Category Archives: Writing

Happiness, Love, Writing

Toasting the End of Gratitude (Weekend)

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On this weekend, when there is so much wrong in the world, it may be more important than ever for us to gather in small groups, pause, focus on what’s right and good, and express gratitude. 

How’s that going? Are you feeling the gratitude?

Often, focusing on what’s right, on good things, and on strengths and solutions, takes effort. It’s not easy to orient our brains to what’s right, even in the best of times.

As negativity rains down on and around us through news and social media, it’s easy to get judgy. And when I say “judgy” I don’t mean judgy in a nice, positive, “I love your shoes” or “You have such creative views on immigrants” sort of way. Shifting our brains from their natural focus on angst and anger to gratitude feels difficult and sometimes impossible.

First Toast: Let’s hear it for the forces outside and inside ourselves that make it REALLY DIFFICULT to FEEL gratitude, hope, and positivity.

[Editor’s note: When I’m suggesting we push ourselves to experience gratitude and focus on strengths, I’m not endorsing toxic positivity. Sometimes we all need to rant, rave, complain, and roll around in the shit. If that’s what you need, you should find the time, place, and space to do just that. What I’m suggesting here is that opening yourself up to experiencing gratitude and focusing on strengths and solutions is like a muscle. If we intentionally give it a workout, it can get stronger. But, if you’re not ready for or interested in a positivity workout, don’t do it!]

Second Toast: How about some cheer for the EFFORT it takes to push ourselves to focus on gratitude, hope, strengths, and solutions—because that’s how we grow them. Woohoo!

Earlier this year, I attended a medical conference where the presenter did an exquisite job describing the “problem-solving model.” Having taught about problem-solving for three decades, my mind wandered, until the presenter—who was excellent by the way—passionately stated, “Before moving forward, before doing anything, we need to define the problem!”

Maybe it was just me being oppositional, but my wandering mind suddenly became woke and whispered something sweet in my inner ear, like, “This might be bullshit.”

I found myself face-to-face with the BIG problem with problem-solving.

You may be wondering, “What is the BIG problem with problem-solving?” Thanks for wondering. The problem includes:

  • As my colleague Tammy says, maybe we don’t need to gather round and worship the problem.
  • When we drill deeper and more meticulously into what’s wrong, we can grow the problem.
  • As social constructivist theorists would say, “When we center the problem in our collective psyches,” we give it mass, and make it more difficult to change.

What if, instead of relentlessly focusing on the problem, we decided to only discuss what’s going well and possible solutions? What if we decided to grow and celebrate good things?

Adopting a mental set to persistently focus on strengths and solutions is not a new idea. Back in the 1980s, Insoo Kim Berg and Stephen de Shazer pushed as, “Solution-focused brief therapy” (SFBT).

At the time, I found their ideas interesting, but not captivating. One of my friends and a champion for all things strengths-focused (you know who you are Jana), knew the famous Insoo Kim Berg. Once, as Jana and I brainstormed, the possibility of consulting with Insoo came up. Jana said something like, “I could reach out to her, but if we frame this as a problem, Insoo might not even understand what we’re talking about. Insoo only speaks the language of solutions.”

Third Toast: Let’s toast Jana and Insoo Kim Berg for inspiring me to suddenly remember a conversation from 25 years ago. 

The language of problems has deep roots in our psyche. Of course it does. Evolutionary psychology people would say we had to notice and orient toward problems to survive, and so we passed problem-focused genes onto offspring. As our brains evolved, they became excellent at identifying problems, because if we didn’t quickly identify problems, threats, or danger, we would be dead.

[Editor’s note: In contrast to biological evolution theory, evolutionary psychology is incredibly fun, but not very scientific. I know I’m supposed to be orienting myself to the positive right now, but evolutionary psychology mostly involves creating contemporary explanations for observed patterns from the past. As you can imagine, it’s quite entertaining and easy to make up fascinating explanations for human behavior, especially if you don’t need to reconcile your creative ideas with anything resembling fossilized evidence.]

Fourth Toast: Hat’s off and glasses up to evolutionary psychology for aptly demonstrating the power of social constructionism. Boom!

Most of us are naturally well-versed in the language of problems. We see them. We expect them. Even when no problems are present, we worry they’re coming. And they are. Problems and catastrophes are always on their way.

But most of us are not especially well-versed in Insoo Kim Berg’s language of strengths and solutions. Becoming linguistically fluent in strengths and solutions requires effort, discipline, and practice. How could it be any other way? If we WANT to speak the language of the positive, we need to learn and practice it; immersion experiences can be especially helpful.

As our collective gratitude weekend ends, we might benefit from committing ourselves to practicing the language of the positive. We could strive to become so linguistically positive that, at night, we begin dreaming in solution-focused, strengths-based language.

Fifth Toast: Let’s raise our glasses to dreaming in bright, colorful strengths.

We shouldn’t forget our old, natural, first language of problems. Problem-focused language is essential to survival and progress. We just need to stretch ourselves and become bilingual. Imagine the benefits for individuals, families, communities, and nations when we become intentionally bilingual, moving beyond the problem saturated language of our times, and into a solution-saturated future.

Last Toast: Three cheers to you, for making it to the end of this blog. May you have a glorious gratitude-filled holiday weekend. 

John SF

Counseling and Psychotherapy Theory and Practice, diversity, Multicultural, Personal Reflections, Writing

Who Are You? A Request

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We’re in the throes of editing our Theories text, meaning I’m so deep into existential, feminist, and third wave counseling and psychotherapy theories that I may have lost myself. If any of you find me somewhere on the street babbling about Judith Jordan and Frantz Fanon and Bryan Cochran, please guide me home.

This brings me to a big ask.

As part of 4th wave feminism, we’re more deeply integrating intersectionality into the practice of feminist therapy. Among other things, intersectionality is about identity. I’m interested in using a variation of Irvin Yalom’s “Who are you?” group technique to explore identity in anyone willing to respond to this post.

To participate, follow these instructions.

  1. Clear a space for thinking, writing, and exploring your identity.
  2. Ask yourself the question: “Who am I?” and write down the response as it flows into your brain/psyche.
  3. Repeat this process nine more times, for a total of 10 responses, numbering each response. One rule about this: You can’t use the same response twice.
  4. After you finish your list of 10, write a paragraph or two about how you were affected by this activity.
  5. If you’re comfortable sharing, send me your list of 10 identities along with your reflections (email: john.sf@mso.umt.edu). If you prefer the more public route, you can post your responses here on my blog. Either way, because I’m in 24/7 theories mode, you may not hear back from me until middle November!

There’s a chance I might want to quote one or more of you in the theories text, instructor’s manual, student guide, or in this blog. If that’s the case, I will email you and request permission.

Thanks for considering this activity and request. Identity and identity development are fascinating. Whether we’re talking about multiple identities (intersectionality), emotions and behaviors (Blake), or the “microbes within us” (Yong), we all contain multitudes.

Happiness, Love, Parenting, Personal Reflections, Writing

Tomorrow’s Presentation at the Montana CASA Conference in Butte

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Tomorrow’s talk is titled, Ten Things Everyone Should Know About Children’s Mental Health and Happiness. Because this talk is about what everyone should know, I suspect everyone will be there. So, I’ll see you soon.

Given the possibility that everyone won’t be there, I’m sharing the list of the 10 things, along with some spiffy commentary.

First, I’ll give a strength warning. If you don’t know what that means, you’re not alone, because I made it up. It might be the coolest idea ever, so watch for more details about it in future blogs.

Then, I’ll say something profound like, “The problems with mental health and happiness are big, and they seem to just be getting bigger.” At which point, I’ll launch into the ten things.

  1. Mental health and happiness are wicked problems. This refers to the fact that mental health and happiness are not easy to predict, control, or influence. They’re what sociologists call “wicked problems,” meaning they’re multidimensional, non-linear, elicit emotional responses, and often when we try to address them, our well-intended efforts backfire.
  2. Three ways your brain works. [This one thing has three parts. Woohoo.]
    1. We naturally look for what’s wrong with us. Children and teens are especially vulnerable to this. In our contemporary world they’re getting bombarded with social media messages about diagnostic criteria for mental disorders so much that they’re overidentifying with mental disorder labels.
    1. We find what we’re looking for. This is called confirmation bias, which I’ve blogged about before.
    1. What we pay attention to grows. This might be one of the biggest principles in all of psychology. IMHO, we’re all too busy growing mental disorders and disturbing symptoms (who doesn’t have anxiety?).
  3. We’re NOT GOOD at shrinking NEGATIVE behaviors. This is so obvious that my therapist friends usually say, “Duh” when I mention it.
  4. We’re better at growing POSITIVE behaviors. Really, therapy is about helping people develop skills and strengths for dealing with their symptoms. More skills, strengths, and resources result in fewer disturbing symptoms.
  5. Should we focus on happiness? The answer to this is NO! Too much preoccupation with our own happiness generally backfires.
  6. What is happiness? If you’ve been following this blog, you should know the answer to this question. Just in case you’re blanking, here’s a pretty good definition: From Aristotle and others – “That place where the flowering of your greatest (and unique) virtues, gifts, skills, and talents intersect (over time) with the needs of the world [aka your family/community].”
  7. You can flip the happiness. This thing flows from a live activity. To get it well, you’ll need to be there!
  8. Just say “No” to toxic positivity. To describe how this works and why we say no to toxic positivity, I’ll take everyone through the three-step emotional change trick.
  9. Automatic thoughts usually aren’t all that positive. How does this work for you? When something happens to you in your life and your brain starts commenting on it, does your brain usually give you automatic compliments and emotional support? I thought not.
  10.  How anxiety works. At this point I’ll be fully revved up and possibly out of time, so I’ll give my own anxiety-activated rant about the pathologizing, simplistic, and inaccurate qualities of that silly “fight or flight” concept.

Depending on timing, I may add a #11 (Real Mental Health!) and close with my usual song.

For those interested, here’s the slide deck:

Ten Things CASA Sept 2025Download

If you’re now experiencing intense FOMO, I don’t blame you. FOMO happens. You’ll just need to lean into it and make a plan to attend one of my future talks on what everyone should know.

Thanks for reading and have a fabulous evening. I’ll be rolling out of Absarokee on my way to Butte at about 5:30am!

Personal Reflections, Writing

Hope Theory for Suicide Prevention Month on the Blackfeet Reservation

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All too often on this blog I’m writing about what I’m doing and I’m thinking. I suppose that’s just fine, after all, it’s my blog. But, as many people have said before me and better than I can, “Other people matter” and seeing the light (or the divine) in others is among the most meaningful experiences we can have.

One light I’ve been seeing lately is the strengths-based suicide prevention work that the Firekeeper Alliance (a non-profit org) is doing on the Blackfeet Reservation in Northern Montana. In July, they had a “suicide prevention” heavy metal concert called Fire in the Mountains, complete with amazing metal bands and equally amazing panels, discussions, and speakers. If you’re interested in creative approaches to well-being, you really should check them out.

Here they are on Facebook: https://www.facebook.com/watch/?v=9232983300123005

And Instagram: https://www.instagram.com/reel/DIjQIhtirRj/

This past Thursday, Charlie Speicher, architect of the Firekeeper Alliance and Director of the Buffalo Hide Academy in Browning, shared one of their Suicide Prevention Month activities. The idea is simple: Feature the beauty and strengths of the reservation and its people. The product: A 12-minute video that focuses on what gives the Blackfeet people hope. The video captures the faces, sentiments, and emotions in response to “What gives you hope?” Here’s the link on Youtube:

I hope you’ll watch and share this video.

Here’s the link on the Firekeeper Alliance website: https://firekeeperalliance.org/news/what-gives-you-hope

All too often, people think and share information about the challenges of reservation life. This video shares hope, beauty, and potential.

With your help, I hope this video travels far and wide. Please share. At the very least, it should get all over Montana media. And, just in case anyone has the right connections, I think it’s a great fit for virtually any national media outlet that wants to shift toward a positive narrative in Indian Country.

Thanks for reading . . . and for seeing the light (and fire) in others.

Happiness, Love, Personal Reflections, Writing

Come Join Us in Early August in Billings Montana for a Workshop on Happiness for Educators

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A friend and colleague in the Counseling Department at the University of Montana forwarded me an article by Lucy Foulkes of Oxford University titled, “Mental-health lessons in schools sound like a great idea. The trouble is, they don’t work.”

That is troubling. My friend knows I’ve been thinking about these things for years . . . and I feel troubled about it too.

Children’s behavioral or mental or emotional health has been in decline for decades. COVID made things worse. Even at the University, our collective impression is that current students—most of whom are simply fantastic—are more emotionally fragile than we’ve ever seen before.

As Craig Bryan says in his remarkable book, “Rethinking Suicide,” big societal problems like suicide, homelessness, addiction, and mental health are “wicked problems” that often respond to well-intended efforts by not responding, or by getting worse.

Such is the case that Lisa Foulkes is describing in her article.  

I’ve had a front row seat to mental health problems getting worse for about 42 years now. Oh my. That’s saying something. Mostly it’s saying something about my age. But other than my frightening age, my point is that in my 42+ years as a mental health professional, virtually everything in the mental health domain has gotten worse. And when I say virtually, I mean literally.

Anxiety is worse. Depression is worse. ADHD is worse, not to mention bipolar, autism spectrum disorder, suicide, and spectacular rises in trauma. I often wonder, given that we have more evidence-based treatments than ever before in the history of time . . . and we have more evidence-based mental health prevention programming than ever before in the history of time . . . how could everything mental health just keep on going backward? The math doesn’t work.

In her article, Lisa Foulkes points out that mental health prevention in schools doesn’t work. To me, this comes as no big surprise. About 10 years ago, mental health literacy in schools became a big deal. I remember feeling weird about mental health literacy, partly because across my four decades as an educator, I discovered early on that if I presented the diagnostic criteria for ADHD to a class of graduate students, about 80% of them would walk away thinking they had ADHD. That’s just the way mental health literacy works. It’s like medical student’s disease; the more you learn about what might be wrong with you the more aware and focused you become on what’s wrong with you. We’ve known this since at least the 1800s.

But okay, let’s teach kids about mental health disorders anyway. Actually, we’re sort of trapped into doing this, because if we don’t, everything they learn will be from TikTok. . . which will likely generate even worse outcomes.

I’m also nervous about mindful body scans (which Foulkes mentions), because they nearly always backfire as well. As people scan their bodies what do they notice? One thing they don’t notice is all the stuff that’s working perfectly. Instead, their brains immediately begin scrutinizing what might be wrong, lingering on a little gallop in their heart rhythm or a little shortness of breath or a little something that itches.

Not only does mental health education/prevention not work in schools, neither does depression screenings or suicide screenings. Anyone who tells you that any of these programs produces large and positive effects is either selling you something, lying, or poorly informed. Even when or if mental health interventions work, they work in small and modest ways. Sadly, we all go to bed at night and wake up in the morning with the same brain. How could we expect large, dramatic, and transformative positive outcomes?

At this point you—along with my wife and my team at the Center for the Advancement of Positive Education—may be thinking I’ve become a negative-Norman curmudgeon who scrutinizes and complains about everything. Could be. But on my good days, I think of myself as a relatively objective scientist who’s unwilling to believe in any “secret” or public approaches that produce remarkably positive results. This is disappointing for a guy who once hoped to develop psychic powers and skills for miraculously curing everyone from whatever ailed them. My old college roommate fed my “healer” delusions when, after being diagnosed with MS, “I think you’ll find the cure.”

The painful reality was and is that I found nothing helpful about MS, and although I truly believe I’ve helped many individuals with their mental health problems, I’ve discovered nothing that could or would change the negative trajectory of physical or mental health problems in America. These days, I cringe when anyone calls themselves a healer. [Okay. That’s likely TMI.]

All this may sound ironic coming from a clinical psychologist and counselor educator who consistently promotes strategies for happiness and well-being. After what I’ve written above, who am I to recommend anything? I ask that question with full awareness of what comes next in this blog. Who am I to offer guidance and educational opportunities? You decide. Here we go!

*********************************************

The Center for the Advancement of Positive Education (CAPE) and the Montana Happiness Project (that means me and my team) are delighted to be a part of the upcoming Jeremy Bullock Safe Schools Conference in Billings, MT. The main conference will be Aug 5-6. You can register for the conference here: https://jeremybullocksafeschools.com/register. The flyer with a QR code is here:

2025 Flyer_J BullockDownload

In the same location, beginning on the afternoon of Aug 6 and continuing for most of Aug 7, CAPE is offering a “Montana Happiness” infused 7-hour bonus training. Using our combined creative skills, we’ve decided to call our workshop: “Happiness for Educators.” Here’s the link to sign up for either a one-credit UM grad course (extra work is required) or 7 OPI units: https://www.campusce.net/umextended/course/course.aspx?C=763&pc=13&mc=&sc=

The flyer for our workshop, with our UM grad course or OPI QR code is at the top of this blog post.

In the final chapter of Rethinking Suicide, Craig Bryan, having reviewed and lamented our collective inability to prevent suicide, turns toward what he views as our most hopeful option: Helping people create lives worth living. Like me, Dr. Bryan has shifted from a traditional suicide prevention perspective to strategies for helping people live lives that are just a little more happy, meaningful, and that include healthy supportive relationships. IMHO, this positive direction provides hope.  

In our Billings workshop, we’ll share, discuss, and experience evidence-based happiness strategies. We’ll do this together. We’ll do it together because, in the words of the late Christopher Peterson, “Other people matter. And we are all other people to everyone else.”

Come and join us in Billings . . . for the whole conference . . . or for our workshop . . . or for both.

I hope to see you there.

culture, Happiness, Parenting, Personal Reflections, Writing

On Good Faith: A Conversation with Justin Angle.

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Last week I got a little hate email.

Some weeks are like that. I’d share the details, but that would spoil the surprise. Besides, I’m really not into giving hate email (or hate mail or hate social media posts) any oxygen.

But today I got an email alert from “A New Angle” the radio-podcast show hosted by Dr. Justin Angle, a professor in the College of Business Administration at the University of Montana. The email was alerting me to the imminent airing of Part 2 of my discussion of “Good Faith” with Just on his renowned radio show. I was grateful for the alert; it also reminded me of my hate email, because the hate email came from someone who listened to Part 1 of our Good Faith conversation and consequently felt that special sort of inspiration that moves people to write hate emails.

I’ve known Justin from a distance for a while. We’re both at the University of Montana, so, you know, there’s been a little chat here, a little chat there. I’ve also known of him growing his small podcast into a big deal on Montana Public Radio and Yellowstone Public Radio. Justin’s show is excellent.

What I didn’t know is the depth and breadth of Justin’s intelligence. I also didn’t know that he’s a fabulous interviewer. I discovered his amazing intelligence and fabulousness when I sat down with him this past May to record a show with him on Good Faith. We talked comfortably for what felt like a long time. Not only did it feel like a long time, it was a long time! It was so long that Justin turned our conversation into a two-part episode for his radio show.

Here’s the email I received:   

This week is part two of our conversation with John Sommers-Flanagan, director of the Center for the Advancement of Positive Education at the University of Montana’s Phyllis J. Washington College of Education.

John and Justin pick up where they left off last week talking about how lying and parenting intersect, the concept of confirmation bias and the risks of AI-generated content and building relationships with AI.

Here’s a link to Part 2 of our conversation. It’s also live at 7:30pm tonight (Thursday, June 19, 2025) on Montana Public Radio:

https://www.anewanglepodcast.com/p/good-faith-with-john-sommers-flanagan-954

If you want to listen to Part 1 and possibly feel inspired to send me a hate message, here’s that link:

https://www.anewanglepodcast.com/p/good-faith-with-john-sommers-flanagan

As always, thanks for reading and have a fabulous day.

Happiness, Love, Parenting, Personal Reflections, Writing

Peggy Bit Me . . . and Then She Wrote a Children’s Book

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Version 1.0.0

To prevent confusion and conflation, I should note that the title of this blog post represents two separate events:

  1. In 1958, Peggy bit me.
  2. Then, in 2025, she wrote a children’s book.

Just so you know, the 2025 children’s book is NOT about that time she bit me. I’m hoping that will be her second book because I’d really love to get to the bottom of what the heck 3-year-old Peggy was thinking right before she tried to bite off my big toe. My guess it was something like, “I’ll show that chubby, whiny infant baby John a thing or two; he’s not bumping me off my youngest child throne. And if he does, he’ll be limping all the way, because he’ll be missing a toe.”

But I digress. This post is about my wonderful sister’s wonderful new children’s book. I don’t want to make a big deal about my toe injury. The “toe incident,” which people are now calling it, although still emotionally painful for me, is ancient history. Although initially a wild-rabid-feral child, my sister Peggy has grown into a gentle, kind, creative, smart, compassionate, and amazing woman. She would never bite my toe again. Right Peggy?

Peggy’s book is titled, “Catching Memories.” It’s about a unique childhood experience she had with our family (with Gayle and Peggy’s favorite brother, John, as key sibling figures), at Arch Cape, a beautiful beach on the Northern Oregon Coast. We spent many weekends at Arch Cape, as it was our maternal grandparents home.

The specific memory Peggy writes about was SO GOOD. I’m not sharing details. You’ll have to pay the big bucks, $14.99 on Amazon, to read the story. Here’s a link. Buy Catching Memories

Peggy just sent me a copy of an INCREDIBLY POSITIVE Falcon Review of her book. The review is great, because the book is great. I’m guessing Peggy did not bite the toe of the reviewer. I say this because right now I’m typing a great review and hoping Peggy will take notice:

“Catching Memories is a fabulous children’s book about a unique family experience, memories, and kindness. Peggy Lotz’s debut children’s book is written with so much love, affection, and grace that you would never suspect she tried to maim her younger brother. The book is so awesome that you’ll want a copy for your children or for yourself or both. Buy it now”

In case Peggy is reading this, I’m trying to make it clear that even though that Falcon Review guy wrote you a great review, I’ve just written and posted a rather fantastic review . . . AND you (Peggy) bit me. This fantastic review should make it clear that I’m better than that Falcon Press guy could ever hope to be . . . because the fact that I’m writing it for someone who bit me speaks to the sort of selfless and forgiving person I am. In summary: My sister bites my toe and I put aside the pain and write her a stellar review. If I haven’t made it obvious yet, I’m campaigning for the position of being Peggy’s favorite brother. Given that I’m her only brother, I have the inside track, but you can’t mess around with favorite brother stuff because one day, just when you think you’re on top of the world, the next minute your big sister might try to gnaw off your big toe with her big teeth.

All I’m saying here (Peggy), is that I’m your favorite brother. Forget about that Falcon Review guy. He’s not your brother. . . let alone your favorite!

In closing, if any of you care about me, please show it by buying a copy of my sister’s book.

Buy Catching Memories

P.S. Here’s the best thing. Peggy says there’s a chance that the marketing plan might involve creating “Gayle, Peggy, and John” dolls. . . which is simply the coolest idea ever.

If you’re curious about the original “Peggy Bit Me” story, just click here: https://johnsommersflanagan.com/2019/01/28/peggy-bit-me/

Counseling and Psychotherapy Theory and Practice, Personal Reflections, Writing

Counseling and Psychotherapy Theories: The 4th Edition Revision is Underway

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At long last, we’ve begun work on revising our Counseling and Psychotherapy Theories text for its 4th edition. Over the past several weeks, I’ve been putting in an hour or two a day, chipping away on chapter revisions, reaching out to reviewers, and planning with our new and very exciting co-author, Dr. Bryan Cochran, a highly esteemed psychology professor at the University of Montana. If you’re reading this, I want you to know of Bryan’s awesomeness (and if you’re Bryan, I want you to feel the pressure of this public announcement of your awesomeness) [hahahaha!]

You all probably know that our Theories textbook is far and away the Theories textbook with the most hilarity. No doubt, this is a rather low bar, given that I can’t find any funny stories in any other theories texts. We view theories hilarity to be extremely important in a theories text, because reading many theories texts can parallel the proverbial experience of watching paint dry.

Bryan’s addition to the writing team will give us something we need—an expert in the LGBTQ+ domain, and someone with a talent for telling stories that are simultaneously engaging, informative, and fun to read. Right now, he’s busy writing a “Lenses” chapter (to be Chapter 2) to orient readers to important theory-related lenses like (a) Queer theory, (b) Critical Race theory, (c) Intersectionality, and more. I, for one, can hardly wait for his Queer theory quips.  

News Flash: In the past, I’ve put out broad calls for chapter reviewers. This time, I’m being selective and directly asking prominent theories experts to review chapters and offer guidance. Some examples: For the Adlerian chapter we’ve got Marina Bluvshtein (woohoo!) and Jon Sperry (wow!). For the Psychoanalytic chapter, we got Nancy McWilliams (amazing!) and Pratyusha Tammala-Narra (fantastic!).

If you happen to be a specific theories subject matter expert, you should email me at john.sf@mso.umt.edu to get in on the fun. Or if you have a prominent theories friend/colleague to recommend, have them email me.

As one last theories teaser, below I’m pasting a few excerpts from Nancy McWilliams’s 2021 article titled, “Diagnosis and Its Discontents: Reflections on Our Current Dilemma.” I love this article as it gives a glimpse into problems with contemporary diagnoses and how psychodynamic therapists use individualized assessment in ways to honor the real-life complexities clients bring into psychotherapy. The excerpts below are from her article, which is linked at the end of this post.

On Labeling

The idea that one is anxious (or depressed or obsessive) about something that has meaning is being lost. Fitting an individual into a category tends to foreclose exploration of what is unique to a patient; it especially prevents insights into unexpected aspects of a person’s psychology or exploration of areas that are felt as shameful – the very areas that are of particular value in planning and carrying out psychotherapy.

On the vexing ways in which patients think about themselves and their diagnoses

It used to be that a socially avoidant woman would come for therapy saying something like, “I’m a painfully shy person, and I need help learning how to deal better with people in social situations.” Now a person with that concern is likely to tell me that she “has” social phobia – as if an alien affliction has invaded her otherwise problem-free subjective life. People talk about themselves in acronyms oddly dissociated from their lived experience: “my OCD,” “my eating disorder,” “my bipolar.” There is an odd estrangement from one’s sense of an agentic self, including one’s own behavior, body, emotional and spiritual life, and felt suffering, and consequently one’s possibilities for solving a problem. There is a passive quality in many individuals currently seeking therapy, as if they feel that the prototype for making an internal psychological change is to describe their symptoms to an expert and wait to be told what medicine to take, what exercises to do, or what self-help manual to read.

On “chemical imbalances”

. . . viewing psychological suffering as a set of disorders that can be fixed or improved chemically can easily invite the obverse assumption that those painful experiences are ultimately caused by random or genetically based chemical differences among individuals. This is a false conclusion, of course, something like saying that because marijuana improves appetite, the cause of low appetite is lack of marijuana. But it is nevertheless a frequent leap of illogic – in the thinking of nonprofessionals and of some professionals as well – to ascribe much severe psychological suffering to a “chemical imbalance.” Such a construction tempts us to ignore all the painful other sources of psychological suffering, such as poverty, neglect, trauma, and the myriad ways in which human beings can injure each other psychologically.

On not overgeneralizing research findings/recommendations to unique patients

. . . consider patients at the extreme end of the obsessive-compulsive continuum, whose obsessions border on delusional beliefs, who suffer profound annihilation anxiety, who wholeheartedly believe they will die if they fail to carry out their rituals, and who regard the therapist with suspicion for not sharing their conviction – in other words, the subgroup of obsessive patients that Kernberg (1984) would consider as psychologically organized at the low borderline or psychotic level. My experience suggests that with this group exposure therapy not only fails, it demoralizes the patients, makes them feel like failures personally, and kills any hope they may have that psychotherapy can help. It also demoralizes therapists, who have been told again and again that exposure therapy is the treatment of choice for OCD. If they believe their teachers, such clinicians can easily conclude they are simply not good enough therapists.

If I’ve piqued your interest in “Diagnosis and its discontents” by Nancy McWilliams, here’s a pdf of the article.

Diagnosis and Its Discontents Reflections on Our Current DilemmaDownload

Stay tuned for more theories revision (we’re calling it T4) updates.

John SF

Happiness, Love, Multicultural, Personal Reflections, Writing

The Roots of the Problem

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Today, Dr. Bossypants (aka Rita) offered me a coauthor opportunity. Thanks Dr. BP!

Problems, like trees, have roots. As Alfred Adler (and many others) would have said, problems are multi-determined, meaning: There’s always more than one root. Most of us agree that the United States has big problems. But what are the roots of our troubles?

One side insists that the roots of our troubles include unworthy and illegal immigrants, burdening the rich with taxes, satanic trans folk, welfare fakers, and bleeding hearts. The media picks up this messaging, repeating these highly questionable theories until they sink into our psyches as if they were true.

But we are being played.

As they said back in the Watergate era, follow the money.

The rare transgender athlete is not to blame for your low wages or the price of food and shelter. Tending to the disabled and disadvantaged is not breaking the bank. Social Security makes us a strong, compassionate society—providing for all of us as we age. Social Security isn’t going broke. It’s being dismantled and privatized so the wealthy benefit.

We’re chopping off our noses to spite our faces. USAID greatly contributed to the health of the poor, the planet, and developing societies trying to recover, survive, and grow. NPR and PBS cost about $1.50 per person per year. Although their coverage has been leaning right, they work toward being objective, balanced, and accurate. A free press is at the heart of democracy.

Hiding the contributions of people of color from American history involves rewriting reality. What might be the purpose of excluding honorable actions and voices of diverse individuals and groups from our history? There’s an African proverb: “Until lions have their historians, tales of the hunt shall always glorify the hunter.” Preserving real history doesn’t make us less safe. Massive salaries, bonuses, and advantages given to those mismanaging and/or dismantling our social and financial safety nets is a real danger.

Billionaires have lied so well for so long that many Americans blame poor people and the middle class for government waste and fraud. As everyone admits, government waste and fraud exist, and there are effective strategies for minimizing waste and fraud. One billionaire strategy is this: Get the American people to blame each other for their financial woes. Then, through their tax loopholes, billionaires walk right into the henhouse and steal the country’s eggs.

Most billionaires don’t become billionaires because of their compassion and generosity. They’re billionaires because of miners, farmers, mill workers, steelmakers, refinery workers, teachers, servers, nurses, doctors, social workers, inventors, and small businesspeople: THESE are the people who make becoming a billionaire possible.

Balanced budgets are possible. Giving billionaires MORE money will not balance the budget. Taxing them more will. A graduated income tax is not the same thing as socialism. Anyone who tells you that taxing the rich and providing a social safety net is socialism or communism either (a) wants YOUR money, (b) is lying, or (c) is ignorant.

Socialism is a political and economic theory advocating that the means of production, distribution of goods, and trade/exchange be owned by the collective. Taxing the wealthy in a proportionate manner is not the same as having the collective or the government take over ownership of their businesses. In a capitalist system, taxes and government regulation function to reduce power imbalance, abuse of the poor by the wealthy, and the development of social safety nets and public health systems that benefit the whole.

The ugly fights we’re in now were started purposefully and fueled by lies, phony moral outrage, purchased bots and paid “news” outlets.  We’ve been duped into “culture wars.” As if a gay marriage is why you aren’t paid fairly. As if God needs guns to defend holiness. As if basic health care for everyone will cost more than our broken system. As if we cannot share bathrooms. We share bathrooms all the time in our homes, while camping, at outdoor sporting events (think porta potties). Our economic and social problems are NOT ABOUT BATHROOMS.

We would say “wake up,” but the billionaires have cleverly stolen that concept. They want us asleep. They want us less educated, less compassionate, and more frightened.

Those in power twist science, scripture, economics, virtue, common sense, and the idea of community. But they can’t take your soul; they can’t eliminate your deep awareness of right and wrong. Only you can do that.

Ask yourselves:

  • If climate change caused by humans is wrong, why not clean things up anyway? Powerful people can say “drill baby drill” and it sounds aggressively American, but really, who’s pro-pollution? Denying climate change will cost us our planet.
  • All religions, including Christianity, advocate for taking care of the poor. Yes, it costs a few shekels. But do we want the alternative? Shall we harden our hearts and let others suffer and die?
  • If you believe YOU should have control over your own body and your own sexual decisions, maybe YOU can let others own their bodies and make their own choices as well?
  • Science is not a simplistic fact-finding mission. Science is a disciplined process of inquiry. Scientific knowledge has saved millions of lives. Funding science is about progress and having a higher quality of living. Superstition, politicizing, and irrational attacks on science is regressive, ignorant, and dangerous.
  • Do you think the Creator expects YOU to force your version of morality onto others? Should you enforce thou shalt not kill with weapons? Aren’t you busy enough just finding the time and resources to love your neighbor? Care for the poor? Offer your coat to anyone who needs it? It takes a lifetime to remove the log in your eye, so you can see well enough to help someone with a splinter? Isn’t God, by definition, omnipotent? We should all stop confusing our will, our interests, and our greed, with God’s will.
  • We need the rule of law. When people in power disregard and disparage the courts, they’re not acting for the common good. If we lose the rule of law, we’ll be ruled by outlaws.

Over our long history, humans have been conned, cheated, manipulated, and enslaved many times by the rich, powerful, and depraved. Trusting billionaires and others who are energized by the pursuit of power, greed, and revenge does not end well.

For a pdf of this post, click here:

Bossy and John Piece FinalDownload
Happiness, Love, Writing

Happiness as a Butterfly (or Elephant)

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[Photo by Jean Bjerke, from a post in the Henrys Fork Wildlife Alliance – Wildlife Weekly Archives – July 15, 2021

Rita and I are working on a short “Happiness Handbook.” It’s a secret. Don’t tell ANYONE!

Below is a short and modified excerpt of something I’d written a while back on happiness being “hard to catch.” I’m looking for a place to put it in our secret handbook . . . so, for now, I’m putting it here. There’s one line in this little story that I love so much that I wish I could turn it into a quotable quote for everyone to use on the internet (haha). See if you can find it!

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Several days prior to driving across the state to a party she was planning with her family, a friend met up with us and we talked about happiness. She said she liked the word contentment better than happiness, along with the image of hanging out in a recliner after a day of meaningful work.

After her family party, she wrote me an email, sharing, rather cryptically, that her party planning turned out just okay, because,

“Sigh. Some days, happiness runs so fast!”

I loved her image of chasing happiness even more than the image of her reclining in contentment–although savoring contentment after a meaningful day is unequivocally awesome.

As it turns out, being naturally fleet, happiness prefers not being caught. Because happiness is in amazing shape, if you chase it, it will outrun you. Happiness never gets tired, but usually, before too long, it gets tired of you.

In the U.S., we’ve got an unhealthy preoccupation with happiness, as if it were an end-state we can eventually catch and convince to live with us. But happiness doesn’t believe in marriage—or even in shacking up. Happiness has commitment issues. Just as soon as you start thinking happiness might be here to stay, she/he/they disappears into the night.

But don’t let our pessimism get you down. Even though we’re not all that keen on pursuing happiness, we believe (a) once we’ve defined happiness appropriately, and (b) once we realize that instead of happiness, we should be pursuing meaningfulness.

Then, ironically or paradoxically or dialectically, after we stop chasing it, happiness will sneak back into our lives, sometimes landing on our shoulder like a delicate butterfly, and other times trumpeting like a magnificent elephant.