Tuesday, July 29, 2025

Bibliotherapy - Object lessons by Anna Quindlen


Anna Quindlen's Object Lessons is a coming-of-age novel set in suburban New York City during the 1960s. It tells the story of twelve-year-old Maggie Scanlan as she navigates a pivotal summer marked by significant changes within her large, Irish-Catholic family and in her own life.

Summary of Object Lessons

The novel centers on the Scanlan family, dominated by the wealthy and imposing patriarch, John Scanlan. Maggie is particularly close to her grandfather, who attempts to impart "object lessons" – life lessons – to her. However, Maggie's world is in flux. Her family dynamic is strained by her Italian-American mother, Connie, who feels like an outsider within the Irish clan and struggles with isolation and a distant relationship with her husband, Tommy (John Scanlan's son).

As the summer progresses, several events challenge Maggie's perception of her seemingly stable world. Her powerful grandfather suffers a stroke, leading to his eventual death, which deeply impacts the family's hierarchy and emotional landscape. Maggie witnesses her parents' struggles, discovers uncomfortable truths about her own conception, and grapples with the unraveling of her friendship with her best friend, Debbie, as they drift into different social circles and confront challenging adolescent experiences, including peer pressure and even a brush with delinquency. Through these experiences, Maggie begins to shed her childhood innocence and gain a more complex understanding of family, identity, and the adult world.

Therapeutic Benefits of Reading Object Lessons

Reading Object Lessons can offer several therapeutic benefits, particularly for those reflecting on their own coming-of-age or family dynamics:

  • Validation of Adolescent Experiences: The novel realistically portrays the often confusing and emotionally charged period of adolescence. Readers, especially those who experienced similar transitions, can find validation in Maggie's struggles with identity, shifting friendships, and the growing awareness of adult complexities. This can foster a sense of "I am not alone," which, as Anna Quindlen herself has noted, is a significant benefit of reading.

  • Exploration of Family Dynamics: Quindlen's keen observation of family relationships, particularly the complexities of a multi-generational, somewhat dysfunctional family, can be cathartic. Readers might recognize echoes of their own family challenges, power struggles, and unspoken tensions. This can lead to greater understanding and empathy for their own family members and their past.

  • Processing Change and Loss: A central theme is the impact of change and loss, particularly with the grandfather's illness and death. The novel demonstrates how individuals and families cope with grief, shifts in power, and the redefinition of relationships. This can be beneficial for readers who are experiencing or have experienced similar losses, offering a fictional space to process these emotions.

  • Understanding Intergenerational Conflict and Cultural Differences: The novel subtly explores the tensions between Irish and Italian cultural backgrounds, particularly through Connie's experience as an outsider. This can provide insight into the challenges of navigating different cultural expectations within a family and the impact of prejudice, even within seemingly homogenous communities.

  • Empathy and Perspective-Taking: By immersing themselves in Maggie's perspective, readers develop empathy for the characters and their struggles. Seeing events through a young girl's eyes, while simultaneously understanding the adult world around her, can broaden one's perspective on human behavior and motivations.

Reflection on Personal Growth and Resilience: Maggie's journey is one of self-discovery and resilience. Despite the unsettling changes, she finds her voice and begins to forge her own identity. This can inspire readers to reflect on their own journeys of growth and the strength they've found in overcoming challenges.

This book might be of help to parents of adolescents and to people interested in and working with family systems.

Monday, July 28, 2025

Coming - Mental health warnings on social media


 Minnesota will require mental health warnings on social media next year and other states may follow.

"I think the evidence is very clear that social media use is linked with depression, anxiety, loneliness, self-harm, suicidal ideation, eating disorders, all sorts of terrible mental health conditions," says Democratic state Rep. Zack Stephenson, the main sponsor of the law. "You'll see a message telling you that prolonged use of social media can lead to those outcomes."

Stephenson says the labels, while not yet written, will be like warnings for tobacco products or alcohol, and it's up to the Minnesota Department of Health to decide what they say.

"If you had expected big tobacco to make cigarettes less addictive in the '50s and '60s, you would have been sorely mistaken," Stephenson says. "Addiction was their business model. And the same thing is true for big tech."

For more click here.

While the primary concern is the negative impact of social media on youth, it also has negative impacts on adults as well. The primary impact on adults is the scamming that occurs with lonely adult males who get sweet talked out of their money by posers who promise love and affection. I have seen this occur numerous times in my psychotherapy practice.

Sunday, July 27, 2025

Book review - Never Change by Elizabeth Berg



Elizabeth Berg's novel "Never Change" tells the bittersweet story of Myra Lipinski, a 51-year-old visiting nurse who considers herself a contented spinster, living quietly with her dog, Frank. Her ordered life is upended when she is assigned to care for Chip Reardon, the "golden boy" she secretly adored in high school. Chip, once the popular and handsome athlete, has returned to his hometown to die from an incurable brain tumor, having chosen to forgo further treatment.

Their reunion forces Myra and Chip into a poignant redefinition of their past roles. Myra, who always felt like an outsider in high school, now finds herself in a position of intimacy and care with the man she once worshipped from afar. As Chip's health declines, their relationship deepens, exploring themes of memory, longing, and second chances, even in the face of imminent loss. The arrival of Chip's former girlfriend, Diann, adds another layer of complexity, but ultimately, Myra finds herself in a loving connection, albeit with a man whose time is running out.

Therapeutic Benefits of Reading "Never Change":

Reading "Never Change" can offer several therapeutic benefits, particularly for those grappling with themes of:

Grief and Loss: The novel directly confronts the reality of terminal illness and impending death. It can help readers process emotions related to loss, both for themselves and for loved ones, by offering a sensitive portrayal of a character facing the end of life and those caring for them.

Acceptance and Letting Go: The story highlights the importance of accepting life's unpredictable nature and finding peace even in difficult circumstances. Chip's decision to forgo treatment and Myra's journey to accept their limited time together can be a powerful lesson in letting go of what cannot be changed.

Second Chances and Unconventional Love: For those who feel they've missed out on love or connection, the novel offers a hopeful message about finding profound relationships in unexpected places and at unexpected times, even in the twilight of life. It challenges conventional notions of romance and happiness.

Empathy and Compassion: Myra's role as a visiting nurse and her deep care for her patients, including Chip, fosters empathy in the reader. The book delves into the emotional complexities of caregiving and the human desire for connection, encouraging readers to consider the perspectives of both the ill and those who care for them.

Self-Discovery and Identity: Myra's journey allows her to shed old insecurities and embrace a more authentic version of herself. The novel can encourage readers to reflect on their own identities, past regrets, and the potential for personal growth at any stage of life.

Living Fully: Despite the somber backdrop of terminal illness, "Never Change" celebrates the richness of human connection and the importance of living fully, even when faced with limited time. It reminds readers to cherish moments and find joy in the present.

This book can be used to facilitate discussions about caregiving for human service professionals in all disciplines.




Friday, December 13, 2024

Crisis Intervention and Conflict Resolution

 This podcast discusses crisis intervention, focusing on the natural restorative process of systems and the limitations of crisis counseling. It emphasizes the importance of "environmental manipulation" or external controls to manage crises, particularly in power struggles. David G. Markham, LCSWR highlights the role of incentives in conflict resolution and the necessity of a safe, structured environment for productive discussions, advocating against "cancel culture" and promoting differentiated leadership. The email uses examples from various fields, including behavioral economics and family systems theory, to support its points. Ultimately, Markham stresses the importance of creating a supportive space for professional growth and development.


Subscribe to David G. Markham’s Behavioral Health in the upper right corner. 


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The contribution of trauma to genocide is multigenerational.

 Perhaps the intersection of clinical mental health services and politics is trauma.


There is a fascinating discussion on this topic between Chris Hedges and Gabor Mate. It is worth reading and or listening to or both.


Subscribe to David G. Markham’s Behavioral Health in the upper right corner. 

Send this article to friends and family to let them know the high quality of life afforded to citizens of New York State using the email icon at the bottom of the post. 

Post this article to your social media to help spread the good news that New York cares about mothers, babies, families, and their community.

Thursday, December 12, 2024

Understanding The Borderline Mother: Helping Her Children Transcend the Intense, Unpredictable, and Volatile Relationship, the book

Understanding The Borderline Mother: Helping Her Children Transcend the Intense, Unpredictable, and Volatile Relationship by Christine Ann Lawson is an extremely important book for any psychotherapist or layperson interested in the impact of parenting by a person with Borderline Personality Disorder.

The impact is huge and can be multigenerational. Dr. Lawson, in lay language and with clear case examples describes the dynamics that occur between mother and children and somewhat with fathers. She also has clear suggestions for how adult children can manage the relationship with the Borderline mother.

I believe this topic is so important that I am planning on posting a series of articles on this blog as I re-read and study the ideas in this book further. I am developing a new category on the blog which I am entitling, Borderline Parenting. While the focus of Lawson's book is on mother's, fathering plays a critical role  well.

In addition to reading this book and being a psychotherapist, I also have personal experiences with the topic which undoubtedly fuel my interest and resonance with the material described.

I highly recommend this book.

This is article #1 in a series of over 21 articles on borderline parenting.

Death notification: A Father's Grief

David Markham's account details the devastating night his family was involved in a drunk driving accident. The narrative recounts his frantic efforts to locate his injured wife and children at various hospitals, culminating in the heartbreaking discovery that two of his children died. Markham's description poignantly portrays his grief, the challenges of delivering devastating news to his surviving family, and his ultimate decision to become a DWI victim impact panelist to honor his deceased children and prevent similar tragedies. The included discussion guide proposes questions for reflection on the events described.

To read the article click here.