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conflict resolution mental disorders Mental Illness

The Mental Illness Concept: Its Pros and Cons

Welcome to From Insults to Respect. 

Perhaps some of you who have joined us here today have begun to notice that many in the media have begun to replace using the words “mentally ill,” “mental disorder,” or “psychopathology,” with words like, “a person with a mental health concern,” “mental health issue,” “mental health challenge,” or “mental health problem.” This change is viewed by some as more respectful, while others insist that this realm of existence is an illness like any other illness, and we should therefore stick to the original psychiatric terminology.

Why would anyone care what words are used to refer to a group of people? Isn’t one name just as good as another? Try convincing a black person that the n-word is as good as any other name to refer to him or her, and you might begin to see that some people do have strong emotional reasons for their word preferences.

A concept like “mental illness” is used to serve mainly a pragmatic purpose, though in time it may begin to pick up some negative emotional associations that pack a pretty nasty punch in the gut. So, with this in mind, let’s take a few minutes to examine the pros and cons of using these mental illness-type concepts. But first, a brief tour of the health care system will set the stage for our pros and cons discussion.

Brief Background History

For centuries people who were financially well off went to doctors that specialize in treating physical ailments. For those who had money merely for food and housing, home remedies substituted for professional care. Some of these poor folks saw themselves getting worse and worse and ended up desperately crying out for help at hospital emergency rooms.

This presented a moral dilemma for physicians. On the one hand, treating these poor souls for free would save lives. On the other hand, their hospital would be unable to economically survive because it’s expensive to provide treatments for free.

Advocates for moral physicians, the poor, and hospital administrators struggled with this for years. Eventually, the idea came about in most developed countries that the government could create an insurance program that would have all tax payers pay an affordable increase in taxes and this would fund health care at no extra cost for all of its citizens whenever any of them become sick.

Despite most developed countries upon actually trying this approach and discovering it is a workable solution, the United States decision makers set up an alternative that had private insurance companies offer policies to people who could afford its premiums. This expanded to some degree the number of people who were able to access healthcare.

Poorer people, however, could not afford these premiums, and continued to show up at emergency rooms. When hospital administrators pressed for payment, an enormous amount of people ended up bankrupt, while hospitals found the legal bureaucratic process of bankrupt proceedings taxing and financially problematic.

In time, advocates of some doctors, hospital administrators, and the poor increased the availability of healthcare through political action that led to the passage of some aspects of the Medicaid and Medicare programs. With the passage of the Affordable Care Act, even more people can now afford insurance premiums.

So, there you have it, the essential background information needed to consider the pros and cons of the pathologizing and psychiatrizing mental illness concept. In our next section, the concept’s perceived benefits shall be presented. As you read it, please remain mindful that not everyone agrees that each of these perceived pros are indeed pros, especially when long term consequences are taken into account. That being said, bear with me as I temporarily skip over these richly complicating issues until we reach the subsequent “Cons” section.

Pros

The two main pros to the mental illness concept are, 1. connecting the concept to the notion of illness helps to increase access to needed services and 2. it reduces stigma, blame, and guilt.

Increasing Access to Support Services

While all of the health care changes I discussed above were going on, there were individuals who were experiencing concerns regarding their level of distress, dysfunction, abnormal feelings, or behavior. Some went to their clergy for guidance, and this continues to this day. Others who could afford it, went to their medical doctor. Typically, when nothing physically wrong could be found to explain their patients’ concerns, doctors had little to offer other than unsupported theories such as pathological glands, toxic substances in their blood, chemical imbalances, or brain neurology. Often, placebo pills or sedatives were prescribed along with a few kind words of encouragement. However, some doctors took a special interest in just these types of concerns, and began to specialize in treating these patients, calling themselves psychiatrists.

Initially these psychiatrists claimed that because these concerns were due to real illnesses they were the only ones who should be permitted to legally diagnose and treat these types of patients. To bolster their argument, they referred to their patients with medical sounding terminology. Their treatments at first consisted largely with what they called psychotherapy, which was a specialized conversation. Later, lobotomies, new pills, and electroconvulsive treatments were added.

In the last few decades, other professionals, such as psychologists, counselors, life coaches, and social workers began to compete with psychiatrists in providing conversation-type services to this group of people at significantly lower hourly rates. Psychiatrists, realizing they were the only professionals that could legally prescribe drugs, began to focus on the pill prescribing side of treatment. The pharmaceutical industry, for their part, came up with some pills that were marketed as “antidepressants,” “anti-anxiety medications,” and “antipsychotics.”

To expand their client base, psychiatrists along with the powerful pharmaceutical lobby, made the case that since these mental illnesses were illnesses the insurance industry and government agencies should offer health insurance plans that covered mental illness treatments. When this succeeded, two other mental health services providers–licensed psychologists and mental health counselors–provided research findings indicating their psychotherapy approaches offered relief to those viewed as having a mental illness. Decision makers became convinced, and in recent years, more and more health insurance plans are including coverage for a limited number of psychotherapy sessions.

This increased access to treatment to a wider number of folks, and in the United States, advocates were able, through the Social Security Administration, to provide additional types of support for people it refers to as having a “serious mental illness.” Its Social Security Disability Insurance and Supplemental Security Income programs provide funds and help with housing.

So, one of the major perceived pros of the mental illness concept is that by tying psychological concerns to the concept of illness, it probably made it easier to convince decision makers to expand access to services for those struggling with these challenges. Additionally, for psychiatrists, other mental health service providers, and the pharmaceutical industry, their businesses have flourished.

Reducing Guilt and Blame

The mental illness concept, it has been argued, reduces for many parents feelings of guilt when their offspring begins to develop mental health concerns. Interestingly, many in psychiatry initially were the ones who actually increased parental guilt despite utilizing the mental illness concept. They had argued that schizophrenia is caused by bad parents, and especially by bad mothers (see HERE for a scholarly review of these theories).

In brief, mothers of patients were presumed to have provided a lack of authentic love of their child. Schizophrenia, and depression, according to other psychiatrists blamed some of women’s psychological concerns on their fathers molesting them. And so parent advocacy groups such as the National Alliance On Mental Illness (NAMI) jumped on the notion that mental illnesses were blamelessly due to an illness like any other illness such as diabetes or cancer. Most current psychiatrists are supporting NAMI’s position.

Despite the biological approach having failed over decades to find a relevant brain lesion or source of infection, or to nail down the hereditary nature of conditions referred to as mental illnesses, the “brain disease” idea still manages to alleviate parental guilt. It also alleviates the guilt of many patients who are told by people close to them that they should just snap out of whatever is concerning them. “You can’t just snap out of cancer, can you?” these patients argue. “My doctor says I have a real illness like any other illness, and I am acting responsibly because I went to a doctor, got diagnosed, and I’m taking my prescriptions.”

So, there you have it, the main perceived pros of the mental illness concept. By incorporating the word “illness” in naming this concept, which had already successfully helped to increase access for physical illness services, it appears to have eased the way to convince decision makers to provide access to services to address psychological concerns. Moreover, parents of the mentally ill labelled patients, along with the patients themselves, found that believing these concerns were illnesses like any other illnesses reduced their sense of guilt.

Cons

In seeking to weigh the pros of the mental illness concept with its cons, let’s break this task into four parts–1. insurance and government services issues, 2. illogic of trying to equate mental illness with physical illness, 3. psychiatric treatments causing more harm than good, and 4. confusing guilt with responsibility.

Insurance and Government Services Issues:

As mentioned above, one can theorize that the mental illness concept made it easier for insurance executives and government decision makers to agree to support providing services to people dealing with psychological concerns. In thinking about this, let’s first consider what really happens in the insurance industry when these types of decisions are made.

Long before mental illness policies were added to health policies, insurance companies had been offering policies that required no required illness connection. Examples of this are car insurance, theft insurance, flood insurance, etc.

In deciding to offer a policy to customers, insurance companies simply use actuary data to decide how much to charge people so the premiums would provide a profit. This is what they actually have done when deciding how much to charge for a policy that provides coverage for those who receive a “mental disorder diagnosis.” So, logically, there is no actual need for insurance companies to see mental health concerns as illnesses.

Some may argue that insurance executives, when considering whether or not to offer policies to people who are declared as having a mental illness probably first considered the following. By limiting services to just folks whose concerns are serious enough to warrant a mental disorder diagnosis, this would keep the number of people accessing services to a more manageable level. Thus, the system would avoid becoming overloaded with clients, and insurance premiums would remain manageable.

However, here is the counter argument. Mental health service providers now using the current “diagnosis” approach are not turning anyone away who has mental health insurance coverage. Professionals are in the business of increasing their clients. The current “diagnosis” system is so vague that anyone currently seeking services are easily provided with some “diagnosis” regardless of their expressed psychological concern.

So, with regards to the question, Was it easier for insurance executives to decide to offer policies that provide mental health support services because of the mental illness concept, there is really little logical support for this. How about for government decision makers? Again, we find example after example that the government provides support for reasons other than illness. The Federal Emergence Management Agency (FEMA) funds are used when an earthquake or flood devastates a community. Local, state, and federal funds are used to provide extra services to school age students who fall academically significantly below average. No illness connection is required to convince anyone that these kinds of services are in the best interest for our communities.

So, in conclusion, when insurance executives or government officials decide whether funds are to be used to provide assistance to people, employing a concept that includes the idea of an illness is simply not a necessity.

The Illogic of Equating Mental Illness
With Physical Illness

A diagnosis of a physical illness requires the doctor observing the presence of a physical pathology. A diagnosis of a mental illness occurs when the doctor does not find any evidence of the presence of a physical pathology such as a virus infecting the body, an MRI identifying an internal lesion, etc. There is no actual diagnosis when a psychiatrist says he or she has made a mental illness diagnosis. The doctor simply has a conversation with the patient and assigns what is referred to as a diagnosis despite research studies indicating this type of classification system lacks reliability and validity.

Rather than using an “illness” metaphor to convince insurance companies and government decision makers to provide support services for the concerns now being addressed by them, it would be more logical to refer to these concerns as “mental health” concerns and develop a classification around this concept. The word “health” in such a  classification system would be used to provide the logical argument that professionals dealing with mental health concerns are part of the allied health professions. The reason for thinking of these professionals as health providers follows:

Many of the concerns that would fall under this type of classification system (behavior, emotion, mood, addictions, meaning of life, death, dying, managing chronic pain, work, relationships, education, eating, cognition, sleep, and challenging life situations) have been identified in scientific studies as “physical health risk” factors. For example, people who express a concern about being addicted to alcohol are at increased risk of developing sclerosis of the liver (O’Shea, Dasarathy, & McCullough, 2010). Those who express concerns about eating more than average may be at greater risk of diabetes and heart disease (Mokdad et al., 2003). Quality of interpersonal relations, lack of sleep, depression with thoughts of suicide, and various other concerns or clusters of concerns can be studied for the degree of physical health risk that they pose.

A major goal of mental health concern providers under this type of system would be to turn “physical health risk” factors into “physical health protective” factors. The degree to which this is successful can be studied using currently available methodologies and has the potential to save enormous sums of money in the long run.

The Mental Illness Concept Encourages Medical-type Treatments For Mental Health Concerns, Which has Led to More Harm than Good

According to the scientific evidence, the types of services that have come about as a result of medicalizing these types of concerns with “mental illnesses” terminology, has been far more harmful than health promoting. Medical doctors, which include psychiatrists, think of treatments chiefly in terms of surgery and medicines. Early in the psychiatric profession the surgical operation that it came up with was referred to as lobotomies.

First introduced in the 1930s, this highly traumatic brain procedure was once seen as a miracle cure for mental illness. But it soon became apparent that many patients lost their ability to feel emotions and became apathetic, unengaged, and unable to concentrate. Some became catatonic, and a few even died. After a few years it became clear it resulted in far more cons than pros, and has since been discarded.

The medical profession of psychiatry has now turned to the treatment option of prescribing “antidepressant, “anti-anxiety,” and “antipsychotic” pills. As it turns out, when the long term effects of consuming these pills is considered, overwhelming evidence indicates far more harm than good (see HERE). In brief, data indicate rising disability rates since these drugs became the standard treatment. Standard mortality rates for schizophrenia and bipolar patients have worsened as well. Long-term studies tell of higher recovery rates for schizophrenia patients off medication. There is evidence that tells of how depression has been transformed from an episodic disorder into a chronic condition in the “antidepressant” era.

Why, then, do so many people who have received this type of treatment report that they are being helped by them? It has to do with how most psychoactive drugs create the illusion that they are helpful (see HERE, and HERE). The best way to understand how this illusion is created, is to consider how people come to believe smoking cigarettes help them to deal with their stress. Thus, in a study published in the American Psychologist, researchers found the following:

smokingSmokers often report that cigarettes help relieve feelings of stress. However, the stress levels of adult smokers are slightly higher than those of nonsmokers, adolescent smokers report increasing levels of stress as they develop regular patterns of smoking, and smoking cessation leads to reduced stress. Far from acting as an aid for mood control, nicotine dependency seems to exacerbate stress. This is confirmed in the daily mood patterns described by smokers, with normal moods during smoking and worsening moods between cigarettes. Thus, the apparent relaxant effect of smoking only reflects the reversal of the tension and irritability that develop during nicotine depletion. Dependent smokers need nicotine to remain feeling normal. The message that tobacco use does not alleviate stress but actually increases it needs to be far more widely known.

drug withdrwal 1This same process is largely the reason why people become addicted to other substances, such as alcohol, caffeine, illegal drugs, and the drugs that psychiatrists prescribe. They all create the illusion that the pills improve their functioning initially through a placebo effect. Then, once their bodies adapt to the drug, each time they haven’t taken the drug for a few hours, they begin to experience a withdrawal effect that they attribute to their mental health concern returning. When they take their next pill, their relief from the withdrawal effect abating is experienced as pleasant, and with that, the illusion has been accomplished. For many people, it is only by gradually withdrawing from these addicted substances can one safely recover from this type of addiction (see HERE for support to safely withdraw from these drugs).

Confusing Guilt With Responsibility 

As for the belief that framing mental health concerns as an illness like any other illness reduces blame and feelings of guilt, this too is an illusion. Despite this belief, many people continue to blame parents for their offspring acting in certain socially unacceptable ways and they continue to blame the patients as well (see HERE). By the way, many also feel guilty when they get certain physical illnesses. For example, tobacco related illnesses often are met with a regretful twinge.

Rather than trying to convince oneself that a mental illness diagnosis somehow significantly reduces stigma, we would be better off considering the difference between blame and responsibility. Guilt and blame are associated with the attitude that the guilty party deserves to be insulted and punished, something I don’t at all support. In contrast, responsibility indicates that when working through troubling experiences, you recognize you have an important job to do. This job involves allowing yourself to fully experience the physical sensations that come, not as something awful, but as something useful and containing even some aspects of great beauty. It is like sitting beside a sparkling blue ocean listening in a caring way to a good friend who is going through an anxiety or grief experience, and empathizing on a physical level with what he or she is experiencing. This experiencing leads as naturally as life itself to seeking ways to address the concerns that bring about anxiety and grief.

Even if no immediate promising ideas come from a particular episode of spending time in this way, taking responsibility involves keeping hope alive. This means that you recognize that with particularly challenging situations, it takes an extended time to fully address such concerns. In the coming days, new, fresh ideas may yet come your way, or the situations that brought about the concerns may change in unexpected ways to your advantage. In contrast to acting responsibly, experiencing guilt when feeling anxious or grief becomes an aversive experience. The mental illness label pathologizes the concern, but there is a potential of improving one’s life with the experiences that get these illness conceptualizations.

Taking responsibility for one’s concerns, in my opinion, involves welcoming these experiences, kind of like you might a friend, for these experiences enrich our lives if handled responsibly. If you have something more pressing to take care of for a short period of time, it can make sense to gently delay your interaction with whatever anxiety and grief you have to deal with until a more convenient time. However, the responsible thing to do is to soon invite these experiences back so you can spend some time to work through these types of concerns. Daily meditation, quiet walks in natural environments, and journal writing, are free and ideal ways to do this.

Wow, this post has gotten quite a bit longer than I intended. I think I’ll give it a rest at this point. With that, I bid you a warm adieu.

My Best,
Jeff

Categories
antidepressants antipsychotic drugs conflict resolution mental disorders Mental Illness

Psychiatry, Science or Business Model?

Welcome to From Insults to Respect.

Last week, I presented a post titled, “Mental Illness as Distress, Abnormality, and Dysfunction.” There, I explained that it is actually normal in our society to have periods during which we become concerned that we are too distressed, or too dissatisfied with our level of functioning. The pharmaceutical companies, I noted, promote that these concerns are mental disorders and can be safely addressed by going to a psychiatrist.

Psychiatrists, using the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5), label expressed concerns as mental disorders, and then write prescriptions for drugs they call medications. This is financially rewarding for psychiatrists and makes billions for the drug companies. Unfortunately, this model is promoted as a sound science supported enterprise, although science paints a dramatically more complicated picture.

The question of whether psychiatry is even properly viewed as a science was taken up in an article titled, “Is Psychiatry Scientific? A Letter to a 21st Century Psychiatry Resident.Published in 2013 by the National Library of Medicine, its conclusion section states in part, “The DSM-5 is a dead end, and even the NIMH scientists acknowledge that DSM-5 does not describe valid entities supported by valid scientific research.” Nevertheless, on the basis of this approach, the average psychiatrist makes $220,000 per year.

Here’s a narrative illustrating what they do to earn this.

Good afternoon, Mrs. Doe. I hope your trip here went smoothly.

Yes. I’ve come for an appointment, Dr. Smith, because I’ve been very depressed. I’ve been seeing on TV commercials that there are some pills that can help.

Yes, Mrs. Doe, there are. But first, please tell me how long these depressed feelings have been going on.

Well, my husband and I have begun the process of having a divorce, and, well even before that, we were having marital problems, and, well, maybe for a few months now its been pretty bad.

Has it been affecting your sleep?

Oh, yes. I often have trouble falling to sleep for hours.

How about eating?

Sometimes I end up drinking too much, and I have a bad stomach reaction….

After this type of conversation goes on for about an hour, the doctor prescribes a pill, informing the patient of what kinds of side effects to watch out for.

Psychiatrists, like other medical doctors, seek to validate their treatment with studies that are carried out using acceptable scientific methodologies. Let’s take a critical look at the outcomes of these studies.

The Science

Short term studies indicate the use of “antidepressants” can cause irritability, anxiety and panic, emotional flattening, involuntary muscle movementssexual impairment, suicidality, weight gain and aggression. Additionally, serious withdrawal effects are well-documented and can last for months, and can be mistaken for a return of depressive symptoms. 

In these short term studies, some subjects taking these drugs do report some improvement after a few weeks, but so too do those who take a placebo, or begin a physical exercise program, or begin seeing a counselor or psychotherapist, or begin to meditate. The difference between the  improvement experienced between the active drug and placebo groups tends to be slight.

Even this slight improvement has been questioned because of serious flaws in the research design. These flaws have to do with the drug studies being funded by pharmaceutical companies and because most of the subjects in the studies were taking a different “antidepressant” prior to the study.

Why would taking a different “antidepressant” prior to taking the new drug in these studies lead to making the new drug look more effective than a placebo? To qualify to be in the study, those who had been taking a different “antidepressant” had to agree to stop taking it for a couple of weeks prior to taking the new “antidepressant.” It often takes more than two weeks to wean off of these types of drugs. Therefore, many of these subjects in the placebo group were experiencing withdrawal reactions from no longer taking any “antidepressant.” This then creates the illusion that the new drug is more effective than a placebo because those taking the placebo mistake their withdrawal reaction that is continuing after they begin to take the placebo to a worsening of depression. Meanwhile, those in these studies who were taking the actual new drug are less likely to experience withdrawal reactions because new “antidepressants” are similar to the older ones. 

As for the long term effects of these drugs, there are some studies that looked at this and found that those who took “antidepressants” had worse outcomes than those who did not receive the drug despite having the same symptoms.

I focus above on the science regarding depression because it is the most common reason people go to a psychiatrist, but all of the drugs psychiatrists tend to prescribe are unhealthy. The so called “antianxiety” drugs, colloquially called “benzos,” are addictive, and side effects include drowsiness, dizziness, and decreased alertness and concentration. Lack of coordination may result in falls and injuries. Another result is impairment of driving skills and increased likelihood of traffic accidents. Decreased libido and erection problems are also common side effects. Depression and disinhibition may emerge.

The so called “antipsychotic” drugs are even more dangerous. Here’s a list of them, and I provided a link for each one so people can learn more about what they are.

Some estimates suggest the “antipsychotics” shorten a person’s life by around 10 to 20 years. That’s a lot of damage to cause.

My Conclusions

Dr. Jeff Rubin

For several years, I moderated a series of debates on this topic. The panel members included several leading psychiatrists who supported what they did in their practice. I came away fairly convinced that they genuinely believed they were providing an enormously helpful set of treatments. They also struck me as intelligent, caring individuals, and I respected them for their willingness to debate the issues.

Their efforts at rationalizing what they do consists of describing their experience with their patients in glowing terms, minimizing the negative side effects while exaggerating the benefits of the drugs they prescribe, and admitting that much of the scientific support for their treatments are indeed flawed but set this quickly aside with comments like, “Hey, all research studies have flaws.” Even in the face of other debate panel members that included one psychiatrist, a noted scientist, and patients who disagreed with them, they steadfastly remained convinced that their approach was consistent with the best science available.

These debates also included patients who fervently believed the psychiatric/mental disorder way of looking at their concerns has been enormously helpful. Their two chief arguments were,

1. Mental illnesses are real illnesses, and therefore, this eliminates blame for what they were going through,

2. The psychiatric drugs have “saved their lives,” or significantly improved their lives.

To this, I want to make it clear that neither I, nor most of the people I know, blame patients/clients for experiencing psychological concerns regardless of their views on this issue. At the same time, I have met people who do blame people for any and all behaviors they don’t like about them regardless of their views on mental illness. Since the notion of mental illness as real illness has been the dominant position by psychiatrists, stigma has not been eliminated. Moreover, I know smart, intelligent people who choose to take psychiatric drugs that I genially like and respect. With those words of clarification, I nevertheless have, after hearing both sides of these issues, concluded psychiatry causes far more harm than good, while being a heck of a financially rewarding business model.

It’s hard to come to this conclusion because making a good living is a fine thing to be doing. I don’t want to be seeming to be putting down the value of this, and I fear that people might think I have unkind feelings toward psychiatrists in general. I recognize and accept good people see these issues so very differently than do I.

Well, enough for now on this so very challenging topic. Let’s depart with a shift to something more pleasant.

Spring has arrived, along with its beautiful, colorful flowers fluttering in fragrant breezes. And so, may we all find some time to get outside, breath deeply, and find within us a wonderful appreciation of the many fine aspects of being alive.

My Best,
Jeff

—————————————–

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

Categories
conflict resolution Free Speech Massachusetts Supreme Court Uncategorized

On Civility During Community Meetings

Welcome to From Insults to Respect.

Today, I came upon a NewYorkTimes article titled “Residents’ Rights to Be Rude Upheld by Massachusetts Supreme Court.” The ruling settled a conflict between the town of Southborough’s “civility code” for public comment at meetings and Ms Louise Barron who had said to a town board member, “Look, you need to stop being a Hitler. You’re a Hitler. I can say what I want.”

Ms Louise Barron

The Southborough’s civility code required “respectful and courteous” discourse “free of rude, personal or slanderous remarks.” Leading up to the high point of the conflict, Ms Barron had accused the town board members of “…spending like drunken sailors,” and breaking the law by limiting her speech. A board member expressed that she was starting to “slander” the town officials and indicated that if she continued with such words he would move to end the open comment section of the meeting. It was at this point that Ms Barron made the Hitler comments, and then the committee members agreed to end this part of the meeting.

It’s awfully expensive settling these issues in court. Therefore, it might be worthwhile for us to take a few minutes to look at the court’s reasoning, and then consider what preventative path we might wish to wisely choose to avoid getting embroiled in such conflicts.

The Court’s Reasoning

According to the New York Times:

John and Samuel Adams

Decorum, the new decision concluded, was not a top priority for the cousins John and Samuel Adams when they drafted Article 19 in the Massachusetts Constitution, ratified in 1780. By laying out the right to request “redress of the wrongs done them, and of the grievances they suffer,” the justices noted, they aimed to protect the colonists’ freedom to rail against King George III, disparaged at the time as “the Royal Brute,” in a profane and ungracious manner.

The Southborough Town House, where the town’s board of selectmen meets. Credit…Sophie Park for The New York Times

“There was nothing respectful or courteous about the public assemblies of the revolutionary period,” the court wrote in its opinion. “There was also much that was rude and personal, especially when it was directed at the representatives of the king and the king himself.”

“…..The court found that her reference to Hitler was “certainly rude and insulting,” but was protected speech nonetheless. The town’s insistence on civility “appears to cross the line into viewpoint discrimination: allowing lavish praise but disallowing harsh criticism of government officials,” the ruling said.

“Although civility can and should be encouraged in political discourse,” the justices wrote, “it cannot be required.”

As I read the court’s decision, I found myself frustrated that it relies so much on the reasoning of people who thought about this issue over two hundred years ago. At the same time, I do have a great deal of respect for the principle of freedom speech. I also realize that if enough people object to this court ruling, there is a democratic process that allows for changing the constitution. Making such a change would be a lengthy process. In the meantime, how might those who lead periods of public open comments prepare for the likelihood of being insulted?

Suggestions For Dealing With Insults

Given this ruling, a license for disrespectful language is now on the books. Public figures, therefore, are going to have to figure out ways to skillfully handle this. The Times article offered a suggestion on how to go about doing so.

To encourage civil behavior, “treat people civilly in the first place, and in a way that they perceive to be fair.” For example, imagine the difference if a board member, instead of getting defensive, said, “This person is not feeling heard,” and then said, “Tell us more.” This suggestion is a good start for thinking about how to wisely move forward in a positive manner, but in my opinion needs elaboration.

Although the justices wrote that “civility can and should be encouraged in political discourse,” the Times article is not as clear as I would like. How precisely this might be done without violating their ruling that this cannot be required? Here’s my suggestion.

Immediately prior to each meeting’s public comment period, the chairperson would make the following statement–“We now invite public comments. We would greatly appreciate it if all of your comments are phrased civilly and respectfully.” Although not all will comply, I think encouraging this is worth the effort.

The Times article seems to suggest a specific type of response from a board member to an insult–“The person is not feeling heard. Tell us more.” From my experience, just making this type of suggestion to board members, sound as it is, may work to some degree, but to really increase the likelihood of this occurring when board members are in the midst of a heated personal attack, I recommend three practice sessions lasting half an hour each. Each session would begin with someone reading Rudyard Kipling’s poem, “If.”

Rudyard Kipling

If you can keep your head when all about you   

    Are losing theirs and blaming it on you,   
If you can trust yourself when all men doubt you,
    But make allowance for their doubting too;   
If you can wait and not be tired by waiting,
    Or being lied about, don’t deal in lies,
Or being hated, don’t give way to hating,
    And yet don’t look too good, nor talk too wise,
….
Yours is the Earth and everything that’s in it,   
    And—which is more—you’ll be a Man, my son!
Then I would provide this little story about Abe Lincoln:

On one occasion, Secretary Stanton was particularly angry with one of the generals.

“I would like to tell him what I think of him!” he stormed.

“Why don’t you?” Mr. Lincoln agreed. “Write it all down – do.”

Mr. Stanton wrote his letter. When it was finished he took it to the President. The President listened to it all.

Secretary Stanton

All right. Capital!’ Lincoln nodded. “And now, Stanton, what are you going to do with it?”

Do with it? Why, send it, of course!”

“I wouldn’t,” said the President. “Throw it in the waste-paper basket.”

“But it took me two days to write —”

Yes, yes, and it did you ever so much good. You feel better now. That is all that is necessary. Just throw it in the basket.”

After a little more expostulation, into the basket it went.

After these two readings at each of the three practice sessions a board member, while being video recorded, would pretend to insult another board member, and the person receiving the insult would try to respond civilly and fairly. Then the whole board would critique the response. By going through this process a few times at each of the three sessions, it would enormously increase the likelihood of each board member skillfully handling these challenging situations.

I hope you find these suggestions helpful.

My Best,
Jeff

 

 

Categories
"Bully" the Movie bullying conflict resolution Donald Trump

Trump, Bullying, And Disrespect

Welcome to From Insults To Respect.

This week, I received a letter from a wonderful pal of mine, Mike Gilmartin, a retired English professor who dabbles in the fine art of poetry. His letter included his most recent effort, which he titled, “The Art Of Trumping The Deal.” To me, it powerfully expresses Mike’s emotion that comes with his disrespect for Donald Trump’s bullying behavior.

Mike views Trump as a bully, as he puts it, “Because a bully blusters and lies and then chickens out when truth is on the line.”

Mike, certainly, is not alone in viewing Trump as a bully. For example, in an article in the The Observer, Arlie Hochschild writes:

To bully someone is to seek to harm, intimidate or coerce another who’s perceived as vulnerable. As the National Center Against Bullying elaborates, there are many types of bullying. Reviewing them, we… can recall times when Trump has exemplified nearly all of them. There is physical bullying – tripping, kicking, hitting; remember his calls in 2016 to oust Black Lives Matter demonstrators in the “old-fashioned way” (with a show of fist in palm). There is verbal bullying – name-calling (Sleepy Joe, Crooked Hillary, Little Mario). There is mockery by imitation. Recall his laughing imitation of a disabled reporter, palsied arms and hands shaking. Then there is social bullying – showing contempt for someone’s social reputation (think of the Gold Star parents, Khizr and Ghazala Khan, ridiculed for the silence of the grieving mother).

These Trump bullying behaviors, according to a Washington Post article

“has seeped into schools across America. Many bullies now target other children differently than they used to, with kids as young as 6 mimicking the president’s insults and the cruel way he delivers them.

“Trump’s words, those chanted by his followers at campaign rallies and even his last name have been wielded by students and school staff members to harass children more than 300 times since the start of 2016 [to the end of 2019], a Washington Post review of 28,000 news stories found. At least three-quarters of the attacks were directed at kids who are Hispanic, black or Muslim, according to the analysis.”

When I first read Mike’s poem, I liked its poetic expression of the emotional reactions of disrespect that is often experienced when we see someone acting like a bully. An image of giving the bully a good sock in the kisser, understandably, might come to mind, as well as images of other violent acts.

Because of this being a common reaction, I thought it would be worthwhile to share the poem with my readers to aid the uprooting of weeds in one’s mind regarding the nature of bullying. At the same time, I wouldn’t want readers to think that I am recommending that such thoughts should be the automatic proper way to actually respond to bullies. Such violent responses can lead to an assault charge and land one in prison. There are also various other very serious negative consequences when responding violently. A wise response requires considering who is doing the bullying, and the situation in which it occurs. In past posts, I discuss some specific ideas about this (see HERE, HERE, and HERE for a few examples). So, with these prefatory comments out of the way, let’s move on to take a look at Mike’s poem.

The Art Of Trumping The Deal

We were both born in New York City

Less than a year apart.

Thus ends the similarity.

 

My Dad, a WWII combat Marine

Taught me many things.

And he taught me this about bullies:

 

“Son, if it’s going down in the schoolyard,

Punch them in the mouth with all you’ve got

And they’ll run home crying for their mamas.

 

“If it’s going down when you’re young men,

Kick them in the nuts with all you got

And they’ll squeal like little girls.

 

“If it’s going down when you’re grown men,

Watch if their lips are moving and tell them you know they are lying

And they’ll turn red and orange in whimpering rage.

 

“If it’s going down when you’re old men,

Listen for their painful moaning at the urinal

Then piss on their shoes

And they’ll try to rub it off on the back of their pants leg.”

My Impressions

Dr. Jeff Rubin

The poem leads me to vividly sense the anger and hate many people experience when encountering bullies. Although the body of the poem applies to bullies in general, the title of the poem, “The Art Of Trumping The Deal,” points me in the direction of considering Trump’s particular style of bullying.

Trump’s style has him not actually physically attacking the person he is seeking to bully, but rather, to incite others to do the attacking for him. Thus we hear of numerous articles indicating an increase in violence toward the very individuals Trump verbally attacks in his speeches.

And then we have the incident in which Trump summoned like-minded bullies to come to D.C. on January 6, his incendiary rhetoric provoking a violent attack on the nation’s capitalAlthough he recently pardon them, those carried out the violence were left to suffer for four years its consequences. Hundreds lost their jobs, others had to bear the cost and time of acquiring lawyers to defend themselves against criminal charges, many of them paying large fines, and some served time in prison. Meanwhile, Trump was bathing in the sun at his Mar-a-Lago country club.

But, somehow, I kinda think that all is not so perfectly rosy in Trump’s mind these days. It is just possible that images of numerous criminal investigations just may by provoking anxiety at the consequences of his recent actions.

Well, that’s my post for today. I’ve written it with the hope that it might encourage any of you who might be tempted to try to achieve some goal by bullying your way through various obstacles to pause and consider the value of employing less anger and hate promoting alternatives

 

My Best,
Jeff.

Categories
anxiety conflict resolution Depression melancholy William James

William James’s Advice To A Melancholy Friend

Welcome to From Insults to Respect.

James with his daughter

In a recent post, I shared some advice the highly respected psychologist and philosopher William James gave to his depressed 13-year-old daughter. It was so well received, I decided to describe another example of James giving advice to another person feeling so very blue.

Unlike my previous example, which occurred when James was a mature professor and father, today’s example occurred in 1866 when James was a mere 24-year-old. But before we get to that example, we shall go back a little further, when James was 19. By doing so, we get to see an intriguing shift in his way of thinking about mental health concerns.

James’s View of the Nature of Mental Health Concerns When He Was Nineteen

James’s cousin, Minnie, two years younger than he, lost both of her parents when she was very young. She somehow appeared to recover from the severe blow, turning herself into the James family’s most enchanting and adored relative. In fact, James’s brother, the famous author, Henry James, drew two of his most appealing heroines from her image,–Minnie Theale in Wings of the Dove, and Isabel Archer in The Portrait of a Lady. Sadly, at the age of seventeen, Minnie began to display emotional patterns that raised serious concerns. James, in a letter to Minnie’s sister, explains his understanding of the cause. “…it is but an organic lesion of the gray cortical substance which forms the pia mater [innermost membrane enveloping the brain and spinal chord], which is very consoling to us all.”

On what basis does James have for this explanation of the cause of Minnie’s mental health concern? And why would viewing Minnie as having a brain lesion be consoling? The letter doesn’t answer either of these questions, but blaming the brain for mental health concerns and the belief that such blaming is consoling survives up to the present day.

In recent years, after failing to prove a brain lesion is the cause of mental health concerns, a chemical imbalance in the brain has been promoted and eagerly accepted by many as true.

For example, the most recent relevant survey I could find on the internet suggests that 67% of the general public believe it has been scientifically established that depression is caused by a serotonin chemical imbalance in the brain (see HERE). Despite this belief, a 2022 research article published in Molecular Psychiatry concludes:

…the huge research effort based on the serotonin hypothesis has not produced convincing evidence of a biochemical basis to depression. This is consistent with research on many other biological markers [21]. We suggest it is time to acknowledge that the serotonin theory of depression is not empirically substantiated.

Many believe the reason why this idea has been so promoted is that it legitimizes the lucrative marketing of psychiatric drugs. Although I think there is considerable truth to this, the eager acceptance of this notion by many members of the general public has to do with it being a consoling notion to family members who might otherwise be blamed for their offspring’s concerning behavior. With this way of thinking, it is not anything any family might have done to cause the concerning behavior; it’s some problem in the brain that is the cause.

Now, don’t misunderstand me here. I’m not at all suggesting that family members should be blamed for all such concerns. There are, undoubtedly, many possible reasons why someone begins to act in a way that raises concerns.

When James is called upon to offer some advice to a friend several years after his comment to Minnie’s sister, his notion about the cause of mental health concerns has clearly changed.

James’s Advice to His Friend

In a letter dated, June 8, 1866, James wrote to his friend, Tom W. Ward:

I have just read your letter over again, and am grieved afresh at your melancholy tone about yourself. You ask why I am quiet, while you are so restless. Partly from the original constitution of things, I suppose; partly because I am less quiet than you suppose; only I once heard a proverb about a man consuming his own smoke, and I do so particularly in your presence because you, being so much more turbid, produce a reaction in me; partly because I am a few years older than you, and have not solved, but grown callous (I hear your sneer) to, many of the problems that now torture you. The chief reason is the original constitution of things, which generated me with fewer sympathies and wants than you, and also perhaps with a certain tranquil confidence in the right order of the Whole, which makes me indifferent in some circumstances where you fret. Yours the nobler, mine the happier part! think, too, that much of your uneasiness comes from that to which you allude in your letter–your oscillatoriness, and your regarding each oscillation as something final as long as it lasts. There is nothing more certain than that every man’s life is a line that continuously oscillates on every side of its direction; and if you would be more confident that any state of tension you may at any time find yourself in will inevitably relieve itself, sooner or later, you would spare yourself much anxiety. I myself have felt in the last six months more certain that each man’s constitution limits him to a certain amount of emotion and action, and that if he insists on going under a higher pressure than normal for three months, for instance, he will pay for it by passing the next three months below par. So the best way is to keep moving steadily and regularly, as your mind becomes thus deliciously appeased (as you imagine mine to be; ah! Tom, what damn fools we are!). If you feel below par now, don’t think your life is deserting you forever. You  are just as sure to be up again as you are, when elated, sure to be down again. Six months, or any cycle of time, is sure to see you produce a certain amount, and your fretful anxiety when in a stagnant mood is frivolous. The good time will come again, as it has come; and go too. I think we ought to be independent of our moods, look on them as external, for they come to us unbidden, and feel if possible neither elated nor depressed, but keep our eyes upon our work and, if we have done the best we could in that given condition, be satisfied.

James goes on a bit more in his letter to encourage Tom to seek to harmonize his life to nature’s will and to develop patience, equanimity, humbleness, and kindness. These attributes, he says “would do your heart good.”

As the letter draws to a close, James writes,

I will now, my dear old Tom, stop my crudities. Although these notions and others have of late led me to a pretty practical contentment, I cannot help feeling as if I were insulting Heaven by offering them about as if they had an absolute worth. Still, as I am willing to take them all back whenever it seems right, you will excuse my apparent conceit. Besides, they may suggest some practical point of view to you…..

I am anxiously waiting your arrival on Class Day when we shall, I trust, patch up the Kosmos satisfactorily and rescue it from its present fragmentary condition.  

My Take On James’s Letter

Dr. Jeff Rubin

At age 19, James appeared to accept that his cousin Minnie’s troubling emotional behavior pattern is caused by a brain lesion and this notion is somehow consoling. There is no thoughts expressed that perhaps the trauma of losing both of her parents might be playing a part. No wondering if some new disturbing event might have occurred that family members are unaware. A brain lesion theory does provide a simple explanation.

At age 26, when James tries to come up with an explanation for Tom’s emotional concern, the brain lesion notion doesn’t come up at all. Instead, James begins by expressing some empathy for his friend by writing to Tom,”I have just read your letter over again, and am grieved afresh at your melancholy tone about yourself.” I like this. If someone you care about is going through some hard experience, expressing some empathy is a wonderful, humane, and kind thing to do.

Then, James responds to Tom’s question about why he is so “restless” in contrast to James. Perhaps it has to do with a difference in their constitution, James theorizes. But then James suggests that he actually might not really be less restless, he just doesn’t share this with others, preferring to consume his own smoke. In actuality, anyone familiar with James’s biography well knows he suffered greatly from periods of depression. (See HERE  for a discussion of James’s bouts with depression and how he came to overcome them).

James goes on in his letter to point to the possibility that Tom might have gone through a period of great pressure and, if so, naturally he would need some time to recover. The recovery process could be experienced as melancholy. He also suggests that certain thought patterns of Tom’s, if changed, might be beneficial.

James concludes by suggesting to Tom that all of what he had written could be wrong, but nevertheless, they may suggest some practical point of view. In providing this post to my readers, I, too, suggest that perhaps James’s advice might be worth considering if either you or someone you care about is struggling with melancholy experiences.

My Best,
Jeff

Categories
AR-15 guns conflict resolution Second Amendment

AR-15 Weapons and the Second Amendment

Welcome to From Insults to Respect. Today, we take up a country-wide emotionally charged conflict between those who believe the Second Amendment allows for what they refer to as some “reasonable restrictions” of arms such as banning AR-15 weapons, and those who believe the amendment provides an inalienable right to own arms with absolutely “no restrictions.” Here’s what the Second Amendment actually states:

A well regulated Militia, being necessary to the security of a free State, the right of the people to keep and bear Arms, shall not be infringed.

Let’s begin by taking a look at the major arguments being made by those on both sides. Then I’ll conclude with where I come out in dealing with this conflict.

The Arguments

The ‘Well Regulated Militia” Arguments

The Second Amendment begins by explaining the necessity for the amendment–“A well regulated Militia, being necessary to the security of a free State…” Here we see that the reason why the Framers included this amendment to the Constitution was because of the specific needs of a well regulated militia. This explaining is very different than the other amendments which give no explanation for each of them because each are viewed as “self evident.” For example, consider the wording of the First Amendment:

Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.

Notice that this amendment does not explain any reason for these Government restrictions. Also note that some aspects of this amendment is not absolute. For example, you can’t yell fire in a crowded theater, defraud someone, or participate in planning a murder and then claim the government can’t penalize you because you are protected by the amendment’s free speech clause.

Also notice that this amendment allows for the people to peaceably assemble, and to petition the Government for a redress of grievances. Thus, you can’t have people who formed a militia violently attacking the Government with arms and then successfully claim that since it was carried out by a well regulated militia your use of these arms is constitutionally protected. As a result of the January 6, 2021 assault on the U.S. Capital, over 800 people have been charged for crimes for their violent acts and more indictments are forthcoming.

The amendment immediately after the Second states:

No Soldier shall, in time of peace be quartered in any house, without the consent of the Owner, nor in time of war, but in a manner to be prescribed by law.

Like the First Amendment, the Third Amendment, provides no explanation. Given this “no explanation” style in the other amendments as well, we are left wondering why the Second Amendment veers away from this “no explanation” style. If the Framers just wanted to say all people have the right to carry and bear arms, they could have left out the first part of the amendment that refers to a well regulated militia, and instead have written:

The right of the people to keep and bear Arms, shall not be infringed.

Such wording would be consistent with the “no explanation” style used in the other amendments. If, instead, the Framers wanted to indicate only those people in a well regulated militia have a right to bear arms, they could have precisely worded the Second Amendment as follows:

A well regulated Militia, being necessary to the security of a free State, the right of the people in a Militia to keep and bear Arms, shall not be infringed.

Without such clear wording, we are left with ambiguity. It is nevertheless reasonable to lean toward the following theory: The Framers chose to use the militia clause in the Second Amendment to indicate that it applied to people in a well regulated militia. This theory is supported by the fact that the Framers were not typically given to providing explanations for why the people have the rights enumerated in the Constitution, and yet they chose to include one in the Second Amendment. Moreover the Framers were clear that only peaceful means could be used to assemble, and to petition the Government for a redress of grievances. Bearing arms at such events runs counter to this peaceful intent. Thus, the Framers did not view the bearing of arms as an absolute right, limiting its use when assembling, and petitioning the government.  Finally, there are other clauses in the Constitution that in practice are not absolute, and reasonable modifications to their wording have occurred.

Major Supreme Court Decisions

United States v. Miller, Decided in 1939. There are three major Supreme Court decisions that reveal how the Justices’ views on gun rights developed over the years since the Constitution was ratified. Let’s begin with the U.S. v. Miller case.

sawed off shotgun

Back then, the Court sustained a statute requiring registration under the National Firearms Act of sawed-off shotguns. After reciting the original provisions of the Constitution dealing with militias, the Court observed that [w]ith obvious purpose to assure the continuation and render possible the effectiveness of such forces the declaration and guarantee of the Second Amendment were made. It must be interpreted with that end in view.

The Court also opined that the Second Amendment referred to arms of the kind in common use at the time, referring to the time the Amendment was ratified–December 15, 1791. With this in mind, consider the arms that had been in common use in a militia back then.

People who had access to a handgun could only fire a single shot before reloading. People who had access to a long barrel gun had muskets. A musket fired a single lead ball before it needed to be reloaded to fire another. Black powder was the explosive material used which commonly fouled the musket after repeated firing and they were notoriously inaccurate when aimed at a target. Reloading required that a person carry out the following steps:

  1. Reach in the cartridge box with leather casing; it had a long flap to make sure the black powder within the cartridges remained dry. Remove one of the cartridges and bite down on the tail of the cartridge to tear it open.
  2. Half cock the musket by pushing back on the hammer with flint attached (called a dogshead). Push the frizzen forward, opening the pan (or flash pan) and pour a small amount of black powder from the cartridge.
  3. Pull the frizzen back, shutting the pan – the metal lip of the frizzen is now vertical. The weapon is now primed and the musket may be turned around without spilling the powder out of the pan.
  4. Hold the musket with the muzzle pointing up.
  5. Pour the rest of the powder from the cartridge into the barrel.
  6. Insert a lead ball into the barrel.
  7. Push the cartridge paper (called wadding) into the barrel and ram the wadding and ball down the barrel to the other end (breech) where the spark will take place. The charge is now properly seated.
  8. Replace the ramrod in the channel.
  9. Lift the weapon and pull back on the dogshead, fully cocking it.
  10. Raise the musket to a firing position.
  11. Fire the musket.

Such weapons are dramatically different than today’s AR-15 weapon that can fire numerous shots far more powerfully and accurately during the same amount of time that it takes to fire one round with a musket and then to reload.

District of Columbia et al. v. Heller. Decided in 2008.  In contrast to the argument that the Second Amendment refers to weapons that were only available at the time when the Second Amendment was ratified, a more recent case before the Supreme Court provided a different interpretation. Relying largely on the history of common law, which often gave people the right to bear arms for self protection, particularly in their own homes, and for hunting, opined that:

Some have made the argument, bordering on the frivo­lous, that only those arms in existence in the 18th century are protected by the Second Amendment. We do not in­terpret constitutional rights that way. Just as the First Amendment protects modern forms of communications…applies to modern forms of speech… the Second Amendment extends, prima facie, to all instruments that constitute bearable arms, even those that were not in existence at the time of the founding.

At the same time, the Court recognized that,

Like most rights, the right secured by the Second Amendment is not unlimited. From Blackstone through the 19th-century cases, commentators and courts rou­tinely explained that the right was not a right to keep and carry any weapon whatsoever in any manner whatsoever and for whatever purpose… Although we do not undertake an exhaustive historical analysis today of the full scope of the Second Amendment, nothing in our opinion should be taken to cast doubt on longstanding prohibitions on the possession of firearms by felons and the mentally ill, or laws forbidding the carrying of firearms in sensitive places such as schools and government buildings, or laws imposing conditions and qualifications on the commercial sale of arms.

We also recognize another important limitation on the right to keep and carry arms. Miller said, as we have explained, that the sorts of weapons protected were those “in common use at the time.” 307 U. S., at 179. We think that limitation is fairly supported by the historical tradi­tion of prohibiting the carrying of “dangerous and unusual weapons….

It may well be true today that a militia, to be as effective as militias in the 18th century, would require sophisticated arms that are highly unusual in society at large. Indeed, it may be true that no amount of small arms could be useful against modern-day bombers and tanks. But the fact that modern developments have lim­ited the degree of fit between the prefatory clause and the protected right cannot change our interpretation of the right.

NEW YORK STATE RIFLE & PISTOL ASSOCIATION, INC., ET AL. v. BRUEN, SUPERINTENDENT OF NEW YORK STATE POLICE, ET AL, Decided June 23, 2022. In the most recent gun decision by the Supreme Court, it ruled that:

Although Heller concerned the possession of a handgun in the home, the key point that we decided was that “the people,” not just members of the “militia,” have the right to use a firearm to defend themselves. And because many people face a serious risk of lethal violence when they venture outside the homes, we now hold, consistent with Heller and McDonald, that the Second and Fourteenth Amendments protect an individual’s right to carry a handgun for self-defense outside the home.

The definition of a handgun is “a short-barrelled firearm that can be held and used with one hand.

The decision goes on to say,

The Second Amendment guaranteed to “all Americans” the right to bear commonly used arms in public subject to certain reasonable, well-defined restrictions, Heller, 554 U. S., at 581. Those restrictions, for example, limited the intent for which one could carry arms, the manner by which one carried arms, or the exceptional circumstances under which one could not carry arms, such as before justices of the peace and other government officials.

In Justice Alito’s concurring opinion, he wrote, “Our holding decides nothing about who may lawfully possess a firearm or the requirements that must be met to buy a gun. Nor does it decide anything about the kinds of weapons that people may possess.”

Buffalo supermarket shooting victims

Summarizing this section, it provides a description of the dramatic difference between the kinds of weapons in use when the Framers wrote the Second Amendment and an AR-15 weapon. The above quotes from the Supreme Court decisions lays out how the court’s views on gun possession changed over time. First, it referred only to militias. Then, in a more recent decision, it said it refers to even modern guns that are commonly used for self-protection in one’s home. Then, in the most recent decision, it declared the Amendment also permits people to carry guns for protection outside of the home.

With regards to the Supreme Court’s decision concerning the type of weapon permitted for self protection, the only weapon mentioned is hand guns. As far as what is permitted with regards to obtaining such weapons, and what other weapons could be used, it states it is subject to certain well defined restrictions.

Arguments Against the Supreme Courts’s Decision

One set of arguments against the Supreme Court’s decision utilizes well documented statistics indicating the harms of having so many weapons in the hands of people. For example, the Violence Policy Center, in 2015, provided statistics that showed that in 2012, there were 259 justifiable self-defense homicides in which victims turned the tables on the assailant. However, the Center also reported these 259 justifiable homicides should be balanced against the statistics indicating the thefts of about 232,000 guns each year. That’s a ratio of one justifiable homicide for every 896 guns put into the hands of criminals.

Moreover, researchers from Boston University investigated the relationship between gun ownership and gun homicides from 1981-2010 in all 50 states. They said they found a “robust correlation” between the two factors. “This research is the strongest to date to document that states with higher levels of gun ownership have disproportionately large numbers of deaths from firearm-related homicides.”

In a summary of relevant peer reviewed studies by Scientific America, it found:

Sandy Hook victims

In a 2015 study using data from the FBI and the Centers for Disease Control and Prevention, for example, researchers at Boston Children’s Hospital and Harvard University reported that firearm assaults were 6.8 times more common in the states with the most guns versus those with the least. Also in 2015 a combined analysis of 15 different studies found that people who had access to firearms at home were nearly twice as likely to be murdered as people who did not. 

Further supporting this evidence that more harm than good comes from unrestrictive gun ownership, is well displayed in the following graph.

Here we see that countries with far more gun restriction than the United States have a small fraction of gun homicide rates. United Kingdom and Japan, which have the strictest gun restrictions have the tiniest fraction of such homicides. Meanwhile, nearly 40,000 Americans died because of gun violence in 2019.

Now, keep in mind, if you will, that the reason given by the Supreme Court is for self-protection. The AR-15 weapon is way too dangerous for such a purpose. If one shoots at an assailant in an apartment, the shot can penetrate not only through a wall into a neighbor’s apartment, but right through another wall into another apartment, thus endangering the life there. Moreover, shooting at someone with this weapon outside, risks killing someone more than 200 yards away who happens to be in the line of fire.

The mathematics describing the pros and cons of the no restrictions position when it comes to AR-15 is, to my mind, simple to calculate. One would simply add up how many lives were saved by non-law enforcement personnel who used an AR-15 gun to thwart a person seeking to harm someone versus how many lives were lost because citizens can now freely purchase AR-15 weapons.

Armed bystanders who are not security guards or off-duty police officers successfully ending a violent attack is a very rare occurrence according to the relevant data summarized by the New York Times—12 cases out of 433, and none of these cases involved an armed bystander using an AR-15 weapon. In fact, having more than one armed person at the scene who is not a member of law enforcement can create confusion and carry dire risks. An armed bystander who shot and killed an attacker in 2021 in Arvada, Colorado, was himself shot and killed by the police, who mistook him for the gunman.

In contrast to the evidence that AR-15 weapons are not being used by non-law enforcer professionals for self defense or protecting others during an attack, they have been used by mass shooters numerous times. After shooting 471 people at the Route 91 Harvest Festival in Las Vegas from a hotel room overlooking the festival, the gunman died by suicide before the police arrived to his room. The gunman was in no way defending himself against the victims who were innocently enjoying a music concert. More recently, we have seen the aftermath of one massacre after another in which the shooters used AR-15 guns that occurred in a supermarket, school buildings, and many other places.

The counter argument to these statistics is that they don’t include the following theory. Because people desiring to act violently know that so many of our citizens own guns this actually reduces violence. Such violent people, so the argument goes, refrain from acting out their violent desires out of fear that a citizen with a gun will end up killing them. This plainly implies that the more guns in a community, the less violence will occur. However, the statistics dramatically indicate the very opposite occurs.

Justice Stephen Breyer

Interestingly, the dissenting opinion by Justice Breyer in the most recent Court decision made extensive use of many of the same arguments against the 2022 ruling as I made above, but the majority disposes all of them with the following statement:

“…reliance on history to inform the meaning of constitutional text—especially text meant to codify a pre-existing right—is, in our view, more legitimate, and more administrable, than asking judges to “make difficult empirical judgments” about “the costs and benefits of firearms restrictions,” especially given their “lack [of] expertise” in the field. Id., at 790–791 (plurality opinion).”

But the empirical judgment regarding this issue is not at all difficult. It is backed up by overwhelming evidence that more access to guns in a given population leads to far more deaths. Moreover, there have been zero cases of non-law enforcement officials ever successfully using an AR-15 for self defense, or in defense of other citizens, while that same weapon has been used to murder numerous innocent fellow citizens.

My Thoughts

Personally, I am convinced that the fewer guns we have in our country, the safer we all would be. At the same time, I recognize that many of our fellow U.S. citizens love owning AR-15 weapons. With this in mind, here is what I view as a reasonable compromise.

Average citizens could purchase such weapons, but when purchased, it would be sent by the seller directly to a licensed gun shooting range of the owners’s choice, where it would be locked up. The owners of these guns could visit their AR-15 whenever they wish, and use them for target shooting, competitive games, and can hug them, and even kiss them to their heart’s content. When they leave the range, the gun would be returned to the range manager who would secure it for safe keeping. For those who already own such weapons, they would be required to turn them in to a licensed shooting range where it would be locked up, but can be used at the range whenever the gun owners wish.

Well, that’s my view on this contentious issue. I hope readers will find that it provides some thoughtful considerations as they go about discussing the topic with others and reflecting on their own judgements.

Just as I was finishing up this post, a news bulletin came on indicating three police offices were shot and killed, and several others were wounded. Such incidents, which are up 19 percent this year, has led police departments around the country to be among the most vocal in pleading for more gun restrictions, explaining they are being outgunned by criminals. So, it is with this punch to the gut story, I close with the wish that all of my fellow citizens have a safe week.

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

Categories
conflict resolution counseling helplessness William James

Counseling Someone Experiencing Hopelessness: First Session

Welcome to From Insults To Respect. Today’s post offers an approach for respectfully helping someone experiencing hopelessness during a first-hour counseling session. I commend it to you for I have found it remarkably helpful over my many years providing counseling services.

Helping people experiencing hopelessness can be rather challenging because many of them have no interest in doing anything about it. As the renowned psychologist and philosopher William James explains in a letter to his famous novelist brother, Henry James:

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

Henry is left of William

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.

That said, if you find you are engaging with someone experiencing something like this, is there nothing else to be done other than offering your condolences? For your consideration, here’s what I refer to as a Jamesian approach because it is based on some of the writings of William James.

Beyond Just Offering Condolences

Who are capable of trying the approach I have found so helpful?

Most people have the ability to try this Jamesian approach. However, there are some who will not be able to do so because they have very little patience in the presence of anyone feeling hopeless. Such persons might cry out, “Enough with this helplessness crap. Snap out of it and get the hell on with your life for crying out loud!”

Now, admittedly these unsympathetic people sometimes find, upon confronting someone with their demand, it actually seems to have been helpful. The person who had been feeling helpless becomes enlivened with the demand and can then find themselves improving their functioning and end up thanking the demanding person.

However, some of these demanding people find their approach in the situation with which they were dealing didn’t work and conclude there is nothing else that can be done. These people, totally disgusted with the continuing helpless attitude, very likely will not be able to utilize the Jamesian approach I wish for you to consider.

That said, it just so happens that some people who begin with the lack of sympathy approach end up seeing it has been far from helpful. They may yet be left harboring some desire to be helpful in some way. If they didn’t end up completely severing any subsequent relationship with the person feeling helpless as a result of their demanding approach, they might, through a turn of mind, come to say, “Well, I guess I have the ability to try a more supportive approach.” Such persons might still be able to utilize the Jamesian approach.

As for everyone else who thinks they can spend an hour being present with the person feeling helpless and express empathy, while being a good listener in other ways can give the approach I soon will describe a try. I’ve never seen any harm from such attempts.

Three types of situations in which the Jamesian approach can be utilized

The first two types of situations one can utilize this approach involves a professional counselor or psychotherapist. The client arrives for an appointment. The professional then begins the session by asking the client, “What concerns would you like us to address?” The despondent person might reply,

“There really is nothing to address. I only came for this appointment because my sister kept urging me to speak to a professional about my situation and I finally gave in. To me this whole appointment is a waste of time. My situation is hopeless.”

Or, the person might respond,

“I’ve been feeling stressed out and hopeless and I heard I might qualify for disability benefits. I can sure use the extra money.”

As you will soon see, neither of these two situations provide any obstacles for utilizing the approach.

The third type of situation the Jamesian approach can be helpful involves nonprofessionals that know someone they care about who has reached that helpless state of mind and are willing to see if they can set up a time to spend an hour with the discouraged individual.

The Jamesian Approach

Phase 1 (first half hour)

You begin by asking the person you hope to help, in a soft, caring manner, “How have you been doing?” Over the course of the next half hour, your job is to listen with all the empathy you can muster, to whatever your counselee wants to share with you.

If your conselee becomes angry with him or herself, your job is not to convince the person that becoming angry at one’s self is wrong or foolish. Rather, you make sure the person knows you heard what is being said, by making the following type of reply. “I see you are angry about… (summarize what the person said about why he or she is angry)” and then in a soft, caring voice say, “I understand you have been through some very rough experiences.” It is essential during this half hour that you do nothing that can appear to be correcting or constraining the expression of the counselee.

 Listening in a sympathetic manner during the first half hour is time well spent. During this time you will be modeling for the counselee an alternative to how he or she might want to respond to the situations that currently has been leading to angrily insulting oneself. People learn a great deal by observing others. Your job in this first half hour is to be a superb model of reacting to very human mistakes by remaining supportive to the notion that we all goof-up from time to time.

If your counselee finishes earlier than a half hour, begin to ask the following questions. “Please talk to me about when you first began to feel so helpless?” and “I’m interested to hear how you have been functioning since you have been going through this very tough experience. If the functioning question is answered in a sentence or two, you are to invite some additional sharing of the counselee by asking, “Have you been able to go to work?” If yes, ask, “How has that been going?” If there is still time left during the first half hour, also ask the counselee if he or she has been able to do home chores, such as cleaning and making meals. If this hasn’t filled up the first half hour of your one hour session, continue with these additional questions: “How have you been sleeping?” “Have you been staying connected with some people you care about?” With these series of questions, you should have no difficulty passing this half hour of listening in a caring manner.

Phase 2 (second half hour)

Now, in seeking to introduce phase 2, sometimes the counselee is not quite finished sharing what she or he has been going through. If this is an intense part of the distressed person’s experience, I recommend not interrupting. Instead, at the close of the hour you will have to set up another hour session. However, I have found most times you will be able to gently say,

“I’d like to pause here for just a few minutes, if that is ok with you. I would like to tell you a story that many people who are going through a similar experience as you, find helpful. In referring to these experiences as similar to you, I recognize each person’s experience is unique. That said, with us being fellow humans, we can often see certain similarities that might help us make some useful connections with our own unique situation. So, would it be ok if we pause here just for a few minutes so I can tell you this story?”

It is very rare, from my experience, that the counselee will refuse this request, but if they do so, don’t press the case of the value of hearing the story. Just respond by saying, “Maybe I can share the story with you on another occasion.”

If your counselee agrees to hearing the story, it is ok to read it. Here’s the story.

During William James’s life he became the greatest American psychologist and philosopher of his time, and remains even today enormously well regarded for his wisdom. But as a young man of 25, while studying for his Harvard medical degree, he suddenly dropped out. As he explained the reason, “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.”

After about 6 years of these dreaded experiences, he suddenly began to feel much improved. Here’s how Will’s father explains it in his letter to his other son, Henry, in March of 1873:

William JamesHe 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 had viewed his distressful experience that led to his departure from medical school as a “mental disorder” that he had to accept as due to something wrong with his body and therefore he could do nothing but accept that he had this condition. Then, his conceptualization began to develop from a physiological pathology model to one that gives at least some freedom to the will.

William’s Father with his brother Henry on the righ

He came to this understanding from his own counselor in the form of reading the works of the philosopher, Charles Renouvier, especially in the sections that provides a vindication of the freedom of the will. At the same time, he was also reading the poems of William Wordsworth. What did these poems have to do with one who had been so suffering for many years?

Charles Renouvier

Wordsworth’s poems are often about his deep love with being in nature, as we get some sense of from considering some of the lines from “I Wandered Lonely As a Cloud:”

I wandered lonely as a cloud
That floats on high o’er vales and hills,
When all at once I saw a crowd,
A host, of golden daffodils;
Beside the lake, beneath the trees,
Fluttering and dancing in the breeze.

This exuberance with being in nature, for Wordsworth, spilled over into his life even when he was not in nature as we see in the following lines:

A poet could not but be gay,
In such a jocund company:
I gazed—and gazed—but little thought
What wealth the show to me had brought:
For oft, when on my couch I lie
In vacant or in pensive mood,
They flash upon that inward eye
Which is the bliss of solitude;
And then my heart with pleasure fills,
And dances with the daffodils.

mature William JamesFor William James, he not only read Wordsworth, his reading led him, through an act of will, to go out in nature. The particular scenes he came upon of woods beside a body of water lifted his spirits. It also got him walking, which is well documented to improve health. It also improved his interpersonal relations, for he discovered some people who shared this love of nature, and they often would join him on his nature walks. Sometimes he and his companions would walk in silence, just enjoying the pleasant sounds of birds and the rippling of water. Other times they would enjoy discussing common interests.

Later in his life, William James added another element to his understanding of the disturbing experiences he had as a young man. It was prompted by a quarrel.

Healthy-minded individuals often believe that those who worry are “morbid-minded” and “diseased.” In their defense, some of 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.”

So, this is a story of one man’s experience of feeling helpless to do anything helpful by an act of his will, and thus spent years in a deeply disturbed state. Through being counseled by reading the writings of Renouvier (specially his vindication of the freedom of the will), along with discovering the health promoting effects of spending time in nature and with some people who shared his developing love of nature, he found this was health to his bones. As the years went by, he came to understand that there can be some benefits that come from the experiences many so called healthy-minded people view as morbid-mindedness or, more frequently in today’s culture, “mental illness.”

Here this ten-minute story ends. At its conclusion, gently ask if your counselee would like to share any thoughts or feelings that came about upon hearing about William James’s experiences and ideas about what people today often refer to as having a mental illness. Then, in the few minutes left of the hour, begin again to listen in the caring manner I described above.

Well, I hope this post has provided an approach for beginning a counseling experience with someone suffering from a sense of hopelessness. Until next time, may all of your concerns be addressed with wisdom, love, and kindness.

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

Categories
Blaming President Biden conflict resolution

Is It Fair Blaming Biden For Inflation?

Welcome to From Insults to Respect. Today, I would like to discuss a topic that has been bothering me for several months–politicians and their followers attacking President Biden for inflation.

Consider a press conference held by Senate Republicans this past July. At that time, they blamed the “insane tax and spending spree of President Biden and the Democrats for six straight months of raging inflation.”

As another example, on 3/10/22 I read this tweet by Florida Republican Rep. Vern Buchanan:

“Inflation just rose to 7.9% – another 40-year high! First they said it was ‘transitory,’ then they blamed supply chain issues, then they claimed inflation ‘is actually a good sign.’ And now it’s Putin’s fault. When will the WH admit they are to blame for #Bidenflation?”

In my research on this topic, I found there is far more nuance that was unfairly left out of the Republican press conference statement, this tweet, and other comments seeking to blame Biden. I’ll provide much of that nuance below. But first, to provide the reader with a sense of why this blaming upsets me, I’m going to share two brief personal stories that illustrate my values when it comes to blaming people.

My Two Stories

Story 1: Last summer I was in the mood to play a round of golf, so I checked the weather report. Seeing there was only a twenty percent chance of rain, I called three of my friends to see if they wanted to join me, informing them of the most recent weather report. They agreed to play.

Unfortunately, just as we stepped up to the first tee, it began to pour. A check on a weather map indicated it was going to pour for a good hour or two, so we decided to head home.

Feeling responsible for getting this group of guys to show up to play, I apologized. Each of my friends made it clear they were not blaming me, saying things like, “It’s not your fault, Jeff.” I very much appreciated and respected those words of support, especially because I know individuals who are quick to blame.

Story 2: One day I was with three friends on the way to a baseball game. The guy that was driving said he knew the way to the ball field, so the rest of us sat back, chatting about old times until we noticed it was getting pretty close to game time.

“How come we’re not there yet,” I enquired, at which point the driver admitted he was lost. We put our heads together, and finally got to the game, but only after the second inning. Obviously, the driver was largely responsible for our being late, although any one of us could have double checked the directions, rather than just assume the driver was not mistaken. In any case, after a few good natured teasing comments, all of us hastened to be supportive of our driver friend, saying things like, “Hey, everyone makes mistakes,” and then sharing incidents in which we were late because we had gotten lost in the past. I respect how we handled the situation.

Researching the Real Causes for the Current Inflation Problems

Dismayed at the blaming of Biden, whom I do believe is trying to do his best during terribly tough circumstances, I did some research on the causes of the current inflation situation. Checking multiple sources, which are readily available for anyone really interested in this issue, this is what I found.

Supply Chain Issues: By all accounts that I can find, shortly after the pandemic struck, and before Biden was sworn in as president, the annual inflation rate for most American purchases had already risen to the highest level in a decade.

Moreover, rising inflation isn’t just hitting the US. According to the Organization for Economic Cooperation and Development, inflation among its 38 member states is heading higher. As Greg Rosalsky of NPR put it,

“Countries, big and small, conservative-led and progressive-led, are grappling with surging consumer prices as global demand outstrips supply. It’s one big global inflation-fest, and no single leader seems to have the power to stop it.”

The pandemic has disrupted every aspect of the global supply chain, from manufacturing and transportation to logistics, at a time when the pandemic has also sparked a buying spree. The problem is partly due to a decades-old business strategy that aims to keep inventories lean. While factories were on lockdown or navigating Covid-19 restrictions, raw materials were harder to get because of the sudden swell in demand. Shortages of just about everything cropped up, especially workers to unload goods and drive them to their destination. Very simply, the basic principle of economics that states, “when demand out paces supply, prices rise,” is currently in overdrive.

Lack Of Real Competition: About two-thirds of the largest publicly traded US companies reported fatter profit margins in the first nine months of 2021 compared with the same period in 2020, according to the Wall Street Journal. As costs for raw materials, labor, and transportation have increased in response to the pandemic, a lot of big corporations are not only offsetting those costs by raising prices on consumers, they are raising prices even higher, taking advantage of the pressing needs of consumers under pandemic conditions. These corporations can get away with this because Republicans have supported a lax antitrust enforcement policy that has put the concentration of economic power in the hands of a few giants.

Challenging Problem for the Feds: The department in the Federal Government that has the responsibility to guide the US through troubled waters is the Federal Reserve System. Among its most central roles is to promote the effective operation of the U.S. economy and, more generally, the public interest. It conducts the nation’s monetary policy to promote maximum employment, stable prices, and moderate long-term interest rates in the U.S. economy.

Jerome Powell, with impressive credentials, is the chair person of this system. Nominated for the position by former President Donald Trump in 2018, he was confirmed by Democrat and Republican Senators by an 84 to 13 vote. He is still serving in that position under President Biden.

So, the US government has had throughout the pandemic some of the greatest expertise in the country to guide our economic system. Despite this, neither they, nor experts in other countries throughout the world, have been able to prevent inflation woes.

Some Responsibility of the President? Now, my research did find that there are some moves that a president can make that just might have some rather minor effects on inflation. For example, there is a theory that government spending that leads to a larger national debt can be inflationary. But the evidence for this relationship is far from clear. For example, for the five years before the Covid pandemic the national debt was around 20 trillion dollars, while inflation was humming along at a comfortable and sustainable 2 percent. The last time the US had a serious inflation problem began in the mid-1970s and ran through the mid-1980s. It threw the country into a recession and unemployment rose to over 10 percent. The national debt at that time was less than 1 trillion dollars. At least with the current bout with inflation, unemployment is currently below 4 precent.

With regards to spending money that raised the national debt, here are the facts. It is true that Biden signed into law a nearly two trillion dollar Covid relief bill at the beginning of his term over the objections of Republicans. This did indeed add to the national debt. But a fair minded person, it seems to me, would note that former Republican President Trump advocated policies that raised the debt significantly more than Biden. First, his tax cut that wasn’t matched with any spending cuts led to a trillion dollar increase in the national debt the following year, as was predicted by all of the major economists. Then came the pandemic during his administration and he quickly signed into law a $2.2 trillion relief package, followed by a $900 billion relief package. When we combine the increase in debt from Trump’s tax program with his pandemic relief spending, we come up with over 4 trillion dollars. All of this money sloshed into the economy before Biden took the oath of office.

During Biden’s presidency, he signed into law two other big spending bills, the first designed to improve infrastructure. The second, the Omnibus bill, is designed to keep the government open and also included aid for Ukraine. These bills were clearly bipartisan, passing the Senate 69-30 for the first, and 68-31 for the second.

If not Blame, How Better to Move Forward?

It seems to me, the extra money Congress approved to deal with the pandemic and signed into law first by Trump and then Biden was a good faith effort to prevent seriously worse outcomes if nothing was done. Rather than blaming either Trump or Biden for the mess, a mess much of the whole world is facing, the responsible thing to do going forward is to focus on what can be done to weather this period of rising prices. Biden has been responsibly doing just that.

His proposal, as expressed during his State of the Union Address, involves capping the cost of insulin to $35 a month and letting Medicare negotiate lower prices for prescription drugs. Child care cost, that has been weighing heavily on families, would be cut in half for most families. This would help parents, including millions of women, who left the workforce during the pandemic because they couldn’t afford child care, to be able to get back to work. The enhanced Child Tax Credit, which was beefed up for 2021 as part of the American Rescue Plan Act, would be extended.

Additionally, his proposal calls for cutting energy costs for families by an average of $500 per year while also combating climate change. “Let’s provide investments and tax credits to weatherize your homes and businesses to be energy efficient and you get a tax credit for it,” he explained. Finally, his plan does not include having the government go into further debt. Rather, the cost for his proposal would be paid for by modest increases in taxes for people making over $400,000 a year.

Concluding Remarks

After finishing my research, here’s what I came to decide. For me to respect how Republicans are addressing the current inflation levels, rather than blaming anyone, they would either work in a bipartisan manner to quickly pass Biden’s proposals, or come up with a better plan that has the specificity of Biden’s. If alternatively, they respond with vague comments like, If Republicans were in charge we wouldn’t be in this mess, this would leave me with a frown.

In my opinion, the respectable, honorable, kind approach for our leaders to take to deal with the current economic conditions is to respond as my friends did when I invited them to play golf–be supportive of Biden, for we all can agree he has been trying to do his best to help the country get through hard times. Even if Republicans truly believe some of what Biden has done might have been mistakes, to gain my respect they would respond as my friends did when one of us made a mistake and got us lost–recognize we all make mistakes from time to time. In my opinion, it’s time to be cooperatively focussing on coming up with plans to get us out of the mess we are in.

How about you? Do you think it’s fair blaming Biden for the hard times we are facing? Is that really helpful for fellow Americans?

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

Categories
antipsychotic drugs antipsychotics and mortality conflict resolution Schizophrenia

Do “Antipsychotics” Reduce Longevity? A Robert Whitaker Analysis

Welcome to From Insults To Respect.

Back in 2019, I criticized the use of “antipsychotics” and on Facebook someone criticized what I had written saying, “all of the research clearly indicates that the “antipsychotics,” when used by people diagnosed as having schizophrenia, decrease the risk of dying.” I then, very respectfully, asked that he supply me with the references that he is relying on to make his assertion, and within a very brief period, he did just that.

In looking at his list, I noticed immediately that he left out every one of the studies that provided strong evidence published in peer reviewed articles that suggest this class of drugs actually reduces longevity. For example, a 2007 study was published in the Archives of General Psychiatry titled “A Systematic Review of Mortality in Schizophrenia: The Differential Mortality Gap Worsening Over Time.” The authors wrote:

Mental health services have advanced in many parts of the world during the past few decades. Apart from a different mix of community-based care, the introduction of the second-generation antipsychotic medications [also referred to as atypical antipsychotics] in the early 1990s was initially found to be associated with better quality of life and reduced risk of relapse.7779 More recent trials have questioned the clinical superiority of second-generation antipsychotic medication,80,81 and concern is now widespread about the adverse effects associated with these medications.82 In particular, compared with typical antipsychotics, several of the second-generation antipsychotics are more likely to cause weight gain and metabolic syndrome.83 Because the metabolic syndrome is associated with a 2- to 3-fold increase in cardiovascular mortality and a 2-fold increase in all-cause mortality,84 these adverse effects would be expected to contribute to even higher SMRs [Standard Mortality Ratio] in the next few decades.85,86

After summarizing the many studies revealing these types of troubling findings, I then took a look at the studies that were cited by the person who criticized my position, and wrote up my findings (see HERE).

I don’t know where this person obtained his list, but it appeared to me, as I began to study it, that it was probably made by a pharmaceutical industry salesperson who goes to doctors’ offices to convince them to prescribe their drugs. I say this because there are articles on the list that had titles that sounded like they were relevant, but when reading them, they were not. For example, the first study on my critic’s list was published in The Lancet in 2018, and titled “Second-generation Antipsychotic Drugs and Short-term Mortality: A Systematic Review and Meta-analysis of Placebo-controlled Randomized Controlled Trials.” It looked at 596 studies, all of which looked at patients that were randomly assigned to either an “antipsychotic” or a placebo for 13 weeks or less. For the patients in this analysis that had been labeled as having schizophrenia, there was no statistically significant difference in mortality between the two comparison groups.

Upon reading this article, I was left puzzled. Why was this article included in my critic’s list. As I have said, his contention was that every research paper published demonstrated “antipsychotics” decrease mortality for schizophrenia labeled individuals, which was not supported in this study. 

In another study on the list, “Effectiveness of Antipsychotic Treatments in a Nationwide Cohort of Patients in Community Care After First Hospitalisation Due to Schizophrenia and Schizoaffective Disorder: Observational Follow-up Study,” published in 2006 in the British Medical Journal, the most important finding is that patients that were on “antipsychotics” for less than 6 months had a lower rate of dying than those who were on the drug for longer periods. The authors note this in the results section of their article with a single sentence, stating,”Patients who used antipsychotics for less than 6 months had especially low mortality rates.”

However, if you read just the abstract of the article, as many practitioners do because time reading research studies is not billable, you would find no mention of this statistically significant finding, a finding that could have life saving implications.

After completing my review of the various studies on my critic’s list, I concluded that the studies claiming support for the notion that “antipsychotics” increase longevity are seriously flawed and the weight of the evidence indicates they do just the opposite.

Since my analysis, Robert Whitaker, to my mind the premier science writer on psychiatric drugs, published an article in the peer reviewed research journal Psychological Medicine. The article is titled “Do Antipsychotics Protect Against Early Death? A Critical View” (see HERE). The journal is published by Cambridge University Press, and to read it you have to have a subscription to the journal. Fortunately, Whitaker has made his findings available for free HERE.

Whitaker’s article covers much of the same territory as my own, but he adds some insightful additional analyses so worth considering that I want my readers to become aware of its existence. After all, the information addresses life and death issues.

As I have said, Whitaker’s analysis is freely available. However, because he so thoroughly covers the relevant research it is rather long. Therefore, to make his analysis more accessible to a wider audience, below I provide a few of his summary statements.

Whitaker’s Summary Statements

As can be seen in the research summarized to this point, there are compelling reasons to conclude that these drugs contribute to early death. To wit:

  • Both first-generation and second-generation antipsychotics cause adverse effects that are known to increase the risk of dying from cardiac, respiratory, and endocrine diseases.
  • Psychiatric users of antipsychotics die at high rates from these somatic illnesses.
  • Non-psychiatric patients who use these drugs also die at elevated rates from these illnesses.
  • In both psychiatric and non-psychiatric patients, the use of antipsychotics doubles the risk of death in comparison to matched cohorts of patients who do not take the medications.
  • Studies of smaller cohorts of schizophrenia patients have found that antipsychotic use is associated with elevated rates of death, with this risk rising with higher doses and polypharmacy.
  • Suicide rates for patients diagnosed with schizophrenia are dramatically higher in the antipsychotic era than in the pre-antipsychotic era, and this risk soars during the first year after initial treatment with an antipsychotic in the hospital.

…A number of longer-term studies have found higher recovery rates for those off medication. Add in research findings that antipsychotics shrink brain volumes, with this shrinkage associated with cognitive decline and a worsening of negative symptoms, and psychiatry is confronted with an “evidence-based” crisis.

The “antipsychotics lengthen lives” research gave the field a new claim to hang onto and to promote. A treatment for a disease that increases survival…can lay claim to being effective. During a time of doubt, that is a conclusion that provides a sigh of relief—and comfort—for the field.

But as can be seen in this review, that belief arises from research that is flawed in so many ways. There is evidence, time and again, of a process that was designed to justify the long-term use of antipsychotics, rather than honestly assess their impact on mortality.

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

Categories
Asking for help conflict resolution The Beatles

Thoughts On The Beatles Song “Help”

Welcome to From Insults To Respect. Today we take a look at the experience of asking for help, which can be hard for some of us.  As we do so, we’ll be utilizing the tremendously popular Beatles song, “Help” in order to bring to light some aspects of the experience in an entertaining manner.

The song was released as a single in the summer of 1965 and rocketed to the number 1 spot, as Beatles songs were apt to do. John Lennon passionately sings lead vocals, while getting ample help from his bandmates Paul McCartney, George Harrison, and Ringo Starr.

The song begins with John crying out,

(Help!) I need somebody
(Help!) Not just anybody
(Help!) You know I need someone
(Help!)

Here, I notice that although John is crying out for help, he well recognizes that he doesn’t want it from just anybody. Being selective is wise because some people who might provide assistance can make your life ever worse. Let’s keep that in mind as we move on to consider the song’s other lyrics.

The next lines of the song go like this:

When I was younger so much younger than today
I never needed anybody’s help in any way
But now these days are gone, I’m not so self assured
Now I find I’ve changed my mind and opened up the doors

Here John says in the song that when he was younger he never needed any help. This may appear a bit puzzling for a couple of reasons. First, according to his own statements quoted in various biographies, John received quite a bit of help from his Aunt Mimi while he was growing up. Second, John, when he was younger, invited Paul to join his band presumably because he felt Paul could be helpful. So, he not only got a great deal of help when he was younger, he specifically asked Paul for help. The song’s lyrics up to this point do not reflect this. The puzzle is solved by discovering that John, in the song, is not referring to needing just any type of help. Instead, he is referring to needing one particular type of help, as we learn in the next verse.

Help me if you can, I’m feeling down
And I do appreciate you being ’round
Help me get my feet back on the ground
Won’t you please, please help me?

Here we see that John, in the song, is referring to seeking help for feeling down. In John’s culture, young folks liked viewing themselves as tough and never needing any emotional help. Asking for assistance for this type of problem could be viewed as being a sissy. Given this cultural attitude, it was rather brave of him to come out with a song such as this.

In the next verse, John shares some additional feelings about this.

And now my life has changed in oh so many ways
My independence seems to vanish in the haze
But every now and then I feel so insecure
I know that I just need you like I’ve never done before

The fear of admitting that you are emotionally feeling down and insecure is understandable given the culture John, and many of the rest of us, are brought up in. Nevertheless, John reveals in this song these feeling to the world. He also tells us he appreciates someone who is around to help him through this.

It was quite an eye opener to me as a boy growing up in Brooklyn. Being the toughest person around was viewed as the ideal. To learn that John could not only boldly reveal feelings of being insecure, and yet he continued to be adored by his fans, meant something important to me.

The song’s popularity is due in part to it relating that even someone as popular as John can feel so down he cries out for help. It led many of us to become aware we are not alone upon having similar feelings. It also reveals that asking for help need not mean we will end up being disrespected. However, as the opening lines of the song suggest, we might not want to ask just anyone for help. How then, do we pick the right person for this type of assistance? Although the song succeeds in raising this enormously important issue, it leaves us to seek out the answer for ourselves.

Typically, if the person you choose really cares about you and is a good empathetic listener, this will be a reliable guide to choosing well. However, taking a few moments to consider whether or not there is a downside to your choice may be worthwhile. To make this point vivid, let me tell you about some scenes from the movie Kramer vs. Kramer. 

In it, Dustin Hoffman is playing a character named Ted Kramer who is going through a tough divorce. Because his boss had been a caring and good listener in the past, whenever Ted discussed work related concerns, Ted chooses to share with him how down he is as a result of going through the divorce process. His boss tries to sound interested, but inwardly is bored. As Ted continues over the course of several days to share his emotional difficulties with his boss, more and more boredom arises and he begins to doubt that Ted is going to be able to handle his job responsibilities as well as he had in the past. Ted ends up getting fired.

So, let this be a cautionary tale that motivates you to consider for a few moments whether or not there is a downside to whom you are leaning toward confiding with during hard times.

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