with you, I wouldn’t object to an understanding that we would use the words to mean whatever you would like.

That said, people have a variety of conceptions of these two words (criticism and feedback) and therefore typically it is a good idea to use more than just those words to explain what we mean. Defining our terms beforehand is a good strategy.

For future reference, to me and Daniel Webster, criticism is an evaluation. If you have evaluated something, then you have formulated a criticism of it; and if you tell someone your evaluation, you are providing the person criticism or a critique of something. It can be done in a way so that it is designed to be helpful to someone. Sometimes it is expressed in a manner that is designed to punish someone, or to just hurt someone for a variety of reasons, e.g., because of jealousy or because the person is stressed and irritable.

Concluding Comment

Well, I hope you enjoyed this discussion as much as I did. I hate to end it here, for there is so much more to say, but rest assured that there will be more on this emotionally packed conversation in coming weeks. Until then, here’s hoping that kindness accompanies all of the criticisms that come our way.

——————————-

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.

Tags conflict management, dispute management, disrespectful, insults, uninvited criticism, unsolictied criticism

conflict resolution DSM Emotional pain empathy insults mental disorders Mental Illness Name calling psychiatrists psychiatry psychopathology The Diagnostic and Statistical Manual of Mental Disorders William James

From Psychiatric Name Calling to Plain, Humane English

Post author By Dr. Jeffrey Rubin
Post date March 14, 2015
4 Comments on From Psychiatric Name Calling to Plain, Humane English

Many mental health service providers well know that there are serious problems with the jargon that is used in their profession. In a recent post titled “Psychiatric Name Calling: Is It Time To Put A Stop To It?” I outline some of the most glaring ones. In a subsequent post titled “Psychiatric Name Calling: Is There An Alternative?” I describe a plan for professionals who have an interest in eliminating the problems inherent in the current psychiatric pathologizing approach. This plan would allow professionals to replace the old model with one that would be practical, more consistent with principles of science, and far less stigmatizing.

As I have been seeking ways to promote these ideas, it has become more and more apparent that the gears of the mental health service provider professional organizations grind slowly. Until the necessary changes occur, what can the average English speaking person do when faced with terms like mental illness, major depressive disorder, psychosis, schizophrenia, etc.?

Three Principles That Can Be Used When Psychiatric Pathology Terms Are Employed by Others So That The Negative Effects Associated With Their Usage Can Be Reduced

Even people who are not mental health service providers will regularly use psychiatric jargon. Thus, a French writer once wrote:

My sadness was without limit, and having got possession of me, it filled my life from the most indifferent external acts to the most secret thoughts, and corrupted at their source my feelings, my judgment, and my happiness. It was then that I saw that to expect to put a stop to this disorder by my reason and by my will, which were themselves diseased, would be to act like a blind man who should pretend to correct one of his eyes by the aid of the other equally blind one.

In this quote, the French writer, to describe some concerns he had about his sad mood and how it was affecting his feelings, judgments, and happiness, uses the words “disorder” and “disease.” This is the type of language most mental health service providers throw around. What is the writer attempting to convey by their use?

Sometimes when these words will be employed, their context will make it clear what meaning the author intends. In this example, the author does provide some context. He clearly indicates he was much sadder than he wished to be, and he believed he was unable to do anything about it. He also expressed a concern about his feelings, judgments, and happiness, but he was less clear about what he meant by this.

When someone begins to use pathologizing language and we simply don’t know what is intended, we might end up with misleading, simplistic associations. And so, here are three principles that can be used when psychiatric pathology terms are employed so that we can avoid unnecessary confusion.

Each Time Someone Uses A Psychopathologizing Term, Ask The User Of The Term For A More Specific Description Of What Is Meant By It

In the example that I provided above, there was some lack of clarity about what the French writer meant about his judgments. We know that he felt that it was disordered and diseased. That really tells us nothing more than he was dissatisfied with his judgments. To clarify, we could ask for some specific examples of when his judgment proved to him unsatisfactory.

As another example, suppose you hear Alice saying that John Doe is “mentally ill.” If you want to use this first principle, you would ask Alice what, specifically, does “mentally ill” mean to her and what has John done specifically that led to her calling John this name. These questions typically lead to further constructive discussions and ends up clarifying the nature of many fascinating experiences.

When Psychopathologizing Terms Are Employed, Express A Concern That This Terminology Simplistically Devalues An Experience

Terms like “mental disorders,” “mental illness” and “psychosis,” even when used by professionals, implies that there is something wrong with the person being described. However, as I described in my post “Are Mental Illnesses Really Potentially Helpful Tools?” there are numerous examples of the types of experiences that tend to be labelled mental disorders that end up being enormously helpful. Moreover, in cultures that recognize this possibility the outcomes for those people undergoing these challenging experiences are distinctly better.

And so, as you begin to use the first principle, asking for the user of pathologizing terminology for more specifics, if he or she seems to be suggesting that the experience is bad, you might wish to point out this well documented observation. At such times, I often say, “Many people with artistic temperaments have these types of experiences. Such people have given the world some of its most valued achievements.”

Instead Of Using The Concept of “Disease” And “Illness” To Encourage Humane Responding Toward Individuals Undergoing Challenging Experiences, Emphasize Rights, Kindness, And Practical Reasons

In seeking to encourage people who are using pathologizing terminology to be more specific, it is not uncommon to find that one reason they use these terms is that they hope it will encourage people to be more humane toward those who have certain challenging experiences. They usually mean well by this, but this approach has been used for centuries and history documents that despite such efforts, people who are being given these labels have often ended up in some of the most horrible, degrading treatment facilities.

Instead of using the concept of “disease” to encourage humane responding toward individuals undergoing the experiences that get labelled with pathological terms, an alternative is to emphasize human rights, kindness, and practical reasons.

Note that when people in a town are hit with a hurricane, we don’t have to resort to calling them ill to encourage some help. Instead, we have set up laws that entitle people to certain rights from the government when emergencies occur. Moreover, as word gets out about what is occurring to those who are suffering, out of kindness, people make donations or join their hands to provide direct assistance in a variety of ways. And lest we forget, there are practical reasons to lend a hand. By doing so, we model for people just what kindness is all about.

Any of us can find ourselves in an emergency situation. The more we promote acts of kindness, the more likely we may find that others will treat us with kindness if we are ever to find ourselves in a very unfortunate set of circumstances.

Using the Three Principles

William James, in his grand book, The Varieties of Religious Experience, tells us of some people who have mystical experiences that tend to be called “mental disorders.” James begins to use the three principles when he seeks out descriptions of the various mystical experiences that go well beyond the simplistic psychopathological descriptions. He then states that these mystical states have the right to be absolutely authoritative over the individuals to whom they come.

It is vain for rationalism to grumble about this. If the mystical truth that comes to a man proves to be a force that he can live by, what mandate have we of the majority to order him to live in another way? We can throw him into a prison or a madhouse, but we cannot change his mind-we commonly attach it only the more stubbornly to its beliefs.

It mocks our utmost efforts, as a matter of fact, and in point of logic it absolutely escapes our jurisdiction. Our own more “rational” beliefs are based on evidence exactly similar in nature to that which mystics quote for theirs. Our senses, namely, have assured us of certain states of fact; but mystical experiences are as direct perceptions of fact for those who have them as any sensations ever were for us…. The mystic is, in short, invulnerable, and must be left, whether we relish it or not, in undisturbed enjoyment of his creed.

In this quote, we find no plea from James that we should treat mystics humanely because they have a mental disease. Instead, James puts forth “rights” and “pragmatic” considerations. He argues that just like we in the majority would not like to be ordered to live in a particular way, these mystics have the right to live their way. And pragmatically, if we do use heavy-handed approaches to try to change them, such as throwing them in a madhouse, they will become more stubborn in their beliefs.

James proceeds from here to state that mystics have no right to claim that “we ought to accept the deliverance of their peculiar experiences, if we are ourselves outsiders, and feel no private call thereto.” His theme is tolerance for both the majority toward the minority and vice versa.

Returning to pragmatic arguments, James tells us in his chapter on mysticism that some have found that their mystical experiences have led to wonderful fruits that they highly valued. Some, for example, suffered for a great period of time and after their mystical experience felt wondrously free from their pain and found in its place increased energy and happiness.

James well realizes that the fruits from mystical experiences are not always positive, but he asks us, at the very least, to realize that they have the potential to “be indispensable stages in our approach to the final fullness of the truth.” Thus, we see that “rights” and “pragmatic arguments” can be used instead of a disease concept to promote humane, kind responses toward those who have the types of experiences that tend to be called mental disorders.

——————————-

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.

Tags insults, mental disorders, mental health concerns, mental illness, name calling, William James

Bad Mood conflict resolution fear mental disorders Mental Illness psychiatry psychological maturity psychopathology William James wisdom

William James’s Personal Bout with a “Mental Disorder”

Post author By Dr. Jeffrey Rubin
Post date March 8, 2015
5 Comments on William James’s Personal Bout with a “Mental Disorder”

William James, psychologist and philosopher, passed away over a century ago. Nevertheless, his remarkable body of work remains as fresh as fruit plucked from its tree but moments ago.

His views about his personal bout with a challenging experience developed over many years. Today I think it will be instructive if we spent a little time reviewing what he learned.

A Glimpse at James’s Early Views on Mental Disorders

We begin in April of 1867. James is 25-years old. Suddenly, he interrupts his medical education and flees to Europe.

Later, on describing the feelings that led to his departure, James wrote “it was as if something hitherto solid within my breast gave way entirely, and I became a mass of quivering fear. . . . I awoke morning after morning with a horrible dread in the pit of my stomach.”

William and Henry James's Father, with Young Henry on the right — William and Henry James’s Father, with Young Henry on the right

Several years went by and then, gradually, James’s spirits lifted. His father, noticing the difference in him, asked about it, and then relayed the news by letter to another son, Henry, in March, 1873:

He came in here the other afternoon when I was sitting alone, and after walking the floor in an animated way for a moment, exclaimed “Dear me! What a difference there is between me now and me last spring this time: then so hypochondriacal” (he used that word, though perhaps in substantive form) “and now feeling my mind so cleared up and restored to sanity. It is the difference between life and death.” He had a great effusion. I was afraid of interfering with it, or possibly checking it, but I ventured to ask what especially in his opinion had promoted the change. He said several things: the reading of Renouvier (specially his vindication of the freedom of the will) and Wordsworth, whom he has been feeding on now for a good while; but especially his having given up the notion that all mental disorder is required to have a physical basis. This had become perfectly untrue to him. He saw that the mind did act irrespectively of material coercion, and could be dealt with therefore at first-hand, and this was health to his bones.

We see in the above that at this time James viewed his experience that led to his departure from medical school as a “mental disorder.” Moreover, his conceptualization of it had begun to develop from a physiological pathology model to one that gives at least some freedom to the will. In time, his views begin to develop even further.

Letter to Henry James, 1885

The two brothers. Henry is on the left and Professor William James is on the right

William James and his younger brother, Henry, shared an especially close fraternal bond. Historians have greatly benefited from this because the letters that the two brilliant men shared reveal insights about their deepest concerns.

In 1885, now a medical school graduate and teacher at Harvard, James writes to Henry:

To 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.

In James’s letter to his brother, we see he has discovered that in marked contrast to his own favorable reaction to suggestions about the effectiveness of will and effort, some people react with horror. Such people view themselves as helpless, weak, passive, and failing. Rather than looking to a creative force within themselves, they look for the Powers of the Universe to fix them.

The Mature James

Toward the end of James’s career, he adds a new way of viewing the types of concerns that affected him so profoundly when he was young. We begin to see this new way when James discusses individuals who view themselves as “healthy-minded.” These individuals believe that those who worry are “morbid-minded” and “diseased.”

James responds to this name calling by stating that those referred to as morbid-minded have argued that “the world’s meaning most comes home to us when we lay them most to heart.”

After describing the argument between the so-called “healthy-minded” and the “morbid-minded,” James then states:

In our attitude, not yet abandoned, of impartial onlookers, what are we to say of this quarrel? It seems to me that we are bound to say that morbid-mindedness ranges over the wider scale of experience, and that its survey is the one that overlaps. The method of averting one’s attention from evil, and living in the light of good is splendid as long as it will work. It will work with many persons; it will work far more generally than most of us are ready to suppose; and within the sphere of its successful operation there is nothing to be said against it as a religious solution. But it breaks down importantly as soon as melancholy comes; and even though one be quite free from melancholy one’s self, there is no doubt that healthy-mindedness is inadequate as a philosophical doctrine, because the evil facts which it refuses positively to account for are a genuine portion of reality; and may after all be the best key to life’s significance, and possibly the only openers of our eyes to the deepest levels of truth.

To James, people confront events daily that create feelings of helplessness, pain, sadness, horror, and dread. James argued that the feelings that go along with these kinds of events can lead toward truth. Thus, he counteracts any tendency to assume that those referred to as morbid-minded are automatically inferior to those referred to as “mentally healthy.”

The Development of James’s Views About Mental Health Concerns

And so, starting from James’s own bout with a challenging experience, we see that his views develop over the years. Initially, mental health concerns are “mental disorders” which require a physical basis. He then changes his mind, coming to believe these experiences are not completely controlled by one’s physiology, and therefore they could be dealt with through philosophical and poetic means.

It then occurs to him that in contrast to the benefits that his new perspective had for him, others prefer, even crave, to believe they are helpless in the face of these types of experiences. Finally, James comes to believe that some people can derive benefits from the kinds of challenging experiences that, to many, are properly viewed as symptoms of a diseased mind.

Like James, I have undergone a similar developmental trajectory. As I have dealt with my own challenging experiences, I have, over a good many years, learned to greet them as old friends who have valuable messages to share with me. Sometimes they stay a little longer than I would like, and I may find it frustrating that they don’t always come right out and tell me what these messages are. But my patience, through meditation and the maturity that sometimes comes in the course of passing years, has been steadily improving.

Well, I hope this discussion has deepened the reader’s views of the nature of experiences that lead to people expressing concerns to mental health professionals. Until next time, may all of your concerns be addressed with wisdom, love, and kindness.

——————————-

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.

Tags challenge, Henry James, mental disorders, mental health, name calling, William James, wisdom