Saturday, June 11, 2022

How did you get into Psychiatric Social Work?


I remember taking a vocational assessment in 8th or 9th grade and the question which has always stuck with me is something like "Do you prefer to work with people or things?" And I remember the quick and distinct answer I had, "People!" I remember this so well because I was so certain. 

As I grew older I did a lot of factory work while I was in college being a material handler at G & E and then a film tester at Kodak. My BA degree was in philosophy and then I found out if I got a job at a New York State Hospital they would allow me to go to graduate school on leave with pay. I got a job at Kings Park State Hospital at Kings Park New York on Long Island as a "Psychiatric Social Worker Trainee II." I applied to MSW programs and finally chose SUNY Albany where I attended from 1970 - 1972 and got my MSW in May of 1972 50 years ago.

It has been a wonderful career which I have enjoyed immensely although I have worked 3 jobs most of my career to support my large family.

Back in the 70s Social Work was called a "semi profession" along with nursing, and teaching. The three semi professions were female dominated, more poorly paid, and lower status than the professions of medicine, and law. Over the years the salaries and benefits of nursing and teaching have risen but Social Work has remained a lower paid, lower status, lower benefit semi profession. 

Nonetheless, I don't regret my decision to go into Social Work. The profession is a great fit for me and the satisfaction and fulfillment has been immense and more than offset the lower compensation, benefits, and social status. I have learned to use the low status to my benefit when requests and expectations are placed on me and I demure, saying, "Look, I'm just a Social Worker."

Just a Social Worker but truly yours,


Thursday, June 9, 2022

Do you think of yourself as a victim?

Article Notes for "Why People Feel Like Victims by Mark McNamara

https://nautil.us/why-people-feel-like-victims-9728/





In a polarized nation, victimhood is a badge of honor. It gives people strength. “The victim has become among the most important identity positions in American politics,” wrote Robert B. Horwitz, a communications professor at the University of California, San Diego.

Horwitz published his study, “Politics as Victimhood, Victimhood as Politics,” in 2018.1 He focused on social currents that drove victimhood to the fore of American political life, arguing it “emerged from the contentious politics of the 1960s, specifically the civil rights movement and its aftermath.” What lodges victimhood in human psychology?

Snip


The study of TIV is built around four pillars. The first pillar is a relentless need for one’s victimhood to be clearly and unequivocally acknowledged by both the offender and the society at large. The second is “moral elitism,” the conviction that the victim has the moral high ground, an “immaculate morality,” while “the other” is inherently immoral. The third pillar is a lack of empathy, especially an inability to see life from another perspective, with the result that the victim feels entitled to act selfishly in response. The fourth pillar is Rumination—a tendency to dwell on the details of an assault on self-esteem.

Snip

You found a correlation between TIV and what you referred to as “anxious attachment style”, as opposed to “secure and avoidant” styles. What is the anxious style?

Snip

So victimhood is a learned behavior after a certain age?

Yes, normally children internalize the empathetic and soothing reactions of their parents, they learn not to need others from outside to soothe themselves. But people with high TIV cannot soothe themselves. This is partly why they experience perceived offenses for long-term periods. They tend to ruminate about the offense. They keep mentioning they are hurt, remembering and reflecting on what happened, and also they keep dwelling on the negative feelings associated with the offense: hopelessness, insult, anger, frustration.

Snip

Why is it so difficult for people with a high degree of TIV to recognize that they can hurt other people?

They don’t want to divide up the land of victimhood with other people. They see themselves as the ultimate victim. And when other people say, “OK, I know that I hurt you, but you also hurt me,” and want them to take responsibility for what they did, the person with TIV is unable to do it because it’s very hard to see themselves as an aggressor.

Snip

In one of your studies, you conclude that TIV is related to an unwillingness to forgive, even to an increased desire for revenge. How did you come to that?

Our study finds that not only do people with high TIV have a higher motivation for revenge, but have no wish to avoid their offenders.

Snip

How does the fourth pillar of TIV, Rumination, reinforce this tendency?

In the framework of TIV, we define rumination as a deep and lengthy emotional engagement in interpersonal offenses, including all kinds of images and emotions. And what’s interesting is that rumination may be related to the expectation of future offenses. Other studies have shown that rumination perpetuates distress and aggression caused in response to insults and threats to one’s self-esteem.

Snip

How debilitating is TIV for those with moderate TIV? Does it affect everyday functioning?

Yes. The higher the TIV, the more you feel victimized in all of your interpersonal relations. So if you are in the middle of the scale, you might feel yourself as a victim in one relationship but not another, like with your boss, but not with your wife and friends. But the more you feel like the victim, the more you extend those feelings to all of your interpersonal relationships. And then of course it can affect every aspect in your life

Snip

TIV aside, can there be a positive aspect of victimhood?

There could be, when victims gather together for some common purpose, like a social protest to raise the status of women. When I’m talking about victimhood, I’m talking about something that has aggression inside it, a lack of empathy and rumination. But when you express feelings of offense in an intimate relationship, it can be positive.

Snip

Do people high on a TIV scale tend to seek out lovers or friends who share the trait?

That’s a very smart assumption, but it’s not something I empirically investigated. Theoretically, yes. I think that people who are very low on TIV, if they have this romantic relationship with someone who is high on TIV, then they would not want to continue the relationship. For the relationship to continue, you need two people who are high on this trait or someone who is like this and someone who has very low self-esteem, which is not the same as low TIV, someone who feels they don’t deserve a better relationship.

Snip

Do people in most countries show this trait?

There are very big differences between countries. For example, when I traveled in Nepali I found that their tendency for victimhood is very low. They never show any anger and they don’t tend to blame each other. It’s childish for them to show anger.

Snip

Victimhood is also a matter of socialization.

Yes, and you see it when leaders behave like victims. People learn that it’s OK to be aggressive and it’s OK to blame others and not take responsibility for hurting others. This is just my hypothesis, but there are certain societies, particularly those with long histories of prolonged conflict, where the central narrative of the society is a victim-oriented narrative, which is the Jewish narrative. It’s called “perpetual victimhood.” Children in kindergarten learn to adopt beliefs that Israelis suffer more than Palestinians, that they always have to protect themselves and struggle for their existence. What’s interesting is the way in which this narrative enables people to internalize a nation’s history and to connect past and present suffering.

Snip

Can you extend this dynamic to groups that share this trait?

It’s a very interesting question, but unfortunately I can’t say much about it. What I can say is that the psychological components that form the tendency for interpersonal victimhood—moral elitism and lack of empathy—are also particularly relevant in describing the role of social power holders. Studies suggest that possessing power often decreases perspective-taking and reduces the accuracy in estimating the emotions of others, the interest of others and the thoughts of others. So not only does TIV decrease perspective, but power itself has the same effect. Additionally, power increases stereotyping and objectification of other individuals. So when you join TIV tendencies and the negative characteristics of the power holder together, it can be a disaster.

Snip

What can we do to overcome victimhood?

It begins with the way we educate our children. If people learn about the four components of victimhood, and are conscious of these behaviors, they can better understand their intentions and motivations. They can reduce these tendencies. But I hear people say that if they don’t use these feelings, if they don’t act like victims, they won’t achieve what they want to achieve. And that’s very sad.


Monday, June 6, 2022

Parents' unpredictable behavior may impair optimal brain circuit formation Disrupted development increases vulnerability to mental illness, substance abuse


 Researchers are conducting pioneering research into the concept that unpredictable parental behaviors, together with unpredictable environment, such as lack of routines and frequent disasters, disrupt optimal emotional brain circuit development in children, increasing their vulnerability to mental illness and substance abuse.

For more click here.

Editor's note:

Children do will with predictability. It makes them feel secure. Predictability and security contribute to the development of what is called  a "secure" attachment style as compared to an "anxious," "avoidant," or "disorganized" attachment style.

Children learn early in their development whether people mean what they say and say what they mean. when there are contradictions between what people say and do it contributes to what is called "mystification" and is the opposite of "validation." 

Sunday, June 5, 2022

How teachers do or don't deal with traumatic events in their classrooms


From "Teachers often struggle to deal with mass traumatic events in class" by Jennifer Green, Jonathan Comer, and Melissa Holt, The Conversation June 2, 2022 

When we asked teachers how their schools can better support them, two messages came across clearly. First, leadership is essential. Several teachers noted the importance of school leaders meeting with staff to discuss their feelings and prepare to respond before resuming school. They also discussed the importance of school leaders sending out communications to educators and families, explaining how the school will respond.

Second, teachers want to know what to say. An April 2022 study found that only five states required future teachers to receive training in how to respond to trauma. Teachers expressed that they want training and guidance in how to discuss traumatic events with students, including how to open the conversation, how to respond to difficult questions, and how to support students throughout the discussion. For example, a fifth grade teacher wrote after the Boston Marathon attack: “Training! We have no training on this. We get emails from our superiors that tell us to address the events, with not much training on how to do it. I feel like I’m good at this type of thing – but not all teachers in my school are. … The result is that some kids get their needs met by their teacher and some don’t.”

For more click here


Saturday, June 4, 2022

The Stages of Change Model



There is a great article and brief video at the VeryWellMind web site describing what is called the Stages of Change Model.

There are six stages:

  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
  6. Relapse
In everyday language these stages can be called"
  1. Fuck you
  2. Maybe I do, Maybe I don't
  3. How could I?
  4. Let's do it.
  5. Used to
  6. Oh shit I messed up.
To read more click here.

The stages of change are not followed in a step by step fashion necessarily, but people can move forward and backward somewhat. Knowing which stage a person is in primarily enables the helping person know how to tailor their questions and suggestions for the person needing or wanting to make a change.