Attitudes

Black or white?

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Yesterday I was at a school  to talk with teachers and watch some students with learning disabilities. While waiting for my first meeting, two employees sat talking about a school-event they had been on the day before. It was an event for parents, students and teachers where they talked about eastern and religion. When there, one of the teachers started to say that Jesus was still alive! In addition to that, they told me it felt like she was preaching. While I listened, I automatically started to validate their feelings of annoyance. But after a while, I realized that I was actually participating in something I rather not be involved in: Judging a person I did not even know based on hearsay. After realizing this, I did manage to ask what they thought was the reason for her behavior.

Afterwards I was observing a child with behavioral problems. I could see how his class-mates responded when he was close. They automatically drew back a little, and he ended up sitting alone. The only time he got some attention was when he was angry, or when he was making jokes about something or someone.

Afterwards, we had a meeting to discuss what I just had seen and the teacher told me about another meeting they just had. The meeting was about children with behavioral problems, and she told me how touched she was when she heard other teachers talking about what they recently had learned on a course: That there are no “problem” children. There is just a person, struggling to adjust and be happy.

We so easily categorize things as good or bad, and everything becomes black or white. Luckily we stop every now and then and realize that we must try to adjust what we think. To see all sides of the equations. But that is not enough. We must be able to speak our minds, when we see that something is one-sided or biased. This is really difficult, though. Right now I am motivated to be able to transfer what the teacher told me, to different schools. But I have been at schools where frustration takes hold, and the teachers rather just want us psychologist to fix the problem.  I just hope I am brave enough to speak my mind and not fall into the black-or-white trap.

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The sound of sneezing in public

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They say you shouldn’t air your dirty laundry in public. Some also say that the climate crisis is unreal, that evolution never happened and that we should not interfere when we know something is wrong . I don’t know how many times I’ve heard: Why didn’t anyone DO something? When they saw the bruises? When the dentist had to remove rotten teeth? When the child fell asleep at school and smelled of alcohol?

Who should we believe? What should be our major concern? When is alarm justified, and when should we just let those families figure it out for themselves?

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The sound of lifting heavy baggage

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baggReblogged from a psychologist who writes about Borderline Personality Disorder in a non-judgmental way. This is so important, and I thank the author for this nuanced view of the psychological challenges people with BDP face.
 
 
 
Friday, 20 September 2013

Borderline personality disorder: Abandon the label, find the Person

 
Steven Coles
 
In 1980 the mental health industry invented a new diagnostic label, one of many, for the 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM III). The American Psychiatric Association (APA) presented DSM III to the world as a scientific revolBorderline Personality Disorder Awarenessution in psychiatric understanding. If people suffering emotional distress had accepted the APA’s statements about the new manual, they would have rejoiced that such a wealthy and powerful organisation had put its energies into making sense of psychological suffering. The vast majority of people receiving one of these new labels had experienced great trauma – sexual abuse, extreme life events and repeated abuses of power. Quite a progressive move by the APA then: understanding the effects of power on people. Psychiatrists could show care, understanding, and perhaps even provide a sense of solidarity to people who were marginalised. Unfortunately, in 1980 the APA willed Borderline Personality Disorder into being. The APA’s idea of empathy and understanding led to vast numbers of survivors of abuse being labelled as disordered individuals.
 
In many ways the diagnosis of BPD is an easy target for criticism and satire. The diagnosis of BPD is defined by a series of social and moral judgements, applied to people who have been traumatised and dressed up as a medical problem. If we had a friend who revealed to us after years of secrecy and shame that they had been repeatedly sexually abused as a child, our first response is unlikely to be “your personality must be really disordered – no wonder I’ve felt like rejecting you”. Instead we would show care, be amazed at their survival and probably feel anger at the perpetrators of abuse – basic common sense and decency. Sadly when it comes to psychiatric diagnosis good sense does not prevail. The survival of psychiatric diagnoses is in many ways an astonishing feat of magic; its supporters have woven a spell that repels good sense, compassion, logic and evidence.

There are multiple problems with a diagnosis such as BPD. Here I want to highlight just one: it locates the problem within t08d0ab8d1b1a5435a32a3e5134150cd2he individual. ‘BPD’ hides disordered environments, misuse of power and perpetrators of abuse. The following quote from Suzi, someone who received the label, makes the point better than I can:

 
‘I cannot understand how the vast majority of perpetrators of sexual violence walk free in society; whilst people who struggle to survive its after effects are told they have disordered personalities’ (Shaw & Proctor, 2004, p.12).
 
Think about the implications of that for a second. It’s accusing us of failing to recognise the abuse of power in society, of colluding in suffering. People are traumatised and hurt in many ways. For some there are obvious damaging events involved, for other people the circumstances are more complex and subtle. The flow of power is usually crucial in each. Unfortunately, the way in which we offer mental health services can lead us to ignore life circumstances and power. An understandable reaction to a horrifying life experience is converted into an illness, which a person is held responsible and rejected for having.
 
If that doesn’t paint a pretty picture of mental health services what are the alternatives? Perhaps a little good sense might help here. We need to support people to make sense of their distress in relation to their life experiences and circumstances – survival strategies in the face of disordered environments. People need to be offered practical support and guidance, as well as compassion and care. It seems unnecessary to grab at the concepts of illness, treatment and disorder, when we can talk with people using ordinary language. Our conversations need to honour people’s survival and strengths against the odds, as well as their difficulties and needs. When supporting people who have experienced high levels of abuse and are struggling in life, workers need space, supervision and time to reflect on and cope with their own feelings, and to consider the most useful ways to help. People should not have to accept a label and the attached baggage to receive support.
 

There are multiple problems with a diagnosis such as BPD. Here I want to highlight just one: it locates the problem within the individual. ‘BPD’ hides disordered environments, misuse of power and perpetrators of abuse. The following quote from Suzi, someone who received the label, makes the point better than I can:

 
‘I cannot understand how the vast majority of perpetrators of sexual violence walk free in society; whilst people who struggle to survive its after effects are told they have disordered personalities’ (Shaw & Proctor, 2004, p.12).
 
Think about the implications of that for a second. It’s accusing us of failing to recognise the abuse of power in society, of colluding in suffering. People are traumatised and hurt in many ways. For some there are obvious damaging events involved, for other people the circumstances are more complex and subtle. The flow of power is usually crucial in each. Unfortunately, the way in which we offer mental health services can lead us to ignore life circumstances and power. An understandable reaction to a horrifying life experience is converted into an illness, which a person is held responsible and rejected for having.
 
If that doesn’t paint a pretty picture of mental health services what are the alternatives? Perhaps a little good sense might help here. We need to support people to make sense of their distress in relation to their life experiences and circumstances – survival strategies in the face of disordered environments. People need to be offered practical support and guidance, as well as compassion and care. It seems unnecessary to grab at the concepts of illness, treatment and disorder, when we can talk with people using ordinary language. Our conversations need to honour people’s survival and strengths against the odds, as well as their difficulties and needs. When supporting people who have experienced high levels of abuse and are struggling in life, workers need space, supervision and time to reflect on and cope with their own feelings, and to consider the most useful ways to help. People should not have to accept a label and the attached baggage to receive support.
 
Abuse and misuse of power are social and political issues. We seem to resist asking the questions that flow from this though. Such as why is sexual violence so prevalent in society? How do we prevent people doing horrendous things to each other in the first place? What economic policies decrease oppression and misuse of power in society? Going back to the 20th century, at one point the APA decided people who identified 616557b8644a5f124a2ad7e3964173fathemselves as gay were suffering from an illness. Some of those who were labelled accepted and internalised the label. However due to lobbying and activism this idea was eventually abandoned. It is now time to speak up and say that people in emotional pain, who have suffered and attempted to survive, should no longer be labelled disordered. It is time to abandon the concept of borderline personality disorder and instead find and honour the person.
 
Shaw, C. & Proctor, G. (2004). Suzi’s Story. Asylum (Special Edition: Women at the Margins), 14 (3), 11 – 13. Also reproduced here.
 
Steven Coles is a Clinical Psychologist  and co-editor of Madness Contested: Power and Practice (PCCS Books, 2013). Follow him on Twitter @Steven_Coles_.

Abusers are only afraid of losing control. If you get up, they fall

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I, like many others, have a burning desire to DO something for the world, and I try to do my part every day at work. The last couple of years I have also been reading many books about issues related to the world today, and watched randondocumentaries and movies that also inspired me. After some time, excitement rose as I understood how ideas, psychology and internet have the potential to accomplish things we could not before. Some people say it`s too many bad things out there, we can`t do anything, anyway. I simply believe that is not true. Those words are uttered by bullies not affected by people starving and losing their jobs, as long as they can fly their jets, live in mansions and wear expensive suits.

From working with traumatized people, some of the most lovely persons I`ve ever met, and feeling the unfairness of people USING their kindness and warmth against them, making them feel bad and unworthy, when in reality the roles could have been reversed. Also reading about how psychopaths can climb to high positions in the society EXACTLY because they don`t fear stepping at toes (Watch the documentary I am Fishead for more on this) scares me even more. But, remembering that just 1 – 2 % of the populations truly have no conscious (still the number is so high that we all will encounter one of them quite often. The staggering number is still big when you think about how many people inhabit this planet. Some have even noticed that capitalism is as built for psychopaths, what do they care if Greece goes bankrupt as long as they get their cash and power?

All this made me realize: People trying to make the world worse, will always be a challenge, but they will 4178e2e38a07f5e125f5002bf406f060NOT accomplish this if others protest. The internet makes this possible, and by spreading an attitude of compassion, we can work against this tendency. In his book, “Defense Against the Psychopath,” author Stefan Verstappen outlines the greatest and stealthiest danger in the human jungle. Leaders throughout history – the people we vote for – are rarely moral leaders. For them, lying is as easy and natural as breathing. It is completely unnerving and rattling to face the fact that someone can have absolutely no empathy. This realization is so frightening, most would rather go heavily into denial and fantasize that our helping them succeed is a good thing.

“Because of the tremendous destruction psychopaths reap on society, it is vital for everyone to be aware of their existence and to recognize their behavior traits. Understanding them is the first step to defending oneself against them.”

And terrible things happening right under our noses, has always been a fact. Think about the Khmer Rouge, that in five years time slaughtered about one third of the population (if you ever go there, visit the museums and graveyards, they still find bones from people buried) and even more recent: North-Korea and the suffering people are going through RIGHT now because the communist regime run by the Kim family has had the power to frighten and subdue his “people” who once believed (and many still do) that the Western countries only try to do harm (Check out this book for personal accounts of the atrocities)

This might evoke a feeling of helplessness in us, but when we think about it, the internet has given us so many possibilities to share what we know, and protest along with others who have the same (healthy) targets of an equal world, that we are in reality more powerful than ever. There are several “movements” growing, all of them protesting against war, racism and inequality. The mass protests in Egypt is a very recent example of how it is possible for people to really do something against problems, if they just get together and find each other. Remember I wrote about the slaughtering of people in Cambodia ? The reasons were often random, and you or your family could be killed if you not “confessed” under torture that you were not sympathizing with the ruler and the system. There is even a protest recently (June 2013) in Cambodia from the surviving people of the Khmer Rouge when their leader tried to deny what had happened from 1970-1975, by saying that the prisons made were just “staged”. “If these things really happened, why would the Khmer Rouge not destroy the evidence? ” Well, the survivors and stories are real, no one can stage a tower of skulls, several pictures,prisons and stories. And even if they could, why would they? I have personally talked with a lovely humble girl who was lucky enough to get a scholarship in Norway, who presented me for her family who shared from their own food even if they had so little to spare, when I was in Cambodia.

Peace one day want to make one day a year, a “peace day”, and what about a “kindness day” ? Philip Zimbardo, one of the greatest scientists, have introduced Heroic Imagination Project where he encourage people to take heroic act. Do you 142577dfa7c5e25cfaa3466d2bcf5354know that often it is enough that ONE person protest, for others to join in? In fact, they found that the Milgram Experiment of obedience (where you must deliver shock to others) the willingness to do what they “felt” was not right, went down if they “by coincidence” saw somebody else say no. This means: It helps to follow your heart, when something is not “quite right” even if authority tell you something else. Some do anyway, because they trust their gut-feeling enough to do what feels right, but most people look at what others do (cognitive heuristics) because it is easier.

So, if somebody else does kind things for others, would you not want to, also? If your best friend always smiled at strangers, would it not be easier for you also?

But you need energy, to be there for others. For that reason: Take care of your own needs first! Many feel egoistic if they do, but it`s actually the other way around. By not taking care of yourself, you neglect the energy and happiness necessary for giving others what they need. If an oxygen mask fall down, take your own mask first. Not because you don`t care about your children, but because then you are more able to help others, afterwards.

“Self-care is never a selfish act—it is simply good stewardship of the only gift I have, the gift I was put on earth to offer to others.”

~Parker Palmer

Remember the old cliché? “Take care of yourself first or you will have nothing left to give others.”  Or, “ we can’t give what we don’t have.” But what is self-care really? Why is it so difficult and why do we feel guilty about doing it?

Skulls of Khmer Rouge victims.
Skulls of Khmer Rouge victims. (Photo credit: Wikipedia)

Read more:

Genocide Museum of the Khmer Rouge (in Cambodia)

World kindness should be practiced every day

project-validation

Capitalism: A System Run By and For Psychopaths

the pros to being a psychopath

A book to read

put yourself first

Psychopaths run the world

http://peaceoneday.org/resources/

wisdom-of-psychopaths

about psychopaths

is self-care-selfish?

will I ever be good enough

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