Happy Birthday to Me II: Contemplate This on the Cake of Woe

by J.C. Schildbach, MA, LMHC, ASOTP, Fashion Icon

(for part one, click here https://respecttheblankie.com/2013/09/20/happy-birthday-to-me/ )

Check out this picture:

It's 1971--do you know where your emotions are?

It’s 1971–do you know where your emotions are?

Pretty amazing, right?

No, no, I don’t mean the fetching haircut accentuating the perfect, potato-esqe shape of my head. That haircut was a dad special a la 1971—the hairdo all of my brothers and I had by dad’s decree. I’m thinking a “1” setting on the clipper.   Quick and easy, nice and tidy.

And, no, I’m not talking about the fashion, although I am pretty damn suave in that dual-layer, v-neck with mock-turtleneck, combo. Or, more accurately, I guess that would be a mock-mock-turtleneck, given that it’s not even a real mock turtleneck, but just the neck and a little bit of the chest of a mock-turtleneck sewn into a shirt. The dead giveaway is that the striped part of the outfit is short-sleeved, and who ever heard of a short-sleeved mock-turtleneck? Right? The dove-gray slacks perfectly compliment the olive stripes sandwiched between the ocean blue stripes that match the mock-mock-turtleneck.*  Still, I’m thinking that this getup would definitely make it into a top ten list of my all-time most fashionable outfits, such is the limited ability I have to dress myself.

No, I’m not even talking about the gift, proudly displayed—that Fisher Price Little People airplane—the red winged version. Pure brilliance of design, down to the weird, yellow plastic string tied to the front so it could be pulled along the ground, the pilot, head flipping back and forth, ever vigilant. Of course, the pilot eventually wanted to break free from the tarmac, and I obliged. The plane today (still in a closet of my mother’s home, or perhaps in a box in the “workshop” of my house) is missing the door, and a chunk of one of it’s horizontal stabilizers, courtesy of a few attempts over the years to see if I could get the thing to fly properly. Perhaps such confusion over aerodynamics is tied to why I became a therapist, and my older brothers went into the “hard sciences.”

Anyway, any other guesses as to why the photo is so amazing? The cake? Well, I did reference it in the title of this piece, I suppose. And it is pretty impressive—home-baked, double-layer, chocolate frosting on devil’s food, set atop a shimmering, crystal cake stand, the candles, playfully askew. But, that’s not it, either.

Are you ready for it? The big reveal?

What’s so amazing about this picture is that it was taken, by my mother, one week after my father’s rather unexpected death. That the picture is so normal, that it fits in so perfectly with the small parade of yearly birthday pictures of all of my siblings and me (all featuring the birthday kid, with a cake and a gift, either posed alone or with that year’s cadre of siblings) is what is amazing to me.

My mother managed, seven days after what I assume was the absolute pinnacle of the sadness and distress in her entire life, with that sorrow still hanging heavily over her and the entire family, to make a cake, wrap a gift, and provide me and our family with some small bit of normalcy. I can imagine my mother just realizing that it was her duty to do so, that she signed up to have kids, and, well, that’s what you do when you have kids…you soldier on and keep things as stable as possible even if everything just collapsed right out from under you.

I have always wondered (and I suppose it wouldn’t take all that much to ask, but since mom will be reading this, I’m sure I’ll get an answer of some kind) if that plane was purchased before or after my father’s death…since it wasn’t until after my father’s death that what would be my first plane ride—out of Nebraska, and on to Oregon—would even be a thought. Was it a gift meant to help prepare me for that trip, or was it merely a coincidence? Was I fascinated with planes at the time? Was it just kind of a cool thing my parents thought I would like? Or was I manipulated by television commercials telling me I wanted that plane?

As a bit of an aside, here’s a Fisher Price commercial from 1972, including the plane, and narration by Dick Cavett. The gentle pitch to parents (although the images would definitely grab the attention of children) is rather quaint now, compared to todays ads telling kids that they MUST HAVE THESE TOYS NOW!!

At any rate, one thing I never noticed in this photo until I scanned it and really looked at it earlier this morning—is that the door behind me opens onto my parents’ bedroom—or what had recently become only my mother’s bedroom.   I can clearly see the same bed that my mother still sleeps in through that open door just behind me.

Not long ago, I told my mother that one of my earliest memories was of going into her bedroom (I believe after being told to leave her alone) and finding her lying on her perfectly-made bed, crying. I asked her why she was crying. I don’t recall that she said anything, only reached out to me and put her hand on my arm, which I had rested on top of the bed. Soon thereafter, somebody—a brother? Some other relative? A family friend?—stepped in and ushered me out of the room, closing the door behind us.

In my mind, the setting for this memory always defaults to our house in Oregon, because that is the only house my family lived in that I consciously remember. But seeing that, in this photo, the bed is covered in a white bedspread, just as it always was in our house in Oregon, it is easy to imagine that same scene playing out here, in the Nebraska house, although to ‘block out’ the scene would require flipping certain elements in different directions. I can definitely imagine that the dining room furniture in the photo here would have provided me with some measure of blockage between me and whoever (may have) told me to leave my mother alone, just as the short distance between our dining room and my mother’s bedroom in the Oregon house would have given me that tiny bit of time to do the same. Nebraska in September (probably more likely) or Oregon in November, it makes sense to me either way.

Getting back to the specific elements of the photo, certainly, other mothers have done the same as my mother did, in similar circumstances, just as other mother’s have fallen apart. Certainly, plenty of fathers have also had similar experiences following the loss of a spouse, and the effort to carry on and keep things stable for their children (or of falling apart). But it’s my birthday, and if I want to tell my mom she did an amazing thing—then I get to do that.

So, happy birthday to me, and thanks, mom!

 

*Color matches approximated using Ingrid Sundberg’s “Color Thesaurus” which can be found here: http://www.boredpanda.com/color-thesaurus-char-ingrid-sundberg/ .  If you have suggestions for better labels of the colors in the photo, feel free to submit them in the comments section below.

Dad’s Grave

by J.C. Schildbach, MA, LMHC, ASOTP, Preacher’s Kid

The Summer of 1977 is forever burned into my brain as a collection of hallowed moments experienced while on a cross-country, family car trip in a Pine-Green Chevy Impala Station Wagon: Seeing a lightning storm roll toward St. Louis from the top of the Gateway Arch, enjoying a traditional Chinese wedding banquet in San Francisco, swimming in Lake Michigan, watching “Star Wars” at a theater in Chicago when we were unable to procure tickets to the King Tut exhibit. (As a decades-long fan of the movie, it pains me to note that I nodded off sometime after the scene of R2-D2’s capture, later jarring awake to the battle cry of a Tusken Raider).

There were days-long visits to farms in communities we had lived in before I was old enough to remember, where I got to ride a horse for the first time, play in a rubber raft in a flooded cornfield, and experience the frightening speed of an angry mother pig as a newfound friend and I were made to race it to the fence of its pen after said friend pelted the sow with a dried-out corn cob. There was the morning I inadvertently released the inmates of a henhouse as I made a rather misguided effort to helpfully gather the eggs before breakfast, and the wonder of first experiencing the Beach Boys’ “Endless Summer” surf anthems from a landlocked farm community in the midwest.

Somewhat more mundane moments have stuck with me as well—attending a Saturday night church service in Sheboygan; staying up late to watch “Sssssss” on TV on a rainy night in Independence, Missouri; settling into the perfect stereo situation in the back seat of the Impala as my brothers played Blue Oyster Cult’s “Agents of Fortune” on the car’s cassette deck—“This ain’t the Garden of Eden,” indeed.

But there was one great disappointment in the whole epic adventure: the trip to my father’s grave in a small town in Nebraska. The victim of a stop-sign-running driver, and the shoddy engineering of the late-60s AMC vehicle he was driving, my father, the local Missouri Synod Lutheran minister, lost his life in the late summer of 1971. I am writing and posting this on the 43rd anniversary of that unhappy day—a day I was too young to remember or properly process—a day that gave birth to the attachment issues referenced in the subtitle of this blog.

Pops at 21...on his way to change the world.

Pops at 21…on his way to change the world.

The occasion, for me, was already lacking the appropriate sense of solemnity, with the shouting from a baseball game just across the road filling the bright, evening air. Things seemed even further amiss as we headed in the direction of…well, what seemed to be nothing.

Where was the towering monument? The magnificent marble Pieta? Or at least a moderately ornate cross?

Being a big fan of horror movies, and fascinated with the ornamentation and mythology of the church, I had built up the idea in my mind that my father’s grave would be marked by something appropriate to his stature as an important religious leader. My ideas were perhaps weirdly informed by my recent reading of Scott Corbett’s “Here Lies the Body”—a story set in a graveyard, and involving a massive grave marker with a statue of a pointing, judgmental angel—not to mention occult symbols scrawled in blood, and a murder mystery. On top of that, to pass the time on the drive from state to state, I had also read and re-read a book of “real life monsters,” which included stories of Vlad Dracula, and Haitian zombification procedures.

So when I saw the flat, drab grave marker, I wouldn’t say my heart exactly sunk, but my 8-year-old mind certainly underwent some shifts in its understanding of the world–shifts I filed away for later examination.

A little over a decade later, when I bought a copy of Tom Waits’ “Blue Valentine” album, and heard the song “A Sweet Little Bullet from a Pretty Blue Gun” (about the 1977 suicide of a 15-year-old girl who jumped from the 17th story of a Hollywood hotel with her guitar) which contains the line, “Nebraska never lets you come back home,” that scene of my father’s grave came back to me, despite not having given it much thought at all in the interim.

The passage of time, and hopefully the acquisition of some tiny bit of maturity, led me to reassess the precise meaning of my father’s grave. I realized that that grave marker wasn’t about his importance in the world, or his stature in a small Nebraska town. It was just some sign, marking the place where the material–or perhaps more preciseley, the matter-bound–part of his existence was left. His influence, his importance, extends way beyond that little concrete or stone marker.

My father’s influence in the communities he served extends to this day, in part through the connections my family made in those communities.  His impact, which, combined with the hard work and diligence of my mother, who raised five sons and a daughter in the years after my father’s passing, extends out into the world in myriad ways, through the hard work and community involvement of all of my siblings and their children—all in their own ways striving to make the world a more humane place.

For my own part, struggling to understand my father’s path in life before it was cut short, and trying to find my connection to it, has been a lifelong endeavor. And while I may have, at times, viewed my father and his life in weirdly iconic terms—iconic in the sense of symbols, signs, and signals to the outside world—I now view it as iconic in the sense of legitimate meaning and influence, the ability to impact the world positively by being a decent person…the same sort of influence I can only hope to emulate.

Happy death day, pops!

Suicide?!? Shazbot!

By J.C. Schildbach, MA, LMHC, ASOTP

Before we get started, let me just mention that I spend the better part of my workweek involved in crisis intervention and suicide prevention. And let me note that anybody’s reaction to the death of another is going to be personal, and related to the kind of connection between them.

Now, let me tell you something horribly, selfishly, insensitively awful about me.

When I first heard of Robin Williams’ death by suicide, my thoughts were, more-or-less in this order…

1)  Damn!

2)  60-something-year-old man…history of mental health issues…history of substance abuse…makes sense.

3)  I wonder what else was going on with him.

4)  I am NOT going to write a blog post about this.

5)  Uggh! There’s gonna be a shitload of extra calls on the crisis line tonight!

Somewhere down the line was, “Shazbot!!” I totally f*cking wish “Shazbot!!” had been my first thought.

Anyway, before you climb all over me for my previously-mentioned insensitivity and selfishness, or whatever you might want to call it (I think I’ll call it “appropriate clinical detachment”), let me explain, in order of those thoughts.

1)  Yes, “damn!” It was shocking and unexpected to hear such a thing, essentially out of the blue. As for the context…I received a text message from my daughter about Williams’ death while running a plethysmography assessment (look it up). What this means is I was sitting in a small, dark, very stuffy and hot room running what I imagine would seem to most people to be a very disturbing clinical assessment to determine what kinds of really terrible things might lead to…ahem…responses for somebody with some admittedly inappropriate arousal patterns.

In such a situation, I didn’t have a lot of options for furthering a conversation or following whatever breaking news may have been happening. I had to shelve whatever thoughts or emotions I was having, and continue on with the assessment.

(You may ask why I wouldn’t have turned my phone completely off during a forensic assessment, but the reality of it is that the trace of the assessment is being recorded for later review, where it’s much easier to spot problem situations, and that turning my phone off only leads to things like my daughter destroying a sliding glass door because she locked herself out of the house on a cold day in early March—long story—well, not really, I think I just told it).

2) Which leads to…”60-something-year-old man…history of mental health issues…history of substance abuse…makes sense.”

Sitting in that dark, stuffy, hot room, staring at a double-lined forensic “trace” on a computer screen, with few responsible options available for furthering my knowledge/understanding of the situation, the defense mechanism of clinical detachment kicked in. Think about it, yelling “Oh my God!,” or sobbing openly, or exclaiming, “Shazbot!” all would have been pretty inappropriate.

At any rate, the quick run-through of Williams’ risk factors is the kind of clinically detached comment that I suppose is hard for a lot of people to take, especially when it has not been filtered at all. I can’t speak for everybody in the field of counseling/therapy, mental health, or even crisis intervention and suicide prevention, but there’s an odd dichotomy that exists in most people who get involved in such fields: we tend to be highly sensitive people; we learn to be very objective about that sensitivity.

If I wanted to get all sci-fi, I could say people in this field are empaths…empaths who have honed their skills away from making them one big, raw nerve, and toward using that sensitivity to discern a deeper sense of what is happening in others without being overwhelmed by it. Most of us have some pretty pronounced defense mechanisms. So, ideally, our training leads to an ability to pick out risk factors and make judgments about how those risk factors affect a situation, so that an appropriate course of action can be taken. Such risk factors are not predictive, but tend to be more actuarial.

Furthermore, the assessment of risk factors tends to weed out irrelevant elements. I’ve heard so many people go off about Williams’ fame and money as if that should have kept him from suicide, but those factors are irrelevant to a suicide assessment…except perhaps in the context of Williams’ available resources for obtaining help. But, and here’s a big generalization (as well as a big but), for somebody who is at the point of committing suicide, the concept of “help,” regardless of one’s resources, has become rather abstract and unreachable. From such a viewpoint, the available “help” appears to have been exhausted and shown to be inadequate. So, pushing past the money and fame, if one looks at Robin Williams from the standpoint of demographics and his personal history, he fits into a high risk category—or, rather, multiple high risk categories, even before other information about his health was revealed.

3)  “I wonder what else was going on with him” was merely a further part of the assessment of risk and what led Williams to his course of action. In suicide risk assessment, this is a huge factor. (Can I get a ‘duh’?). If the demographic factors alone played the deciding role in whether somebody was going to commit suicide, then we’d have near-universal suicide by people who fit into the same demographic categories as Williams.

Hence, one of the things that is always asked of people expressing suicidal thoughts is some variation on “Is there anything in particular that’s leading you to feel this way?”

The big idea behind such a question is to open up a conversation with someone who has, perhaps, not had such an opportunity to discuss what’s going on with them. A lot of people who attempt suicide, or are headed in that direction (here’s another big generalization) have been very closed off about their thoughts, and what they’re going through. Sometimes, broaching this conversation, being able to “normalize” suicidal thoughts (let people know they’re not as rare as they might think), and giving somebody a chance to talk through their immediate experiences, can lead to a person discovering that they have supports and strengths they weren’t considering when they were staying closed off and keeping it all to themselves.

4) The idea that “I am NOT going to write a blog post about this” came from a number of places. As someone who works in suicide prevention, and who writes a (mostly weekly) blog it seemed almost obligatory for me to at least note Mr. Williams’ passing. I shudder at “obligatory.”

Also, following any highly-publicized suicide, a whole slew of TV pieces, articles and blog posts (among other things) commenting on suicide and depression and the lives of those who complete or attempt suicide go flooding out into the world. It makes sense that people want to find out what happened, or understand how it could’ve happened, or share their personal feelings, or pay tribute, or say obnoxious, ignorant things…and there is often plenty of overlap in all of that.

And all of the posts and articles, and TV pieces close out with the phone number for Lifeline, the National Suicide Prevention Hotline, urging people to get help for themselves, or for anybody they know, who is considering suicide or having suicidal thoughts.

As I’ve noted in other posts, I don’t do death too well. And I don’t really like talking about a particular celebrity because they died, or talking about suicide because that’s how someone famous died. I don’t generally shy away from talking about suicide, but I’m not deep into worrying about what celebrities are doing in their private lives. At any rate, when such conversations happen, I find myself slipping too far into the clinical, or just keeping my mouth shut. As for Robin Williams…I’m pretty sure I saw the entire run of “Mork and Mindy” and the “Happy Days” episode that spawned Mork, although I couldn’t really tell you much of anything about any of those storylines…as apparently memorable as they were, what with the rainbow suspenders and flying eggs and all. I’ve seen several, but definitely not all, of Williams’ movies.

Williams, like almost any accomplished artist who is around long enough, and productive enough, is going to put out work that is great, and some that is less great. The last thing I saw him in was “World’s Greatest Dad”—strangely enough, a story about a man who becomes a sort of celebrity after he ghost-writes a suicide note to cover up the fact that his teenage son died from autoerotic asphyxiation. I really enjoyed this movie, like I’ve enjoyed all of Bobcat Goldthwait’s movies (the ones he writes and directs). They tend to involve a kind of dark humor and exploration of at least mildly taboo subjects that are right up my alley. And, as a special bonus, “World’s Greatest Dad” was partly filmed at a bookstore and “mall” about five minutes from my house.

Williams as the most talkative mime ever in "Shakes the Clown"...shattering expectations for better or worse.

Williams as the most talkative mime ever in “Shakes the Clown”…shattering expectations for better or worse.

But then again, I had also written some spotty notes about how “Good Will Hunting” is one of numerous movies that gets the therapeutic relationship all wrong. I could continue on about liking how “Alladin” made good use of Williams’ rapid-fire joking, as did “Good Morning, Vietnam” and how he did some good stuff around mental health issues, like “Awakenings” and even “Patch Adams.”

I could tell of how I once spent half of a 9th-grade biology class trying to stop laughing uncontrollably after attempting to relay part of a Williams comedy routine to my lab partner (who is still my closest friend, not counting my wife). To completely butcher the joke, it involved Williams doing an impersonation of E.T. saying “ouch” because he was standing on his testicles.

5) Which leaves only “Uggh! There’s gonna be a shitload of extra calls on the crisis line tonight!”

I’ll concede that this is a pretty damn selfish thought. But, to provide some context, the call volume on Lifeline, the National Suicide Prevention Hotline on Monday, the day of Williams’ death, was double the call volume of the day before. On Tuesday, August 12, Lifeline had its highest call volume ever in the history of the service.

It’s true that not all of those calls involved people with suicidal thoughts, or suicidal intentions. The calls were not all from people standing on a bridge, or sitting in their living room with a gun in their lap, or lying in bed with several containers of pills and a bottle of gin beside them. Many of the calls were people asking how to get help for people they know. Many were people upset and sad at Williams’ passing, and just trying to process their own thoughts. But many were from people struggling with suicidal thoughts and intentions, several of them consumed with the idea that if Williams, with all he had achieved, was going to kill himself, then why shouldn’t they?

And, of course, people being the way they are, whenever the Lifeline number gets widely published and shared around on social media, there were more than the usual number of prank calls. (Quick note, kids: DO NOT prank the Lifeline—we have to take suicidal threats seriously, which means you might get a visit from the police as the price of your little joke, and as the price to the people of your hometown, who now have police officers responding to a non-emergency situation because you thought it was funny to be the kind of asshole who mocks people suffering from depression).

On top of the massive increase in Lifeline calls, most of the Lifeline call centers also serve as local crisis lines, and there was a huge uptick in the calls to local crisis lines (I don’t have specific numbers on this one yet, but trust me). Several of the Lifeline call centers, including the one I work in, also serve multiple functions within the local mental health system. To say the least, things got a little overwhelming.

I could go on about a number of other factors involved here, like how, while some call centers may be able to call in additional volunteers to address the short-term spike, generally speaking, the staffing, as with any business, is aimed at addressing an ‘average’ workload.  And there isn’t any way to suddenly increase the number of telephone lines and work stations to deal with what is, ultimately, only going to be a short-term (even if massive) increase in call volume.

By Thursday night/Friday morning, things seemed to be calming down a bit, easing back down to normal…at least in terms of call volume.

But we’re all still left with the sadness and the loss of an entertainer who reached people worldwide, and the struggle to understand and accept whatever this means to us personally, or societally, or clinically.

And, oh yeah…

If you or anyone you know is struggling with suicidal thoughts, PLEASE PLEASE PLEASE call LIFELINE, the National Suicide Prevention Hotline, at 1-800-273-TALK.

Requiem for a Snake

My daughter’s pet ball python, Smeagol, died over the weekend. We had no reason to think anything was wrong with him. The last time I observed him for any length of time—Friday, as I was yawning through the long pauses of eliminating a computer virus—he seemed just fine, climbing the ceramic branch/rock fixture in his cage. Sometime between then and Sunday, he vomited up his last meal—a partially-digested black mouse, eaten several days before—and shuffled off this mortal coil, while coiled on the floor of his cage.  I first took notice because he was lying there with his “nose” up under his body, which would have made it extremely difficult for him to breathe—had he still been breathing.

Smeagol was only about ten years old—not all that old for a ball python. And he wasn’t around long enough for me to resolve my mixed feelings about him. To put it mildly, I am not a big fan of snakes. To put it less mildly, they freak me the f*ck out. Constrictors, like Smeagol, don’t raise a panic in me as bad as smaller, squigglier snakes, or, of course, vipers and the like that can cause all manner of swelling, necrosis and more complete death with a single bite. But, still, he was a snake. And for me, that took a lot of getting used to—or not getting used to.

When my wife questioned my dislike of snakes, and more specifically, my queasiness toward our daughter’s pet, I told her that snakes are essentially tubes that crap out of one end, and bite with the other, and that being shat on and bit are not high on my list of favorite things. I didn’t explain to her how, when I saw a snake just out and about, say, in a field or a forest, I would completely lose my mind. She’s only come close to witnessing a subdued version of that once or twice. She still tried to convince me that Smeagol was cute—and he was as far as snakes go. He was pretty, even, with a funky black and brown pattern, a white underbelly, and a face that looked to be smiling.

Smeagol investigates some ice cream.

Smeagol investigates some ice cream.

We had invited him into our home under the thought of good parents supporting our child’s interests. Back when she was in the fourth grade or so, our daughter got caught up in the idea of having a pet python. I told her if she could save up the money for a snake, I would buy the cage—a large, glass tank, with a screened, slide-out lid—for her birthday. Truth be told, I wasn’t sure she would meet the challenge. Ball pythons are not cheap; and I figured something else would capture her attention before she finished piecing together the money. But cash received as birthday gifts put her over the top of her fundraising goal, and she held me to my promise.

On the night we first brought him home, Smeagol bit my daughter, who admittedly was not exercising any caution whatsoever toward a small, confused animal who had just been stuffed into a box and transported through a cold, November night, to his new and unfamiliar home. I tried to tell her to just put the box in the cage and open it there, to let him come out in his own time. But instead, she set the box on a table, flipped it open, and reached in. Chomp!

Granted, when Smeagol bit anybody, it was more like a nip, designed as a quick warning. But he invariably drew blood with his little, hooked teeth when he did it. It was lightning fast, too, almost impossible to escape once he had a mind to do it. I know of two occasions, aside from his first few minutes in our home, when Smeagol bit my daughter. I also remember him taking a shot at one of our dog’s noses. The dog was just curious and unsure what to make of Smeagol. Smeagol took the dog’s face, with its looming mouth, to be a threat. Both dogs steered clear of him after that—she because she’d been bitten, he because I like to believe he shared my general belief in the benefits of snake avoidance.

Although it’s not good to speak ill of the dead, at times I wondered if Smeagol was perhaps something of a jerk among pythons. But then I figured he had, on average, only committed about one quick bite every two years—not bad considering everything he was put through, including visits to my daughters’ classrooms, and my wife’s classrooms, where he behaved around preschoolers and grade schoolers, even when one or two of them made lunging grabs at his face.

Personally, I never got bit by Smeagol, most likely because I kept my distance, even though, with my daughter spending less and less time at home, it fell to me to take care of most of his feedings and cage cleanings. My wife was the main one to spend time “playing” with Smeagol–letting him roam outside of his cage or drape himself over her shoulders. But, sometime in the last year, he bit my wife as she tried to retrieve him from behind a huge bulletin board that was leaning against a wall. Prior to the wife-biting incident, I had a theory that Smeagol’s likelihood of biting someone was, like with German Shepherds, tied to some sort of fear-sensing mechanism. With that one bite, my theory went out the window, as I knew my wife was the only one who had always approached Smeagol with a complete lack of fear, and a full sense of trust and love. This one bite sharply reduced my wife’s willingness to provide Smeagol with passes outside of his cage.

The need to take him out of his cage, or rather the need to keep him in a cage, or perhaps, the whole situation of pets in cages, had become increasingly troubling for me in the past few years. Part of my growing discomfort had to do with seeing Smeagol, essentially a wild animal who had grown to about four feet long, confined to a glass box, where he seemed to spend a good amount of his time searching for a way to get out. Snakes, as a rule, are pretty darn good at finding ways of getting in or out of wherever they want. So I imagine being trapped in such a way was maddening for him.

Part of my growing discomfort had to do with having dogs who have fairly free rein to go anywhere they want within the house and backyard—something I marvel at from time to time in the sense of, “Wow!  We have some fairly large animals just wandering around our house.”

When I was very young, we had a dog that was on the scene before I was, and who didn’t have much use for me, and vice versa. I never marvelled at her, and rarely even realized she was around.  Seriously, I can barely recall her existence, aside from some vague memories of my siblings’ reactions from around the time she was put down. I also didn’t give much thought to the idea of keeping animals confined to cages. In junior high and high school, well after the dog was gone, I acquired quite a few reptiles and amphibians (no snakes), and occasionally rodents, that were kept in a variety of fish tanks, mostly in my bedroom. Hell, once, with the help of my younger brother and a friend, I even transplanted a (slightly-larger-than-puddle-size) pond’s worth of native Oregon frogs (tiny little creatures) from their home in the suburban wild to a tank in our backyard—never thinking about just how difficult it would be to sustain that little ecosystem as the summer wore on and the heat became unbearable in that glass box. They were tadpoles when we caught them, and monitoring their transformation to frogs was pretty amazing. But we could have just visited the pond repeatedly and gotten the same basic show, all without wiping out the small frog community.

The vast majority of the reptiles and amphibians I collected met with premature deaths, often for reasons unknown, but more often through my own failings. There was a red-eared slider (turtle) who died shortly after I fed him bologna, unaware that turtles cannot physically process fat in their food.

There was the fire-bellied newt who escaped his cage (how a newt climbed out of a fish tank with only a few inches of water in the bottom, and a few flat rocks and a small branch poking out of the water is beyond me). I found the newt several days after his disappearance when I stepped on his dehydrated, crunchy little body, tangled in the shag carpet downstairs by the front window. I can only imagine the adventure he had making his way down the steps.

There was a procession of anoles (small lizards they sell in pet stores as chameleons), one to three at a time, who all caught the same wasting disease, despite thorough cleanings of the cage between inhabitants.

Various other turtles and lizards succumbed to death prematurely, with no real indication that anything was wrong until they woke up dead.

Later, well before my daughter acquired Smeagol, she had a pair of Russian dwarf hamsters—one of which completely consumed the other, except for its pelt. I kid you not.  There were no bones left or anything else aside from a well-preserved fur, in the style of a stripped and cleaned item you would find at an actual furriers. What was left of the devoured hamster would have made an excellent rug for, say, a beetle’s bachelor pad. I’m not sure if the consumed hamster died of natural causes before it was cannibalized, or if the carnivorous hamster just decided he’d had enough of corn and seeds, or maybe had had enough of her roommate’s bad habits.

But enough with the tales of animal woe. At this point, I’m going to make a little pledge in honor of our too-soon-taken Smeagol. I’m done with pets that have to be kept in cages. I don’t want to contribute anymore to the kind of recklessness that involves people boxing up animals in the first place. This is not to say that I think it is inherently wrong to have pets that are kept in cages. I suppose in some cases, it makes life more pleasant and less dodgy for the animals, and hopefully involves children learning some measure of responsibility, and hopefully a great deal of kindness and love. But in my personal weighing of the situation, I’ve made too many dumb mistakes. And I’ve failed to provide adequate levels of life outside the box. I’ve apparently failed to monitor properly for signs of illness, and to make sure I was avoiding harm.

Smeagol deserved a greater measure of freedom than he got. Of course, a ball python could do worse in life than to have a safe, warm home with regular feedings. But a snake native to the East coast of Africa probably could have done much better than to be kept in a glass box in the Northwest corner of the U.S., cared for by someone with a large measure of phobia aimed at him.

So, peace to you, Smeagol. May you pass through the fires of Mordor to the place of white shores and beyond—a far green country, under a swift sunrise.

 

THE Mental Health System Fix to Curb Gun Violence

The National Rifle Association (NRA), having confused “the mental health system” with the Pre-cog arm of the FBI’s Future Crimes Division, has endorsed the idea that mass shootings, as well as shootings of the non-mass-variety, are the responsibility of said mental health system. It is with the NRA’s assigning of responsibility for gun-related violence, and the attendant assignation of authority to resolve the problem, that I present the following mental health assessment tool: the Gun Violence Prediction and Prevention Mental Health Assessment Protocol, version 1 (GVPPMHAP-I)

The following assessment tool is to be administered any time a person wishes to purchase a firearm of any kind, regardless of how many firearms those people may already own. In addition, all current firearm owners are required to submit to the assessment by, oh, say next week. Scoring and outcomes of scores are presented at the end of the assessment.

Overcompensation?  What overcompensation?

Overcompensation? What overcompensation?

THE GUN VIOLENCE PREDICTION AND PREVENTION MENTAL HEALTH ASSESSMENT PROTOCOL, VERSION 1 (GVPPMHAP-I)

Instructions: Complete each of the following statements with the response that most closely resembles your own thoughts.

1. When you hear the phrase “assault weapon,” you think of…
a) a culturally accepted and understood term for certain kinds of weapons.
b) how you are so angry at peoples’ ignorance of gun specifics that you want to shoot somebody.
c) a pepper spray, a cumin pistol, a thyme bomb, a rosemary clooney, a mickey rooney.

2. Entering a fast food restaurant carrying an assault rifle…
a) causes other people to instantly perceive you as a threat, as it is a very irrational thing to do.
b) is my God-given right—you got a problem with that?
c) is a good idea given that a dimensional rift could open up at any time, leading to enormous, human-eating insects storming into our plane of existence, and it would really suck if you didn’t have your assault rifle with you when that happened.

3. The greatest American president of the 20th century is…
a) FDR, because the only thing we have to fear is fear itself.
b) Ronald Reagan, who in one fell swoop proved he could take a bullet, and that mentally ill people are the real problem…not guns
c) Thomas Whitmore because he gave those aliens what-for.

4. Despite all evidence showing that women are much more likely to be the victims of gun violence when they have guns in their homes or on their persons than when they don’t…
a) women should be allowed to buy guns under the law just like men, much the same way women should be treated equally under the law in all ways.
b) the real problem is that women just don’t have ENOUGH guns.
c) women are the last, best hope for defeating the impending robot insurrection, so need to keep guns at all times, whatever the cost.

5. Guns don’t…
a) have any purpose being brandished at peaceful political rallies other than to intimidate people who disagree with those showing off their guns in public.
b) kill people; people with mental illness kill people!
c) get to tell me what to do. I tell them what to do.

6. Of the roughly 19,000 suicides in the United States each year, half of them are completed with firearms, suggesting that…
a) guns allow for impulsive, violent suicide attempts that are far more likely to be lethal than any other method.
b) See, I told you the problem is with the mental health system.
c) if I’m really serious about killing myself, I should probably get a gun.

7. We don’t need new gun laws, we just need…
a) to reinstate the old ones that were made unenforceable through the lobbying efforts of the NRA.
b) to get rid of all gun laws.
c) more mystery-flavor Doritos so that we may learn to thrive on the toxins in our environment and become one with cancer.

8. School shootings could best be stopped…
a) with a combination of measures, including reasonable gun control policies; working to get school staff, parents, and students engaged in the school community; and educating parents about the potential dangers of keeping weapons in the home when children/teens might access those weapons.
b) by displaying the Ten Commandments in the classroom.
c) by attractive teens who are able to resolve society’s ills through the power of dance.

9. Smart gun technology…
a) is a reasonable way to limit who can and can’t use a particular weapon.
b) is just another tool of the fascist government to prevent me from shooting any gun I can get my hands on.
c) is a bad step in the direction of weapons gaining full consciousness and realizing the threat posed by their human masters.

10. Each year in the U.S. there are roughly as many deaths by automobile as there are by guns, leading to the conclusion that…
a) guns should be regulated at least as heavily as automobiles and subject to similar controls, such as training in appropriate usage and safety prior to licensing, gun registration, and requirements for gun owners to purchase insurance to pay for any damages resulting from the use of said weapons.
b) automobiles are just as deadly as guns (false equivalencies and misunderstandings of statistics be damned).
c) Pixar should make a “Guns” movie, similar to their “Cars” movie, which tells the tale of waning small-town America through the eyes of a cocky AR-15, Blasty McRatatat, who becomes stranded in a sleepy, little community on the way to a gun show. Through their obvious goodheartedness, the quirky, adorable townsweapons teach the AR-15 to slow down and appreciate life one short burst at a time.

11. Banding together with other assault-rifle owners in order to intimidate government employees who are attempting to enforce a penalty against a racist rancher who has been stealing from the commons for decades…
a) makes you one of those outlaws with a gun, who needs to be stopped by law-abiding citizens with guns.
b) makes you a patriot who believes in the true values of America.
c) Cows are pretty cool. I could hang out with cows all day. It’s only good manners to always say, “Hi, cow!” every time you see a cow, although most of them would prefer if you called them by their proper names. I once knew a cow named Sister Maria Theresa Fortenzia. Isn’t that a funny name for a cow?

12. People who live in fear that the government is coming to take all their guns away…
a) are paranoid and creepy and should probably have their guns taken away.
b) are the only real Americans who are truly awake to the reality of the one-world-government dystopian hell soon to be visited on us all.
c) should know that the loss of their guns is the last thing they should be worrying about in the face of the one-world-government dystopian hell soon to be visited on us all.

13. The only thing that stops a bad guy with a gun is…
a) another bad guy with a gun, a cop, a good guy with pepper spray, a good guy who knows how to tackle a bad guy with a gun, reasonable gun control measures making it much more difficult for bad guys to get guns, enabling law enforcement to track suspicious purchases of guns and ammo, a good guy with a crossbow, a good guy with a knife, a good guy with an apple…sorry, that was several things that potentially have the power to stop a bad guy with a gun…but, y’know, if people are gonna kill somebody or stop somebody, they’re going to find a way to do it, and guns aren’t really necessary, right?
b) Wayne LaPierre’s fiery delivery of nonsensical rhetoric.
c) a well-aimed garbage truck.

14. This assessment involves a fourteenth question because…
a) paranoid conspiracy theorists would probably view an assessment with thirteen questions as being somehow satanic or otherwise involving the occult.
b) because it was probably crafted by liberal pussies who want to make sure it doesn’t reference anything patriotic or pro-America like the original thirteen colonies.
c) test subjects engaging in speculation about the number of questions on an assessment is a sure-fire way to identify people who have an unnatural obsession with the arbitrary connections they make, which seem irrational to anyone not sharing in their delusions.

Scoring is as Follows:
For every “a” answer, score one point.
For every “b” answer, score two points.
For every “c” answer…what the hell, two points seems reasonable.

Once the score is added up, engage the following procedures:

For anyone scoring a 14 or above:
• Prior to any gun purchase, a license for gun ownership must be obtained, which will include training in, and demonstrated proficiency in, use of the weapon, safe storage of the weapon, and proper maintenance of the weapon.
• Prior to licensing, the person desiring to purchase a firearm must pass a comprehensive background check.
• Prior to licensing, the person desiring to purchase a firearm must undergo a three-month waiting period.
• Prior to licensing, the person desiring to purchase a firearm must pass a rudimentary course in statistics/risk assessment so that they understand that they are much more likely to experience the death of a family member by gunshot wound due to having a gun in the home, than by not having a gun in the home, and that cars really are not more dangerous than guns unless a lot more people deliberately start using cars to kill people.
• Purchases of assault weapons, assault rifles, automatic weapons, and semi-automatic weapons will be disallowed.
• Any guns owned must be registered in a national database accessible by local government/police agencies for the basic purpose of making sure any law enforcement officers responding to a situation at a particular residence will have some idea of the level of danger they are facing there.
• At time of acquisition of any gun, owners must purchase firearm insurance at whatever going rates insurance companies deem reasonable for covering expenses related to use of firearms, including, but not limited to, costs for destruction of property, medical care, mental health care, and loss of life stemming from use of firearms.

In an ongoing effort to ensure the public safety, the “mental health system” reserves the right to impose further restrictions/sanctions on the ownership of guns.  Currently under consideration: a proposal by one Dr. Rock to increase the cost of bullets to $5,000 apiece.

The “mental health system” would like to thank the NRA and the American people for their trust and support in the design and implementation of the GVPPMHAP-I and its attendant requirements.

God Bless Anita Bryant

Friday, May 16, I had my first experience with a mental health/chemical dependency conference hosted by a drag artist. The incomparable Aleksa Manila presided over the “Saying it Out Loud” conference, complete with multiple costume changes and delightfully tasteless jokes between various announcements, awards, introductions, and seminars. This was the thirteenth annual gathering of this conference, which was created with the goal “to continue to co-create learning, growth and understanding of the best practices and relevant clinical services needed to support members of the lesbian, gay, bisexual, transgender and questioning communities.”

Dr. Ronni Sanlo served as the keynote speaker, as well as screening a new documentary, “Letter to Anita,” about her almost-wasn’t involvement in LGBTQ activism. Now I’m going to get into a few spoilers here, but I don’t think the basics of Sanlo’s story are the heart of the documentary, as much as is the personal perspective she brings to them. So, when I say her activism “almost-wasn’t,” I mean that Sanlo, like a number of lesbian women of her generation, went about her life as a heterosexual woman, married (to a man) with whom she had two children, not really aware that there were other options.

Unfortunately, just as Sanlo was realizing that there were other options, that the attraction she felt to women wasn’t something that made her completely alone in the universe, Anita Bryant was ginning up Florida’s legislature to pass laws denying parental rights to gay parents. Sanlo’s divorce went through.  Her children, for all practical purposes, were taken away from her.

Liberty turns her back as Anita Bryant looks to the sky, expecting Jesus to fly down and smite the gays.

Liberty turns her back as Anita Bryant looks to the sky, expecting Jesus to fly down and smite the gays.

Hearing the story now, it seems unfathomable to me. In part, my disbelief comes because at the time Sanlo was being viewed as an unfit parent simply for acknowledging who she was, I was living a few doors away from a blended family—two lesbian mothers with three teenage children among them. Granted, at the time, I was in grade school and not really aware that the two parents in that household were ‘romantically linked.’ I was under the impression, for whatever reason, that the families were living together for other reasons—economic? ecological? I remember that, in the fifth or sixth grade, when our class was given an assignment to write an editorial letter about an issue of concern, I mentioned the family as I explained why we shouldn’t be mowing down forests and fields to build new houses when there were other options, including multi-family homes, that would allow greater preservation of nature. Clearly, I had missed the more important political/social issue facing the family.

At any rate, the nature of my neighbors’ relationship was eventually pointed out to me by gossiping peers, with the implication that I was stupid for not having realized it, along with the weird sexual goings-on that were certainly a part of that relationship. Not to say that I was super-forward-thinking at the time, but I knew the two women as my neighbors who had been pleasant to me whenever I encountered them. So whatever sexual things may have been going on between the two women were of about as much interest to me as those of the parents of anyone I knew. That is to say, I really didn’t devote much time at all to thinking about sexual things between various peoples’ parents, and may, as I tilted toward pubrerty and all manner of prurient thoughts, have actively avoided thinking about them.

As far as I was concerned back then, anyone who was cool and/or innocuous toward me warranted much less concern, anger, or fear than the bevy of teenage male piltdowners who seemed to have little more to do than roam the suburban streets trying to prove their masculinity by tormenting children much younger and smaller than them—a model of “manhood” I unfortunately subscribed to briefly when I hit a similar stage in life.

I can only imagine that the lives of the couple from the blended family had some parallels to Sanlo’s—at least in terms of them apparently having partnered with men to build families in order to live out the deliciously limiting American Dream. It’s not too big of a stretch to believe my neighbors, like Sanlo, had seen few other options for relationships but hetero marriage and procreation. It was my understanding that both of my neighbors were divorced, although, like same-sex partnerships, such things were not discussed a great deal at the time, despite divorce quickly becoming commonplace—something that would reach almost all of my friends who hadn’t, like me, experienced the death of a parent. And if the exes of my neighbors were still coming around to visit their teenage children, I wasn’t aware of it. Then again, I wasn’t aware of much that went on in the lives of those teens, since there was far too great of an age gap between us—that impossibly vast chasm between elementary school and high school—for us to concern ourselves with each other.

Speaking of parallels and gaps, “Letter to Anita” touches on another critical piece of Sanlo’s life that fits in with the development of my own understanding of individual rights, freedoms, and what it actually means to be something “other” than heterosexual: Anita Bryant’s crusade against, well, all people who don’t fit her very narrow definition of appropriate relationships (never you mind Bryant’s own divorce).

As I’ve noted before on my blog, I was raised religiously, in the Lutheran Church, Missouri Synod. My father was a pastor in said church. My father died when I was rather young. I spent a great many years struggling with religious ideals and how they fit into the world. And despite my current agnostic tendencies, I still hold onto an idea of religion as an expanding element in peoples’ lives, a force that should open people up to larger experiences, a force that should create love and acceptance, as opposed to a limitation on peoples’ lives that causes anger, hatred, judgment, and closed-mindedness. I spent a lot of time struggling over moral issues, their relation to legal and spiritual concerns, and how we all get along as a people who are supposed to be dedicated to personal freedom, personal responsibility, community ties, love, and all the rest of that stuff.

But Anita Bryant, with her perfectly coiffed hair and starchily-pressed orange and brown polyester outfits, was telling me, in her own, orange-juice-endorsing way, to fear, hate and distrust people I knew, people who had shown me kindness, people I knew to be funny, smart, and no threat to me at all. She put out albums (which, as a teen, my younger brother delighted in purchasing from the local Goodwill for the purposes of mocking and destroying) filled with patriotic and religious songs, promoting the goodness of the USA and Jesus. Yet, everything she said, every objective she pursued, was in contrast to freedom, goodness, and the anti-judgmental stance that Jesus and America were supposed to represent.

Yes, Anita Bryant, in contrast to all she stood for, or wanted to stand for, had helped turn this white, hetero, suburban boy, and his white, hetero, suburban friends, into supporters of gay America…into people who would forever see the gay menace she was so sure was destroying us all, as nothing more than the paranoid delusion of close-minded, controlling, angry people who were completely incapable of seeing the irony of their anti-freedom, anti-love stance as they waved their flags and thumped their Bibles.  Anita Bryant, as Sanlo notes, managed to galvanize opposition to gay rights opposition–even out into the hetero world and parts of the Christian community she was so sure she could count on to share her views.

So God bless Anita Bryant. God bless Ronni Sanlo. And God bless us everyone.

Suicide Notes from the Cosmic Web of Coincidence

Back around Christmas, I posted a piece about how, contrary to popular belief, the ‘holiday season’ is not the most suicidal time of the year. I’m gonna let you in on a little secret…spring is.

I wasn’t giving the idea of springtime suicide all that much thought, until the news of a note from Kurt Cobain’s wallet—mock wedding vows that turned out to have been penned by Courtney Love—bounced into the news for a day or two, and I realized I’d been hearing about a lot of recent suicides–well-known and mostly-unknown.

Hearing the specifics of Cobain’s wallet note, on a local radio show as I drove home from work, knocked down a self-imposed wall that had prevented me from engaging with the stories of recently-released information and evidence from Cobain’s death, leading me to think back on my memories from that time.

Back then, my wife and I were making a living designing and printing T-shirts out of our apartment, selling them at the Fremont market, and through ads in a local paper, The Stranger, and in national publications Spin, Vibe, and Rolling Stone, as well as doing custom jobs for businesses, bands, and other organizations. News of Cobain’s death had managed to elude us until I saw it in a Seattle Times headline, there on display by the sales counter at a gas station/convenience store across the road from our apartment, where I had gone on a late-afternoon beer run.

As with most deaths, my reaction was one of stunned silence–an unvoiced, “Wow, that’s weird.”  Back home, I hemmed and hawed and didn’t quite manage to relay the information, instead turning on the TV news and waiting for the story to come on.

We had only recently confirmed my wife’s first and only pregnancy; and it hadn’t been long enough for us to share the news with friends and family. I couldn’t stop thinking of that photo of Kurt, Courtney, and baby Frances from the cover of Spin. Cobain, not even a year-and-a-half older than me, had achieved what we were all supposed to want—right? Money, fame, a family—all while getting to tout his artistic integrity and give a big middle finger to…well, whoever he wanted, I guess. He was just getting started. He could continue on being a vital artist, or get old and boring, or become a recluse, or whatever he wanted. He had the resources now, and…

Kurt and courtney and frances

Well, if I steer clear of the conspiracy theories, he killed himself. How was that even possible?

Looking back through a lens of pop culture references, I think of Tyler Durden confirming that we weren’t all going to become millionaires, and movie stars, and rock gods. But Cobain had become that…or at least two out of three.

Also, prior to Cobain’s death, I’d read interviews with Eddie Vedder where he talked about being depressed and drinking too much wine, and I was worried Vedder was going to kill himself…intentionally, passively, or accidentally. Cobain said plenty of dark things, sure, but he was just kidding…right?  And, yeah, I had all the Nirvana albums, and all the tracks that turned up on compilations, credited and uncredited…No Alternative, Hard to Believe, The Beavis and Butthead Experience

In my earliest thoughts about this post, I had some germ of an idea about making a connection between Cobain’s death and my current work…like Cobain’s death had some impact on the trajectory of my life, and…oh well, whatever, nevermind. I think we all try to fit various life events into narratives that make everything add up into some kind of “everything happens for a reason” bumper sticker idea…as if the suicide of a celebrity I had never even met was meant to guide me to my purpose.

It was a good 12+ years from the time of Cobain’s death until I bounced back into school with the intention of becoming a therapist, and then a few more before I had gotten involved in suicide prevention, almost more by happenstance than by a powerful drive to do so. I found out I was good at it–able to handle the stress of trying to redirect people in crisis—trying to suss out what it was they were after, and find a way to address that (which often just comes down to listening and validating the underlying emotions of their distress).

Cobain may have been one tiny thread among numerous others leading up to where I landed, just like the other people I knew (mostly peripherally) who had taken their own lives—or tried to—the bulk of them in spring. But Cobain was never some overtly motivating factor. In fact, I think if I cited him as a big reason for my work, it would be kind of ridiculous… “Man, Cobain’s suicide really changed me, and I decided I wanted to help people.” But to be clear, I have no harsh judgment for whatever factors direct people to engage in ‘the helping professions.’

A supervisor of mine, who was instrumental in providing me with the fundamentals for dealing with people struggling with suicidal thoughts, theorized that the increase in suicides in spring might have something to do with the dashing of expectations…that slogging through a cold, dark winter is one thing when everybody has to put up with the cold and the darkness. But when spring starts peeling open, turning itself toward the sun, grasping those opportunities to grow…and you’re still stuck in that winter mindset…cold, despondent, unable to see the sun or feel its warmth, or to even care about dragging yourself out into it…well, that’s when you lose hope.

In thinking about springtime suicide, I’ve had this other little germ of a thought…that when we are constantly exposed to the idea that everything happens for a reason, it can have the inadvertent effect of making people seek out connections for why they feel shitty. And when they can’t find particular reasons…or perhaps the reasons they find are viewed as trite or easily resolved by the people around them…or maybe the reasons they find all land in the arena of self-doubt, shame, or a sense that they are apparently deserving of the bad things that have happened to them and the lack of happiness they feel…well, it can hurt that much more.

Instead, why not embrace the idea that plenty of things in life happen for no reason at all, except, perhaps, for the culmination of random factors and arbitrary decisions…the cosmic web of coincidence…which can end up dropping anyone down a deep dark hole? (Arguably, this is a ‘shit happens’ bumper sticker argument, but I like to think of it as much more involved).  And why not embrace the idea that darkness is an essential part of being human? As much as happiness may be the goal, as much as we may all want to be millionaires and rock stars and movie gods, even the millionaires and rock stars and movie gods among us can’t completely avoid disappointments, disasters, trauma, and loss—hell, a lot of them are born of that negativity (although I don’t want to promote any ‘tortured artist’ stereotypes).

None of us get to insulate ourselves against negative feelings. Those negative feelings–even feelings of suicide–are actually much more common than people think. But when we’re so fixated on happy, and so fixated on the idea that we can ARRIVE at happiness once and for all, with just the right combination of attitude and effort, we set people up to wonder just what is wrong with them when happiness seems so elusive.

So, check in with your friends and family this spring and every spring (and every other season for that matter). That celebration-free, often contact-free, stretch from New Years Day until the world starts warming up in spring can be long and dark as hell…and when spring rolls around, and people are left feeling like they are still disconnected and down in a hole, despite all the blossoms and rays, that darkness can become something much more overwhelming.

 

 

From Seed to Cocktail–In Memoriam

I had just been talking with a co-worker about growing tomatoes, and how I was late planting the tomato seeds I’d gotten at a friend’s funeral back in October, when I found out that that friend’s wife, Jodi, had died.

As usual, I’m struggling with the appropriate response…both virtually and in the real world. I’ve been on her Facebook wall repeatedly, tapping out letters and words that I then delete, feeling confused about just what is the appropriate response in the time immediately following the death of a friend.

After all, Facebook is where you wish “Happy Birthday” to people you rarely, if ever, see face-to-face, right? I’m not saying there’s anything wrong with that. I’m not saying that there’s anything wrong with posting an RIP message on somebody’s Facebook wall.   But to honor the person in this case, there’s a need for something other than drive-by (surf-by?) condolences. And, no, I’m not considering this piece to be the adequate response.

The message I kept reworking essentially came down to this…

Jodi had been battling that vicious monster since before I met her, over 12 years ago. She fought with such grace and tenacity that I was sure she would outlive us all. And if the kindness one unleashes in the world, and the reverberations of that kindness, count in the tally of one’s years, then I’m sure she will.

In case there’s any question, the above isn’t one of those bullshit eulogies, like when Richard Nixon died, and suddenly everybody remembered what a great guy he was, despite the mountains of evidence to the contrary.  Everybody who met Jodi loved Jodi.  And I’m pretty sure that would have held, even if she had been tied to some ridiculous scandal that led to a widespread loss of faith in American democracy.

Jodi was just one of those people who was funny, warm, and fun to be around. She could slap you with a sarcastic comment that made you instantly feel like a part of her family. She seemed to have a bottomless well of good will and giving. She was the kind of person who lived her life, with cancer, better than most of us live our lives in good health.

A friend of mine from college, Jared, had a semi-serious theory that when a person dies, that person’s soul explodes into a whole bunch of little pieces, which blast out into the world, and attach themselves to the souls of all the people who ever loved that person, becoming a part of all of those people. Jared’s evidence for this was that, when his grandfather died, he was suddenly taken with the urge to go out fishing—something that he had never done, but his grandfather had done religiously. Jared described a beautiful, solitary day out on a lake, where all the love he had felt for his grandfather resolved itself into a sense of peace in regard to his grandfather’s passing, and the meaning of his grandfather’s life, and the lives of us all.

Now, I can’t say that I subscribe to Jared’s theory of exploded souls.   But a weirdly similar sense of “exploded soul attachment” hit me shortly after I received the news of Jodi’s passing. Of course, I was knocked off balance. I wondered if I should leave for the rest of the shift, out of concern that I might be overwhelmed with the demands of assisting people through crisis situations. I gave my co-workers a heads up, essentially enlisting their help in ensuring I didn’t make a mess of things.

But instead of the feared distraction and destruction, I felt imbued with a sense of caring and connection with the clients, which is often difficult to engage. That is, as something of a survival technique for the job, it’s necessary to avoid getting caught up in the drama and emotion of the lives of clients, while also being able to convey a sense of empathy. It’s a difficult balancing act to keep an appropriate sense of distance, without disengaging. But all I felt was calm, a sense of presence with the clients that can be difficult to maintain while also staying on top of the other elements of the job.

Supposing for a minute that the theory of exploding souls is true, my piece of Jodi’s soul manifested itself in the feelings of calmness I experienced—an ability to connect and remain in the moment. Even my exchanges with clients I have spoken to hundreds of times were a bit more ‘in the now.’

I’m going to try to hang onto that little piece of her soul.

And for now, I’m going to get those tomato seeds in their pots, and think on how glad I am to have had the opportunity to craft and share a few lakeside, breakfast Bloody Marys with Jodi.

bloody mary

 

People Up: Toward ‘Gender Neutral’ Suicide Prevention

Phone-based crisis intervention and suicide prevention frequently involves guiding a caller toward an (often tenuous) agreement that there’s a reason to get through the next day, or maybe just the next hour.

Toward the end of a recent call, the man I’d been talking to for over 40 minutes summed up the call by saying, “Yeah, I get it…man up.”  He went on to mildly berate me, suggesting that he could have had the same stupid conversation with his dad if his dad hadn’t died.  But I’ll take that as a victory.  He agreed he would stay alive to see his kids on the weekend.

He would not agree to turn his gun over to a friend or family member, which would have helped lessen the likelihood of impulsive, violent suicide.  But, for the time being, he had put it away.  And at least he was calling.

Still, the “man up” comment stuck with me.  I suppose on a greatly reductive level, “man up,” was a component of what I had been saying—especially from the perspective of someone who, based on his interpretation of the world around him, had been getting that message for quite some time–that he needed to just take care of his problems and quit complaining.  But it is not the kind of phrase I would ever use with someone, or the kind of message I would try to convey.

My conversation with him had woven in and out of a number of concerns, with the crux of the conversation coming down to the caller’s children, and his responsibility (like that of all parents) to do whatever possible to ensure their well-being.  It is a conversation I’ve had hundreds of times.

The majority of such calls, involving people who have children but are contemplating suicide, involve the caller expressing that his/her children will be better off without them.  There are a small number of variations on the ‘logic’ behind such a thought—usually involving the children not having to suffer through the heartache of the bad parenting they will certainly continue to experience, the hassles the kids will face by bouncing back and forth between divorced parents, and the notion that the children will “get over it” in time.  If the children are young, callers express that it won’t make that big of an impression.  If the children are older, the parents think the children ‘don’t need me anymore’ or are mature enough to process what happened and move on with their lives.

Never mind the mental twists and turns it takes to imagine that children will have coping skills enough to deal with the suicide of a parent, when that parent doesn’t have the coping skills to deal with loss much less permanent than death—loss of a job, loss of a home, loss of a marriage—or any of numerous variations and combinations of things and people that have gotten away.  Statistical studies show that children of people who commit suicide are at greatly increased risk for attempting/committing suicide themselves.  In an overly-simplistic explanation, the increased risk can relate to genetic factors involved in mental health issues, but it also involves behavior modeling.  Our parents are usually the most significant modelers of behavior in our lives.  And we are all doomed to become our parents.

At any rate, I found myself having the same basic conversation with a woman less than two hours later.  “What messages are you sending your kids if you kill yourself?”  I challenged the cognitive distortions in her justifications for suicide, and explained the threat of her children committing suicide and otherwise potentially being saddled with mental health issues from the suicide of a parent.  Ultimately, we got to a similar end result—the caller agreeing she would put up her pills, and live another day.

But in the conversation with the woman, there was no idea of needing to “woman up”–no need to do what was stereotypically feminine in order to go on living, even though the idea of someone ‘sacrificing’ (in this case, the twist being that sacrificing meant staying alive) for one’s children is something that stereotypically falls more heavily on women.

With the ‘man up’ comment replaying itself in my thoughts repeatedly over the next few days, I realized I was (internally) protesting too much.  The notion that I had a nearly identical conversation with a woman that same night seemed like a defensive position more than a straightforward assessment.

I ran through other ideas, examining the way I deal with men versus the way I deal with women.  For example, any form of counseling involves meeting the client where the client is.  Such meeting includes the client’s perceptions of self in relation to gender.

Still, the client’s perceptions are not the same as my way of interacting with the client.  The client’s perceptions dictate a number of things about how I will approach the client, what thoughts might be challenged and how, for example.  But at base, how I deal with people of different genders is on me.  And I need to be aware of whether those dealings are clinically appropriate or not, whether they are tinged with personal biases about what constitutes being appropriately manly or womanly, or fitting into any other gender identity.

I have no problem acknowledging that I speak to people of different genders differently, and that things such as age, economic status, religious beliefs, education, ethnicity, and a whole host of other concerns can color the interactions I have with them.  An awareness of how clients differ in background falls under a heading of “cultural competence.”  Conducting all sessions or interventions in the exact same fashion would be negligent.

Cultural competence includes the need to avoid approaching clients from any viewpoint of prejudice.  In U.S. culture, with its heavy bias toward the idea of women being nurturing and emotional, and men being stoic and strong, it is easy to fall into a trap of diminishing men who seek support, while being much more accepting of women seeking support.  The underlying concepts of weakness and strength, as relates to seeking support, diminish everyone.  Accepting girls and women who seek support while being less accepting of men and boys who do the same indicates an underlying belief in the weakness of women–the need of women to have support, while believing men don’t–or shouldn’t.

In a context where men are expected to “man up” and take care of their problems, rather than to seek help in processing what is going on with them, it makes sense that many men reaching out for help are, if not hostile, at least pensive and anxious—feeling there is something inherently wrong with seeking help, so taking a position challenging those who might help them.

As a culture, we in the U.S. encourage defensiveness and entrenchment in men—refusal to change—with the exception of encouraging men to become ever harder, ever more willing to engage in aggressive fortifying of their position, with that position often being one of isolation.  The processing men do frequently gets externalized to the point where it is not processing at all.  They, for example, focus on fixing the world, usually by berating the weak, or advocating the destruction of people seen as enemies, rather than addressing the personal in their lives and what such isolation and fortification does to them.

I posit that the gender-stereotyped notion that men need to take action is in large part what leads men to commit suicide most often in a rather violent and impulsive fashion.  When the problem is your whole life, and you’ve been taught that the appropriate response to problems is action, frequently violent action, then ending one’s life can seem like an appropriate reaction when that life has gone off the rails.  Mix in alcohol, drugs and weapons, and suicide can seem a reasonable course of action, and be carried out quickly—a decisive form of action, a manly form of action.

This is not to say that I think men in the U.S. are “victims” of the mental health system or of some pro-suicide/anti-male conspiracy.  Men, whether willingly or unwittingly, participate in, and perpetuate, the stereotypes that trap them…the stereotypes that say seeking help is synonymous with weakness.  And so, long as angry men rail against the “wussification” of the nation, they are advocating for a culture of death before mental health, and ensuring that men will not seek help for mental health issues, or if they do, that it will come with a heaping helping of defensiveness and hostility, potentially putting clinicians in a position of enduring abuse, or having to break down numerous walls, before being able to engage productively with male clients.

So, instead of urging anyone to “man up,” perhaps perhaps there could be a kind of unstated encouragement to “people up”–and not in the reductive way that “man up” is used, but in a way that is expansive.  To “people up” could mean to recognize our responsibilities to one another as human beings, whether that be as parents, clinicians, friends, family members, or citizens.  We need to recognize the harm in gender stereotypes, particularly if seeking help and support is connected to stereotypes of weakness.

GUN CONTROL OR PEOPLE CONTROL? Part Two: Psych Beds and Psych Meds–Faster Than a Speeding Bullet?

As we pass the 13.5-month anniversary of the Newtown school shooting, and approach the 15-year anniversary of the Columbine school shooting (or, hell, pick a school shooting and do the chrono-math) we find ourselves struggling with the idea of stigmatizing people with mental illness in order to support easy access to guns and ammo—okay, not so much struggling as having to have a really stupid argument with people who love guns and people who know better than to engage in such a dangerous form of Objektophilie at the expense of fellow citizens, and while demeaning a particular group of citizens.

In an opinion piece that was posted on the Fox News web site just before the one-year anniversary of the Newtown school shooting, “Medical A-Team Member” Dr. Keith Ablow once again lends his severely-compromised credibility to the issue of gun control versus mental-health-system-blaming in order to craft an argument where fewer people would die if only there was increased access to psych beds and other psych services, and just as much, if not more, access to guns.

You can read the piece (all puns intended) here… http://www.foxnews.com/opinion/2013/12/12/on-newtown-anniversary-america-mental-health-system-still-mess/

Dr. Ablow fires out a random assortment of gun- and mental-health-related ideas with the precision and deadly accuracy of a single blast of #9 shot, aimed to take down the elephant in the room—that no meaningful action has been taken to reduce access to unnecessarily powerful weapons and massive amounts of ammunition.  Of course, as with trying to take down an elephant with a single blast of #9 shot, all that Ablow does is irritate the elephant—or exacerbate the problem—by claiming that it is mental illness that is the real problem.

Ablow starts off by listing five mass shooters from recent years, and remarks that we “now know” that they were all severely mentally ill.  Ablow then abruptly shifts to talk about Virginia State Senator Creigh Deeds, whose adult son, Austin (aka Gus), slashed/stabbed the Senator (with a knife) and then committed suicide (with a gun) in November.  (Note: this crime did not involve mass killing).

Prior to the stabbing and suicide, Austin was under an emergency custody order for a psychiatric evaluation, which expired before a psychiatric bed was secured for him.  Multiple hospital officials in Virginia later stated that they had open psychiatric beds at the time Austin was turned away.  It’s unclear exactly how things fell apart in this case, but it wouldn’t be impossible for a six-hour hold to expire while an overwhelmed staff at one facility needed to present the case for, and secure a bed for, hospitalization at another facility.  It is also possible that Austin did not meet grounds for (mental health) detention.

Dr. Ablow states that Austin was “discharged from an emergency room where he complained of severe psychiatric symptoms.”  But there are a number of problems with this statement.  For one, it comes in the context of one of Dr. Ablow’s “We know” statements—and “we” do NOT “know” what Austin may or may not have said or “complained” about.  Also, given that Austin was under an emergency custody order, chances are that he wasn’t voluntarily seeking help.  If Austin was willingly seeking help, and considered competent to do so, then the order wouldn’t have been necessary.

Unfortunately, if a client is not a clear threat to self or others, or in danger of harm due to being incapable of caring for him/herself, the client (generally speaking) cannot be detained.  Senator Deeds stated, after the incident, that while he expected conflict with his son, he did not expect his son to turn violent.  And in Virginia (mental health evaluation and detention procedures differ from state to state) a person cannot be detained if the emergency custody order expires before a psychiatric “bed” is found.  By contrast, in a number of other states, if a person is viewed as detainable for mental health reasons, they can be held (for example, in an emergency room) until a psychiatric bed becomes available or the client is stabilized.

At any rate, Dr. Ablow devotes a one-sentence paragraph to greatly simplifying what happened in the Deeds case, and ensuring that nobody who reads his column would understand anything about how laws related to mental health treatment operate, or what is required of patients and evaluators in detaining a person for mental health reasons.

As a bit of an aside, I routinely speak with people who think that all it takes for the state to send out an ambulance with a couple of guys and a straitjacket to cart away a loved one is three people who will pinky-swear that a relative or close friend needs to be “locked up.”  This is the kind of information that comes from old movies involving a group of people conspiring to get a relative “committed,” so they can usurp the family fortune.  As another bit of an aside, think of how much you agree with the idea that it should be legal for the state to lock a person up based on a consensus among three people that the person is “crazy.”

But Ablow’s interest is not in creating greater understanding, or making any kind of appeal to anybody based on, say, critical thinking skills.  It’s in telling us how guns are not a problem when it comes to people being shot.

Strangely enough, to make his pro-gun argument, Ablow then discusses Adam Lanza, the Newtown, Connecticut mass-shooter, in deeper detail.  Lanza, Ablow explains, was “allowed” to “learn how to shoot a firearm” by his mother, Nancy, who was the first victim of Adam’s shooting spree.  Dr. Ablow apparently hopes that readers don’t remember/can’t do an Internet search to find out that Lanza’s mother had numerous guns and a great deal of ammunition in her home (where Adam also lived), all purchased legally, and, shortly before the killings, had even written a check to Adam so he could go buy his own gun.

Also, as with the Deeds case, Lanza’s mother indicated that she did not fear violence from Adam, despite his statements and behavior to the contrary, and despite the large number of weapons she kept in her home.  Nancy Lanza’s sense of safety in opposition to all signs to the contrary is not unusual.  Most gun-rights advocates seem to suffer from some sort of collective delusion that they cannot be harmed with their own guns, although statistically speaking, gun owners and their family members are much more likely to be shot with those guns (accidentally, self-inflicted, or otherwise) than any bad-guys.

While ignoring Nancy Lanza’s love of guns, Dr. Ablow notes Adam’s obsession with mass murder, his playing of “violent video games (including one about school shootings)” and that Adam lived in the basement of his mother’s home, where he had covered the windows with trash bags and only communicated with his mother via e-mail during the three months before the shootings took place.  Dr. Ablow mentions Lanza’s Asperger’s Disorder diagnosis, and posits that he “may well have merited other diagnoses.”

Well, given that most people with Asperger’s Disorder don’t take up arms against grade-school children, I’d guess Dr. Ablow might be right about that diagnosis piece.  Lanza had also been diagnosed with an anxiety disorder, and with Obsessive Compulsive Disorder (neither of which tend to lead to mass killing), and had been prescribed medications related to his various diagnoses, but there was little follow-up by Lanza or his mother with regard to the psychiatric care.

This leads to another point regarding how pointless it is to claim that the “mental health system” is to blame for the problem of gun violence.  If the family members of someone like Adam Lanza did little or nothing to get him help, and actively encouraged his access to guns, it seems rather ridiculous to think a psychiatrist would be able to correct that situation with a few days in the hospital and some medications.

Strangely enough…whoops, I mean, “of course,” Dr. Ablow doesn’t mention where Lanza got any of the weapons and ammunition, but instead highlights just how weird (he assumes his readers will believe) it is that Lanza lived in his mother’s basement, and spent time on computers.  Remember, kids, video games kill.  Living in your mother’s basement kills.  Having a massive arsenal of weapons in the home is NOT the problem.

Getting all compassionate, Dr. Ablow goes on to say that “untreated or poorly treated mental illness is” a problem.  He even italicizes it.  Oh, wait, let me back up off of that statement a bit, so that we can see that what he actually says is that (and let this soak in), an “anti-gun agenda misses the point: Firearms aren’t the responsible variable in mass killings: untreated or poorly treated mental illness is.”  (His italics)

Well, I don’t know, Dr. Ablow…I’ve got a weird feeling that there are a lot of people out there with untreated or poorly treated mental illness who don’t commit mass killings, at least in part because they don’t have access to a bunch of guns and ammunition.  (My italics)

After his impassioned, italicized plea that guns don’t kill people, people with mental illness kill people, Dr. Ablow awkwardly segues to a brief mention of the 1927 Bath School disaster as the example of the “worst episode of school violence ever” and notes (italicized and underlined) that it “involved no gun.”  (Yes, his underlining and italicizing).

The Bath School disaster is one of those weird things that pro-gun folk like to cite as a reason why school shootings really aren’t all that bad.   Unfortunately, it kind of undermines their argument if you actually look at it—because the Bath School disaster was committed using dynamite and incendiary pyrotol—substances that are not generally sold in your local Walmart.  Those explosives in particular aren’t actually available much anymore, pyrotol having been banned for sale to farmers in 1928 (the year after the Bath School disaster—committed by a guy who owned a farm), and dynamite having largely gone off the market due to the availability of more stable explosives.

Another fun fact is that explosives tend to be rather heavily regulated by the government.  After that whole episode of Timothy McVeigh blowing up the Oklahoma City Federal Building, a whole lot of regulations got slapped on the seemingly innocuous components of his fertilizer-truck-bomb.  So, if you want to make a connection about the appropriate action to take after somebody uses a certain kind of “tool” to kill a lot of people, bringing up explosives isn’t really helping your case.  After all, we don’t encourage people to go buy more explosives to make sure the good exploders can explode the bad exploders.

Ablow also forgets to make any relevant connection between Andrew Kehoe, the man responsible for the Bath School disaster, and mental illness.  Certainly, given that Kehoe was homicidal and suicidal, he could have been detained by today’s standards if his intentions were at all known.  But from all accounts, he was a rather angry, vindictive individual, like a lot of people who commit gun crimes.  Ablow fails to delve into the possibility that Kehoe was constantly playing Grand Theft Auto XIV, eating Cheeto-and-kale sandwiches (on Dave’s Killer Bread), and drinking Baja-Blast Mountain Dew, while masturbating to animated monster porn.

In another odd turn that undermines his argument, Ablow then chooses to discuss untreated mental illness, saying (in relation to suicide of all things) that, “shooting victims don’t come close to the body count from untreated mental illness in the United States.”  Apparently, Dr. Ablow,  thinks that “shooting victims” who shoot themselves don’t count.  Because suicides make up about two-thirds of all gun-related deaths in the U.S.  And suicide by firearm makes up about half of all suicides.

To give some nice, round numbers, there are over 30,000 firearm deaths per year in the United States, with about 19,000 of those due to suicide.  There are about 38,000 suicides total.  The next-highest category of suicides is suffocation, which accounts for around 9,500 deaths.  But “suffocation” includes a variety of things such as hanging, cutting off one’s air with plastic bags over one’s head, and using one’s car exhaust to deprive an enclosed space (and, hence, oneself) of oxygen.

Along with failing to mention that suicides by gun account for the lion’s share (sorry lions) of suicides, Ablow also neglects to mention that a big piece in risk assessment and suicide prevention involves removing firearms from the homes of suicidal (and homicidal) people.  After all, why would anyone take the guns away from people who are suicidal or homicidal (or who are so paranoid as to think that the government is coming to take their guns away)?  Why would anyone take guns away as part of “fixing” the mental health system?

Dr. Ablow then makes the tragi-comedic statement that he wishes that in the year since the Newtown shootings the Surgeon General would have, “declared war on mental illness.”  I suppose Dr. Ablow means a declaration of war on mental illness—like where a lot of resources are committed to treating mental illness and maybe to getting rid of the stigma associated with mental illness—as opposed to declaring war on those with mental illness.  Because, in effect, blaming mental illness and the failures of the “mental health system” for mass shootings, instead of viewing easy access to the tools for killing (guns and ammo) is a rather shaky position to take.   As a general rule, “untreated mental illness,” which covers a huge range of possibilities, is not the vehicle by which metal projectiles end up penetrating children’s skulls.

Ablow goes on to compliment the Obama administration for providing additional funding for mental health care through the Mental Health Parity and Addiction Equity Act. No, really, a guy on Fox news said the Obama administration kinda-sorta did something good.  But he then condemns the Obama administration for undermining mental health care by trying to ensure access to mental health care via “Obamacare.”  He says that insurance companies do nothing but try to block access to mental health care, and because Obamacare tries to bring down costs, it sucks that people are going to have access to mental health care and the insurance companies that want to deny them care.

So, I think Ablow’s point is that Obama tried to do some good, but failed because he didn’t devote enough resources to it.  Increased access to mental healthcare is good, but failure to provide enough money for the highest levels of mental healthcare is bad?  What’s the remedy for that?  Dr. Ablow apparently thinks the remedy is mental health spending in whatever amount is necessary to put all people dealing with mental illness of any kind into the ongoing care of a psychiatrist…because we all know that what helps people diagnosed with a mental illness…any mental illness…is somebody who prescribes them the right medications.  Right?

Let’s do it, then, Dr. Ablow: provide unlimited funding for unfettered access to psychiatrists for all people who are diagnosed with a mental illness.  What does that entail?  Monthly check-ins with a psychiatrist?  Weekly check-ins?  Daily check-ins?  It’s hard to know what Dr. Ablow is talking about, because he states that MDs need to be in charge of the care of any person who needs mental health care.  But unless we increase spending on mental health care by billions, and find a gusher of a grad school, spewing psychiatrists, his ill-defined proposal isn’t going to work.

What Dr. Ablow (very vaguely) proposes is sheer fantasy.  And the reason he proposes fantasy to deal with a real world problem is that if a real world problem has a fantastical answer, then that real world problem never has to be solved.  We can keep saying, “Fix the mental health system,” or, “Make sure the mentally ill can’t get guns” all while we ignore the fact that we have no intention or way to fix the mental health system in the fashion proposed.

Maybe a better solution is to allow mental health professionals to evaluate people who want to buy guns.  If you meet certain diagnostic criteria, you are not allowed to own a gun.  If you own a gun, everybody in your house must undergo annual psychiatric testing.  But, then, wouldn’t the desire to own a gun be an indication of mental illness, since the intent to own a gun to protect oneself from bad guys would indicate an intention to shoot somebody?  Well, nevermind, it would all be rather expensive anyway.

Dr. Albow leans toward closing his piece out by claiming that “We haven’t done anything to meaningfully coordinate police departments and the courts with the gutted community mental health system.”  Aside from the idea that the mental health system has been “gutted,” I think those involved in dealing with the “mental health system” might find Dr. Ablow’s statements false and offensive.  Because, despite massive budget cuts, and childish blame-cops-judges-and-mental-health-providers arguments like Dr. Ablow’s, numerous police agencies, court systems, and mental health agencies have been doing their damnedest to coordinate care, and provide community education into how to navigate the complicated legal knots of the system. They’ve also been doing what they can to get guns out of the hands of people who are potentially suicidal and/or homicidal, despite the best efforts of the NRA to make sure that everyone, regardless of mental health status, has access to guns.

Dr. Ablow actually closes out his piece by claiming that the Newtown school massacre was “entirely preventable”—which I guess it was, but not by anything that would happen in Dr. Ablow’s fantasy world where psych beds and psych meds negate bullets.  He states that the real surprise in the year since the Newtown school massacre is that there wasn’t “another” Newtown massacre.  But I’m guessing that the parents of the children who were the victims of the 27 school-shooting deaths and 35 gunshot injuries committed in schools in the year following Newtown might disagree with the idea that there was not “another” Newtown.   Sure, there wasn’t a single incident where the same number of people were killed and injured. But what kind of world is Ablow living in where he is willing to excuse even one person being shot at a school in a given year, and to blame mass shootings on mental health providers and people with mental illness, while choosing to support the right of gun manufacturers to continue to provide just about anyone with access to firearms and ammunition designed specifically for killing people?