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Afghanistan withdrawal confiict management conflict resolution evaluating criticism President Biden Rating criticism

Rating Criticism of Biden’s Afghanistan Withdrawal

Welcome to From Insults To Respect.

Some of my blog posts are designed to help readers improve their skill at providing negative criticism. In them, I present a system of rating the maturity of each incident (see HERE). I then describe an incident or two in which someone provides negative criticism, and then readers are asked to use the rating system to assign a rating. Immediately after doing so, I provide my rating, thereby providing an opportunity for readers to compare their rating with mine (for an example see HERE). Participating in this type of exercise is fun, and helps readers to think more deeply about when not to provide negative criticism, and how best to provide it when it makes sense to do so.

Today I offer readers another opportunity to practice this skill, this time utilizing two examples of different people criticizing President Biden’s military withdrawal from Afghanistan. Before getting to those examples, I shall describe how the rating system works so readers who have already read my earlier posts will have an opportunity to refresh their memories, and readers who have not will still be able to participate.

The Providing Negative Criticism Rating System

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

It is perfectly permissible to disagree about whether or not one level is indeed more mature than another. Regardless of any disagreement, playing along with utilizing the system in these practice sessions still serves to clarify for readers what they personally view as mature and immature ways to deal with these types of incidents.

To utilize this rating system, readers compare an incident of negative criticism with each of the five levels, and then they decide which of the five levels best matches the incident being rated. Then they decide according to their own lights how mature the incident was handled:

  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 appear to be incidents of 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 general words of dislike, 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.

 

Rating Two Incidents of Negative Criticism Directed at President Biden

On August 17, 2021 NPR published an article by Barbara Sprunt titled, “There’s A Bipartisan Backlash To How Biden Handled The Withdrawal From Afghanistan” (see HERE). There we find several quotes from people providing negative criticism of Biden. We’ll be looking at two of them.

The First Incident

In an August 16, 2021 tweet, given shortly after President Biden gave a speech explaining how the withdrawing of U.S. military forces from Afghanistan was going, Rep. Liz Cheney, who has on numerous occasions argued that we should remain in Afghanistan, wrote:

“Biden’s surrender strengthens our terrorist enemies, hands them a massive new caliphate [A government led by a chief Muslim ruler], abandons our allies & ensures a longer, costlier war for years to come.”

Now, if you will, compare Rep. Cheney’s style of criticizing Biden’s decision to withdraw U.S. military forces to each of the five levels of maturity to see if one of them best matches her style. After doing so, feel free to rate how she did on a scale of 1 to 5, the higher the number the more mature you think her criticism was. After you do this, compare your rating with mine.

My Rating of the First Incident

I can’t see if Rep. Cheney was crying when she tweeted her criticism, but according to this rating system it doesn’t really matter because she made it clear what her criticism was about. Since she did not physically attack Biden, nor is there any indication that she destroyed any property while she wrote the tweet, there is insufficient reason to say her criticism matches Level 1.

Level 2 begins, “The criticizer does not explain what the offending behavior is. Since Rep. Cheney is pretty clear what she objects to—Biden’s military withdrawal– I think her criticism is a poor match with level 2, so I’ll move on to see if her tweet better matches level 3.

Level 3 states in part, “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.” I think this part of level 3 matches Rep. Cheney’s criticism. That is, she makes it clear that she did not want him to remove the U.S. military forces. If President Biden, as commander in chief of the U.S. military, wanted to accept her advice, it was within his power to do so.

The second part of the level 3 descriptor indicates that to get a 3 rating we would have had to observe that her advice was coupled with glares, insults, shouts, or threats that are not about bodily harm. I’m not seeing anything in her criticism that matches any of these descriptors. Of course, in a tweet two of the descriptors of level 3–glaring and shouting–can’t be observed, but in this rating system if we don’t observe the behavior we don’t penalize the person by lowering someone’s rating.

Now, I understand that some people looking at level 3 and seeing the descriptor “insult” might think that simply because Rep. Cheney negatively criticized Biden this in itself is an insult. For the purpose of this rating system, that is not the case. She would have had to call Biden some insulting name or directed an insulting gesture at him for one of her acts to count as an attempt to insult him. Therefore, I’ve decided her criticism does not sufficiently match the level 3 description.

How about level 4? Are its descriptors a good match for this incident of negative criticism? I think so. The match is particularly helped by the absence of insults. As for the condition in level 4 that describes how to act if the criticized person becomes defensive, in this incident we are not provided with any evidence that Biden did become defensive, so the condition of defensiveness is irrelevant

What about level 5. To get that rating, I would have to see some evidence that Rep. Cheney prior to formulating it had considered the person who is the target of the criticism, and the situation that he or she is in. Perhaps she did, but in my opinion, if she had done so, she would not have criticized Biden at all. Here’s why.

Rep. Cheney well knew at the time she provided the criticism Biden had heard each of her arguments about keeping U.S. military forces in Afghanistan numerous times over the course of many years. Given what Biden was dealing with during the interval of time she criticized him, I personally think it was not the proper time to be repeating old arguments. The situation involved Biden having already decided that the U.S. forces are to be withdrawn, the U.S. had one airbase that could be used to get U.S. and allied personnel and equipment out of harm’s way, the base was surrounded by enemies with guns, and there was a terrible risk of suicide bombers killing people. The immediate focus should have been, in my opinion, on carrying out the mission as safely as possible. Rep. Cheney, in my opinion, would have acted in a more mature manner if she realized that there will be plenty of time after the mission is completed to argue over the wisdom of withdrawal. To wait until then would have been a better course of action. She, certainly has a right to express her opinion at any point in time, but I am going to withhold giving her the highest rating of a 5, because her criticism didn’t consider the current situation to my personal satisfaction. Thus, I think she deserves a rating of 4.

The Second Incident

House Minority Leader Kevin McCarthy, on August 16, 2021, which was squarely in the middle of the withdrawal process, called the events unfolding in Afghanistan “the worst foreign policy disaster in decades.” He went on from there to say:

President Biden’s poor judgment produced the worst possible outcome in Afghanistan in only a matter of weeks. He has done long-term damage to America’s credibility and our capabilities. The American people, and especially our troops who have sacrificed so much, deserve more than this catastrophic leadership and empty words.

Now, regardless of whether you agree or disagree with McCarthy, utilizing the rating system, what level best matches his criticism?

My Rating of the Second Incident

I think McCarthy’s criticism best matches level 2 of this rating system. It does so largely because it fails to provide any specifics about what Biden could do differently that would have been an improvement. The criticism is basically McCarthy expressing dislike of what Biden was doing coupled with vague insults (“poor judgment,” “catastrophic leadership”).

My personal rating of this type of criticism is a 1, the lowest possible rating, because McCarthy never acknowledges the actual role that Biden has in this withdrawal process. Biden had simply decided to back the position of the vast majority of Americans that after 20 years it was time to end the war. Once this was decided, it was up to the generals who were actually in Afghanistan, knew best what the situation was there, had the best U.S. training on how to withdraw from a war zone, had ample time to come up with a withdrawal plan, and had the responsibility to implement the plan.

If well before the withdrawal process got underway McCarthy had identified a plan that he had reason to believe would be distinctly better than anything the generals could come up with, that would have been the time for him to begin a process to promote his plan, This would involve advocating that Biden thoroughly review his proposal, and that Biden order his generals to review it. If this had happened and Biden refused, then McCarthy would have had a legitimate reason to criticize Biden, though not when the heated withdrawal process was actually underway. As I see it, McCarthy’s negative criticism, occurring in the midst of the withdrawal process, amounts to his taking unfair, unkind potshots at a political rival.

Negative criticism, it seems to me, should only be provided if it has some potential for helping the target of the criticism improve in some tangible way.

Conclusion

Well, there you have it, a little practice session utilizing the rating system. I hope it has helped to clarify for you how to formulate mature negative criticism, and when to remain silent. By improving these skills, I’m guessing it will improve the respect others have for you, and help you to avoid needlessly creating hard feelings.

Now, not all negative criticism is provided in order to help the target of the criticism improve in some way. For example, sometimes it is done as part of a game called playful teasing. In the arena of politics, from which today’s two examples were selected, candidates might angrily launch criticism at a person because they know their potential voters are angry at that same person. By candidates demonstrating they are angry at the same person, they hope these voters will experience a shared connection with them and this will increase the likelihood of getting more votes come election time. This strategy is a major cause for the awful polarization and incivility in politics. Not all candidates are willing to campaign in this way, believing that our country would be better off if all of us learned to be civil with one another.

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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 Israeli--Palestinian Conflict pioneers

Israeli–Palestinian Conflict: Its Real Central Cause

Welcome to From Insults to Respect. Today’s post describes a basic misunderstanding regarding the nature of the Israeli–Palestinian Conflict, and how this understanding leads to a promising proposal for a peaceful resolution.

Today, most people conceptualize the main issues of the conflict pretty much like the independent, nonpartisan think tank Council On Foreign Affairs “The decades-long conflict between Israelis and Palestinians is rooted in competing claims to the Holy Land, and includes disputes over borders, Jerusalem, security, and Palestinian refugees.”

These issues indeed inflame the various interested parties, so much so that they divert all attention to them. This creates an illusion, much like how clever magicians apply misdirection, resulting in people failing to notice what really must occur if a lasting peace is to be achieved. The real central conflict involves the geographical conditions of the region which cannot be escaped by the inhabitants.

An Ancient Story Begins to Reveal the Conflict’s True Basic Cause

The biblical story of Moses describes a narrative that is helpful for understanding this theory. After struggling to survive for forty years in the desert that lies between Egypt and Israel, Moses’ weary followers come to view, off in the distance, the “land of milk and honey.” Moses then tells his Jewish people that God has declared that this land can belong to them if they kill all of the people currently living there. Even though the inhabitants of this desirable land had never done the desert wanderers any harm, they choose to engage in the brutal slayings.

Admittedly, the historical facts about the accuracy of this story are pretty sketchy, but it nevertheless raises the following theory–If a group of people find themselves living in such an awful set of conditions, will at least some of them become willing to engage in actions that under a better set of conditions would seem terribly wrong? Is there reliable, well-documented evidence supporting this? The Pulitzer Prize winning historian, David McCullough, has acquired a set of relevant information.

The Story of the American Pioneers Enlightens Us About the True Nature of the Israeli-Palestinian Conflict

As McCullough tells us in his fine book, The Pioneers, the post-American Revolutionary War economy was pretty much in a mess. Although those who already owned land prior to the war were doing relatively okay, for most landless people any hope of acquiring land to establish a home even after a period of hard work and frugal savings seemed impossible. And then George Washington, with the support from others, opened the vast Northwest Territory to pioneers who were willing to face incredible risks, hard work, and, like Moses’ followers, kill the natives of the region so they could gain ownership of a piece of property that had an ample water supply and fertile land.

As part of giving the reader a sense of what these pioneers were willing to deal with, McCullough tells us at one point in his book about Ephraim Cutler and his family. With his wife and four children, Ephraim set off for the Northwest Territory with their conveyance, a wagon drawn by a yoke of an oxen. First, their youngest child took ill and died. Then their oldest child became violently ill and quickly died. Farther on, his wife slipped and fell and suffered two broken ribs. About the same time Ephraim was struck by an attack of dysentery. When he finally arrived on his new land, fully three months after leaving, he came to write about how bleak the beginning was:

We had landed sick among strangers, with no well-known friend to meet us with kindly greeting, and myself destined to be confined to bed from which, for a time, there seemed little hope that I should ever rise in health. Such was our introduction to pioneer life. 

Ephraim’s experience was common. And even after arriving, the pioneers had to deal with the clearing of trees, building their homes and infrastructure for the settlements, diseases such as smallpox, and fear of attacks from the natives. As part of illustrating this fear, McCullough tells us about Joseph Barker who wrote in his diary that while planting apple trees in newly cleared land, the whole time he felt compelled to “hold his scalp on with one hand while he dug holes for the trees with the other.”

To risk your own life along with that of your wife and children would typically be viewed as terribly wrong under most situations. Typically viewed as terribly wrong is the willing killing of fellow human beings because you want the land they are living on. To choose to do all of this while also knowing that the life you are heading toward involves backbreaking work may seem crazy to most of us, but such was the decision made by the hundreds of thousands of pioneers, all of this for a piece of rich land they could call their own. Please note that these pioneers were not Muslims, but Christians. For those who think the cause of the current Middle East is due the Muslim faith, please keep this in mind.

I now ask you to consider the current geographical situation in which Israelis and Palestinians are living.

The Current Situation

In the land where Israelis and Palestinians are living, there are regions where we see land beside the beautiful Mediterranean Sea. There, many people are thriving. Their jobs support seafood harvesting, international trade, and tourists arriving on ships. There are a few other regions where the inhabitants do very well, such as where the religious sites are. There, tourists flock, and by engaging in the restaurant, tour guide, and hotel industries, many in the region make out very well. There are also regions where the land is relatively fertile, and life on farms can be rather fulfilling. Regions in which universities and other educational institutions that have sprung up tend to be laid out on fairly attractive grounds. Earning a living by supporting these facilities tends to lead to a reasonably comfortable way of life.

In stark contrast to these regions, very near by we find land that approaches desert conditions, with stony, rocky grounds, very scarce water supplies, and a few sparsely growing green shrubs here and there. The rest of the area is dominated by the Negev desert and the Judean desert. More than half of the region’s total land area is desert.

Where the Palestinians live, the terrain of the Gaza Strip is flat or rolling, with dunes near the coast. It is intersected by the Wadi Ghazza (Gaza River), which is only replenished with water during the rainy season in the winter, running dry for the rest of the year.

The other area where most Palestinians live is the West Bank, which is mostly rugged dissected upland, with some vegetation in the west, but somewhat barren in the east. In springtime, the khamsini, a dry, warm easterly wind, often blows from the extensive deserts of Jordan, Syria, and Saudi Arabia. This continues for a period of roughly fifty days. The khamsini carries fine desert sand that lends the sultry air an ominous yellow hue during the day. The desert sand falls to the ground as a result of short rain showers. The fine sand is a health hazard for people suffering from bronchitis, and is detrimental to vegetation, motors, and machinery.

The water situation in Palestine (the West Bank and Gaza Strip) is dire and it affects the quality of life, health and economic situation of every Palestinian. In some rural areas the water supply is far below the amount recommended by the World Health Organization (WHO). Where most of the Israelis live, the water situation is somewhat better, but it is far more expensive to keep it flowing than what most Americans and Europeans have to deal with.

A Few More Relevant Facts

Currently, those who are living in this region have every reason to believe they are stuck there. The Jews in Israel well know their history. After World War II, no nation was willing to take any but a tiny few of the Jewish survivors of the Holocaust. Where could those now living in Israel go if they are pushed out of Israel? The answer leads them to hold on to the land they currently possess for dear life.

Meanwhile, of the Arab nations, only Jordan offered to take in some of their fellow Arabs that became Palestinian refugees as a result of the creation of Israel. The vast amount of those refugees are stuck in the Gaza Strip and the West Bank, with no other place they can go.

Add to all of this, the fact that these Palestinians are living in one of the most densely populated regions in the world. Moreover, they know the population there is rapidly growing. So, it is pretty clear to everyone living in this region that life for their children is likely to get worse.

Now, some view the problem between those living in this region is due to the religious differences between the Jews and the Palestinian Arabs. However, in the history of this region we find extensive periods during which the Arabs were fully in control and yet there were constant wars between different Arab factions. Although different reasons are given for these violent conflicts, according to my theory, the real central reason was that the have nots who were being pushed out toward the more desert parts of this region could readily see from views up in the hills those who were living in the dramatically better lands; this aroused violently strong desires to obtain what they did not have–fertile land with ample water.

Strong additional evidence for my theory comes from my knowledge of Brooklyn, New York. There we find a vibrant neighborhood officially known as Bay Ridge, but it has been given the nickname “Little Palestine.” Thousands of Arab-Americans live there. They have their share of rally’s advocating the freeing of Palestine, but they are peaceful. Another neighborhood, Bensonhurst, is an easy walk from Bay Ridge. Thousands of Jews live there, and yet there are no rockets being fired from Bay Ridge into Bensonhurst. Nor do we find any of the Arab-Americans flinging rocks at anyone. Recently, these Jews and Arabs marched shoulder to shoulder with one another and with their Black brothers in support of Black Lives Matter.

In another Brooklyn neighborhood, a yeshiva (a Jewish school) sits across the street from a mosque without any incidents of violence between the members of these two institutions. And if you go on line and do a Google search to verify what I am saying, you will find not a single hit indicating an incident of violence between Jews and Arab-Americans in Brooklyn.

Why such a peaceful cohabitation? Viewed in light of my theory, the reason is that Jews and Arab-Americans have in Brooklyn plenty of running water with the massive Hudson River flowing year round. Then there are the numerous tree-lined streets and green, wooded Prospect Park with rowers enjoying its lovely lake. If these people want to grow some vegetables or fruit trees in their back yard, there is plenty of rich soil that can be brought to the task and rain is normally sufficient. However, for brief dry periods, if these people want to water their garden with a hose, that is perfectly permitted. For those folks who don’t live in a house with a backyard, they typically have jobs that put the purchase of such a home within reach, if not for themselves, then at least for their children.

If these people happen to fall on hard times and can’t afford to continue to live in Brooklyn, they know they could move across the Hudson River onto the New Jersey side where it is a bit more affordable. If Jersey is a little too densely populated for their taste, there are a total of fifty states that they can freely move. Throughout the US are numerous regions sparsely inhabited, and no passport is required to go there. In my view, this knowledge takes the edge off of any disagreements Arab-Americans and Jews might face.

The Importance of Understanding the Real Central Cause Of the Conflict Between Israelis and Palestinians

It is now over seventy years since the United Nations General Assembly declared its majority recommendation that Palestine be partitioned into separate Jewish and Arab states, and both sides have been violently fighting over this ever since. It is not that there is something inherently evil about Palestinian or Jewish people. When Jews were seeking to establish the Israel lands as theirs, a  group of them organized a terrorist organization. Palestinians have found that sections of their population are willing to carry out terrorists acts. Why can’t this be settled peacefully? If my theory is correct, it doesn’t matter if you are Palestinian, Jewish, Christian or anything else. When any people find themselves living on lands that is too hard to thrive, some of them will act violently to seek a better life. Blaming such groups, viewing them as being entirely evil serves nothing but to further hate and distractions.

Should the Palestinian refugees be permitted to return to the areas of their ancestors? This too is also a distraction, as is all the other issues that people believe are important to achieve peace.

According to the theory I am proposing, the folks living in this region must have the equivalent of a “Northwest Territory” that they can choose to go to if they wish. Thus, if the United Nations were to fully recognize this, redirect its attention to the task of how such a region can be purchased, rather than murdering the current inhabitants, only then can the three thousand years of violence have a chance to finally end.

Is the idea that the United Nations might come up with a successful plan to purchase such a “Northwest Territory” realistic. I think it is. Please note that the world population of Jews, Muslims, and Christians combined is over four billion people, all of whom have some religious interest in promoting peace in the region we are discussing. If they think about the cost of war and preparation for war that has been spent in the centuries of violent interactions, and then think of the cost to continue the conflict forever, just maybe funds could be raised to finally end the killings and destruction.

If I am right, once the new land has been purchased, those who would choose to remain in Israel, Gaza, and the West Bank would discover that all of the other issues currently being bitterly fought over would be able to be peacefully negotiated. Likely, neither side would be fully delighted with the final agreement, but the heat that now leads to continuing violence would be replaced by visions of improved economic conditions, owning fertile land, ample life sustaining water, and a better future for their children.

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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 School Bus Taunting

Handling Taunting On A School Bus

Welcome to From Insults to Respect.

As each school year begins I like to once again post this discussion of how I would rate a school district’s handling of an incident in which a bus monitor was taunted by some middle school children during their bus ride home.

Now, to be fair to the school district, I hasten to point out that the incident occurred several years ago, and I have zero first hand knowledge of how the district actually handled this situation.  My discussion rests on what I’ve observed from interviews with the bus monitor, reports from news agencies and my own personal reaction.

From what I’ve been able to gather, this was not the first time the monitor observed taunting and bullying on her school bus. In a TV interview, she reported that she had written referrals about this to school officials and “nothing would be done.”

According to the school district, it had at the time of this incident, a plan in place to address bullying:

“Specifically, the Greece Central School District had recently adopted the Olweus Bullying Prevention Program, a systemic approach involving all community stakeholders to reduce bullying and other anti-social behaviors. The Greece Central School District has a clear Code of Conduct and all staff and students have been fully trained. This behavior is a clear violation and will not be tolerated. The district will also ensure that reporting procedures are reviewed and response procedures are systemically in place.”

Okay, so I do credit the school district for adopting a fine prevention program. And perhaps because it had only “recently”  been adopted, not all of its features can be expected to have been be fully implemented.

Nevertheless, when I heard the district say,  “The Greece Central School District has a clear Code of Conduct and all staff and students have been fully trained,” I found myself cringing.  In my opinion, if a bus monitor makes a referral about tormenting and bullying on the bus, if the monitor is left feeling that nothing is done, something is seriously wrong.

If the school district had thoroughly trained this bus monitor what would I have expected to occur in the situation that she found herself in?

In my opinion, as soon as she had heard any signs of taunting or bullying on the bus on the way home from school, she would have been thoroughly trained to make the following announcement in a loud clear voice.

“I have just observed some actions that struck me as taunting or bullying. I expect it to stop immediately.  If I hear even a hint of anything more that strikes me as taunting or bullying, I will have the bus immediately returned to the school. Those involved will be then escorted off the bus and will wait for their parents to pick them up.”

Then, if any other disrespectful behavior was heard, she would then call, via a cell phone, the school district’s administration so that personnel will be prepared to meet the bus and to carry out this plan.

This type of response would be no surprise to students or parents. In schools that have had proper training, all students, parents and staff are informed that this plan will happen under this set of circumstances.

In the event that the school bus does return back to school, all students who taunted or bullied anyone on the bus would be required, in order to be permitted to ride the bus again, to write a letter of apology, make a commitment to never do it again, and explain why taunting and bullying are wrong.

Such a plan empowers the bus monitor. Moreover, it creates a climate in which the other students on the bus would use social pressure to discourage taunting and bullying because they would not want any delays in getting home. In addition, the act of writing the letter would be used as a teaching moment, rather than punishment.

Now this type of plan would never be the sole approach to dealing with taunting and bullying.  Any bullying approach must include a more encompassing program.  Nevertheless, for those following this blog I believe it is helpful for me to lay out what my expectation for handling the specific type of situation that the bus monitor found herself in. Then readers can compare and contrast my view with what they view as a skillful response.

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

Categories
antidepressants conflict resolution

Antidepressant Treatment: Toxic Flimflam?

Feeling depressed? If so, you may decide to consult with a psychiatrist or other medical doctor. By doing so, chances are your description of your feelings will be translated into a language of symptoms, diagnosis, and mental illness, and you will leave the doctor’s office with a prescription for pills marketed as “antidepressants.” Unfortunately, this medicalization approach is so inconsistent with scientific evidence that many people view it as a remarkably successful flimflam funded by the enormously wealthy pharmaceutical industry.

To throw light on this, today’s post briefly summarizes the scientific theory that runs counter to the mainstream psychiatric pathologizing “antidepressant” approach. Then, it addresses the question, Are doctors and the pharmaceutical industry supporting the pathologizing of depression really engaging in deliberate deception?

The Theory That Is Inconsistent With The “Antidepressant” Approach

A few weeks ago I presented a post about a study. Here’s how the authors summarized their findings:

Our work shows that the more people hold beliefs that others expect them not to experience negative emotions, the more frequently and intensely they are likely to experience those negative emotions. Such ironic effects also relate to indicators of well-being, such as satisfaction with life and depression. Moreover, our findings suggest that these relationships are at least partly mediated by negative self-evaluations that people have when they experience undesired emotions. Attempts to promote the value of feeling good over the value of feeling bad by emphasizing social norms for these emotions may therefore have the effect of making people feel bad more often.

While keeping this research in mind, let’s turn to some other ways to look at the nature of depression that runs counter to the pathologizing view.

People Who Get Over Depression Without “Antidepressants” Do Better Than Those Who Had Taken Them

Prior to the availability of modern pills to treat depression, numerous examples exist of people recovering without them. Psychologist William James, back in 1902, in his classic book, The Varieties of Religious Experience, provides us a ton of such examples. Most of them involve a religious conversion experience, but James also provides examples that appear to be a result of “…the eruption into the individual’s life of some new stimulus or passion, such as love, ambition, cupidity, revenge, or patriotic devotion.”

One particularly insightful example is the story of William James’s own recovery. There we learn that three events provided the essential ingredients–a change in his philosophical understanding of the nature of depression, marriage to a very helpful wife, and finding a career that suited him (for a more complete story of his transformation, see HERE).

Since those early days of psychology, a clearer understanding of the nature of depression has emerged from careful scientific study. A recent publication in the journal American Psychologist by Professor Steven Hollon neatly summarizes what I am referring to.

Depression is an inherently temporal phenomenon. Any given episode tends to remit spontaneously even in the absence of treatment but recurrence is common (at least among people seeking treatment). There is reason to believe that depression may be an evolved adaptation (like pain or anxiety) that increases reproductive fitness (the likelihood that one’s gene line will pass on). If so, then any treatment that facilitates the functions that depression evolved to serve is likely to be preferred to one that only anesthetizes the distress.  

After this opening statement, Prof. Hollon provides a more complete description of his theory:

Depression is an adaptation that evolved because it keeps organisms focused on (ruminating about) complex social issues until they can be resolved and that medications work not so much by addressing a nonexistent deficit in neurotransmitters in the synapse as by perturbing underlying regulatory mechanisms to the point that they reassert homeostatic control over those systems. If the latter is true then medications may work to suppress symptoms in a manner that leaves the underlying episode unaddressed and patients at elevated risk of relapse whenever they are taken away. 

Prof. Hollon then begins to review the evidence to support this theory. For example, he describes studies that demonstrate depressed individuals who are treated to remission with cognitive therapy are less than half as likely to relapse following treatment termination as a matched group of depressed folks treated to remission with antidepressant medications. He goes on from here to argue that some people have trouble working through their depression efficiently because they misinterpret life events in a negative fashion and that cognitive therapy helps them examine the accuracy of their beliefs, and by so doing it relieves their distress more quickly. Prof. Hollon goes on to say, “it is likely that cognitive therapy works by making rumination more efficient so as to facilitate the resolution of the complex social issue(s) that brought the episode about.”

Although Prof. Hollon focusses on the benefits of cognitive therapy, other research has found that counseling that focusses on resolving interpersonal problems, and humanistic approaches to therapy that empathetically values what each person is going through, are also often helpful. Such approaches avoid the numerous side effects of “antidepressants” and the awful withdrawal reactions that occur upon ending one’s reliance on drug treatment.

For the links to the actual studies documenting the long term harm of the “antidepressant” approach, see my post “Do Antidepressants Worsen Depression?” and my post “Do Antidepressants Increase the Risk of Adult Suicide?” To get a much better understanding of the nature of depression, see HERE.

Are Doctors Promoting “Antidepressants” Deliberately Engaging In A Flimflam?

Early in my career of providing psychological services, having reviewed the scientific evidence regarding the effectiveness and safety of “antidepressant “drugs, I assumed medical doctors were well aware of this research. The fact that they were prescribing them despite the evidence that they are far more harmful than beneficial in the long run led me to wonder if these doctors were deliberately ignoring the research for financial gains.

While reflecting on this, I was hired by a medical doctor to provide counseling to his son who was struggling with depression. It soon became quite clear to me that this doctor dearly loved his son, and yet, in addition to having me provide counseling, he had arranged for his son to take daily an “antidepressant.” In my mind, there is no way this father would go along with the drug approach for his son merely for money and, therefore, it seems to me he must have come to genuinely believe the drug plus counseling approach was the best way to address his concerns about his son. In an effort to understand this doctor’s reasoning, I decided to ask him a few questions.

It quickly became apparent that the doctor was familiar with a very few short term studies that appear to support the value of the drugs, but none of the studies that found the opposite results. In his defense, he noted that it was not billable time to go to the library to review the evidence. Moreover, in any given week he was prescribing dozens of other very different types of medications, and new drugs were regularly becoming available. To be up to date on the research for all of them would be just way too much to expect of medical doctors. Instead of reading the research, he relied on the Physicians’ Desk Reference which is a compilation of prescribing information provided by the drug companies. There, you can find, among some other very limited information, if the drug is approved by the Food and Drug Administration (FDA) to treat the patient’s complaint, such as depression. He went on to say, and I am paraphrasing here, for I don’t remember his exact words:

As long as the drug has been approved by the FDA for depression, then I’m willing to give it a try with my patients. In time, I carefully monitor whether or not the drug is being helpful. With the antidepressants most of my patients have done well on them, and several have told me it has saved their life. I also want to add that the leading experts in the field support the use of these antidepressants as first line treatments for depression and argue that it would be malpractice to not prescribe them to depressed patients. Even if I was to agree with your research analysis, I could not risk getting sued for malpractice.

Since my discussion with this medical doctor, I have had other opportunities to discuss this issue with medical doctors. These discussions have led me to conclude that most of them use a similar set of reasoning for why they prescribe “antidepressants.” My impression is that rather than a flimflam, they truly believe they are doing something helpful for their patients.

Is The Pharmaceutical Industry Engaging In A Flimflam?

As far as the pharmaceutical industry engaging in a flimflam, here I have little first hand knowledge to draw any firm conclusions. My knowledge chiefly comes from reading The Truth About the Drug Companies: How They Deceive Us And What To Do About It. It was written by Marcia Angell, M.D., the former editor in chief of the prestigious medical journal The New England Journal of Medicine and she is currently a member of Harvard Medical School’s Department of Social Medicine. I came away from reading her book thinking that the enormous profit motive in the industry does lead to substantial bias in how research is carried out and the information they provide to medical doctors.

The FDA’s approval process, Dr. Angell tells us, relies extensively on information provided by the pharmaceutical industry. This clearly raises concerns about bias.

I do think the FDA does serve a valuable function for evaluating treatments for diseases that have clearly objective criteria for identifying their existence. For example, when patients who have a cancerous tumor, it can be objectively seen by doctors with the use of an imaging device. How large each of the patient’s tumor is can be assessed objectively by measuring its circumference. In a clinical trial that has half of the patients randomly assigned to a group that gets a placebo, and the other half to a new drug, if, after three months, the placebo group’s subjects tend to have tumors that grew larger, while those getting the new drug have shrunk, this shows a clear benefit for the drug treatment.

As another example, let’s say the drug company develops a vaccine for Covid 19. When tested against a placebo, let’s say far more people who took the placebo end up dying than those who took the vaccine. This provides clear objective evidence that the drug is effective at preventing death because we have an objective way to tell if someone is alive or dead.

Unlike these types of objectively identifiable conditions, with depression doctors rely on a subjective indication of effectiveness, that is, a conversation. Moreover, the studies that the FDA looked at to approve the “antidepressants” were done with patients who took the actual drugs for a mere few weeks, even though doctors regularly advocate that their patients take the drug for far longer, often for the rest of their life. It is the long term studies that came out after the FDA approval process that has begun to indicate that these drugs are likely to be worse than non-drug approaches.

There are far more problems with the control studies that had been used by the FDA to approve the various “antidepressants” on the market, and the links I provided earlier in this post describe them. But for now, let’s move on to discussing the wisdom of doctors relying on what their patients say in order to evaluate whether or not their “antidepressant” prescriptions are working.

Relying On The Reports Of Patients Regarding the Effectiveness of “Antidepressants”–Is That Wise?

Recall that doctors often will defend their use of “antidepressant” by saying, “With the antidepressants, most of my patients have done well on them, and several have told me it has saved their life.” The problem with this, as noted earlier in this post, is that people with depression spontaneously recover at a high rate even without treatment. It is this fact that leads to the doctor’s misattribution.

Thus, consider an example. Upon prescribing an “antidepressant” for depressed patient Judy, Dr. Smith hear’s from her after a few weeks that she has recovered. Did she recover as a result of the drug treatment, or because of the natural rate of spontaneous recovery of depressed patients. Because she began to feel better shortly after she began to ingest the drug, she and her doctor are likely to mistakenly attribute her improved mood to the drug’s effectiveness.

Consider another example. Dr. Smith has prescribed an “antidepressant” for depressed patient Marc. Not feeling any better despite taking the drug for several weeks, Dr. Smith tells Mark, “It takes time for the drug to have an effect, so give it a little more time.” A few more weeks go by with no improvement, so Dr. Smith tells Marc, the dose of the drug needs a little adjustment because some folks need a little more than others. When a few more weeks go by with no improvement, Dr. Smith responds by prescribing a different “antidepressant.”

Notice that more and more time is going by, thus further increasing the likelihood that some of the doctor’s patients would recover without the drug approach. If the patient does recover during this process, rather than attributing it to the natural recovery process, the improvement is misattributed to the drug treatment. In this way, doctors fall under the illusion that by assessing their patients responses to their prescribed “antidepressants” they can come to know how effective they are.

Conclusion

I have presented the case that medical doctors typically genuinely believe their prescriptions for”antidepressants” are effective, and therefore are not deliberately seeking to mislead their patients in order to make more money. Their process of coming to their belief about the effectiveness of these types of drugs is indeed deeply flawed, but a quality evaluation appears to be a too arduous process for each doctor to perform. I have heard that in my area doctors in medical practice for a medical company find their company advocates each patient be seen for a mere few minutes. I do think medical doctors must understand that their drug information is coming from people selling the drugs. Although I respect doctors for their life saving efforts, I would respect them more if they would ban together and hire a team of epidemiologists to provide an independent evaluation of the risk and benefits of these treatments.

As for the pharmaceutical industry, in a recent New York Times, I happened to notice an article indicating drug distributors and the drug company Johnson and Johnson have reached a $26 billion deal to end opioid lawsuits that came about because of the hundreds of thousands of overdoses. The vast majority of those who died began their addiction as a result of prescriptions from doctors that relied on the Physicians’ Desk Reference, which, as I have said, bases the information it supplies to doctors on information provided by the pharmaceutical industry. From what I have read about the opioid crisis and the way research on “antidepressants” has been carried out, my best guess is that there has been some flimflamming going on within that industry.

When I discuss problems with the “antidepressant” approach for dealing with depression, some folks who are currently taking such drugs sometimes decide to stop taking their pills. Suddenly stopping them all at once can be risky because of a variety of distressing withdrawal reactions possibly including waves of suicidal feelings. For help in deciding on the safest way to go about the withdrawal process, I recommend tapping into Mad In America’s “Drug Withdrawal Resources” page (see HERE). The madinamerica.com website is an excellent nonprofit resource for finding out a host of information about psychiatric drugs that seeks to be free of the pharmaceutical industry’s financial influences.

My Best,

Jeff

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

Categories
Abraham Lincoln conflict resolution insults

How Lincoln Handled Insults

Welcome to From Insults to Respect.

About nine years ago I began this blog, and one of the first sets of words that I wrote were:

We have all experienced name calling, insults and teasing, even the greatest presidents, the most talented athletes, and every member of your favorite band.  If someone insults you, calls you names, or teases you, it does NOT mean that you are a bad person.

Although being treated disrespectfully does not mean that you are a bad person, skillful handling of these types of situations can have an enormous influence on how much you are liked and respected by others, and how you regard yourself as a person. 

Since then, I have published quite a few posts that offered suggestions for handling this sometimes difficult type of situation (for example see HERE, HERE, and HERE). Now, as I was wondering what to write about for this week’s post, I noticed C-SPAN had just announced the results of its latest survey that had historians and other professional observers of the presidency rate U.S. presidents. Abraham Lincoln, consistent with many previous surveys over the years, came out on top. And it just so happens that I have been reading of late, Carl Sandburg’s biography of Lincoln. In its many pages, we find regularly Lincoln dealing with people throwing insults at him. So, I thought I would take this opportunity to share with you how this highly respected person dealt with them.

Examples of Lincoln Dealing with Insults

Stanton’s Insults

Secretary Stanton

Edwin M. Stanton served as Secretary of War during the Civil War, and in the early part of his tenure in that position he regularly threw insults at President Lincoln. At one point, for example, according to Sandburg’s Lincoln biography, Stanton angrily called his boss behind his back the original gorilla. When told about this by someone who was furious that Lincoln would let one of his subordinates insult him, Lincoln replied, “Now, now, Stanton is entitled to his opinion.” Then, with a twinkle in his eyes, Lincoln went on to say, “What concerns me is that I have found that when Stanton says something, he is usually right,” and with that, Lincoln brought forth a delightful smile.

A similar occasion occurred at another point, according to The Gilder Lehrman Institute of American History records,

Congressman Lovejoy

A committee of Western men, headed by [Congressman Owen] Lovejoy, procured from the President an important order looking to the exchange of Eastern and Western soldiers with a view to more effective work. Repairing to the office of Secretary Stanton, Mr. Lovejoy explained the scheme, as he had done before to the President, but was met by a flat refusal.

“But we have the President’s order sir,” said Lovejoy.

“Did Lincoln give you an order of that kind?” said Stanton.

“He did, sir.”

“Then he is a d—d fool,” said the irate Secretary.

“Do you mean to say the President is a d—d fool?” asked Lovejoy, in amazement.

“Yes, sir, if he gave you such an order as that.”

The bewildered Congressman from Illinois betook himself at once to the President, and related the result of his conference.

“Did Stanton say I was a d–d fool?” asked Lincoln at the close of the recital.

“He did, sir; and repeated it.”

After a moment’s pause, and looking up, the President said: “If Stanton said I was a d–d fool, then I must be one, for he is nearly always right, and generally says what he means. I will step over and see him.”

Now, you may be starting to get the impression that Lincoln would let Stanton bully him, but that appears to not be the case, as we can see from the following example, also from The Gilder Lehrman Institute of American History:

General James Fry, a War Department official who had frequent opportunity to observe the relations between the two men, noted such anecdotes were “interpreted as meaning that Lincoln could not control Stanton. The inference is erroneous. Lincoln, so far as I could discover, was in every respect the actual head of the administration, and whenever he chose to do so, he controlled Stanton as well as all the other Cabinet ministers.” Fry related a conflict between President Lincoln and Secretary Stanton which concluded with the following dialogue in Stanton’s office. Stanton said: “Now Mr. President, those are the facts, and you must see that your order cannot be executed.” The President cordially replied: “Mr. Secretary, I reckon you’ll have to execute the order.” Stanton objected: “Mr. President, I cannot do it. The order is an improper one, and I cannot execute it.” The President stared down the shorter Stanton and firmly issued an order: “Mr. Secretary, it will have to be done.” And indeed it was.

We get a little glimpse of Lincoln’s perspective of how he thought it best to handle Stanton when he got angry and began to throw out insults, from the following:

Senator Dawes

Henry Dawes dropped in on the President after the appointment was announced to congratulate him on getting such a man as Stanton for his Cabinet, in the next breath making some remark that led Lincoln to say, yes, there were those who had warned him that the new Secretary of War would run away with the whole concern. “We may have to treat him as they are sometimes obliged to treat a Methodist minister I know of out West. He gets wrought to so high a pitch of excitement in his prayers and exhortations that they are obliged to put bricks in his pockets to keep him down. We may be obliged to serve Stanton in the same way, but I guess we’ll let him jump a while first.”

As Lincoln got more and more familiar with Secretary Stanton’s intense, irritable nature, he made allowances for it because he knew how the excitement of the time tried men’s tempers and shattered their nerves. And yet, there were times Lincoln could not just ignore how Stanton was reacting to someone. On one occasion, Stanton was particularly angry with one of the generals.

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

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

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

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

Do with it? Why, send it, of course!”

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

“But it took me two days to write —”

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

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

Perhaps Lincoln, when he himself got worked up either because someone threw some insult at him, or for any other reason, also wrote letters of this sort to help him work out his feelings.

Insults By Others

General Grant

Stanton was, by no means, the only one to insult Lincoln. At one point, the president was confronted by a hail of insults for supporting U.S. Grant. The chief objection to the general was that he was thought to be intemperate with whiskey. Lincoln replied, “If I knew what brand of whiskey he drinks I would send a barrel or so to some of the other generals,” and then he leaned back in his chair and had a laugh.

In an excellent article in the journal, The Atlantic, titled “‘Idiot,’ ‘Yahoo,’ ‘Original Gorilla’: How Lincoln Was Dissed in His Day, we learn that Lincoln’s writing, so admired today, led to many an insult directed at him. Thus, the article reports:

No American president has uttered more immortal words than he did. We are moved by the power and lyricism of his speeches a century and a half later—not just by their hard, clear reasoning, but by their beauty. It is hard to imagine anyone hearing without admiration, for instance, this sublime passage from the first inaugural address:

I am loth to close. We are not enemies, but friends. We must not be enemies. Though passion may have strained, it must not break our bonds of affection. The mystic chords of memory, stretching from every battlefield, and patriot grave, to every living heart and hearthstone, all over this broad land, will yet swell the chorus of the Union, when again touched, as surely they will be, by the better angels of our nature.

Yet this speech was characterized by an editorial writer in the Jersey City American Standard as “involved, coarse, colloquial, devoid of ease and grace, and bristling with obscurities and outrages against the simplest rules of syntax.”

Later in this section of The Atlantic article we learn:

As for the Gettysburg Address—one of the most powerful speeches in human history, one that many American schoolchildren can recite by heart (Four score and seven years ago, our fathers brought forth …) and a statement of national purpose that for some rivals the Declaration of Independence—a Pennsylvania newspaper reported, “We pass over the silly remarks of the President. For the credit of the nation we are willing that the veil of oblivion shall be dropped over them, and they shall be no more repeated or thought of.” A London Times correspondent wrote, “Anything more dull and commonplace it wouldn’t be easy to produce.”

These insulting remarks were, at times, met with a humorist quip. For example, Stephen Douglas called him two faced during a debate and Lincoln responded “If I had another face, do you think I would wear this one?” At other times, he would respond to the flood of nay-saying with a weary wave of his hand and say, “Let us speak no more of these things.”

Conclusion

I think Alexander Hamilton Stephens, who had served as the Vice President of the Confederacy, well expressed what many who had an opportunity to get to know Lincoln came to feel about him. Thus, in a speech several years after the war, Stephens recalled getting to know Lincoln when they both served together in the House of Representatives prior to the war. “He was warm hearted; he was generous; he was magnanimous, ‘with malice toward none, with charity for all.'”

As Stanton declared at Lincoln’s death bed, with tears in his eyes, “He was one for the ages.”

All of that being said, it is my hope these Lincoln stories might inspire you when you find yourself confronted with insults. With Lincoln as an example, perhaps you might find yourself coming up with a few jests that can be employed as insults come your way, just to lighten things up a bit. And perhaps you might find yourself considering the wisdom of looking to see if there is any merit imbedded in any nasty phrased comment, kind of like what Lincoln did when he declared that he better step over to discuss the matter with Stanton after Stanton had thrown an insult at him.

Let me add, now, some personal advice. If you find, as a result of a nasty remark, that you need to spend a little time experiencing waves of distress in the pit of your stomach, take all the time that you need. Meanwhile, consider writing about what you might wish to say to the insulter. And by all means, avoid falling into the trap that an insult can define you as bad.

In closing today’s post, I shall leave you with some words by Rudyard Kipling that appears as part of his poem titled “If.” They seem to me to capture some of the essential character of Abraham Lincoln:

If you can keep your head when all about you   
    Are losing theirs and blaming it on you,   
If you can trust yourself when all men doubt you,
    But make allowance for their doubting too;   
If you can wait and not be tired by waiting,
    Or being lied about, don’t deal in lies,
Or being hated, don’t give way to hating,
    And yet don’t look too good, nor talk too wise,
….
Yours is the Earth and everything that’s in it,   
    And—which is more—you’ll be a Man, my son!
My Best,
Jeff
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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.
Categories
conflict resolution Depression Mental Illness sadness

Feeling Bad About Feeling Sad

Welcome to From Insults To Respect. 

A couple of years ago I wrote a post titled, “Am I Bad For Being Sad?” There I discussed the tendency in our society to promote the notion that when we experience sadness it is a symptom indicating there is something wrong with us. I then asked readers to consider the possibility that this notion may be disrespectful and harmful, and it may be far better to frame our sad experiences as healthy, and a process that serves the function of planning our future. In that post, to encourage readers to think about this, I used two parables and a New York Times article in which the writer relates the experience of a woman dealing with sadness. Today, let’s take a quick look at a summary of that earlier post, and then I’ll discuss a research article that helps to deepen a discussion of this issue.

A Brief Summary of the Earlier Post

In the first parable, a mother tells her son it is time to go to bed, he resists, and eventually he begins to cry. The mother responds:

 Don’t you dare start with this crap or I’ll give you a real reason to cry! You’re acting like an infant!!! Now you stop this instant and get to bed!!!”

In the second parable, the same set of circumstances occurs except that the mother replies to her son’s tears differently. Instead of getting angry, she says in a caring manner:

“I see you are feeling sad. That’s understandable. You were enjoying the game so much, and you’re disappointed about having to stop. You know, when we feel sad, it’s to help us figure out how to better handle what we do in the future. I wonder how we can better handle the going to bed situation. Any ideas, Carl?”

After presenting these two parables, I asked readers some questions:

Will this mother’s response in the first parable to her son’s sadness lead him in time to not only feel sad about whatever led to his sad feelings, but additionally, to feel bad for not living up to his mother’s expectations of what a good, mature person should feel during disappointments? 

Might he, thus, learn to have a kind of double depression each time he is disappointed–depression at the disappointment, plus depression because he is depressed?

With this mother’s approach, might he eventually become motivated to drown his negative emotions in alcohol, or mask them with illegal or prescription drugs?

In contrast to the first parable, the second one has the mother explaining that the experience of sadness is natural and has the potential to be helpful. I noted that this doesn’t instantly eliminate a period of sadness. Then I asked readers:

Is it possible that by viewing sadness as natural and helpful, might it eliminate much of the self-insults that make a sad experience worse?

Might it also helpfully guide attention toward constructing positive future plans?

After discussing these questions, I then went on to the New York Times article that I used to further deepen the sadness discussion. There, the writer tells us about Laura.

When Laura was young, she saw a psychiatrist because from time to time she would begin to sob. He convinced Laura there was something wrong with her and sold her on the idea that she needed to take a prescribed pill. Before long he had her taking a whole cocktail of pills.

When on the drugs, Laura said, “I never had a baseline sense of myself.”

Eventually, Laura began to question her psychiatrist’s medical model, and although she suffered through the process of weaning herself off the prescription drugs, finally she reported that she felt as if she were learning the contours of her adult self for the first time. When she felt dread or despair, she tried to accept the sensation without interpreting it as a sign that she was defective. “It felt like a revelation,” she said, “to realize that the objective in being alive isn’t the absence of pain.” The article concludes with Laura stating, “I never felt helped by the drugs in the sense that I have meaning, I have purpose, I have relationships that matter to me.”

There is quite a bit more that I covered in my earlier post on this subject, and I hope you consider reading it (see HERE). In that post, I relied chiefly on stories to illustrate the relevant issues, for stories are particularly helpful in making sense of life’s challenges. However, there is another path toward understanding–scientific research. So, let us now turn to a research article employing the scientific method that focuses its keen eye directly on today’s topic.

The Research Article

A team of researchers (Brock Bastian, et al.) published an article in the peer reviewed journal Emotion titled, “Feeling Bad About Being Sad: The Role of Social Expectancies in Amplifying Negative Mood.” The authors begin by summarizing previous relevant research, then describe four studies they carried out to throw light on this subject, and then present their conclusions. The entire article can be viewed for free HERE. It is a bit long and written using some technical language and complicated statistics so I thought I would provide the gist of it to those who prefer a shorter read.

Upon reviewing previous research, they found evidence that in many cultures people are expected to strive for happiness and not to feel sad or stressed. Moreover, happiness has been enthusiastically promoted as important for personal well-being and a meaningful life. Even common malaise is often diagnosed as an illness and is considered detrimental to our own and others’ health.”

The authors go on to say,

One does not need to look far to see which emotions are socially valued and more normative than others. Daily we are reminded of the value of happiness, from TV advertising that highlights the hedonic pleasures of consumption, to national campaigns designed to improve happiness and well-being.
Meanwhile, commonplace emotional experiences such as sadness, depression, or anxiety are pathologized and medicalized, viewed as deviant from desired norms…. Negative emotions are touted as bad for our health… and can be “cured” with an array of drugs and interventions designed to quickly and efficiently return us to normality. On the other hand, the many benefits of negative emotions, such as their creative potential…, importance for interpersonal relations…, and role in achieving a rich and meaningful life… are rarely prominent in current social discourse. 

When the authors write that the benefits of negative emotions are rarely prominent in current social discourse, they are referring to modern Western individualistic cultures such as Australia, Great Britain, and the United States. They contrast these Western cultures with the very different attitudes of many people in Asia. Thus, the authors write,

[T]he importance placed on happiness and the devaluation of sadness is not as apparent in Asian cultures. In Japan, acceptance, emotional balance, and even hardship are highly valued, and the pursuit of happiness often has “immoral” connotations.

Now, after the authors described the previous research that I have sought to summarize, they then begin to describe their four original studies. In brief, hundreds of people, mostly Australians, but some from Japan, were asked to rate several of their personal characteristics on a scale that ranged from 1 (strongly disagree) to 9 (strongly agree). Examples of the characteristics they were asked to rate themselves on are:

Feeling sad makes me dislike myself.

When I feel sad I feel like a bad person.

It is very important to me not to feel sad.

I would always try to avoid feeling sad. 

Feeling sad is normal.

Feeling sad is an important part of life.

There is far more to these four studies than just having people rating themselves, but this gives you some idea of what was done.

Among the findings, there was a clear tendency for Australian individuals to feel worse about themselves when experiencing negative emotions than the Japanese individuals who were more likely to view sadness as normal and helpful.

The authors’ final conclusions, after looking at the result of all four studies, are:

Emotions are fundamentally social phenomena. Our research provides the first evidence that people’s generalized beliefs about how others expect them to feel may play a central role in their emotional experience and well-being. Our work shows that the more people hold beliefs that others expect them not to experience negative emotions, the more frequently and intensely they are likely to experience those negative emotions. Such ironic effects also relate to indicators of well-being, such as satisfaction with life and depression. Moreover, our findings suggest that these relationships are at least partly mediated by negative self-evaluations that people have when they experience undesired emotions. Attempts to promote the value of feeling good over the value of feeling bad by emphasizing social norms for these emotions may therefore have the effect of making people feel bad more often.

Now, relevant to this discussion, there does exist some evidence that sometimes people who experience depression end up hurting themselves, or lapse into periods in which their functioning diminishes. This evidence is used by many psychiatrists to urge people to take psychiatric drugs. But, is it really the depression that leads these people to hurt themselves, or is it how they respond to their sad feelings that lead to various undesirable outcomes?

In contrast to the medical model that urges drug treatment, there is evidence that the drug treatments increase suicide and disabilities.

Robert Whitaker

For an excellent review of this evidence see Robert Whitaker’s fine book, Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America.

Now, let’s say you were brought up immersed in a culture that favors happiness over negative emotions. If you had become convinced it would be wise to change your old habits of self-hate when experiencing depression, perhaps you might find it hard to break those habits. What can you do?

By reading this blog beginning with the earliest post can help to support making the change. You can begin at the earliest post by clicking HERE. Two of its benefits are, it is completely free, and you can utilize it at your own pace.

Another approach is to go to a personal counselor well trained in promoting the notions that sadness is helpful and self compassion is a better way to deal with it. The personal interaction with a skilled, supportive counselor can be a powerful motivator to make the needed changes in your life. Its chief drawback is its financial cost.

If you do wish to utilize this approach, I can recommend two professionals who are excellent–my son, Jack Star Rubin, and his wife, Emily. Their services are provided online via Skype or Zoom. You can access their webpages HERE.

OK then, I think I’ll end this discussion for now. That said, please feel free to extend it in the comment section below.

My Best
Jeff

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

Categories
confiict management conflict resolution psychological interview school psychology

How’s School Going For You?

During an early part of my psychological services provider career, I was hired as a school psychologist in Rochester, New York. There, students were regularly referred to me because a teacher or parent had become concerned about how a student was doing at school.

When I met individually with these students, I first introduced myself, and then I’d say something like, “I was asked to meet with you to see if we can figure out how to make school better for you.” Then I’d spend a little time trying to see if we had some common interest, such as some music stars, baseball players, TV shows, etc. By connecting with students in this pleasant way, it lightened up our exchange. Next, I got down more directly to the business at hand, seeking to find out, from the student’s perspective, how school was going.

Early in my tenure in this job, this meant that I would just ask the question, “Say, by the way, how’s school going for you this year?” Typically, I would get just a very brief answer, such as, “OK,” or, “I hate school.” Naturally, I wanted to explore more deeply this issue, so I would clumsily begin to ask followup questions and too often I wouldn’t get much that was helpful. However, in time, I developed a psychological interview that really managed to be insightful in figuring out ways to improve a student’s school experience. So, today I thought I would share it with you, for I think it would be helpful, not only for other school psychologists, but for teachers and parents as well.

Psychological Interview

  1. How are things going for you this school year? (After each question, leave a few lines for you to write out the student’s answers.)

  2. Tell me how things are going for you this year by putting a circle around one of these numbers. If you circle the 1 it means you think things are going very bad for you. If you circle a 2, it means you think things are going bad, but not quite very bad. If you circle a 3, it means you think things are going well for you, and if you circle a 4, it means you think things are going great!

    Very bad   1    2   3   4   Great

  3. Thanks for doing that. Now, tell me, things you enjoy doing are…

  4. Do you have any problems this year that are getting in the way of doing your best at school?

  5. Tell me about your school work, what’s hard for you, and what’s easy?

  6. Your favorite subject is…

  7. Subjects you don’t like are…

  8. Your grades are…

  9. Tell me some things you are good at.

  10. Tell me some things you wish you were better at.

  11. Do you have friends at school?

  12. Name some of your friends.

  13. Now, when I ask you about friends, I’m not just talking about kids you like doing things with, though it’s great to have some of them to do things with. To me, a real friend is somebody who, if something good happens to you that person feels good for you, and if something goes bad for you, that person cares about what you are going through, and tries to help you out in some way. Any of the kids you mentioned as friends this kind of friend?

  14. Do you have friends where you live?

  15. Name some of your friends where you live.

  16. How have you been getting along with the other students at school?

  17. Rate yourself on the following: I like the way I get along with the other students at school.

    Agree    5   4   3   2   1    Disagree

  18. I like the way I get along with the teachers at school.

    Agree   5   4   3   2   1    Disagree

  19. I like myself.

    Agree    5   4   3   2   1    Disagree

  20. I like the way I get along with other people in my neighborhood.

    Agree    5   4   3   2   1    Disagree

  21. Tell me about you and your teachers.

  22. Tell me about how you get along with your teachers.

  23. Tell me about your all time favorite teacher, and why you liked her or him so much.

  24. Tell me about a teacher you had a hard time getting along with.

  25. Are there any grown-ups that really care about you, and think you’re special?

  26. Do you like school?

  27. Rate how much you like or dislike school by circling one of these numbers:

    I love school   5    4   3   2   1    I hate school

  28. What can we do to make school a better place for you?

  29. Do you feel you get enough help in school?

  30. Tell me about how much exercise you get.

    Discussion

Well, there you have it, an outline for a psychological interview that will help to draw out important information regarding a student’s school experience. Why might this be a useful thing to do? I found, when using this approach, that students very much appreciate an adult really taking the time to see how they are doing. Moreover, discussing the results of the interview with people I respect and the parents and the educators working with the student often led to some helpful ideas for improving the student’s school experience

To take one example, I once interviewed a student we will call Bobby. He indicated that this school year was going very bad for him by circling a 1 on that question. On further questioning, Bobby indicated he found school had him sitting way too much, he had no friends, and he enjoyed and thought he was good at playing chess.

Bobby had learned to play chess when he was younger. His older brother had taught him, and they had enjoyed playing against one another, but in recent years his brother preferred playing with some guys his own age. With no one to play with, Bobby would read some books on chess, and he also watched a lot of TV. On the questionnaire, it became clear that he got no exercise other than two times per week when he had his physical education class.

As I discussed this information with Bobby’s parents, they found it insightful, and decided to take some steps to improve Bobby’s life. They signed him up for an after school chess club suitable for Bobby’s age and he loved it. Moreover, several students in Bobby’s grade at his school also attended the after school program, and as they got to know one another, they began meeting before school to discuss common interests, ate lunch together in the school cafeteria, and on the weekend they got together to play chess and to do other fun stuff.

To address the issue of a lack of exercise and that Bobby felt uncomfortable sitting so long at school, he and his whole family began to take an hour walk after supper twice a week, and on the weekend they would take an even longer hike. This added walking each week made it much easier for Bobby to sit for long periods during school hours, and it no doubt is supportive of a healthier lifestyle.

After these changes had been implemented for a few months, I again had Bobby fill out several of the rating scales from the psychological interview to get a sense of how helpful the changes had been. He now indicated the school year was going much better than when I first interviewed him. On the question he had originally circled a 1 indicating things were going very bad for him, now he circled a 3, indicating things were going pretty good. Sitting for such long periods at school was now not as aversive, and he also indicated he had made some real friends. The changes on several of the rating scales that appear on the interview outline helped to confirm to the parents that real progress had been achieved. So, if you will, give the interview a try and let us know if you found it helpful.

My Best,
Jeff

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

Categories
conflict resolution crying dealing with negative emotions

Stop Crying: A Fair Request?

Welcome to From Insults to Respect. Today, we once again take up the topic of crying and its relationship to respect.

Perhaps some might wonder why more than one post was not sufficient to amply cover this tearful topic. I would have been among those who wondered about this a few years ago, but then I wrote a post titled, “Responding to Criticism: Four levels of Maturity.” There, the most immature level was originally described as:

1.  This level requires displaying one or more of the following:

  • Weeps or sobs with tears or pouts
  • Physically attacks the criticizer
  • Damages property

I had derived this level along with the three higher levels by first making a lot of TV shows with a variety of actors. In each show, the actors respond to criticism in different ways. Then I asked others to view the shows. Together, the viewers and I discussed our reactions to the way the actors in the video recordings handle criticism.

I soon became very familiar with what people thought of as immature and mature responses. I then put them in order from the least to the most respected. Then, when I published the post that described these four levels of maturity, I began to get a great deal of criticism because I included the crying description as one of the most immature responses.

To address the criticism, I wrote a follow-up post titled “Responding to Criticism by Crying: Is it a Sign of Immaturity?” It became one of my most popular posts immediately upon my publishing it over seven years ago. Since then, people every single day continue to find it through search engines and regularly provide thoughtful comments. Apparently, the post touches a sensitive nerve, and raises new questions that I have tried to answer in follow-up posts.

After considering the feedback, I wrote a follow-up post titled, “My Answer to the Question, Are People Who Cry When Criticized Immature?” There I declared that in response to the feedback, I decided:

Weeping, sobbing and crying will only be viewed as the lowest level of maturity if the person responding to criticism does nothing else but that, or if he or she does that along with the other lowest level responses such as physically attacking the criticizer or damaging property. If, after crying, he or she then begins to display responses consistent with level 4, crying will no longer be viewed as a sign of immaturity.

With that change in my “Responding to Criticism” model, I thought that had put an end to the topic of crying, but then I noticed how embarrassed many folks are if they cry in front of others, typically apologizing and feeling guilty. So I wrote a post about this titled, “I’m Sorry For The Tears.” That post also led to some heartfelt responses. For example, one reader wrote:

I think it is great to get a conversation going about crying. I actually became so emotionally cut off for a period that I didn’t cry for about 10 years. When I began to let my emotions move again though and started to be able to let some tears fall again, I felt that it actually was extremely healthy for me. The tears seem to help emotions move and process through me far better than just forcing them down inside myself like I did for so long. I think the stigma against crying is an unhealthy one, and yes I feel that it is great to develop other tools for processing emotions as well, so that we can have many options for processing the hard things in our lives.

Incredibly, the topic of crying continues to be brought up by readers of this blog, thus leading me to write several additional posts delving into more and more subtle domains. Examples of these can be found in posts titled “Am I Bad for Feeling Sad?” and “Tears at the U.S. Open.”

And now, recently, I was listening to Bob Dylan’s Street Legal album and the song, “Baby, Stop Crying” came on. It led me to to think about today’s question, “Is it okay to ask someone to stop crying?”

Dylan’s Song, “Baby, Stop Crying”

To begin thinking about this, let’s take a quick look at some of the lyrics of Dylan’s song, which he sings, it seems to me, with a bit of annoyance, although we can see in the lyrics he’s trying at the same time to be compassionate:

You been down to the bottom with a bad man, babe
But you’re back where you belong
….
Baby, please stop crying, stop crying, stop crying
Baby, please stop crying, stop crying, stop crying
Baby, please stop crying
You know, I know, the sun will always shine
So baby, please stop crying ’cause it’s tearing up my mind

Go down to the river, babe
Honey, I will meet you there
Go down to the river, babe
Honey, I will pay your fare
….
If you’re looking for assistance, babe
Or if you just want some company
Or if you just want a friend you can talk to
Honey, come and see about me
….
You been hurt so many times
And I know what you’re thinking of
Well, I don’t have to be no doctor, babe
To see that you’re madly in love

Baby, please stop crying, stop crying, stop crying
Baby, please stop crying, stop crying, stop crying
Baby, please stop crying
You know, I know, the sun will always shine
So baby, please stop crying ’cause it’s tearing up my mind

How well did the character in the song handle this crying situation? In thinking about this, I think we can agree that when someone is crying, there are times when it can be annoying. For example, I was once in a hotel room, extremely tired, trying to fall asleep. A baby on the other side of my wall began to let it all out at the top of her or his lungs. I recognized that it wasn’t the baby’s fault, and as a parent myself, I felt some compassion for what was going on. Nevertheless, I sure wished that baby would please stop crying.

I stayed silent. Some time later, upon reflection, I came to think I probably would have been wise to have called the front desk to see if another room was available, but I just laid there fuming for quite some time until I finally dozed off.

In the Dylan song, the character he created is not a baby, he cares about her, but pleads with her to stop crying. He tries to be helpful by offering to pay her fare to go to a more pleasant place–the river. He also lets her know that if she wants to have a friend to talk with, he’s more than willing to make himself available. He does say please, when pleading for her to stop crying.

Is there anything wrong with this approach?

For me, personally, with the exception of the crying baby in the hotel example, and a few times when I was shopping in a store where a baby was loudly crying in an ear piercing manner, I don’t recall experiencing annoyance from anyone crying. Instead, I welcome the opportunity to offer my empathetic support. To me, empathy is the capacity to feel the experiences, needs, aspirations, frustrations, sorrows, joys, anxieties, hurt, or hunger of others as if they were her or his own. It feels natural to me to remain present and to communicate that I care.

That said, I certainly recognize not everyone is the same as me. So, let me try to put myself in the shoes of the character in the song.

Hmmm. Well, if the person identified as babe in the song is crying and it begins to wear on my nerves, I don’t think I would ask her to please stop crying. I guess what I would do is say something like, “Babe, I’m going to take a walk around the block for a few minutes to deal with some feelings that are coming up within me regarding what you are going through. I’ll be back as soon as I can, and then if you think of anything I can do to help, please let me know.” As I prepare to leave, I might go over to her, give her a tender kiss on the cheek, and a gentle loving touch on the back of her shoulder.

I wonder how others feel about this. I invite your thoughts and expressions of your emotional reactions.

My Best,
Jeff

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

Categories
conflict resolution Diagnostic and Statistical Manual of Mental Disorders-5 Donald Trump

Are Trump’s Supporters Mentally Ill?

Welcome to From Insults to Respect. Today we explore the wisdom of flinging two related insults at Donald Trump’s supporters–insults that fall under the general headings of “crazy” and “mental illness.” Let’s begin with the “crazy” insults.

The “Crazy” Insults

Attorney General William Barr announces DOJ found no evidence of fraud that would overturn the election results.

Trump, by all authoritative analyses, lost the 2020 election by approximately seven million votes, as well as an ample number of electoral votes. Despite this, he has, and continues to claim, he won by a landslide.

Moreover when he took government documents that he was not legally permitted to take, his lawyers had to have made clear to him this was a felony, the penalty of which is time in prison. Because a large majority of his supporters say they believe his claims and that he has done nothing wrong, many Americans think they have made sense of this by viewing his supporters as crazy. Is this wise?

“Crazy” is a concept used when people are puzzled about the actions of others or themselves. By using this type of name calling, it really doesn’t provide any clarification, but to some, they think it does. So, we might hear something like the following conversation:

“What’s going on with these Trump supporters who believe he won the election?”

“They’re crazy.”

“Yeah, that’s gotta be it.”

I understand a great many people are just fine with using the crazy concept. Nevertheless, I would like you to consider the following possibility.

Thinking crazy is really the explanation for why people believe as they do about Trump serves to reduce a degree of angst. Since angst can be experienced as uncomfortable, it makes some sense people might be motivated to reduce it. However, if instead, we adopt the choice to maintain this angst and come to experience it as pleasantly challenging and useful, it may lead to deeper insights.

The angst, when used in the pleasantly challenging manner, according to this theory, prods us to continue searching for understanding while keeping the door open for insights to drift in. The history of science validates the enormous progress that can be made by people who refused to let difficult problems be set aside by a nonsense concept posing as a reasonable answer.

Is the Mental Illness Concept Better than the Crazy Concept?

Trump’s supporters, in addition to being called crazy, have repeatedly been called mentally ill as a way to make sense of what seems to be irrational. Because the mental illness concept is supported by many doctors, including many psychiatrists and psychologists, some folks have been left with the impression that it must be a more sound, scientific concept than “crazy.” Is it?

Two Contrasting Opinions About One Particular “Diagnosis”

To explore this issue, let us first take a look at how the term was used against Trump in a January 11, 2021 article. It appears in Scientific American, was written by Tanya Lewis, and is titled, “The ‘Shared Psychosis’ of Donald Trump and His Loyalists.”

Dr. Lee

There we learn that psychiatrist Bandy X. Lee is affiliated with Yale University’s Department of Psychiatry, and has diagnosed those who are loyal to Trump as having the serious mental illness she calls “shared psychosis.” According to Dr. Lee, this refers to:

…the infectiousness of severe symptoms that goes beyond ordinary group psychology. When a highly symptomatic individual is placed in an influential position, the person’s symptoms can spread through the population through emotional bonds, heightening existing pathologies and inducing delusions, paranoia and propensity for violence—even in previously healthy individuals.

Although this may or may not sound plausible to you, framing it as a diagnosis based on sound scientific evidence has led to serious problems for Dr. Lee.

Dr. John Krystal

Shortly after her so called diagnosis, her boss at Yale, Dr. John Krystal, fired her. He had first provided her the following warning, “The recklessness of your comments creates the appearance that they are self-serving in relation to your personal political beliefs and other possible personal aspirations.”

New York Post article titled, “Yale Psychiatrist Says She Was Fired For Calling Trump and Supporters Mentally Ill,” further develops this story. There we learn Dr. Lee has become embroiled in a lawsuit in an effort to regain her job.

“Since she was acting on a citizen’s duty to contribute her gifts to society … her speech is protected under the First Amendment,” her lawsuit claimed.

“Trump’s presidency represented an emergency which not only allowed, but required, psychiatrists in the United States to sound the alarms,” her legal team said of her “professional responsibility to protect society.”

“Trump’s mental health was affecting the mental health” of everyone in the US, “placing the country at grave risk and undermining democracy itself.”

Supporters of President Donald Trump hold signs as they attend a “Stop The Steal” rally.

Now, to be upfront about my own opinion about Trump, personally I disagree with him and his supporters about who actually fairly won the election. Moreover, there are a number of theories that I have been mulling over as I try to understand the reasons why his supporters have concluded his claims are true. At the same time, as a supporter of the principles of science, I recognize the importance of distinguishing my theories from facts. Dr. Lee’s theory, when couched as a doctor’s diagnosis, in my opinion, runs afoul of this principle.

Clarifying the Difference Between A So Called Psychiatric Diagnosis and The Cause For a Mental Health Concern

When psychiatrists use their mental illness classification system and call it a diagnostic system, they do so despite numerous scientific arguments about its shortcomings (see HERE for a full description of these). In brief, the “mental illness” concept is way too subjectively defined, and the vast majority of the specific mental illness labels, such as anxiety disorder, psychosis, etc., have insufficient reliability and evidence of validity to be considered scientific. Moreover, a diagnostic system speaks to etiology, that is, the cause, set of causes, or manner of causation of a disease or condition. These psychiatric labels do not come with any proof of what is the cause of what is being labeled.

To clarify what I mean by this, let us take a look at a condition with which we can all easily understand.

You have trouble starting your car. You bring it to Fred, your friendly local mechanic. On hearing your concern, he provides an initial theory of what is causing this—perhaps your car needs a new starter. This is the initial “theoretical” diagnosis. Then, Fred inspects the starter and finds that it is in fine shape. Thus, his original theory of what is wrong proves incorrect. He then theorizes that your spark plugs are dirty. He takes a look and finds that they are indeed dirty. He cleans them up, puts them back in their proper place, and the car starts right up. In the end, he “diagnosed” what was wrong with your car—it had dirty spark plugs.

Now, let us say Fred, instead, had just asked you a few questions. Then, before finding out what was the cause of why your car had not been starting, he told you that the problem is that your car has “Major Nonstarting Disorder.” This statement is very different than “diagnosing” your car’s problem unless we want to dramatically expand the definition so it loses any precision.

The psychiatric mental illness diagnostic system is described in a manual published with the title, Diagnostic and Statistical Manual of Mental Disorders (DSM). There it refers to itself as a manual for making diagnoses. This masks the difference between the following three types of statements:

  1. “My theory is that the reason your car is not starting is that it has a broken starter.”
  2. “The cause for your car not starting is it has dirty spark plugs.”
  3. “Your car has ‘Major Nonstarting Disorder.’”

The first statement offers some theory for understanding the cause for what someone believes has gone wrong. The second statement indicates that the cause for what has gone wrong has been clearly established. The third statement just restates the expressed concern or concerns in some jargon. The only real diagnosis in the three statements is statement 2. Statement 1 is a theory of what the diagnosis may be.

The DSM does not claim its so called “diagnostic classifications” are just a theory of what the cause is for the expressed concern; it doesn’t even provide a theory. The manual’s developers explicitly say it is theory neutral. The DSM labels are just type 3 statements, that is, just statements that restate expressed concerns into medical jargon. Thus, the lack of reliability and validity for the DSM classifications and applying the word “diagnosis” to them in a misleading, imprecise manner are just three of its many serious principles of science violations.

Contrast psychiatry’s DSM “diagnosis” system with a diagnosis system used by other doctors. If someone comes to a virologist expressing a concern about being feverish, having difficulty breathing, and loss of taste, the doctor will label these as the patient’s medical complaints, rather then simply translating the complaints into medical jargon and then claiming the jargon constitutes the diagnosis. Instead, the virologist, after writing down the various complaints, will then look for the cause for these complaints. If it is found that there is the presence of the Covid 19 virus, the doctor will say the diagnosis is a Covid 19 infection.

Now, in Dr. Lee’s legal case, we learn that she goes beyond utilizing the DSM-like label of “Shared Psychoses.” She actually provides a theory of what her concern is regarding Trump supporters. However, she doesn’t clearly state that her theory is just a theory. Thus, when people put together that she is a doctor, along with her claim that she has made her “diagnosis,” unscientific conclusions are readily made by the public.

A Brief Story To Illustrate The Problem Of Using Mental Illness Terms As Explanations

On one fine spring day, I was sitting on a Central Park bench and two women were sitting one bench just to my right reading their newspapers. Suddenly, one of them cried out, “Sophie, can you believe this!  The story I’m reading here, oh my God!  This young boy, seventeen years old mind you, the same age as my Jonathan, he’s struggling with ideas about suicide.  Seventeen years old, his whole life before him and he wants to kill himself.  What would lead a boy to this?”

“Such a young boy, Bessie?”

“Yes.  My God.”

“He must have some type of mental illness.”

“Oh, you’re right, Sophie.  I just glanced at the next paragraph, and a psychiatrist explains that the boy has a mental illness called major depressive disorder.”

HamletWith that explanation, the two women nodded to one another, and continued on to another story, seemingly satisfied that they now knew why the boy was dealing with this issue.

Story Discussion

This notion that when a psychiatrist says someone has a mental illness, or some type of mental illness, that this offers a valid explanation for why the person is struggling with personal difficulties is, as far as I’m concerned, a bunch of nonsense. Just before the incident in the park, I had seen a performance of Shakespeare’s Hamlet, which tells the story of a boy about the same age as the one in the story Bessie was reading and is also struggling with feelings of committing suicide. As Shakespeare’s story unfolds, the audience is presented with a character that has motivations, conflicts, frustrations, disturbing situations and emotions. In the end, I left with some insights into why a character such as Hamlet might struggle with feelings of suicide.

In my opinion, even a play, which lasts but two or three hours, can only provide in its narrative a simplified account of what real life stories are all about. And yet, in today’s world, for many people a very different type of play is sufficient for providing the reason why someone is dealing with a challenging concern. This new type of play begins with the curtain rising. A character says to the audience he is struggling with feelings of suicide. A psychiatrist then proclaims the character has the mental disorder known as major depressive disorder, and then the curtain comes down.  That’s the whole play. And people walk away fully satisfied that an adequate explanation has been provided.

Conclusion

That said, I leave you with the following suggestion: If you have a theory of why people continue to support Trump and his continued claims that he won the 2020 presidential election by a landslide, let those with whom you want to share your theory know it is a “theory,” and forgo the mental illness name calling. By doing so, you may not get as many cheers from people who agree with you. Nevertheless, among people truly seeking to deepen their understanding of this difficult to understand phenomenon, you will be more respected. Moreover, for those who may disagree with your theory, they will appreciate your ability to distinguish fact from theory. You’ll come across, I theorize, as more open-minded and you will be modeling a higher level of discourse than what we have been hearing from many of our political leaders.

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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 management conflict resolution Congressman Jordan Dr. Fauci

Jim Jordan’s Conflict with Dr. Fauci

Welcome to From Insults to Respect. Today we examine a conflict witnessed by millions that involves U.S. Congressman Jim Jordan at a U.S. House Coronavirus Hearing angrily questioning infectious disease expert Dr. Fauci. It can be viewed on YouTube HERE.

The conflict provides a real life event of interest, and not being ourselves embroiled in the immediacy of the situation, we can now reflect somewhat dispassionately at what occurred. We might, for example, upon reflection, come up with a more effective way to handle particular points in the conflict, and then be better prepared when we find ourselves in a similar situation. So, with that in mind, let’s move on to a brief summary of the conflict, look at some of the actual transcript of the two parties engaging during the hearing, and a critique of how the two participants acted.

The Conflict

Briefly, Congressman Jordan desired to defend the U.S. Constitution and the liberty of Americans. In his view, interfering with his desire are a set of recommendations developed by the CDC that Dr. Fauci has given voice to as part of the job the current president has hired him to do. Jordan appears to believe Dr. Fauci is guilty of promoting recommendations that interfere with liberty and the Constitution. At the same time, Dr. Fauci desires to do his job without facing personal attacks and a style of questioning that he referred to as ranting.

As the video of the conflict moves forward, it becomes apparent that Jordan wants Dr. Fauci to describe what objective criteria he will be using to determine when the restrictions on liberty will no longer be necessary. Additionally, he wants Dr. Fauci to tell him how much longer it will be until that criteria is met.

At first, Dr. Fauci is reluctant to describe the objective measure, explaining it depends on a variety of ever changing conditions, such as the percentage of people who will agree to be vaccinated, how resistant new emerging variants of the virus will be to the available vaccines, and other factors that can sprout up. But, after making clear that any estimate that he gives must be viewed as very tentative, Dr. Fauci finally provides his best guess–when the number of daily infections drop to 10,000 a day, which may very well be reached by early to mid summer if the vast majority of people are vaccinated.

Once Dr. Fauci gives his best guess, Jordan, in an apparent effort to suggest that any guess by Dr. Fauci is worthless, said:

You said that when Texas ended their lockdown, ended their mandates, this was inexplicable and this would, quote, “lead to a surge in cases.” But Texas is at the bottom of the 50 states. But all of the states at the top are lockdown states. So, that guess didn’t look too good. What explains why Texas is so darn low as compared to the rest of the states. Lockdown states have a much higher rate than the state of Texas which over a month ago said that we’re not going to have all these lockdowns and all of these mandates that you say we have to have a lockdown.

Dr. Fauci replied:

There’s a difference between lockdowns and the people obeying the lockdown. You know, you can have a situation where they say we’re going to lockdown and yet you have people doing exactly what they want to do.

It is at this point that Jordan’s time for questioning expired. So, now let’s turn to some of the transcript of the conflict that reveals some exchanges between the two parties that I think are worthwhile to critique.

Some Key Conflict Moments

Jordan began his questioning of Dr. Fauci as follows:

Jordan: Dr. Fauci, when is the time? When, in your written statement you say, “Now is not the time to pull back on masking, physical distancing, and avoiding congregating settings. When is the time? When do Americans get their freedom back? 

Dr. Fauci: When we get the levels of infection in this country low enough that it is not a really high threat.

Jordan: What is low enough? Give me a number. I mean, we have had fifteen days to slow the spread that turned into one year of blocked liberty. What metric, what measure, what has to happen before Americans can get their freedom back?

Dr. Fauci: My message, Congressman Jordan, is to get as many people vaccinated as quickly as possible so we can, to get the level of infection in this country low so that it is no longer a threat. That is when, and I believe when that happens you will see…

Jordan, interrupting Fauci: What determines when?

Dr. Fauci: I’m sorry…

Jordan: What measure. I mean, are we just going to continue forever. When do we get to the point? What measure, what objective outcome do we have to reach before Americans get their liberty and freedom back? 

Dr. Fauci: You know, you are indicating liberty and freedom. I look at it as a public health measure that keeps people from dying and going to the hospital.

Up to this point, Congressman Jordan’s questioning had been energetic, but to my ear, reasonably respectful, while Dr. Fauci’s tone was level headed and calm. Now, Jordan turns his tone to one that strikes me as exasperation and disbelief:

Jordan, his voice has become louder: You don’t think that American liberties have been threatened the past year, Dr Fauci? They’ve been assaulted, their liberties have.

Dr. Fauci: I don’t look at this as a liberty thing, Congressman Jordan…

Jordan, interrupting Dr. Fauci: Well, that’s obvious!

Dr. Fauci: …as a public health thing. I disagree with you…

Jordan, again interrupting: You think the Constitution is suspended during a virus, during a pandemic? Certainly not.

Dr. Fauci: This will for sure end when we get the level of infection very low. It is now at such a high level that there is a threat of major surges…

At this point, Jordan again interrupts in the middle of Dr. Fauci’s sentence and begins to list examples of Americans loss of liberty, and among them, he says, “The governor of our third largest state meets with physicians and that video is censored because it dared to disagree with Dr. Fauci, so I just want to know when Americans are going to get their liberties back.”

Dr. Fauci: You know, I don’t think anything was censored because they couldn’t disagree with me. I think you are making this a personal thing and it isn’t.

Jordan: It’s not a personal thing.

Dr. Fauci: No, you are. That is exactly what you are doing.

Jordan: No. Your recommendations carry a lot of weight, Dr. Fauci. We just had the chair of the financial services committee saying she loves you and you’re the greatest thing in the world.

Dr. Fauci: My answers are consistent with [cross talk] may I answer the question please. My recommendations are not a personal recommendation. They are based on the CDC guidance and which are underscored by…

Jordan, interrupting, says: And I’m asking the question, What measures have to be attained before Americans get their first amendment liberties back? 

Dr, Fauci, now sounding clearly annoyed: I just told you that!

Jordan: You haven’t given anything specific. You said we hope, tell me something specific.

Dr. Fauci: Right now we have about sixty thousand infections a day, which is a very large risk for a surge. We’re not talking about liberties, we’re talking about a pandemic that has killed 560,000 Americans. That’s what we are talking about.

Jordan: And I don’t disagree with that. And I understand how serious that is. But I also understand businesses have been shut down, people can’t assemble in their own home with their family, people can’t go to their loved one’s funeral…  [he gives many more examples of loss of liberty] and I want to know when Americans will get their first amendment liberties back.

Dr. Fauci: Well, you just said people can’t assemble in their own homes. They can. That’s a CDC recommendation. [after some crosstalk Dr. Fauci continues] You are going to see a gradual, from, right now we are at an unacceptable high level, regardless of who you are. We’re going to see, as more and more people are vaccinated and we get over three million people a day, you are going to see the level of infection go down and down, and gradually there will be more flexibility to doing the things you are talking about.

Jordan: What number do we get our liberties back? Tell me the number.

Dr. Fauci, after some crosstalk: I can’t give a number.

At this point, Jordan’s time for questioning expires, but he gets to have another round of questioning a little later. He begins with repeating his earlier question, “Can you give us a specific indication, some outcome that will have to be attained, so Americans know when they are going to get their liberties back.”

Dr. Fauci: You are asking for a number. If I have a number, it would have to be my best estimate, and that would be that when the number of infections a day are well below ten thousand a day. At that point, there would be a gradual pulling back of a number of the restrictions you are talking about, particularly when people are vaccinated more and more because a combination of, if you are vaccinated you are protecting yourself for sure, and the more people who get vaccinated in the community, the lower the number of infections will be.

Jordan: Well, give us an idea. I mean, you’ve given us thoughts on all types of subjects, you’ve opined on all kinds of issues. Give us your guess then.

Dr. Fauci: I just did.

Jordan: No, you didn’t. You didn’t give us a time. Are we going to be here two years from now still wearing masks?

Dr. Fauci: You’re ranting again.

Jordan: No, I’m not ranting.

Dr. Fauci: You are.

Dr. Fauci eventually gives his tentative estimate that most restrictions may be lifted early to mid-summer.

Critiquing the Conflict Management Skills of Congressman Jordan and Dr. Fauci

Let’s begin with Congressman Jordan. Most of his questions were relevant and initially he doesn’t sound particularly belligerent. In my opinion, he could have done better throughout by asking his questions in a warm and friendly manner.  When Dr. Fauci made a few comments that Jordan objected to, rather than utilizing the conflict resolution skill of disagreeing without being disagreeable, he instead angrily raises his voice and repeatedly interrupts Dr. Fauci in mid-sentence. What would disagreeing without being disagreeable have looked like in their exchange? I think by empathetically providing statements from time to time that indicated he knows Dr. Fauci has been the bearer of bad news throughout the pandemic and that’s a rough situation to be in, could have helped to traverse some of the roughest terrain of this conflict.

Now, let’s turn to critiquing Dr. Fauci’s handling of the conflict. With the exception of three brief moments, I think he kept his tone of voice in a matter of fact manner that was fitting for this occasion. Where he faltered on this score will be discussed shortly.

Dr. Fauci also answered the questions posed to him in a manner that struck me as fair given the number of factors in steady flux. His biggest mistake, in my opinion, occurred by not taking advantage of making a connection with Jordan on their shared values.

What do I mean by this? Let’s go back to the transcript when after Jordan is expressing his frustration about the loss of liberty that has occurred during the pandemic and his interest in defending the U.S. Constitution, Dr. Fauci replies:

You know, you are indicating liberty and freedom. I look at it as a public health measure that keeps people from dying and going to the hospital.

Although I get the point Dr. Fauci was making here–his job is to provide recommendations to slow the rate of infection and elected officials are in charge of what recommendations are to be mandated–I nevertheless think Dr. Fauci would have done far better to have answered somewhat like the following:

I share with you the love of liberty and freedom, Congressman Jordan, and well recognize the enormous frustrations that have been ongoing during this pandemic. The restrictions about family gatherings have been awfully hard, numerous people who have a business ended up with devastating losses, people have lost their job, and on and on, all of this has been terribly difficult to deal with emotionally as well as financially. And yet, according to the best scientific data we have available, if we did nothing to try to decrease the spread hundreds of thousands of more people would have died, and hospital personnel would have been even more overwhelmed than they had become at the height of the U.S. experience with this pandemic. 

Congressman Jordan, I fully share your love of the Constitution and the desire and obligation to defend it. And in sharing these values, I take note of the context where liberty is explicitly mentioned in the Constitution. In its preamble it states its purpose is, and I quote, “…establish Justice, insure domestic Tranquillity, provide for the common defense, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity.”  

By being embroiled in our current effort to provide for the common defense against our current enemy, the virus, we might find it easy to lose sight of the full context of the Constitution that mentions, justice, tranquility, welfare, and liberty. Therefore, it makes sense to take a step back to recall from our history our fight against our common enemy during World War II.

At that time, we pulled together as one nation, and yes, there were sacrifices that were made to some liberties. There was rationing of many items, men had to leave their jobs to enter into war zones where bullets were flying toward them and bombs going off. Women who wanted to be with their husband and raise their children had to put this aside to go to work in stifling factories. There was some censorship of citizens who sought to provide aid and comfort to the enemy. Meanwhile, the welfare of the soldiers was provided for at the expense of taxpayers, and not all citizens were happy about this. 

Now we are engaged in providing a common defense to battle this pandemic, a battle that has led to the deaths in one year of nearly twice the total number of deaths that occurred during the four years of World War II. Sacrifices are being made. I’m not happy about them, but I was hired by the president to provide my recommendations based on science and a vetting process involving experts at the CDC, to decrease the spread of the virus. Consistent with our Constitution, it is up to our elected officials to decide which recommendations to make mandatory. Citizens have the right to file a suit in court if they believe their rights are being violated.

With regards to the U.S. Constitution’s goal of insuring domestic tranquility, I have observed that a number of our elected officials have been working very much against this principle, and instead are fanning the flames of hatred and division. I ask all of us here today who share the values written in our Constitution to be mindful of the full context of all that is wisely written there.

If Dr. Fauci would have made these types of connections with Jordan’s values, it may very well have taken the wind out of Jordan’s sails, tempering his ire.

Now let’s turn our attention to the three times Dr. Fauci’s matter of fact tone went a bit off the rails. The first of these occasions occurred when Jordan blamed him for a video that was censored. Dr. Fauci objected while having this exchange:

Dr. Fauci: You know, I don’t think anything was censored because they couldn’t disagree with me. I think you are making this a personal thing and it isn’t.

Jordan: It’s not a personal thing.

Dr. Fauci: No, you are. That is exactly what you are doing.

Although I agree with Dr. Fauci’s point that Jordan was coming off as making it personal in words and tone of voice, Fauci’s response, in my opinion as someone trained in conflict resolution, is less than ideal. In conflict resolution we often teach people to make “I” statements rather than insisting on an opinion. Thus, Dr. Fauci might have done better if instead of saying, “No, you are. That is exactly what you are doing,” he said pleasantly, “Well, although you don’t view it as a personal thing, I’m experiencing it as exactly that. To be clear, I did not advocate that the video be censored, and I fully support freedom of speech.”

The second point at which Dr. Fauci went a bit off the rails was during this exchange:

Jordan, interrupting, says: And I’m asking the question, What measures have to be attained before Americans get their first amendment liberties back? 

Dr. Fauci, now sounding clearly annoyed: I just told you that!

Jordan: You haven’t given anything specific. You said we hope, tell me something specific.

I get why Dr. Fauci was exasperated at this point. He believed he had provided the best answer available, but I do think Jordan was in his rights to ask for a more specific guess. Dr. Fauci eventually did provide more specifics that came when Jordan made this request.

Shortly after this exchange, the third time Dr. Fauci went off the rails, in my opinion, occurred when he accused Jordan of ranting. After Jordan denied this, Dr. Fauci insisted that he is ranting. This moved the conversation to a long, irrelevant period during which Jordan’s anger apparently had greatly increased, and he went into a long paragraph defending himself, saying he’s an elected official, Dr. Fauci is not, Dr. Fauci’s salary is very high, and on and on.

Dr. Fauci’s frustration with Jordan’s interruptions and his angry tone of voice is understandable. And though ranting may have been an accurate description, most people would view Dr. Fauci’s comment as an insult. Insulting someone in the middle of a conflict just leads to more trouble than it is worth. I think Dr. Fauci would have been better off just saying something like, “Congressman Jordan, I am having a hard time dealing with your tone and frequent interruptions. I understand you have strong feelings about this, as I certainly do. Maybe we need a break so I can deal with how I’m feeling.”

Well, those are a few thoughts that came to mind while observing this congressional exchange. I’d love to get other views.

Wishing for all of you to stay safe,
Jeff

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