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Monday, June 27, 2011

Bully

Like most of you, I was a quiet little kid. (I know, I know, hard to believe!) Not much good at sports, middle of the class academically, shy around the opposite sex. Not until high school was I able to assert myself, gradually gradually ever so gradually.
Which meant that I was the natural prey for the school bullies.
No, I didn't suffer some of the physical humiliations that many do, but I still had to deal with the name-calling, the insults, the hostility, the exclusion from the In Crowd. And actually such things had more effect than any threats to my physical well-being.
It is only with age and maturity (ahem!) that I have come to have empathy for those bullies. I know now that many of them had their own insecurities, their own need to control another to make up for their own problems. I even (gag, choke, gasp!) forgive them. What's more, I forgive those adults, teachers and others, who stood by and did nothing as this bullying went on.
 But nowadays, bully-prevention is a big deal. Possibly because of all those young nerds like me who were bullied, now grown and parents or grandparents ourselves, there is more sensitivity to the problem, and more programs to deal with it. The very potential for violence has, at one and the same time, been identified and addressed, as well as escalated (can you say Columbine?)
Of course, there is another whole realm for bullying: on-line. With the confidentiality of the internet, a person can cyber-bully, cyber-stalk another person with little likelihood of restriction or retaliation.
The question, even in the face of such changes, remains the same: what should be done? It is easy to suggest that the delete button is a good choice in these circumstances. The real issue, however, lies not in the bully, who may be hard to get to, but in the person being bullied. What resources does such a person have? Friends who can reassure that the calumny is false or at least not valid. In a pinch, legal measures. But beyond such external measures, there is a need to claim our inner worth.
Nobody can make you feel bad about yourself without your cooperation. It is that inner doubt that the bully counts on. Bullies are (as I suggested above) not very secure people; that's why they over- compensate in trying to make others feel bad. They seem to know instinctively who they can dominate or intimidate. Or maybe they do it with everyone, and they find their victims in the ones who don't reject their games.
This does not mean that the victims are to blame for what happens. It does mean that they are responsible for what they do next.

Monday, June 20, 2011

Family Rules

Every family has its own (usually unspoken) rules and expectations: Everyone gets up more or less at the same time, goes off to whatever activity (job, school, housework) they have taken on, and even if few families gather around a dinner table, bedtimes is usually the same. (What?! You mean your family didn't? I'm shocked, shocked!) We could spend much time compiling all the things that members of your family were expected to do. But I could guess with some certainty that members of any dysfunctional family had very similar rules, even though no one ever put them into words:
(1) Don't think
(2) Don't talk
(3) Don't feel.
Let me explain.
(1) Don't think.
Because, if you took a moment to think about your situation, you'd quickly realize that most of the time, things didn't make sense. In fact, things were pretty chaotic. What's more, everyone was expected to ignore that dead elephant in the middle of the living room. Whatever thinking took place went to coming up with rational-sounding explanations for what no one wanted to accept had happened (that's why they're called rationalizations.)
And if someone did dare to ask a question regarding this craziness, they were reprimanded or even punished. They were stigmatized as crazy themselves, or as troublemakers, or as cry-babies (mad, bad or sad in other words.) They may have even been told they should just keep quiet. Which brings us to the next Rule of Dysfunctional Families:
(2) Don't talk
In a society that idealizes personal privacy, it does not seem bad to have a family rule about keeping family affairs private. But we are going farther than that. Too often when someone is being abused by another family member, or someone in the family needs medical or psychological or legal help, the word goes forth: don't tell anyone!
So if a child has been abused, that child might grow to adulthood before daring to say anything about what happened. If a teacher asks about suspicious bruises, the child is quick to come up with any excuses possible ("I fell off my bike.") If police show up to investigate a spouse beating, too often the person who leaps first to the defense of the abuser is... right!
Sometimes this is because the abuser has told the victim, "Don't you tell anyone!" Sometimes it is because the others in the family were so flagrant in their disbelief that the victim gives up in futility. Sometimes, alas, the child is so young that the memory is too vague, or speaking for oneself is a moot point. The victim simply consigns herself to feeling emotionally numb in an important part of life. Which brings us to the next Rule of Dysfunctional Families:
(3) Don't feel
When the first feeling one can identify is painful, all feelings get shut down. Sure, we learn to act out certain feelings (anger especially), but letting ourselves feel vulnerable and caring is out of the question! So we develop a lack of trust toward others; our relationship are shallow, exploitative or explosive.
When the first people we should care about prove unreliable, untrustworthy or even uncaring, we learn not to put ourselves in that sort of position again. Or, conversely, we jump into relationship after relationship with anyone who makes a pretense of caring; when you don't know the Real Thing, your natural need for love grabs onto any facsimile.
Of course, showing feelings happens anyway. We cannot help it. But since we have accumulated a backlog of expressed feelings, they all tend to come tumbling out in a confusing and frightening way. That why it helps to have a professional (ahem!) at hand to provide a safe environment.

Monday, June 13, 2011

Reverse Robin Hood

This is by request. The person who asked me to talk about this was somewhat distraught; she was convinced that disaster was imminent. Understandably so, as she depends on certain federal and state programs for her health and well-being.
The current political situation regarding Medicare and Medicaid is hard to understand. It is being made more abstruse because of a whole group who seem to working from a position that has more to do with pandering to their political base, a place where theory and emotion play as much a part as the practical and reasonable. They have accepted a particular set of ideals (if that is quite the right word for such a collection of negatives) that they cannot compromise. and any other set of standards is seen as not merely wrong, but repugnant and even evil.
On the one hand, one can only applaud such a commitment to one's beliefs. Too often, our world has only grasped for what worked, settling for the the feasible more than the acceptable. If it made money, if it kept the crowds quiet, if it appealed to the people in power, that would be the status quo. But this group has a mirror-image approach. By this way of looking at things, the poor, the needy, the elderly and disabled, were not only not worthy of help, but a drag on the relentless progress of the younger generation. Scrooge-like, they dismissed such people with the wish that they should simply leave them alone so they might move forward, might focus on that bottom line. Even more, they would take what few resources the lower classes might have and give them to those they saw as deserving: the upper income population who might fritter away the meager resources of the needy in whatever brief time.
They have their alternatives to Medicare and Medicaid, albeit quite shallow and facile. One can applaud the implied concept of giving more responsibility for medical expenses to those receiving that care. The trouble lies in two areas: First, the people receiving the help have little experience dealing with the complications of medical finance, nor would they have any back-up to compensate for expenses not otherwise covered.  Second, the medical professionals already have a history (in some small instances) of fraud and/or incompetence. Take away the (sometimes onerous) oversight of federal/state officials, and what is to check  the clinicians who might realize how little they are getting out of this already, and now would look for any way in which services could be trimmed and charges increased?
This does not address the very real concerns of those who fear losing the help they receive now, however sparse the number of doctors, however questionable the quality of the care. When someone fears losing everything, it does not comfort to be told, well, not quite everything! But the debate has become black-and-white. This is not a discussion of how Medicaid and Medicare might be improved, but of how it might be eliminated altogether and some doppelganger put in its place.

Monday, June 6, 2011

Quick and Easy

Someone once concluded a lengthy epistle, "Sorry for the long letter, but I didn't have time to write a short one."
Which makes one wonder at the amount of thought and effort being put into the various shorter forms of communication so predominant today (texting, twittering, posting et al).
We live in a society whose two greatest virtues are speed and convenience. We want what we want, and we want it now. Even more, we want it with minimum effort or difficulty on our part. Someone recently suggested that the remote was central to our world, and people would rise up in fury if it were taken away. As a symbol, there is little better. I measure out my days in coffee spoons, and an indication of my great maturity is that I can remember when one had to get up, go to the television set, and change the channels by hand! But today we are so accustomed to double-clicking the mouse and getting what we seek almost instantaneously. We communicate (in the form of our choice) by e-mail not letter. We cook our meals by microwave. We travel by car or plane quickly, and require entertainment whilst we travel to distract us from how long it takes. We don't even need to go anywhere to shop: We order on line and then wait impatiently for the snailmail to deliver our order.
So it should be no surprise that people seeking counseling expect the same quick service. True, much of it comes from the medical model where the right pill or the right treatment is all that is necessary. Most insurance companies won't pay for more anyway. And there are many forms of psychotherapy that cater to exactly this expectation. The concept that people might need more care and consideration does not enter into this equation.
Okay, so we may be past the era when people would spend days and days and days in therapy. But we are not past the reality that most of us might take a long time to change, anyway. No, sir, that includes even those who improve their lives by sheer denial. And yes, madam, that includes those who make minor cosmetic changes and assume that all can be solved by rearranging the deck furniture on the Titanic.
We aren't talking here about those who "recover" by a flight to health, a sudden panicky determination that everything is all right after all. Nor are we talking about those who face obstacles not of their own making (family, job, legal problems).
So when someone who has been previously cooperative and even has been making great strides precipitously terminates or simply begins missing appointments, we have gotten beyond the earlier, easier stages of therapy and hit the area which will not be comfortable and will seem very slow, well-nigh endless. But this is where the real work lies. And it is hard work. But it is the only form of therapy which makes the changes necessary.