Showing posts with label Stories. Show all posts
Showing posts with label Stories. Show all posts

Sunday, February 2, 2014

George and Martha: Reflections on my Mother's Storytelling

Martha loved to look into the mirror
Today the blogger and extraordinarly talented therapist Martha Crawford wrote about the perils and gifts of mirrors. You should spend some time reading and sitting with her writing. Each post slowly reveals itself to you over time and becomes a little jewel of thought.

When I was young, my mother would endlessly read (complete with theatrical voices) to satisfy my voracious appetite for stories. It's hard to tell who had more fun.

Among my favorites were James Marshall's books about George and Martha, two hippopotami with a complicated relationship. Each story came complete with a lesson of how to deal with the vicissitudes of friendships. Hippopotami, you see, often come into conflict when they don't meet each others needs or have trouble seeing the same situation eye-to-eye.

In one particular story, The Mirror, Martha was shown to be a hippo who was entranced with her own image in her mirror. In fact, she would wake up in the middle of the night and gaze at her beautiful reflection. She'd giggle about how fun it was to see and appreciate herself.

I can totally understand why Martha liked looking at her reflection. Look at that soft gray skin, those pearly white button teeth, and how that tasteful matching bow and tulip brings out the shape of her nostrils. She's down right adorable. Why shouldn't she appreciate her own reflection?

Perhaps Martha was having a vanity crisis and needed a little extra validation? I'm not sure. If she was my friend I would have been sure to tell her how much I appreciated her.

Anyway, George got a little annoyed with all this mirror gazing (perhaps he wanted to be seen too, we'll never know as that action took place off the page). He devised himself a clever little plan to teach Martha a lesson.

George snuck into Martha's room during a rare moment she wasn't gazing at herself and tapped a grotesque picture over her mirror. Martha gasped when she saw the reflection.


How could Martha not have been horrified at such an image? She cried out over her grotesque image wanting to know what has happened to her. George, being the rascal that he was, said this is what happens to us when we spend too much time looking at our reflection in the mirror. Having learned her lesson, Martha made the vow never to look at herself in the mirror again.

As an adult I've learned that mirrors are much more complicated technology. Sometimes I look into them and see imperfections, other times I see distortions, and still other times I see a self-aggrandized view of my own handsome good looks.

Crawford writes in her blog that "the first literal and metaphorical mirror we encounter is the gleam in the mother's eye." My mother likes to tell the story that when I was young I was always sit backward in my stroller to look at her. I couldn't begin to imagine what my experience was. Perhaps I saw her, or found comfort in seeing a familiar and reassuring face, or maybe it was that I saw myself reflected back and was comforted by my own image?

I suspect Martha the hippopotamus was lost in her own funhouse mirror of reflections. I'd like to think that through George's practical joke, Martha was able to shake herself loose from those distortions and help her see something more important: how she could see herself through her impact on those around her.

Mirrors aren't so bad. It's just they are complicated and we are never really sure what is looking back at us. The mirror is a great place to start looking if you are looking for change.




Saturday, December 21, 2013

Dear Young Therapist: Consider Your De Rigueur Requirements | The Post-Doctoral Tie Incident

image credit: Nicholas Ruiz. Bow Tie #10. Assembled November 2011.
 Acetaminophen pills, multiple adhesives, plastic knife. Forest Hills, Queens, New York.
The man interviewing me for a postdoctoral fellowship unwrapped the aluminum foil encasing his dry turkey sandwich and proceeded to stuff it into his mouth.
"Do you mind if I eat? Not that you really have a choice. I'm doing the interview and have the power in this situation."
He continued to masticate and fill his office up with the seasonally incongruent smell of Thanksgiving. This was going to be a fun filled interview.

"I'd like to ask you why you aren't wearing a tie today for your interview. Before you answer, I want you to know that as a psychologist I think everything has a meaning. I hope you have thought about the meaning of why you didn't wear a tie. If you haven't, then you aren't what we are looking for in a post-doctoral fellow. We'll end the interview here and I'll wish you good day."

I had a variety of inside-thoughts that I considered sharing. They included:

  • Asshole. 
  • Drop dead. 
  • Who the hell do you think you are? I just had fucking brain surgery, a post-operative infection, and joint damage from an adverse reaction to the antibiotics that treated my infection. 
  • Your turkey sandwich is making me want to throw up. 
  • I'm scared because I can't find a job. 
  • Do you know who the fuck I am? 
  • Am I going to fail as a psychologist?

I took a middle course and smiled politely. I noticed the air flowing in and out of my nose. I watched as my agitated thoughts floated like clouds in the wind from the center of my awareness, to the edges of my mind, and then off into places where I can no longer notice them.

Sunday, October 7, 2012

The Opal: Alpina

From Shorpy
Yesterday I read a blurb about annual festivals at the Utica Asylum in Janet Miron's book Prisons, Asylums, and the Public: Institutional Visiting in the Nineteenth Century. I wanted to learn a little bit more about those festivals. That's how I found this image which dates from the 1890s. From there, one click followed another and before I knew it I had entered into the Google rabbit hole. I came back up with The Opal. 

The Opal was published in the 1850s by the New York Lunatic Asylum in Utica. Only two of the ten volumes appear to be available online. The others are locked up in various libraries. I've unleashed my irreverent librarian network to see if I might acquire access to these other volumes. 

Benjamin Reiss writes that the patients at the asylum were given "unusual, but not unprecedented, platform to address the public. The Opal, the patients’ literary journal, grew out of a school for patients run by the doctors; its first issue in 1850 was pen-printed and distributed only within the asylum. The next issues were sold at an asylum fair, and by 1851, the journal was published on the asylum’s printing press" 

The journal, of course, doesn't present a complete view of patient life at the asylum. Reiss points out that the journal "was an outlet only for those patients whose voices were deemed appropriate; even then, those voices only partially captured the experiences and thoughts of the authors, who always had to self-censor in order to find their way into print."

So let's take a peek inside volume II of The Opal. First published in 1852, my digitized copy is 382 pages and comprises of twelve monthly installments. The periodical, as described on the opening page to the right, is "Devoted to Usefulness" and "Edited By The Patients." 

I wonder what use the volume has 160 years later? I'm more than a little excited to read through the text and see who reaches out from the past and tells us something interesting about ourselves today.

As I read along I'm going to track themes that I'm thinking about. They'll appear in my commentary in bold. See a theme that I miss or think I've got something wrong? Leave a comment--this might turn into something larger than an occasional blog post. Your help is appreciated.

First up is Alpina: A Tale of Switzerland. Our anonymous author writes seven pages of prose that takes us on a journey from her home in Switzerland, to her passage to America by sea, to her eventual marriage and settlement in Indiana. 

I've selected a few passages that stand out to me. 
"Alpina herself entered her Father's and Mother's apartment, with a fresh unction on her soul, and kneeling at the bed-side of her inebriated parent, poured fourth in convulsive sobs, half stifled ejaculations, for his restoration to reason and duty." 
The facts of the author of Alpina are undoubtedly lost to history. We'll assume the author wrote some sort of fiction that was inspired by lived experience. There are two things that stand out to me in this particular passage: (1) the author makes mention of childhood complications that have an effect on later life development and (2) the theme of restoration to a state of sanity (described as reason and duty).
"Refinement of manners is always agreeable, and this young and only daughter was the idol of a fond parent. She never told her grief for his debasement, but let concealment, like a worm in the bad, feed on her damask cheek  and unlike the custom of the world, she never intimated that her Father was an inebriate, or told him how wretched he was."
Our author again speaks to childhood complications and adds a new dimension to their experience: silence. I wonder why the author decided, unlike the custom of the world, to keep silent about the alcoholism and wretchedness of Alpina's father.
"Educated as she was to prefer others, to bring herself to the wishes of others, and to seek their best good and usefulness, she lent her ear to sorrow in its every form, and gave her heart to sympathies, and her actions to engagements that tend to woo. No reproof, nor innuendoes, let a suspicion in those whom she sought to ameliorate, but with every look of love, and every smile of sweetness  and each embrace she gave her parent it seemed as if an angel girded him around--and her kisses and tears (a lady's most powerful battery,) divested him of that rudeness he had acquired by associations with the reckless and the unprincipled."
Here our author gives some suggestions on their views of the roles of women. That role was one of limited power. Alpinia appears to have few tools of agency at her disposal: tears and kisses.
Alpina's father emigrated to the United States first and settled on a homestead in Indiana  "So soon as possible after he had made his home in order, he sent to the Counsel at Basle to convey with all despatch (sic) his wife and daughter to his adopted country.... Being the worst sailors in the world, they suffered very much from the illness generally attendant to ship board novices. Alpina and the little children recovered from their serious illness, but the mother sickened and died. Here was the outbreaking of Alpina's mental aberrations, for her gentle spirit could not broke so many sorrows, and she bent and snapped--a tender plant,--which the winds and storms had visited too roughly. As Alpina gazed at the form of her lifeless Mother, she was mute, her grief was too deep, she could not realize her loss. So powerful was her attachment, that all she heard or saw was only a part of the loved object that was motionless in death."
Themes here of grief and etiology of mental illness. The author also hints that emotions (grief, in this passage) can cause a loss of agency.
"Painful indeed it was, to see her approach the dear one in her grave dress  and that grave to be the bottomless Sea. But she did come up to the last kiss, embrace and farewell--and old salt, all bathed in tears, caught her up in his arms, and let her kiss the clay-cold lips of her Mother. Poor Alphina!--Poor Alpina! She was dumb with emotion, and loneliness -and felt the luxury of grief oozing out of her living soul--awhile after the sad ceremonials."
Here our author touches on themes about emotions (grief) and death.
"On arriving at their destined port, Alpina was placed in one of those blessings to mankind, named Asylums, where under the care of its Physician, she became soothed and restored."
Here we have our first mention of an asylum. The author suggests that an asylum is a place for caring for ones emotions (soothing) as well as restoration. I wonder if our author really found restoration at the asylum? Perhaps so, or, perhaps the author was trying to curry favor with a physician and was saying what needed to be said to be released.
"Would that all were as grateful as Alpina Swartz, for that restoration to health, induced by the skill, science and humanity of an Asylum, and as she glided over the splendid "high ways and by ways," to her new home in the far west, her countenance, manner and intelligence bespoke an interest in her behalf that words could not express."
Now the author here had not yet been released from the asylum. This passage perhaps represents a hope for the future--being released from the asylum, traveling far away, and being reunited with their family. Note here the reference to agency--here described as a self-interest.
"The hour of grief is the hour for love, and Alpina was deeply sympathized with by a kind young hoosier who had entered Justice Swartz's office to become a lawyer. And he won upon her affections; always together, their union was inseparable, and they were permitted to join hearts and hands--and live as members of the same family on Earth,--hoping to meet a dear departed mother in Heaven."
The story of Alpina ends with marriage. A hope to be cared for someone in the future in a loving way, and a hope to be reconnected once again with her dead mother in heaven. Also more reference here to the theme of emotions.

That's it for the Opal for now. Come back later for more.

Friday, August 24, 2012

The Potential Dog Poisoning Misanthrope of Cambridge

Some time ago Maggie the therapy dog and I were taking an afternoon walk through Cambridge. An elderly man, perhaps 80, was walking around in house slippers with black polyester socks on that were pulled up past the hem of his bathrobe. He shuffled down the sidewalk with a plastic bag in hand. The sight of him made me want to cross the street and get away. I felt uncomfortable at the sight of his decaying and disheveled appearance. I also wondered if he was naked under that bathrobe. I wasn't mentally prepared for a flasher.

I couldn't get away fast enough. He asked if he could give Maggie a treat. Hand coming out of his plastic shopping bag, he produced a large sized Milk-Bone. Maggie sat down, tail wagging and eyes making excited contact with the elderly gentleman. Maggie loves treats.

I had just read an article about dogs being poisoned by treats left out on a sidewalk. I was a worried pet-parent. What if he was a crazy deranged dog poisoning misanthrope? I said no thank you, tugged Maggie a bit, and kept on walking. Just as I was starting to feel smug in my self-empowered confident "no" skills I saw the man's face. 

He said to me "Really? It's just a bone." His face, formerly lit up by Maggie's excited eye contact, fell back into a decaying sadness.

My smug pride was tempered by sadness. Not by my actions, mind you, but by a world in which we have to worry about people poisoning dogs.

I ran into the man again just yesterday. He saw us and came shuffling down the sidewalk. While he didn't appear to remember us, I remembered him. He was wearing the same tattered robe. The same style of black polyester socks. The same house slippers. I was again caught off guard by the potential dog poisoning misanthrope of Cambridge.

Again he asked if he could give Maggie a Milk-Bone. I remembered the stories of dogs dead from poisoned treats. I also remembered how his face fell into a lonely distant sadness when I declined his treat the last time. 

Maggie and he locked into an eager gaze and time seemed to stop for a moment. 

A loving dog wagging her tail, an elderly decaying man brandishing a potentially poisoned Milk-Bone, and an anxious psychologist. For a moment I saw everything clearly. My own irrational fears about things that haven't happened. The ugly world we live in were acts of violence happen. My lack of control over those random acts of violence. My own revulsion at the sight of the decaying lonely man who reminded me of my own process of decay.

Perhaps at that very moment a Buddha, living on a dust mote, passed in front of my eyes. There was a moment of enlightenment (don't worry, it'll quickly pass). The thought occurred to me that I have an infinite number of choices that I can make in that moment. Some lead to more happiness, others lead to more misery.  

Great, dust mote Buddha. Give me the right choice. Time can't stand still for much longer.

Buddha of course didn't have a single damned answer for me. He blew away and time started moving again. Both Maggie and the decaying man looked at me. 

He asked "Can I?" 

Maggie gave me an expectant hungry look. The tip of her tail thumped on the sidewalk.

"She's sometimes a little anxious when strangers put their hands near her," I said. "This is very kind of you. Perhaps you can give it to me, and I can give it to her?"

I wanted to make a choice that lead to more happiness and less misery for all involved. Buddha still wasn't helping me out. Now I had a potentially poisoned Milk-Bone in my hand. Would I somehow instantly drop dead? This isn't what I had in mind with the less misery  more happiness thing.

I turned the Milk-Bone over in my hand looking at it. The decaying man said, "Well I've got to go. I just came out to wait for the mailman and saw you two. I wanted to say hi." With that he turned around and shuffled away from me. The potential poison dispenser was slipped into my pocket and we discreetly walked away from the elderly gentleman who was smiling and whistling.

It all worked out.

Thank you, Buddha of the dust mote, for giving me that moment to see clearly that I could choose more happiness or more misery. The first time I met the decaying man I brought violence into the world. I hurt him while trying to protect Maggie. Yesterday I made a different choice. 

I hope you come to see you have that choice too.

_____
Update 8/26/2012

This blog post received some interesting interactions on Twitter. I thought I'd post a three of them here.

I'm not particularly proud of the fact that my first reactions when encountering this elderly gentleman was fear and revulsion. However, this is my true reaction and I think when engaged in self-reflection being truthful is important. We all have parts of ourselves we don't like. I'm reminded today that when any of us engage in public self-reflection of our own shadow-selves we also provide a mirror for other people to see the reflections of their own shadow.

I'm curious if you all find this to be true. When you watch me--or someone else--look at their shadow do you see parts of yourself that are difficult to see? Do you look away? Do you push back and try to denigrate the person who is reflecting? What do you think?














Sunday, May 6, 2012

The County Masturbation Trainer

Carnegie Hall, Baldwin-Wallace College
Who knew my career would lead me to having discussions about whether someone had the attention span to masturbate? These were not topics of conversation in the old sandstone building, pictured on the left, were I did my undergraduate study of psychology.

Nevertheless, I did indeed find myself having just this conversation a few short years after graduating. Since May has been named the National Month of Masturbation, I thought I might revisit this discussion. First a little background.

One of the nondescript homes nestled along a tree lined street in suburban Cleveland held a group home that I worked in over eighteen years ago. I was the QMRP of a home for people with developmental disabilities. Our residents were some of the most challenging individuals who were living outside of institutions. A few years prior to getting the job, one of the last developmental centers in Ohio was closed down. Of the 3,000 individuals that the institution once cared for, a handful remained. Twelve of that handful of hard-to-place residents were placed in my group home.

The residents had cognitive abilities that were below the threshold of what tests could measure. They had little to no verbal language skills. Our one resident who could speak had echolalia, which means his language capacity consisted solely of being able to echo back exactly what was spoken to him (at least simple words). The remainder of the residents of my group home had no formal language skills.

The residents had spent their entire lives living in an institution. Care was something provided on a production line. Compassion was something that came infrequently at best. The people who had been put in my care did not know how to dress, bathe, cook, or eat. Behavior plans were created to help residents (those who had the motor skills) learn to dry themselves after showers, dress themselves as independently as possible, and use forks and spoons to eat food. Every day that I went to work I felt like I was entering into a secret world of broken people that the world had forgotten.

While not many words were spoken, sounds would fill the air. For those who took the time to listen closely, human desires and wishes could be heard. The residents would desperately try to communicate with their caregivers. Sometimes we got it right, sometimes we didn't.

Sexuality, and desires for the sensual, were some of the most obvious of all communications. A few examples come to mind (all modified, disguised, and a hybrid of many different experiences).
  • The woman who would spend significant amounts of time attempting to masturbate. She never could quite orgasm (perhaps due to side effects of psychotropic medications or lack of skill). She would try so long and hard she would injure her genitalia. 
  • There was a male resident who suffered a similar problem. Every time I turned around he was trying a new way to stimulate his penis. He would try rubbing and banging his penis on any surface he could find. Like the female resident, he never seemed to manage to have an orgasm, and frequently damaged himself. 
  • A third resident could frequently be found wearing a female resident's clothes and masturbating with them. The female resident would discover him wearing her clothes and chase him around the house pinching him.
  • Another resident, who was able to have an orgasm, would frequently chase staff and residents around and throw his ejaculate on them. On one very unfortunate day, I was on the receiving end of this.
Why do I share these experiences? We don't often think of our most vulnerable and disabled community members as sexual beings. We should, because they are. We also take advantage of these people's vulnerabilities and push our own moral agendas on their sexuality. Too often our modes of treatment control rather than liberate the human experience.

How are their vulnerabilities taken advantage of? These residents, with no verbal skills, were heavily medicated to manage symptoms that they were not able to verbally express. I'm not even sure if we always knew what their symptoms actually were. Sometimes medication was used to manage dangerous behaviors such as self injury that could be life threatening. Other times medication was used to control symptoms that were considered a nuisance, like medication to dampen the sex drive of the man who threw his ejaculate at people. Resident staff, who were untrained, would roll their eyes at masturbating residents and yell at them to stop. One parent told me she knew her son didn't really want to masturbate because he was Catholic and knew he would go to hell. She insisted that his treatment plan included making him stop masturbating. 

Being young, idealistic, and a product of the Dr. Ruth school of parenting, I had a much different idea of what should be happening. Prior to working at this particular group home I used to drive a resident to an adult store so he could buy gay erotica. Now I was being told to develop behavior plans so a person could be trained to stop masturbating with women's clothes. I wasn't very happy about this but had not yet developed (or been granted) the authority to make an impact. This was one of the first experiences that pushed me toward getting a graduate degree.

Back to the group home. I discovered there was a county masturbation trainer (not their real job title, I think it was something like sexuality trainer, or something like that). They came out to the group home and evaluated the residents. The evaluation revealed that many of them did not possess neither the physical ability (i.e., dexterity) to masturbate or  have the attention span to learn.

Those that did, assuming that their guardian gave consent, could have access to a variety of training materials (videos, instruction with anatomically correct dolls, etc.). As you might guess, the only resident that was deemed capable of learning to masturbate was the resident who had the guardian who believed that masturbation was a sin. 

Can you imagine that--not having the attention span to masturbate or the physical ability to manipulate your body parts with your hands (or other tools) to get the job done? Just think about that for a minute. I'll wait.

Here is an interesting factlet: from the time period of 1942-1989, it was reported that 652 men in a single institution were castrated to control (aka prevent) masturbation. Some current treatment protocols involve squirting lemon juice into the mouths of people who are masturbating in inappropriate places. Click here for a very interesting article about interventions for socially inappropriate masturbation.

Imagine that. Castration to control masturbation. Squirting lemon juice in the mouths of those who are being offensive and wacking off in public. Is one expected to believe that someone with no verbal skills can distinguish between the pleasure of masturbating in private and the punishment that comes from masturbating in public? I think not.

There are of course better ways to help out those who are most vulnerable. Are you the caregiver for a person with a developmental disability, or know someone who is? An educator? Do you have a disability yourself? I've put together a few resources.



Friday, May 4, 2012

May is for Masturbation

In 1995, Surgeon General Joycelyn Elders dared to utter the word masturbation. Among the many things she said, Dr. Elders said "in regard to masturbation, I think that is something that is part of human sexuality and it is a part of something that should be perhaps be taught." John Boehner, who was apparently still orange at the time, said "her war on tradition values, her crusade to legalize drugs, her efforts to put condoms in the pocket of every five year old is over."

"I told someone, 'I went to Washington feeling like prime steak, and I left feeling like low-grade hamburger,' " Joycelyn Elders, MD

The resulting controversy resulted in her being forced to step down at the leading medical voice of our country. She was clearly a woman before her time--and a woman we very much needed to show us the way. Take a listen:



To help keep our country talking about the importance, the San Francisco store Good Vibrations named May as National Masturbation Month to keep our focus on open, honest, and frank talk about masturbation and sexuality--just as our Surgeon General had hoped.



I'm not sure we really have gotten all that much further toward a responsible, open, and non-sexually repressed society in the 18 years since Dr. Elders was fired. I remained shocked at how many psychologists are unable to talk about sex and sexuality with their patients, and remain amazed that so many come to my office having felt prevented by other therapists about talking about sex and sexuality.

This of course does not surprise me. In my eight years of post-baccalaureate training, sex was not mentioned a single time in a class, lecture, workshop, or small group meeting. Not a single time.

Okay, that is a bit of hyperbole. It was mentioned once, as a post-doc. Our list of "pleasant" activities for teens to engage in to help improve their feels included masturbation. No one ever mentioned it and the list was eventually changed. Already being irreverent, and iconoclastic, I  made it a point to continue talking about masturbation.

I have a few key experiences and people to thank. My parents, of course, who I believe came from the Dr. Ruth school of parenting (is there such a school?). Sex and sexuality was something that was private but could be discussed in appropriate ways (and my mother was filled with all sorts of wonderfully inappropriate jokes). I also was a trained safer-sex educator in New York City in the early 90s. I carted around a bag of dildos and condoms in the subway back and forth to classes that I taught teens so they had the skills to protect themselves from HIV. I also have to thank my first very first patients at the Free Medical Clinic of Cleveland. I had no choice but to figure out how to talk openly about sex in the context of therapy because it was part of what every one of my clients wanted to talk about.

My biggest thanks, however, goes to one clinical supervisor in my doctoral program, Glenda Russell. She was my only supervisor who spoke about this part of the human experience. She taught me that if I'm not talking about sex and sexuality in therapy with my clients I am doing something wrong. She taught me how to talk about it. Additionally, she taught me that it's my responsibility to bring it up if it wasn't being talked about.
If your clients aren't talking about sex, age, religious, race, disability, or any other difficult topic in the first three or four sessions they will never be able to talk about it. If they don't bring it up, it is your responsibility to bring it up so it becomes something okay to talk about. 
I haven't forgotten these words--and have seen hundreds of patients blush at first mention of sex, masturbation, sex toys, or any other "sensitive" topics. I've also watched those same patients look relieved and relaxed as they are able to become more whole people, capable of openly talking and thinking about "unmentionable" issues.

In honor of masturbation month I have a few things to say: shame on you, therapists who are unable to have frank conversations about sex and sexuality. This is important, and by not creating space for your patients to think about these issues you are failing in your responsibilities to your patients. The biggest shaming goes toward clinical training programs who are so uptight that they swoon at a single mention of sex or masturbation. It's not as if we are going to grow blind. In fact, there are myriad health benefits associated with masturbation for both men and women. Try it out. You'll see.

Lastly--all of you--go out and have some safe and consensual fun. Talk about masturbation. Talk with your friends about sex. Go to a sex shop. For those of you who are repressed New England types, try holding hands in public. You have to start somewhere. 

Sunday, February 19, 2012

Could you turn your child out onto the streets?

This short video clip made me particularly sad. Hearing parents turn their children out of the house because of their sexuality or saying they wished their children were dead is just so painful. I don't know how anyone can turn their back on a child. To turn one's family out into the cold world, to repudiate them, to shun them, seems to be such an utter failure of compassion and humanity.

The biggest failure here, I think, is a cultural failure. We are loosing our ability to express disappointment and anger in a connected relational way. Our either/or mentality (aka George W. Bush saying you are with us or you are against us) has narrowed the possibility of dialogue.

What do you think? Is there a time you could imagine turning your child out? Do you think there is a way you can stay connected in dialogue with someone who are angry with?


Saturday, February 11, 2012

The Human Face of Same Sex Marriage

I recently became involved in a discussion on Facebook about same sex marriage. I generally avoid these sorts of situations. Discussions such as the one I got myself involved in generally become banal and rather frustrating. They usually don't end up very well. Sure, the back and forth is interesting, for a while. In the end the narrative is always the same: one side blames the other for being (circle one: ignorant, uneducated, defensive, stupid) while the other side generally resorts to accusing the other as (circle one: ignorant, uneducated, defensive, stupid). Facts are provided. Facts are disputed. Both parties, in the end, become something akin to a dog, tied to a stake, running around in circles tearing up all the grass.

The end of the conversation went something like this:

Saturday, February 4, 2012

Shoes for Diversity

Last night I had trouble locating a suitable pair of shoes to put on when I took Maggie outside for a visit to her favorite patch of grass. I settled for less than fashionable look. Glancing down at my feet encased in crisp white socks and stretched taught between my toes by the canvas of my flip flops, my mind tumbled backward in time.

Simple images can sometimes trigger very complex memories. My shoes took me almost 35 years into the past to a particular day in Kindergarten. I remember my teacher clearly (or perhaps, I remember her clearly through the memorabilia saved by my parents). Mrs. Haag was someone very exotic and exciting in my young life. 

on my way to Kindergarten 
These are the things I most remember about kindergarten: I remember my first few moments of my first day of school. It was warm and sunny. My mom walked with me to school and guided me toward an orderly line of children who waited along a well groomed hedge of privets. I remember how much fun I had talking with people. I'm told I was much more interested in socializing with my classmates than just about another other activity. I remember my very patient teacher and some very patient friends tying my shoes. Bunny ears, bunny ears, playing by a tree. Criss-crossed the tree, trying to catch me. Bunny ears, bunny ears, jumped into the hole, popped out the other side beautiful and bold. 

Most of all, I remember one very special day. Rather than coming dressed in the colorful polyester pant suits that were popular in the day, Mrs. Haag came to school wearing a kimono, geta shoes, and tabi socks. She talked about her summer in Japan while showing us slides of what she experienced on her vacation. 

waiting for class
We each got to have a taste or two of some Japanese candy. We used a soroban (Japan's version of the abacus) to learn and practice a few basic math lessons. We looks at slides of trees, animals, and flowers and got a lesson about the natural world. My favorite was the slide of Mount Fuji. Mrs. Haag actually hiked up the mountain. How cool is that? I'd not yet seen a mountain--let alone a mountain in another country. It all seemed so exotic. So interesting. So exciting.

Mrs. Haag provided me first lesson on diversity. Before knowing about the culture wars, hearing fear peddled about people who are different, and before meeting someone who lived outside my home town, my kindergarten teacher helped nurture and stoke my curiosity about the larger world. 

Since those first lessons I've studied with some of the greatest scholars in the world that focus on multicultural issues. While each of them had something special and important to teach me, none of them offered the powerful gift of Mrs. Haag. 

How easy it is to forget that at the heart of diversity is curiosity. When we are able to open to the experience of another, and be open to the notion that each of us experiences the world differently, a richness can be found that no single viewpoint can expose.

Thank you Mrs. Haag. I'm so glad I thought of you last night while I was looking at my shoes while standing outside in the cold winter air.

top row: David Ezat, Lynn Cook, Shawn Mallory, Joe Rizen, Sandra Jones, Sylvester Harris; 3rd row: Patricia Pratt, Frad Fronek, Charles Whitemore, Jason Mihalko, Jeff Glem, Anthony Pugh, Debra Presley; 2nd row: Rebecca Farley, Brian McKlovie, Michelle Chmura, Daniel Engstrom, Missy Davis, Andrea Zander; 1st row: Danielle Felton, Bridgette Lakner, Shane Castner, Keith Rufin, Carrie Rulong, Andrea Weeda, Lorri K.; helpers: Mrs. Waldrop, Mrs. Semelsburger (missing); teacher: Mrs. Haag; missing: Robby Prunella, Tina Harness

1st report card of the future Irreverent Psychologist

Sunday, January 22, 2012

The Heart of the Story Part I: Yoda Meets Cognitive Behavioral Therapy

My mother recently sent me a rather long e-mail. That's not a particularly uncommon experience. Answering it here on my blog, however, is very unusual.
You talk a lot about life as the stories we tell ourselves.  I've been thinking about that a lot lately. Do you have a good resource for me to read about this?  Have you written anything about it on your blog that you could perhaps share with me?
Actually, I don't think I have written much here on my blog about stories--and how those stories are the way in which I've come to see as the way we create our own humanity. Since she asked, and since I've been looking for a good topic to write about, why not have you all join in on my response to my mother?
I just finished a book entitled, You Don't Look Like Anyone I Know.  It's a true story about a woman who came from a chaotic, dysfunctional family, as in her mother was a paranoid schizophrenic & her father, a cross dressing alcoholic who was also crazy.  She had been face blind all of her life, but didn't really realize it until she was in her early 40's...  I took some rather extensive notes citing the more interesting parts. 
For those of you who wonder how the Irreverent Psychologist got to be the Irreverent Psychologist: you might find some clues in the above paragraph. The Mother of the Irreverent Psychologist (MIP) notes that she has taken "extensive notes citing the more interesting parts" of the book. As regular followers on Twitter may have noticed, a small portion of the voluminous notes I take while reading appear on my Tumblr page. 

The nut doesn't fall far from the tree. 

...but I digress. The MIP started her email with a question about stories but manage to ask two questions. The first question--about stories--will come a little later. First I'll tackle the MIP's question about cognitive behavioral therapy.

Monday, January 9, 2012

The Safe Emergency of Therapeutic Situations: Fritz Perls and Gloria (and me)

Recently I wrote about Carl Rogers. While putting together that blog post, I rediscovered the "Gloria" tapes that every psychotherapist-in-training has likely had some exposure. The tapes were therapy demonstrations filmed in 1965. "Gloria," a young recently divorced women, volunteered to meet with Carl Rogers, Fritz Perls, and Albert Ellis.

I haven't watched this tapes in years--the last time was perhaps sometime in the late 1990s. They are fun for me to watch. It is also interesting to see a lot of myself--both my history and my current practice--embedded within the words of these three men.

Let's start off with Fritz Perls. Along with his wife Lara, he founded the school of Gestalt psychotherapy. It's not a theory I think a lot about anymore--that's probably because the theory itself sits deep in my bones and works behind everything I have learned. In the early 90s I started hanging out at the Gestalt Institute of Cleveland, took several workshops, worked individually with a gestalt therapist for several years, and later participated in a gestalt therapy group for several additional years.

I'm indebted to this early teachers--Jody Telfair, Barbara Fields, Karen Fleming, Mary Ward, and Jackie Lowe Stevenson. There have been many teachers since then but none so central as these.

On to the show. Here is part one of the the full Gloria tape with Fritz Perls.

A friendly sort, eh? Before judgement sets it, put Perls in his time. This was 1965. It was a time of great social change and liberatory movements. Confrontation was in, as was, apparently, smoking.

Thursday, January 5, 2012

Slave Narratives: Sarah Frances Shaw Graves

Sarah Frances Shaw Graves
It looks like I'm going to be a regular visitor to the digital archives at the Library of Congress. Did you know they have a collection of oral histories taken in the 1930s by people employed by the WPA (Works Progress Administration)? They make for riveting, harrowing, and enlightening reading.

Personal narratives like this are like opening a little tiny window in the fabric of time. Through that window I get to glance back and see an unvarnished, unprocessed, and unadorned view of life at it was. These windows are irresistible--when I find it I need to open it and look through it. Whether it be historical narratives likes these, or more contemporary narratives like the ones told by patients in my office, I'm transfixed. Each window opened gives me another perspective to understand the complex fabric of our shared experience.

Sarah Frances Shaw Graves was born sometime around 1850 somewhere near Louisville. She told her story to a WPA interviewer in 1937. The nameless interviewer wrote this of Sarah:
"Her life story is one of contrasts; contrasts of thought; contrasts of culture, beneficial inventions and suffrage. Not far from her home the glistening streamlined Zephyr speeds on twin rails beside the Missouri River, near the route of the slow-moving, creaking wagons on the ox-road of the 1850s."
Let's open up one of those tiny little windows in the fabric of time and let Sarah speak.
"My name is Sarah Frances Shaw Graves, or Aunt Sally as everybody calls me. Yes'm that's a lot of name an' I come by it like this, My husband was owned by a man named Graves, and I was owned by a man named Shaw, so when we were freed we took the surnames of our masters. I was born march 23, 1850 in Kentucky, somewhere near Louisville. I am goin' on 88 years right now. I was brought to Missouri when I was six months old, along with my mama, who was a slave owned by a man named Shaw, who had alloted her to a man named Jimmie Graves, who came to Missouri to live with his daughter Emily Graves Crowdes. I always lived with Emily Crowdes." 
"Yes'm. Allotted? Yes'm. i'm goin' to explain that," she replied. "you see there was slave traders in those days, jes' like you got horse and mule an' auto traders now. They bought and sold slaves and hired 'em out. Ye'm, rented 'em out. Allotted means somthin' like hired out. But the slave never got no wages. That all went to the master. The man they was allotted to paid the master." 
"I was never sold. My mama was sold only once, but she was hired out many times. yes'm when a slave was allotted, somebody made a down payment and gave a mortgage for the rest. A chattel mortgage." 
A down payment!! 
"Times don't change, just the merchandise." 
I am amazed at how connected I feel to Sarah. Despite having been born more than seventy years before I was, and having died on July 3, 1943, when my grandparents were in their early 20s and neither of my parents were born, I can feel her presence here in my living room as I sit on my couch writing this in an undisclosed location in the Merrimack River Valley. That's the power of a personal narrative.

Sarah gives us a glimpse into the life of a person in slavery that we don't read about in history text books. Her personal story gives contour, shape, and texture to the disembodied facts our teachers lecture about. Sarah also offers us so much more. She was a simple woman. She worked hard and struggled to survive through an era of history that was not kind to people of color. She received no formal education, won no prizes, and left no inventions, books, or other intellectual products behind.

Yet reading her narrative, I'm incredibly moved the the gifts I have received. Sarah mattered not for what she left behind. She mattered because she was here. Her story illuminates her humanity that, in the end, is all we ever really have.

Tuesday, December 6, 2011

Happy Birthday, Ryan

Happy birthday, Ryan White. Today would have been your 40th birthday.

I recently came across a BBC story about Ryan's life. It dawned on me that most people under 40 have probably have never heard of Ryan. If you have, you probably know his name as part of the federal government's Ryan White CARE Act.  You probably don't remember the raw hate that was directed toward this little boy.

I remember hearing about him on the periphery. He and I are of the same generation. As he was using his life to "stand in solidarity with thousands of HIV-positive women and men," I was just starting to emerge from my own self-centered adolescence and waking up to the world around me. It really wasn't until two years after Ryan died that I understood what HIV/AIDS was.

I didn't learn about HIV/AIDS from a comprehensive sex education program in my high school. Things like that weren't discussed in my public school. How did I learn? I literally tripped over it. Just barely 20 years old, I was living in a tiny one room apartment on 44th and Broadway in New York City. In order to go grocery shopping, I walked down 44th across Broadway over toward Hell's Kitchen.

On July 14, 1992 I literally tripped over one of the largest AIDS protests of the time. United for AIDS Action and ACT-UP timed a massive gathering to bring awareness to the needs of people with HIV and AIDS to coincide with the Democratic National Convention held in Manhattan that week. The protest brought, depending on the estimate, between 10,000 and 50,000 people.

I never got to the grocery store that day. When I tried to cross Times Square a sea of people had gone down on the ground to stage a die-in. I looked for some images but couldn't find any. It was an amazing sight. These were in the days before digital photography and cell phone cameras.

It was a strange time. Fear was abundant as well as an ample amount of hate and ignorance. Death permeated that air, too. Not a day went by without a news report of the death of a famous person from AIDS.

It's worth taking the time to listen to the ten minute BBC program if you haven't heard of Ryan White. If you do remember him, it's worth listening to again.

In 1984, the year Ryan White was diagnosed with AIDS, I was in an American history class. While Ryan was living a life that would become all of our shared history, I learned an important lesson (yes, there are a few important lessons from junior high history!). Dorothea Krenz, my teacher, walked around shaking each of our hands. She rattled off various important figures from history. Most of them, I believe, were notable figures from World War II. The details have faded over the past 27 years, but the point of the exercise has stuck with me. History is personal. It connects and links us together across space and time.

History serves as a good reminder about where we were, where we are, and where we might still yet go.

Sunday, December 4, 2011

Middle School is Rough

This morning I came across this clip of Jonah Mowry. In disembodied academic conversations about bullying, or in the disassociated way politicians often speak about it, we forget about the very real impact bullying has on real people. It's worth watching.



Here, by the way, is just one example of how politicians obscure the personal dimension of the impact of bullying to further a particular agenda.

Thursday, December 1, 2011

Learning to Live on World AIDS Day

Unknown Source
Today I've been thinking about my very first patients. While I had worked for nearly a decade in a variety of human service agencies, it wasn't until 1997 that I sat down in my very first office with my very first patients. I remember the day very clearly. My first patient said:
"I just have three questions for you. Are you gay, are you HIV positive, and if you aren't, who the hell do you think you are trying to talk to me."
With those words, I started  my work at The Free Medical Clinic of Greater Cleveland. It was a tumultuous two years. The man who hired me quit the day I started, constant organizational upheaval nearly unraveled me, I was impaired by bad fashion sense, and thought it was a good idea to sponge paint my office in shades of pink. Most of my patients were always on the brink of death or actually died, and a suprising number of them sprang back to life as newer medicines changed the face of HIV treatment.

Most importantly, I spent two years trying to answer that patient's question: who the hell did I think I was trying to talk to people. I found my answer those two years working at the Free Clinic. My experiences there helped me weave together things that I had been thinking about and experiencing for the previous nine years. My experiences became the foundation of what I've built my entire clinical practice on.

I learned that most people don't know themselves, are afraid of themselves, or have otherwise become so traumatized by life that they have disengaged from the world. Not feeling, not living, I found that the people I worked with were neither here nor there. They were somewhere in between. They were, as I affectionately called them, the walking dead. Zombies.

One man, in particular, has filled my thoughts today on World AIDS Day. He really was the walking dead. Infected with HIV before HIV even had a name, he had suffered every opportunistic infection there was. He rattled off stories of countless hospital says and harrowing near death experiences. Somehow, he lived.

On bad days he was use a walker to get into my office--his leg on fire from neuropathy. On good days we would walk across the street together and sit in the beautifully manicured Lake View Cemetery. We had this conversation on the day I was leaving the clinic to move to New England and start my doctoral work:
"Jason, I think of you as more than a therapist. This will sound strange, but I think of you as my funeral director. In you letting me talk so much about death, and keeping me focused so I didn't look away, you taught me how to live. You did that. You taught me to be alive before I die."
Years later I heard through the grapevine that he had died. After being one of the first patients diagnosed with AIDS and having had a trial of nearly every medication, his body had finally failed and he died.

When he said goodbye to me I wished I would have known myself well enough to tell him this:
By sitting with you as you looked at death, I too found how to live.
So on this World AIDS day I'm filled with many warm cherished memories of this patient--and all the other men (and two woman) who came into my office every week as we stared down death every day only to discover how to live.

Each of you live on with me in my office every day. Thank you.

Family, Iowa Style

Stories, up close and personal, have the power to change the world. Here is one such story.

I hope there are a lot more young people like Zach Wahls out there who are learning to use their voices and their stories to be agents of powerful change.

"The sense of family comes from the commitment we make to each other. To work through the hard times so we can enjoy the good ones. It comes from the love that binds us. That's what makes a family."

Saturday, November 26, 2011

Cambridge Turkeys, Part II

In the days leading up to Thanksgiving, Maggie and I discovered a small family of Turkeys wandering around Cambridge. An intrepid reader of my blog spotted this picture on Foursquare and sent it to  me. 

The turkeys last known whereabouts were outside Corporal Burns Playground (more info here) in Cambridge, Massachusetts. If you have any information as to their current location, please contact us. Magnolia the therapy dog is offering a reward.

Wednesday, November 23, 2011

Everything is Coming Up Turkeys

It's nearly Thanksgiving and all is growing quiet in Cambridge. On the way into work I didn't have to dodge the regular tableau of people standing in the middle of Central Square talking on their cell phones and bicyclists failing to obey the rules of the road.

Sadly, my favorite neighborhood turkeys were no where to be found. Maggie the therapy dog and I have been on the look out for said avian creatures since first spotting them. In honor of the Thanksgiving holiday we packed a small bag of bird seed today and were going to feed them.

They've gone missing: I hope a Cantabrigian did not lay eyes on them and decide they were a holiday dinner.

Who are these turkeys? Information is sparse. I have heard from reliable sources on Twitter that these plump creatures live in the Riverside area of Cambridge. I showed a line up of photos to some residents. They were positively identified as part of a rafter of turkeys who live at an undisclosed Riverside location under a blue kayak.

I won't disclose more. If they haven't found their way to a dinner table I'd like to make sure they remain free to wander about town. They are, I think, the only creatures who wander around with constant use of smart phones.

It being almost Thanksgiving, you might be interested in some turkey trivia. Turkeys belong to the genus Meleagris. The wild turkeys we generally see, including our local rafter of birds living in Cambridge, are Meleagris gallopavo. Fossil records (and please, readers, tell me you believe in fossil records) indicate that this critters have been pecking around North America since the early miocene period.

That's a long time.

If you didn't already know (and really, this is important stuff, why don't you know this?), the wattle is the fleshy blob hanging from the top of the beak. Males are called toms (or gobblers) and females are called hens.

I'm unsure if the birds pictured here are gobblers or hens. I figured it was rude to look.

So there you have it. Your obligatory pre-Thanksgiving turkey post. If you see this rafter of turkeys please don't eat them. Let them know I have some bird seed from them.

Further, if you spot them, please capture a picture. I'd like to know their whereabouts. Maggie the therapy dog is offering a reward: unlimited therapeutic dog kisses.












Sunday, November 13, 2011

Krista Tippett: Reconnecting with compassion




  • "Compassion is kind. Compassion is curious. Compassion can express itself in the simple act of presence. It is linked to practical virtues like generosity and hospitality and just being there -- just showing up."
  • "In the beginning of the creation, something happened, and the original light of the universe was shattered into countless pieces. It lodged as shards inside every aspect of creation. The highest human calling is to look for this light, to point at it when we see it, to gather it up, and in so doing to repair the world."

Story of a Hero: Janusz Korczak


Janusz Korczak "believed that each and every child deserves love and respect, and such treatment by educators has the potential to change the world. Tragically, Korczak's life was cut short during the Holocaust. In 1942, two hundred of his orphans were sent from the Warsaw Ghetto to die at Treblinka. In one of the most heroic and compassionate acts of modern times, Korczak voluntarily chose to accompany his children to the death camp. He didn't want them to be alone, without him."


Poppo, K. (2006). A Pedagogy of Compassion: Janusz Korczak and the Care of the Child. Encounter: Education for Meaning and Social Justice, 4, pg 32-39.