Saturday, February 16, 2019

NPR - How teens feel about guns in America

 Editor's note:

 Besides the Opioid epidemic, drunk driving injuries and deaths, there is no greater public health threat to the safety and well being of Americans that the prevalence and incidence of gun violence. These public health problems are directly related to the mental health of Americans.

Friday, February 15, 2019

78% of Americans support immigration of highly skilled people

Click on image to enlarge

Editor's note:
For all the scare mongering the Trumpists do about immigration, most Americans support, 78% support immigration of highly skilled people. Thank goodness! The endodontist who did my last root canal told me he was from Libya. The surgeon who removed my malignant melanoma told me he was from Lebanon. The urological resident I just saw for my prostrate related UTI told me he was from Syria. When he told me he and his family was from Syria I started to weep and told him "I'm sorry." He thanked me and continued very professionally with our consultation.

Thursday, February 14, 2019

7 common questions about workplace romance

Editor's note:
These questions often come up in counseling and, in general, workplace romance is always a bad idea. If it develops, at least one of the partners has to decide what's more important: the romantic relationship or the job? One has to go. Except in very exceptional circumstances both are not sustainable.

As a manager in human service agencies, romantic relationships contaminate the team morale and contribute to staff splitting. The milieu quickly becomes toxic and it is a paramount supervisory responsibility to deal with the situation directly, explicitly, and firmly. Many human service agencies have "fraternization policies"  and even consensual romantic relationships among staff are verbotten.

Monday, February 11, 2019

Alexandria Ocasio-Cortez exposes the problem of corporate money in politics

Editor's note:

Congresswoman Ocasio-Cortez does a great job exposing the corruption of our federal government. It is very enlightening to see how easily the game is played with corporate money buying our government.

What are nine signs of burnout?

What are nine signs of burnout?

  1. Skipping lunch.
  2. Dreaming about work.
  3. Playing the hero.
  4. No time for friends.
  5. Can't remember the last real vacation.
  6. Poor sleep.
  7. Negative attitude and irritability.
  8. Never feel great.
  9. Missing deadlines
For more click here.

Editor's note:
I often meet with people who have been diagnosed by their PCP with anxiety and depression and who have been given medications. When we discuss their situations, it becomes clear that they are suffering from burnout. Medications aren't going to help much until life style changes and work style changes are made.

Sunday, February 10, 2019

What would you ask a philosopher?

If you could, what would you like to ask a philosopher?

For more click here.

Editor's note:

There are five basic philosophical questions which we all struggle with throughtout our lives:

  1. Why was I born?
  2. What is the purpose of my life?
  3. What happens when I die?
  4. What is the good life?
  5. What will make me happy?

Success stories - V.A. Wait Times Now Shorter Than for Private Doctors

From New York Times on 01/22/19

Wait times for an appointment at Veterans Affairs hospitals have decreased since 2014 and are now, on average, shorter than those in the private sector, a new study shows.
Researchers used V.A. data to calculate wait times for about 17 million appointments. The public sector data came from a survey conducted by a physicians’ search firm in nearly 2,000 medical offices in 30 major and midsize metropolitan areas.
The study, in JAMA Network Open, covered four specialties: primary care, cardiology, dermatology and orthopedics.
In 2014 the average wait time in V.A. hospitals was 22.5 days, compared with 18.7 in the private sector, a statistically insignificant difference. But by 2017, mean wait time at V.A. hospitals had gone down to 17.7 days, while rising to 29.8 for private practitioners.

Editors note:
There is a new tag being used on Markham's Behavioral Health "success stories." As Johnny Winter sings in his great blues song, Bad News, "Bad news travels like wild fire. Good news travels slow. That's why you hear that bad news every where you go. Talkin about bad news."

Here on MBH we also provide good news in the form of "success stories."

There is an organizational development model called "Appreciative Inquiry" which focuses on what is going right instead of what is going wrong. Also, Solution Focused BriefTherapy (SFBT) in psychotherapy focuses as much on what is working as well as the problems.

So look for the success stories and pass them along. They will provide satisfaction, hope, inspiration, and gratitude.

Saturday, February 9, 2019

Media literacy - Can you believe your lyin eyes?

Editor's note: An area why this idea of misperception is especially egregious is in witness testimony in criminal trials where innocent people are falsely identified and purported to have done things they did not do. Witness testimonies are often inaccurate and unreliable. We tend to see what we think we should see rather than what is really there.

Media narrative about gun violence is not based on the facts

From Psychatric Services, December, 2018 by Jeffrey Swanson

Since 2000, more than 1.5 million people in the United States have been injured by a firearm, and a half-million have died. This total surpasses the combined U.S. military combat death toll of World Wars I and II. Of these gun deaths, 59% were suicides, and 37% were homicides (1). Mass shootings accounted for less than one-tenth of 1% (2). 

Still, the national conversation about gun violence tends to focus on senseless rampages by troubled young men while public officials pay lip service to an oversimplified, gun-ignoring solution: “fix mental health.” 

The mental-illness-and-mass-shooting narrative, as curated by the media, can perpetuate public misunderstanding and impede serious, broad-based efforts to both prevent gun deaths and improve mental health care.

For more click here.

Friday, February 8, 2019

Record number of firearms found by TSA at U.S. airports

From The Week on 02/08/19

Record 4,200 firearms found at airport checkpoints last year
A record 4,200 guns were confiscated at U.S. airport checkpoints nationwide last year, according to a government tally released Thursday. The figure marked a 7 percent increase over the previous year. The guns were found at 249 airports, according to the Transportation Security Administration. The most guns were found in states with loose gun laws in the Sun Belt, from Georgia to Arizona. Guns were found in carry-on bags at Dallas-Fort Worth airport 219 times in 2018. Asked about the rising numbers, TSA Administrator David Pekoske said they probably just reflected a broader trend. "I think more people are just simply carrying weapons in the country," he said. [CBS News]

What about biased punishing of black girls in our society?

Dr. Monique W. Morris gave an interesting TED talk which was published on 02/05/19 about black girls being unfairly targeted for punishment in schools.

Dr. Morris' talk led to my thinking about Sandra Bland and Patrisse Khan-Cullors and Asha Bandele who started and organized Black Lives Matter and wrote the book, "When They Call You A Terrorist: A Black Lives Matter Memoir."

When people deny that racism exists they are ignorant of some basic facts and dynamics in our society. Dr. Morris in 14 minutes gives us a little peep into what its like to be a black girl in our society.

For the full TED talk video click here.

Availability of guns increases the risk of suicide

From Psychiatric Services, December, 2018

"The national attention currently focused on reducing gun violence provides an opportunity to consider how to use this momentum to make significant headway in preventing suicide. Year after year, about two-thirds of all firearm deaths are suicides (1). 

Evidence indicates that the availability of firearms is related to suicide rates.

 In regions that experience changes in levels of gun availability, suicide rates change in the same direction; people who buy firearms are more likely than otherwise similar peers to die by suicide; and people who die by suicide are more likely to live in homes with firearms compared with seemingly similar people who did not die, as well as those who died from other causes (1). 

There is evidence and a broad consensus among experts who favor both restrictive and permissive gun policies that not all individuals who are prevented from firearm suicide will die by another method of suicide (2).

For more click here.

Editor's note:

The great myth in American society is that the possession of guns makes people safer. The public health data leads to the opposite conclusion. The possession of guns makes it more likely that the gun owner and immediate others will die by a gun than not.

Thursday, February 7, 2019

New York leads the nation on gun legislation

From Pew Stateline on 02/07/19
New York hadn’t passed a comprehensive gun control package since the December 2012 massacre at Sandy Hook Elementary School in Newtown, Connecticut. The legislature in 2013 passed a law that limited high-capacity magazines, implemented universal background checks and revoked the gun licenses and weapons of the severely mentally ill.
Democrats, after winning control of the state Senate in November, immediately started work to approve more bills.
The legislature in January passed six measures that ban bump stocks, extend waiting periods for gun purchases, prevent teachers from carrying guns in schools and allow law enforcement to remove guns from people judged to pose a danger to themselves or others. The bills passed largely along party lines and were signed by Gov. Andrew Cuomo, a Democrat.
For more click here.
Editor's note: Due to progressive gun legislation New York has one of the lowest gun fatality rates in the Nation.

MBH index - Composition of 116th congress of the United States

  • number of member of the House of Representatives in the United States = 435
  • Length of term of a member of the House of Representatives = 2 years
  • Number of representatives in the Democratic party = 235
  • Number of representatives in the Republican party = 198
  • Number of representatives who are female = 102 = 23%
  • Percentage of Republican representatives who are white men = 90%
  • Number of representatives who are Muslim women = 2

Cannibis use disorder lower in states with liberal policies on cannibis availability

Adolescents and young adults living in states with more liberal policies reported higher average rates of past-year cannabis use than those in states with more conservative policies, according to a new study conducted at Columbia University Mailman School of Public Health. However, the rates of cannabis use disorder -- abuse or dependence on the drug -- were significantly lower in states with more liberal policies compared to states with more conservative policies, for ages 12 to 17, and marginally lower for ages 26 and older. These results remained significant even when controlling for the presence of medical cannabis laws. This study is one of the first to assess the relationship between policy liberalism and health outcomes, and specifically cannabis use-related outcomes. The findings are published in the International Journal of Drug Policy.

For more click here.

Wednesday, February 6, 2019

Do you have the integrity and courage to take the road less taken?

Had a discussion Monday with a 30 year old client who has been struggling to discern his calling in life. He told me how he had started down a path the last couple of months and decided last Friday that it wasn't for him.

He shared with me the relief he felt in deciding not to continue to struggle with something that just didn't seem right for him. His major fear, he told me, was disappointing the people who had been cheering him on.

Well, "to thine own self be true" and if one lives one's life for others, life is very short, but if one lives one's life listening to a different drummer than the one society wants him to listen to, it can be very long and fulfilling.

And then this evening I stubbled across this beautiful TED - ED rendition of  Robert Frost's wonderful poem, "The Road Not Taken".

Rilke said, "We should live the question." It takes integrity and courage and requires, sometimes, that we take the road not taken and it can make all the difference to our life.

The client and I talked about discerning God's will for us. "Living the question" with integrity is done with a willingness to discern who it is that God is calling us to become and what it is that God is calling us to do with our lives. Responding to God's will often takes faith and courage.

Health insurance uninsured goes up since individual mandate eliminated

Click on image to enlarge

From Gallup report on 01/23/19

The uninsured rate rose for most subgroups in the fourth quarter of 2018 compared with the same quarter in 2016, when the uninsured rate was lowest. Women, those living in households with annual incomes of less than $48,000 per year, and young adults under the age of 35 reported the greatest increases. Those younger than 35 reported an uninsured rate of over 21%, a 4.8-point increase from two years earlier. And the rate among women -- while still below that of men -- is among the fastest rising, increasing from 8.9% in late 2016 to 12.8% at the end of 2018.
At 7.1%, the East region, which has in recent years maintained the lowest uninsured rate in the nation, is the only one of the four regions nationally whose rate is effectively unchanged since the end of 2016. Respondents from the West, Midwest and South regions all reported uninsured rates for the fourth quarter of 2018 that represent increases of over 3.0 points. The South, which has always had the highest uninsured rate in the U.S. but has seen some of the greatest declines at the state level, has had a 3.8-point increase to 19.6%.
For more click here
Editor's note:
Quality of life is often impacted more by social policy than individual choice. The policies of the Republicans have been major obstacles to improving health care in the United States which may have been a major reason in their historical defeats in the 2018 elections.
In general, citizens in Red states have much poorer health care coverage than in Blue States.

For more click here.

More Americans are understanding that climate change is real

From New York Times on 01/22/19 by John Schwartz

Click on image to enlarge

"A record number of Americans understand that climate change is real, according to a new survey, and they are increasingly worried about its effects in their lives today.
Some 73 percent of Americans polled late last year said that global warming was happening, the report found, a jump of 10 percentage points from 2015 and three points since last March.
The rise in the number of Americans who say global warming is personally important to them was even sharper, jumping nine percentage points since March to 72 percent, another record over the past decade."

For more information click here.
Editor's note:
It is a sign of hope that more Americans are becoming "reality based" instead of being duped by "fake news" and false beliefs promulgated primarily by politicians who have been elected due to financial support from fossil fuel companies into believing lies, fabrications, equivocatons, and disengenuous nonsense.

Exxon Mobile and other fossil fuel companies have known for years that the carbon emissions created by the burning of their products is affecting the climate of the planet earth. These companies, fearing a negative impact on their financial revenues, have kept this information not only secret, but have propogandized the American public and their elected policy makers into believing the opposite.

With the awareness of the American citizens rising to the truth of the matter, we can hope, working together, that we can mitigate the problem of carbon emissions and other climate destroying practicies we have created and participated in.

The truth can set us free but it takes more that just consciousness, we need to bring our awareness into application by changing climate damaging policies and practices. This means many things but perhaps the most sigfniciant for positive change at the macrosystemic level will be electing policy makers who are not afraid of the truth and who will act on it. It does no good to simply speak truth to power if power has no use for the truth. It is time to change those whom we give our power to who will do the right thing to enhance the well being of our planet and all the things that abide here.

Tuesday, February 5, 2019

Can we overcome the psychosis in our society and come to "really see?"

Tim Folger writes in the forward to The Best American Science and Nature Writing 2018 about the corruption of speech in our national conversations facilitated by cable news and social media. Mr. Folger points out that this corruption was foretold by George Orwell in his novel 1984 when he coined the term "Newspeak." This idea of the creation of propaganizing memes is at the heart of what is being called in the Trumpian age, "fake news."

"Early in 2017, for some strange reason, George Orwell’s Nineteen Eighty-Four suddenly jumped to the top of Amazon’s bestseller list. Orwell laced his dystopian novel with Newspeak, the language of Oceania, one of the story’s perpetually warring states.

Here’s a short sampler of its Big Brother–approved vocabulary: minipax—the Ministry of Peace (Oceania’s war department, not to be confused with our Department of Defense); prolefeed—mindless mass entertainment; malquoted—what today’s authoritarians would call fake news. And then there’s blackwhite, a synecdoche for all the perversions of Newspeak: to believe that black is white. Our own leaders have given us “enhanced interrogation,” “collateral damage,” “clean coal,” and so many more."

Kean, Sam. The Best American Science and Nature Writing 2018 (The Best American Series ®) . HMH Books. Kindle Edition.

These propaganizing memes cannot be stopped because the means of dissemination are obiquitous. The best hope for restoring sanity to the members of our society is making them aware of the forces of communication which are being deployed to influence them so they can choose their own thoughts, beliefs, and behaviors and not just react in mindless ways.

In psychiatry, "psychosis" is a term of servere cognitive disorganization which places the person suffering from it out of touch with reality. It seems that we are witnesses to this daily in our news stories from politicians who express inaccurate ideas which do not correspond with any reality other than the one they are intending to create in their target audiences with their own dissembling.

Marianne Williamson, a Presidential candidate, tells us we have to "really see", "not just look, but really see." This ability to "really see" requires a maturity, a nonreactivity, an ability to apprehend a spiritual vision of self, community, and society which far exceeds what we have been led to hope for from politics.

Media literacy - Can you spot a "dog whistle?"

What do medical social workers do?

From The Cavalier Daily on 01/23/19 by Zoe Ziff
The following describes the role of Medical Social Workers at the University of Viginia Hospital

"Medical social workers are integral parts of the hospital and oversee much of the non-medical aspects of a patient’s recovery. Their duties include assessing the social and psychological states of the patient, leading counseling and group therapy sessions, working with loved ones on a plan of treatment after discharge from the hospital and referring patients to community resources.  

At the University hospital, each social worker is assigned to a specific unit — such as surgery and trauma, pediatrics or psychiatry. With each new admission into the unit, they look through the patient’s medical history for indicators that a social worker needs to be involved in their case. A few of those indicators include mental health history, a poor prognosis, a history of substance abuse, homelessness and history of child or domestic abuse. 

“Social workers get involved from the beginning,” Repaske said. “Even if we're not called in to see every patient, we are assessing by a high risk indicator need .… Could everyone benefit from a social worker? Absolutely.” 

A social worker will meet with a patient and conduct social and psychological assessments if the patient has an indicator on file or if the social worker simply feels the need to.  

“I'll meet with the patient,” Kojo said. “I’ll let them know what my role is, why I'm seeing them, pretty much just like as a brief check in. It builds rapport with them, and then eventually, I let them know that it's part of an assessment that we just want to make sure that their needs are being met. Ideally by the end of the assessment, we've identified what they need assistance on, and then, we work with them during their admission in order to reach those goals.” 

For more click here.

Editor's note:
It is important to recognize and acknowledge that a person is not his/her body. The person's psyche and relationships are as important, if not more important, than the person's physical manifestation. 

A significant question is whether a person is a body with a spirit or a spirit with a body? 

Modern medicine is comprised of techical prodcedures which focus on assessment of physical functioning and with tunnel vision, all too often, overlook the person's psyche and soul.

Social Workers are trained in the bio-psycho-social-spiritual model of the human experience. With this training, Social Workers engage with the whole person not just the piece of meat in which their psyche is encased. While Social Workers strive to help people with a "cure for what ails them" they also attend to the healing of the whole person and their relationships when it is desired and appropriate.

Monday, February 4, 2019

Games people play - "Be Afraid" on the Macro level

"That thing that you do," or "that thing that always happens to you" is the key idea of Schema therapy.

Back in the 60s this idea of repetitive patterns of behavior was popularized as Games People Play by Eric Berne, the father of Transactional Analysis.

Several decades later the idea of dysfunctional repetitive patterns of behavior became offical with the DSM - III (Diagnoses and Statistical Manual of the American Psychiatric Association, third edition) axis 2 diagnoses of personality disorders.

There is a new tag being created on MBH, "games people play" which will identify articles which describe these repetitive patterns of behavior at the micro, mezzo, and macro levels of human interaction.

One of my favorites which is played on the macro level by politicans is "Be Afraid."

The thesis is that if the politican can manipulate people with fear, (s)he can get their votes and/or support for the policy they are promoting. There are new examples of this game presented to us daily in our news. The memorable examples are "WMD," Weapons Of Mass Destruction, which garnered support for the wars in Afghanistan and Iraq during the George W. Bush administration. Most recently we have experienced the "Caravan Invaders" game perpetrated by President Trump and the Republicans.

The way this game "Be Afraid" is played at the macro level is described by Hermann Goering, Hitler's right hand man and founder of the Gestapo,

"“Naturally, the common people don't want war; neither in Russia nor in England nor in America nor, for that matter, in Germany. That is understood. But, after all, it is the leaders of the country who determine the policy and it is always a simple matter to drag the people along, whether it is a democracy or a fascist dictatorship or a Parliament or a Communist dictatorship. ... [V]oice or no voice, the people can always be brought to the bidding of the leaders. That is easy. All you have to do is tell them they are being attacked and denounce the pacifists for lack of patriotism and exposing the country to danger. It works the same way in any country.” 

The aim of the game is to generate fear to obtain supporters for one's election and policies.

The targets of the game are willing victims. They are the dupes in a con job.

The roles of the victims of the game are to vote, cheer, and fight, if necessary, for the perpetrator.

There are nemeses of the perpetrator who unwittingly attempt to fight the perpetrator's moves but often only reinforce them, and strengthen them through polarization from the generated adversity. The nemeses moves makes the bogus fear  real and credible through repetition and heightened visibility.

The best antidote for this game is simply not to play by changing the subject, redirecting the focus, side step the whole attempt to propagandize, and offering the perpetrator's targets more attractive options.

What was the antidote to the WMD hysteria? Focusing on the grief and fears of our nation after 9/11 by having more rituals of mourning and analsyis of factors which contributed to the attack, and efforts to rebuild and repair our relationships around the world.

What was the antidote to the Caravan Invaders? Focusing on what other candidates would do to address the real problems of the American people. This is what was done, and these candidates obtained the votes from the targets of the game to move the nation's functioning onto a more constructive path.

The key idea in game analysis is to be able to name the game. The ability to name the repetitive pattern of dysfunctional behavior enables our ability to manage things better. Rather than being victimized by social, political, and emotional forces we don't understand and are confused by, we see the game being played, and once we are aware, we have the power to choose to do things differently and in a better way.

What do Child Protective Workers think about their jobs?

Child Protective Workers in Hennepin County Minnesota describe their work. Hennepin County gets 20,000 CPS reports per year which is 60 per day. This video was published on 01/15/19.

Sunday, February 3, 2019

Psychologists find that adults take girls' pain less seriously

From Science Daily 01/25/19

Gender stereotypes can hurt children -- quite literally. 

When asked to assess how much pain a child is experiencing based on the observation of identical reactions to a finger-stick, American adults believe boys to be in more pain than girls, according to a new Yale study in the Journal of Pediatric Psychology

The researchers attribute this downgrading of the pain of girls and/or upgrading of the pain of boys to culturally ingrained, and scientifically unproven, myths like "boys are more stoic" or "girls are more emotive."

For more click here.

Is it helpful to talk about past abuse?

Question: Is it helpful to go back and talk about past abuse?

Answer: It is to identify the trauma that occured so that the thoughts and feelings about it can be managed. Dr. Freud, the father of psychoanalysis, said that you can either talk it out or act it out. Children act things out all the time and their parents tell them, "Stop crying and use your words."

Once the trauma has been identified strategies have to be developed to manage it to diminish or eliminate the influence that it has on one's current functioning.

A trauma informed therapist does not ask, "What is wrong with you?" but rather "What happened to you?"

It is not helpful to prolong a sense of victimization. To rise above victimization a person has to identify what happened, figure out how to manage it, and move on. This work is often best done with a professional but can be done with nonjudgmental others as well.

Saturday, February 2, 2019

Media watch - Is Twitter good for your mental health?

Is Twitter the crystal meth of newsrooms asks journalist David Von Drehle in the Washington Post on 01/25/19?

The answer is "yes!"

Twitter is not only the crystal meth of newsrooms but of social media addicts and internet news junkies.

Twitter and other social media are having huge impact on human societies around the world. It is an impact we barely understand.

Misinformation, propaganda, illusory understanding, and triggered emotional arousal leading to group think and herd like behavior similar to the two minutes of hate in George Orwell's 1984 are a few of the consequences.

Is Twitter good for our mental health? We will be researching this question and reporting in future articles on MBH.

For more click here.

Will American Catholics be disqualified from death penalty juries because of Pope Francis' declaration that the death penalty is immoral?

Will Pope Francis' declaration in August, 2018 that the death penalty is morally unacceptable in all circumstances disqualify American Catholics from serving on death penaly cases? And if these American Catholics are disqualified from serving on death penaly cases does that make it more likely that the death penalty will be used in the United States?

From the Washington Post on 01/18/19

"In August, Pope Francis declared the death penalty morally unacceptable in all circumstances and committed the church to its global abolition. This pronouncement broke from previous Catholic teaching, which permitted the death penalty in “very rare” cases of “absolute necessity.”

Death penalty abolitionists hold out hope that the pope’s new call to action may eventually sway the American public: Catholic voters and politicians might become more inclined to repeal the death penalty, Catholic prosecutors might increasingly exercise their discretion not to pursue capital punishment, and Catholic judges (including the five Catholic justices on the Supreme Court) might grow more receptive to legal arguments that limit the practice. A change in public opinion could also influence the Supreme Court, which considers society’s “evolving standards of decency” in evaluating whether a punishment is “cruel and unusual” under the Eighth Amendment.
But because of the anomalous way we select juries in capital cases, greater opposition to the death penalty among Catholics could, counterintuitively, increase the number of death sentences imposed in this country. Such opposition could even solidify judicial support for capital punishment. This paradox is possible because of a process called “death qualification,” in which a judge can disqualify certain prospective jurors who are opposed to executions. The pope’s sharpening of the Catholic position on the death penalty helps reveal the problems with this system."
For more info. click here.

Friday, February 1, 2019

My Son’s Tutor Slipped Me Entrance-Exam Questions. Should I Report Him?

From the New York Times on 01/22/19

"With some ambivalence, I took him to a well-regarded (and expensive) tutor to help him prepare for the Specialized High School Admission Test. After his session, the tutor asked if my son was also taking the entrance test for a different coveted public high school in the city. When I said yes, he gave me a handwritten paper, explaining that it was a copy of most of the test questions, which he got from “spies” he sent to take the exam. He asked me not to tell others about it. I was shocked and horrified and left with the test. I did not look at it or allow my son to, as I would consider it cheating. Upon arriving home, I put it in an envelope to send to the school’s admissions office, because I believe that it should know its test is available in this way.
Can I send the test anonymously without naming the tutor? Or should I sign the letter and provide his name, if asked? Name Withheld
You can read the Times' answer by clicking here.
I would add my own questions and concerns which are related to teaching our children and other people we interact with integrity. It seems that cheating and lying have been increasingly endemic in our society with the current Presidential administration. The corruption is rampant, explicit, and norm changing. As Tracy Chapman sings in her great song "All that you have is your soul", "My mama done told me; she say she learn the hard way; don't give your soul away; all that you have is your soul."
What this tutor has done beyond encouraging his student to cheat is to corrupt the system and attempt to ingratiate himself with the parent who is paying his fees. This has far reaching consequences far beyond the immediate participants. The tutor's behavior in providing test answers illictly is toxic for our society, not just for the individuals involved. 
The larger question about this behavior is what kind of society do we want to create? How can that society embody integrity and mutual respect?
With 86% of college students admitting that they have cheated in school, many questons arise about the integrity of our educational system.

What is cognitive behavioral therapy (CBT)?

From Medical News Today on 09/25/19 by Kathleen Davis, FNP
"Cognitive behavioral therapy, or CBT, is a short-term therapy technique that can help people find new ways to behave by changing their thought patterns.
Engaging with CBT can help people reduce stress, cope with complicated relationships, deal with grief, and face many other common life challenges.
CBT works on the basis that the way we think and interpret life's events affects how we behave and, ultimately, how we feel. Studies have shown that it is useful in many situations.
More specifically, CBT is a problem-specific, goal-oriented approach that needs the individual's active involvement to succeed. It focuses on their present-day challenges, thoughts, and behaviors.
It is also time-limited, meaning the person knows when a course will end, and they have some idea what to expect. Often, a course will consist of 20 one-to-one sessions, but this is not always the case.
It can also take the form of either individual or group sessions.
CBT is a collaborative therapy, requiring the individual and counselor to work together."
For more information click here.
Editor's note:
CBT, the so called "talk therapy," is very helpful and achieves better results than medications in most cases. Psychotropic medications and psychotherapy can both be helpful. Psychotherapy usually contributes to the most effective and longest lasting results.