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conflict resolution constructive criticism feedback Listening skills negative criticism

Before Providing Criticism, First Ask For Permission?

Welcome to From Insults to Respect.

Recently, as I was eating dinner with a married couple the subject of how they deal with criticism arose. For the sake of privacy, I’ve changed their names to Sarah and Bob.

In an earlier post, I addressed the question, “Unsolicited Criticism: Good or Bad.” Sarah and Bob agree with my conclusions in that post which in summary suggested that:

Negative criticism is coming our way whether we like it or not. And within a relationship, providing it can be essential. If one of the parties is doing something that is bugging the other, keeping silent could unnecessarily lead to the relationship coming to a premature end when a constructive discussion might have easily settled the matter.

Rather then seeking to squelch criticism, we are better off learning to provide it in a wise and thoughtful manner (see post titled PROVIDING NEGATIVE CRITICISM: FIVE LEVELS OF MATURITY), and to respond to it in a wise and thoughtful manner as well (see post titled RESPONDING TO CRITICISM: FOUR LEVELS OF MATURITY).

That said, there are times when someone is providing one criticism after another and it becomes too much to process all at once.  At other times, someone might provide criticism that is in a style that uses a tone of voice that is hard to bear.  Sometimes we have been recently bombarded by some type of stress, and as a result, we may not be in any mood to hear any criticism for a while. Under these sets of circumstances, it makes perfectly good sense to briefly let the person who is seeking to provide criticism know that usually we are very open to hearing criticism, but for right now, we need a little break (see blog posts SUMMARIZE AND DELAY and ANGER, STRESS, AND THE SIGNALING TO BACK-OFF TECHNIQUE). Then we can, over a period of time, regain our sense of balance and figure out how best to move forward.  Moreover, it is important to learn to effectively advocate that when individuals do provide negative criticism they at least try to do so in a respectful manner.

So, Sarah and Bob in the past had agreed with me about all of this. And then at dinner one evening they revealed to me that within their relationship they have come to an agreement that when either one of them wants to provide some constructive criticism to the other they first ask for permission. They also prefer others who want to provide criticism to them do likewise. Let’s take a close look at this approach.

Negative Criticism and the “Asking for Permission Technique”

When Sarah finds that Bob has done something that she would like him to consider changing, rather than hoping Bob will at some point invite her to provide some criticism to him about that issue, she could, herself, bring the issue up to him uninvited when she thinks he might be in a receptive mood. More specifically, Sarah, before providing feedback, first checks in with herself to see if she has sufficiently calmed herself from any anger or annoyance that she has been experiencing. This is important because if she seeks to provide feedback to Bob when she is angry or annoyed, either at him, or at someone else, her tone of voice might inadvertently provoke a level of defensiveness within Bob that would be counterproductive.

Next, Sarah observes how Bob is doing. If he looks like he is in a fairly calm mood and is not in the midst of something stressful, she then makes sure they both have sufficient time to discuss the matter.

Only when all of this has been considered, will she say to Bob, “Are you open to my giving you some feedback about something?”

Bob also uses the same approach as Sarah when he wants to provide her some feedback. Both agree that this approach has been very helpful to them. Sarah explained that upon hearing the phrase, “Are you open to my giving you some feedback about something?” it gives her a few moments to check in with herself. “Am I up to having a criticism type discussion right now, or would it be better to wait for a more apt time? If I am up for hearing it, I can take a moment to prepare myself.” Bob agreed.

At this point in the conversation, I recalled that just prior to this conversation I had mentioned to Bob that his eye glass lenses looked like they had some smudges on them. He seemed to find some value in what I had said, as he looked the lenses over and cleaned them. So, I asked him if he would have preferred, when I mentioned the smudges, that I first had asked him if he was open for some feedback. He smiled, and said that in that type of situation there was no need for asking for permission.

I then asked them, “As soon as you are asked permission, aren’t you so curious about what the issue is all about that you would just want to know?”

“This happens,” Sarah replied, “but not always. And besides, it’s nice to be given the choice, and, as I already mentioned, it does provide that moment or two to prepare myself.”

The conversation about this topic ended at this point, but a day or two later, we got back into it. In attempting to clarify in my own mind how the Sarah and Bob approach would work in a variety of situations, I asked Bob, “If you accidentally left your fly open, would it be okay if I just whispered to you in private that you needed to zipper up, or would you prefer that in that kind of situation I first ask if you were open to hearing some feedback?” He said that with that type of situation coming right to the issue would be fine, though it would be helpful if I said it in a non-putdown manner, perhaps pointing out that we all goof up like that from time to time.

I then asked Sarah, “Let’s say we’re in a restaurant together. You go to the bathroom, and when you come out I notice you are dragging some toilet paper behind you that is stuck to the bottom of your heel. Would you want me to come straight out and tell you, or would it be better to first ask for permission to give you feedback?” She didn’t hesitate, indicating that in that type of situation there would be no need to first request permission.

So, my next question was, “How do you two distinguish between those types of situations in which you ask for permission to give feedback from when you come right out and tell the person what’s on your mind?” Their main criteria was basically asking yourself, “For the kind of criticism I want to give, if someone was to provide a similar type of criticism to me, would I want to be asked for permission prior to receiving it?” If yes, then you ask for permission. For Sarah and Bob, the types of criticism that they would want to be asked permission before hearing it typically involve particularly sensitive issues for them, something you noticed was particularly sensitive in the past for the other person, or when it involves a person’s creative work.

My Thoughts

Dr. Jeffrey Rubin

That said, for me, personally, I’d rather make it clear to those whom I know that I always want to hear any negative criticism they want to share with me, and there is no need to first ask for permission. If I happen to be in a somewhat fragile state, for whatever reason, it is up to me, after hearing what the general issue is about, to quickly summarize what I heard, and then assert in a friendly way that I’ll need some time to consider the matter when I am in a better frame of mind.

It seems to me that if I were to inform people I know that before they provide me with any feedback they first use the “Asking For Permission Technique” it might discourage people from being as open about the concerns they would like to share with me. Said another way, if I were to request to people I know that before they provide me any negative criticism they first ask me for permission, it might signal to them that I am sensitive about such criticism. With that in mind, how much would they keep secret from me to avoid hurting my feelings?

Yes, there are times when I do feel within me some sensitive feelings upon hearing some negative feedback. Nevertheless, I’d rather deal with that than discourage anyone from letting me know, straight out, what they think I can do to improve. Moreover, I am confident that I have the skills to use those sensitive feelings in a constructive, creative manner. I also wonder if people might respect me more for being the type of person they can be straight and honest with, who gracefully welcomes criticism, and really takes the time to seriously consider what someone has to say.

At this point, I think it’s crucial that I make it clear that I’m not trying to imply that my personal preference is the “right” choice for everyone. Moreover, I very much doubt that people who prefer to be asked for permission before receiving criticism, are likely to lose any friends because they informed them of this preference. And, really, how much respect someone has for another is unlikely to significantly turn on this one issue since there are so many other aspects of anyone’s character.

Interestingly, although I try to make it clear to people I know that I’m pretty much always open to hear their criticism, there are times when I want to provide others with some feedback and I, myself, ask for permission. I’m most likely to do this when they have been working on something creative. At such time, I typically find myself asking, “Are you open to hearing my impressions?”

Finally, as Sarah, Bob and I moved toward finishing up our conversation, Sarah made one other point. She told us about a friend of hers who, when requesting feedback about something particularly close to her heart, asks that it be worded something like, “What if (or I wonder if) you changed…?” rather than, “I think something you did would be better if you did….” I think there are situations in which we would be wise to heed this suggestion.

So, there are some thoughts for all us to consider as we continue our journey from insults to respect.

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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.

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conflict resolution Roseanne Barr Samantha Bee

Roseanne Barr and Samantha Bee: Equally Guilty?

Welcome to From Insults to Respect. Today’s topic–the verbal missiles launched at a couple of political individuals.

Roseanne’s Missile

Valerie Jarrett and Roseann Barr

TV star Roseanne Barr recently tweeted that Valerie Jarrett, a former top advisor to Obama, was the product of a coupling of the Muslim Brotherhood and Planet of the Apes. Note that Jarrett is an African-American who was born in Iran, a largely Muslim country.

Muslims, blacks, and all those who care about their Muslim and black friends, were outraged. Comparing black people to apes has been a well known tactic of racists for centuries.

Channing Dungey

Roseanne’s boss, ABC’s Entertainment President Channing Dungey, who, like Jarrett, is black, responded that the offending statement “is abhorrent, repugnant and inconsistent with our values and we have decided to cancel her show.” Roseanne ended up apologizing for her comment, blaming it on a sleeping medication. Many do not believe her apology because she has been saying things for years that appeared racist to them.

Samantha’s Missile

Samantha Bee, who, on her cable comedy TV show “Full Frontal,” called first daughter Ivanka Trump a “feckless c*nt,”using a vulgar reference to the female anatomy. Samantha tore into Ivanka after the first daughter had posted a beautiful photo depicting her and her child treasuring their mother-child relationship. This post occurred at the same time the press was showing disturbing images of children of illegal immigrants being torn from their mother’s arms and then sent to separate places, perhaps permanently.

Samantha reacted by saying, “Let me just say, one mother to another, do something about your dad’s immigration practices you feckless…,” and it was at this point the vulgar word was said. Although the offensive word was bleeped, many found it easy to tell what she had said by looking at her lip movements. Soon after, through the mass media, what was actually said became widely known. The point that Samantha was trying to make is that Trump’s policy involves taking illegal immigrant parents away from their young children, a practice that Samantha views as heartless, and she feels that Ivanka, as a mother, has the responsibility to fervently oppose what has been going on.

Like Roseanne, Samantha quickly apologized, saying, “I would like to sincerely apologize to Ivanka Trump and to my viewers for using an expletive on my show to describe her last night. It was inappropriate and inexcusable. I crossed a line, and I deeply regret it.”

Unlike Roseanne, Samantha gets to keep her job. Her network, TBS, made the following statement: “Samantha Bee has taken the right action in apologizing for the vile and inappropriate language she used about Ivanka Trump last night. Those words should not have been aired. It was our mistake too.”

The Controversy

Many have expressed anger believing that it’s not fair that Roseanne got fired while Samantha didn’t. These people tend to support this position by saying that both did the same thing, insulting a political figure in a vile manner and using discriminatory language.

Others have said that while calling Ivanka a c*nt is indeed discriminatory, all the evidence available up to the time Samantha threw that comment out to her audience indicates that she is not at all sexist. First, they point out that Samantha is, herself, a woman. Next, her followers say that she has never said anything even remotely suggesting that she is sexist. Finally, throughout her career she has, on numerous occasions, heartily criticized anyone who said anything that came across as sexist. Under this set of circumstances, they argue, it is far easier to accept Samantha’s apology than Roseanne’s, with the latter having been heard repeatedly using the same type of language that she recently used against blacks and Muslims.

So, that’s my summary about what I have heard about this issue from various media outlets. Let’s move on to what I think of all of this.

My Reaction and Views

First of all, I don’t watch a great deal of TV, so I’m not all that familiar with either Roseanne or Samantha’s various performances. Whenever I have had glimpses of Roseanne doing her shtick, I occasionally found it pleasantly humorous.

Upon hearing that she was going to star in an updated version of her old show, many were hopeful because it was going to depict family and friends with different political views interacting. If the discussions on the show were done in a loving thoughtful manner it might prove to be a great opportunity for Americans to positively self reflect. As it sadly turned out, I feel for the many fine people who were engaged in creating the show who themselves had done nothing wrong. They now must face the incredible turmoil that the kind of hateful language that Roseanne used tends to breed.

As for Samantha, there were times I caught her performances on The Daily Show with Jon Stewart and found her satire insightful, but she too often came across as just being mean to those whom she was being critical of. My wife, who has been watching her since she has had her own show, tells me that her commentaries are often spot on.

From what I’ve seen and heard, I’ve become convinced that both Roseanne and Samantha have considerable talent. And I hasten to point out that both are, by profession, comedians. That field powerfully incentivizes performers to be more outrageous than the numerous others seeking recognition and employment. Under that set of circumstances, the persona that we, the public, gets to see is often very different from who the performer is at heart. So, what I’m about to say is best viewed under the soft glow of this light.

The Reaction from President Trump and His Supporters

Shortly after Samantha launched her verbal missile at Ivanka, I heard President Trump indicate that, like many others, he didn’t feel it was fair that Roseanne was fired and not Samantha. As a parent myself, I found myself imagining how he might have felt upon hearing someone use such language against his daughter. But then it came to my attention that from his lips not a single word was uttered opposing what Roseanne had said that denigrated so many. Where was his outrage over how their parents felt upon hearing Roseanne’s hateful comments? It occurred to me that Roseanne is a high profile person who supports him.

Then I thought about the president bragging about grabbing women by one of their private parts. Over a dozen women testified that he didn’t just brag about this, he actually did it. His use of the word “pussy” to describe the private part that he said he grabbed seems to be pretty close in meaning to the one Samantha had used.

When Megan Kelly, during one of the last presidential debates, had asked Trump some challenging questions, he attacked her, saying she must have had blood coming out of…wherever. This struck me and many others as obviously sexist. Trump apparently had no sympathy for Megan or her father.

With all of this in mind, in the end, my sympathy for how the president might have felt upon hearing what was said about his daughter waned. This is not to say that I in any way support how Samantha expressed her anger at Ivanka.

As I thought more about this, it seemed to me that most of the people who felt Samantha should have been fired are supporters of Trump. These are the same people that had heard how he had bragged about grabbing women, heard women testifying that he had done so, and heard his comment about Megan Kelly. They, nevertheless, have not been calling for his firing, and instead, they went out and voted for him, thereby recommending that rather than be fired, he be hired to serve as the president of the United States. So, their arguments for why Samantha should be fired ended up ringing off key to my ears.

The Reaction From Those Who Are Not President Trump Supporters

Soon after hearing from some Trump supporters, a very intelligent friend of mine who is not a Trump supporter also emphatically took the position that both Roseanne and Samantha should have been fired. From this, I surmised that there were other intelligent folks who are not Trump supporters who also feel as he, so I tried to better understand his position.

As I questioned him, it became clear that in his opinion both of the performers’ comments were equally bad because they were very insulting. Moreover, both were discriminatory–Roseanne’s comment being discriminatory in it being racist and anti-muslim; Samantha’s comment being sexist.

I immediately agreed with him that both were very insulting, but at first I didn’t see how Samantha’s comment was sexist. To me, the “c-word” was the feminine version of calling a man who did something despised, a “prick.” The word “prick” is not directed at all men, just the man who is the target of this insult. Unless a woman said something like, “You are a prick just like all men,” the word wouldn’t come across to me as sexist. In that very same way, I didn’t see the use of the “c-word” as used by Samantha sexist. However, my friend’s position led me to speak to others, and the majority did feel that the “c-word” does come across as sexist.

So, I am now willing to accept this argument that both performers’ comments were the same because they were both insulting and discriminatory. If that is as far as someone wants to go in thinking about this, then it does make sense to me why they conclude the firing decision was unfair. However, for those of us who choose to go a little beyond those two reasons, a different conclusion is more tenable.

The Differences

Even accepting the notion that Roseanne and Samantha’s insults were both discriminatory, there are still different types of discriminatory insults. Roseanne, who is white, made a racist comment against black folks, and insulted a whole religious group. In doing so, she did not make it clear why in the world she was insulting Jarrett. She had done this type of thing before, and her comment directly insulted her black boss–never a good thing to do for people wanting to keep their job.

In contrast, Samantha, who is a woman, made a sexist comment that offends women. She had not done anything similar in the past. Moreover, she made it clear that she was seeking to insult just one person and for something specifically not being done by that person. Unlike what Roseanne had done, Samantha’s comment did not directly insult her boss; in fact, her boss very likely agreed with the point Samantha had tried to make. These are very clear differences to me.

As far as whether or not both should have been fired, without reading their contracts, something I obviously haven’t done, I find it difficult to draw any definite conclusions. However, when you say something that so directly insults your boss, as Roseanne had done, continuing to work for her typically becomes less than ideal.

Meanwhile, Samantha’s bosses well knew what they were getting when they decided to give her a show of her own after several years appearing on the Daily Show. At the point that they chose to hire her, it was clear that at times she was going to do pretty much what President Trump does. Like him, she throws hateful speech at those with whom she disagrees. Of course, the president tends to aim his hateful speech toward Democrats, and she tends to aim her’s toward Republicans.

Personally, I would be delighted if both Samantha and President Trump no longer appeared on TV. Like Roseanne, both are, to my mind, responsible for spreading the type of hate that is bitterly dividing our country.

This is not to say that there isn’t a very helpful place for providing criticism to those with whom we disagree. But to me there are destructive and constructive ways to go about this.

In an earlier post, to better explain what I mean by destructive and constructive approaches, I provided five levels of maturity for providing helpful criticism. In concluding today’s post, I shall present once again those five levels and invite you to look them over and then decide what level Roseanne and Samantha’s comments would properly be rated. And then, if you will, try to utilize the levels 4 and 5 descriptions to transform the criticism that both performers had made to something more helpful.

The 5 Levels of Maturity for Providing Helpful Criticism

Below you will find preliminary descriptions of how people at five developmental levels of maturity provide criticism, that is, criticism that points out what we don’t like about someone’s actions, beliefs, or appearance.  Level one is the most immature and uses observations of babies as its starting point.  Each successive level is more mature:

  1. This level requires displaying one or more of the following:
  • Cries without stating what the crying is about
  • Physically attacks the person being criticized
  • Damages property

 

 

 

 

 

Although these three descriptors may not sound like providing criticism, in some situations we can see that it is the very beginning of the development of this skill.  Let’s say Jill takes baby Bob’s crayon away believing he is done with it.  Bob begins to cry and takes a swipe at Jill.  She manages, by moving away, to avoid Bob’s swipe. Bob now looks even angrier and crumbles up a piece of paper and flings it on the floor.  An observer to this may conclude that Bob, in a sense, is criticizing Jill for taking the crayon.   

    2.  This level requires displaying one or both of the following:

  • The criticizer does not explain what the offending behavior is, but instead expresses displeasure with glares, insults, shouting, silence, or threats that do not involve bodily harm. (For example, someone might be making too much noise and the criticizer might turn to the noise maker and glare, or cry out, “Jerk!”)
  • Threatens bodily harm regardless of what else is said.

     

 3.  The criticizer clearly states the criticism with enough detail so the criticized person, if he or she wills, can improve the behavior, idea, or appearance, but couples it with glares, insults, shouts, or threats that are not about bodily harm.

        

 

 

 

 

 

 

 

4.   The criticizer states the criticism without bodily attacks, damaging property, glares, insults, threats, or shouts, and with enough details so that the criticized person, if he or she wills, can improve the behavior, idea, or appearance.  If the person receiving the criticism becomes defensive or angry, the criticizer empathizes without returning glares, insults, threats, or shouts.

        

       

 

5.  When the criticizer provides criticism, he or she does so in a manner very similar to a level four response, but beforehand, the criticizer considers the person who is the target of the criticism, and the situation that he or she is in.  As a result of such considerations, the criticizer may decide to alter the criticism.

  • Person variables that are considered:  From observing how the person to be criticized handled criticism in the past, he or she determines which of the five levels of responding to criticism is most characteristic of the individual. (For example, if someone tends to physically attack the criticizer when criticized and is big enough to cause real bodily harm, then a decision is made either to not provide the criticism or to provide it only when there is sufficient security, or else someone else is employed to provide the criticism who is capable of dealing safely with the attack prone person.)  Other person variables considered are how sensitive the person is when criticized, is the person to be criticized currently in an angry or sad mood, is the criticism likely to be perceived as particularly difficult to bear, versus something likely to be viewed as a relatively minor matter, and if the criticizer’s relationship with the person to be criticized is less than ideal.  Depending on such variables, consideration is given to waiting until the person is in a pleasant mood and enlisting someone else to provide the criticism such as a more neutral person, a friend, or someone who is admired by the person who will be criticized.  When the person to be criticized is particularly sensitive about an issue, a fictionalized story with a character who displays the offending behavior may be presented, and then the character’s behavior is discussed.

Situation characteristics that are consideredAre there other people around that will lead to face saving behavior coming into play?  Is there enough time set aside to process the criticism?  Has the person who is to provide the criticism been providing too much negative criticism in too short a period of time? (In this case, consideration is given to waiting until some time goes by in which some positive things are said over the course of several days before hitting the person to be criticized over the head yet again!)

 

 

 

 

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

Categories
ADHD medication American Psychiatric Association conflict resolution MindFreedom International psychiatric drugs psychiatric medications psychiatry Ritalin

Psychiatric Drugs: Wonderful Revolution or Ongoing Catastrophe?

Welcome to From Insults to Respect.

A while ago, as I began to think about what topic to write about for my next post, I received an email from Mindfreedom International (MI). It brought attention to a demonstration it was planning. As MI expressed it in part:

A mock funeral mourning those lost to psychiatry or who have had their spirits broken and struggle to survive is to be held as protesters deliver a public message to psychiatrists at the annual meeting of the American Psychiatric Association on Sunday, May 6, 2018. “First, Do No Harm” is the message that protesters hope will go viral and get people to think twice before getting involved with psychiatry.

Our coalition brings attention to the harm that psychiatry has caused for many people in the mental health system, psychiatric survivors, people of color, people with psychiatric histories, and people experiencing other forms of structural oppression. Uninformed or court-ordered psychiatric drugging; chemical and mechanical restraints, solitary confinement; forced and uninformed shock treatments….have caused irreversible damage to the minds, bodies, souls, and lives of people who voluntarily trusted their doctors or were brought to court to comply with their prescriptions over their objection….We will mourn the deaths and the ongoing forced treatment of our brothers and sisters.

Is there a way to move MI’s various conflicts with the psychiatric organization forward in a manner that leads to a more respectful relationship between the two?

My Views About Psychiatric Drugs

I became interested in the conflict about the use of psychiatric drugs very early in my career as a psychologist. I began to discuss the issues with psychiatrists as well as those who objected to this form of treatment. A broad outline of what I heard follows:

Advocates for the use of these drugs make the following claims: These drugs reduce emotional pain, correct abnormal brain patterns, and restore normal mental function. When used judiciously, they reduce hospitalization and may quickly alleviate symptoms of serious mental disorders such as depression and bipolar illness. Going off medication results in disruptive lives and devastating personal loss. Careers, relationships, financial troubles, and even life itself are all placed at grave risks without proper psychiatric medication management. 

In contrast, critics of psychiatric drugs have made the following counter claims: The use of psychiatric drugs has unleashed the worst medically induced disaster in history. They have caused millions of people to become addicted to them, suffering debilitating, life threatening side effects. Rather than promoting mental health, these drugs are being used to promote social control and conformity. Reduction in hospitalization, moreover, occurred not because of the use of these drugs, but because of a deinstitutionalization policy that became known as “dumping.” Problems now being handled with psychiatric drugs can be more effectively, safely, and humanely handled with a variety of social support systems, counseling, mindfulness, healthy diet, and physical exercise techniques.

As I heard these conflicting claims, I initially thought that psychiatrists had principles of science on their side. With my graduate training in research methods and statistics, I thought that by doing a thorough job finding out the scientific research that backs up the psychiatric drug supporters I could explain in an easy to understand language why psychiatric drugs are necessary. With such an explanation, perhaps the conflict would be resolved.

My Ritalin Research Analysis

I began with researching Ritalin because I was working in Rochester, NY’s school system. This was from 1974 to 1979. It was a time when drugs were just beginning to be prescribed more and more to treat students who had teachers dissatisfied with their activity level or ability to pay attention. I had witnessed a time when schools managed to deal with such problems without the use of this drug and life went on reasonably well. With the rise in its use, some thought it was a wonderful advancement, while others were expressing great discomfort at this new trend.

So, off I went to a medical library to learn the scientific merits of this new approach. A brief summary of what I found follows.

Supporting the use of Ritalin were short-term randomized controlled studies lasting less than 12 weeks. Both inattentiveness-impulsivity and activity level were reduced, as assessed by parent and teacher rating scales, direct observations in natural settings, and various laboratory tests.

Not all of the findings were supportive. At the time I initially did my research, there was only one study that looked at the long-term results of Ritalin use. It compared children placed on methylphenidate, the generic version of Ritalin, with those who received no treatment. The children in the two groups were matched with respect to age, IQ, socioeconomic class and sex. After 3 to 5 years, no statistically significant differences were found between the two groups on the following outcome measures: emotion maladjustment, delinquency, Wechsler Intelligence Scale for Children, Bender gestalt visual-motor test, and academic performance.

In addition to this, I found many studies documenting a number of common adverse effects of treatment, such as headaches, insomnia, anorexia, stomach pain, irritability, and weight loss. Suppression of the normal rate of growth was just beginning to be reported. The sudden development of a tic disorder that sometimes did not go away when treatment stopped was viewed as a rare occurrence, but troubling nevertheless. Other serious rare adverse events had been observed including some involving heart functioning such as angina and cardiac arrhythmias. Perhaps most troubling of all was the recognition that the safety of long term use of Ritalin had not been established despite many students being treated for years.

To make sure that my analysis of the available scientific evidence was complete, I sent a Freedom of Information Request to the Food and Drug Administration for the documents that it used to approve the use of Ritalin with children as a treatment for attention and activity problems. I soon received a fairly large packet of information, and upon reviewing its contents I became convinced that I had not overlooked anything of scientific merit.

In the end, I discovered that although the approval process of the FDA had in its documents the available scientific evidence in making its decision to approve Ritalin, the reviewers’ decision nevertheless relied more on their personal values. It seemed to me, and it still does, that different people looking over the same scientific evidence could, depending on their values, come to completely different conclusions about whether or not the drug should be approved.

For me, personally, with the full awareness of the scientific evidence, I would have voted against approval of the drug. Relevant to me was that after thousands of dollars had been spent by the parents of the child or their insurance company, there was no lasting positive effects, while treated children were suffering side effects. The additional facts, especially the one that indicated long term safety had not been established, seemed to me to make non-approval the obvious choice. And yet, according to the value judgments of those who sat on the FDA approval board, they ended up supporting approval.

What I Found Afterwards

Since then, more research has come out regarding the drugs used to deal with ADHD. It further supports the conclusion that there are no long term benefits from using these types of drugs. Moreover, additional harm from their use has been identified.

After what I learned about the ADHD drug treatments, my efforts to find out about psychiatric drugs expanded.

Dr. Ross J. Baldessarini

As time went on, I took a psychopharmacology course taught by Harvard professor Dr. Ross J. Baldessarini; did additional research to get the latest updates, not only on Ritalin, but on other psychiatric drug treatments; and participated in six debates on this subject.

I’ve come to the conclusion that as with Ritalin, when highly intelligent people become familiar with the scientific evidence, they still draw completely different conclusions from one another about whether or not it is morally okay to use the approved drugs as a treatment. The decision is not solely made on scientific evidence. Moreover, I’ve seen evidence that there are far safer non-drug alternatives.

Since I did my original research on Ritalin, I also learned something crucial about the reliability of the relevant research findings. Initially, I assumed the scientific studies were carried out in a manner that I could have confidence in. Since then, I’ve begun to seriously question this.

Many experts have written about the reliability of the research. For example, Marcia Angell, M.D., is a former editor in chief of The New England Journal of Medicine, and now is a member of Harvard’s Medical School. In her insightful book, The Truth About the Drug Companies: How They Deceive Us and What to Do About It, she writes, “Is there some way companies can rig clinical trials to make their drugs look better than they are? Unfortunately, the answer is yes. Trials can be rigged in a dozen ways, and it happens all the time” (p. 95).

Conclusion

And so, even if we believe that the available research is accurate, it just so happens that an examination of it leads to very different moral conclusions by very intelligent people about the wisdom of using these drugs. The pharmaceutical industry’s influences on the body of research about the safety and effectiveness of these drugs make these types of conclusions ever more questionable.

For those interested in following the peer reviewed scientific research about the effectiveness and safety of these drugs, I highly recommend the Mad In America website. It describes the latest research in non-technical language while providing the links to all of the actual research articles so readers, if they so choose, can read them for themselves.

Members of MI have seen first hand people who have died and who have suffered terribly as a result of their involvement with the psychiatric profession. At the same time, psychiatrists also well know that there are many incidences of tragic outcomes due to their treatments, but they have come to believe that overall the benefits of their treatments far outweigh all of those tragedies. And the enormous financial benefits that come with being a psychiatrist are very likely to influence their views.

Civil rights activists worked for generations to make some progress in achieving their goals. Among the most successful of these advocates was Martin Luther King, Jr. When advocating for civil rights, he avoided throwing insults at those who resisted the changes he was after. Instead, he focussed on painting his dream in beautiful, hopeful phrases and demonstrating in nonviolent, but impossible to ignore, peaceful resistance.

In a country where many of our current politicians have taken to insulting anyone who disagrees with them, King’s approach may seem out of style. As for me, I personally think King’s approach is as timeless as stars twinkling in the heavens.

 

Categories
conflict resolution Tax policy US tax overhaul

A Tax Plan Respectful To All

Welcome to From Insults to Respect. Here in Corning, New York, spring has just begun to display some of its glorious beauty. Meanwhile, I, and most of my neighbors, have just finished squaring up our tax obligations for 2017. As we did so, many of us gave some thought to the recently passed US tax overhaul.

In the latest Gallup poll, 48% of respondents indicated they disapprove of the overhaul, while 39% indicated they like it. To figure out why so many Americans don’t like it, Yahoo Finance conducted a poll on April 18.

The Poll’s Results

More people indicated they dislike the new tax plan than like it for three basic reasons: They think the new law favors the wealthy over the middle and working class. They’re suspicious that tax cuts for businesses are permanent but tax cuts for individuals are temporary. And they think it’s irresponsible to finance the tax cuts with debt that future workers will have to shoulder.

There is an estimated 1 trillion dollars per year of new debt the US government will have due to the tax cuts.  “The small amount most get,” said one concerned citizen, “will be eaten up by the massive debt we’re adding but not benefitting from.”

My Earlier Thoughts On This Issue

In a previous post, which I titled, “Disrespecting the Middle Class with Taxation Policy” I noted:

“The new tax policy would deliver more than 50 percent of its benefits to the top 1 percent, according to an analysis by the nonpartisan Tax Policy Center (TPC). Meanwhile, America’s poorest families would get a tax benefit less than 1 percent growth in after-tax income. 

As an alternative to the new tax overhaul I provided some support for a plan proposed by Representative Ro Khanna.

Representative Ro Khanna.

Although I believe that plan, with a few additions that I suggested in my earlier post, would be distinctly better than the new tax overhaul plan, I actually am not satisfied with it. And so, after some thought, I am now putting forth for your consideration what I believe would be better.

A Tax Plan Respectful To All

Taxes On Organizations

Businesses and corporations would not pay taxes on their income. They would pay fees for any cost to the government when the operation of the organization exceeds typical usage. For example, the fracking industry utilizes such heavy equipment that transporting it breaks down the highways in the areas that they operate more quickly than average utilizers. The added cost to maintain the highways would be paid for by a fee.

Businesses and corporations purchase goods and services to run their enterprise. They would have to pay, in addition to any local and state sales tax, a new federal sales tax for such purchases (see below).

Taxes For Individual Citizens 

No one earning annually $100,000 or less would pay income tax. The loss of revenue to the government would be made up by a new federal sales tax on most goods and services, along with an increase in two types of taxes for the wealthy that I will soon describe.

Because some research indicates that a federal sales tax would hit the poor the hardest, to eliminate the unfairness of this, the following items would be tax exempt:

  • Fresh fruits and vegetables
  • Whole grains
  • Used clothes
  • Public transportation

The entire citizenry would benefit from not having a sales tax on those items. However, because the poor spend a much larger percentage of their income than wealthier citizens on just these items, the poor would get, proportionately, an increased benefit from these items being tax exempt.

For those who strongly believe that even the poor should pay at least some taxes, this plan respects that sentiment. It does so because the poor do purchase at least some of the items not tax exempt, such as soap, toothpaste, milk, etc.,Thus, they will make a financial contribution to the government’s revenues.

The US government has long supported a tax plan that encourages its citizens to purchase their own home by offering a reduction in taxes for those who have a mortgage. To continue this encouragement of home ownership, the tax proposal I am advocating for would make the first $100,000 of a home purchase tax free.

For citizens who have an income over $100,000 a year, there would be an income tax, which would be progressively higher depending on how much above that amount they make. For those who have an annual income of from $100,001 to $200,000 they would pay a 10% income tax just on their income that is over $100,000. For those in the $200,001 to $400,000 income bracket, 20% of their income would go to taxes. For each additional $200,000 of income a person makes, he or she would pay an additional 10% in income tax, until the maximum tax bracket is reached, which would be set at 50% for those who have an income that surpasses a million dollars a year.

Inheritance would be treated in a similar manner as income. For a daughter who inherits up to $100,000 from her parents, she would not have to pay any tax on it. If she inherits from $100,001 to 200,000 she would have to pay 10% tax just on the amount that is over $100,000. The amount of inheritance taxes for larger amounts would be progressively higher until the maximum bracket is reached at 50% for those inheriting over a million dollars.

The Benefits of the Plan

Note that this plan is a mere seven paragraphs. Pretty much everyone can easily understand it so there is no need for a bunch of tax experts doing some fancy expensive interpretation like they have to do with what’s in the current sixty thousand pages of IRS rules and regulations.

What are the benefits of this plan’s elimination of taxes on earnings of businesses and corporations? To begin with, as soon as a government begins to seek taxes from the earnings of organizations such as businesses and corporations, the organizations’ self interests lead to actions taken by incredibly well financed lobbyists. This consumes an enormous amount of our government representatives’ time. The plan I support would free up our representatives so they can work directly on doing what’s right for we, the people.

In manipulating the system, corporate lobbyists manage to embed incredibly complex formulas into the tax code to hide the various benefits to their organizations. Manipulations, such as establishing offshore companies, manage to successfully hide from the tax collectors. Savvy tax lawyers find one loophole after another. All of these efforts are financially costly to corporations and other businesses, wasting their resources, while having a negative effect on our economy as a whole.

Corporate profit taxes are also a sham, because much of what these organizations technically pay for taxes, lobbyists, and tax lawyers really end up being paid for by their consumers. This occurs in two ways.

First, taxes on the profits of organizations create the illusion that the citizens’ taxes are lower than they actually are, but corporations and other business organizations raise the price of their goods and services to cover much of the cost of their taxes. By doing so, they don’t have to fear that their competitors will end up having lower prices because the competitors also have to pay a similar amount of taxes. Said another way, all of them, together, raise their prices to cover the cost of dealing with taxes. Thus, when citizens pay for goods and services, they are actually paying much of the organizations’ income tax costs without realizing that their own tax burden is significantly higher than what the Internal Revenue Service takes out of their pay.

Second, when organizations do have a decrease in profits because of their income taxes, citizens who have retirement accounts, which typically are invested in various corporate stocks, end up with less savings. That reduction in savings is a cost to those citizens. So, this is another way citizens are indirectly paying some of the taxes that appears to be levied on the corporations they are invested in.

It is true that the wealthy get the biggest advantage when corporation taxes are cut. This is because although many Americans do own some stocks, the great bulk of stock value is held by a small, wealthy minority — 10 percent of the population owns 84 percent of the market. So there is some truth that cutting corporate taxes is basically a tax cut for the rich. But that cut in taxes helps both the rich and those middle class folks who also own stock. Wouldn’t it be better to come up with a plan that directly tax the rich at a level that seems reasonable without hurting the middle class? That is what my plan does. Yes, the rich would benefit most from eliminating tax on corporations, but the income tax on the rich, which my plan proposes, would directly effect the rich without hurting the middle class.

Let me add that many people are under the misconception that corporations pay a huge percentage of the needed federal revenues. With that impression, these people think that if we end taxes on corporate profits, individual citizens’ taxes would have to skyrocket. However, as the chart on the right indicates, prior to the new tax overhaul, corporate taxes covered about ten percent of all federal revenues. Now that that overall has been passed, it’s percent of all federal revenues is significantly less. Because my tax plan would have corporations paying a new federal sales tax on the goods and services that they purchase, plus the rich paying an increase in their income tax, there would be no loss in federal revenues from the elimination of taxing corporate profits.

Another benefit of my proposed tax plan is that the majority of citizens would find that figuring out their income tax burden would be enormously simplified. Once a year they would merely add up their income, notify the IRS what that amount is, and as long as it is not more than $100,000, they would be done. No more hiring a tax preparer, or spending hours pouring over tax receipts to figure out what can be written off and what can’t.

In the Yahoo Finance poll, many people indicated they objected to the new tax overhaul because it favors the wealthy over the middle and working class. The proposal I am advocating for would eliminate that concern because middle and working class people would not have to pay any income tax while the wealthy would. Additionally, the wealthy tend to buy more taxable items and utilize more taxable services, so they would be paying more taxes in this way as well.

Now, for those who feel that it is unfair to have the rich pay more in taxes than other segments of the population, I hasten to remind them of the nature of capital in the US and other capitalistic countries. Capital is property such as money, land, housing, and tools that people own that they do not require for their basic needs such as food, shelter, healthcare, and transportation to and from work. In our society, this type of capital can be uniquely used to gain more capital without the necessity to do any labor. Rather than labor, capital grows more capital via rental properties and interests from other types of investments. The way our society is structured, it is only the rich that have a significant amount of capital.

The phenomenon of capital eliminates the requirement for rich people to labor in order to pay for their basic needs. In fact, without labor their capital most often keeps increasing. So, even when the rich pay higher taxes then the middle class, they tend to live far more lavishly, only work if and when they want, and their capital continues to increase at no pains taken by them even if they were to pay 50% of their income in taxes. In fact, many rich folks who would fall into this 50% tax bracket would end up increasing their wealth yearly from just their capital far more than middle class folks earn from their labor their entire lifetime.

This aspect of capital, which benefits the rich far more than other segments of the population, provides one of the rationale that it is fair for the rich to pay more taxes than other segments of the population. There is a second reason. The vast amount of Americans earn less than $100,000 a year. When we put more money in their hands, they spend more. Therefore, the corporations and other businesses that the wealthy put their capital into thrive. The rich, along with the rest of our US citizens would do very well from this tax proposal.

Why did I choose 50% as the maximum tax bracket? Well, first I was influenced to some degree by Warren Buffett’s rule. The Buffett Rule is named after American investor Warren Buffett, who repeatedly stated that neither he, nor other wealthy rich people should pay less in federal taxes, as a portion of income, than the middle class, and voiced support for increased income taxes on the wealthy. How much of an increase? Currently the maximum tax on the wealthy is about 14%. Buffet believes that at a minimum the effective tax rate should be at least 30 percent.

After considering what Buffett has said on this topic, I then read Capital in the Twenty-First Century by economist Thomas Piketty. The book argues that the world today is moving towards an economy dominated by inherited wealth: the power of this economic class is increasing, creating a move away from democracy, and toward oligarchy. Said another way, we are moving toward a government of the rich, by the rich, for the rich. Some have argued that we have already become an oligarchy.

Piketty”s careful analysis argues that a progressive tax on both income and inheritance reaching a maximum of 80% would be required to adequately reduce inequality. At the same time, he recognizes the political difficulties of achieving this. I chose 50% as a number that perhaps is more reasonably achievable in the not too distant future.

I deduce this from what I observed in the last US presidential race. The anger from the younger generation when the issue of the imbalance of power that results from so much wealth being concentrated in the hands of so few was pretty obvious. So too was their enthusiastic support whenever proposals that would turn these inequities around were being trumpeted by the few candidates that dared to buck the establishment.

What does the establishment have to say about this? Representative Paul Ryan, Speaker of the House, criticized any increased taxes on the wealthy. He labeled it class warfare and also stated that it would negatively impact job creation and investment.

Paul Krugman, a New York Times columnist and Nobel Prize–winning economist, disagrees with Ryan’s assessment. Thus, he stated that “the economic record certainly doesn’t support the notion that [the current] superlow taxes on the superrich are the key to prosperity.” He backs this up with evidence like the fact that the U.S. economy added 11.5 million jobs during President Bill Clinton’s first term, when the capital gains tax rate was over 29 percent.

So, I’m thinking that this trend of the younger generation feeling so strongly about the current financial inequities may very well continue. If so, in time, as more and more of our youth reach voting age, we may see a new wave of voters backing policies consistent with Krugman’s well reasoned arguments.

Moving on, what about the concern expressed in the Yahoo poll about the new tax overhaul increasing the national debt? In my proposal, the sales tax would be set at a level that would be just high enough so all of the current government programs would be adequately funded while slowly reducing the national debt. How high a sales tax would that be?

It has been estimated that if no one paid income tax and the national government relied completely on a sales tax to fund all of its current programs, a 23% sales tax would provide ample revenues. Since the plan I am advocating for not only calls for a sales tax, but additionally, for a progressive income and inheritance tax, I am estimating that the sales tax would be considerably below the 23%–perhaps 8%.

If this 8% figure seems like a large sum to you, I encourage you to keep in mind that for most people this tax would be offset by Americans taking home more pay because they won’t have any income tax taken out of their paycheck. Moreover, corporations and other businesses would be able to sell their products and services at a significantly lower cost because of the elimination of their tax expenses. Under the new US tax overhaul, the corporate tax rate is 21%. With what I am proposing, it would be 0%. As long as there is real competition in the marketplace, corporations will be forced to pass on at least some of their 21% savings in taxes to their customers, thereby leading to citizens ending up paying a total amount that is less per sale even with an 8% sales tax.

So, in summary, when this reduction in the tagged price of the item is figured in along with the increase in most citizen’s take home pay, customers would end up paying significantly less than an 8% increase per purchase, and for middle class folks, they will save a substantial amount of money. Finally, for a family going through hard times, its members could rely on several tax exempt items to significantly reduce their total tax contribution while still having access to nourishment, clothing, and public transportation.

Concluding Remarks

Well, that’s my proposal for a better taxation policy than the new tax overhaul. I know some people, because of my views will try to paint me as a communist or a complete socialist. If the truth be told, I’m not either one.

The US economic system is currently a mixture of capitalism and socialism. Its capitalism is reflected by its numerous privately owned businesses and corporations. Its socialism is reflected by its public schools, libraries, and such programs as Social Security, Medicare, and Medicaid. I am not proposing anything that is a revolutionary departure of this mix, but rather, just a more respectful balance within this system.

The proposal respectfully provides something for the rich in that they have long advocated for the elimination of taxes on profits of businesses and corporations. My proposal does this. Additionally, my proposal respectfully provides something for middle class folks by structuring the economy in a manner so they receive a larger share of the nation’s wealth. The proposal respectfully provides for folks currently living in poverty as it continues funding for the US safety net programs, while also giving several tax exemptions on items that they pay a large proportion of their income on.

Many wealthy folks have been speaking up against the current imbalance of wealth in our nation. And many middle class folks have, because of the resentment they feel, been talking about the rich in the most disrespectful manner, while passing around on the internet images of them being big fat greedy folks.

The rich, middle class, and poor are all fellow Americans. To further the respect we all have for one another, I’m throwing out this tax proposal in the hopes it stimulates thoughtful consideration. As always, I encourage comments, whether they be positive or negative.

In closing, I wish for you all that our fresh new spring fills your days with beautiful delights.

Categories
conflict resolution Tariffs Trade wars

Regional Manufacturing: A Wiser Alternative to Tariffs

Welcome to From Insults to Respect.

No doubt you have all noticed the recent commotion over the new US White House policy of raising tariffs on some manufactured goods. There are those who are enthusiastically supporting this, while others are vehemently arguing that we would be far better off sticking to the previous policy. Well, from my way of thinking, both policies have serious drawbacks. So, in today’s post I would like you all to consider a far wiser alternative, one that I call a “Regional Manufacturing Policy.” Before I explain this alternative, and why it would be so much better, particularly for respecting the environment, let’s review the current commotion as it stands now.

The Current Commotion

The new “raising tariffs policy” is being hailed by President Trump as just the beginning of a trade war that is “easy to win.” He is beginning with steel and aluminum while considering other tariff raises as well.

Countries that have established trade policies with the US after long and hard negotiations see this move by the Trump administration as a violation of trust and some are threatening retaliation. When the US administration said it might exempt Canada and Mexico, this led to other countries expressing that they are being treated disrespectfully for they have been US allies for years.

Why Trump has decided to focus first on steel and aluminum is not hard to fathom. He managed to win the majority of presidential electoral votes in the state of Pennsylvania by the slimmest of margins. When he campaigned there, he promised to raise tariffs to help the state’s manufacturing industry. If he doesn’t keep his promise, he would have about the same chance of winning Pennsylvania again in the next presidential election as a Nazi would in the state of Israel.

The reasons some support the raising of tariffs are several. The US has the knowhow to produce any of the goods that would be considered for a tariff increase. US workers are eager to do the job as long as it pays at least a living wage; that is, a wage that permits a person working 40 hours a week, with no additional income, to afford the basics for a modest but decent life, such as, food, shelter, utilities, transport, health care, and child care. Although other countries have workers who are willing to do the job for lower salaries, there are several benefits to the US if it sticks to having US citizens do jobs that can competently be done by them. Though prices may go up a few dollars per item if the US keeps manufacturing jobs in the US, people earning the money in the US will spend their earnings in the US, helping the national economy. Fewer US citizens will need to be drawing on welfare programs. There is a pride that goes along with having local workers being part of what keeps the country rolling along.

The argument that the cost of goods in the US would skyrocket if we didn’t rely on foreign manufacturing seems hollow to those who have lost their jobs to foreign workers. Many remember a time before their jobs went overseas. Products such as cars and refrigerators were being manufactured at affordable prices back then. Moreover, the price of a particular product is not based so much on what the workers get paid, but on what the market will bear. The real reason the jobs went overseas, according to many advocating for the tariffs is not to keep prices for consumers down, but rather to increase the profits of corporations that distribute their financial windfall to their rich stockholders.

Complicating all of this is the fact that other countries buy some of the manufactured goods made in the US. If the US reduces foreign product purchases because tariffs make them too costly, foreign countries may raise tariffs on US products leading to making them so costly fewer foreigners will buy those products. Then those corporations’ employees in the US that are manufacturing these products will lose their jobs. Pennsylvania workers could end up with an improved job situation while other states will end up with a worse job situation. The complexities in this type of trade war make it extremely difficult to predict what the final outcomes will be.

In broad strokes, the above summarizes how the media describes what the tariff commotion is all about. What you don’t hear about is the major problem with both the new increasing tariff policy and the policy that existed before this commotion began.

Existing Trade Policies’ Effect on the Environment

Why is the trade policy we had prior to the new tariffs terrible for the environment? Consider Ford Motor Company that is located in Detroit. Ford could, under the prior trade policy, decide to buy the steel used to manufacture its cars from China, several thousand miles away, even if Canada has a steel plant a few hundred miles away eager to supply Ford all the steel it needs. Meanwhile, Toyota has an auto manufacturing plant in the Atlanta area. Rather than buy its steel from Pennsylvania, a few hundred miles away, it also can decide to buy its steel from China. The corporations may make this decision because Chinese workers are paid sufficiently less and the power plants that are used can be run at less expense because there are less pollution control requirements. The result is more profits by maintaining the current policy than if a decision was made to manufacture all manufactured goods within the region those goods are to be sold.

Note also that both Ford and Toyota use their plants to basically assemble their cars. The parts that they use in assembling the cars are made all over the world, from South Korea, Germany, Brazil, etc. And so, to manufacture a car in Detroit and Atlanta, thousands of huge ships are churning their way across huge oceans to bring all of these manufactured parts to seaports. According to an investigative report form the UK newspaper the Daily Mail, the 16 biggest ships in the world produce more pollution than all the world’s cars. This is because of the higher levels of sulphur oxides and nitrous oxides that large container vessels produce when compared to cars.

Once the ships dock into port, their cargo is then loaded onto trucks to further get these parts to the assembly plants. Then, when the cars are fully assembled, many are sent thousands of miles away for sale in South Korea, Europe, etc. All of this extra needless transportation leads to kicking out tons and tons of pollution for us and the next few hundred generations to breath and to suffer global warming consequences.

The alternative, raising tariffs plan, offers no real significant improvement in protecting the environment. Prior to Trump announcing his policy to raise tariffs, there were already numerous tariffs in place that were negotiated by all the concerned stakeholders. Despite that, millions and millions of miles of needless transportation was still going on. Meanwhile, the increase of tariffs lead to allies becoming enraged, lawsuits are already being filed, and final consequences of all of the stirred up ill will are unlikely to lead to benefits for all but a very few.

Regional Manufacturing Policy (RMP)

Imagine the United Nations coming to an agreement about a policy that is in the interest of protecting the environment. This policy calls for a three-year transition period that leads to all manufactured goods that are sold in a region being fully manufactured in that region, with the workers getting paid at least a living wage.

To envision what I mean by this policy, note that right now Toyota is a car manufacturing corporation centered in Japan and it manufactures many of its cars in that region. Nevertheless, it has opened a manufacturing plant in the US region, cutting some of the transportation requirements that would be necessary if it manufactured all of its cars in Japan.

Although this is a step toward a RMP, Toyota still has many of the parts that go into manufacturing its US made cars manufactured in other parts of the world. A true RMP would have all of the manufactured parts, including steel and electronic parts, made in the region those cars are to be sold.

To further envision what a RMP would require, imagine North America being divided into 5 or 6 regions, Europe divided into 2 or 3 regions, and so on. If Apple intends to sell its iPhones in each of these regions, it would be required by RMP to create manufacturing plants in each of these regions, thus dramatically reducing miles of transportation, along with the pollution that goes with it.

In thinking about RMP, some will find themselves concerned about all of the jobs that will be lost in the transportation industry. But note that within a few years driverless vehicles will become a practical way to transport goods, so it is now time to begin to help these workers to learn new skills for the jobs of the future. A humane way to make this transition is to extend unemployment benefits long enough for these transportation workers to learn these new skills and to make the training affordable.

Benefits of RMP extend well beyond environmental considerations. Tariffs produce anger, feelings of disrespect, and reprisals. Imagine, instead, a world that has its citizens joining together to make RMP work because it is the right thing to do for our planet and for future generations.

Admittedly, the current trade winds don’t appear favorable for the path I am here advocating. Just as I was completing this post I happened to glance at today’s New York Times and saw the following headline:

“E.P.A. Prepares to Roll Back Rules Requiring Cars to Be Cleaner and More Efficient.”

Illustration by Eric SailerThe article goes on to say, “The Trump administration, handing automakers a victory, is preparing to announce an effort to weaken strict Obama-era pollution standards.”

Yes, such news is understandably discouraging. Nevertheless, any fine sailor will tell you that it is common for a journey to meet up with stormy seas, and yet all the mates working together still succeed in bringing their ship into their desired port.

 

 

 

Categories
Antidepressants effectiveness conflict resolution Harmful effects of antidepressants

Do Antidepressants Worsen Depression?

Welcome to From Insults to Respect. Regular readers know that from time to time I address concerns about the use of antidepressants in our society. Well, as I was thinking about what to write about this week’s post, I learned of a new meta-analysis that was published in the medical journal Lancet that appears to support the claim that antidepressants are effective, at least in short-term studies.

Although well thought out critiques of this analysis soon appeared, the power of the pharmaceutical industry’s media promotion apparatus will lead to the public hearing far more readily a simplified version of the Lancet findings. And so, out of respect for the public’s right to make informed choices, I have decided to provide my readers the link to one of the most thorough and readable critiques (see HERE).

Robert Whitaker

It’s written by Robert Whitaker, a medical writer who started out as a Knight Science Journalism fellow at MIT. Following that, he became director of publications at Harvard Medical School. His most recent book is Anatomy of an Epidemic.

In addition to providing the link to Whitaker’s critique, below I provide a brief summary of his critique’s main objections to the conclusions of the Lancet article. As you will see, there exists substantial evidence that rather than improving outcomes for people dealing with the challenging experiences of depression, antidepressants actually tend to worsen outcomes. The studies I refer to below are fully referenced in Whitaker’s article.

A Brief Summary of Robert Whitaker’s Critique

Whitaker tells us that the Lancet analysis relies on random control trials (RCT) that compared depressed patients taking a placebo with those taking the antidepressants over a mere eight weeks. After eight weeks, symptom reduction, as measured in this study, did favor those in the groups that took the real drug. Should that be the whole story?

Whitaker rightly points out that RCTs are fraught with problems. Most of the studies are industry-funded, thus investigator bias is a worry. The placebo group is composed of patients who have been abruptly withdrawn from antidepressants that they had been taking before the trials got underway, which isn’t a true placebo group at all. Rather, they are a special group of depressed individuals likely to be suffering withdrawal reactions.

Upon looking at the risks versus benefits from this symptom-reduction data, Whitaker tells us that even if we assume that the results are accurate, then:

“12% of patients will benefit from the treatment, while the remaining 88% will suffer the adverse effects of treatment without any additional therapeutic benefit beyond placebo. Those are the odds that a person contemplating taking an antidepressant drug might want to know.”

Whitaker goes on from here to point out that the RCT studies use eligibility criteria to select participants most likely to respond well to the drug. Only about 10% to 30% of real-world depressed patients meet these criteria. Do real world patients respond differently?

In one study that looked at this, only 19% had responded to the treatment at three months, which was one-third the response rate recorded in RCTs. In another study known as the STAR*D trial, this one hailed as the largest antidepressant study, patients who didn’t respond to a first round of treatment could then have a second round with a different antidepressant, and so on through four courses of treatment. The idea was that eventually a treatment would be found that would work. Yet, even with this design, the short-term findings indicated only 38% of the 4041 patients reached meaningful improvement as defined by the researchers.

Whitaker’s conclusion about the effects of antidepressants as determined from the two major short-term studies on real world patients follows:

“Are they better than “natural recovery” rates over the short term? I am not sure there is a good answer to that question in the research literature, but what can be concluded from these two studies is that there is a lack of evidence that antidepressants are effective in the majority of real-world patients, even over the short term. They “work” in only a minority of patients, and it may be that they don’t provide any benefit over natural recovery rates at the end of 6 to 12 weeks.

As interesting as these studies are, it is perhaps even more important to look at the effectiveness of these types of drugs beyond 12 weeks. After all, the goal for people who are depressed is to get well and stay well. In research terms, patients want to experience a “sustained remission.” Whitaker’s critique extensively reviews the studies bearing on this, and the results are troubling.

In one study with real-world patients, 13% were in remission at the end of the year, but only 5% had a “sustained remission” during the year. The outcomes in this study, according to John Rush, the lead researcher in the study, “reveal remarkably low response and remission rates.”

The documented stay-well rate in the STAR*D trial was even worse. At the end of one year, only 108 of the 4041 patients (3%) had remitted and stayed well and in the trial. All of the others had either failed to remit, relapsed, or dropped out of the study.

A Minnesota report on the real-world outcomes of 260,000 patients treated for depression from 2010 to 2013 found similarly low remission rates. At the end of each year, only about 5% of the patients were in remission. Another 10 percent or so were still considered responders to antidepressant treatment.

How does this compare to people who are depressed but don’t take antidepressants? Whitaker describes the following study that seeks to answer this question:

In 2006, Michael Posternak, a psychiatrist at Brown University, studied the one-year remission rate for unmedicated patients. To do his research, he identified 84 patients enrolled in an NIMH study who, after recovering from an initial bout of depression, subsequently relapsed but then did not go back on an antidepressant. He tracked their remission rate over time: 23% percent had recovered by the end of the first month; 67 percent at the end of six months; and 85% at the end of one year.

Posternak summed up his results in this way: “If as many as 85% of depressed individuals who go without somatic treatment spontaneously recover within one year, it would be extremely difficult for any intervention to demonstrate a superior result to this.”

These results are quite startling. In the Minnesota study, only 5% of those taking antidepressants were viewed as recovered at the end of one year while in the Pasternak study 85% of those not taking an antidepressant recovered in the same time period. Although definitive conclusions can not be made from just two such studies, the findings do raise the question, do these types of drugs worsen outcomes for people dealing with depression experiences?

Exploring this issue further, Whitaker takes a close look at the few longer term studies that used real world patients. He tells us:.

  • In a retrospective study of the 10-year outcomes of 222 people who had suffered a first episode of depression, Dutch researchers reported that 76% of those not treated with an antidepressant recovered and never relapsed, versus 50% of those initially prescribed an antidepressant.
  • In a Canadian study that charted outcomes for 9,508 depressed patients for five years, those taking antidepressants were depressed on average 19 weeks per year, versus 11 weeks for those not taking antidepressants.
  • In a World Health Organization study designed to assess the merits of screening for depression, which was conducted in 15 cities around the world, the patients who were diagnosed by their GPs and treated with an antidepressant were twice as likely to be depressed at the end of one year as those who weren’t diagnosed and treated, even though their baseline depression scores were nearly the same.
  • This WHO study also provided some insight into the effectiveness of antidepressants—or their lack of effectiveness—over time. At the end of three months, the patients treated with medications had improved slightly more than the unmedicated group, but after that time they stopped getting better, while the unmedicated group continued to improve throughout the year.
  • In a study of 1,281 people who went on short-term disability in Canada due to depression, 19% of those who took an antidepressant failed to return to work and went on long-term disability, compared to 9% of those who didn’t fill a prescription.
  • An NIMH-funded study assessed the six-year “naturalistic” outcomes of 547 people who suffered a bout of depression, and found that those who were treated for the illness were three times more likely than the untreated group to suffer a “cessation” of their principal social role, and nearly seven times more likely to become incapacitated.
  • The burden of depression in developed countries around the world has dramatically increased since Prozac arrived on the market in 1987.  A 2015 study found that the economic burden from depression in the United States increased from $83 billion in 2000 to $210 billion in 2010.
  • There has been a dramatic increase in the number of people on disability due to mood disorders in developed countries during the Prozac era, with this increase happening in lockstep with the increased prescribing of antidepressants.

Whitaker concludes with these words:

I think it is fair to conclude, based on this data, that antidepressants, as they are used now, can’t be said to “work” for society. Instead, they can be said to cause significant societal harm.

Now, I hasten to point out that for people experiencing depression, their choices are not merely either taking an antidepressant, a placebo, or no treatment at all. Many people report great help from psychotherapy and counseling, although the cost can be unrealistic for many. With regard to learning how to positively deal with the emotional pain that is a central feature of the depression experience, there are several effective approaches that don’t cost any money, such as sensory focus, expressive writing, and meditation. I describe these approaches HERE. Exercise such as walking, yoga, etc, have not only been found in scientific studies to be helpful, but enhance other health outcomes as well.

One of the most frustrating aspects of taking drugs like antidepressants, is that the prescribing doctors often don’t explain how difficult it is for many people, once they begin taking them, to come off them. People can experience severe withdrawal effects that can last for months. Learning how to safely ween off of them can be a challenge. Just stopping them, cold turkey, has the potential to be dangerous for some. There are people, however, who can help you through this challenging experience (see HERE for recommendations).

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

Categories
conflict resolution gun violence and mental illness

Mental Illness and Gun Violence

Welcome to From Insults to Respect.

Whenever we learn of a mass shootings, we hear people unfairly connecting the horrendous murderous acts to people who have been classified as having a mental illness. For example, at one point immediately after one such tragic event, Paul Ryan, the former speaker of the House, announced, “People with mental illness are getting guns and committing these mass shootings.” Such statements connect in the minds of the public the notion that people who have been labelled mentally ill are dangerous, thereby promoting the stigmatizing of a group of people, the vast majority of whom are no more violent than average citizens.

?

For those who are interested in a scientific analysis of possible connections between mental illness and violence, I recommend “Mental illness and Reduction of Gun Violence and Suicide: Bringing Epidemiologic Research to policy” (see HERE). Its major conclusion is that the large majority of people viewed by mental health professionals as having a mental disorder do not engage in violence against others, and that most violent behavior is due to factors other than mental illness.

Now, to be sure, some studies have reported a statistically significant but fairly modest positive association between violence and mental illness. However, this apparent connection, when we look carefully at the data, suggests that this association is likely to be misleading.

Clarifying the Relationship Between the Statistical Findings

The first thing to keep in mind is that the notion of mental illness is a lot more vague than many mental health professionals would like you to believe. People facing the complexity of their existence will often become concerned about how they are feeling or acting for an incredible variety of reasons. When they seek some support from a mental health professional, in order to access this support their concerns must be converted into mental illness terminology. Without being labelled, no services. It just so happens that because the descriptors needed to classify someone as mentally ill are so vague, pretty much anyone seeking mental health services won’t be turned away as long as they can either afford the cost for the services or that they have some insurance policy that covers mental health services.

Keeping in mind how vague the notion of mental illness is and the incredible variety of concerns that people seek mental health services, note that there is a whole additional group of people who get labelled as mentally ill. This group of people are adolescents who are acting out violently and therefore are referred to mental health services by teachers and parents. Once these adolescents are referred, they too, in order to access services, are labelled as having one mental illness or another.

In one series of studies we find that violence involvement during adolescence is also a potent risk factor for ongoing violence involvement well into young adulthood (; ; ). So, when violent acting adolescents get labelled as having a mental illness, it is not because they clearly meet any of the vaguely worded criteria for a mental illness classification, but rather because it is a requirement of the bureaucracy to access services. This violence prone group is then added in statistical analyses to the larger group of people who make up all those who are labelled mentally ill. When analyses combine those who are labelled as mentally ill for all reasons with the subgroup of those who are already displaying violent behavior, it leads to a statistically significant finding between mental illness and violence. There are a host of reasons why someone is violent, such as having parents who display violent behavior, living in communities where violence is all around, etc. Rather than attributing the vague notion of “mental illness” as the reason of such violent conduct, we would be better off identifying its specific causes.

Here’s another reason for the misleading statistical correlation between those who are labelled mentally ill and violence. People who have been labelled mentally ill come from a full range of social and economic conditions. At the same time, such labelled people are somewhat more likely to be exposed to social and economic risk factors such as poverty, crime victimization, involvement with illegal drugs and drug markets, early life trauma exposure, and ambient neighborhood crime. Perhaps it is this exposure, rather than the vague notion of mental illness, that leads to the statistical increased risk of violence among mentally ill labelled people. Examining this possibility, Swanson et al. (see HERE) published a study on the prevalence and correlates of interpersonal violent behavior in a five-state pooled sample of 802 adult psychiatric outpatients with serious mental illness who were receiving services in the states’ public behavioral health care systems. The study compared 3 groups of individuals.

Group 1: Individuals in this group had been labelled mentally ill and also came from a very low social capital situation—mostly unemployed, economically impoverished, typically residing in disadvantaged neighborhoods, often misusing alcohol and illicit drugs, and reporting alarmingly high rates of trauma and violent victimization over their life course.

Group 2: This group’s members were participants in the study who merely had a diagnosis of serious mental illness but did not have a history of violent victimization, were not exposed to neighborhood violence, and were not abusing drugs or alcohol.

Group 3: This group’s members were individuals who were representative of the general population.

The results indicate that those in Group 1 (mentally ill plus low social capital situations) had a higher rate of violence than those in Group 3 (those individuals typical of the general population). Meanwhile, Group 2 members (mentally ill but no history of low social capital situations had annual rates of violent behavior that were no different from those in Group 3 (the general population group).

Thus, these findings suggest that it is not the vague “thing” we call mental illness that is the cause of the increased rates of violent behavior, but rather being exposed to low social capital situations. Said another way, more people who have been exposed to low social capital situations tend to get a mental illness label than people in general. When this low social capital situation group is combined in statistical analyses with everyone who has a mental illness label, it gives the appearance that it is the mental illness condition causing the increase in rates of violence. In actuality, it really is the exposure to low social capital situations that is the cause for the increased rates of violence.

Here’s a third argument that it is not “mental illness” that is the cause for the statistical increase in violence. Perhaps the statistical finding is due to the psychiatric drugs that people labelled mentally ill often take. To be sure, most people who take psychiatric drugs do not become violent. However, a number of writers have pointed to the evidence that one of the recognized side effects of taking these drugs is an increased risk of violent behavior (as examples see HERE and HERE). Moreover, it has been reported that many of those who shot up schools were on psychiatric drugs, including this most recent case (see HERE).

Conclusion

The mental illness explanation for the school atrocities is far too simplistic, unfairly stigmatizes an enormous number of nonviolent individuals, and diverts our attention from coming to understand the real factors that are involved.

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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
Being supportive of our faults conflict resolution

Nobody Hurts You Harder Than Yourself

Welcome to From Insults to Respect.

This week I happened to be listening to the old Graham Parker song, “Nobody Hurts You.” As I interpret the lyrics and how they are sung, it seems to me that they are a useful jumping off point for a discussion about so many of us being, at times, so disrespectful to ourselves.

Graham’s Song

The first line, sung with anger, goes:

I try to pull my weight, study my geography
It doesn’t seem to get me anywhere

Here we learn that the singer, and in a metaphorical sense, many of us as well, sometimes find we are in a situation in which we begin to feel angry because we are trying to get somewhere, but find we are not making progress.

As the song continues, frustration begins to mount. And then Graham cries out,

Hey baby, I’m out of favor
You can’t always be the right flavor
It just seems that no matter what you do
Someone, somewhere, suddenly gotta punish you

Nobody hurts you, nobody hurts you
Well, nobody hurts you, nobody hurts you
Harder than yourself.

Here, Graham explains to someone he calls “baby” that he is out of favor, and you can’t always be the right flavor. The use of the word “you” in these lines, as I read them, refers to himself, and he is actually calling himself a baby. Punishing himself for not matching what others respect is viewed by him as an immature, baby-like way to act.

Graham then belts out,

Suffocating in suburbia
The new estates build claustrophobia
Grandfather’s money only in the finest stuff
That’s enough! That’s enough! That’s enough!

Well, nobody hurts you, and nobody hurts you
Well, nobody hurts you, nobody hurts you
Harder than yourself.

Here I’m reminded that so many of us hurt ourselves when we see we are in a situation that clashes with what we respect. As Graham cries out the lines, “That’s enough! That’s enough! That’s enough!” he is expressing anguish as he goes about hurting himself over these perceptions.

The next few lines go:

You make me tag along, run into the rent-a-crowd
But they’re just imitation
I try to write the song, you and me are laughing loud
But it comes out frustration

Look no one’s going to illuminate you
All the odds are stacked against you
You’re just caving in right there in front of me
It’s a picture I don’t ever want to see

Nobody hurts you and nobody hurts you
Well, nobody hurts you and nobody hurts you
Harder than yourself.

At this point, the singer leaves us in a fit of exasperation, saying discouraging pessimistic words. Many of us connect with the anger in his voice, recognizing that how the singer is reacting to his frustration is somewhat similar to how at times we may react.

Hurting Ourselves When We Perceive Disrespect

One of the most common way that we begin to hurtfully treat ourselves is when we perceive someone is treating us disrespectfully. Apparently, some people are less likely to succumb to this pattern. I came upon a great example of someone who utilized an alternative pattern while reading Ron Chernow’s best selling biography of Ulysses S. Grant.

There we learn about John Rawlins, who acted as General Grant’s Chief of Staff during the Civil War:

Rawlins “was always getting excited about something that had been done to Grant,” recalled Lieutenant Frank Parker. When someone showed disrespect for Grant, “he would prance around and say, General, I would not stand such things’ to which Grant would say, ‘Oh, Rawlins! what’s the use in getting excited over little things like that; it doesn’t hurt me and it may make the other fellow feel a little good.'”

Grant was widely respected in his day, not only for his leadership during the Civil War, but also for his tenure as US President, serving a full two terms. Sure, he had his flaws, as all human beings do. Nevertheless, his pattern of dealing with perceptions of disrespect does suggest the possibility that it is possible to achieve respect with the use of his pattern.

The pattern I am talking about is more fully described by  several of the lines that Rudyard Kipling wrote in his poem, “If.”

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:
If you can meet with Triumph and Disaster
    And treat those two impostors just the same;   
If you can bear to hear the truth you’ve spoken
    Twisted by knaves to make a trap for fools,
Or watch the things you gave your life to, broken,
And stoop and build ’em up with worn-out tools:
If you can talk with crowds and keep your virtue,   
    Or walk with Kings—nor lose the common touch,
If neither foes nor loving friends can hurt you,
    If all men count with you, but none too much;
Yours is the Earth and everything that’s in it,   
    And—which is more—you’ll be a Man, my son!

Can We Learn Skills that Help Us to Be More Supportive Of Ourselves Even When We Perceive From Others Disrespect?

It may be true that some of us are born with a calmer, more supportive way to react to perceptions of disrespect. If you believe this, you may come to believe that there is nothing you can do to change your innate pattern. However, I, and many others as well, have found that if we come to realize lashing out at others and ourselves at such times is less than ideal, there are some very useful skills that can be learned over a period of time despite innate tendencies.

Now, a major reason people become discouraged from taking helpful action to learn such skills is that they read on this topic, became convinced that the skills make sense, but end up finding that this understanding led to no change in their own behavior. “Oh, I know all about such skills,” they say to themselves, “but with my temperament, I can’t really do anything about this.”

Well, as I explained in an earlier post (see HERE), learning certain skills requires more than just knowing the basic principles of these skills, it requires practice over an extended period of time. Consider, for example, an actor who gets a part on Broadway. This person well knows the basics of acting having gone to the Juilliard School of Performing Arts. Moreover, the script explains what is to be done during the play and the director explains even more what are the motivations and emotions to be expressed. Nevertheless, even after all of this and all the lines are well memorized, there is no way the actor is ready to get up in front of the Broadway critics without some practice over a period of time under less stressful conditions.

Learning skills that are helpful to respond to perceptions of disrespect is similar in many ways. To learn them, you have to apply what you have heard or read by first doing them under relatively safe circumstances, make mistakes, and try again and again until you get smooth at coordinating the skills even in very challenging circumstances.

One of the best ways to learn the skills regarding being supportive of ourselves when we perceive others are treating us in a less than ideal respectful manner is to seek counseling or psychotherapy from a supportive professional. As you discuss with the professional situations that typically have resulted in your being very hard on yourself, these professionals over a few months typically respond in a very supportive manner, modeling for you the type of skills you want to learn. Some will then give you some homework assignments that lead in time to your learning a far more helpful style of functioning during these challenges.

Some counselors and psychotherapists will also encourage you to learn to meditate and utilize other mindfulness techniques. Here you practice observing your physical sensations when you are dealing with the disrespectful perceptions. In time, the disrespectful words that you tend to direct at yourself come to lose their disturbing nature. For a period of time these words still come, but you end up smiling at them as you realize they are not matching reality. In time, they may completely fade away.

This has been described as decentering. In essence, to decenter is to take a figurative step back from our beliefs and thoughts. Instead of a reality of “I can’t do anything right,” one learns that they had a thought “I can’t do anything right.” We come to learn that we do not need to believe all our thoughts that were learned over many years from people who treated you in less than respectful ways.

An important component of mindfulness practice is to not resist our thoughts. Otherwise, marked frustration may ensue. We notice them, accept that they have come, observe them, and peacefully observe the physical sensations that come with them. You can find, and learn about two personal counselors that are highly skilled in all of these approaches HERE.

Now, I understand that most people can’t access the kinds of mental health services I am describing because they are too expensive or they are not available in their community. It is for this reason that I have been writing this blog. It provides a free, accessible way to learn the skills at your own pace. By going to the first post of this blog and then systematically going through each of the other posts over an extended period of time, a more supportive style of dealing with these types of problems are described, along with simple exercises that are required to really learn the skills well enough so you can actually carry them out in real life situations.


Assignment: Write one or two paragraphs that relates what you have just read to something that personally happened to you. Include not just what happened, but also how you were feeling while it was happening.

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

 

 

Categories
conflict resolution Taxation Policy

Disrespecting the Middle Class With Taxation Policy

Welcome to From Insults to Respect. Very recently, the US government passed a bill that provides a major overhaul of our taxation policy. Since the bill was signed into law, some of my friends have begun to ask me what I think of it. In response, I first tell them about a psychological study.

The Study

In the study, primatologists Sarah F. Brosnan and Frans B.M. de Waal trained capuchin monkeys to perform a certain task for which they receive, as a reward, cucumber slices.  The monkeys performed the task just fine until they were permitted to see another monkey being rewarded with grapes, a higher-value payment.  Suddenly many of the cucumber-receivers refused the cucumber, sometimes even throwing those measly, unfair cucumber payments at the experimenter who was giving out the reward. In a delightful YouTube video that you can access for free HERE, you can witness this for yourself. Behavioral economists call the behavioral characteristic exhibited by the monkeys “inequity aversion”—the tendency to turn down a perfectly good offer if others are getting a better deal.

Do Capuchin Monkeys Comprehend Something Middle Class Supporters of the Tax Bill Fail to Grasp?

The new tax policy would deliver more than 50 percent of its benefits to the top 1 percent, according to an analysis by the nonpartisan Tax Policy Center (TPC). Meanwhile, America’s poorest families would get a tax benefit less than 1 percent growth in after-tax income. A middle-class household with $67,000 of income will receive an average tax cut of $930 next year, while a fairly wealthy family with $348,000 of income will get an average tax cut of $7,640. Very wealthy families will get a far larger break. One in five Americans making the median household income would actually see a tax hike.

The new tax policy is estimated to increase the national debt by over a trillion dollars, which eventually will have to be paid, plus interest. That interest will be paid to financial institutions that benefit the rich. The tax breaks for the rich in this bill were written in a way that make them permanent, whereas the parts of the bill that will give the slight benefits to a majority of middle income people are temporary.

Despite these facts, there are some middle class voters who are actually supporters of the new tax policy. What are they thinking? Well, the most common defense comes down to the old trickle down theory. So, let’s take a look at this.

Trickle-down Economics

Trickle-down economics, also referred to as trickle-down theory, is an economic theory that advocates reducing taxes on businesses and the wealthy in society as a means to stimulate business investment in the short term and benefit society at large in the long term. For those who want to see how much support there is for this theory, I suggest placing the following words into your search engine–Trickle-down theory, evidence for support. By doing so, you will find that the theory has been a dismal failure. For a brief summary of these findings, I recommend Wikipedia’s entry on this topic. Here are some quotes:

The term trickle-down originated as a joke by humorist Will Rogers and today is often used to criticize economic policies which favor the wealthy or privileged, while being framed as good for the average citizen. In recent history, it has been used by critics of supply-side economic policies…

Multiple studies have found a correlation between trickle-down economics and reduced growth.[6][7][8][9] 

A 2012 study by the Tax Justice Network indicates that wealth of the super-rich does not trickle down to improve the economy, but tends to be amassed and sheltered in tax havens with a negative effect on the tax bases of the home economy.[9]

A 2015 paper by researchers for the International Monetary Fund argues that there is no trickle-down effect as the rich get richer: [I]f the income share of the top 20 percent (the rich) increases, then GDP growth actually declines over the medium term, suggesting that the benefits do not trickle down. In contrast, an increase in the income share of the bottom 20 percent (the poor) is associated with higher GDP growth.[6]

Rather Than Hoping That the Middle Class Might Indirectly Benefit From Giving a Larger Tax Break to The Rich, Why Not Directly Give The Middle Class The Larger Tax Break?

Those who supported the bill claimed that it was designed to help the middle class. Two ways our heavily lobbied representatives could, if it really wanted to help the middle class, is to increase the Earned Income Tax Credit (EITC), and to increase the minimum wage to $15 an hour.

Representative Ro Khanna has proposed a $1 trillion expansion to the EITC. The plan would give about 50 million households an average tax benefit of roughly $3,000 per year; Americans earning more than $100,000 would get no tax benefit. In the graph below, the nonpartisan Center for Budget and Policy Priorities compares the distributional effects of a trillion-dollar EITC expansion versus the tax bill recently signed by President Trump.


The Trump Tax Cut vs. an Expansion of the Earned Income Tax Credit

CBPP

Such an EITC expansion would raise by 5 percent the after-tax income of households making less than $30,000. That’s 10 times more than what those households would get under the new tax plan. People earning from $30,000 to $50,000 would also do better under this plan as well, though not as much as those earning less. This program’s impact on the national debt would be significantly less than the new tax policy.

Now, if you look closely at the above graph you will notice that people whose income is in the range of $50,000 to $100,000 don’t receive as much of a cut as they will get under the estimated Trump tax cuts. Arguably this group of people should be viewed as part of the middle class, especially if they are the major wage earner of a family who is also living in a region of the country where cost of living is above average. So, is there a way to make the tax code fairer for them, as well as for those earning less than $50,000.

What if the tax code was to actually raise the taxes of those who are making a hefty $200,000 a year by a modest 2 percent, and for those earning more than $400,000 a year by 4%? This additional revenue for the government would make it affordable to decrease the tax burden for those in the $50,000 to $100,000 range so it equals what they would get under the Trump tax cuts. With this tweak, the plan proposed by Representative Ro Khanna would be fairer to all families making less than $100,000 a year while eliminating any increase in the national debt. That would put distinctly more buying power into the economy, thus a benefit for all–poor, middle, and rich alike. Include into the plan a $15 an hour minimum wage law, and the economy would dramatically improve the bottom line for businesses across the country because it would stimulate an increase in spending.

Despite the merits of a plan that would expand EITC, increase the minimum wage to $15 an hour, and make some additional tweaks for those earning from $50,000 to $100,000 a year some argue that increasing taxes for the rich while reducing taxes for the working non-rich would be unfair? To understand why actually it is very fair, we first have to understand the nature of “capital.”

The Nature of “Capital”

There are a few definitions of capital. Here, whenever I use the word, I am referring to property such as money, land, housing, and tools that people own that they do not require for their basic needs such as food, shelter, healthcare, and transportation to and from work. In our society this type of capital can be uniquely used to earn more capital without the necessity to do any labor. Rather than labor, capital earns more capital via rental properties and interests from other investments. The way our society is structured, it is only the rich that have a significant amount of capital.

Those who are in a significant portion of the middle class actually have to supplement their labor earnings by taking out loans to pay for their homes, cars, and post high school education. The interest that they pay on these loans go to financial institutions that the rich benefit by having investments in them.

Those who are in another significant segment of the middle class don’t have to take loans to pay for basic needs; their earnings from their labor just manage to cover those expenses. However, those in this segment have no money left over that can be considered capital.

Finally, those in another significant segment of the middle class find that after their earnings from their labor manages to pay for all of their basic needs, they do have a little money left over to save for their retirement, if they get injured, sick, or lose their job. What savings that they manage to put aside often increase from interest. Since this money is targeted for use to pay for basic needs in the future, it is not quite the same thing as the capital that the rich have.

In contrast to the middle class, the rich uniquely typically earn yearly, without the need to do any labor, more money from their capital than middle class people earn yearly through their labor. In fact, many rich folks earn yearly from their capital more money than middle class folks earn their entire lifetime.

Now, this difference between the type of earnings rich people have and middle class people don’t have is not something that we normally see in nature. Even a lion, said to be king of the forest, must labor to earn his basic needs. Thus, he has to exert himself to get food, and when he finishes eating the food that he labored to obtain, must then go out and exert himself to get more food.

The phenomenon of capital eliminates the requirement for rich people to labor in order to earn their basic needs. In fact, without labor, their capital most often keeps increasing, which is referred to as capital gains. So, even when the rich pay higher taxes then the middle class, they tend to live far more lavishly, only work if and when they want, and their capital continues to increase at no pains taken by them.

So, for those middle class folks who support the new US tax policy, I suggest that they take a good look at the YouTube video of the capuchin monkey who is throwing cucumber slices at the experimenter. Perhaps these middle class people can learn from the monkey a basic principle of fairness and equity.

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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 Depression Leo Tolstoy mental health concern model

Leo Tolstoy’s Experience With Depression

Welcome to From Insults to Respect. Today, let’s see if we can tie together some of the loose threads of my last post, which chronicled Joni Mitchell’s experience of depression. There we found that she explicitly rejected the idea that her experience indicated that she was mentally ill. Instead, she came to believe that, “Most of my best work came out of it. If you get rid of the demons and the disturbing things, then the angels fly off, too. There is the possibility, in the mire, of an epiphany.”

We also discussed that in contrast to Joni’s position is the medical model, which views people who experience depression as having an illness that requires, as the first line of treatment, taking pills that are called “antidepressants.”  Many who hold this view have absolutely no respect for people who hold the view expressed by Joni.

Upon publishing my post about Joni, one person that has impressed me over a period of time as being highly intelligent expressed a concern that attitudes like Joni’s will lead people to view depression as perfectly normal. The consequences of so doing, he feared, will lead to all of the efforts to increase access to mental health services getting flushed down the toilet. If depression is normal, why wouldn’t the majority of people decide to ignore this group of sufferers and their needs?

Well, in my opinion, this is a legitimate concern, and before this post draws to a conclusion I intend to address it. But first, let’s take a look at another example of someone who, like Joni Mitchell, came to believe that the experience of depression can be of enormous value.

Leo Tolstoy’s Experience

In his painfully personal book, My Confession, the great Russian writer Leo Tolstoy tells us about his two-year period of despair. At about the age of 50, his life had become “flat, more than flat: dead.”

“I felt that something had broken within me on which my life had always rested, that I had nothing left to hold on to, and that morally my life had stopped. An invincible force impelled me to get rid of my existence, in one way or another…. Behold me then … hiding the rope in order not to hang myself from the rafters of the room where every night I went to sleep alone; behold me no longer going shooting, lest I should yield to the too easy temptation of putting an end to myself with my gun.”

All of this took place at a time when Tolstoy’s outer circumstances seemed excellent.

“I had a good wife who loved me and whom I loved; good children and a large property which was increasing with no pains taken on my part. I was more respected by my kinsfolk and acquaintances than I had ever been; I was loaded with praise by strangers; and without exaggeration I could believe my name already famous.”

Tolstoy goes on to explain how his melancholy stimulated a gnawing questioning that eventually led to one insight after another. His trouble had not been with life in general, not with the common life of common men, but with the life of the upper, intellectual, artistic classes, the life that he had personally always led, the cerebral life, the life of conventionality, artificiality, and personal ambition. He had lived wrongly and had to change.

Then, one day in early spring, while he was alone in the forest listening to its mysterious noises, he was filled with a sense of deeper meaning. “After that,” he wrote, “things cleared up within me and about me better than ever, and the light has never wholly died away.”  According to Tolstoy, his suicidal feelings disappeared, and he went on to live a productive life until he passed away at the age of 82 of natural causes.

Some Thoughts on Tolstoy’s Experience

The great psychologist and philosopher William James was someone who viewed the pathologizing of human experience as simple minded and nothing more than superficial medical talk. Rather than resorting to mentally ill jargon, the good professor explained in his monumental book, Varieties of Religious Experience, his view of Tolstoy’s experience:

It was logically called for by the clash between his inner character and
his outer activities and aims. Although a literary artist, Tolstoy was
one of those primitive oaks of men to whom the superfluities and insincerities, the cupidities, complications, and cruelties of our polite civilization are profoundly unsatisfying, and for whom the eternal veracities lie with more natural and animal things. His crisis was the getting of his soul in order, the discovery of its genuine habitat and vocation, the escape from falsehoods into what for him were ways of truth. It was a case of heterogeneous personality tardily and slowly finding its unity and level.

Tolstoy’s anguishing experience appeared at first to come on him as if out of the blue. Later, Tolstoy came to understand it as having been due to living wrongly. Only by questioning deeply and repeatedly the meaning of his despair did he come to this understanding.

Now, with all of this as background information, let’s return to the concern that came up at the beginning of this post–if we don’t accept the medical model, might it provide a perfect justification for not funding mental health services?

In my view, the medical model actually gets in the way of adequately funding services.

Viewing someone in the midst of an anguishing experience as someone with an illness that is no different than any other illness leads many prescribing doctors to most often send the client home with some pills. That is viewed as sufficient. The patient is left with a host of negative side effects, and maybe in time, the patient will begin to feel better and attribute the improvement to the pills. If not, they go back to the doctor who will try adjusting the dose, trying a different pill, or adding other pills.

It is my view that even when people learn to value, even treasure, depression experiences, they don’t say that’s all there is to life. These experiences lead them to more deeply delve into their personal concerns thereby potentially leading them to seek more effective, efficient, economical, and beautiful ways to address their concerns.

Although Tolstoy did manage to successfully work out his most pressing concerns without professional help, keep in mind that he was an extraordinarily gifted person with a great deal of supportive people around him, and he was financially comfortable. Even with all of that, a well trained mental health service provider who avoided pathologizing his experience may have been of enormous help.

In my previous post, we saw that Joni Mitchell was not only experiencing the physical sensations of depression. Fully part of her experiences was to delve deeply into several concerns– “How am I going to get back in the saddle? And what about the audience? Would you still love me if you knew what I was really like?” She sought help from a psychotherapist.

As someone who provided mental health services for many years, let me present an example of what I am trying to get at.

Phil, not his real name, came to my office troubled about how depressed he had been feeling. After some time listening in a caring way to his concerns, I discussed this notion that depression can be viewed as a valued experience. He was pleased to learn this. At the same time, he didn’t in the slightest bit come to the conclusion that with this interpretation of the nature of depression there was no more need to continue to see me. However, I do think that framing depression as often a very valuable experience that many of our most gifted people put to good use was far more hopeful than framing it as due to defective genes.

Over the course of a year I found that the concerns Phil was most troubled about was his drinking, and that he had trouble developing close relationships. Both of these concerns are genuine health risk factors. My job was to help Phil to transform these risk factors to “health protective factors.” By doing so, this could prevent far more serious health issues down the line.

So we explored what was interfering with his developing close friends. It soon became apparent that he was very critical of people he met, and his style of criticizing was very nasty. For example, he would call people he disagreed with stupid in a very nasty way. And it also became apparent that he would criticize himself in the same disturbing manner.

I explored with Phil options that have been helpful to others. He selected learning to meditate, and to get more exercise in order to work off his anger in a positive, healthy manner. He learned the value of saying more supportive things to people he met, and to himself as well. He came to realize the value of minimizing the negative criticism that he provided, and when he did criticize, to do so in a far more charming manner. In the end, he made a new group of friends, joined AA, and was in a far more healthy state when my services came to an end.

So, as this example illustrates, rather than a mental illness model, in which pills are often viewed as sufficient, we can utilize a mental health concern model to advocate additional support for mental health services. With a mental health concern model, counselors and psychotherapists can be viewed as valued members of the allied health profession because they help to transform health risk factors into health protective factors.

The need for these types of mental health services, therefore, need not be reduced by framing depression as a valued experience. Rather, it allows us to move on from this understanding to advocate that our services fully address real mental health concerns.

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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.