According to the Tarasoff decision in California which has now become a standard of mental health professional practice across the states in the US, mental health professionals have a duty to warn. How are we carrying out our responsibility to the public which we are licensed to serve?

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According to the Tarasoff decision in California which has now become a standard of mental health professional practice across the states in the US, mental health professionals have a duty to warn. How are we carrying out our responsibility to the public which we are licensed to serve?

Reporting from Brockport, NY where we have the lowest DWI mortality rate in the nation

David Markham, LCSWR

From Asha Rangappa’s Freedom Academy

One thing that I have been thinking about since my conference is how Trump and J.D. Vance’s xenophobic rhetoric hurts our economy by discouraging international students from studying in the U.S. Universities are economy engine-drivers for their respective states — it’s one of the reasons that they were among the first to push back against Trump’s ill-conceived travel ban in 2017. And not for nothing, but many universities — including those in red states — rely on international students, many of whom (though not all) have the means to pay full freight to get undergraduate and advanced degrees here, to offset the cost and provide scholarships to U.S. students. When these prospective international students see people like themselves being accused of eating pets and targeted for harassment generally, it doesn’t make coming halfway around the world so appealing. (The gun violence doesn’t help, either — many I’ve spoken to worry that it is unsafe to study here, and I don’t blame them.) One administrator from the University of Alabama lamented that her state’s anti-DEI laws have also made it harder to create programs to help international students adjust to life in the U.S. It’s just another one of the many ways that the Trump agenda is anti-American and incredibly short-sighted…and all the more reason to make sure we bring this election back to sanity on November 5.

Editor’s note: I live in the Western New York region with cities like Syracuse, Rochester, Buffalo which are home to some of the finest educational institutions in the world and attract many international students. I had not thought before about how Trump’s xenophobic values impact our educational institutions and our communities.

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Hey Dave,

What is your attitude toward old age? Is it something to avoid thinking about, or a stage of life to be honored? Do you think most people are in denial about their own aging?

Becky

Dear Becky:

I have found that what people want as they age is meaning, purpose, and sense of somehow being useful.

The Surgeon General wrote a report describing the epidemic of "loneliness" in the US. I think that "loneliness" as the label for what ails us is a bit off the mark. What ails us the most is a lack of meaning, purpose, or usefulness to oneself and to others.

The worst feeling in the world is to be "put out to pasture", marginalized, silenced, patronized, condescended to, feeling powerless with little agency.

Gawande writes about this a bit in his book, Being Mortal,  that people want to maintain some sense of autonomy and self determination as long as they can.

The topic might be reframed as "When I get older what will I be good for?"

I can’t do a lot of things in my older age that I could do when I was younger, but I am still good for a whole bunch of things such as kindness, caring, compassion, understanding, generosity, and maybe, sometimes, unconditional love.

The biggest gift we can give to other people and the world is our attention.

Peace be with you,

Dave

Hey Dave:

How can the GOP remove so many voters from the voting rolls in states where the Republicans are in charge?

Tom

Dear Tom

1. You raise an interesting question about how voters can just be removed from voting rolls and apparently feel no guilt in disenfranchising thousands of people in their state.

2. Voting irregularities are extremely rare in modern elections and what irregularities have occurred the courts have ruled as being so miniscule they would not have changed the outcome of the elections.

3. The myth of voter fraud is perpetrated by the losers of elections. The partisans who promote the lies about voter fraud only complain about the irregularities in the elections they have lost, never the ones they won.

4. I have learned as a psychotherapist that when couples complain of "communication issues" what they are really talking about are power struggles.

5. People usually understand each other very well, they just don't agree, have a conflict, and the issue is how to resolve the conflict when communication, alone, doesn't resolve the conflict as is often the case.

6. The questions become who will dominate the other, how will the other respond to the domination, and how will the dominator manage the dominated's response to the domination?

7. I like the bumper sticker that states "Speaking truth to power has no effect if power has no use for the truth." Ain't that the truth?

8. So what is one to do when power has no use for the truth?

9. Look for the incentives that power might be interested in for recognizing, acknowledging, and accepting the truth.

10. Incentives vary greatly depending on the motivations, intentions, desires, and preferences of those with the power.

11. In short, those with power who don't recognize the truth have to be outsmarted, manipulated based on a deliberate, and purposeful strategy of the person who is leading the change effort. Sometimes accountability can be achieved through the courts, but court battles are often useless unless one has unlimited resources for legal bills.

12. Power who has no use for truth is not that smart because sooner or later the effects of not recognizing, acknowledging and responding appropriately to truth will be felt and pain will arise along with guilt and fear and the intransigence will implode and collapse.

13. The old saying is "The truth will set you free." Sometimes it takes awhile but Truth always wins.

14. Keep the faith, exercise patience and persistence, "the two Ps"

15. Organize and advocate for the right to vote and the adjudication of proper election processes. 

16. Use the courts when possible and vote for state government officials who will provide for free and fair elections.

Peace be with you.

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Hey Dave: 

What is your attitude toward old age? Is it something to avoid thinking about, or a stage of life to be honored? Do you think most people are in denial about their own aging?

Becky

Hi Becky:

I co-facilitate a "Growing Old Gracefully Peer Support Group" for people over 66. We are a small group of 8 people who are meeting weekly for 12 weeks.

The period of life from 65 - 75 is sometimes called "The Golden Years" and I recently saw a study of men in their late 80s who said that being 80 was the best year of their life.

How older age goes for a person probably depends a great deal on their health and their economic and social situation. 

I like to think of the later stage of life as the "harvest" stage where a person can reap what they have sown. You make your bed and lie in it. But I don't personally or professionally in my career as a Psychiatric Social Worker find this to be true. People experience great changes over the decades of their lives and new challenges are constantly arising.

I like Ken Wilber's observation about "growing old" and "growing up." If people have grown up as they have aged they are beautiful and inspiring to behold. If they had merely grown old without growing up, It seems somewhat sad to me but who am I to judge? I like to believe that whatever happens as time passes we all are doing the best we can do.

The loveliest thing I notice in myself and others as I have grown older is gratitude. When people are grateful and count their blessings however meager they may appear to be, they usually have more satisfaction, fulfillment, and peace.

Peace be with you,

David Markham

Editor’s note: This is a first in a series of articles in question and answer format which I am tagging as “Hey Dave.”

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During September 2024 the focus on my attention, energy, and effort has been on exploring the older stages of life. In my Allnonfiction online book discussion group we have been reading Being Mortal by Atul Gawande, and I have been co-facilitating a peer support group, Growing Older Gracefully, which has been meeting weekly for a period of twelve weeks.

In the Growing Older Gracefully Peer Support group we have been discussing the changes that we have experienced growing older physically, socially, psychologically, and spiritually.

The physical changes are the changes most readily apparent while the social, psychological, and spiritual changes are more subtle and culturally and lifestyle influenced.

The old saying is that “Growing older is not for sissies” and yet the period of roughly 65 - 75 are also called “The Golden Years”.

The social status of the seniors has changed significantly over the years both in the US and in other cultures around the world. In some cultures the aged are considered wise and revered and in other cultures they are dismissed, marginalized, put out to pasture, and ignored if not abused. The life expectancy in 1900 was 49 years and in 2024 it is 79. We now have two adulthoods, the period of 20 - 50 which is about mating and procreating and assuring the continuation of our species, and the period of 50 - 80 which is filled with existential angst about what do I do now. The first adulthood we are programmed by Mother Nature hormonally to assure the continuation, evolutionarily, of our species, homo sapiens. The second adulthood we are on our own with little if no help from Mother Nature about what will give our lives meaning, and purpose

For many people in the US growing older is something feared, and addressing the problems that come with older age are avoided and denied until there is a crisis of sorts when the lack of functioning and inability to care for oneself and meet one’s own needs can no longer be ignored.

Gawande writes in his book Being Mortal:

I wrote this book in the hope of understanding what has happened. Mortality can be a treacherous subject. Some will be alarmed by the prospect of a doctor’s writing about the inevitability of decline and death. For many, such talk, however carefully framed, raises the specter of a society readying itself to sacrifice its sick and aged. But what if the sick and aged are already being sacrificed—victims of our refusal to accept the inexorability of our life cycle? And what if there are better approaches, right in front of our eyes, waiting to be recognized?

Gawande, Atul. Being Mortal: Medicine and What Matters in the End (pp. 9-10). Henry Holt and Co.. Kindle Edition. 

As a culture in the United States is there a better way that we can live the last years of our lives? How do you want to live yours? I am reminded of Ken Wilber’s comment about there being a difference between growing old and growing up. All living things grow old, including human beings. Human beings, though, being conscious of their own existence, have the ability to not only grow old, but to grow up.

What does it mean to grow up, to mature gracefully, to realize and actualize one’s own potential in a satisfying and fulfilling way that brings one to the end of one’s mortal existence with peace of mind?

Editor’s note: Every Sunday, David G. Markham substack will feature an article about the developmental stages of life.

It’s been quite a week this past week in my Social Work Practice in Brockport, NY where I continue to meet with people three days per week for individual, couple, and family therapy. I also participate on a mental health professionals listserv which is called “Clinicians Exchange.” I also co-facilitate a group called “Growing Older Gracefully Peer Support Group” on Tuesday afternoons, and facilitate “Nurturing One’s Interior Spiritual Life Peer Support Group” every other Thursday evening for the North American Unitarian Association’s Circle program.

The biggest topics which have come up this past week are the confidentiality of patient records, how a psychotherapist should respond to a client request to appear in court for them in child custody disputes, and how therapists should handle patient’s request for service when they were seen previously in an agency when a therapist has moved to private practice and signed a non compete clause with the agency, their previous employer.

In private practice, the Licensed Clinical Social Worker has two jobs, providing the therapeutic services and running a small business. I, over the years, have observed that many Social Workers are good at one of the jobs, but not both. The two jobs require two different skill sets. I have done both successfully over 44 years.

Some things have changed drastically over those 44 years, the most significant of which has been the introduction of computers and the internet and smartphones. The impact of this technology has had many consequences for how a Psychiatric Social Worker such as myself goes about their work. Some of the areas affected in no particular order are:

1. Marketing

2. Client registration

3. Billing

4. Health records

5. Communication with clients, collaterals, collaborative partners

6. Confidentiality

7. Practice management

8. Evaluation of client outcomes as well as practice performance.

This article cannot describe all these impacts. To provide one small example, though, we can focus on client communication. If the therapist wants to contact the client should they call, text, email, snail mail, fax, provide a client portal into their office software platform? Just getting on the same wavelength between the therapist and the client is an enormous challenge as clients have different preferences as do therapists and the confidential nature of the communication is always an overriding issue.

Having tried all of the above communication methods, the one I find most effective is the good ole fashion phone call. Texting is only good for the transmission of very specific discrete information, but leaves a lot of room for misinterpretation and misunderstanding. Email should be a “no-no” because one never knows where it is being stored or forwarded to, etc.

People want communication that is fast, efficient, and effective, and accurate. It seems with the multiple methods of communication people can choose from today, these attributes are rarely achieved 100%.

And so a Social Worker is juggling many requirements and expectations from multiple stakeholders as they engage in their work. Human nature and their situations are almost always messy and things hardly ever go as they should. So a good Professional Social Worker has to be fast on their feet, flexible, creative, smart, wise, loving, and compassionate, and it helps to have a good sense of humor about the absurdities and incongruities that one finds in life.

I told my physician, a gerontologist, who I see now that I am 78, “I wanted to let you know that I reopened my office on May 1, and I am going back to work three days per week. How many more years do you think I can practice?” My doctor is a relatively young man, I would guess in his late 30s or early 40s and he looked right at me and asked, “Do you enjoy it?”

I said, “Yes I do. Very much.”

He said, “Well, you will probably practice as long as you enjoy it.”

I wanted to stand up and hug and kiss the guy. What a great answer.

Then, he said, “The oldest patient I have had still working was an accountant. She worked until she was 95.”

I thought to myself, “I don’t think I will still be practicing at 95 nor probably not even alive, but maybe I can practice till I’m 85.”

To have a career and/or profession with work that you enjoy, is meaningful, is useful, and gives one a sense of purpose is one of the greatest blessings in life. I have grown more and more appreciative of my profession over the years.

I look forward to sharing more with you next Saturday about Social Work A Lifetime Of Practice.

Editor’s note: On Saturdays, my substack newsletter will have an article about the Social Work Profession and what I have learned from a lifetime of practice.

There is so much nonsense and disinformation in the media these days, it is difficult and takes extra effort to separate the facts from the disinformation and misinformation. So today, as a service to my readers, i am starting a new service on my substack newsletter entitled “Know The Facts.” Please help me create a healthier society which is based on honesty, trust, fidelity, and authenticity by sharing these posts with others.

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Optimism flooded through me—optimism, my great weakness or my great strength (depending on whom you asked and on my own mood as well). In Voltaire’s Candide (whose full title is Candide, ou l’Optimisme), the hero’s positivity in the face of the world’s horrors is close to idiotic. (If this is the best of all possible worlds, then those parallel universes must be hellish indeed.) When I wrote my novel Quichotte I lampooned my own nature by making my title character an optimist of the Candidean kind. And now, bedridden and gravely injured as I was, I began to believe that the worst was past, that Milan’s arrival was a sign that a corner had been turned, and happy days would soon be here again.

Rushdie, Salman. Knife: Meditations After an Attempted Murder (p. 81). Random House Publishing Group. Kindle Edition. 

Salman writes about his experience in rehab which I found interesting because I have spent five months in orthopedic rehab from September of 2023 to February of 2024. One of the things I noticed was how the nurses would frequently ask me to rate my pain on a scale of 0 - 10. Luckily my pain was usually minimal. However there were three other things that were very noticeable and troubling to me and I constructed my own scales to rate them daily and sometimes hourly.

After pain, my second scale was “mental clarity.” I often experienced a fogginess and lack of concentration.

The third scale was “energy level.” There were many times when I just didn’t have the energy to engage in minimal things like talking with visitors. There were many days when my energy level was at 2 and 3.

The fourth scale is “optimism/pessimism” which Rushdie describes in the passage above. There were days when my optimism was 0 and I wanted to die. Had MAID, medical assistance in dying, been available in New York State as it is in 17 other states and Canada I might have killed myself. I was that despondent and pessimistic. That’s when you need someone to love you. I am blessed by three good friends when my family abandoned me and I obviously got through that desolate period to write this post.

The turning point for me was finding an apartment I could be discharged to. Finding the apartment, a place to go, gave me something to live for. Also, the PTs and OTs were very helpful and encouraging. Without them I couldn’t have recovered to the extent I have. 

Yesterday, August 23, will be one year since I tore the quadriceps tendon in my right leg, and tomorrow, August 25th will be one year since I tore the quadriceps tendon in my left leg. On the 29th of August it will be one year since I had the surgery on both legs to repair the tendons and I woke up from the surgery in two leg braces from my upper thighs to my ankles at full extension with no flexibility for 6 weeks. I was a beached whale, totally bedridden, and totally dependent on others for even the smallest things like picking up things I dropped on the floor from my bed.

Optimism when a person’s life has been totally turned upside down is a huge thing. I am filled with joy to learn that Salman got his optimism back. Been there, done that as they say.

Editor’s note: I am a member of the online Allnonfiction book discussion group which discusses a different nonfiction book every month.

During August, 2024, we have been discussing Salman Rushdie’s book, Knife, which describes his attack by a man wielding a knife at the Chautauqua Conference Center in August of 2022 as a result of the fatwa proclaimed in 1989 by the Ayatollah Khomeini for what the Ayatollah said was blasphemy in Rushdie’s novel Satanic Verses 33 years prior to the attack in 2022.

The book being read and discussed by the Allnonfiction book discussion group in September, 2024 is Being Mortal by Atul Gawande. If you would like to join the group go here.

From KFF health news.

By Debby WaldmanAugust 20, 2024

In the 18 months after Francine Milano was diagnosed with a recurrence of the ovarian cancer she thought she’d beaten 20 years ago, she traveled twice from her home in Pennsylvania to Vermont. She went not to ski, hike, or leaf-peep, but to arrange to die.

“I really wanted to take control over how I left this world,” said the 61-year-old who lives in Lancaster. “I decided that this was an option for me.”

Dying with medical assistance wasn’t an option when Milano learned in early 2023 that her disease was incurable. At that point, she would have had to travel to Switzerland — or live in the District of Columbia or one of the 10 states where medical aid in dying was legal.

But Vermont lifted its residency requirement in May 2023, followed by Oregon two months later. (Montana effectively allows aid in dying through a 2009 court decision, but that ruling doesn’t spell out rules around residency. And though New York and California recently considered legislation that would allow out-of-staters to secure aid in dying, neither provision passed.)

Despite the limited options and the challenges — such as finding doctors in a new state, figuring out where to die, and traveling when too sick to walk to the next room, let alone climb into a car — dozens have made the trek to the two states that have opened their doors to terminally ill nonresidents seeking aid in dying.

At least 26 people have traveled to Vermont to die, representing nearly 25% of the reported assisted deaths in the state from May 2023 through this June, according to the Vermont Department of Health. In Oregon, 23 out-of-state residents died using medical assistance in 2023, just over 6% of the state total, according to the Oregon Health Authority.

Oncologist Charles Blanke, whose clinic in Portland is devoted to end-of-life care, said he thinks that Oregon’s total is likely an undercount and he expects the numbers to grow. Over the past year, he said, he’s seen two to four out-of-state patients a week — about one-quarter of his practice — and fielded calls from across the U.S., including New York, the Carolinas, Florida, and “tons from Texas.” But just because patients are willing to travel doesn’t mean it’s easy or that they get their desired outcome.

“The law is pretty strict about what has to be done,” Blanke said.

As in other states that allow what some call physician-assisted death or assisted suicide, Oregon and Vermont require patients to be assessed by two doctors. Patients must have less than six months to live, be mentally and cognitively sound, and be physically able to ingest the drugs to end their lives. Charts and records must be reviewed in the state; neglecting to do so constitutes practicing medicine out of state, which violates medical licensing requirements. For the same reason, the patients must be in the state for the initial exam, when they request the drugs, and when they ingest them.

State legislatures impose those restrictions as safeguards — to balance the rights of patients seeking aid in dying with a legislative imperative not to pass laws that are harmful to anyone, said Peg Sandeen, CEO of the group Death With Dignity. Like many aid-in-dying advocates, however, she said such rules create undue burdens for people who are already suffering.

Diana Barnard, a Vermont palliative care physician, said some patients cannot even come for their appointments. “They end up being sick or not feeling like traveling, so there’s rescheduling involved,” she said. “It’s asking people to use a significant part of their energy to come here when they really deserve to have the option closer to home.”

Those opposed to aid in dying include religious groups that say taking a life is immoral, and medical practitioners who argue their job is to make people more comfortable at the end of life, not to end the life itself.

Anthropologist Anita Hannig, who interviewed dozens of terminally ill patients while researching her 2022 book, “The Day I Die: The Untold Story of Assisted Dying in America,” said she doesn’t expect federal legislation to settle the issue anytime soon. As the Supreme Court did with abortion in 2022, it ruled assisted dying to be a states’ rights issue in 1997.

During the 2023-24 legislative sessions, 19 states (including Milano’s home state of Pennsylvania) considered aid-in-dying legislation, according to the advocacy group Compassion & Choices. Delaware was the sole state to pass it, but the governor has yet to act on it.

Sandeen said that many states initially pass restrictive laws — requiring 21-day wait times and psychiatric evaluations, for instance — only to eventually repeal provisions that prove unduly onerous. That makes her optimistic that more states will eventually follow Vermont and Oregon, she said.

Milano would have preferred to travel to neighboring New Jersey, where aid in dying has been legal since 2019, but its residency requirement made that a nonstarter. And though Oregon has more providers than the largely rural state of Vermont, Milano opted for the nine-hour car ride to Burlington because it was less physically and financially draining than a cross-country trip.

The logistics were key because Milano knew she’d have to return. When she traveled to Vermont in May 2023 with her husband and her brother, she wasn’t near death. She figured that the next time she was in Vermont, it would be to request the medication. Then she’d have to wait 15 days to receive it.

The waiting period is standard to ensure that a person has what Barnard calls “thoughtful time to contemplate the decision,” although she said most have done that long before. Some states have shortened the period or, like Oregon, have a waiver option.

That waiting period can be hard on patients, on top of being away from their health care team, home, and family. Blanke said he has seen as many as 25 relatives attend the death of an Oregon resident, but out-of-staters usually bring only one person. And while finding a place to die can be a problem for Oregonians who are in care homes or hospitals that prohibit aid in dying, it’s especially challenging for nonresidents.

When Oregon lifted its residency requirement, Blanke advertised on Craigslist and used the results to compile a list of short-term accommodations, including Airbnbs, willing to allow patients to die there. Nonprofits in states with aid-in-dying laws also maintain such lists, Sandeen said.

Milano hasn’t gotten to the point where she needs to find a place to take the meds and end her life. In fact, because she had a relatively healthy year after her first trip to Vermont, she let her six-month approval period lapse.

In June, though, she headed back to open another six-month window. This time, she went with a girlfriend who has a camper van. They drove six hours to cross the state border, stopping at a playground and gift shop before sitting in a parking lot where Milano had a Zoom appointment with her doctors rather than driving three more hours to Burlington to meet in person.

“I don’t know if they do GPS tracking or IP address kind of stuff, but I would have been afraid not to be honest,” she said.

That’s not all that scares her. She worries she’ll be too sick to return to Vermont when she is ready to die. And, even if she can get there, she wonders whether she’ll have the courage to take the medication. About one-third of people approved for assisted death don’t follow through, Blanke said. For them, it’s often enough to know they have the meds — the control — to end their lives when they want.

Milano said she is grateful she has that power now while she’s still healthy enough to travel and enjoy life. “I just wish more people had the option,” she said.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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Memphis, TN – A former Memphis, Tennessee, Police Department (MPD) officer facing federal civil rights charges for the tragic killing of Tyre Nichols pleaded guilty in federal court today.

Emmitt Martin III, pleaded guilty to civil rights and conspiracy charges arising out of the Jan. 7, 2023, incident. Martin is the second MPD officer to plead guilty in this case.

On Sept. 12, 2023, a federal jury returned a four-count indictment against Martin and four co-defendants. The charges included using excessive force resulting in the death of Nichols; aiding and abetting each other in using that excessive force; failing to intervene to stop the excessive force; failing to render medical aid; and conspiring or taking action to cover up their misconduct. On Nov. 2, 2023, co-defendant Desmond Mills entered a guilty plea to civil rights and conspiracy charges.

The remaining three defendants will face a federal trial scheduled for Sept. 9.

In today’s court appearance, Martin pleaded guilty to counts one and three of the indictment. Count one charged Martin with using excessive force and failing to intervene in the unlawful assault. Count three charged Martin with conspiring to cover up his use of unlawful force by omitting material information and by providing false and misleading information to his supervisor and to others. A sentencing hearing is scheduled for Dec. 5. A federal district court judge will determine any sentence after considering U.S. Sentencing Guidelines and other statutory factors. 

Attorney General Merrick B. Garland, FBI Director Christopher Wray, Assistant Attorney General Kristen Clarke of the Justice Department’s Civil Rights Division, U.S. Attorney Kevin Ritz for the Western District of Tennessee, and Special Agent in Charge Joseph E. Carrico of the FBI Memphis Field Office made the announcement.

The FBI Memphis Field Office investigated this case. 

Assistant U.S. Attorneys David Pritchard and Elizabeth Rogers for the Western District of Tennessee and Special Litigation Counsel Kathryn E. Gilbert, Trial Attorney Andrew Manns and Deputy Chief Forrest Christian of the Justice Department’s Civil Rights Division are prosecuting the case.

For more about Tyre Nichols click here.

Editor’s note:

The news comes so fast these days and in disparate places that we don’t connect the dots. In other words, the news comes very fast. I like the term “slow news.” Slow news follows up on the original story of the event to describe what happened after the event. Slow news tries to answer the questions, “so what happened next,” and “how did things turn out?” Slow news also describes the “back story” and why things are the way they are. Slow news provides context to events so people can connect the dots.

I used to publish articles I labeled “slow news” on MarkhamsSlowNews on blogger. I moved my new slow news articles to substack on 04/13/2023. You can find the older articles still on the blogger site if you are interested.

By Jacob GardenswartzAugust 23, 2024

“We’re losing 300,000 people a year to fentanyl that comes through our border. We had it down to the lowest number and now it’s worse than it’s ever been.”

— Former President Donald Trump at a July 24 campaign rally in Charlotte, North Carolina

Former President Donald Trump claimed at a recent campaign rally that more than 300,000 Americans are dying each year from the synthetic opioid drug fentanyl, and that the number of fentanyl overdoses was the “lowest” during his administration and has skyrocketed since.

“We’re losing 300,000 people a year to fentanyl that comes through our border,” Trump told his supporters at a July 24 campaign rally in Charlotte, North Carolina. “We had it down to the lowest number and now it’s worse than it’s ever been,” he said.

Trump’s figures appear to have no basis in fact. Government statistics show the number of drug overdose deaths per year is hovering around 100,000 to 110,000, with opioid-related deaths at about 81,000. That’s enough that the government has labeled opioid-related overdoses an “epidemic,” but nowhere close to the number Trump cited.

Moreover, though the number of opioid deaths has risen since Trump left office, it’s incorrect to claim they were the “lowest” while he was president.

Numbers Are High, but Nowhere Near Trump’s Claim

Trump campaign national press secretary Karoline Leavitt wouldn’t comment specifically on the source for Trump’s statistics. She instead sent KFF Health News an email with several bullet points about the opioid crisis under the heading: “DRUGS ARE POURING OVER HARRIS’ OPEN BORDER INTO OUR COMMUNITIES.”

One such bullet noted that there were “112,000 fatal drug overdoses” last year and linked to a story from NPR reporting that fact — directly rebutting Trump’s own claim of 300,000 fentanyl deaths. Additionally, the number NPR reported is an overall figure, not for fentanyl-related deaths only.

More recent government figures estimated that there were 107,543 total drug overdose deaths in 2023, with an estimated 74,702 of those involving fentanyl. Those figures were in line with what experts on the topic told KFF Health News.

“The number of actual deaths is probably significantly higher,” said Andrew Kolodny, medical director for the Opioid Policy Research Collaborative at Brandeis University, noting that many such overdose deaths go uncounted by government researchers.

“But I don’t know where one would get that number of 300,000,” Kolodny added.

Trump’s claim that fentanyl deaths were the “lowest” during his administration and are now worse than ever is also off the mark.

Overdose deaths — specifically those from synthetic opioids such as fentanyl — started climbing steadily in the 1990s. When Trump took office in January 2017, the number of overdose deaths related to synthetic opioids was about 21,000. By January 2021, when he left the White House, that tally was nearing 60,000, data from the Centers for Disease Control and Prevention’s National Vital Statistics System shows. Deaths involving synthetic opioids continued to increase after Trump left office.

“There’s some truth to saying that there are more Americans dying [of opioids] than ever before,” Kolodny said. “But again, if you were to look at trends during the Trump administration, deaths just pretty much kept getting worse.”

In the last year, though, statistics show that overdose numbers have plateaued or fallen slightly, though it’s too soon to say whether that trend will hold.

Given that Trump’s claims about fentanyl came when discussing the southern border “invasion,” it’s worth noting that, according to the U.S. government, the vast majority of fentanyl caught being smuggled into the country illegally comes via legal ports of entry. Moreover, nearly 90% of people convicted of fentanyl drug trafficking in 2022 were U.S. citizens, an analysis by the Cato Institute, a libertarian think tank, showed. That year, U.S. citizens received 12 times as many fentanyl trafficking convictions as did immigrants who were in the U.S. without authorization, the analysis showed.

Our Ruling

Trump said, “We’re losing 300,000 people a year to fentanyl that comes through our border. We had it down to the lowest number and now it’s worse than it’s ever been.”

Annual U.S. fentanyl deaths have increased since he left office, but Trump’s claim about 300,000 deaths has no basis in fact and is contradicted by figures his press secretary shared.

Trump is wrong to assert that overdoses were the lowest when he was president. Moreover, Trump continues to link fentanyl trafficking to illegal immigration — a claim statistics do not support.

We rate Trump’s claim Pants on Fire!

Our Sources

Cato Institute, “U.S. Citizens Were 89% of Convicted Fentanyl Traffickers in 2022,” Aug. 23, 2023.

Centers for Disease Control and Prevention, “U.S. Overdose Deaths Decrease in 2023, First Time Since 2018,” May 15, 2024.

C-SPAN, Former President Trump Campaigns in Charlotte, North Carolina, July 24, 2024.

Department of Homeland Security, Fact Sheet: DHS Is on the Front Lines Combating Illicit Opioids, Including Fentanyl, Dec. 22, 2023.

Email exchange with Karoline Leavitt, national press secretary for Donald J. Trump for President, July 29, 2024.

National Vital Statistics System, Centers for Disease Control and Prevention, Provisional Drug Overdose Death Counts, July 7, 2024.

NPR, “In 2023 Fentanyl Overdoses Ravaged the U.S. and Fueled a New Culture War Fight,” Dec. 28, 2023.

Phone interview with Andrew Kolodny, medical director for the Opioid Policy Research Collaborative at Brandeis University, July 31, 2024.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

Editor’s note:

I, personally, have known over 20 people who have died from opioid overdoses both in my personal and professional life. Donald Trump is well known to be a pathological liar and so his lying has become normalized but still surprises when it is about something with which one has personal experience. Tragic deaths are nothing to play politics with. Please, please, please vote for Kamala Harris.

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The stories we tell ourselves about what our lives are about create a moral model of the world that we think we are inhabiting.

Perception is reality. What shapes our perception? The stories we are told about what we are expected to see. Remember the fairy tale of the Emperor's New Clothes by Hans Christian Anderson? 

The stories we tell ourselves and others becomes the lens through which we perceive what we think is real. Remember Plato's cave?

The bumper sticker says "Don't believe everything you think."

And then there is the idea of the "self fulfilling prophesy." The saying is “be careful what you wish for because you might just get it” like the person who hates someone so much that they wish they would die, and then they do, and then the wisher feels guilty as if their thinking it so caused it. Or you fear certain things and the fears seem to draw those things closer and make them more real like the spouse who accuses their partner of cheating on them, and it causes such a breach in their rapport that the partner does actually get involved with someone else.

Stories are an attempt to make sense out of our experience so we can explain things to ourselves and then to others. The postmodernists say that reality is socially constructed.

Trumpists and the MAGA crowd don't seem to understand that lying, cheating, hate, contempt, disdain, abuse, and violence: verbal, emotional, and physical, matter. They create a society of ugliness, pain, suffering, anguish, and death. Thank goodness we are seeing an awakening in America and a new story of hope, joy, inclusion and love for one another is being told.

Which story do you like best? Which story do you think will prevail?

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Wednesday, August 21, 2024

For Immediate Release

U.S. Attorney's Office, District of Columbia

USADC.Media@usdoj.gov

            WASHINGTON – A Texas woman pleaded guilty today to felony and misdemeanor charges related to her conduct during the Jan. 6, 2021, breach of the U.S. Capitol. Her actions and the actions of others disrupted a joint session of the U.S. Congress convened to ascertain and count the electoral votes related to the 2020 presidential election.

            Kellye SoRelle, 45, of Grandbury, Texas, pleaded guilty to a felony charge of obstruction of Justice—tampering with documents and a misdemeanor charge of entering and remaining in a restricted building or grounds before U.S. District Judge Amit P. Mehta. Judge Mehta will sentence SoRelle on Jan. 17, 2025.

            According to court documents, SoRelle was an affiliate of the Oath Keepers and the Oath Keepers' founder and leader, Elmer Stewart Rhodes and is an attorney who has previously worked as a prosecutor in Texas. In the days following the 2020 U.S. presidential election, members of the Oath Keepers, a far-right militia group, led by Stewart Rhodes, began discussing the necessity of opposing the transition of power from President Donald J. Trump to President-Elect Joseph R. Biden, Jr. This opposition extended to advocating for the use of force if necessary.

            On Nov. 5, 2020, Rhodes sent a message to an encrypted group chat titled "Leadership intel sharing secured," which included other key figures in the Oath Keepers organization, such as Kellye SoRelle. In his message, Rhodes emphatically declared, "We MUST refuse to accept Biden as a legitimate winner," and further escalated the rhetoric by stating, "We aren't getting through this without a civil war. Too late for that. Prepare your mind, body, spirit."

            While some members of the Oath Keepers distanced themselves from the group due to the increasingly violent and radical tone, others, like Kellye SoRelle, continued to collaborate closely with Rhodes. SoRelle, a Texas-based attorney who had become increasingly involved with the Oath Keepers, worked with Rhodes on various projects aimed at opposing the election results.

            On Jan. 3, 2021, SoRelle traveled with Rhodes from Texas to Washington, D.C., where they planned to be part of the Oath Keepers' operation on January 6. During the journey, Rhodes purchased or picked up over $20,000 worth of firearms-related equipment. By the morning of January 6, SoRelle and Rhodes were in the vicinity of the U.S. Capitol, ready to take part in the day's events.

            As the riot at the Capitol began to unfold, SoRelle messaged the "Leadership intel sharing secured" group at around 1:31 p.m., declaring, "We are acting like the founding fathers—can't stand down. Per Stewart, and I concur." Rhodes, for his part, directed his Oath Keeper followers to the Capitol, leading to at least 20 members of the group breaching the building. At approximately 2:12 p.m., SoRelle, Rhodes, and another Oath Keeper affiliate entered the restricted areas of the Capitol grounds. Video footage captured the group passing barriers that had been set up by law enforcement to protect the Capitol.

            As she entered the restricted area, SoRelle live-streamed a video to Facebook, expressing her support for the actions of the rioters and urging others not to be afraid. She described the scene as one of the "coolest damn things" she had ever witnessed and framed the riot as a necessary step to prevent the United States from descending into communism and tyranny. SoRelle continued to document the riot over Facebook live-stream as she moved around the Capitol building with Rhodes and the other Oath Keeper affiliate. The group eventually made their way to the Upper West Terrace of the Capitol, where they watched as rioters continued to stream into the building.

            As they stood on the terrace, another Oath Keeper affiliate remarked that the people inside the Capitol "gotta be shitting their pants right now." SoRelle laughed and agreed, while Rhodes responded with the Latin phrase "Sic semper tyrannis," which means "Thus unto tyrants," a phrase famously shouted by John Wilkes Booth after he assassinated President Abraham Lincoln.

            After the events at the Capitol, SoRelle joined Rhodes and other Oath Keepers for a celebratory dinner. During the dinner, the group received word that law enforcement was either arresting or searching for individuals involved in the Capitol attack. SoRelle, and the others then left the restaurant, returned to their hotel, packed their belongings, and regrouped at a nearby gas station.

            At the gas station, Rhodes turned off his cell phone and handed it to SoRelle, fearing it might be tracked by law enforcement. He then left with another Oath Keeper affiliate while SoRelle drove separately. They later rendezvoused in Tennessee before continuing to Alabama and ultimately back to Texas.

            As they traveled, Rhodes and SoRelle sent messages from SoRelle's phone, since Rhodes' phone remained off to avoid tracking. These messages urged Oath Keeper affiliates to delete any evidence of their involvement in the January 6 events. In a Signal group chat named "DC Op: Jan 6 21," SoRelle wrote, "Please delete any information you've posted regarding the DC op and your involvement. This thread will be deleted when possible." She also relayed instructions from Rhodes to "clean up all your chats."

            SoRelle further directed, "YOU ALL NEED TO DELETE ANY OF YOUR COMMENTS ABOUT WHO DID WHAT," explaining that only the comment authors could delete their posts. Oath Keeper members and affiliates complied, deleting messages, photographs, and videos from their devices that could serve as evidence of their participation in the Capitol attack.

            The FBI arrested SoRelle on Sept. 1, 2022, in Junction, Texas.

            The U.S. Attorney's Office for the District of Columbia and the Department of Justice National Security Division's Counterterrorism Section are prosecuting this case. The U.S. Attorney's Offices for the Western and Eastern Districts of Texas provided valuable assistance.

            This case is being investigated by the FBI’s Dallas and Washington Field Offices. Valuable assistance was provided by the U.S. Capitol Police and the Metropolitan Police Department.

            In the 43 months since Jan. 6, 2021, more than 1,488 individuals have been charged in nearly all 50 states for crimes related to the breach of the U.S. Capitol, including nearly 550 individuals charged with assaulting or impeding law enforcement, a felony. The investigation remains ongoing.

            Anyone with tips can call 1-800-CALL-FBI (800-225-5324) or visit tips.fbi.gov.

Contact

USADC.Media@usdoj.gov

Updated August 21, 2024

Vote for Kamala Harris and Tim Walz to preserve our democracy and encourage others to do so as well.

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What makes hospitals happiest is when the patient says he is having bowel movements. Hospitals really don’t like it when your bowels are not moving and they give you medication that causes diarrhea and you ask them to please stop and you promise in pleading tones that your bowels will move soon, they really will, and then, finally, they do move, and everyone cheers up.

Rushdie, Salman. Knife: Meditations After an Attempted Murder (p. 66). Random House Publishing Group. Kindle Edition. 

Rushdie’s writing, at least in Knife, is plain spoken and to the point to the extent that some of his sentences and paragraphs make me laugh with knowing recognition of what experience he is articulating.

Having spent 08/23/23 - 02/03/24 within a hospital or in orthopedic rehab, the staff’s seeming preoccupation with my pain level and bowel movements seemed to be the topic of frequent staff inquiries every couple of hours for over 5 months.

In the hospital I was in leg braces from my upper thighs to my ankles at full extension as well as on huge doses of IV antibiotics. My bowel sensations were a constant worry to me because of my fear of not being able to control them and either needing a bed pan or to defecate in my adult diapers which, in either case, required staff assistance with the going and with the cleaning up afterwards. 

At first, being modest  and ashamed for such intimate ministrations, I severely restricted my food intake not wanting to provide fodder for the cannon. I lost 60 lbs. which I needed to lose anyway, but after I lost the weight people would comment on my change in appearance, congratulate me, and ask how I had done it. I think to myself, “You don’t really want to know.” But now you do, and when Rushdie mentioned this in his memoir that hospital staff are happiest when the patient is moving their bowels, it made me laugh. 

It’s one of those things that you might not think is funny unless you have been there. You ever been there?

Here at davidgmarkham.substack.com we keep track of good news and lift it up as compared to contemporary news which focuses on the negative and sensational. As Johnny Winter sang, “Bad news travels like wildfire. Good news travels slow. That’s why you hear that bad news everywhere you go.” This might be true in the world of the ego, but in the world of Spirit there is only good news. So control your mind and recognize and acknowledge the good news, pause, savor it, and express gratitude for the abundance which is all around us.

I wanted to say: I believe that art is a waking dream. And that imagination can bridge the gulf between dreams and reality and allow us to understand the real in new ways by seeing it through the lens of the unreal. No, I don’t believe in miracles, but, yes, my books do, and, to use Whitman’s formulation, do I contradict myself? Very well, then, I contradict myself. I don’t believe in miracles, but my survival is miraculous. Okay, then. So be it.

Rushdie, Salman. Knife: Meditations After an Attempted Murder (p. 63). Random House Publishing Group. Kindle Edition. 

Some people think that a miracle is walking on water, multiplying the loaves and fishes, raising someone from the dead, healing the blind, and doing other supernatural magic tricks.

In A Course In Miracles a miracle is a shift in perception from the world of the ego to the world of the Spirit. Unlike the definition of “miracle” in colloquial language, “miracle” in A Course In Miracles is the awareness arising in consciousness of the Truth of the non dual Oneness of all creation. When the monk asks the hot dog vendor to “make me one with everything” the monk is asking not just for a hot dog but spiritually for a miracle.

Rushdie writes that he doesn’t believe in the miracles usually associated with the world of the ego, but in his books, which he creates with his imagination, he perceives miracles in the aesthetic world of the art of literature and poetry.

Remember that the meaning of Love can not be taught but the blocks to the awareness of Love which is our natural inheritance can be removed usually one by one. The opposite of Love is fear so what are your deepest fears and how can they be minimized if not eliminated?

How does Rushdie minimize his fears and try to eliminate them in his writing? If he, or any writer, can accomplish this, the elimination of fear, in their writing, they have worked a miracle.

Miracles are there for our realization all the time. Becoming aware of one’s consciousness, itself, is miraculous isn’t it?

There are certain politicians, mostly in the Republican party, who fear monger turning groups of people against each other. These folks have turned politics into a us and them game. This is zero sum economic model of winners and losers. Don’t forget that as human beings we are stronger together than we are divided.

With declining fertility rates in the US America will only stay strong and vibrant if it welcomes immigrants to our country. Politicians who gin up fear of the immigrant do the country and humanity a significant disservice.

Let your elected representatives know that you support a rational immigration policy and to stop with the fear mongering.

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• "NASA collaborates with numerous countries through the Artemis accords. Currently, 43 countries have signed on to the Artemis accords. There are ten articles to the accords to help reduce challenges and build cooperation: 1. Peaceful Purposes; 2. Transparency; 3. Interoperability; 4. Emergency Assistance; 5. Registration of Space Objects; 6. Release of Scientific Data; 7. Protecting Heritage; 8. Space Resources; 9. Deconfliction of Activities; 10. Orbital Debris and Spacecraft Disposal. And the US does collaborate with Russia in space exploration, even though they have yet to sign the Artemis Accords."

  – Author Jeffrey Gillis-Davis on the story Chang'e 6 brought rocks from the far side of the Moon back to Earth − a planetary scientist explains what this sample could hold

Can the nations of Earth get along in space even if they can’t get along on their home planet?

Christians pray as Jesus taught them the prayer known as the “Our Father” which is in part, “Our Father who art in heaven, hallowed by Thy Name. They kingdom come, Thy will be done on Earth as it is in heaven.”

What do you suppose God’s will is for human evolution?

For more click here.

Did you notice that the 10 best states for women’s health and reproductive care outcomes are blue states?

Blue states value women’s freedom of choice over what happens to her own body without government restrictions and constraints.

Women and their families have more freedom to live their lives with less governmental regulation in blue states than red states.

I love living and working in New York State. It is one of the best states in the country on just about any indicator you pick to measure. I am very grateful and count my blessings every day to be living in and able to say that I am a proud New Yorker.

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Salman Rushdie writes in his book, Knife, "I'll just say: we would not be who we are today without the calamities of our yesterdays."

Okay. I get that. Maybe that's true, but then again maybe it isn't.

One of my favorite bumper stickers says, "Good judgment comes from experience. Experience sometimes comes from bad judgment."

Okay, I get that too, but then again what about forgiveness?

Forgiveness, according to Gary Renard, a teacher of A Course In Miracles, is "being willing to give up making other people and circumstances responsible for your unhappiness."

Okay so maybe the calamities of yesterday do not have the last word about our happiness and peace. Maybe it's up to us to make what we will of them.

What, if anything, haunts you, and can you ever forgive them?

In my Altar Boy days in the Catholic Church back in the 50s when the Mass was still said in Latin, the phrase Pax vobiscum ( Peace be with you) appeared a few times in the liturgy and the expected response was "Et cum Spiritu tuo" ( And the Spirit be with you as well.)

I have been signing more of my letters and posts these days, "Pax vobiscum" and in English, "Peace be with you."

Nothing real can be threatened. (Referring to the non dual Oneness.)

Nothing unreal exists. (Referring to the impermanent forms of the world of the ego.)

Herein lies the peace of God.

From the Public News Service on 08/08/24:

Pittsburgh is emerging as a leader in innovative solutions like electric vehicles and clean energy to combat the climate crisis. The group Elected Officials to Protect America says in 2022, electric vehicle registrations increased by about 82% from the previous year.

Rep. Emily Kinkead, D-Allegheny County, envisions Pittsburgh as a future leader in the green economy, bolstered by strong labor unions and academic institutions.

"So whether it's solar for schools, or capping oil wells or any number of things that move us away from fossil fuels, transitioning over to electric vehicles. Transitioning away from fossil fuels is a huge way that we can make sure that we are protecting our citizens now," she explained.

The state is using funds from sources like the Inflation Reduction Act, which includes a historic investment of $370 billion to fight climate change over the next decade. Pennsylvania's goal of reducing emissions by 50% by 2030 is the same target President Joe Biden set for the nation.

Erika Strassburger, Pittsburgh City Council member, said the biggest benefit of the Inflation Reduction Act and the Bipartisan Infrastructure law - especially in western Pennsylvania and Pittsburgh - is that they've been major job creators.

"You don't have to go too far outside of Pittsburgh, to the Mon Valley, to see 600 new jobs created in a battery manufacturing plant that will help the electrification of our vehicles and of our systems. And those are jobs that wouldn't have otherwise been created without these federal investments," she explained.

Strassburger pointed out federal funding will allow Pittsburgh to invest $15 million in electric vehicles for its city fleet, and she added that the transition is expected to save energy, reduce gas consumption, and ultimately save taxpayer dollars in the long run.

"If we can expand that, which is our intention to reduce the energy burden - for starting with 100 City of Pittsburgh residents by the end of this year, and then over the next six years, do so for 10,000 residents across the region - that means that the greatest benefit we're seeing is people paying less out of their paycheck toward energy" she continued.

Pennsylvania has seen a significant increase in EV purchases. At the start of this year, more than 47,000 electric vehicles were registered in the state.

If Western PA can do this, why can’t other parts of the country? Perhaps it is only a matter of will and time and increasing popular support. 

Can the US lead the way in the development and implement the use of renewable energy and mitigate carbon emissions? Yes we can!

Editor’s note:

Today we are adding a new tag to our davidgmarkham mstthead called “Good News.” When you click on the tag in the masthead all the articles with that tag will load.

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If you find the articles here informative, interesting, entertaining, please subscribe and share and spread the knowledge and good will. Let each become all (s)he is capable of becoming.

After the years of Trumpism people are weary of polarized politics. There is a new vision arising that moves the American people beyond right and left to a transcendent synthesis of “us” instead of “me and you.”

We are moving beyond the zero sum game of “one or the other.” The new game is “both and”. Ken Wilber teaches that it only takes 10% of the population to generate a cultural shift, and things are shifting to the transcendent politics that McIntosh envisions.

This cultural shift will grow with the enhancement of spiritual intelligence of the population which involves Cindy Wigglesworth’s model of 21 skills of spiritual intelligence of which the 6th, Awareness of the interconnectness of life, and the 7th, Awareness of Worldviews of Others or the most relevant for this shift to political transcendence.

As Rodney King said when the police were beating him, “Can’t we all just get along” and John Lennon composed and sang his great song, Imagine, we are encouraged to raise our consciousness to a new level of inclusiveness creating a better world for not just some, but for all.

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The generalist model of Social Work methods conceptualize service delivery at the micro, mezzo, and macro levels of human social systems. In the old days, people pursuing a graduate degree in Social Work were asked to choose a specialty in learning service delivery methods as a caseworker, group worker or community organizer.

As the Social Work field evolved it became apparent that Social Work skills and processes were the same such as assessing, planning, implementing, and evaluating service delivery regardless of the level of social organization. Thus, the “generalist model” was created and developed.

The “person in situation” concept was very important to Social Work theory because Social Work did not limit its assessments, planning, implementation,and evaluating simply to intrapsychic factors of individual functioning but also applied these processes to the context or social factors that the individual participated in. Courses in human development  and psychology were called “Human behavior and social environment”.

While Social Work has appreciated and learned from reductionistic and linear scientific findings from its beginning it highly appreciated the idea of systems and realized that the whole was greater than the sum of its parts.

The emphasis on social policy has been an important part of the Social Work curriculum in its educational and training programs. Attending to the macro as it impacts and influences the mezzo and micro adds a dimension to Social Work practice that distinguishes it from the other helping professions.

The National Association of Social Workers, NASW, has a program called PACE which stands for Political Action Committee or Political Action for Candidate Election. On August 5, 2024 NASW - PACE endorsed Kamala Harris for President of the U.S. Here are some of the statements that NASW - PACE made in their endorsement:

Harris is a dedicated supporter of policies that aim to expand access to healthcare, which is crucial for the well-being of individuals and families. Her advocacy for the Affordable Care Act and efforts to make healthcare more accessible and affordable align with the goals of social workers who strive to ensure that everyone has access to essential services. Vice President Harris is the right person to lead ongoing efforts that address our nation's mental health crisis.

“Vice President Harris recognizes the significance of addressing mental health and substance use issues, which are crucial areas of focus for social workers. NASW-PACE is excited to support her candidacy,” said NASW-PACE Co-Chair Brian Romero, MSW. She has backed legislation to enhance mental health services and increase funding for treatment programs, which social workers provide.

The Biden-Harris Administration has prioritized investments in mental health, as outlined in the Unity Agenda. Major successes have included enacting the American Rescue Plan Act (ARPA) in March 2021. ARPA aimed to improve access to mental health services and substance use disorder treatment. The act allocated funding for community mental health centers, crisis intervention services, and telehealth resources, especially in underserved areas.

……

Harris has also been a consistent advocate for social justice, addressing systemic issues that align with social work principles such as equity, diversity, and inclusion. She has worked to stop hate crimes and advance LGBTQ+ equality. Her efforts in criminal justice reform, including her support for measures to reduce mass incarceration and implement police reform, directly affect the communities that social workers serve.

Harris has continued to empower marginalized communities through initiatives addressing racial and gender inequities. Her efforts to fight discrimination and promote equal opportunities directly align with the values, goals, and ethics of the social work profession.

“It is clear that Vice President Kamala Harris is the woman for the job. NASW-PACE is proud to endorse her for President,” said NASW-PACE Co-Chair Kelli Soyer, LMSW.

When we study quality of life indicators on a state by state and country to country basis we find that different social policies contribute to different quality of life consequences. The Social Work Profession has a long history since its beginning in advocating for good social policies that enhance human welfare, satisfaction, and fulfillment. Let each become all (s)he is capable of becoming by helping each other not only thrive but flourish.

In Narrative Therapy we talk about the telling of the story, and then the retelling of the telling of the story, and then the retelling of the retelling of the telling of the story, etc.

Each reiteration has its own significance and value.

Michael White, one of the founders of Narrative Therapy, describes the story as operating at three levels: the landscape of action, the landscape of meaning, and the landscape of identity.

The landscape of action is the events that occurred over a period of time involving certain characters and objects in certain places.

The landscape of meaning is superimposed over the landscape of action and describes the meaning or interpretation of the significance of the elements of the landscape of action. In other words, what is the moral of the story, or the lessons to be learned? What do you make of the story of the landscape of action?

The landscape of identity is superimposed over the landscapes of action and meaning and explains what the stories of the landscapes of action and the landscapes of meaning say about me and the world I am living in.

And so in Narrative therapy the narrative operates at least on three levels. The therapeutic levels are meaning and identity. As a clinician I listen to the client describe the landscape of action and then I will ask, "What do you make of that?" People often stop, pause, and become pensive. And then I will ask, "If that's what you have been telling me means, what does it say about who you are as a person and the world you are living in?"

Michael White, introduced the concept of the "absent but implicit". This refers to the idea that within every problem story, there lies an implicit, or unspoken, alternative story. It's like the shadow to the problem's light.

Key Points about the "Absent but Implicit":

• Contrasting Background: The problem story is often defined against a backdrop of preferred experiences and values. These are the "absent but implicit" elements.

• Double Listening: Therapists use "double listening" to hear both the problem story and the underlying, preferred narratives.

• Rich Source of Preferred Stories: The implicit experiences can be a powerful starting point for developing alternative, more preferred stories.

• Trauma and Pain: White often applied this concept to trauma, suggesting that ongoing pain can be seen as a testimony to the importance of something precious that has been violated.

How it Works in Therapy:

1. Identifying the Problem Story: The therapist helps the client articulate their problem in detail.

2. Listening for the Implicit: The therapist carefully listens for hints of preferred experiences, values, or strengths within the problem story.

3. Externalizing the Problem: The problem is seen as a separate entity, not defining the person.

4. Building Alternative Stories: The therapist and client collaboratively construct new stories based on the discovered preferred experiences.

5. Thickening the Preferred Stories: The new stories are strengthened through evidence-gathering and support.

In essence, the "absent but implicit" is a powerful tool for uncovering hidden strengths and resources within individuals, allowing them to rewrite their life stories in a more empowering way.

Narrative therapy is based on a presumption that the therapist takes a non expert role and the services are very client centered. The client often comes with what is called a "problem saturated story" and the therapist, through scaffolded questions, attempts to elicit the client's preferred story.  In Narrative Therapy the therapist is listening for what White calls "the absent but implicit." It is hoped in subsequent retellings, new perspectives, meanings, and preferences will be made explicit. In this activity the client's identity, self concept, self worth and esteem may shift from a negative to a more positive place. Narrative therapists value most highly what they call "local knowledges" which makes the client the expert of his/her life. The therapist’s job is to recognize, acknowledge, validate, and celebrate this local knowledge which often is achieved after much effort, struggle, and sometimes suffering. I tell my clients sometimes that they have earned a Ph.D. from the college of hard knocks.

I also often ask, “Who else knows what you have learned and now know? Would you want to share it and teach it to others?”

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On August 1, 2024 Christine Emba’s article, “The Real Reason People Aren’t Having Kids,” was published on The Atlantic web site. In the article Emba describes the below replacement levels of fertility in developed countries.

Emba writes:

In 1960, American women had, on average, 3.6 children; in 2023, the total fertility rate (the average number of children a woman expects to have in her lifetime) was 1.62, the lowest on record and well below the replacement rate of 2.1. Meanwhile, rates of childlessness are rising: In 2018, more than one in seven women aged 40 to 44 had no biological children, compared with one in 10 in 1976. And according to a new report from Pew Research Center, the share of American adults younger than 50 who say they are unlikely to ever have children rose 10 percentage points between 2018 and 2023, to 47 percent.

Reading Emba’s article lead to me asking if there are differences in fertility rates across the 50 U.S. states and where New York State in particular stands. What I found is that the 5 states with the highest fertility rate in 2022 is South Dakota with a rate of 2.01, followed by Nebraska at 1.94, Alaska at 1.89, Louisiana at 1.85, and Utah at 1.85. The population replacement level is 2.1 children per female between 15 and 42. Even the states with the highest fertility rates are below replacement levels.

The 5 states with the lowest fertility rates are Vermont with 1.35, Oregon with 1.39, Rhode Island with 1.40, New Hampshire with 1.41. And Massachusetts with 1.44.

My state, New York State, is 12th lowest with a rate of 1.56. (For more click here.)

What are the consequences of the people in the various states not replacing their populations? What are the reasons for these low fertility rates? What, if anything, should be done about states and the country maintaining its populations? How has the Covid - 19 pandemic and anxiety over climate change affected these rates?

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When I was in graduate school getting my MSW in the early 70s our class was divided into groups and we had to pick a social problem area to research, study, and report on to the whole class. My group picked suicide.

In my career I worked for 18 years as a "psychiatric assignment officer" in 3 large urban hospitals doing mental health and substance abuse evaluations and dispositions. I estimate over those 18 years I did over 14,000 suicide evaluations.

Over my 54 year career I have continued to follow the suicide data and recently found the suicide rate for 2022.

The states with the lowest suicide rates are NJ with 7.7/100,000 followed by MA with 8.3, NY with 8.5, ML with 9.5, and CA with 10.4.

The states with the highest suicide rates are MT with 28.7, AL with 27.6, WY with 25.6, NM with 24.7 and ND with 22.5

It is very interesting that suicide rates vary by as much as 3 - 4 times as much in the highest rate states from the lowest rate states.

Why do you suppose the rates vary so significantly from state to state?

The rate of gun fatalities varies widely from state to state. In 2020, the states with the highest rates of gun-related deaths – counting murders, suicides and all other categories tracked by the CDC – included Mississippi (28.6 per 100,000 people), Louisiana (26.3), Wyoming (25.9), Missouri (23.9) and Alabama (23.6). The states with the lowest rates included New York (5.3), Rhode Island (5.1), New Jersey (5.0), Massachusetts (3.7) and Hawaii (3.4).

For more click here.

Editor's note: This past election cycle, the 2022 midterms, it has become more apparent than ever that the political campaigns and voting is based more on celebrity status and entertainment value of candidates than their policy positions. In fact, especially in the GOP, policies no longer matter and campaigns are run more based on the entertainment value of conspiracy theories than facts.

Therefore, Davidgmarkham. substack.com will be devoting our publication to providing more facts about social indicators which are influenced by policy decisions at the state level. Sometimes there are social indicators significantly influenced by even local levels at city and county levels.

This article describes the significant differences in gun fatalities between blue states and red states. Gun fatalities are five times higher in some red states than blue states. For example the highest rate of gun fatalities is in Mississippi with a rate of 28.6/100,000 while the rate in Hawaii is 3.4/100.000.

I will often reference New York State because that is where davidgmarkham.substack.com is located and where circumstances are the best known to the author.

In terms of gun fatalities New York is in the top five best states with a a rate of 5.3/100,000.

Gun policies do make a huge difference in protecting the well being and safety of state populations.

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Social policies make huge differences in the quality of life for the citizens influenced by those policies.

When I was in orthopedic rehab I was consistently asked by nurses to rate my pain on a 10 point scale with 10 being the worse possible and 0 being non existent. Fortunately, I didn't have much pain but there were other measures I thought were more relevant to my experience and wondered why they didn't ask about them? So I developed my own model of relevant factors which wound up numbering 4. The three indicators in addition to pain were cognitive clarity and concentration, energy level, and optimism/pessimism.

So I could imagine the nurse coming into my room when I was bed ridden with my two leg braces at full extension and my gall bladder infection raging and asking:

1. "Mr. Markham, please rate your pain on a scale of 1 - 10?

2. Mr. Markham, please rate your thinking and concentration on a scale of 1-10 with 1 being confused and disoriented and 10 clear as a bell?

3. Mr. Markham, please rate your energy level on a scale of 1 - 10 with 1 being inert totally lethargic and 10 being rip roaring ready for anything?

4. Mr. Markham, please rate your level of optimism/pessimism on a scale of 1 - 10 with 1 being "wish you were dead" to 10 the world is your oyster and you have everything to live for?

So right now on August 1, 2024, at 10:19 AM I would give the following ratings:

Pain = 1

Thinking = 9

Energy = 9

Optimism = 9

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The four indicator rating system recognizes and acknowledges that there more kinds of pain than just physical. If health providers are to serve the whole person they need to assess more than just physical pain.

Eric Hoffer in his book, The True Believer, provides a frame of reference to understand how mass movements form and what contributes to the development of a true believer. Usually true believers are driven to their beliefs and values by fear. The question that Ruby Sales says we should ask if we want to understand people is "where does it  hurt?"

If we are to understand where people hurt we need to understand their values.

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Editor’s note:

One of the first skills in spiritual intelligence is to understand what makes you tick? Where do your beliefs, opinions, values and practices come from?

Good social policies produce good outcomes. Good legislators design effective and efficient social policies. Good legislators are elected by intelligent voters. Who voters elect to craft their social policies is directly related to the quality of life of the population.

There are some politicians who like to bash and criticize the government in New York. They seem to not know or dismiss the fact that the quality of life in New York State is usually in the top 10 of the 50 United States.

I like paying my taxes as long as there is value for the taxes that I pay for myself, my family, my community, and my fellow New Yorkers. New York is a very high value state that is recognized and acknowledged not only across the nation but around the world. Rather than bad mouth New York we should brag about our accomplishments and the high quality of life we enjoy.

There are a series of articles planned for davidgmarkham.substack, com which highlights the accomplishments of providing a high quality of life in New York State.

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Suppose lying was outlawed in politics? Legislation is seriously being considered to do this in Wales.

In an article on the Positive News website it is written 

Public confidence in lawmakers plunged to a record low last year in the wake of Partygate and other scandals: only 9% of British adults polled by Ipsos said that they trust politicians to tell the truth. Without trust, says Jennifer Nadel of the thinktank Compassion in Politics, faith in democracy is undermined. “If we can’t trust what politicians are saying, how can we decide who to vote for? We need to be able to rely on our politicians to tell the truth,” she explains.

The article further states:

The campaign sprung from concern at the rapid normalisation of lies in politics. “We are slipping at an alarming speed into a post-truth era,” says Nadel. “We only have to look at what is happening in the United States.” Fact-checkers at the Washington Post found that Donald Trump made 30,573 false or misleading claims during his presidency, averaging about 21 a day. “America is a warning of what can happen if this problem is allowed to go unchecked,” Nadel believes. “[Our proposals] are designed to stop [the UK] from getting to that stage.”

And further:

“You couldn’t function as a society if you constantly distrusted others,” says Andrew Chadwick, a professor of political communication at Loughborough University. “If you walk out of your front door, and you don’t trust that there’s a pavement to walk on, you’ll never get anything done. When intentions to deceive become normalised, people start to question the trustworthiness of all entities … You can’t believe anything you hear.”

Increasingly, intellectuals say that we are living in a “post truth” society where disinformation is routinely practiced and public trust is eroded. Lies are like a cancer in the body politic strangling the life out of it. 

Increasing the immunity of the body politic from lies through efforts at teaching media literacy is a protective activity but doesn’t eradicate the source. Making it illegal for politicians to lie and barring them from office eliminates the source of the toxin.

Compassion in Politics has long been campaigning to introduce criminal penalties for political lying, with a petition launched in 2019 attracting more than 200,000 signatures. In a surprise move two days before the UK’s general election, the Welsh government committed to passing legislation that would make lying illegal for Senedd members and candidates, having previously opposed the measure. Under the plans, those found guilty of deliberate deception by an independent judicial process would be disqualified from office.

Should lying to the public be a disqualifying offense for holding public office in the US? Yes, if we are to restore faith and trust in our democracy.

To read the article in Positive News click here.

Consider signing the ProTruth Pledge.

Even if your spirituality does not include a Supreme Being, children need to feel that the universe smiles on them. Einstein said that the most important decision each person makes is deciding whether or not this is a friendly universe.

Dr. Laura Markham, Great Spiritual Lessons Every Child Should Learn, 

Laura Markham is no relation to me and I don’t know her. However, I admire her work.

As I read and think about this quote, it seemed to me that this is an important decision for adults as well as children. To what extent is one of the foundational purposes of psychotherapy to help people shift their perception from a world of malevolence to one of friendliness? How do we help our clients shift their perception from a malevolent universe in which they feel victimized to a benevolent universe in which they are loved unconditionally?

One of the most important contributions to this mind shift from the negative, fear based perspective to a positive, optimistic perspective is the cultivation and expression of gratitude. Before bed, it is suggested by the positive psychologists that we reflect on the three good things that have happened to us during out day. What have we been blessed by? Identifying these things fosters an appreciation that allows us to become aware that we are loved by the Universe. 

At any age we can intentionally choose to recognize and acknowledge the blessings in our life. What greater gift could a parent give a child that to facilitate the child's awareness and expression of gratitude?

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The ethical problems of the Supreme Court are multi-dimensional which can be boiled down to two categories: structural and systemic factors, and individual characteristics such as integrity and honesty.

Clarence Thomas was suspect from the beginning with the Anita Hill testimony as was Alito who was not a first choice after Harriet Myers, and more recently the Brett Kavanaugh shit show.  Then there was the Mitch McConnell stunt that blocked Obama’s Merrick Garland nomination and gave us Gorsuch instead.

The selection of the Supreme Court justices depends on the ruling parties in the Senate and the House, and the Republicans have moved the worst of these justices through the selection process. What can voters do about this? Make sure that the House and the Senate are populated by Democratic and not Republican majorities. The Republicans seem to have understood and campaigned much more effectively on this issue of stacking the court with partisan judges than the Democrats. Trump brags that he gave us the Dodd decision because he chose and promoted three of the Supremes. He did. It's true. How did this happen?

What has become increasingly apparent is how corrupt and hypocritical the Republican government officials are. The strategy of the present day GOP to stay in power is to lie and engage in violence. Will they be rejected in the 2024 election at all levels of government? It is up to the voters what kind of representatives and people in the executive branch they want representing and working for them. The key to positive change is to vote out Republicans and vote in Democrats or Independents up and down the ballot starting with school board up to Governor and President.

In America we get the government we vote for and deserve. We have no one to blame but ourselves. What can you do to get people to make good voting choices this fall? The future of our country depends on it.

I am reading Ryan Holiday's new book, Right Thing, Right Now, just published two days ago on June 11, 2024 and it covers the four cardinal virtues: Courage, Temperance, Justice, and Wisdom. Holiday writes that of the four cardinal virtues justice is the most important. Justice is broadly defined as doing the right thing, right action, which is also one of the eight practices of the Buddhist Noble Eightfold Path. How many of our politicians manifest this virtue of doing the right thing? Very few. Making this observation might make one wonder how these people get voted into office? Who wants these people to represent them? People at very low levels of spiritual awareness who don't care about right action as a prime value.

I was listening to a podcast today where the person interviewed did focus groups with Trump voters and she said that many said that they voted for Trump because he was entertaining and not boring. Yesterday I watched a very good TED talk on leadership entitled Are We Celebrating The Wrong Leaders by Martin Gutmann. It is well worth watching. Americans love a shit show because of the drama. Good, effective leadership is boring. So in our days of ennui, voters choose entertaining. It's like watching WWE wrestling. People supposedly know the violence isn't real but they like the show and root for their heroes and boo the villains. Unlike WWE wrestling, in America’s political system, the lying, fakery, and violence is real

Same way with the Supremes. It no longer is about justice or wisdom or courage or temperance. It is about power and greed. We voters elected people who selected them so who is ultimately responsible for the lack of ethics in the highest court in the land?

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In a democracy where the people vote for their representatives, intelligence of the voters is critical to good government. As we watch the machinations of our current elected officials it seems that the election of many of these people was a mistake. How quickly will American voters learn from their mistakes?

It is hard to understand what one doesn’t know

He (Eric Kalenze) also discovered books by E.D. Hirsh Jr. and Diane Ravitch that reinforced his initial feeling that what was called “progressive” or “constructivist” pedagogy didn’t place enough value on building students’ knowledge through explicit instruction “ Wexler, Natalie, Why So Many Kids Struggle To Learn, American Scholar, Winter 2022,P. 41

The basic idea is that reading comprehension depends on stored knowledge so that the reader has a context for the new information being obtained. Without this context the reader is confused or bypassed as the information goes over their head. Explicit instruction of primary concepts and knowledge is needed for understanding to be achieved. Merely decoding words with phonetic articulation doesn’t provide the meaning of the word.

In other words it is important for a person to know stuff if they are to learn more about it.

The even more problematic situation is when people think they know stuff that they don’t. This is a common phenomenon called the Dunning Kruger effect. The Dunning Kruger effect is acknowledged in the slogan, “A little knowledge can be a dangerous thing.” 

The Dunning-Kruger effect also highlights the difference between being “dumb” and “stupid.” Dumb is when a person is ignorant and doesn’t know. Stupid is when a person thinks they know but doesn’t.

Dumbness can be easily dealt with. Stupidity, however, is a whole other challenge.

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With all the disinformation and misinformation available now on the internet stupid people are a bigger danger now than ever because they think they know things but are really way in over their heads. When these folks are in decision making positions where their decisions affect the welfare not only of themselves but other people society has a huge problem. The biggest threat to our democracy at the current time is people who elect people to office who are incompetent. The test of competence is outcomes. Does the person’s efforts produce good results, no results, or bad results? Sometimes this is referred to as the person’s record. Records don’t seem to count much anymore in ascertaining a person’s credibility to make good decisions and function in a competent way. Without considering a candidates record, the voter, themself, is incompetent and we have a situation where incompetents are supporting incompetents.

M. Scott Peck called it a therapeutic depression. What he meant by that is the idea that once a person extricates herself from a dysfunctional system of relationships, she looks back and realizes just how dysfunctional the system is. She may want to tell this to the people stuck in those relationships, but knows that, more likely than not, this information will fall on deaf ears and be rejected, leaving her feeling sad and impotent.

Karl Jaspers said one time that his definition of tragedy is "awareness in the excess of power". In other words, to know how things should be, could be, ought to be, but not having the power to make it happen, leaves one in a tragic situation. That's why they say that "ignorance is bliss", because what you don't know can't bother you, but once you do know, things will never be the same again.

To have one's consciousness raised while others are left behind because they don't get it, they don't see what you see, they don't understand what you understand, is a lonely position to be in. Many people don't want their consciousnesses raised. They are perfectly happy with their status quo. Any attempts to raise their consciousness irritate them because they feel threatened, their peace is being disturbed.

Jesus says in Luke 12: 51-53, "Do you think I came to bring peace on earth? No, I tell you, but division. From now on there will be five in one family divided against each other, three against two and two against three. They will be divided, father against son and son against father, mother against daughter and daughter against mother, mother-in-law against daughter-in-law and daughter-in-law against mother-in-law."

Keep your own counsel. It is best to be mute unless there is a person who can benefit from your awareness. It is difficult to share your wisdom unless people are ready; they are in the same place that you are. Traveling a spiritual path is a lonely, and solitary business. Occasionally we can help others along the way, but to walk along side is a rare experience. Better to find someone a little further along the way that can encourage and enlighten you.

Did you hear about the farmer who tried to teach his pig to sing? It frustrated the heck out of the farmer, and annoyed the heck out of the pig. As M. Scott Peck tells us, having chosen the Road Less Traveled to take through life can lead to great joy and satisfaction, but as we view the situation around us with compassion, it also can contribute to a therapeutic depression, one which Prozac will not help, but prayer, hope, and encouraging words judiciously shared when the timing is right, might.

Perhaps therapeutic depression are not the right words. It is not depression but grief. We grieve the loss as we rise above the situation and move on with our lives.

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As a Social Worker, I have been trained in Social Policy development, enactment, and evaluation. I have taught Social Policy to BSW students as an adjunct professor. One of the things that has concerned me over the years is the lack of understanding that social policies have consequences which are usually long term as compared to short term resulting in lack of understanding about the relationship. In other words, most people don't have the knowledge and context to connect the dots.

Policies promoted by the NRA and other advocates for second amendment rights restricting background checks and making guns freely available to people not properly trained in their management and storage has lead to the high prevalence of gun deaths not only of children and adolescents but of adults mostly from suicide because of the efficiency of the means used by people so inclined to end their lives.

The United States is unique in this phenomenon of high rates of gun deaths among all countries on this planet. From a public health perspective the proliferation of guns among the populace is a major toxic factor contributing to this sickness in the public health of Americans.

One of the primary factors contributing to the advocacy of gun availability is fear, insecurity, and lack of trust in other people in our communities, states, and country. This high level of social anxiety is a symptom of low levels of spiritual intelligence among the members of our society who have made an idol of guns, seeing them as an instrument of their salvation. Statistically nothing could be further from the truth. Owning a gun makes it more likely the gun owner will die from a gun than if they did not own it. Guns do not make the gun owner safer. A person might say that the idea that owning a gun will make the owner safer is the work of the devil who has tricked the person into believing this lie.

Where does a person's true safety lie? It is in believing and acting on the injunction to "love thy neighbor as you love yourself." You mean I have to love him? I have to love her? The answer is that love has to begin somewhere. Why not with you?

We have a lot of work to do to raise the level of consciousness in our society. Only then will we see the demand that our legislative representatives improve our gun safety laws. The citizen demand will not occur until those citizens become wiser and understand what policies are really in their interest and in the interest for the common good.

According to the Fetzer Institute’s Study of Spirituality in The United States done in 2020, 86% of people consider themselves to be spiritual. 88% of people engage in some religious or spiritual practice such as attending a religious service, praying, meditating, spending time in nature, with art, etc. at least once per week. 75% believe in God or some Higher Power, and 68% believe that their spirituality guides how they act in the world.

People who say that they are spiritual but not religious has increased from 1998 from 18.5% of Americans to 33.6%. (Fetzer, Spirituality In America Today, March 10, 2020)

It is interesting to note that as the mainline churches in Europe and the United States are losing members. People report that they are not religious, but they still report that they have some sort of spiritual life. If religion no longer serves the function of encouraging spirituality in our society, what part of our secular society does? How is spirituality nurtured and facilitated? Sports? The Arts? Politics? Civic organizations? Media? Health Care? Educational institutions?

To what extent does the failure to provide more intentional and predictable nourishment for spiritual development manifest in the poor mental health of the population resulting in the deterioration of public health? The rise in suicides, anxiety and depressive disorders, addiction and gambling disorders, use of pornography, social media and internet addictions, political polarization, authoritarianism, consumerism, and causing harm to the climate and ecological systems might be accounted for by low levels of spiritual intelligence in the members of the society. If there is any merit in this diagnosis, the question might be asked “how do we provide the resources to enhance the spiritual intelligence of the members of our society?” How do we promote the true, the good, and the beautiful?

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There will be a series of articles on spiritual intelligence coming up. To access the articles on spiritual intelligence on this site, click the link spiritual intelligence in the upper right hand row under the banner.

There are many models of personality and social dynamics to explain human behavior. In psychiatry some of us use what is referred to as the bio-psycho-social-spiritual model. While each of these domains: the biological, psychological, social, and spiritual are important, no one alone is usually sufficient to explain motivating causes for behavior. While individual factors are important, social psychological research such as the Asch and Milgram experiments have shown that social factors often overshadow individual factors. Social pressures explain why good people do bad things.

In our individualistic culture little attention is paid to the power of socialization and conditioning on groups of people. These forces for most people operate at an unconscious level and seem to the person questioned about them as "normal" or "just how things are." It is the rare person who is mature enough to have a mind of their own, stand on their own two feet, and take responsibility for their own behavior in spite of the group norms and attitudes or the expectations of authority figures.

So, it is interesting to study how group dynamics are created, operate, are sustained, and change. This study of group dynamics involves "metacognition" which means thinking about how we think and believe. The simplest way to get to this question is to ask a person, "What makes you tick?" Most people can't tell you. They get scared and defensive and some will say things like, "Well, I don't know. That's the way I was raised," or "doesn't everyone think/believe that?" 

One of the first skills of spiritual intelligence is understanding the factors that have contributed to and maintain our own worldview. As Cindy Wigglesworth states it in her book, SQ21: Twenty One Skills of Spiritual Intelligence, " Do you feel that you can explain to others the impacts of your culture, your upbringing, and your mental assumptions on how you interpret the world around you?" Low, Medium, High.

People who get caught up in social movements, conspiracy theories, cults usually don't have enough self awareness to know that they have been brainwashed. So to what extent do they have free will and are able to function with responsible agency?

Personality models explain some of individual behavior but they may be limiting at explaining the broader social forces at work in group behavior.

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Why do good people do bad things? Because of social pressures and the expectations of authority figures who can punish and reward them. Few people have the maturity to function based on their own reason and moral understandings.

One of the models that describes the human capacity for agency is spiritual intelligence. Spiritual intelligence is the capacity to function with wisdom and compassion, while experiencing inner and outer peace, regardless of the situation. This capacity is based on high levels of self awareness and understanding of oneself and relations with the world one inhabits.

Spiritual intelligence can be thought of as low, moderate, and high. How would you rate the spiritual intelligence of yourself and other people you observe?

In recent years, there has been a noticeable increase in the popularity of the philosophy of stoicism. This ancient Greek school of thought, which emphasizes self-control, resilience, and acceptance of the present moment, has gained a significant following in Europe and the United States. This phenomenon can be attributed to the decline of organized religion in these regions, as people seek a moral compass to navigate the complexities of a postmodern world.

The decline of organized religion in Europe and the US has been a gradual process, with more and more people identifying as non-religious or unaffiliated with any specific faith. This shift has left a void for many individuals who once found guidance and moral direction in religious teachings. As a result, people are turning to alternative sources, such as philosophy, to fill this void and provide a sense of purpose and meaning in their lives.

Stoicism, with its emphasis on personal responsibility and inner strength, has become an attractive option for those seeking a moral compass in a postmodern world. Its teachings align with the values of self-reliance and individualism that are prevalent in Western societies. Additionally, stoicism offers practical tools and techniques for coping with the challenges of modern life, such as stress, anxiety, and uncertainty.

Moreover, the rise of stoicism can also be attributed to the increasing disillusionment with traditional religious institutions. In recent years, there have been numerous scandals and controversies surrounding organized religion, leading many to question its moral authority and credibility. As a result, people are turning away from these institutions and looking for alternative belief systems that offer a more personal and individualistic approach to morality.

In conclusion, the rising popularity of stoicism can be seen as a response to the decline of organized religion in Europe and the US. As people search for a moral compass in a postmodern world, they are turning to this ancient philosophy for guidance and inspiration. With its emphasis on personal responsibility, resilience, and acceptance, stoicism offers a compelling alternative to traditional religious teachings and has become a source of moral guidance for many individuals in today's society.

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On May 28, 2024, On Point, a radio program of Boston’s WBUR public radio, had a program entitled “Why the ancient philosophy of stoicism is having a modern revival.”

The host of the show Meghan Chakrabarti asks Ryan Holiday why more people are turning to stoicism and he answers “We've seen a collapse in trust in so many different institutions, schools don't teach the humanities the way they once did, and people have turned away from the church.And so philosophy as a guide to the good life, how to be a good person and how to flourish as a person. I think takes on a new residence and a new urgency in a world of similar sort of decline. And then also, as you said, turbulence and dysfunction.”

People want help with the three big existential questions: “Why was I born? What is the purpose of my life? What happens when I die?” Beyond these big three are two more: “What is the good life? How should I live?”

In today's society, there is a significant need for local journalism and solution-focused journalism that is based on ethical principles and practices. The pursuit of profit has led newsrooms to prioritize entertainment over journalism, which has had a detrimental effect on the functioning of our democracy. In order to ensure the optimal functioning of a democratic society, there must be a shift towards emphasizing facts and truth in journalism, rather than entertainment.

The role of journalism in a democratic society is crucial. It serves as a watchdog, holding those in power accountable and providing citizens with the information they need to make informed decisions. However, in recent years, there has been a decline in the quality of journalism, particularly at the local level. This is due in part to the capitalistic requirement for profit, which has led newsrooms to prioritize sensationalism and entertainment over factual reporting.

This shift towards entertainment has had a negative impact on the public's trust in the media. When news outlets prioritize profit over ethical journalism, it erodes the credibility of the media and undermines its role in a democratic society. This can lead to a lack of trust in the information being presented, which can have serious consequences for the functioning of a democracy.

In order to combat this issue, there needs to be a renewed focus on ethical journalism. This means prioritizing facts and truth over entertainment and sensationalism. It also means adhering to ethical principles and practices, such as fact-checking, avoiding conflicts of interest, and providing balanced and unbiased reporting.

Local journalism is also crucial in a democratic society. It provides coverage of issues that directly impact communities and holds local officials accountable. However, the decline of local journalism has left many communities without a reliable source of information. This has led to a lack of transparency and accountability at the local level, which can have serious consequences for the functioning of a democracy.

In conclusion, the need for ethical journalism in a democratic society cannot be overstated. It is essential for holding those in power accountable, providing citizens with accurate information, and ensuring the optimal functioning of a democracy. Newsrooms must prioritize ethical principles and practices over profit and entertainment in order to fulfill their crucial role in society.

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Today, May 30, 2024 there is a good article on the Rochester Beacon by Smriti Jacob entitled, “Help Foster The Next Generation Of Journalists” which is well worth reading.

One of the symptoms of totalitarian social movements is the denigration, castigation, and attack of the fourth estate, journalism, which reports facts and truth which can be used by citizens to hold government officials accountable.

Ethical journalism is the antidote to misinformation, propaganda, and conspiracy thinking. Ethical journalism is essential to a well functioning democracy. It is, in a democracy, a patriotic activity to support good journalism. Join us in supporting local journalism in our community and society.

What kind of social movement is the MAGA movement: democratic or authoritarian?

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This is the first of several articles about Eric Hoffer’s classic book, The True Believer, first published in 1951 after the Holocaust and the beginning of the Cold War. Hoffer’s book, The True Believer is about social movements: how they are born, what fuels them, how they develop and are sustained.

I found very interesting and helpful in understanding the MAGA movement in the Republican party today. The book was first published in 1951 and yet Hoffer's observations and insights about social movements seem just as relevant today as they were back in the mid twentieth century. It is written in the preface, "This book deals with some peculiarities common to all mass movements, be they religious movements, social revolutions or nationalists movements. It does not maintain that all movements are identical, but that they share certain essential characteristics which give them a family likeness."

What Hoffer is describing are social processes. The process of mass movements are very similar even though the content is different. Having always been interested in sociology, I want to know what these characteristics are that mass movements share.

Our modern media focuses on the content but rarely reports on the process and therefore the public is ill served by the reporting of the fourth estate. The media focuses on sensationalized aspects of current celebrity behavior and fails to highlight the social process which animates the content. For example, Donald Trump's and Marjorie Taylor Greene's antics are the symptoms not the cause of what ails us as a society. Who are the people and what is their mindset who support them and vote for them? Hoffer offers some ideas about the mindset of the people who support the leaders of these mass movements.

The characteristics of mass movements and the mindset of the people who create them and sustain them will be described. These series of articles might be described as “metacognition” which simply means how do we think about what we think. As the bumper sticker says, “Don’t believe everything you think.”

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Everyone has their beliefs but not everyone understands where their beliefs come from and why they believe what they believe. In philosophy there is a sub discipline called “epistemology” which is the philosophy of knowledge. What are the different kinds of knowledge? How do we know what we know and to what extent are we consciously aware of how and why we know what we know?

In psychology there is the recognition of different kinds of intelligence such as cognitive, social, emotional, spiritual, musical, artistic, athletic, mechanical, mathematical, etc. These different kinds of intelligence was popularized by Howard Gardener when he named 8 different kinds of intelligence. Ken Wilber in describing Integral Theory calls these kinds of intelligence “lines” meaning lines of development.

It has been four years since 05/25/20 when Minneapolis, Derek Chauvin and three of his fellow police officers, killed George Floyd leading to the Black Lives Matter marches throughout the United States and Europe. 

To what extent has the social consciousness of Americans been raised? Terrance Floyd, George’s younger brother who started We Are Floyd, a non profit organization dedicated to social justice and police reform, said, “Slow motion is better than no motion,” during a CNN interview on a segment on the fourth anniversary for George Floyd’s killing.

One might like to think that social consciousness has been raised about the systemic racism in American society and that people with such a rise in consciousness would be working for systemic change. 

One might also observe the backlash of the white supremist elements of American society that seek to censor the information about discriminatory behavior and even misinform and spread disinformation. Over 96% 0f 7,300 BLM demonstrations were peaceful.

How can the life of George Floyd and hundreds of other black Americans killed by police violence be honored? By changing the racist policing and carceral system in the United States. How can a person best do that? By police monitoring and providing public witness to injustice when it occurs and advocating for reform involving equity, and compassion for all people especially those who have been enslaved, subjugated, and oppressed.

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One might like to think that a life, any life, but especially one ended by tragic and avoidable circumstances could count for something. What is the legacy of such a person’s life and how can that life be honored and remembered in ways that exalt its meaning? It is up to us, the survivors, to craft this meaning in such a way that it benefits the people who live on.

James by Percival Everett is a retelling of the story of Huckleberry Finn and his adventures with Jim, the runaway slave. Jim in Percival’s retelling can read and write and speak the King’s English when he chooses.

Everett’s retelling of the story from Jim’s perspective illuminates the overt and hidden social dynamics of slavery. Those social dynamics are pernicious to all parties involved in the slavery system.

James is an adult and Huck is a child. Huck, as a white person even though a child, has much more privilege than James, a black person, and so can protect James from the harmful dynamics of slavery as they travel through a highly racist America. James as an adult and Huck as a child calls for James to often act in a protective and paternal manner towards Huck. The roles of protector and protected oscillate throughout this narrative.

James hides his literacy from Huck and for most of the story plays the role of the illiterate, inferior, albeit kindly slave. This juxtaposition of role performance between an illiterate inferior role to an equal and at times superior role highlights the social forces that contribute to self censorship to hide and marginalize one’s strengths, talents, and abilities under a slave system.

In the end, resentment and anger fuel an extraordinary effort to act to pursue freedom from the constraints and abuses of the slave system to achieve opportunity for growth and development as human beings for James, his wife and his daughter.

This novel can be read on multiple levels. The writing is easy to read and entertaining. As the story develops, the hidden aspects of the slave system and its ramifications become apparent. This book could be the basis of a good discussion of racism at its multiple levels of prejudice, discrimination, and systemic.

The title alone hints at the nuance being suggested about human dignity in the main character’s name not being “Jim”, but “James.”

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Does reading fiction makes us more empathic? Do we come to better understand ourselves, and others, and the world through experiencing the world through the eyes of others? Does fiction provide us an opportunity to be voyeurs of worlds we would never personally experience? Does reading fiction help one become a more well rounded person who experiences more joy, understanding, and peace in one’s life? Has reading James contributed to my being a better person and fellow citizen? Yes.

The Truth in every mind is identical and not-Truth in every mind is the same in content, though different in form. Boundaries between minds collapse for you. You realize that there is only one “dreamer of the dream” that just takes many forms. You stop thinking in terms of “my” mind, “their” mind, and “your” mind and you think simply in terms of “mind”. You accept, without guilt or judgment, that if it is in your awareness it is in your mind. You are the dreamer of the dream.

You do not have to make any of this happen. It is the natural result of inviting Truth into your awareness and choosing to undo your obstacles (guilt, fear) to being aware of Truth. You only have to be willing; Truth does the rest. In time you accept that only the Truth is True. You recognize that the dream is meaningless and you let it unfold without judgment or attachment. The dream does not really change but you become a happy dreamer because you recognize that it is a dream and not reality. P.46 - 47

Cronkhite, Elizabeth. The ACIM Mentor Articles Volume 2: Answers for Students of A Course in Miracles and 4 Habits for Inner Peace . Kindle Edition. 

The non dual Oneness of our Transcendent Source is the Truth of Creation. This metaphysical awareness of  a non dual Oneness is foreign to our usual awareness of our bodily existence which is based on separation and division. However, once we get a glimpse of this higher level of cosmic consciousness, our experience of Life will never be the same again. Liz Cronkite tells us that we do not have to do anything to make this awareness happen. It is our natural inheritance and has been True all along but forgotten while we detoured onto the path of physical existence separating ourself from our Transcendent Source thinking that we are capable of creating our own existence and self sufficiency. When we see the absurdity of this belief we are filled with laughter at our silliness. As Liz writes, we become a happy dreamer because we recognize that what we think of as our life is a dream and not reality.

The spiritual practice of laughter at the absurdity and incongruity of life brings great peace and joy. As Richard Carlson wrote in his book, “Don’t sweat the small stuff and it’s all small stuff.”

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These series of articles based on the metaphysical understanding of Life based on concepts from A Course In Miracles are not everyone’s cup of tea. However, if you are drawn to the ideas presented in them, stick with them because they will change your life.

The metaphysical thought system presented by A Course In Miracles is foreign to the usual thought systems into which human beings are born and then socialized, and conditioned.

We are socialized to think ourselves as separate from others with our primary reference point being our physical body. As we mature we become less identified with our physical body and come to realize that our witness is the primary source of consciousness. The witness is that part of ourselves that can observe our cognitive, emotional, social, physical, and spiritual functioning.

At more advanced levels of consciousness we become aware that our individual self is part of something much greater and awesome than our separate body. Awareness of the non dual Oneness, at first, is fleeting and rare. As we pay attention to this experience, our awareness expands and becomes present for extended periods of time.

When the non dual Oneness is experienced, the drop of the ocean rejoins the ocean and realizes that all the drops are just part of the same thing. The drop, thinking it is separate and self sufficient, is deluded and is experiencing an illusion forgetting from whence it came and to which it is destined to return.

This awareness of the non dual Oneness brings peace and dispels guilt and fear born from the separation.

The practice of re-membering is fundamental to advancement in spiritual intelligence as one realizes one’s essential nature.

Today, re-member that of which you are a part and experience the peace of being One with the All.

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Do you know other people who might be interested in learning about this revolutionary thought system? We are all in this thing called “life” together but we forget this fact, thinking we are separate individuals each with his/her own interests. This divisiveness contributes, at both a conscious and unconscious level, feelings of fear and guilt. Our experience of life changes when we change our thought system. Remind yourself and others who we are and where we ultimately belong.

Turn it over.

I have been a student of A Course In Miracles for over 35 years. The Course In Miracles provides a framework for spiritual development based on a non dual philosophy of the Divine, God, Truth, Higher Power, Transcendent Source, Ultimate Reality, whatever people call “God.” 

The non dual frame of reference is best summed up in the joke about the monk who asked the hot dog vendor to make him one with everything.

The original sin in the non dual frame of reference was when human beings separated themselves from the unconditional love of God because they thought they didn’t need God and could go through life without God on their own. 

On top of this crazy idea that human beings can exist totally on their own and self-sufficiently, we forgot that we did this to ourselves when we separated ourselves from our Transcendent Source and thought we were fine by ourselves. When we get this situation in perspective, we realize how crazy this self serving idea is. 

It is written in the Course, “Into eternity, where all is one, there crept a tiny, mad idea, at which the Son of God remembered not to laugh. In his forgetting did the thought become a serious idea, and possible of both accomplishment and real effects. Together, we can laugh them both away, and understand that time cannot intrude upon eternity. It is a joke to think that time can come to circumvent eternity which means there is no time.” T-27.VIII,6: 2-5

In Alcoholic Anonymous, the Twelve Step program, one of the best spiritual development programs in the world, the third step is to make a decision to turn our will and lives over to the care of God as we understand Him. In other words we decide to  return to the non dual Oneness with our Transcendent Source and give up our willfulness. In AA a wonderful distinction is made between “willfulness” and “willingness.” The AA slogans “Turn it over,” and “let go and let God” make it easy to remind ourselves to call on the Holy Spirit for guidance. As the joke reminds us, “If you want to hear God laugh, tell God your plans.”

I have been practicing turning to the Holy Spirit for guidance several times throughout the day. The more I do this, the more natural the practice becomes and the greater confidence and peace I experience as I go through my day. I highly recommend this practice to you.

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This post is one in a series on A Course In Miracles and Spiritual Intelligence. These posts can be accessed as a group by clicking on the link ACIM, or Spiritual Intelligence in the masthead.

There is in us a tendency to locate the shaping forces of our existence outside ourselves. Success and failure are unavoidably related in our minds with the state of things around us. Hence it is that people with a sense of fulfillment think it a good world and would like to conserve it as it is, while the frustrated favor radical change. The tendency to look for all causes outside ourselves persists even when it is clear that our state of being is the product of personal qualities such as ability, character, appearance, health and so on. “If anything ail a man,” says Thoreau, “so that he does not perform his functions, if he have a pain in his bowels even … he forthwith sets about reforming—the world.”3

Hoffer, Eric. The True Believer: Thoughts on the Nature of Mass Movements (Perennial Classics) (p. 7). HarperCollins. Kindle Edition. 

Hoffer describes how we, as human beings, tend to blame external circumstances for our assessment of our success and failure. And yet, it is apparent that often we cannot control external circumstances while we can always control our response to them.

The ability to monitor and witness our functioning in response to external circumstances is one of the major components of spiritual intelligence. Socrates said that an unexamined life is not worth living. How many people do you know that live examined lives? It is in the living of an unexamined life that it becomes easy to blame others for one’s unhappiness. The failure to take responsibility for one’s choosing the responses to life’s circumstances that leads to increased unhappiness and suffering. We have the choice of whether we would live as victims or agents.

Joining a social movement is giving up responsibility for one’s own agency. We throw ourselves into the dependency of the group. We are no longer ourself but one of them.

The step to spiritual growth is the willingness to give up making other people and circumstances responsible for our unhappiness. The giving up of making other people and circumstances responsible is called “forgiveness.” We no longer are holding other people responsible but rather ourselves for our response. We choose to be an agent rather than a victim.

Most political problems can be reframed as spiritual problems and until they are dealt with as such, efforts to ameliorate them will continue to fail. In other words, the problems we face are not external to us but they are internal. It is in enhancing the spiritual intelligence of the members of a society that that society will grow and flourish. The cornerstone of spiritual intelligence is self understanding and self management. Our efforts to improve the world would be more effective if we focused on raising the level of spiritual intelligence of society’s members rather than changing the aspects of the unjust world that we hate.

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Marjorie Taylor Greene could be considered  a case study about a person who assumes the role of a fanatic in a social movement.

Eric Hoffer writes in his book The True Believer that social movements go through three phases: the production of words, the materialization of fanatics, and the implementation by people of action. The second phase, the materialization of fanatics, is characterized by the true believers. True believers have no interest in logic, reason, or correspondence with reality. The believer is interested only in hatred of an enemy, often fabricated, based, perhaps, on a kernel of truth. The true believer is interested in protecting and promoting their belief not truth and reality.

Here is what Hoffer writes about the fanatic: "Chaos is his element. When the old order begins to crack, he wades in with all his might and recklessness to blow the whole hatred present to high heaven. He glories in the sight of a world coming to a sudden end." p.143

Elaina Plott Calabro writes in her article, "Why Is Marjorie Taylor Greene Like This" that Marge was an unhappy woman, bored perhaps, mediocre, frustrated, looking for a cause to devote her empty life to. While she had never been political earlier in her life, she got involved with the election of Donald Trump whose MAGA movement seemed to give her life meaning and she became what Hoffer calls an imitator. 

Greene started imitating and even expanding on the MAGA memes which provided her increased attention and ego stroking leading to expanding MAGA themes that even embarrassed and scared her supporters and collaborators.

The downside of Greene's fanaticism is that it is not sustainable as her recent attempt to unseat Mike Johnson, the current GOP speaker of the House, demonstrated when it failed. What happens to fanatics when the movement they have attached themselves to fail? They either fail with it, or convert to a new cause. Greene is still a young woman in the prime of her life and it will be interesting to see what she chooses to do when the bandwagon she has attached herself to goes off the road. There is probably not much of a future in QANON.

The more interesting consideration is not Greene's fanaticism but the people who elected her to represent them. To what extent does Greene's pronouncements and activities provide benefits to the people who elected her? Are they bored and frustrated too and hoping for some future that is exciting and entertaining to fill the vacuum of their nihilistic narcissism? Is the theater of MAGA and QANON the best that can be offered to them? What other scenarios might be offered to enhance their hopes for a better future? From where and from who will those scenarios arise?

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I have been a Psychiatric Social Worker for 54 years starting in the field in 1968 at Kings Park State Hospital on Long Island, New York State. In over a half a century, I have been a witness to extraordinary changes in the mental health system in New York State and the country. Currently, there is constant media attention to a mental health crisis for children and adolescents in this post pandemic era. On May 14, 2024 Lucy Foulkes, an academic psychologist at Oxford University, posted an opinion video at the New York Times entitled “High - Functioning Anxiety Isn’t A Medical Diagnosis. It’s a hashtag.”

Foulkes states three important points in her opinion piece. The high rates of anxiety and depression in children and teens can be accounted for by increased awareness, overinterpretation, and self-fulfilling prophecy. This editorial video is making the point made in my earlier post about dynamic nominalism and labeling people who then have to live up to their label.

The psychiatric labels though are not being assigned by professionals but by web sites and social media where signs and symptoms are described and the consumer of the media is encouraged to diagnose themselves or their family members and friends.

There is no psychiatric diagnosis of “high-functioning anxiety” in the DSM - V, the Diagnostic and Statistical Manual, fifth edition, promulgated by the American Psychiatric Association which is the “bible” of psychiatric diagnoses in the US. However, it shows up as a hashtag on social media sites.

Psychiatric diagnoses are known to be contagious and spread through populations of like minded people who take on the signs and symptoms exhibited by others in order to belong to the group and communicate sympathy for the person afflicted by the named disorder.

Be careful when consuming mental health information from the internet and applying it to oneself and to others. Mental health diagnosing is not a parlor game and it is best, if the situation is serious, to consult with a professional.

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There is an interesting article in the May 13, 2024, issue of The New Yorker entitled “Read The Label: How Psychiatric Diagnoses Create Identities” by Manvir Singh in which Singh describes how psychiatric diagnoses influence the development of the phenomena they name. 

Singh writes “As the philosopher Ian Hacking observed, labelling people is very different from labelling quarks or microbes. Quarks and microbes are indifferent to their labels; by contrast, human classifications change how ‘individuals experience themselves - and may even lead people to evolve their feelings and behavior in part because they are so classified.’”

Singh writes further, “Hacking referred to this process, in which naming creates the thing named - and in which the meaning of names can be affected, in turn, by the name bearers - as ‘dynamic nominalism.’”

A client asked me last week, “My husband said that his therapist told him he was borderline. What does that mean?”

What does the name a client is labeled mean for them and for their relationships? A new identity for the individual and the people they are in relationship with is being constructed. Is this labeling helpful or harmful or both?

Three new books—Paige Layle’s “But Everyone Feels This Way: How an Autism Diagnosis Saved My Life,” Patric Gagne’s “Sociopath: A Memoir,” and Alexander Kriss’s “Borderline: The Biography of a Personality Disorder”—illustrate how psychiatric classification shapes the people it describes. It models social identities. It offers scripts for how to behave and explanations for one’s interior life. By promising to tell people who they really are, diagnosis produces personal stakes in the diagnostic system, fortifying it against upheaval.

From “Why We’re Turning Psychiatric Labels Into Identities” by Manvir Singh in The New Yorker, May 13, 2024

The concept of dynamic nominalism means that people tend to turn their labels of identity into a lived experience. One of the tools that fuels the development of dynamic nominalism is the depiction of psychiatric labels in artistic works such as novels, films, song lyrics, memoirs, autobiographies, etc.

Sometimes the depictions of psychiatric labels are helpful to people and other times they may be harmful. The depiction itself is neither good or bad but rather how the consumer of the depiction uses the depiction.

Do you ever talk about depictions of psychiatric labels with friends, family, or professionals, and if so, what has been your experience doing this?

Just as personality tests (see, I’m an introvert!), astrological signs (I’m a Libra!), and generational monikers (I’m Gen Z!) are used to aid self-understanding, so are psychiatric diagnoses. When Paige Layle was fifteen, a psychiatrist told her that she had autism spectrum disorder. She describes the rush of clarity she experienced when hearing the DSM-5 criteria: “I’m not crazy. I’m not making it up. I’m not manipulative or trying to fake anything. . . . There’s a reason why I’m the way that I am.” 

From “Why We’re Turning Psychiatric Labels Into Identities” by Manvir Singh in The New Yorker, May 13, 2024

The key words “dynamic nominalism”  indicate how a person tends to create the characteristics that the label assigned to them describes which then contributes to the person’s self understanding and their identity. The assignment of the label is an act of power on the part of the expert who is performing the assignment function. This power is given to licensed mental health professionals who have the social sanction to diagnose. With this power we create schizophrenics, depressives, borderlines, autistics, psychopaths,  and any number of other identities. To what extent is assigning a psychiatric diagnosis like an astrologer assigning a person to an astrological sign, or the person who administers some sort of psychological screen or test and assigns a personality type to the person such as introvert or extrovert?

Mental health professionals may be reluctant to assign a psychiatric label to a patient being aware of the iatrogenic consequences of such an act, and yet in order to get paid for the service they are providing, they must assign a diagnosis required by the insurance company for payment. This label then becomes a permanent part of the person’s medical record which will influence the perception of the person by other people with access to that person’s medical record for the rest of their life.

I am an introvert and a Capricorn. I also am a dysthymic. I also laugh, guffaw actually, because in my heart of hearts I know that I am none of these things. They are just labels and the meanings they may carry for a perceiver have consequences only in certain contexts and are temporary.

What psychotherapy is about is the ability of people to explore and disclose what they really think, how they really feel, and what they really want without the fear of being assigned a label that will limit their ability to be understood and appreciated at a deep and cosmic level by another human being who will stand in solidarity with them.

So, labeling people is a powerful act with wide and long ranging consequences and should be done with a degree of caution, trepidation, and self awareness. It is not simply a bureaucratic act done for money without a price to be paid by the person so labeled.

Perhaps the motto for mental health professionals should be, “Label with care.”

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An estimated 321,566 children in the United States lost a parent to drug overdose from 2011 to 2021, according to a new study. The rate of children who experienced this loss more than doubled during this period, from approximately 27 to 63 children per 100,000. The highest number of affected children were those with non-Hispanic white parents, but communities of color and tribal communities were disproportionately affected.
From Science Daily 05/08/24

As I have become more familiar with the key term, ACE, adverse childhood experience, the above fact jumped out at me this morning. Having a parent with a substance abuse problem is an ACE in and of itself, but to lose a parent to their addiction takes the trauma to another level.

The question was raised on the list last week about how to help families deal with grief from the loss of a family member. How does a therapist help a family deal with the loss of a parent to an overdose? How much of the grief becomes disenfranchised and unattended due to the shame, guilt, and ambiguity of such an event?

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In Social Work education there is a huge emphasis on systems thinking. Our human development courses are usually entitled something like "Human behavior and Social Environment I, II, III. The jargon phrase is "person - in - situation".

Having been trained to think in systems terms, I am always alert to the social influences on individual behavior and this morning I was reminded of this quote from an interview that Yascha Mounk did with Richard Reeves about his book, "On Boys and Men: Why the Modern Male is Struggling, Why It Matters, and What Tod Do About It."

As a 78 year old white cis male born at the end of 1945 on Christmas Day, 12/25, I was right at the beginning of the "baby boomers", and grew up with Leave It To Beaver, Ozzie and Harriet, and Father Knows Best. The changes I have seen in my lifetime brought about by the birth control pill introduced in 1960 have been seismic in social arrangements. As a Psychiatric Social Worker, I have watched these social forces influence my clients, their families, communities, and society at large in the Western world.

There are so many observations that are worthy of making note of. Perhaps one of the most significant is the increasing number of fatherless children growing up in our society. I am wondering what other people are observing as a result of the change in the role of the male in our society?

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That ecofascist thought would surge in our particular historical moment is, sadly, predictable. We live in a time when having two jobs is no guarantee of affording a home and many of our governments consider bulldozing homeless encampments to be a viable policy solution. Meanwhile, every day brings us closer to a future of climate breakdown that, if it is not slowed and reversed, will surely lead to the culling of large parts of our and other species, hitting the most vulnerable first and worst. The process is already well underway. Being alive in a knife-edge moment like this, being forced to be complicit in it, while our so-called leaders fail so miserably to act, unavoidably generates all kinds of morbid symptoms. Inevitably, people reach for narratives to make sense of this reality.

Klein, Naomi. Doppelganger: A Trip into the Mirror World (pp. 166-167). Farrar, Straus and Giroux. Kindle Edition. 

So much of Klein’s book, Doppelganger, is disappointing. She engages in a stream of consciousness musings that don’t lead to  any kind of coherent understanding of underlying dynamics at a deeper, more serious level.

Klein writes in the above passage that ecofascist thought is predictable. Really? What would make one think that? We are told that our climate is warming which will have significant influence on our ecologies and there are frequent media reports of out of control wild fires, huge rainfalls, sea level rise, species extinction, etc. but most people in the world go about living their lives while tsk, tsk, tsking at the misfortune that we see people in other places suffering from. We want our leaders and other people to do something about this state of affairs, but if it's not affecting me there is not much I can do about it. It’s for other people to work on a fix.

With the attitude that it’s not my problem, other people have to do something. We assume a role of passive victim waiting for the suffering to reach us and hopefully we can find ways to insulate ourselves and our loved ones before it gets to us. 

We can amuse ourselves by making up stories about other people who, by their actions or inaction, conspire to engage in perfidy. It’s the old good guy, bad guy plot line where the problem is addressed not by taking responsibility but by blaming others.

Meanwhile, power hungry demagogues are more than willing to play the role of savior if only we will make them king or queen and put them in charge. Klein seems to not get this and would rather explain the failure to act in solidarity with others by setting up a nemesis or doppelganger as she prefers to call it who is disrupting and disturbing her personal brand, the way she presents herself to the world.

The rise of ecofascism is not predictable and in fact may never come to fruition because as conscious beings we have a sense of responsibility that will contribute to our rising to the occasion and our better angels will guide us safely home. As the wonderful line in the movie Best Exotic Marigold Hotel says, “Things will be all right in the end. We’re just not at the end yet.”

A field of study I have been interested in and can't find a lot of good material on is "environmental sociology". The topic is how groups of people adjust to changes in the environment. It would seem that some of these adjustments could be proactive, constructive, and actually improve the quality of life for groups of people, or they could be destructive, harmful, and diminish the quality of life.

There are several topics that are interesting to observe such as diminishing availability of water in certain areas for certain populations. The other big one, of course, is energy, especially electricity and how electricity is being generated, transmitted, and utilized.  The topic we have been discussing is land use and housing as well as infrastructure like stores and other services in coastal areas. There are people who are studying these topics and designing the structures and systems for the future but we don't hear much from them unless a catastrophe occurs. Then we hear about the failures instead of the successes. When catastrophes are prevented people don't seem all that interested in how they were prevented, but if crises and mayhem occur they are newsworthy.

I don't know what Klein means by her term "ecofascism" which she states is predictable. I could guess what she might mean, having read her previous book "The Shock Doctrine," where she describes the capitalistic vultures waiting for catastrophe to cash in by rigging the economic processes that are utilized to respond to the catastrophe and how people let them do it even if its not in their best interests because they have no other choice and are desperate.

Our capitalistic system is designed to profit the shareholders and profit is their primary if not only objective. Will the capitalistic systems in place seek to aggrandize profit over other human needs and values when catastrophe strikes? What other strategies of managing crises and catastrophes might we design that would respect other values and needs than just the desire to profit? Is ecofascism predictable or simply a choice among management strategies as we adjust to the world that climate change is bringing us?

The United States is the richest country on planet earth currently, and in history, and yet a significant percentage of its citizens live in poverty. Poverty is usually seen as a personal failing because the person doesn’t work hard enough, isn’t smart enough, or has some sort of moral failing. Poverty, to assuage the guilt of the not-poor, is seen as a personal, individual thing when in fact the factors contributing to poverty are part of the social structure and system. These factors contributing to the phenomenon of poverty amidst abundance are usually below the level of awareness of the population and being unrecognized, unacknowledged, they are not effectively managed and minimized or eliminated.

One of the purposes of davidgmarkham.substack.com newsletter is to highlight the structural and systemic factors contributing to poverty as they can be effectively and efficiently managed at a macro systemic level.

One of these factors that maintains poverty in the United States is the “benefits cliff.” The safety net in the United States, compared to other first world democracies, is not only extremely inadequate but often punitive. Eligibility to receive societal support is tightly managed and in many instances counter productive. Individuals and families are eligible for support at certain levels of deprivation, but if they reach the upper range of eligibility are abruptly cut off and thrown back into poverty.

The question before us is how can the benefits cliff be managed in a more effective and efficient manner so that as people improve their ability to be self-sustaining, the decrease in societal support is graduated in its withdrawal rather than abruptly discontinued?

From the Public News Service 04/24/24 “CT Day of Action raises awareness on 'benefits cliff'

The benefits cliff is when a person might get a raise, have a kid with a part-time job, or some other income increase which then makes them ineligible for certain benefits. The changes can have severe impacts on communities and disproportionately affect families with children.

Stephen Monroe Tomczak, professor of social work at Southern Connecticut State University, said it is part of a larger workforce problem.

"People, particularly people of low income, are in a sense disincentivized to participate in the labor force and denied adequate jobs and income when they try to do that," Tomczak explained.

Thomas Geoghegan was written an article entitled “Leviathan” which is published in the April, 2024 issue of Commonweal magazine. The subtitle of the article is “How Trump liberated the religious Right from religion.” Geoghegan writes:

Erik Erikson’s classic religious study, Young Man Luther, argues that a new religious leader can arise by working out an identity crisis in the culture. Of course, Trump is no Luther, and he is certainly not working through any religious crisis of his own. But his cult ends the embarrassment of following Jesus, of taking as a model someone whose mission ended in failure, and whom Trump would call a loser. Instead of following Jesus the loser, Trump’s followers seek someone who can win “bigly,” and claim to have won even when he’s lost. It’s in Trump’s interest that his supporters leave the churches. Doing so strips them of even the small social capital that comes from attending church. He wants them isolated, with no connection to each other, and with no trust in anyone but him.

Further, Geoghegan writes:

Now that Trump himself has become a kind of religious leader, he is liquidating the authority of Evangelical ministers. There is no longer any need for them, as they merely offer more secular political ideology, and as Trumpism itself has become more like a real religion. The secular Left may take satisfaction in Trump wiping out the churches, but they shouldn’t: Trump grows stronger by atomizing everything around him and leaving his supporters with no alternative to him. This makes him a bigger threat.

In case you missed it, Donald Trump has published his own edition of the Bible which at Easter time he started marketing for $60.00.

Many people have observed that many so called Christians don’t follow the teachings of Jesus and even more concerning don’t seem to understand the most basic principles of His teachings like caring for the poor, being kind to immigrants, and most fundamentally loving not hating one’s enemies. Being alienated from the fundamental teachings of Jesus it is easy for people to attach themselves to a false leader, an idol.

Church attendance in mainline Christian churches is falling precipitously in the last few decades and people report increasingly that while they are spiritual they are not religious. This raises interesting questions about where these disenchanted people turn for fellowship? The answer is no where and that is why there is concerns about an epidemic of loneliness in the United States especially among middle aged members of the society. It is understandable how all these lonely people turn to Trumpism and QAnon to provide a sense of belonging.

More than ever there is a need for people who actually understand and follow the teachings of Jesus to reach out to the Trumpers and people caught up in conspiracy theories and let them know that while we may not agree with their beliefs we love them and want to hold them in fellowship with us. All we can do is offer them love. Whether they accept or not is not under our control.

Quotes are from a Public News Service article published on 04/22/24.

New York towns are reaping many benefits since the Inflation Reduction Act was passed.

Along with funds for larger clean energy projects, the state was awarded $158 million for the IRA's Home Energy Rebates program.

Smaller towns and villages use these grants to implement their climate action plans.

Editor’s note: It is wonderful to learn that local communities in New York State and Pennsylvania are using funds from the Inflation Reduction Act to reengineer their energy sources from fossil fuels to renewable energy.

This collaboration between the Federal government and local governments is a good example of the principle of subsidarity which is described in Catholic Social Teaching. Anthony Annett describes the history of Catholic Social Teaching in his article, The Theology Of Social Democracy, in the April, 2024 issue of Commonweal magazine.

The principle of subsidiarity is often paired with solidarity. Some Catholics have argued that subsidiarity requires that the state take a hands-off approach to economic life. This isn’t quite right. Subsidiarity means that higher-level associations like the state must actively help and support lower-level associations like families, unions, and civil-society organizations. As Pope Francis puts it, subsidiarity means that “when single individuals, families, small associations and local communities are not capable of achieving primary objectives, it is right that the highest levels of society, such as the State, should intervene to provide the resources necessary to progress.” This is why unions, for example, are—as Pope John Paul II put it in his encyclical Laborem exercens—indispensable elements of social life. But there are still things that only a state can do to help individuals and families.

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Quotes are from a Public News Service article published on Monday, April 22, 2024.

A new study suggests laws in New Mexico and 22 other states to protect school-aged LGBTQ youth are having a positive impact.

According to research by the Trevor Project, suicide attempts in states with specific protections for LGBTQ youth were 18% lower, and physical violence reported by those youth was 3% lower.

Katalina Hadfield, a member of Equality New Mexico's board of directors, said she believes the state's progressive protections are due to a community-centered culture.

"Where folks are really willing to help each other out, and look out for one another," said Hadfield. "And I think that is part of what helps students in a lot New Mexico schools feel more included."

…………………………….

The Human Rights Campaign says in 2023, more than 550 - a record number - of anti-LGBTQ bills were introduced across 43 states, and more than 80 were passed into law.

Both Florida and Texas are among the top ten for introducing and passing hostile laws.

Hadfield, who grew up in New Mexico, knows several people who have left those states because they feel unwelcome and scared.

Editor’s note: One of the purposes of the davidgmarkham substack newsletter is to report on social policies and programs that get good outcomes. In our postmodern world of alternative facts there is a belief that one person’s opinion is as good as anyone else’s based on the thought that there is no truth and that good reporting has to be fair and balanced. This postmodern belief is untrue and has led to a crisis of legitimacy in our culture. Some policies and programs get good outcomes while others don’t. If we are to improve the quality of life in our society, we need to know the difference. The effort of davidgmarkham.substack.com is to contribute to the flourishing of the people in our society. Your support of this purpose of reporting on outcomes and results is much appreciated and helps make our world a better place

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We are all called to leave the world a better place than we find it. We can start right where we are, right now. The most important thing we can do is replace fear with love.

Mother Teresa said, “Not all of us can do great things, but we can do small things with great love.”

Can I get an “Amen?”

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What do we do when important ideas and concepts are being distorted in this way, when absurdity seems to take over, making serious discussion impossible? What do we do when we seem to be surrounded by warped doubles and imposters?

Klein, Naomi. Doppelganger: A Trip into the Mirror World (p. 71). Farrar, Straus and Giroux. Kindle Edition. 

When faced with a double threatening to engulf you and your world (or an army of them), distance offers no protection. Far better to radically upend the table and become, in some sense, their impersonator, their shadow. That, at least, is how I rationalized listening to so much Steve Bannon.

Klein, Naomi. Doppelganger: A Trip into the Mirror World (p. 72). Farrar, Straus and Giroux. Kindle Edition. 

Klein raises an interesting question of how to manage misinformation and disinformation. The answer is not straight forward. Other information is needed to answer the question such as whether the misinformation is intentional and known to be false or whether it is unintentional and genuinely believed.

There is an interesting article in the 04/22 - 4/29/24 issue of the New Yorker entitled “Don’t Believe What They Are Telling You About Misinformation” by Manvir Singh in which Singh cites the work of French Philosopher, Daniel Sperber, who makes a distinction between factual beliefs and symbolic beliefs. Believing that gravity is real and that people will fall if they jump from high places is different from believing in the resurrection of Jesus after He was crucified.

Symbolic beliefs are often shared and are the ticket of admission to belonging to groups who promulgate and subscribe to them. In fact, the stronger the belief, the more the group member is accepted as a “true believer” and attains higher status in the group and benefits more from the rewards of group membership. Even if the person starts to doubt, they are reluctant to share their doubts fearing punishment from the group members up to and including ostracism and death.

People who understand these group dynamics often counsel concerned out - group members about how to deprogram the beliefs of the ensconced person. There are many methods and tactics of which perhaps the most important is to offer the doubter a “permission structure” to which the person can shift their identity and attachment to enjoy a sense of safety in belonging to the new group.

When the believer in the misinformation no longer identifies with the group spreading the disinformation, it is more likely that the mistaken beliefs will be set aside so that more appropriate and constructive beliefs can take their place.

The definition of a delusion in psychology is “a fixed false belief.” Presentation of new information and rational argument does not minimize or eliminate delusional beliefs. A competent therapist knows this and does not argue with the person about delusional material. Rather, the person’s attention is redirected to topics and content more appropriate and constructive.

So, I am concerned about Klein’s idea that Steve Bannon’s approach of mirroring ideas and concepts in a distorted way is an effective way of countering them. The countering of the falseness of the ideas backfires and they only become more visible and reinforced and the holder of these beliefs becomes defensive, digs in their heels, and advocates for the misinformation more vociferously. The parties involved enter into a “pissing contest” which has great entertainment value for an audience emotionally aroused by the conflict with its reciprocating attacks, and those engaged become increasingly polarized and adamant.

When a young congressman asked Lyndon Baines Johnson one time what advice he had for him as a young politician, LBJ is reported to have said the most important thing he learned in politics is “Never tell a man to go to hell unless you can make him.”

One of the interesting findings about  changing people’s beliefs is that they are willing to do it when you offer them money for the correct belief. Here’s how Singh describes the research: 

On the other hand, there’s research implying that many false beliefs are little more than cheap talk. Put money on the table, and people suddenly see the light. In an influential paper published in 2015, a team led by the political scientist John Bullock found sizable differences in how Democrats and Republicans thought about politicized topics, like the number of casualties in the Iraq War. Paying respondents to be accurate, which included rewarding “don’t know” responses over wrong ones, cut the differences by eighty per cent. A series of experiments published in 2023 by van der Linden and three colleagues replicated the well-established finding that conservatives deem false headlines to be true more often than liberals—but found that the difference drops by half when people are compensated for accuracy.

So while LBJ had good advice about not telling a person to go to hell unless you can make them, it may be more likely for a person to change their beliefs if there is something in it for them. What can the believers in false information be offered as an incentive to be more accurate and truthful than membership in their reference group that supports their false belief system?

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Everybody wants to be happy. The question is, what will bring happiness?

The marketers have all kinds of answers to that question. We chase after more money, better relationships, more status and prestige, a better job, a nicer car, house, furniture, clothes, etc. And yet, happiness eludes us. Even if we initially feel happier with the latest acquisition, hedonic adaptation sets in and like addicts we feel we need more of the thing or something even better.

We finally realize that we don’t know what will make us happy and where to find it. This realization leads us to wonder what it is that we really value? What is really important to us. The activity called for is what is called “values clarification,” and the setting of priorities.

We might ask ourselves, “The three things that matter the most to me is _________,________, and _______.” Answering this question provides us with focus and a sense of priorities in how we spend our time, energy and resources as we go about living our lives. 

The question, “What are the three things that matter the most to me in my life are…” is an ongoing question because the answer may change as situations, relationships, and stages of life change.

Once we have clarified our values and priorities then the use of the PERMA framework can be helpful. PERMA is an acronym from positive psychology which denotes positive emotion, engagement, relationships, meaning, and accomplishment.

In spite of what our materialistic culture tells us, acquiring things will not make us happy in the long term. Happiness comes from a state of mind we cultivate and sustain as we engage in the activities of our life. In other words, happiness does not come from things, what we have, but from activities, what we do that is meaningful to us.

Having clarified what matters to us, and pursuing it in ways that are meaningful, we find ourselves feeling peace and gratitude and it is peace and gratitude that makes us happy.

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Prior authorization denies patients health care and becomes profit for health insurance companies. Here is a great 8 1/2 minute video that describes the system skewed in the favor of profits over human health and well being in the United States.

Bureaucrats wind up second guessing physicians and practicing medicine to the detriment of patients.

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A Good Person

Allison and Nathan were engaged to be married. Allison and Nathan’s sister and her husband are on a shopping trip to try on wedding dresses when Allison, texting while driving, crashes into a backhoe in a work zone and Nathan’s sister and brother in law are killed in the crash. Allison sustains a head injury and is prescribed the opioid pain killer, Oxycontin, to which she becomes addicted.

Nathan’s father, Daniel, played by Morgan Freeman, is a Vietnam vet and in recovery from alcoholism helps Allison get into recovery. The plot is thickened by Daniel raising his granddaughter orphaned by the crash in which her mother and father were killed.

Allison goes from a successful, happy young woman at the beginning of her adult life to a suicidal, extremely distressed woman whose life appears to be ruined. Is there any possibility of redemption entangled in such a web of painful and conflicted relationships? How does a person manage such a tragedy of being the party to the deaths of two people and then caught up in addiction to a substance meant to treat the pain? How do the other people involved in such a situation deal with their very conflicted thoughts and feelings about the person at the center of the situation which has caused such life shattering losses?

The question explored is this film is “given the enormity of loss and suffering subjected on this family is there any reason to hope for the creation of a satisfying and fulfilling lives thereafter?

This film is distressful to watch due to the subject matter and yet the performances are excellent and the story development very credible. The film may leave the viewer with the knowledge that there is reason to believe that things can become better in the end if we can endure the pain to get there with the support and good will of people we meet along the way.

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One of the challenges of older years is watching people die. James W. Harris  has written on his blog, "Would you rather be remembered or do the remembering?"

Husbands and wives probably have the most intimate discussion of these considerations.

Part of my spiritual practice is to do a daily reading and today's topic is on the spiritual dimensions of grief. There were a few quotes offered for consideration and the one that struck me as most interesting and applicable to my life is "Though painful and unwanted, grief has unexpected creative and transformative power. It is not just an emotional response to loss but a deep unsettling of the soul. In grief you realize that you can't go on as before, and some of the pain comes from losing familiar sources of meaning. You have to reinvent life, imagine it differently. At the same time grief ties you to the past. Because of grief your life remains whole, even when events seem to tear it apart. Grief won't let you forget what life has been like. ..."

Being remembered means we are gone and don't have to do any work any longer on understanding ourselves and life,  but having to do the remembering puts us in the position of having to make some sort of sense of the loss and the meaning for our current life. Making this meaning can have tremendous power in facilitating growth and pushing us to higher levels of awareness of the interdependent web of this thing we call life.

This process of interpretation and meaning making takes a tremendous amount of energy and leaves us innervated for mundane things. Observations when incongruous and absurd aren't funny any more but rather more annoying and not worth a laugh. We become more serious about prioritizing what really matters and attending to that. In the end, most people say that what matters the most to them is family and beloved friends and when they are lost to us, that just leaves us with Love in a rarefied form no longer attached to egos but unconditional from the Transcendent Source that sustains all things.

Doing the little things with great love is what sustains us as we move forward through our grief creating a new life without the physical presence of those we’ve lost. While the physical body is gone, the spirit of the person lives on in the stories we tell about our experience of them. The challenge is to incorporate these stories into the new life we are creating as we move into the future, unknown in its differences without the one we have become accustomed and attached to.

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Now that I am home again after 5 months in orthopedic rehab and having a brief hospitalization for gallbladder surgery, I am back to watching movies again. When asked about my hobbies, I have sometimes answered that I am a bit of a film buff.

Watching movies and reading good books serves me well in learning more about human nature, life, and the world we are living in. This understanding and appreciation not only serves me well personally, but helps me be more empathic, understanding and compassionate in my work as a Social Worker. I am reminded of this benefit of watching movies when two days ago I stumbled across “The Peanut Butter Falcon” on the Video Prime streaming service.

The Peanut Butter Falcon is a movie about Zak, a man with Down Syndrome living in a nursing home, who escapes and meets up with a small-time thief on the lame, Tyler. An unlikely pair, they become buddies and Tyler helps Zak realize his dream of becoming a Professional Wrestler by training at the wrestling school run by the Salt Water Redneck. 

This movie is funny as well as poignant as the friendship develops and the adventure proceeds. 

Can people with developmental disabilities have high quality lives? Absolutely yes as demonstrated by the activities depicted in the movie. Is our society better because of the inclusion of people who are neurodiverse? Yes, again. The proof? Watch the movie and decide.

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Cha Cha Real Smooth

Andrew is 22 and has graduated from college and is back living at home in New Jersey with his mother, his step father, and his younger brother, David. Andrew is working at a fast food restaurant during the day and starts his own business as a party host at Bar Mitzvahs while he continues to look for his real life’s work..

This is an Indie film focused on character development and subtle emotional conflicts created by the different kinds of love between the characters. There is the love between the mother and her son, between her son and his brother, between a student and a teacher, between romantic partners, between a depressed divorced woman and a second husband to be.

Andrew tells Domino, an older woman he has fallen in love with who is engaged to be married to Joe, that people can love several kindred spirits in their life. The problem is you can’t form a long term committed relationship with them all. To form a long term committed relationship involves other factors than just romantic love. The attachment and loss of relationships as part of the ebb and flow of life is depicted with grace in such a way as to bestow a blessing on the viewer.

Watching this movie for full benefit  takes openness and patience to appreciate its meanings. There are things that are funny and things that are sad but the takeaway understanding of love in human relationships is genuine and wise. The viewer will be a better person after watching this film.

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Erik Erikson’s classic religious study, Young Man Luther, argues that a new religious leader can arise by working out an identity crisis in the culture. Of course, Trump is no Luther, and he is certainly not working through any religious crisis of his own. But his cult ends the embarrassment of following Jesus, of taking as a model someone whose mission ended in failure, and whom Trump would call a loser. Instead of following Jesus the loser, Trump’s followers seek someone who can win “bigly,” and claim to have won even when he’s lost. It’s in Trump’s interest that his supporters leave the churches. Doing so strips them of even the small social capital that comes from attending church. He wants them isolated, with no connection to each other, and with no trust in anyone but him.

“Leviathan,” Thomas Geoghegan, Commonweal, April, 2024, p.17

Donald Trump’s relationship with his base is similar to the relationship of a domestic abuser to their victim who they attempt to control to do their will by isolating them and cutting them off from any outside sources of support. Trump has isolated Christians from their churches where they no longer turn to for support.

At the same time, Bellah and his colleagues argued that Americans were becoming more isolated from each other, especially as they left their churches. In the decades since the publication of Habits of the Heart, that isolation, especially in Trump country, has gone much further. This isn’t just because people are losing trust in our institutions, but because, even in Trump country, people have lost their trust in each other. The House GOP majority is a case in point: it does not trust itself. Members of the House Freedom Caucus don’t even trust each other. Like Trump himself, they all see political treason everywhere.

When people no longer value the common good beyond their own individual self interest, the society becomes unglued. Not being able to join with others in solidarity, they look for outside forces to protect them. This is a regression to mythical and superstitious thinking of a 3 -10 year old who believes in “Power rangers” and mythical avatars to protect them from whatever they fear.

If we Americans became so isolated from each other that we were incapable of running free institutions, we might easily turn to a dictator.

The authoritarian dictator, the all powerful one, is believed to be necessary to protect and save them. They have lost faith in their own capabilities and those of their neighbors to work together to provide security.

How ironic that a republic conceived in a distrust of concentrated power by Federalist and anti-Federalist alike would now have so many hoping for a strongman to protect them from their neighbors. If there is hysteria over migrants, who seem so far off, it is because they are stand-ins for people living next door, or down the street, or in those blue states far away. Unable to act, the MAGA base has decided there is no alternative but to vest absolute power in Trump. And if people are really incapable of operating free institutions, what’s the point of keeping them?

The mindset that leads to the support of a character like Trump is one that is based on fear of the other, and fear of the institutions that can be built together. This mindset is based on a belief in individualism taken too far, way too far, resulting in vulnerable isolation needing the protection of an outside arbiter who will take their side to protect them from the other since the other is not to be trusted. This is the pinnacle of a zero sum game where there will be no winner, because even in winning, the winner loses.

Tocqueville wrote, “It must never be forgotten that religion gave birth to Anglo American society. In the United States religion is therefore commingled with all the habits of the nation and all the feelings of patriotism; whence it derives a peculiar force.” Well, we have forgotten. The Left has forgotten; the Right has, too. Now that Trump himself has become a kind of religious leader, he is liquidating the authority of Evangelical ministers. There is no longer any need for them, as they merely offer more secular political ideology, and as Trumpism itself has become more like a real religion. The secular Left may take satisfaction in Trump wiping out the churches, but they shouldn’t: Trump grows stronger by atomizing everything around him and leaving his supporters with no alternative to him. This makes him a bigger threat.

Without realizing it, religion has been a glue which has bound Americans together. Religion, while itself an institution, has given birth to many other institutions like healthcare, education, social welfare, recreation, and entertainment. As secularization has arisen and participation in religious organizations decreased, the bonds that religion has provided for American institutions have weakened and people are left isolated, unsupported, lonely, and feeling more vulnerable. As a result, people feeling vulnerable have turned to the religion of Trumpism not having many other options for protection in their isolated state of vulnerability. (Interestingly this same kind of attachment to reference groups such as sports teams and celebrities manifests the same fervor and security provided by the identification. Do more people attend and watch NFL football games on Sunday than go to church?)

“...whether it was the United States in the New Deal or totalitarian regimes abroad—was trying not just to govern but to change the moral character of its citizens.”

What we have seen currently with the polarization of America  is not simply a political phenomenon but a moral one. The strain between individualism and the common good has been stretched tautly where the right trusts no one and sees anyone not aligned with their values as enemies to the left where inclusivity at all extremes is seen as the panacea for human happiness. What is the proper moral position is what is being worked out now as these two social values: individualism vs. common good struggle.

What moral position will the American people vote for when they elect their policy making representatives in our republic? The two positions for individualism and the common good must be reconciled if homo sapiens is to survive in its evolutionary journey.

There is tremendous power in recognizing, acknowledging, and acting on, not only respect for,  but a love for the interdependent web of all existence of which we all are a part. It is in expanding our thought system to the ecological awareness of life that we come to understand that the viable moral stance is one for all and all for one.

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My doppelganger trouble was definitive proof that I had flunked at one of the most valued activities of contemporary capitalism: developing, maintaining, and defending my personal brand.

Klein, Naomi. Doppelganger: A Trip into the Mirror World (p. 47). Farrar, Straus and Giroux. Kindle Edition. 

Klein’s discussion about personal branding bothers me in that a person is trying to perform for an audience in a way that captures their attention and maintains it based on providing something that the audience perceives as having value for them. This something is held up as something desirable and worthy to attach oneself to. It is in a capitalist society where likes and the number of followers matters because the viewer’s attention that has been acquired and can be sold to advertisers because that attention has value no matter how good, true, or beautiful that something is. The criteria of success is acquiring and maintaining the greatest number of fans possible to obtain advertising revenue.

It seems that one’s soul is for sale and what one presents as part of their brand does not need to be authentic, genuine, sincere, honest, but rather to the liking of the person being performed for. This turns branding into a con game and can easily slide into fraud.

Turning ourselves into something we’re not is a path to distress and mental illness which may be why so many celebrities have substance abuse and other emotional and interpersonal problems. Turning ourselves into something we’re not is a form of disingenuousness that is based on lying and deceit in order to manipulate.

A doppelganger by definition is an imposter, a fake, something other than the real thing, which we might realize if we know what the real thing even is.

Naomi Klein is lamenting the fact that Naomi Wolf is stealing her show leading to a loss of attention by an audience which has been lucrative for her in terms of book sales, talks, endorsements, etc.

Social media have turned persons into brands that are created by performing for their audiences in the hopes of garnering likes, followers, and subscribers. The folks who engage in this kind of behavior are now called “influencers.” I have heard young people say that this is the job that they aspire to, to be an influencer. Is this any kind of job for a grown person to be doing?

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There is a certain inherent humiliation in getting repeatedly confused with someone else, confirming, as it does, one’s own interchangeability and/or forgettableness. That’s the trouble with doppelgangers: anything you might do to dispel the confusion just draws attention to it, and runs the risk of further cementing the unwanted association in people’s minds. 

In this way, confrontations with our doppelgangers inevitably raise existentially destabilizing questions. Am I who I think I am, or am I who others perceive me to be?

Klein, Naomi. Doppelganger: A Trip into the Mirror World (p. 27). Farrar, Straus and Giroux. Kindle Edition. 

Getting confused with someone else is similar to being falsely accused of thinking things, feeling things, doing things which one has not thought, felt, or done.

People often blame other people and attribute motives to them that are not accurate. This false attribution can arise from many things, but perhaps the most common is that a person, wanting to be a victim, looks for a perpetrator to blame their unhappiness on. 

“My happiness is all your fault because of something you did or didn’t do.”

These false accusations can make a thoughtful person doubt their own sense of identity. Am I the person who did these things which the person is accusing me of? We may look to others for corroboration, asking bystanders and onlookers whether the accusations could possibly be true. The person experiences a split between the person that they think themselves to be and the person the other person sees them as.

Other people are our mirrors, our looking glass, because their feedback and perception of us help us form our own self understandings and identity. Is the feedback we get from others validating of our sense of self or mystifying?

When a person experiences themselves as other than what other people perceive them as being it often creates distress and anxiety. When false perceptions and accusations occur how can the person targeted best manage them?

Klein writes that to engage with the false perceiver to clarify often makes the false perception more real because the false perceiver now has to justify, protect, and explain their false perception and judgment making it even more manifest. The situation can quickly become polarized and adversarial. Perhaps it is better to leave things alone and rise above it. In A Course In Miracles, this rising above it, and not responding is called “forgiveness.” Forgiveness is giving up making other people and circumstances responsible for your unhappiness. Jesus says as he is being crucified, “Father, forgive them for they know not what they do.”

What have you done when you have been falsely accused and what thoughts were behind the path you chose?

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When you catch yourself acting like your mother, especially doing the very things that she did that you didn't like, it's kind of unnerving, isn't it? 

When people have this kind of experience they can laugh, blow it off, deny or minimize it, and do an honest appraisal and decide how they would like to do things differently.

Murray Bowen, the father of family systems theory, called a person's ability to do this "Differentiation of Self" meaning that the person becomes consciously aware of how they can choose to have different thoughts, feelings, preferences, and practices than the people and group with which they identify. At this point the person comes into their own, stands on their own two feet, and takes responsibility for their own functioning rather than just being blindly influenced by the beliefs, values, and practices of others. Sometimes we refer to the person's degree of DOS as "maturity." In spiritual models, the part of the person that is able to nonjudgmentally observe one's own functioning is called "the witness."

The witness is more highly developed in some people than in others. The ability to which a person can nonjudgmentally observe their own functioning is directly related to the person's level of mental health.

AA is one of the most accessible and successful programs for spiritual development in the world. The greatest benefit from the program for people who work the program are the 4th and 10th steps.

The advice of the Oracle at Delphi which has stood homo sapiens well for millennia is 'Know thyself."

The first skill of 21 in Cindy Wigglesworth’s model of Spiritual Intelligence is the ability to describe and monitor one’s own world view. Wigglesworth suggests that we rate as low, medium, or high the extent to which we can explain to others the impacts of one’s upbringing, one’s culture, and one’s thought system on their personal identity and the way they see the world.

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I have been a fan of Naomi Klein since I read The Shock Doctrine and then No Is Not Enough, and On Fire. So I was interested in Naomi’s new book, Doppelganger.

From the introduction I am getting the sense that by Doppelganger what Klein is referring to is our shadow side. We all have one and so do societies. The shadow side is usually unconscious or barely conscious although it manifests from time to time in ways that fill us with shame and guilt. If you ask yourself, "What am I ashamed of about myself and society?" you will come into awareness of your shadow. Ken Wilber teaches that if we are to enhance our functioning, we have to become aware of our shadow parts and clean them up.

Naomi Klein who is a liberal has met her shadow side in the person of Naomi Wolf who is a conservative. Examining Wolff's beliefs and values has helped Klein become more aware of her shadow. Klein writes:

Yet what drove me to write this book, sticking with it against all good judgment, is that the more I looked at her—her disastrous choices and the cruel ways she was often treated by others—the more I came to feel as if I were seeing not only undesirable parts of myself but a magnification of many undesirable aspects of our shared culture as well. The ambient and all-pervasive hunger for ever-more-fleeting relevance; the disposability with which we treat people who mess up; the trivialization of words and displacements of responsibility, and much else. In the end, looking at her helped me see myself more clearly, but it also, oddly, helped me better see the dangerous systems and dynamics we are all trapped inside.

Klein, Naomi. Doppelganger: A Trip into the Mirror World (pp. 10-11). Farrar, Straus and Giroux. Kindle Edition. 

Human beings project their beliefs onto others. As Jesus said in Matthew 7:3 And why do you see the speck that is in your brother’s eye, but do not consider the plank that is in your own eye?

In our current times, the pundits complain about the high levels of polarization in our country. We have regressed as a society to identity groups and you are either with us or you're against us. The MAGA thought system fuels this kind of ethnocentric thinking. There is me and the other. There is no us.

Naomi Klein and Naomi Wolf are the yin and yang, the opposites, but together they make a whole. Naomi Klein calls Naomi Wolf her doppelganger and comes to realize that Wolf exemplifies her shadow side, and Klein, to her credit, wants to understand the characteristics of this shadow better so she can resolve the conflicts and contradictions.

We all have a shadow side which we project on others whom we dislike and attack in numerous ways. This month we will explore Klein’s exploration of her shadow side as a way of learning more about the shadow and how we, too, might learn about the shadow and how we might manage it to enhance our level of functioning.

During April, 2024, Naomi Klein’s book, Doppelganger, is being discussed by the Allnonfiction book discussion group. People are welcome to join.

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One of the benefits of being a member of the on line non fiction book discussion group, Allnonfiction, is that books get chosen for the month’s discussion that I would have never read otherwise. The book chosen for March, 2024, was Nature’s Temples by Joan Maloof.

Joan Maloof Ph.D. is a professor emerita of biological sciences at Salisbury University and the founder of the Old-Growth Forest Network. Maloof has written a book detailing the components of the ecological systems of what is called an Old-Growth forests which are quickly disappearing on planet Earth. Maloof makes the case that the biological diversity of living things in Old-Growth forests are much richer and vibrant than in managed forests from which many products such as timber has been extracted.

Maloof sheds light on the complex ecosystems of old-growth forests, explaining how they differ from younger forests and why they are irreplaceable. She describes the unique species that thrive in these ancient environments and the delicate balance that sustains them.

The book makes a compelling case for protecting old-growth forests. By highlighting the ecological benefits they provide, Maloof encourages readers to think about the consequences of deforestation.

Maloof weaves together scientific research from various fields to explain how old-growth forests function. This approach makes the book informative and engaging, even for those without a scientific background.

Maloof's writing style is evocative, allowing readers to connect with the beauty and wonder of old-growth forests. The book may even inspire you to visit one yourself. Visiting the forest is like entering a temple of Mother Nature and can fill one with wonder and awe realizing what Unitarian Universalists call the “interdependent web of all existence of which we are a part.”

As we become more aware of the impact that human activity has on Gaia, mother Earth, we have a need to be more respectful and better stewards of the earth we have been born onto. Nature’s Temple should be required reading for all high school students and their parents and grandparents to raise their consciousnesses about the systems of life they inhabit.

There are several things we can do to enhance the quality of our lives:

1. Raise our level of consciousness of the interdependent web of life of which we are a part.

2. Become more intentional in the ways we interact with the other components of the ecological system we are a part of in nurturing rather than exploitive ways.

3. Give thanks for the abundance of life we enjoy by nurturing and not exploiting it.

4. Join together with others to validate and uplift our appreciation of Mother Nature’s gifts through group and organizational activities.

5. What other activities would you add to the list?

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In the Spiral Dynamics model of societal evolution there is a stage called “ethnocentrism.” Most individuals pass through this stage in their individual growth and development as well as in their participation in the ethnocentric stage of their society.

Ethnocentrism is the identification with one’s tribe, one’s group, and it is born out of an “us vs them” comparison. Ethnocentrism can contribute to dominator hierarchies, the so-called “pecking order,” where societies are composed of classes and groups with some classes dominating and oppressing other classes to control resources and coerce inferior groups to obey the will of the superior groups.

Ethnocentric conflicts are very common in human societies which in their extreme are manifested in slavery, war, and genocide. Like all the stages of individual and societal development, each stage has its benefits and its liabilities. Ethnocentrism characterized by its group identification, bonding and mutual support contributed to the survival and flourishing of the individuals within the group. However, when the identity group comes into contact with another group perceived as a competitor for resources, conflicts manifest leading to domination or elimination and great harm and destruction ensue.

The movie Belfast, released in 2021, nominated for seven academy awards and the winner of one for best original screenplay, is a story about The Troubles in Northern Ireland in August of 1969 through the eyes of a 9 year old boy, Buddy,  and his family. How will they manage the threats to their will being as this conflict invades their neighborhood and country?

The mother wants to stay in Belfast with family and friends while the father wants his family to move to England where he is working for their safety.

The conflict, simplified, in Belfast, is between the Catholics and the Protestants. The Protestants in Northern Ireland identify with the English while the Catholics identify with the Republic of Ireland in the South. The 9 year old boy, Buddy, doesn’t quite know what to make of this conflict which is threatening the welfare of his family and neighborhood. In addition to the forces impacting his family Buddy, a Catholic, is smitten with a fellow student who is Protestant.

The father is at the world centric level of consciousness and refuses, even when threatened by gang members, to get involved in the ethnocentric gangs which are engaging in violence to advocate their political advantages.

In spite of the conflicts and violence, this film, in many ways, is heartwarming.  In the end, the family does move to England to escape the conflicted but beloved city and community in which they have lived for several generations. One moral of the story may be that there comes a time when we have to rise above our ethnocentric values, beliefs, and attachments and move on to a bigger, and hopefully better world.

Belfast gets an 8 out of 10.

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One phrase that names the experience you describe in your post "Thoughts on cancer" is anticipatory grieving. As human beings we, or at least some of us some of the time, are self conscious, and based on past experiences we know what lies ahead. Is this ability to anticipate future events a blessing or a curse or more likely a little of both?

Anticipating losses in the future based on our experiences of losses in the past, initiates an emotional process that most people aren't aware of or even if they are somewhat aware, they can't name it.

Colloquially, we sometimes in a dismissive way, say things like "Been there. Done that." And here we go again.

There are many other aspects of anticipatory grief that we can make note of like "disenfranchised grief" or what is sometimes also called "unattended sorrow." Anticipatory grief, not being recognized and acknowledged, is sequestered down in the psyche to be acted out in all kinds of ways, one of the most notable of which is somatization. It makes people physically sick.

What, then, is to be done with anticipatory grief? We need shoulders to cry on. We need people we can express it to who will understand and support us with their non anxious presence. I am blessed by the sharing of anticipatory grief. I think to myself, "You too?" It must be going around. I am reminded of the Beatles great song lyric, "I'll get by with a little help from my friends."

We are all in this thing we call "life" together and when we recognize and acknowledge the spark of the Divine in the other we join together in something that is holy.

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Based on my recent hospitalization and orthopedic rehab for quadriceps tendon repairs in both legs, an expertise has been developed on my part with pain scales.

Following my surgery on 8/29/24  opioids were prescribed for the pain and the nurses were constantly asking me to rate my pain. I guess I tolerate pain fairly well so at first my answer to the  1 to 10 scaling question was  "Oh, I don't know, maybe a 5 or 6." 

I had no idea how to rate the pain, never having had to do this before as a way of determining the need for pain meds. They were giving me hydrocodone and once Dilaudid. I overheard one nurse tell the other nurse in the hall outside my room, "We don't give opioids unless the pain is 8 or above. When she came back the next time, my reply to the question about the intensity of my pain was "8! It's definitely an 8".

After a couple of months, bedridden in rehab, I wondered why they didn't ask me other scaling questions pertaining to my well being besides my pain level. So I came up with three other scales that I thought were just as relevant.

Energy level - "On a scale of 1 -10 what is your energy level today? Many days it was 2 to 3.

Clarity of thinking - "On a scale of 1-10 how clearly are you thinking and organizing your thoughts?" Many days it was 2 to 3 and a couple of days when my gallbladder perforated and my abdominal infection sent my white blood count into the septic range I was 1 but would have had a hard time answering if even comprehending the question. Another way of putting this same idea is "On a scale of 1-10 to what extent are you back to your old self?" I am still not at 100% but getting there. Currently I would say I am at an 8 but clearly have a way to go.

Optimism/pessimism -  "On a scale of 1 - 10 to what extent are you optimistic as compared to pessimistic?" There was days I was a 1 and wanted to kill myself. Had MAID been available in New York State I might have chosen it, but I am much more optimistic now, maybe about a 7.5.

So, I wonder why health care staff, in addition to the pain scaling question, don't ask the other three questions which seem to me just as important. The answer probably is that there is no pill that can be given to immediately ameliorate a low score on the scale so why bother to ask.

I don't like pain any more than anyone else, but I think I can tolerate pain better if my ratings on the other three scales are at least above 5 or 6.

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Tom Nichol’s wrote a book entitled, The Death of Expertise, in which he describes the waning respect that Americans have for experts and the institutions they work in and represent.

Ken Wilber has a different take on the subject. Wilber writes in his book, Trump and the Post-Truth World, that we are living in the age of postmodernism whose main idea is that there is no truth. Truth is merely a social construction and one person's truth is as good as anybody else's. Postmodernism has brought us the world of "alternative facts" and what Wilber calls nihilistic narcissism and aperspectival madness.

If we believe that there is no truth, then how can there be experts based on knowledge which is true?

How can we know what is true personally and collectively? The scientific method is one such approach to measurable phenomena, but when it comes to aesthetic judgments and value judgements what are we to do? 

The moral compasses of old are badly broken when a man who brags about grabbing pussy when you're a celebrity is okay because "they let you do it," and "I could shoot someone on fifth avenue and they still would vote for me." And they did and made him their president. Moral accountability has been dispensed with because God is dead, or perhaps better stated, the belief in God (the good, the true, the beautiful) is dead. 

With God dead, that leaves us with the law, legislated in a democracy supposedly by consent of the governed, but then Citizens United led to the decision by the Supreme Court which, deciding the supreme law of the land, opined that corporations are the same as people and money is free speech. Legislators can now be bought by those with the funds to buy them to make the laws the corporate interests prefer and the welfare of the people be damned. And so in this moral environment, money is power wielded to enable the incentives of those who pay for it.  Accountability and justice can be thwarted by legal maneuvers and justice delayed is justice denied as we are now observing in the machinations of Donald Trump and his minions.

Truth is to be found eventually in results, consequences, and outcomes. The ability to see the truth requires the ability to observe systems, patterns, and longer term outcomes, to connect the dots, which is a competence few humans have achieved. The truth, it is said, will set us free, but most of us are so immersed in our own narcissistic thought system that we cannot find a place to stand to observe things in perspective. It is not expertise that allows a person to see the truth but objectivity and perspective giving one understanding of system dynamics and functioning.

Like the person who turns from Plato's cave wall and looks outside into the light, those of us who have seen the truth find it difficult, if not impossible, to communicate it to those who still are enthralled with the dancing shadows. Wilber states that only 5% of the population is at this level of consciousness. The rest are at a lower level of consciousness and like children at concrete levels of cognitive development still function with beliefs about Santa Claus, the Easter Bunny, and the Tooth Fairy. 

How do Tom Nichols experts explain to a four year old that there is no Santa but actually it is the parent or other caring adult who brings the presents? The challenge in our modern society is to facilitate the further growth in consciousness and awareness in the bulk of the population. This facilitation is the work of the media and art. The media is failing and art has devolved to entertainment for “likes” rather than goodness, truth, and beauty. What is badly needed is for the 5% to continue to encourage, communicate, and create incentives for growth to increase its population share.

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It Could Happen To You, debuted in 1993, starring Nicholas Cage and Bridget Fonda is a story about a police officer who, having no money for a tip, tells the waitress he will split the winnings if he wins the lottery. She, of course, laughs him off and then he wins 4 million and splits it with her much to the chagrin of his wife.

This story is very uplifting and restores one’s faith in the goodness of people. Charlie, the police officer, is true to his promise and is intent on doing the right thing even though his wife and other people, including Yvonne, the waitress can’t believe he would actually follow through on his promise. Do people really do the right thing especially when there is money involved? Charlie is adamant several times that money doesn’t mean that much to him and that other things like honesty, loyalty, integrity are much more valuable.

Yvonne, the waitress, is, at first, reluctant to take the money but when Charlie insists that fair is fair, and a promise is a promise, she graciously, and gratefully accepts and a friendship ensues as Charlie and Yvonne come to know and respect each other better.

Can commitments to promises have negative consequences for the person who made the promise and others affected by it? And how should these negative consequences be managed and handled? The conflict engendered between Charlie and his wife, Muriel, leads the two of them to go in two separate directions with Muriel pursuing the pleasures of consumerism and buying things with her winnings while Charlie, not interested in material things, gets involved in community activities with the youth in his neighborhood.

So is winning the lottery a blessing or a curse? How does it change the winner and those close to them? If you promised someone, in passing, that you would split your lottery winnings with them if you win and you won, would you? What impact would your decision have on your life.

I give this film and 8 out of 10. It is worth watching and discussing.

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Anxiety is often an indication that our intuitive sense is out of sync with our conscious mind. Our heart is telling us one thing while our head is telling us something else. Anxiety, in this context, is our very best friend. It is our soul or spirit trying to get us to consider the path we are on and perhaps to change course.

Nowadays anxiety is seen as pathological and we are encouraged to medicate it away either with prescription drugs or street drugs: legal and illegal. Medication, though, blurs our perceptiveness of our inner compass and can do our souls a disservice. The mature soul knows that anxiety for the spirit is like pain for the body, it is a warning that something is wrong and encourages us to check.

If we take our aches and pains to a doctor for a check, to whom do we take our anxious spirit? Who, in our society, is the doctor of the soul? It might be a professional such as a counselor or psychotherapist of some sort. It might be a member of the clergy. It might be a trusted friend or relative. Usually we seek relief in reverse order to the one above first seeking help from friends and/or family, then from a member of the clergy, and then from a mental health professional.

Anxiety, while painful, is good for us. Rather than avoid it, and medicate it, and distract ourselves from it, we are usually better off to acknowledge it, accept it, reflect on it, and learn from it.

Anxiety is an ambiguous form of fear. We feel afraid but we have nothing to tie our fears to – we can’t identify an object triggering our fear. So it may help next time you are feeling anxious to ask yourself, “What am I afraid of?” Being able to identify the object of our anxiety is the first step in rectifying our discomfort and distress. And then find someone to talk to about it. Grace occurs in our support and understanding of one another in such a way that what is bothering us becomes clearer as we are able to find words to name the trigger. Once we can name it, we can manage it. Without naming it, we are lost in our confusion, frustration, and fear.

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I went to church yesterday and the priest said in his homily that approval is like a drug.

I started thinking that he's right. Approval makes people high. Some people will do anything for it. I have known people who have cheated, lied, stole, killed, screwed, taken drugs just to make others happy so they can get their approval.

What is it that makes some people crave approval?

Low self esteem? Insecurity? Low self confidence?

Some people need to be loved by others because they don't love themselves, and because they don't love themselves they don't believe that anyone else could really love them either, and because nobody else seems to love them, they don't love themselves. Dog chasing its tail. Vicious circle.

Advertisers know how to play on this lack of love and craving for approval. That's how they sell their products. They tell us that if we wear these clothes, and use this perfume, and drive their car, then other people will approve of us and we will be happy.

My son worked with some guys who robbed the Olive Garden at 2:00 AM when they were closing. Got away with $258.00 to be split three ways for hip hop clothes for the rapper's concert coming up on Saturday night. Got caught. Got three to five in State prison.

I knew these kids' mother. She claims they didn't do it. My son says the guys were bragging about it looking for approval.

Preacher's right. Approval is just like a drug.

Some people will do anything for it. Even ruin their lives.

How to kick the habit?

When you quit, you go through withdrawal. You get depressed. You get anxious. You get paranoid thinking people are saying nasty things about you.

When you start being yourself and saying "No" to people, they start to wonder what's gotten into you. They will say that you are being bad, or that you are crazy, or that you are being disloyal and not wanting to fit in with the group any more.

You start finding new friends and new things to do. You start to realize that you are looking for satisfaction and fulfillment from using your talents and abilities in ways that you enjoy, and that you find following your interests rewarding. If people approve, that's great. If they don't, you still had a good time.

Having a mind of your own feels good. Standing on your own two feet feels solid. Counting for something which is important to you, gives you confidence.

Kick the habit, and be yourself. Take yourself out to dinner and see how you enjoy the company. Wherever you go, that's where you'll be, and you won't need the approval drug.

Remember the bumper sticker that says "If you don't stand for something, you'll fall for anything."

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Many, many species disappeared from the earth then, but the one thing that never disappeared was the drive of evolution. New species arose, and the new species were even more successful in covering the planet than the former ones. Then another great extinction. Then another recovery. On and on. Change after change, sometimes separated by hundreds of millions of years, and sometimes by only tens of millions of years. Only tens of millions of years? Ha! When I stand next to a tree that is four hundred years old, it stretches my imagination to picture that seed germinating so long ago.

Maloof, Joan. Nature's Temples: A Natural History of Old-Growth Forests Revised and Expanded (p. 12). Princeton University Press. Kindle Edition. 

The tragedy to me is that we are now occupying so much possible forestland with concrete and asphalt and crops and cars and homes and mines and impoundments and the like that the ever-changing forest has fewer places in which to become what it will be next.

Maloof, Joan. Nature's Temples: A Natural History of Old-Growth Forests Revised and Expanded (p. 15). Princeton University Press. Kindle Edition. 

Evolution, we were taught, is about the survival of the fittest and this survival of the fittest depends on the species resilience and its ability to adapt to changing circumstances in its environment. Maloof points out the species extinctions over the millions of years of life on the planet as species disappeared and new ones came to take their place was/is not necessarily a bad thing when you consider the long range evolutionary consequences. In a natural system this idea makes sense  but what happens when human beings interfere and destroy life sustaining resources laying down asphalt and concrete? Can the weeds and trees as easily grow through and can evolution run its natural course?

Joni Mitchell’s song, Big Yellow Taxi, could be the rallying song for the Old-Growth Forest Network 

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Introduction

As mentioned in the previous introduction to the essay on spiritual forgiveness I work with two models of forgiveness: the spiritual model and the psychological. This psychological model is based on a systems conceptualization of restoration of equity, fairness, in a relationship. Restoration of fairness does not necessarily mean reconciliation but it does mean the reparation of the harm that was done and a restoration of “right relationship.”

These two models can, of course be used together as there is much overlap although spiritual forgiveness can be done I believe without psychological forgiveness although psychological forgiveness may make spiritual forgiveness easier.

In psychology there is the idea that forgiveness should be done for the benefit of the forgiver not necessarily for the benefit of the forgiven. Research shows that harboring grudges, resentments, bitterness is bad for one’s physical and emotional health. To forgive, to let go, frees one physically, mentally, and emotionally from the servitude of nursing past injustices, and liberates one to move ahead freely into the future.

At a spiritual level also, masters such as Jesus taught us that to forgive is divine. To rise above injustices on the earth plane allows one to focus on the big picture, the transcendent, and to realize that injustices are petty and insignificant in the long run. “It all comes out in the wash” as they say. As Richard Carlson says, “Don’t sweat the small stuff, and it’s all small stuff.” To rise above injustices is to see them in context. To understand the context, the circumstances and false thinking that lead to the transgression in the first place contributes to an awareness that helps us make sense of the injustice so that we can take it less personally. So often it’s not that people are unwilling of doing the right thing, of treating us better, they are incapable; they are just incompetent. There is a difference between being unwilling and being incapable given who the person is, how he/she is wired, where they are coming from. Most injustice, requiring forgiveness, is born out of a lack of awareness, and being stuck in the person’s egotistic thoughts, desires, and motives, they do stupid things. Stupidity does not require punishment as much as education, enlightenment. And so forgiveness, as an interpersonal skill and strategy for spiritual growth, requires four steps.

Step One

The first step of forgiveness requires that the forgiver has the right and opportunity to have his/her say about what he/she believes the injustice is. Everybody deserves his/her day in court, for the record if not in person. Even after the offender has died, the forgiver still deserves the opportunity to have his/her say about what the injustice is. If the offender is sincere about reconciling, the offender needs to give the forgiver a hearing, to allow the forgiver to name the injustice and how it has affected him/her. So often the offender doesn’t want to hear how the forgiver thinks and feels about the situation, or what the forgiver perceives as unfair and unjust. The offender might say, “Get out of here! I’m not listening to your nonsense!” Having a hearing, getting your day in court, for the record if not in person, is the first step in the forgiveness process.

Step Two

The second step is getting an explanation. The forgiver has a right to hear what the circumstances were that contributed to the injustice occurring. This takes time. It takes digging which may take some time to understand, in any comprehensiveness, what the myriad of factors were that contributed to the injustice occurring. The explanation is not a justification, or a rationalization, an excuse, or cop-out. The explanation is an honest, and sincere attempt to examine the unfair situation, to understand how it occurred so that it never happens again, and that something of value can be learned from a hurtful situation. Hopefully, we “live and learn” as they say. If we don’t learn from mistakes and injustices we are doomed to repeat them.

Step Three

The third step is a genuine apology. There is a difference between a band-aid apology and a sincere apology. A band-aid apology is placating to get the offender off the hook, but a sincere apology follows from the first two steps: having heard what the injustice is and what how the victim thinks and feels about it, and to have examined the circumstances that contributed to the offense, the offender can say, genuinely, “I’m sorry. I had no idea the extent of the harm of my actions.” Most victims want an apology. An apology sometimes, but not always, brings about a healing, a restoration of a sense of equity which leads to a sense of peace.

Step Four

The fourth step is the making of amends. If the offender is genuinely sorry and has apologized, there is a natural desire to want to make amends, to repair the harm. This making of amends, in many situations has to be very creative, because the injustice is water under the bridge, nothing can be done to put things back to where they were before the offense, and yet there is a need to redeem oneself by repairing the harm. How the harm is repaired needs to be negotiated by both the forgiver and the forgiven. In the instance where the offender is dead or unwilling, Life has a way of making amends to the victim. If he/she can acknowledge that blessings have repaired the harm, the victim can move forward feeling whole.

These steps can take minutes, hours, days, weeks, years, and even decades. We cannot live in our imperfect world and not be victimized, not to feel the sting of injustice and unfairness. Injustice is natural. It is an everyday human experience. Injustice will continue as long as humans are unenlightened and unaware, and yet injustice is not the problem; how we handle the injustice can  be the problem as we either benefit or further compound the problem. Having our say, our day in court, understanding the circumstances that contributed to the injustice, obtaining a genuine apology, and the making of amends is a four step model for bringing about a greater sense of equity, justice, and compassion in our human relations and in the whole world.

The mature soul knows what really matters in life and how to act accordingly. This knowing and  positive acting comes from experience reflected upon and learned from. Forgiveness is one of the most important spiritual activities which we can engage in. It is very good for our soul. 

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Over two decades ago, in the book Sex, Ecology, Spirituality, I summarized this postmodern disaster with the term “aperspectival madness,” because the belief that there is no truth—that no perspective has universal validity (the “aperspectival” part)—when pushed to extremes, as postmodernism was about to do, results in massive self-contradictions and ultimate incoherency (the “madness” part). And when aperspectival madness (“no truth”) infects the leading-edge of evolution, evolution’s capacity for self-direction and self-organization is bound to collapse.

Wilber, Ken. Trump and a Post-Truth World (p. 8). Shambhala. Kindle Edition. 

The postmodern idea that “truth” is socially constructed and time bound to a certain place in history leaves us in a state of what Wilber calls “narcissistic nihilism” in which every person can have their own truth which is as good as everyone else’s. Is this idea “true?” If there is no truth, because truth is time bound and socially constructed then this idea from postmodernism is itself not true or if it seems so now at this place and time, will change as time marches on.

This philosophy of postmodernism has created a culture of post -truth which creates a society of very high anxiety which is ripe for authoritarianism where the strong man (person) will save us because (s)he alone knows the truth and the way. If we put our trust in him/or her our sense of security is restored and we’d rather feel safe than know the truth.

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Angela and I had nine children and she had gotten the younger 6 into Irish dancing. On March 10, 1993 she had taken four of the children to SUNY Geneseo to dance in a St. Patrick’s day program there about 40 miles from our home on Ridge Rd. in Clarkson, NY. At about 10:30 PM I started to worry because they had not arrived home yet.

I was downstairs in my office on the lower floor of the house when my 17 year old daughter, Mary, came down to tell me that there were two police officers at the upstairs front door. I immediately went up to find two Monroe County Sheriff Deputies who told me, “Mr. Markham there has been an accident and your son and wife are at Strong Memorial Hospital. You need to go there right away.”

“Are they all right,” I asked?

“You need to go to Strong right away and talk with your wife,” they replied.

They seemed very tense and uncommunicative and I was feeling somewhat panicked and frustrated. It seemed that there was much more to the story than they were telling me.

“Where are my other children?” I asked

“Your youngest daughter has been taken to Genesee Hospital, and your 12 year old son is at Park Ridge, and the older daughter is at Lakeside. If you go to Strong and talk to your wife, she can tell you more.”

In my mind I knew things were very bad. Having been a Psychiatric Social Worker who worked in the emergency rooms at Rochester General Hospital, Genesee Hospital, and Park Ridge Hospital, I was well aware of how the community emergency response system worked when there were multiple injuries and casualties spreading the victims out among the various Rochester area hospitals. With this new information about my children and wife being at different hospitals I knew that things were not good and that this accident was a major event with significant consequences.

I thanked the Deputies and sent them on their way. My daughter Mary said, “Come on dad, we should go to Strong.”

“We can't,'' I replied. “Not yet. We have to find out what has happened to the other kids. Call Colleen and ask her to come down here.” Colleen, my 20 year old daughter, lived about 1 ½ miles away in the Village of Brockport and she would be a help.

I had a private practice in my home which had its own phone so there were two phones in the house. When Colleen arrived, I asked her to use the office phone to call Park Ridge to find out how Joe was at Park Ridge. I was on the house phone calling Genesee Hospital. Fortunately, a woman I knew and had worked with Genesee Hospital answered the phone in the emergency room at Genesee.

“Carrie, this is David Markham, do you have my daughter there?”

“Yes, David, we do. Brigid is here.”

“How is she?”

“David, you will have to come in.”

“What do you mean? Just tell me.”

Carrie replied, “Well, I can’t. You are going to have to come in.”

“Carrie, I can’t. My wife and son are at Strong. Another son is at Park Ridge. My older daughter is at Lakeside. Please just tell me how Brigid is.”

“Are you alone,” Carrie asked?

My heart sank. This is not good I said to myself. “No, my daughter is here.”

“How old is she,” said Carrie?

“Mary is right here and she is 17, and Colleen is downstairs calling Park Ridge and she’s 20.”

“I’m not supposed to do this, David, but since it is you. Brigid is dead. The doctor declared her about 20 minutes ago.”

“Thank you, Carrie, for telling me. I appreciate it very much. It saves me hours of not knowing and second guessing with everyone in so many hospitals.” At that moment Colleen came into the room and said, “Dad, they won’t give me any information at Park Ridge about Joe. They say you have to come in.”

Carrie said, “I’m very sorry Dave. Is there anything else I can do for you?”

“Yes, Carrie, will you call Park Ridge and find out the status of my son there. They won’t give us any information and say we have to come in.”

“Sure”, said Carrie, “give me a couple of minutes,” and put me on hold.

While I was waiting, I shared the news with Mary and Colleen that their littlest sister, Brigid, was dead at Genesee Hospital. My adrenaline was pumping and I was functioning on high alert attending to the information which needed to be gathered and not able to tune into their emotional response to the information. Just then, Carrie came back on the phone and said, “I’m sorry Dave. Your son at Park Ridge is dead too.”

“Thank you very much, Carrie, you’ve been a big help.”

“I am so sorry for your losses, Dave.” Said Carrie.

“Thank you,” was all I could think to say, but I was very grateful for her cool, calm, effective and efficient help.

“Are we going to Strong,” asked Mary and Colleen?

“Last thing before we go,” I said, “is to call Lakeside and see how Maureen is.”

I called Lakeside and Maureen had been admitted to the hospital from the emergency room. I talked to the floor nurse who told me that Maureen physically was fine but emotionally quite distraught. The nurse said that Maureen had a shoulder belt injury with  quite a burn on her right shoulder and bruising to her sternum. The nurse said that the doctor admitted her for observation because he was concerned that there could be congestive heart failure if the pericardial cavity filled up with fluid as a result of the bruising. Other than these injuries, the nurse said that Maureen was fine. “However,” the nurse said, “Maureen keeps asking about the other people in the car.”

“Her sister, Brigid, is dead at Genesee, and her brother, Joe, is dead at Park Ridge, and Angela and Ryan are at Strong where I am going right now.”

“Do you want me to tell this to Maureen,” asked the nurse?

“No, no, no, “ I said. “I will tell her when I can get there which probably won’t be til morning. Thank you.”

I reassured Colleen and Mary that Maureen was all right and said, “Now, we can go.”

When we got to Strong I was told that Angela was in ICU and that my son was in the orthopedic section of the emergency room. I chose to visit with Angela first in the ICU on the 4^th floor. When I arrived I was told that Angela had suffered a Traumatic Brain Injury and multiple facial fractures around her left eye and cheek. She had been placed in an artificial coma to reduce any further swelling in her brain and that she would probably be kept in this coma for 48 hrs or longer. When I saw her she was hooked up to all kinds of tubes and IV lines and it was very clear,  in spite of what the two deputies had led me to believe at the accident notification, that Angela not only was in no condition to tell me anything about what had happened, but would be unable to for some time to come. It crossed my mind that she did not know that two of our children were dead.

Angela had come from an Irish middle class family who lived on Long Island. Even though they were professional people they were big drinkers and domestic violence was a common occurrence which included regular visits from the local police department. Angela had told me stories about how when her mother became intoxicated her father would berate her in front of the children and pack them all in the car telling them he was taking them to the children’s shelter since their mother was such a lousy drunk that she couldn’t be a proper mother to them and take care of them. Angela told me that one time her father had become enraged while he was intoxicated when her beagle dog had defecated in the house. The father chased the dog up to her room with a broom where the dog hid under her dresser. Angela said her father beat the dog to death hitting it with the broom trapped under her dresser. During our courtship Angela told me these stories and she would end these gruesome tales saying that while these incidents were terrible and traumatic, they had made her stronger, to the point that she could deal with anything in life but the death of one of her children. Now, she will have to deal not with the death of one of her children but with two, and I doubted that the future for her and us would go well in light of the enormity of the tragedy which had befallen us.

I left her bedside, dreading the return when she became conscious again, and having to tell her that two of our children had died. 

I went back down to the first floor emergency room to see my son Ryan who I believed to be in the orthopedic area. I had been told that the “12 year old” had been taken to Park Ridge Hospital where I had learned he had died from Carrie in the emergency room at Genesee Hospital. Our other son, Ryan, was 8 and he was a big boy. Ryan was 11lbs, 6 oz when he was born, and at age 8 he was so big for his age that he might be mistakenly thought to be 12. When I opened the curtain to the cubicle expecting to see Ryan, there was 12 year old Joe. I quickly had to shift gears because the son I thought was dead was alive and the one I thought was alive was dead.

Joe was conscious, shaken, still in shock somewhat. He had fractured his pelvis with a hair line fracture which was not immediately diagnosed on the x-ray but only diagnosed a couple of months later when the fracture calcified and could be seen. Joe’s left arm  had been cut and was sutured. I consoled Joe as best I could and while waiting for him to be discharged from the waiting room I was approached by Ogden Police Chief Christopher Schrank who asked if I could go with him to the Monroe County morgue to identify the body of Ryan since there had been a mix-up in the identification of the children. I agreed.

When I got to the morgue, I was asked to view Ryan’s body on a gurney behind a window. I positively identified Ryan’s body as indeed being my son Ryan and then asked if I could also see Brigid who also was in the morgue. While I didn’t have to identify her body for legal reasons, I wanted to see her as well and the coroner techs agreed to my request and brought Brigid’s body to the window after they removed Ryan’s. It was a small comfort to me to see my two children so soon after they had died.

I returned to the Strong Memorial Hospital to await Joe’s discharge which finally occurred. Joe complained of great pain in his hip when he walked and I asked for the doctor to see him again which he did and re-x rayed Joe’s hip, but insisted that he was okay. I took him home and put him to bed where he was looked after by Colleen and Mary while I went to Lakeside to tell Maureen what had happened and that her brother, Ryan, and her sister, Brigid, had died.

Maureen was 14 and the only one in the vehicle carrying Angela, herself, Joseph, Ryan, and Brigid that stayed conscious throughout the  crash and its aftermath. Besides telling my wife two days later that two of her children had died, one of the hardest things I have ever had to do was tell Maureen that her brother and sister had been killed and that her mother had been severely, but not critically,  injured and was in a coma. 

Maureen seemed to have guessed that something severely amiss had occurred and while very upset understood that her brother and sister were dead. I spent some time with Maureen helping her process what had happened and reassuring her that she would be discharged from the hospital the next day and that her body was okay acknowledging that her heart was broken. As I was leaving, Maureen called me back and said that she wanted to tell me something that had happened when our parish priest, Father Kiggins, had visited. I could tell that Maureen was very upset about the incident she was to describe to me.

“What happened, Maureen? What are you so upset about?”

“Dad, Father Kiggins came to visit me.”

“Oh, that was nice of him,” I said.

“Yeah, well, he told me I should forgive the driver of the truck that hit us,” Maureen said, getting more upset.

“Okay,” I said “and then what?”

“I told him to get the fuck out of my room,” Maureen said breaking out into huge sobs.

“Good for you,” I said thinking the poor guy must have slept through grief counseling 101 in the seminary if they even offered the course.

“You’re not mad at me, dad, for telling Father Kiggins to go fuck himself?”

“No, Maureen, I am not upset with you at all. You did the right thing. Father Kiggins should have known better than to say something like that to you.”

It has been 20 years since March 10 and 11^th in 1993. I have lived through my memories of that night many times over the years. I have wondered how I managed it all. It is a horrible story that is the basis of every parent’s worst nightmare, to lose a child. It certainly is the basis of Angela’s worst nightmare which not only came to pass but came to pass twice.

I have never blamed God for what happened. I blame alcohol. The driver of the 18 wheeler tractor trailer which crashed into Angela and my kids had had two prior DWIs and crashing into my family was his third. 

In 2011 still over 11,000 Americans are killed every year in DWI crashes, about 500 a year in our State, New York. I tell parts of this story on DWI impact panels 4 or 5 times per year when invited. I do this for two reasons: to keep the memory of Ryan and Brigid alive, and to feel that, if even one person learns from this story not to drink and drive, and this prevents even one more death from drunk driving, Brigid and Ryan will not have died in vain.

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I have a bumper sticker that says "Normal People Scare Me?"

What is normal?

That is a question that as a Psychiatric Social Worker for over 54 years, I have struggled with for five decades.

That is a question which many of my clients ask me who come to see me because they are mystified, and in great distress. Often these clients grew up in dysfunctional families, have been through a failed marriage, and now find themselves in their 40s with problems in their love lives, at work, with their neighbors, or in the social circle of friends and they wonder who is crazy, them or me? And because they grew up in crazy families they really don't know what normal is. And so they have come to ask me if they are nuts? What they want from me is a point of reference. They want a navigational north star. What they want most of all is validation, affirmation, and reassurance. They want to hear, if appropriate, that their intuition, their instincts, might be right after all, when the whole world seems crazy to them and they are being told that they are the one that is crazy. They want to check it out.

And what am I to say? Am I the arbitrator of what is normal? How do I set myself up as the navigational north star? What does psychology, or social work, or counseling have to offer? What does philosophy or religion or the humanities have to offer? What can I possibly say to this person that will help them find their way?

M. Scott Peck, is a Christian Psychiatrist, who wrote a book in the 80s that was immensely popular entitled, The Road Less Traveled. He is the only person I have ever heard talk about the idea of a therapeutic depression. He says that sometimes people struggle to extricate themselves from dysfunctional relationships and when they have succeeded and they are healthy, and they look back and realize how screwed up everyone else is, they get depressed. 

When the Buddha became enlightened he was off the wheel of samsara and free to go on to nirvana but he chose to stay and help his fellow humans and so his nickname is the Compassionate Buddha. Karl Jaspers, a great American Psychiatrist-Philosopher, defined tragedy as awareness in the excess of power by which I think he meant, to be aware of how things could be, should be, ought to be, and not having the power to make it happen is a tragedy because that awareness fills us with sadness, helplessness, and loneliness sometimes. That's why they say that ignorance is bliss, because if we didn't know any better it wouldn't bother us, but we know and can't do anything about it.

And so, what is the answer to the question, what is normal? There are a few ideas I would like to share with you that might help us figure out a way to begin to answer that question.

Lawrence Kohlberg, a Psychology Professor at Harvard, divided moral development into three stages: pre-conventional, conventional, and post-conventional. At the first stage of moral development people do the right thing to avoid punishment and to gain approval of others. At the second stage people do the right thing because they want to be a "good boy" or a "good girl" and they are following a moral code like the Ten Commandments or the Law of The Land. In the third stage people do the right thing because of their appreciation of the interdependence of life and the welfare of other living things, and some universal principles of life: Cosmic Consciousness. At this third stage people begin to realize that there can be such a thing as an immoral law like segregation. People recognize that legality and morality can be two different things.

If by normal we mean conventional then Martin Luther King, Jr. wasn't normal, nor was Jesus of Nazareth, nor Buddha, nor Mahatma Gandhi, nor Nelson Mandela. Nor was Frederick Douglas, Henry David Thoreau, Joan of Arc, or Susan B. Anthony.

I have worked for over 50 years in the Mental Health Field and one thing that I and my colleagues recognize is that you have to be a little crazy to keep from going insane. Being crazy has a long and revered tradition even if not often acknowledged. The court jester made fun of the pomposity and arrogance of the king with his satire and was seen as a necessary part of the court culture to help keep the King's feet on the ground. In First Corinthians, 4^th chapter, 10^th verse, St. Paul talks about being a fool on Christ's account. And everyone loves a clown who mocks and pratfalls and spoofs every aspect of our humanity.

How do we become Holy Fools? How do we step outside the bounds of "normal" in a way that contributes to our growth and development? Playing the fool, refusing to be "normal", listening to one's own drummer and marching to one's own beat, has a long and illustrious history which has captured the curiosity of the timid, and the delight of the child like sensibility such that Jesus said we can't enter the Kingdom unless we become like little children. I wonder sometimes if "normal" people go to heaven. As I get older, I doubt it more and more.

There was a psychiatrist from Georgetown University, who is now dead, named Murry Bowen, who developed a whole theory called family systems theory. Dr. Bowen has revolutionized the way we think about symptomatic, dysfunctional, and not normal behavior.

Back in the old days we used to study the individual's personality to see what made him or her tick. We could do the MMPI, the Minnesota Multiphasic Personality Inventory, or the Rorschach, the ink blot test, to understand better the individual's personality traits. We believed that if we understood the individual's personality traits well enough we could predict how they might behave in future situations. But then about 50 years ago along came systems theory which says that how people behave may have more to do with the context of the situation they find themselves in than their individual personality traits. For example, we all have hundreds of different sides to our personality. You can be one way with your mother and one way with your father. You may be one way with your significant other, and a different way with your friend. Each person that we have a relationship with, and each situation we find ourselves in, brings out a different side to our personality.

Dr. Bowen said that the goal of our individual growth and development is what he called "differentiation". What he meant by that was the degree to which we have become differentiated from our family of origin. In other words, to what extent do you have a mind of your own, can you stand on your own two feet, are you captain of your own ship, and master of your own fate?

We are all born into a family. And from our family we receive our "psychological legacy". The psychological legacy is made up of the beliefs, opinions, values and ways of doing things, or practices, of the family. There is the Markham way of doing things, the Hood way of doing things, the Reidell way of doing things, and the DelaCosta way of doing things.

If you ask people why they believe certain things, or why they do certain things they will tell you "Well, I don't know. That's the way I was raised" or "That's the way I was brought up." So if you ask people why they are Jewish and not Catholic, or Baptist and not Methodist, chances are they will tell you that they were raised Jewish etc. Why do we speak English and not Chinese? Is there something genetic about it? Does it run in families?

Most of us do not question our psychological legacy until we have children of our own because now we must decide, if we are thoughtful about it, the extent to which we want to raise our children the same way we were raised, and the extent to which we want to do it differently.

"Differentiation" does not mean you have to do things differently. It only means that you have made a conscious decision about it, and not just go along with it unthinkingly. So there are some good beliefs, values, and practices which you believe were good for you and you want to pass them on to your children, and there may have been some bad beliefs, values, and practices which you consciously decide you would like to do differently and pass them differently on to your children.

And so you have started to have a mind of your own. You are standing on your own two feet, and not just going along with the herd, with your conditioning.

Now, if you want to change some of the beliefs, opinions, values, and practices from the family of origin, or any group of participation, the group will experience this as "rocking the boat", "going against the grain", "disturbing the status quo", and "upsetting the apple cart". The tension and the anxiety in the group will go up.

The members of the group will feel threatened and they will do one of three things or if they are skilled,  they may do any combination of these things. They will say that you are being bad, mad, or disloyal. That is, they will say that you are being bad, naughty, and that you need to be punished. So they will try to scold you, send you to your room, deny you the privileges of the group, or they will say that you are mad, meaning crazy, and will dismiss you with statements like "Ah, you're nuts" you should see a shrink and get on some medication, or they will ridicule and mock you, or three, they will say that you are disloyal, a traitor, the Benedict Arnold of the group who is no longer worthy of membership and they will shun you, excommunicate you, send you into exile, or otherwise let everybody know that you are a persona non grata.

How do you handle it when the group you love and care about thinks you are not normal? Bowen's theory suggests three steps in managing the group. First, you need to take a clear stand and a clear position. Waffling around usually doesn't help. Second, when the group says that you are bad, mad, or disloyal, you need to stick to your guns. They would love nothing more than for you to relieve their tension and anxiety by "knuckling" under. And third, and here is the critical step, you need to maintain a connection. You can't let them cut you off. If there is a cut off then the emotional system is paralyzed and stagnates and the conflict and dysfunctional behavior can be transmitted to future generations. So we all know the story about Romeo and Juliet or the Hatfields and  the McCoys where conflicts in preceding generations had a way of transmitting themselves to subsequent generations. So maintaining a connection is critical to the growth and development of all concerned. The goal here is not eventual agreement although that can sometimes happen, but rather respect. We can agree to disagree and still stay in relationship.

So the point here is that sometimes it is bad to be normal if by normal we mean submitting ourselves to the status quo, to the conventional wisdom. 

I am for continuous quality improvement, for continuing growth and development until we become the fully realized human being that we are meant to be. Bowen said that descriptively, we could put differentiation on a scale of 1 - 10 and most adults are lucky if they make it to 5. Jesus made it to 10. Buddha made it to 10, and other enlightened masters made it to 10. They became fully realized, aware, conscious human beings, and we each can do that too, but not if we are content to be normal. 

We all can be post conventional when we become aware of the uniqueness and the interdependence of all life. As a differentiated, mature person we become aware of the inherent worth and dignity of every person, the importance of justice and compassion in our human relations, the acceptance of one another and the encouragement of each other's growth, the free and responsible search for meaning, respect for the right of conscience, the goals of peace, liberty, and justice for all, and the respect for the interdependent web of existence.

As I said at the beginning, "Normal People Scare Me." 

Remember "You Are Unique Just Like Everybody Else."

Because of your uniqueness you are destined for greatness, and being great means that you have to take the road less traveled, you have to take the high road and not the low road, and taking the high road means that you are traveling way above normal. You are becoming a Holy Fool. People thought Jesus was nuts and they killed him. People thought Martin Luther King was nuts and they killed him. People thought Gandhi was nuts and they killed him. People thought Malcom X was nuts and they killed him. People thought Joan of Arc was a heretic and they burned her at the stake. People thought Susan B. Anthony was nuts and they imprisoned her. It is dangerous to be post conventional because the normal people will kill you. However, like Frank Sinatra you can sing I did it "My Way" and maybe even make a significant contribution to the world. Gandhi said "Whatever you do will be insignificant, but it is very important that you do it."

Being normal is nothing to strive for. 

Actualizing our potential challenges us to be extraordinary. 

Actualizing our potential challenges us to pursue truth and meaning wherever it may take us, to love each other no matter how "different" we perceive the other to be, to celebrate life even when the Eyores of the world are full of doom and gloom.

Don't be afraid to speak your truth and let your little light shine.

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"The essence of all religions is love, compassion, and tolerance. Kindness is my true religion. No matter whether you are learned or not, whether you believe in the next life or not, whether you believe in God or Buddha or some other religion or not, in day-to-day life you must be a kind person. When you are motivated by kindness, it doesn't matter whether you are a practitioner, a lawyer, a politician, an administrator, a worker, or an engineer; whatever your profession or field, deep down you are a kind person."

Dalai Lama

In 2000, I was going through a very tough time in my life. I was 55 years old. Two of my children had been killed 7 years prior in a drunk driving crash. I had been forced out of my job. I was going through a divorce after 35 years of marriage. I had to sell our house as part of the divorce for $50,000.00 less than we paid for it which was all the equity I had accumulated in the world. I was left with about $14,000.00 in debt. I had very little other than my health, a few friends,  and my seven living children. I felt like Job in the dung heap. 

I was having breakfast with my best friend, Al, and I said to Al, "Al, what is the measure of a man's life?" He never paused; he never missed a beat. Al said to me simply, "Kindness."

I almost fell out of the booth. "Kindness", I said?  He nodded.

I was stunned, relieved, felt blessed, because through everything, I had been kind. I have always tried to be kind. Sometimes I fail, but rarely. Usually when I fail at being kind, I am tired, pressured, irritated, but usually I control this very well and I am kind.

I had a client tell me one time that being kind and being nice are not the same thing. He was a pastor and he pointed out to me that Jesus was not always "nice". Jesus said and did some not nice things like when he castigated the Pharisees calling them hypocrites and whited sepulchers, and when he drove the money changers out of the temple. Being kind sometimes requires that we hold people accountable, call a spade a spade, take an unpopular position on things.

So, I like what the Dalai Lama says. You don't always have to be nice but the essence of all religions is kindness. Unitarian Universalists believe in the inherent worth and dignity of every person, and justice, equity, and compassion in our human relations. In other words, Unitarian Universalism calls people, as does the Dalai Lama, to be kind. Jesus said that the way to the Kingdom is “to love as I have loved.”

It has struck me in my life that sometimes the universe sends the messages we need to hear at the right time if we are open to hearing the message. Jesus says in Matthew 11:15, “He who has ears to hear, let him hear.” I had the ears to hear Al’s message that day, and I got the message that through thick and through thin, good times and bad, the goal to which we should aspire is to conduct ourselves with kindness. We do this not just for other people but because we care about the kind of person we are. It is in being kind to others that we are kind to ourselves. It is a paradox in life that we get what we give, we learn what we teach, we reap what we sow. What goes around comes around.

I have been told that President Harry Truman defined a lady and a gentleman as someone who exhibits grace under pressure. To exhibit grace under pressure requires self awareness, self discipline, and skill in interacting with others. This form of kindness requires practice and we get better at it with persistent effort over a period of time. With enough practice, kindness starts to come automatically, naturally.

There was a popular movement that began back in the 80s. It is written in Wikipedia, “A random act of kindness is a selfless act performed by a person or people wishing to either assist or cheer up an individual person or people. The phrase may have been coined by Anne Herbert, who says that she wrote "Practice random kindness and senseless acts of beauty" on a place mat at a Sausalito restaurant in 1982 or 1983. Either spontaneous or planned, random acts of kindness are encouraged by various communities.” 

Engaging in this kind of activity is fun and socially beneficial, but this form of kindness was not what Al was referring to.  What Al was referring to was a quality of character, the emanation of spirit, the manifestation of divine grace in the life of the person. This form of kindness is not necessarily what someone does, it is not a behavior, as much as it is a quality of being, a part of who someone is. This kind of kindness is a quality which is a measure of a person.

It is a very high compliment to refer to a person as a kind person. The person’s value is not based on what they have, or what they do, or other social status, but rather the qualities of their character, their virtues.

It is the challenge of parents, of schools, of society to encourage the development of children into kind adults. Remember to be kind is not the same thing as being nice. Kind people are people of integrity who uphold the best in themselves and in others. They facilitate and nurture the divine spark in each person so that each can become all he or she is capable of becoming. This requires accountability and discipline as much as affection and support.

I had lost everything but my health and friends: my marriage, two of my children, my home, my assets, my job, and I was feeling desolate, like a victim of forces way outside of my control. When I asked Al, plaintively, “What is the measure of a man?” and he said, “Kindness”, I felt back in control. I can’t control  most of the external circumstances of my life, but I can control how I manage myself in relation to them. I felt validated, affirmed, and empowered to deal with the tragedy and nonsense in my life in a kind way. That I can do. Maybe things are not so bad after all.

Discussion guide

1. Describe a time when you “hit bottom”, you felt the lowest you have ever felt in your life. What did you make of it? How did you get through it?

2. What do you think about the idea that “kind” and “nice” are not the same thing? Can you give examples of how this distinction works in your life? Are there times when you have been nice but not necessarily kind, and kind but not necessarily nice?

3. What do you think of the idea that when we are kind, it benefits ourselves as much, if not more, than other people?

4. What do you think of the idea that a virtue like kindness takes repeated effort over time before it becomes automatic, comes naturally?

5. Is kindness a behavior or a quality of character, a virtue, or both?

6. Would you describe yourself as a kind person? Do you ever do kind things? Does doing kind things alone make you a kind person?

7. The author states that having lost everything, he felt better when he realized he had not lost his capacity to manage himself and circumstances in a kind way. Have you ever had a similar experience when you realized that while you can’t always control the circumstances in your life, you can always control how you respond to them? Give an example.

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But one thing has been clear: a country in which 50 percent of the population flat out hates the other 50 percent is not a country that can move forward with any sort of grace, dignity, and integrity. And that is exactly where the United States of America finds itself right now.

Wilber, Ken. Trump and a Post-Truth World (pp. vii-viii). Shambhala. Kindle Edition. 

The idea that the US is very polarized and one half of the country hates the other half is a lazy and superficial fake news story that engenders engagement with the media by viewers to generate advertising dollars. This depiction of conflict and animosity has people tsk, tsk, tsking and muttering “Ain’t it awful.

Politics has become entertainment and no longer is a vehicle for  people working together to resolve mutual problems. If one digs deeper beneath the name calling and blame game, one finds that Americans agree on policy issues much more than they disagree.

Ken Wilber describes how the current political climate in the US is not the creation of Donald Trump and the MAGA adherents who support him. Rather, Trump and the MAGA phenomenon are the result, not the cause, of what Wilber, and others, call the “post truth” era. The post truth era is the result of postmodern thinking in which one person’s truth is as good as anyone else’s. The only thing that makes a difference in social cohesion is not agreement on truth and values but in power to enforce adherence to the official belief system to garner favors and avoid punishment.

The bumper sticker says, “Telling the truth to power does no good when power has no use for the truth.”

Whether power has any use for the truth, in the long run, is not relevant, because truth will always prevail sooner or later, come hell or high water, one way or the other. Things will all come out alright in the end. We just aren’t at the end yet.

The idea that the US is polarized 50 50 is fake news. Look beneath the surface..

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Even if your spirituality does not include a Supreme Being, children need to feel that the universe smiles on them. Einstein said that the most important decision each person makes is deciding whether or not this is a friendly universe.

Dr. Laura Markham, Great Spiritual Lessons Every Child Should Learn, 

Laura Markham is no relation to me and I don’t know her. However, I admire her work.

As I read and think about this quote, it seemed to me that this is an important decision for adults as well as children. To what extent is one of the foundational purposes of psychotherapy to help people shift their perception from a world of malevolence to one of friendliness?. How do we help our clients shift their perception from a malevolent universe in which they feel victimized to a benevolent universe in which they are loved unconditionally?

Unitarian Universalism promotes the covenanting together to affirm and promote seven principles and identifies 6 sources for the perennial philosophy.

The seventh principle of UU is “respect for the interdependent web of all existence of which we are a part.” The word “love” might be substituted for the word “respect.”

Teaching children and helping each other love the interdependent web is a significant activity in promoting spiritual intelligence. This teaching requires a shift in attention from the egocentric and ethnocentric thought systems to a world centric and integral apprehension.

What we do affects others and what they do affects us. The butterfly flapping its wings in the southern hemisphere does have an impact on life in Brockport, NY in Western New York State on the north coast of the United States eleven miles south of Lake Ontario.

Encouraging an appreciation of the interdependent web is to enhance our level of spiritual intelligence which is a primary function of churches in our society.

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So a dog appeared, one of those slow Istanbul dogs, with a smooth golden coat. He came to rest on the rocks, close to us, between us and the group of men, who continued their calls and jibes, pushing each other around and swigging their beers, their eyes in our direction, their voices growing louder. Showing off, they called the dog over to them, but he didn’t move. They had some leftover food, some kind of bread and meat, and they offered it to the dog with a flourish, dangling the treat within his line of sight. The dog raised his head, looked at the meat, and wouldn’t budge. https://www.thesunmagazine.org/issues/577/stranger-kin

I have been a reader of The Sun Magazine since it appeared in the mid 70s. It is a unique magazine of interviews stories, memoirs, poems, and photographs with no advertising.

The short piece quoted above entailed, “Strange Kin” comes from the January 2024 issue. I am interested in what people think about the experience the author describes.

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But one thing has been clear: a country in which 50 percent of the population flat out hates the other 50 percent is not a country that can move forward with any sort of grace, dignity, and integrity. And that is exactly where the United States of America finds itself right now.

Wilber, Ken. Trump and a Post-Truth World (pp. vii-viii). Shambhala. Kindle Edition. 

The idea that the US is very polarized and one half of the country hates the other half is a lazy and superficial fake news story that engenders engagement with the media by viewers to generate advertising dollars. This depiction of conflict and animosity has people tsk, tsk, tsking and muttering “Ain’t it awful.

Politics has become entertainment and no longer is a vehicle for  people working together to resolve mutual problems. If one digs deeper beneath the name calling and blame game, one finds that Americans agree on policy issues much more than they disagree.

Ken Wilber describes how the current political climate in the US is not the creation of Donald Trump and the MAGA adherents who support him. Rather, Trump and the MAGA phenomenon are the result, not the cause, of what Wilber, and others, call the “post truth” era. The post truth era is the result of postmodern thinking in which one person’s truth is as good as anyone else’s. The only thing that makes a difference in social cohesion is not agreement on truth and values but in power to enforce adherence to the official belief system to garner favors and avoid punishment.

The bumper sticker says, “Telling the truth to power does no good when power has no use for the truth.”

Whether power has any use for the truth, in the long run, is not relevant, because truth will always prevail sooner or later, come hell or high water, one way or the other. Things will all come out alright in the end. We just aren’t at the end yet.

The idea that the US is polarized 50 50 is fake news. Look beneath the service. We have much more that unites us than divides us. Kumbaya, though, doesn’t sell ad space.

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Here is a good video about United Health Care and it's corrupt operation of the health care system.

In my case, I was covered by United Health Care Medicare Advantage. I had a quadricep tendon tear in both legs. My orthopod did a repair in both legs on August 29th. I came out of surgery with a brace on each leg from hip to ankle at full extension with 0% flexibility and was told I would be immobilized like this for at least 6 weeks and then the braces would be flexed 30 degrees per month. I was bedridden. 

Navihealth who rations the United Health Care benefits visited with me on the 5th day after surgery and told me they were authorizing 21 days of stay in a rehab facility. They told me I had 36 hours to appeal their decision. When I appealed they granted me 2 more days and then I went self pay. I was discharged from rehab finally two weeks ago today on February 3, 2024 after 5 months in rehab. I essentially have had to learn to walk again and I still am limited to walking with a walker and quad cane for short distances. 

My rehab bill is now over $75.000 and it has bankrupted me. I have applied for Medicaid in Monroe County, New York State to, hopefully, pay my rehab bill since I have no funds of my own. The taxpayers who pay for Medicaid at the county, state, and Federal level, hopefully, will pay the bill which United Health Care should have paid while UHC profits billions of dollars per year. It's quite a scam which patients, their families, and the taxpayers pay the brunt of.

Meanwhile, Medicare Advantage plans have captured over 50% in 2024 of the Medicare population with their lure of free dental cleanings and Silver Sneakers programs.

As the naive little boy in me screams, "There ought to be a law against this kind of complex corporate corruption and bait and switch." And yet as P.T. Barnum supposedly said one time, "There's a sucker born every minute" of which group, I am at the head of the line.

The first step in social change is education and the provision of information. I have tried to explain the situation to my friends and their eyes glaze over. One of my favorite bumper stickers says "Reality is when it happens to you."

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9% more females attend college than males. What are the longer term implications of females becoming better educated than males?

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Gardening for emergence

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Some call it "planting seeds" and once the seeds are planted we wait for them to germinate and then we water the baby plants, fertilize them, and provide sufficient warmth and sunlight. This cultivation takes patience, diligence, conscientiousness, and effort.

What cultural advances do you garden for emergence?

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It’s time for Medicare For All. Health Care is a human right and not for profiteering.

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The Council of Social Work (CSWE)encouraged schools of Social Work a few decades ago to develop what is called "Generalized Social Work Practice" model at micro, mezzo, and macro levels. Prior to this development Masters of Social Work students had to choose a major in casework, group work, or community organization. The primary courses in Social Work are usually named something like "Human behavior and social environment".

Human behavior and social environment is based on a "person in situation" model meaning that human behavior can be explained by the influences of the social environment as much as on individual personality traits and characteristics.

It was suggested several months ago that posts not directly related to clinical practice be labeled "OT" for off topic or sometimes "SP" for social policy. I am intending to study and write a lot more about Social Policy and its outcomes.

I noticed an article on The Conversation that the Florida Legislature and Gov. DeSantis have introduced legislation discouraging the study of sociology as a basic course in the college curriculum even denying that credit for sociology courses be granted toward degree requirements.

The boards that oversee the education of hundreds of thousands of students enrolled in Florida’s public colleges and universities voted to reduce the number of students who study sociology on those campuses.

They officially removed principles of sociology from the lists of classes that count as core courses that satisfy requirements for undergraduate degrees.

This change, made in January 2024, was in response to a law that Gov. Ron DeSantis signed in 2023. That measure bans general education college credits for instruction “based on theories that systemic racism, sexism, oppression, and privilege are inherent in the institutions of the United States and were created to maintain social, political, and economic inequities.”

Does this social policy strike anyone else as a dereliction in duty of providing college students with an understanding of societal dynamics that influence human behavior and the quality of life that people in a society experience?

The Florida Governor and legislature apparently would have its citizens be ignorant of the social forces that impact their lives. Does this social policy contribute to lower levels of consciousness of the citizenry which inhibits their understanding and management of social forces that influence their quality of life? What impact does this policy of withdrawing incentives to study sociology have on the mental health of the populations affected?

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The four best states to live in for quality of life are in New England with Massachusetts leading the list followed by the "News": New Jersey, New Hampshire, and New York. Florida ranks sixth.

The bottom of the list are mostly in the South with the exception of Alaska.

Here's the list.

What would you think is the correlation between the quality of life indicators in a state and the mental health of the population of the state? It is interesting that most of us being clinicians we focus on symptoms rather than influential social factors. As Social Workers we are trained to identify social factors that influence public, physical, and mental health, but we rarely recognize and acknowledge them in our clinical discussions. The model of psychotherapy which is known for identifying community factors influencing "local knowledge" of the individual is Narrative Therapy. The Dulwich Center in Australia has pioneered in this work.