Category Archives: Therapy

Thanksgiving Greetings from an Ingrate, 2016: Where’s the Mashed Potatoes?

Posted on by
2

by

J.C. Schildbach, LMHC

Okay…this post has nothing to do with a lack of mashed potatoes.  I just love that line.  It’s become a staple of M and my faux-complaining about, well, really any meal–not just Thanksgiving.  Not that we want mashed potatoes at every meal, but anyway…

A friend recently called me out for not being an ingrate. This via a Facebook post, wherein I was responding to her efforts at working through the 24-days-of-gratitude challenge, or whatever it’s called when you note something you’re thankful for every day throughout November until Thanksgiving. I commented that I had been planning to do the same, although “planning” is perhaps too strong a word…it had occurred to me that I could engage in that challenge, and that I had done it in the past…although, maybe not in November. I might have just chosen 24 or 25 random days, having missed the point entirely…or maybe having expanded the point out in the most glorious of ways by refusing to confine my thankfulness to some specific stretch on a calendar. At any rate, not being an ingrate perhaps takes away from these annual posts, but at least somebody gets the point…that I’m not really an ingrate.

To those who don’t know me, it might be easy to imagine I am such. I enjoy complaining–embrace complaining–as an art form. It’s performance. It’s fun. It’s pure joy, garnering accolades and laughs when in the right company—and disturbed, ‘are-you-okay?’-furrowed-brow looks when in the ‘wrong’ company.

You see, when a big portion of your work is devoted to listening, absorbing, and redirecting the misery of the world, complaining is life-saving, life-affirming, the stuff of thanks.

Or not.

It’s all a matter of perspective. Much of the ‘wrong’ company involves people in my same field, but with a vastly different view of how we need to approach life in order to receive the blessings of thanks, or the thanks of blessings, or whatever life-denying positivity they think will cancel out the darkness of the season…that same darkness our ancestors feared was the impending end of time.

ingrate-thanksgiving

Blurry and off-color…just like misplaced anger!

When I set out to write this annual exercise in ingratitude/gratitude, I tried to think of a good Thanksgiving story from my past.

As I’ve noted in previous ‘ingrate’ posts, I have very few specific childhood memories of Thanksgiving. It was just some day off from school—two days actually–where things were, perhaps, much worse than school…having to put on church clothes only to have a meal that wasn’t particularly interesting.

Perhaps my emotional deficit around Thanksgiving is that it comes between my own balls-out/dress-up/mess-up-the-house-with-monster-decorations/get-candy enthusiasm of Halloween, and the hyper-sentimentality/religious significance/songs/smells/twinkling-lights/PRESENTS!! of Christmas.

How can Thanksgiving compete with that? New Year’s doesn’t fare all that well in comparison, either. Perhaps as a child, I was too close to family, too frequently in contact with them, to realize the value in being able to meet up yet again.  Getting together with family is something that’s become far too infrequent, with siblings spread out across six states, and cousins across at least four more that I know of.

In the absence of the frequent family gathering, I have grown to love, if not the sham history of the holiday, then what the idea of the holiday represents…coming together, helping each other out, recognizing what we have, and why all those elements are potentially so great.

Again this year, my immediate family and I are going out to eat for Thanksgiving–at a favorite restaurant where we’ve enjoyed Thanksgiving dinner before. Again this year, it is a function of our work schedules. That is to say, we could request time off, but, as with every year of the last decade, I work in a 24/7 operation, and M works at a school that caters to doctors (who work in a 24/7 operation). So, we pick and choose which holidays to celebrate more or less enthusiastically.

M was insisting she wanted to make a Thanksgiving meal this year. When the idea was first proposed, I went along with it. Then, at some later time, the kid and I ganged up on her, and pointed out that she had to work the day before, and the day after, Thanksgiving, as do I.  Well, actually, I’m working the day before, the day of, and the day after Thanksgiving, which means a portion of the argument rested on what a pain it would be for me to help do the shopping and cooking and all that, while still attempting to get any sleep–have I mentioned that I work nights?  Coordinating the menu, the purchase of the food, and the preparation of the food, was far more work than we were all ultimately prepared to do, all for just the three of us.

We managed to nail down Christmas plans that would allow more time before and after that holiday to indulge in such excessive amounts of preparation and work, and still get in a fair amount of relaxation, all in the company of family. I’ll hold to my feeling that thanks shouldn’t be a chore, and that holidays should be centered around a desire to celebrate, rather than an obligation to go through the motions of celebration.

I am incredibly thankful, once again, that I have the great fortune to pay to indulge in the hospitality provided by others. And once again, I intend to tip with guilt-laden generosity.

Wherever you are today, I hope you have reason to recognize your situation as one of great fortune as well.

Happy Thanksgiving.

 

A Reframe for Dick Whitman OR Don Draper Gets Just Enough ‘Therapy’ to Go On Being Don Draper

Posted on by
Reply

by

JC Schildbach, LMHC

(Spoiler Alert!)

Let’s imagine that Don Draper’s momentary breakdown—a realization of abandonment, followed by a phone call wherein he recounts his sins to Peggy, leading to an anxiety attack or some other form of emotional paralysis, which is essentially broken by a cathartic, sobbing hug with a stranger in a group “seminar”—is an honest therapeutic breakthrough.

don's anxiety

While many people have interpreted the final moments of the series as cynical—the smirk that rises on Don’s face as he sits in a meditation group, followed by the ring of a meditation bell fading into the opening of the Coke “Hilltop” commercial jingle—a better “reframe” for what happens with Don is that he recognizes how his own behavior has been impacting others, that he is able to identify his own feelings of emotional disconnection, and that he is able to gain some real acceptance of his situation and how to thrive in it.

Don's idea

In the terms of a therapeutic cliché, Don realized that when one cannot change one’s circumstances, one can change one’s response/attitude toward those circumstances.

Essentially, such a “reframe” relies on the acceptance of the idea that the “Hilltop” Coke commercial is Don’s concept (all apologies to Bill Backer)—an idea that hardly seems up for debate. Among other elements, in the final scenes of the final episode, Peggy’s plea to Don to “come home” involves the pointed appeal, “Don’t you want to work on Coke?” And the final words spoken, by one of the retreat leaders, before the Coke commercial closes out the series, are an invitation to greet the morning sunshine and bask in the possibilities of a “new day, new ideas, a new you.”

Don’s answer to Peggy’s question about working on the Coke account is, “I can’t. I can’t get out of here.” At that particular moment, it’s a statement of desperation. Don is panicked. He is stuck at a coastal retreat “somewhere in California” with no transportation.

But Don’s sense that he needs to be able to control where he is, and when he can leave, is about to melt away. After his moment of connection with fellow seminar-attendee, Leonard, Don realizes he can “work on Coke,” or any other account, so long as he abandons his need for control of the situation where he is working.

Don’s initial flight from McCann-Erickson is brought on by feeling he has lost control. He is called to a meeting for Miller Lite, only to realize he is one of many creative directors there—and not the creative director there. He quickly decides this is not for him, grabs up his catered box lunch, and hits the road.

Don’s need for control plays into his sobbing hug with Leonard—who details how he feels that his family doesn’t even look at him; that he doesn’t know how to give, receive, or even recognize love; and that “nobody cares I’m gone.”

don's hugg

In a moment of recognition and connection, Don realizes his family does not “care” that he’s gone, and that his idea of love is ill-defined at best. Of those family members he has tried to reach, daughter Sally and ex-wife Betty have told him to stay away, and that the lives of his sons are more stable in his absence. Stephanie, the niece of the (real deceased) Don Draper, both invites (the imposter) Don to the coastal retreat, and then leaves him stranded there, after telling him he is not part of her family (and after having her own desire for a therapeutic experience thwarted by what she feels are the judgmental and stereotypical attitudes about what she should value in life).

In the lead-up to Don’s hug with Leonard, it is only Peggy who urges Don to come home. And by “home” Peggy means back to work at McCann. It is Peggy alone who knows how to reach Don, and does so, rather than just accepting that Don does what Don does and leaving him to it. She appeals to the only thing that Don clearly loves—the pure joy of coming up with a winning ad campaign.

It’s possible to interpret Don’s brief breakdown as entirely self-serving—that he is distraught only because he has been abandoned instead of being the one to abandon, and because he lost the ability to just pick up and leave. He was even left without his usual means of numbing himself with alcohol and casual sex.

So when Leonard revealed his dream of being left alone in the dark on the refrigerator shelf, of course it struck a chord with Don. After all, Don’s whole career has been spent trying to get people to pick that particular item out of the refrigerator—the one that would make them whole. To do that, he needs to know how to connect with people like Leonard—people who have a sense of emptiness and who don’t know how to correct their emotional deficits. And now Don is trapped here with Leonard, in the dark and cold of that nightmare refrigerator where others are in charge of who gets in and out. That bit of recognition allows Don to plunge into his own feelings of sadness, if only for a moment, before he recognizes the value in what Peggy has told him, and the value of tuning into people like Leonard, at least until the end of the week.

It’s a fairly common misconception about therapy that such moments of insight and catharsis will lead to meaningful change, or that a therapist’s job is to provide a client with just the right piece of advice or insight to “fix” that client, and put the client on the right course for life. Part of that misconception can be attributed to “retreats” like the one where Don is stranded—certainly sold to the participants as a week of healing and life-affirming change. And, certainly, recognizing something lacking in yourself, and having a good cry can be helpful at times, but it doesn’t make you a different person. Real change takes will and work.

But if therapy is about meeting a person where s/he is, and helping that person to be the best version of who s/he can be at that time, and of using a ‘strengths-based’ approach that helps the person tune into their own abilities to address problems, then Don’s time away at the retreat is successful. Don not only has a moment of clarity and honest emotion; he gains acceptance about his own circumstances and how to change his response to them.

It is telling that in the final shot of Don’s family, we see them in a dimly-lit kitchen, Betty resignedly drawing on a cigarette, Sally, having assumed parental duties, washing dishes with her back turned to her mother and the camera. All this just before we see Don on a sunny cliff-top overlooking the Pacific Ocean and hear the opening words of the Coca-Cola jingle: “I’d like to buy the world a home, and furnish it with love.”

sally dishes, betty smokes

Don has spent a good portion of his adult life trying to fix problems with money and buying things, and exists in an industry where money and buying things is put forth as the answer to everything—even a broken home and the absence of love.

And Don has a significant history of childhood trauma and abandonment, and poor modeling from the adults in his life. A week of group seminars and meditation isn’t going to fix that.

But that week on the coast did give Don enough of a reframe to get him back to the work he loves, and to do that work successfully.

coke real thing

And that’s the real thing…or the realest thing we can expect from Don.

Self-Infantilization or Supportive Compromise? On the Controversy over Safe Spaces

Posted on by
Reply

by

JC Schildbach, LMHC

In her March 21 piece for the New York Times, “In College and Hiding From Scary Ideas” Judith Shulevitz mocks, among other people and things, Brown University student Katherine Byron for setting up a “safe space” for students who might be “triggered” during a debate between Jessica Valenti and Wendy McElroy that was likely to include a discussion of rape culture.

Shulevitz reported that the safe space “room was equipped with cookies, coloring books, bubbles, Play-Doh, calming music, pillows, blankets and a video of frolicking puppies, as well as students and staff members trained to deal with trauma.” Nothing is said about why such items and personnel might have been present, or what the theory behind such a ‘safe room’ might be, other than Shulevitz’s own assumptions about how college students of today are over-parented and overly-sensitive.

Shulevitz goes on to say that, “Safe spaces are an expression of the conviction, increasingly prevalent among college students, that their schools should keep them from being ‘bombarded’ by discomfiting or distressing viewpoints.” Shulevitz does not provide anything other than anecdotal evidence about the alleged increasing prevalence of such a conviction.

On top of that, one major thing that gets lost in Shulevitz’s piece is that the debate between Valenti and McElroy went on. The ideas were not silenced. No speaker was banned.

Instead, Byron, and those who assisted her, offered a place where audience members could go if they became uncomfortable, not necessarily with the ideas being expressed, but with the content of the discussion, which presumably included descriptions of how rape is depicted in popular culture, as well as how rape and rape victims are treated in the news media, by law enforcement, and in other areas of their lives.  The safe room was established by the Sexual Assault Task Force, first and foremost, to afford a safe space for trauma victims–not a refuge from ideas.

All the comfort of the joys of childhood...

All the comfort of the joys of childhood…

Perhaps Shulevitz’ mocking of the “safe spaces” is particularly disappointing because she has written other pieces on trauma and its impacts, most notably, a November piece in The New Republic, called “The Science of Suffering” which explored research into how PTSD can potentially be transmitted from generation to generation.  In it, Shulevitz includes this succinct and powerful description of PTSD:

Provoke a person with PTSD, and her heart pounds faster, her startle reflex is exaggerated, she sweats, her mind races. The amygdala, which detects threats and releases the emotions associated with memories, whirs in overdrive. Meanwhile, hormones and neurotransmitters don’t always flow as they should, leaving the immune system underregulated. The result can be the kind of over-inflammation associated with chronic disease, including arthritis, diabetes, and cardiovascular disease. Moreover, agitated nervous systems release adrenaline and catecholamines, both involved in the fight or flight response, unleashing a cascade of events that reinforces the effects of traumatic memories on the brain.

Shulevitz’s New Republic article describes research into, among others, Cambodian refugees who suffered through brutal conditions of war. And maybe this is where Shulevitz’ disconnect arises: her inability to see how a sexual assault in the modern-day USA could lead to similar forms of psychological and physical response as living through a years-long period of war somewhere else in the world.

But PTSD just as powerful as that experienced by those who have been through war can arise out of a sexual assault or rape. PTSD is not measured and assigned on some scale where those who experienced the longest, and arguably worst, trauma have the ‘most’ or most severe PTSD.

Complaining of the “self-infantilization” (a term Shulevitz credits to Judith Shapiro) demonstrated by things like the Brown University safe room, Shulevitz also neglects to explore other potential psychological issues stemming from sexual assault, particularly for those who were assaulted repeatedly at a young age. To be clear, I am not assigning a specific causal relationship here (i.e., if this happens, then that is the result, and/or, because a person exhibits this behavior, this particular thing has happened to them) but issues such as Borderline Personality Disorder are often tied to a history of having been sexually traumatized.

Strangely enough, complications associated with Borderline Personality Disorder can include shortcomings in one’s ability to develop into an emotionally mature adult.  Along with the repeated hospitalizations, there are frequently tendencies toward anxiety and overreaction to stimuli, impulsivity, fear of abandonment, hostility and perceptions that one is being personally attacked, and difficulties in forming long-term, stable relationships—issues which might, along with PTSD symptoms, be addressed (at least in the immediate sense of a perceived threat) by the “safe room” tactics that Byron deployed.

Rather than exploring the potentially positive effects of the safe room, though, Shulevitz instead uses it, and other alleged examples of “hypersensitivity” at universities, as evidence that today’s college students aren’t tough enough to handle the real world, and that today’s parents are coddling their children too much. But ongoing PTSD, personality disorders, and other psychological manifestations of trauma are not the result of overly-attentive parenting—and are more likely to be exacerbated by the opposite—a lack of attentiveness and support by those who should be providing it.

Still, Shulevitz pats herself and her peer group on the back for being much “hardier souls” than today’s college students–which includes an explanation that, in her day, college students only censored speakers for the right reasons. She writes, “I’m old enough to remember a time when college students objected to providing a platform to certain speakers because they were deemed politically unacceptable.” Shulevitz isn’t particularly clear on how “politically unacceptable” is markedly different from ‘ideas that make some people uncomfortable.’

Perhaps this is a good time to reiterate that Byron and her Sexual Assault Task Force didn’t actually stop anybody from speaking at Brown, but set up a space, off to the side, out of concern for those who might be interested in hearing the debate, but weren’t too confident that they would respond well to it. If anything, it represents a form of compromise much more than a form of censorship.

So maybe the safe room isn’t the perfect answer. Maybe it seems funny and easy to mock as a form of “self-infantilization,” particularly to those who aren’t all that interested in finding out what it’s supposed to mean or accomplish—those people who, as Shulevitz puts it, haven’t learned “the discipline of seeing the world as other people see it.”

Then again, maybe today’s college students aren’t really that different from past generations of college students—and are just exploring different ways of addressing concerns that didn’t exist in the past—or, rather, were ignored in the past.

Because heaven knows, none of us from older generations ever did anything questionable while we were in college, or came up with ideas that older generations might mock, as we tried, in an atmosphere of rapidly evolving technology, culture, and scientific understanding, to navigate a complicated passage into adulthood.

Yes, Gina, There is a Bipolar Disorder: Tom Sullivan’s Pretend Apology

Posted on by
Reply

by JC Schildbach, LMHC

I have a hard time believing anybody really cares about anything Fox News Radio Host/Fox Business News Anchor Tom Sullivan said two weeks ago, or a week ago, or ten minutes ago. But, after a segment on his radio show, wherein Mr. Sullivan expressed his belief that Bipolar Disorder is a made up malady, Mr. Sullivan got a bit more attention than he maybe wanted.  And then he apologized.

I feel compelled to share Sullivan’s apology in all of it’s glory, because it is such a perfect example of a non-apology, the kind that one writes when one is drunk, and mad at the people to whom one is being made to apologize–the kind of apology that would properly elicit a playground response of “If you were really sorry, you wouldn’t have said it in the first place.”

You can hear the questionable five minute clip of Mr. Sullivan’s rant–mind you, on the web site for his own show–here: Bipolar “not a problem” and “not a disability” says Tom Sullivan.

To access his apology, you need only scroll down through the Facebook-linked comments on the same page.

Sullivan’s apology starts off thusly: “Gina, Thank you for your email.” From the get-go, it’s just plain weird. Sullivan is apologizing via Facebook to an (alleged) email that nobody can see. I’m not sure if Gina’s email is presented somewhere on Sullivan’s Facebook page, or elsewhere. I have the feeling he doesn’t want anybody to see the alleged email he is pretending to respond to, because Sullivan isn’t actually addressing any concerns that any real person has about what he said. He’s interested in presenting himself as the victim in the ruckus he started, as a means to reiterate some of the same obnoxious points he made in his original rant.

He continues: “May I tell you I have received a number of similar messages but usually laced with profanity. Your message stood out for the kindness of your words.” Oh, poor Mr. Sullivan, bombarded with bad language from nasty people. But, lo—here is one kind soul, just one person moved to express words of concern and seek clarification about just what happened in this horrible controversy that was visited upon the abused Mr. Sullivan.

“First,” Mr. Sullivan goes on (in sharp contrast to his original words for which he is now apologizing), “I need to tell you I do believe in bipolar disease.” I won’t hammer on Mr. Sullivan too much for not using the proper term “Bipolar Disorder” rather than “bipolar disease.” But I do have to question what he means when he says that he ‘believes in’ Bipolar Disorder. Bipolar Disorder isn’t some mythical creature like the Yeti or the Easter Bunny to entertain or scare people or to serve as a fun part of some childhood tradition. It’s not, as Mr. Sullivan says in his audio clip, some disease made up by pharmaceutical companies and the mental health industry for the purposes of financial gain. But, I suppose when you work for a network that promotes the idea that climate change is a hoax, and white privilege is mythical, your sense of reality can get knocked out of whack.

And speaking of having problems with reality, Sullivan then writes, “There is a two minute clip going around of my comments out of a two hour discussion. It is easy to take comments out of context.” Sullivan’s complaint of a two-minute, out-of-context clip is just a few scrolls down from a five minute clip, again, on the web site for his own show, in which he says he does not believe Bipolar Disorder is a real thing, but a ‘created’ illness.

He then repeats his newly-found belief system: “Of course I believe bipolar is real and is a mental illness that needs to be treated.” Well, of course, Tom! Why would anybody think you would have any other view–I mean, aside from the five-minute (not two-minute) clip where you repeatedly say that Bipolar Disorder didn’t even exist 25 years ago, and is completely made up?

Sullivan does a 180 and becomes a champion for those with mental illness--asks why people think he said things he plainly said.

Sullivan does a 180 and becomes a champion for those with mental illness–asks why people think he said things he plainly said.

Sullivan clarifies: “The program began with the subject being the huge increase in disability claims made to the Social Security Disability Fund which is going broke in 2016.” Never mind that what Sullivan means is that the Social Security Disability Fund could be insolvent as early as 2016 if changes aren’t made to the structure or funding of benefits—saying it is going broke in 2016 is much more alarmist and easier for his audience to understand, so that they can get angry like he wants them to.

Then, explaining (well, sort of) why he chose to target people with Bipolar Disorder, Sullivan writes, “The increase in claims is startling and the number one reason for the big increase in claims is mental illness and a subset (according the way Soc Security categorizes) of mood disorder.” Sullivan doesn’t bother to explain that what now comes under multiple categories of “Mental Disorders” used to be categorized as two separate categories: “Mental Retardation” and “Neuroses and Psychoses.” It wasn’t until 2010 that Social Security broke down those two categories any further, to include numerous items, including the “mood disorders” that so irk Sullivan.

Sullivan pouts, “All I was trying to do was to point out that out of that big increase I suspect there are people who are not sick but looking for a disability check.” Yes, “all” Mr. Sullivan was doing was accusing people on disability of trying to cheat the government. No big, deal. Everybody likes to take pot shots at people on disability, right? But Mr. Sullivan didn’t just voice his ‘suspicions.’ He outright said that Bipolar Disorder is “not a disability.” In other words, Mr. Sullivan said that anybody receiving disability payments due to a diagnosis of Bipolar Disorder is cheating the government. In fact, the title of the same page of Tom’s website where he posted his pretend apology is “Bipolar Woman Says She DESERVES Disability Benefits. Tom Tells Her She’s WRONG!”

The pout goes on: “My further point was by doing so, those people were hurting those who really are sick and need help, i.e. funding, treatments, etc.” In other words, people who get disability payments for mental illness are not really sick—people who can’t walk, or who have cancer are sick!! This is perhaps the best part of Sullivan’s whole apology—the part where he truly demonstrates that he’s learned nothing from the reaction he provoked with his ignorant comments by engaging in the exact type of behavior/speech/thinking that demonstrates classic stigmatization of people with mental health issues: the ‘you don’t really have an illness, you just feel bad’ way of thinking.

And then comes the righteous indignation of a true champion for those with mental illness: “I have for years advocated on my program for more funding and insurance coverage of mental illness. Too many have ignored it and as a result our jails are now the ‘mental institutions’ where the people get zero help.” First of all, if you have advocated so long for “more funding and insurance coverage of mental illness” but are now mad that there is more funding and insurance coverage of mental illness, what is it you really want? Where is this funding and insurance supposed to come from? What form is it supposed to take. Oh…I get it. You mean that when there have been mass shootings, you’ve complained that we do not need gun control, but we need more funding for mental illness. Got it. The jails…right. So, yeah, more mental health funding to stop people who might go on a shooting rampage—but anybody else can step off. Way to advocate, Tom.

Sullivan then writes, “I apologize to those who were hurt by the clip of my comments.” I think he might be apologizing to himself right here, as he seems to think he’s the victim in all of this, and the only one who was really hurt by the unfair “clip” of his comments—which he maintains is all out of context. It’s one of those classic ‘I’m sorry you got upset about what I did’ apologies. He doesn’t actually say he’s sorry for what he said—he says he’s sorry if you had a stupid reaction to it.

Mr. Sullivan then explains that he is just misunderstood: “I am a somewhat jaded person who thinks some people are gaming our system due to their greed.” Yes, plenty of people are out there pretending to have Bipolar Disorder because of their all-powerful greed–the kind of greed that drives them to want to live off of an $1100/month disability check. I can see how life as a corporate accountant and media figure has caused you to see the true evils in life and become hardened by them, Tom.

“But,” he goes on, returning to his sensitive side, “I also believe mental illness is a very serious problem that is ignored by too many.” Well, at least you aren’t ignoring it, Tom, like those “many” others.

Quick switch back to victim: “This episode shows how easy it is to distort a persons (sic) comments, especially when the subject is very important.” Wait, where’s the distortion, Tom? You do realize that there is a five-minute audio clip of you talking smack about people with Bipolar Disorder and mental health professionals, right on your web page, just slightly above your apology—don’t you?

Then, he brings the powerful close: “It will and has reinforced my commitment to making mental illness on a (sic) equal par with physical illnesses instead of the stigma it currently receives. Again, thank you for your email and your concern, Tom Sullivan.” Well, it’s a good thing Tom’s had his commitment reinforced, because in that five-minute clip there, it sounded a whole lot like he was super-supportive of stigmatizing people with mental illness—especially phony mental illnesses like Bipolar Disorder. And, really, could that sentence about stigma be any worse? It’s like somebody read over the rough draft and said—‘Not bad, just make sure you add in some bullshit about stigma and how mental illness is just as important as physical illness in there at the end,’ but Tom wasn’t quite sure how to properly use the word “stigma” in a sentence, and didn’t feel like taking the time to look it up.

In the end, Sullivan wants to be viewed as someone who is just the victim of vicious attacks, with his words taken out of context. Unfortunately, it’s hard to have much sympathy for someone claiming his words were taken out of context when, well, they weren’t, but also when he made no effort to provide any context for anything he said in the first place, such as by touching on the way Social Security disability operates, the different categories now used, and why those changes were made. The simplest explanation (although there are a wide range of factors) is that there has been an evolution in the way “disability” is viewed and understood—in terms of both physical and mental illnesses. And, in terms of Social Security disability, there have been changes in the ways statistics have been kept and various issues have been categorized.

To give some credit, there is support for Sullivan’s complaints that the number of disability claims for “mood disorders” is increasing substantially. However, that increase is not grossly out of proportion to the increase in overall numbers of disability cases, particularly when one considers that mood disorders such as Bipolar Disorder and various forms of Depressive Disorders are more widely understood today than they were 25 years ago (when Mr. Sullivan apparently thinks the mental health community, in cahoots with pharmaceutical companies, fabricated the idea of Bipolar Disorder as a way to make money).

So, as I said in an earlier piece about Sullivan’s original comments (which you can read here), we can either find legitimate ways to address issues like the funding of Social Security disability, and support those suffering from mental illness, or we can demonize them and…uh…let them…er…receive stigma like always. And now, at least we all know where Mr. Sullivan stands—right, Gina?

Box Office Schadenfreude? Nolte, ‘Selma’, and ‘American Sniper’

Posted on by
1

by JC Schildbach, LMHC

Full disclosure: I have not seen either ‘American Sniper’ or ‘Selma.’

An interesting item turned up in my news feed earlier in the week. And by “interesting” I mean “simplistic and misleading.” That item was John Nolte’s “Box Office: ‘American Sniper’ Breaks Records, ‘Selma’ in Death Spiral” on Bretibart.com. You can see the whole piece here: Nolte’s faulty stats prove America loves LBJ, hates Oprah

In the article, Nolte argues that Americans are refusing to see the movie ‘Selma’ because it “lies about race,” and the public is just plain tired of “race hoaxes.” In contrast, Nolte says that honest folk are rushing out to see ‘American Sniper’ because “God, family, and country are box office bonanzas.” God apparently makes a cameo in ‘American Sniper’ but refused a starring role in ‘Selma,’ after its makers reportedly told God that they absolutely refused to include anything about family and/or country in their movie.

Nolte’s earth-shattering evidence for ‘Selma’ being dishonest is that the film portrays President Lyndon Baines Johnson inaccurately. And, while I grant that, from my understanding of the film’s content as compared to actual history, Nolte has some support for this point, can anyone really imagine that historical inaccuracies are a major factor in the decisions of American movie-goers?

“Honey, I’d really like to go see ‘Selma’ this weekend.”

“Well, I’m all for going to see a movie, but I hear that ‘Selma’ isn’t historically accurate in its portrayal of LBJ.”

“Is that so?”

“Yes, it’s true, unfortunately.”

“Those bastards!! Why would they do such a thing?”

“I don’t know. I think maybe they just hate white people.”

“Well, then we should just go see ‘American Sniper’!”

“I think it’s our duty as good citizens.”

One might note the weirdness of a Breitbart adherent championing the cause of a president who, by today’s standards, could only be considered an ultra-liberal Democrat. It’s also rather odd that Nolte labels ‘Selma’ as a “race hoax” despite not contesting anything else about the content of the film or its portrayal of events beyond LBJ’s lack of support for the Civil Rights Movement.

This is not to say that I think we should just ignore historical inaccuracies in films, but rather, that people need to understand that “based on true events” means that there are going to be elements that are altered for dramatic effect. Certainly, having discussions about such issues is worthwhile, much like the discussions that have been raised in regard to the accuracy of the portrayal of the main character in ‘American Sniper,’ which Nolte says is about “warriors…properly honored and honestly portrayed.”

I can't stand this victim mentality. We're the real victims here.

I can’t stand this victim mentality. We’re the real victims here.

At any rate, Nolte gloats about how ‘Selma’ is tanking at the box office, compared to all other Oscar nominees for Best Picture that are still in theaters, and that ‘Selma’ is really getting trounced by ‘American Sniper.’

The problem is, that, aside from the resounding box office success of ‘American Sniper,’ none of what Nolte says is entirely true. Nolte has to cherry-pick box office statistics about fluctuations in ticket-sale-percentage to make his arguments appear true.  For instance, Nolte’s statistics about ‘Selma’ experiencing a downturn in sales/sales percentage is only true if you look at the ‘three day weekend’ (Friday, Saturday, and Sunday).

However, since Nolte claims that the Oprah Winfrey-produced movie about MLK allegedly tanked over “the Martin Luther King, Jr. 4-day weekend,” (Friday, Saturday, Sunday, and Monday) many of his claims become rather shaky, some outright false. That is, while it’s true that, following the Oscar-nomination announcements, many of the other Best Picture nominees enjoyed larger percentage increases in sales than ‘Selma,’ when the whole 4-day weekend is considered, ‘Selma’ actually increased it’s box office draw by 22% over the previous weekend, rather than experiencing a drop in sales, as Nolte contends, with over $5 million in business on MLK Day alone. So, it seems that plenty of people, although not record-box-office-numbers of people, did decide to celebrate MLK day by going to see ‘Selma.’

In further contrast to Nolte’s claim that ‘Selma’ is in a “death spiral,” ‘Selma’ was the fifth-highest grossing movie in the U.S. whether you look at the 3-day or the 4-day weekend. Currently, ‘The Grand Budapest Hotel’ and ‘The Imitation Game’ are the only films among the Best Picture contenders other than ‘American Sniper’ to have earned more total money than ‘Selma,’ with ‘Selma’ likely on the way to besting ‘The Imitation Game.’ But I guess actual earnings are not a metric that fits in with Nolte’s imposed reality.

And although Nolte crows that ‘American Sniper’ is now the top-grossing MLK Day weekend movie of all time, and highlights its box office dominance compared to last year’s MLK Day weekend top-grosser, ‘Ride Along’, Nolte doesn’t mention that the previous all-time earnings record-holder for the MLK Day weekend is ‘Paul Blart: Mall Cop’, a movie rife with historical inaccuracies.

I’ll leave it to you to ponder why, at the end of his historically/statistically semi-accurate movie-earnings rant, Nolte later tacked on a brief paragraph urging his readers to go watch the PBS Civil Rights Movement documentary ‘Eyes on the Prize’, or Spike Lee’s ‘Malcolm X’ or ‘Do the Right Thing’, just as I’ll leave it to you to contemplate the strangeness of a man gloating over a movie about a sniper earning more money than a movie about a black Civil Rights leader who was assassinated by a man using a scoped rifle.

Until next time, see whatever movies you want—and don’t be afraid to think critically about them, or to learn more about the events portrayed, or to question the accuracy of statements made by people who really should see a therapist about their anger toward Oprah.

Sylvia Frumkin’s Place

Posted on by
Reply

by JC Schildbach, LMHC

I’d venture a guess that many who enter the mental health field, as with any potentially dramatic profession all the way from police to executives, do so with visions informed by Hollywood. One of the main Hollywood portrayals of the mental health worker is is that of the therapist/psychiatrist as a well-compensated genius, ensconced in a plush office, treating the worried well or other “eccentric” or “neurotic” types, while constantly being admired by clients for one’s observational skill and ability to call forth ‘breakthrough’ moments. The other end of the spectrum is the heroic social worker who, through sheer tenacity, overcomes all the problems an impoverished neighborhood can throw at her, overcoming multi-generational patterns, and very recent traumas, to really, really make a difference in the lives of an entire community.

Many in the field are drawn to books by Yalom, or Rogers, or perhaps even some acolytes of Oprah, who tell us that just by listening and accepting our clients, or by throwing the right bit of tough-love advice a client’s way, true transformation will take place, and clients will make huge leaps forward, forever changing their lives for the better.

Susan Sheehan’s “Is There No Place on Earth for Me?” is perhaps the perfect antidote to the pie-in-the-sky visions of one’s brilliance and dedication making all the clinical difference in the world. It balances out the ideas about the wondrous gift of therapy with the reality of chronic and severe mental illness, and its resistance to ‘ah-ha moments’ and dramatic progress. It pushes past that “we don’t need no medications” mantra, which can, in fairness, apply to a lot of mental health issues.

“Is There No Place on Earth for Me?” was first published as a four part series in The New Yorker in 1981, then published as a book in 1982. For it, Sheehan won the Pulitzer Prize for General Non-Fiction in 1983. A new edition of the book was released roughly a year ago, including a new afterword by Sheehan. On reading about the re-issue in the online version of the New York Times in January of 2014, and having never read it before, I put it on my ‘to read’ list, and eventually checked out an old edition from the library.

Frumkin cover

The book, written from the perspective of a journalist, and not of a therapist trying to convince the readers of the efficacy of particular approaches to treatment, is involved in ways that few case studies can be. Sheehan spent over two years with Sylvia Frumkin (not her real name), a woman diagnosed with schizophrenia. Sheehan had a great deal of access not only to the information on Frumkin’s treatment and behavior during the period when Sheehan shadowed Frumkin, but also to family members and others, getting a great deal of background on Frumkin’s life prior to her diagnosis, and the progress and setbacks that took place before Sheehan had ever met her.

Having had numerous contacts with clients diagnosed with schizophrenia, or suffering from other forms of psychosis, most often from a distance, it took me a while to get through the book. That is, the kinds of delusions, rants, and flights from treatment that plague Frumkin and those trying to help her, and which Sheehan documents in detail, were familiar to me—of course, with Frumkin’s behaviors being particular to her own case. Still, it was like trying to read about many of the most frustrating aspects of work during one’s down time.

For the uninitiated, I imagine the book is much more compelling, rather than overly familiar, and thus, somewhat draining. In discussing “Is There No Place on Earth for Me?” with colleagues, I’ve most often likened it to Kafka’s “The Trial”—a book that is deliberately tedious in its depiction of a bureaucracy more intent on sustaining itself than serving any clear purpose—although, that comparison probably has much more to do with what I bring to the reading of Sheehan’s book than to what she has documented in such depth of detail. Also, I don’t think the mental health system—either now or at the time—is deliberately set up to be frustrating…it just frequently is, particularly for those most in need of help.

In addition to capturing the daily details of the behavior of a (this) client with schizophrenia, Sheehan also does a masterful job of explaining, simply and concisely, some fairly complicated legal, medical, and treatment-related concepts. For instance, Sheehan outlines the concept of “least restrictive” forms of treatment, both the bane and the beauty of our mental health system, which has been around since well before the current lack of options made it so completely mandatory.  In doing so, she answers that most familiar of questions about why we can’t “just lock up” people suffering from chronic forms of mental illness who can become rather taxing to a variety of public and private resources.

The most fascinating elements of Frumkin’s story to me, though, were the ‘side treatments’—pointless, and sometimes dangerous, programs that Sylvia was subjected to. Without going into a great deal of detail, the treatments ranged from moving in with a relative and his family who believed that all Frumkin needed was a good dose of Jesus and discipline to overcome her laziness and wicked ways, to a doctor who felt that manipulating the insulin levels of patients to extreme degrees could cure them of schizophrenia.

Ultimately, what works for Frumkin (or worked back around 1980) is what still works for clients today: a small number of medications that prove effective in treating schizophrenia, as well as (to greatly simplify things) a structured environment and supportive professionals. Unfortunately, said medications can lose their effectiveness over time, or the side effects can become increasingly detrimental to the clients. It is also quite common for clients to simply quit taking their medications, feeling them unnecessary or viewing them as the root cause of various forms of discomfort or other troubles in their lives. In addition, the structured environments can only be maintained for as long as clients are compliant with treatment, and as long as the treatment remains effective, and as long as funding and various programs allow. On top of that, anything from the restructuring of institutions, to changes in law and other policy, to the career changes of providers, to differences of opinion between providers and family members, can lead to new doctors and other providers making changes, sometimes rather arbitrarily, to a client’s medication regimen or support systems. In Frumkin’s case, alterations to her treatment and medications were made numerous times, in the most haphazard of fashions, often by doctors and other providers who seemed ignorant of her case history, or of how the medications work.

One might also note that this book was written back before the U.S., under President Ronald Reagan, decided that people with chronic mental illness enjoy the freedom that homelessness brings. So, Frumkin’s movements within the system are relatively easy in terms of her various forays into decompensation leading to fairly quick, and relatively long-term inpatient placements, with step-downs to semi-independent housing, and other supports that are much rarer today (and for most of the last three decades).

Ideally, Sheehan’s book would be taught in graduate schools, or maybe at earlier levels, by instructors who are familiar with the clinical aspects of schizophrenia; the current and historical treatments for it; and the current and historical state of affairs with regard to mental health facilities, available inpatient beds for clients with mental health issues, and legal and systemic complications to accessing those beds or other program options.

To be clear, it is necessary, as therapists, or in other capacities in the mental health field, to come equipped with a belief that we can make a difference. Without a bit of the dreamer in us, we would never head down this path to begin with.

But it is also necessary for providers at all levels to understand just what they are up against, particularly given that almost all providers in the mental health field will end up doing at least a round or two in the public mental health system–from practicums/internships to early jobs to entire careers–where the most challenging of clients often end up by default—frequently after being abandoned by families and other support systems, including insurance companies.

Frumkin’s family, as dysfunctional as they are, and as frequently detrimental to her treatment as they can be, at least hang in there to the extent that they can—which I imagine was at least somewhat less difficult when hospital beds and supported living options weren’t at such a premium as they are today. In the end, though, this isn’t a story of a family hanging together and triumphing over a terrible disease. It’s the story of a debilitating mental illness, and the toll it takes on the client, as well as those around her, and the wildly inconsistent efforts by a variety of people and systems to help her cope.

Welcome to Sylvia’s Place.

Honey Boo Boo Needs Some Real TLC, Not Abandonment

Posted on by
1

by JC Schildbach, LMHC, de-commissioned ASOTP

Not quite a month ago, The Learning Channel (TLC) announced plans to drop production of its ‘reality’ show, Here Comes Honey Boo Boo, as well as shelving an entire season that has been completed, but not aired. The reason? “Mama June” Shannon was photographed out and about with her former beau, convicted sex offender Mark McDaniel. Even worse, a few days after the original story broke, a photo surfaced showing June, Mark, and Alana “Honey Boo Boo” Thompson together.

McDaniel was convicted of “aggravated child molestation” for sexual contact with Anna Marie Cardwell, who is June’s daughter, and Alana’s half-sister. McDaniel served a ten-year sentence for the molestation, having been released from prison in March.

Now, I’m not a big fan of Here Comes Honey Boo Boo.   I’ve seen occasional clips on other shows, and watched most of one episode when I came across it while flipping channels. But in that episode, I saw that the family was accepting of Alana’s uncle, who is gay, without making a big deal about it. And, despite my unease at the general weirdness of the child pageant circuit, the family members seemed to enjoy each other’s company. And then the show concluded with Honey Boo Boo climbing up on a chair and sticking her butt in the air to fart loudly, which, strangely enough, served as the lead-in to a very somber, ‘feed the children’ infomercial.

At any rate, speaking of the weirdness of the child pageant circuit, having seen a few episodes of Toddlers in Tiaras, the TLC show that spawned Honey Boo Boo’s spinoff, I am disturbed by what can only be described as the sexualization of little girls on that show. The contestants are small children who are essentially treated identically to adult beauty pageant contestants—made to wear too much makeup, with piled-up hairdos, wearing a variety of—I guess you’d call them revealing, although that sounds weird when talking about children—dresses and bathing suits, while performing routines involving dance moves that I pray the girls don’t understand the origins/meaning of.

I’ve had offender clients specifically mention Toddlers in Tiaras as a kind of ‘gateway’ form of visual stimulation leading to seeking out even more exploitative material. And, while such ‘gateway’ comments are often spoken with the intent to limit the personal responsibility of those clients—the whole ‘society is sexualizing young girls, what am I to do?’ complaint—it is somewhat difficult to view the show without thinking, ‘Wow—pedophiles must really enjoy this.’

So, while I could start shaming Mama June for putting her daughter in the beauty pageant circuit, or for taking up with a man who molested one of her daughters; instead it seems a better course in all of this would be for TLC to invest some more effort and money in the show, and maybe take it in some completely different directions—maybe even directions that would involve some actual learning.

Broken portrait of an exploited family unit--Anna Marie, Mama June, Honey Boo Boo, and Mark McDaniel.

Broken portrait of an exploited family unit–Anna Marie, Mama June, Honey Boo Boo, and Mark McDaniel.

That is to say, it’s very odd to have a show built on the highjinks of a family that is portrayed as a bunch of unsophisticated rubes chasing a weird dream, and then to turn around and cancel the show when the matriarch of the family does something that shows she really doesn’t understand what’s at stake in a particular situation. According to Anna Marie’s own statements to the media, June minimized McDaniel’s behavior, telling Anna Marie that McDaniel wasn’t all that dangerous because Anna Marie was McDaniel’s only victim.

Such a statement is a big red flag that Mama June just might be buying a whole lot of lies from McDaniels—the kind of lies that offenders tell all too frequently. ‘It was just the one time;’ ‘I was drunk;’ ‘It was a mistake;’ ‘The victim did X first;’ ‘I paid the price/did my time;’ ‘I won’t ever do that again;’ etc, etc.

I don’t know what kind of treatment McDaniel may or may not have received in prison. But unless McDaniel has developed some understanding of his own behaviors, and unless Mama June has been educated on exactly what McDaniel did, how he did it, how he justified it to himself, what kinds of things Mama June needs to look out for in McDaniel’s behavior (preferably coming from McDaniel’s own confession); and unless she’s been given instruction in what McDaniel’s behavior means for the safety of her other children, and how to reduce risk (risk can never fully be eliminated), then it’s a little hypocritical of TLC executives to cut her off, claiming that it is in the best interest of the safety of the children involved.

And just for context, here’s the statement issued by the network at the time of the show’s cancellation: “TLC has cancelled the series HERE COMES HONEY BOO BOO and ended all activities around the series, effective immediately. Supporting the health and welfare of these remarkable children is our only priority. TLC is faithfully committed to the children’s ongoing comfort and well-being.”

Great, TLC, but where’s the support? I’ve seen many mothers of victims continue on in relationship with the men who molested those women’s children. And a supportive and appropriate relationship with an adult partner can actually reduce risk for re-offense. However, that risk isn’t (generally speaking) reduced when the offender is allowed back around likely victims, particularly without the partner being fully informed as to the nature of the offender’s behavior, and how to provide adequate support for the offender and for other family members. But maybe TLC executives are just looking at this as another example of the stereotypes they’re comfortable promoting–of poor, Southern folk accepting child molestation as a routine part of life.

It is potentially extremely damaging for victims of molestation, like Anna Marie, to see their mothers return to relationship with the offender, or to, in any way, be given the impression that they are being treated as secondary to the perpetrator of sexual violence. It definitely sends some disturbing messages about who is being given priority, and where the concern of the mother lies. It is possible to mitigate that damage, but only with some very involved, professionally-guided therapy.

I don’t want to over-simplify things here, but a major reason for women to continue on in relationship with offenders is economic. I don’t have any idea if McDaniel has any real way of providing for June’s family, but since TLC just cut off the family’s current main source of income, they are increasing Mama June’s likely reliance on someone who can provide support—and at a time when the person June is in relationship with is an offender who is very much putting Honey Boo Boo—that “remarkable child”—at risk.

So, again, why not take the show in a new direction? A learning direction? I don’t mean to advocate for making an offender a reality TV star, but TLC could at least build in scenes to Honey Boo Boo’s show, or maybe a spinoff, that follow McDaniel through treatment, and through all of the difficulties he now faces as a convicted offender trying to rebuild a life outside of prison, in conjunction with Mama June’s exposure to McDaniel’s treatment process.  The audience could see scenes of June attending sessions with McDaniel—scenes of McDaniel explaining his ‘offense cycle’ to June, of McDaniel explaining his actual offense to June, of June going through a chaperone class where she learns just what limits need to be placed on McDaniel and his contact with June’s children.

And what about making sure Anna Marie’s okay? How about, instead of channeling any income to McDaniel, any money involved in a standard TLC reality-star fee, over and above the cost of his evaluation and treatment—funded by TLC—goes to Anna Marie to make sure she can get some ongoing treatment herself?  Perhaps let Anna Marie gain some economic benefit from the exploitation she’s already suffered? She’s had various media outlets contacting her to ask how she feels about the man who molested her being released from prison. How about making sure Anna Marie’s not being re-traumatized by all of this? After all, how many victims of molestation really want the molestation being made public, and then want to have to address it, with complete strangers, for the purposes of having it blasted out all over the airwaves and the Internet?

Of course, TLC doesn’t have to do anything in this case. Perhaps TLC executives were grateful that a scandal of this sort came around when Here Comes Honey Boo Boo was pulling ratings of less than half of its peak performance, just so they had a good excuse to cut their losses. Then again, TLC could really do some good in this case. TLC could truly support the “health and welfare” of their child stars. TLC could really help advance public discourse on offenders, offender treatment, and victim advocacy.

Or TLC could just leave Mama June, Honey Boo Boo, and the rest of the clan dangling—dangling over a cliff where falling means families torn apart and potential acts of child sexual abuse—and move on to whatever other ‘reality’ show goofballs America wants to laugh at, until ‘reality’ creeps in and undoes them as well—leaving TLC to cut its losses, abandon its ‘stars,’ and run.

 

Dropping Keys, Dropping Letters

Posted on by
Reply

by Jonathan C. Schildbach, LMHC, waning ASOTP, reforming soul-eater

An eighth-season episode of The X-Files was built around a “soul-eater”—a person who could draw the disease out from others into his own body, eventually vomiting it out. The concept of the soul eater is based in various forms of folklore involving a range of ideas about curses and cures, and the ability of some to take away those things that most harm or most sustain a person. Unfortunately for this particular soul eater, the demands of those who knew of his powers began to overwhelm his ability to process and expel the disease. He existed in a perpetual state of deformity and misery.

I like the soul eater as a metaphor for the work done by many people in “the healing professions.” In this field, many of us work at building a skill set that allows us to help extract the mental and spiritual toxins in others. Ideally, those receiving help will find a way to vomit out the toxins themselves. Yet, such toxins are in no short supply, and many who are most in need of help thrive on a constant diet of disease coupled with a willingness to let others take on the burdens of that disease. It becomes far too easy for helpers to end up like the suffocating soul eater, awash in the illness of others.

In the professional parlance, we call all that business of being overwhelmed by the problems of others “secondary trauma.” There’s a tendency to assume that, as trained professionals, we are able to recognize and address our own forms of distress. But, like many people in positions of suffering, particularly those who are considered high-functioning, it is entirely too easy to soldier on without addressing our own needs. We know how to address all this, and yet we often don’t, or we often address it in an unhealthy fashion, assuming it will pass in time. We take on more than we can handle, and think nothing of it. Whatever doesn’t kill me makes me more convinced I’m strong enough to take it.

Hey--eat any good diseases lately?

Hey–eat any good diseases lately?  The X-Files’ soul eater.

I bring this all up by way of saying that I’m in the midst of a career shift—not out of the helping professions, but into some different channels in the same field.

In particular, last night I dropped off the keys to the office where I’ve been serving as an ASOTP for the last year-and-a-half, at least temporarily distancing myself from a particular portion of the field that I have been involved with for over seven-and-a-half years—the treatment of sex offenders.

The change was forced by way of making a shift in my full-time employment in crisis services. As I write this, I am deliberately allowing myself only some small bit of awareness of the insanity of my professional life over the past several years. Yes, I have been working full time in crisis services, while also working anywhere from zero to ten hours per week with sex offenders. Such arrangements are not unusual in the helping professions—where we are pushed to learn our craft in rigorous, unpaid positions, while also attending school and working a paid job just to stay afloat. The habits of overextension established while in graduate school can extend out into professional life, and feel totally normal, even as we are pushed toward deformity and misery.

Currently in a break from a years-long pattern of toxic soul-eating, and ready engagement with secondary trauma, I realize I’ve become numb to plenty of very bizarre things. Running plethysmography assessments, I can sit through audio scenarios of sexually violent behaviors, paying them as little attention as if they were overplayed Top 40 hits from yesteryear piped over a grocery store or dentist office sound system. I’ve become entirely too comfortable asking people about their masturbation habits, and pressing them when I think they’re lying (only in the course of assessments, of course—well, mostly). Fortunately, I haven’t become so numb that I’ve lost all awareness of the twists and turns of my mind, although I frequently find myself stumbling in otherwise polite conversations when frighteningly dark and vulgar jokes spring to mind—an entirely appropriate coping mechanism in certain circumstances and with particular people—but definitely nothing you want to spring on friends of friends who don’t even have the most limited of contexts for understanding where such thoughts could come from.

And all of that was on top of 40-plus hours per week of run-of-the-mill crisis intervention, suicide prevention, utilization management…

So, if I want to mix in some metaphors, I can say I’m now a ronin—a samurai without a master—an ASOTP without a CSOTP—which, really just makes me a guy with an expensive piece of paper that says I’m an ASOTP until next September, but which conveys no real ability to treat any offenders unless and until I take on another master/CSOTP. Weighing the massive number of hours I still have to accrue across assessment, face-to-face treatment, and supervision, in order to get the full credential myself, I think this may be it for my involvement in offender-land.

I’ve dropped off the keys; and, with no further action, the letters, too, will drop—as will the level of…expulsion required of me on a regular basis. Sure, I’ll still do what I can to draw out various forms of mental/spiritual disease when that is required of m—but hopefully now in more manageable, fun-sized portions.

 

 

Why John Grisham Wasn’t All Wrong about His Child-Porn-Viewing Friend

Posted on by
1

by J.C. Schildbach, LMHC, ASOTP

Way back in mid-October, an eon ago in Internet time, an article and partial interview was published in The Telegraph, wherein John Grisham decried the unfair treatment an old law school buddy of his had received at the hands of the overzealous legal system. After all, Grisham argued, his friend had only looked at some child porn that was really just technically child porn, because it involved 16-year-olds who looked 30, or some such rot.

You can read that piece here: Grisham on What Makes a Real Pedophile

Jessica Goldstein put together a piece for Think Progress that explains a whole lot about what was wrong with what John Grisham said, from the perspective of why maybe, just maybe, seeking out pictures of 16-year-old girls, even if they look mature, might be problematic. It is available here: Goldstein Explains Why Grisham’s Friend Shouldn’t View Child Porn

I would add to Goldstein’s piece that, developmentally speaking, if you think 16-year-olds are capable of making rational decisions about being ‘porn stars’ then, well, you’re wrong. Look into brain development, and when people actually become capable of making decisions about the long-term consequences of their current behaviors. Add to that the problem that sixteen-year-olds, legally speaking, can’t enter into ANY contracts (even if they can legally consent to sex) and, well, it’s pretty cut and dry that 16-year-olds (and minors of all ages) in pornography are just plain being exploited, as well as frequently being abused, drugged, threatened, or otherwise coerced.

In the time since the publication of the original piece, Grisham’s friend has come out to say that his treatment in the legal system was not unfair, that he deserved what he got, and that he should have never done the things he did. It also came out that, unlike what Grisham said, his friend did not just accidentally look at some 16-year-olds who looked like adults, but that he was actively participating in the exchange of child pornography, including files involving children as young as 12 (who presumably did not look like they were 30).

Much has been made about why Grisham would have given such a distorted view of what happened with his friend. My guess is that he didn’t know exactly what happened, and that he was going off of an explanation his friend had probably given several times to family and friends when his legal troubles started. That explanation probably went very much like Grisham explained it: ‘I was drunk. I was unhappy. I clicked on a link that I didn’t realize was child pornography.’

Not surprisingly, when friends and family of an offender first hear of allegations of any kind of sexual misconduct, particularly when it falls into the realm of sexual misconduct involving children, whether that is “hands-on” contact or viewing child pornography, the default position is to not want to believe it. Likewise, the default position for the person engaging in the offending behavior is to not want to admit to it.

When offenders are “found out,” there are several stages that they often go through on the way to actually being able to own up to their actions. Very roughly speaking, those usually look like: 1) Nothing happened; 2) Something happened but it’s not nearly as bad as they say it is; 3) It was an accident/the victim did x first; 4) Something happened that is worse than I originally said, but really not as bad as they are saying; 5) Really, I have a pretty extensive history of this kind of behavior.

The offender, and those closest to the offender, simply do not want to believe that what happened actually happened, and often cling to that as long as possible, and often to the detriment of the victims of sexual abuse.

Grisham's factual failure may have led to a bit of a headache for him

Grisham’s factual failure may have led to a bit of a headache for him

So, I’ve highlighted a few of the things that Grisham said that were clearly wrong and stupid when it comes to offenders. So, what did he get right?

Grisham’s words were rather careless. Citing old white guys in prison as a big problem is not really the best way to go about making a case. Old white guys in prison is about as big a problem as young white guys not being able to get into college because of Affirmative Action. In other words, relative to other systemic problems, it’s nothing.

But something that is pretty limited is the threat that old guys (regardless of ethnicity) represent to the community at large. In the case of old guys looking at child porn, the threat can be further reduced by eliminating their Internet access and by eliminating any contact they are allowed with children.

But how do such limitations get put in place or enforced? In several states there are “sentencing alternatives” for sex offenders (and for people who have committed various other types of violations), particularly those who are not considered “violent offenders.” And, I realize the language is odd, but “violent offenders” are those kinds of offenders who, say, go after kids they don’t know or engage in physical violence beyond just the sexual acts they inflict on their victims, as opposed to “grooming” children that they are in regular contact with. Groomers, or non-violent offenders, tend to work slowly and patiently to get what they want from their victims. Violent offenders smash and grab and are a small minority of overall offenders.

At any rate, from what has come out, Grisham’s friend had no hands-on victims. And really, what’s the bigger punishment? Putting him in prison for three or more years, and then letting him out, all done, all paid for; or putting him in jail for less than a year, and then putting him out to go about rebuilding his shattered life, while under strict supervision and treatment guidelines?   Once on the outs, he has to get a job (probably not a high-paying attorney job as I’m guessing that door has probably closed), pay for whatever housing is available to him—which will likely be severely limited, be under the supervision of a Community Corrections Officer (CCO), and have to go to/pay for outpatient sex offender treatment for the next several years, potentially for the rest of his life.

At any rate, the sentencing alternatives cost taxpayers a lot less money, are just as effective from a treatment perspective. And, for the vindictive among you, such sentencing alternatives are plenty demeaning—loss of status and being under a harsh set of rules, with the threat of being bounced back to prison for violating those rules, is not something anybody wants to live with. And for those offenders who manage to maintain any kind of support network, or rebuild a new one, they get to go through the rather unpleasant process of explaining their offenses again and again, just so that they can build a group of chaperones, or at least informed contacts.

So, in a way, Grisham was right that people like his friend don’t need to be clogging up the prison system, just like Grisham is right that non-violent drug offenders don’t need to be clogging up the prison system. Sure, there need to be consequences, but there are more and less effective consequences, and more and less expensive consequences, both to offenders and to the public at large.

But since laws are generally written by politicians, and not for the purpose of doing what is most effective, but for doing what is most politically expedient/most popular, things like sentencing alternatives are created and used less and less frequently. No matter how much sense such policies make, or how cost-effective they are, lawmakers don’t want to be labeled as the ones who let sex offenders, even offenders with no hands-on victims, even offenders who are made to pay severe penalties other than prison time, out into the community.

But such short-sightedness means that more offenders actually get out of prison somewhere down the road, and with little or no supervision, and no organized checks on their behavior.  Grisham is right that there are better places for his friend to be, even if he was completely wrong about what his friend did, and what it meant.

 

 

 

 

 

 

 

The Stigma of Mental Illness and the Noble Savage Myth

Posted on by
Reply

Okay, I’m kind of cheating here.  I haven’t posted anything for a while, so I’m popping this up.

This is an article I worked on with Dr. Jeffrey Guterman, based in part on a post I did for this blog (which was a great deal snarkier, and which I will re-post at a later date).

Enjoy… The Stigma of Mental Illness and the Noble Savage Myth

noble savage photo