Tag Archives: mental health

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!

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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.

Clinical Interviewing, Counseling and Psychotherapy Theory and Practice, culture, diversity, Happiness, Multicultural, Personal Reflections, Research, Suicide Assessment and Intervention

Ten Things Everyone Should Know about Mental Health, Suicide, and Happiness

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I’ve spent the better part of the past two weeks doing presentations in various locations and venues. I did five presentations in Nebraska, and found myself surprisingly fond of Lincoln and Kearney Nebraska. On Thursday I was at a Wellness “Reason to Live” conference with CSKT Tribal Services at Kwataqnuk in Polson. Just now I finished an online talk with the Tex-Chip program. One common topic among these talks was the title of this blog post. I have found myself interestingly passionate about the content of this particular. . . so much so that I actually feel energized–rather than depleted–after talking for two hours.

Not surprisingly, I’ve had amazingly positive experiences throughout these talks. All the participants have been engaged, interesting, and working hard to be the best people they can be. Beginning with the Mourning Hope’s annual breakfast fundraiser, extending into my time with Union Bank employees, and then being with the wonderful indigenous people in Polson, and finally the past two hours Zooming with counseling students in Texas . . . I have felt hope and inspiration for the good things people are doing despite the challenges they face in the current socio-political environment.

If you were at one of these talks (or are reading this post), thanks for being you, and thanks for contributing your unique gifts to the world.

For your viewing pleasure, the ppts for this talk are linked here.

Ten Things Tex Chip April 2025Download

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.

Clinical Interviewing, Happiness, Personal Reflections, Research, Suicide Assessment and Intervention

Why I’m Mostly Against Universal Suicide Screenings in Schools

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I’ve been in repeated conversations with numerous concerned people about the risks and benefits of suicide screenings for youth in schools. Several years ago, I was in a one-on-one coffee shop discussion of suicide prevention with a local suicide prevention coordinator. She said, more as a statement than a question, “Who could be against school-based depression and suicide screenings?”

I slowly raised my hand, forced a smile, and confessed my position.

The question of how and why I’m not in favor of school-based mental health and suicide screenings is a complex one. On occasion, screenings will work, students at high-risk will be identified, and tragedy is averted. That’s obviously a great outcome. But I believe the mental health casualties from broad, school-based screenings tend to outweigh the benefits. Here’s why.

  1. Early identification of depression and suicide in youth will result in early labeling in school systems; even worse, young people will begin labeling themselves as being “ill” or “defective.” Those labels are sticky and won’t support positive outcomes.
  2. Most youth who experience depressive symptoms and suicide ideation are NOT likely to die by suicide. Odds are that students who don’t report suicidal ideation are just as likely to die by suicide. As the scientists put it, suicidal ideation is not a good predictor of suicide. Also, depression symptoms generally come and go among teenagers. Most teens will recover from depressive symptoms without intensive interventions.
  3. After a year or two of school-based screenings, the students will know the drill. They will realize that if they endorse depression symptoms and suicidal items that they’ll have to experience a pretty horrible assessment and referral process. When I talk to school personnel, they tell me that, (a) they already know the students who are struggling, and (b) in year 2 of screenings, the rates of depression and suicidality plummet—because students are smart and they want to avoid the consequences of being open about their emotional state.
  4. About 10-15% of people who complete suicide screenings feel worse afterward. We don’t really want that outcome.
  5. There’s no evidence that school-based screenings are linked to reductions in suicide rates.   

For more info on this, you can check out a brief commentary I published in the American Psychologist with my University of Montana colleague, Maegan Rides At The Door. The commentary focuses on suicide assessment with youth of color, but our points work for all youth. And, citations supporting our perspective are included.

Here are a few excerpts from the commentary:

 Standardized questionnaires, although well-intended and sometimes helpful, can be emotionally activating and their use is not without risk (Bryan, 2022; de Beurs et al., 2016).

In their most recent recommendations, the United States Preventive Services Task Force (2022) concluded that the evidence supporting screening for suicide risk among children and adolescents was “insufficient” (p. 1534). Even screening proponents acknowledge, “There is currently little to no data to show that screening decreases suicide attempt or death rates” (Cwik et al., 2020, p. 255). . . . Across settings, little to no empirical evidence indicates that screening assessments provide accurate, predictive, or useful information for categorizing risk (Bryan, 2022).

And here’s the link to the commentary:

Empathy and Compassion in AP with MRATD 2024Download
Happiness

The Washington Foundation Awards $9.4M to the Phyllis J. Washington College of Education to Support Montana Teachers, School Counselors, and Positive Education

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Hi All,

As predicted, I have great news today.

The University of Montana Foundation and the Phyllis J. Washington College of Education have just issued a press release announcing a $9.4M grant from the Dennis and Phyllis Washington Foundation to support positive education at the University of Montana and throughout the state. I am humbled to hear of this amazing support and immensely grateful to Phyllis Washington and the Washington Foundation for their vision and generosity.

Specifically, these funds will support the educational journey of prospective Montana teachers and school counselors and will grow our efforts to address the emotional and behavioral health of Montana educators and students through positive education. As you may know, thanks to a previous grant from the Arthur M. Blank Family Foundation, I’ve been very involved in promoting the principles of positive psychology and education throughout Montana. I look forward to continuing my work with Montana teachers and administrators. This incredibly generous grant will deepen our support for current and future Montana educators, including professional school counselors. Together, we will work to improve the emotional and behavioral health of young people in Montana and beyond.

If you have questions, please reach out to the names and numbers listed in the official press release.

WA Foundation Press ReleaseDownload

All my best,

John S-F

P.S.: Along with my thanks to the Washington Foundation, in keeping with the principles of positive psychology, I want to emphasize my gratitude to Dr. Dan Lee, Dean of the Phyllis J. Washington College of Education, and the extremely competent and capable team of Erin Keenan, Erin White, and Jason Newcomer from the University of Montana Foundation. Of course, many of you who receive this message are also on my gratitude list. I hope you can feel good feelings deep inside yourselves about your own contributions to creating a better future for Montana youth, educators, and schools. I look forward to working collaboratively with all of you in the future.  

Happiness, Personal Reflections, Research

Publication Alert — Broadening and Amplifying the Effects of Positive Psychology Courses on College Student Well-Being, Mental Health, and Physical Health

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We have more good news for 2025. At long last, we’ve published a research article based on Dr. Dan Salois’s doctoral dissertation. Congratulations Dan!

This article is part of growing empirical support for our particular approaches to teaching positive psychology, happiness, and how people can live their best lives. As always, I want to emphasize that our approach is NOT about toxic positivity, as we encourage people to deal with the deep conflicts, trauma, and societal issues that cause distress — while also teaching strategies for generating positive affect, joyspotting, and other practices derived from positive psychology.

One of the big takeaways from Dr. Dan’s dissertation is that our happiness class format may produce physical health benefits. Also, it’s important to note that this publication is from early on in our research, and that our later research (currently unpublished) continues to show physical health benefits. Exciting stuff!

Here’s a link to the article. My understanding from the publisher is that only the first 50 clicks on this link can read/view the whole article.
https://www.tandfonline.com/eprint/VXXD3ISCT7EUJ8WAM7UY/full?target=10.1080/07448481.2024.2446434

Happiness, Love, Personal Reflections, Writing

On This Gratitude Eve

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Tomorrow is a celebrated holiday involving gratitude. Given the American history of mistreatment, oppression, and abuse of indigenous peoples, I have trouble saying the holiday name. You may think I’m being over-sensitive or politically correct, or you may find yourself seeking some other label to describe me. No worries, I’m here to help. My current labels (which switch with considerable frequency) are grumpy and discouraged.

I know better than to dwell too long on my grumpy and discouraged thoughts, feelings, and somatic complaints. Those of you who know me well know that it makes me grumpy to even use the word somatic, and so the discouragement is deep. While I’m drilling down into my negativity, I’ll add that it also makes me grumpy to hear the words “fight-or-flight” and “brain shut-down” and “amygdala hijack” and “PHQ-9 or GAD-7” and “mental illness” and the mispronunciation of “Likert” and everything else our culture is using to push us into negative mental and emotional states—and keep us there.

I also know that some of the preceding linguistic pet peeves may seem cryptic. That’s okay. I like being mysterious. I’ll just say that I would prefer “amygdala hijinks” over “hijack,” and leave the mystery unsolved.

Not surprisingly, the bigger laments are what give the smaller laments most of their negative power. My bigger laments are probably obvious, but here are a few: How did we develop into a culture where the voices and opinions of people like Andrew Tate and Joe Rogan shape the psychology, emotions, and behavior of so many young men? How did we become a nation that could elect a convicted felon, rapist, racist, sexist, reality television star as the next president? When did Christianity take a turn and become a narcissistic, nationalist, anti-immigrant movement? How did our mainstream media become an entity that gives voice to social media posts from the president elect? And, because the president elect is a well-known serial and pathological liar, how did the media decide they should center their reporting around his likely dissembling bloviations as potentially truthful statements?

I do have to admit that it makes me a little bit happy to use the word bloviations. That was fun.

Now that I have you (my six faithful readers) grumpy and discouraged along with me, maybe I should pause to take stock of the many things and people toward whom I feel gratitude. If, by chance, you’ve also been feeling your share of doom and gloom, I hope you’ll consider joining me in a gratitude activity.

First in line is Rita. Only minutes ago, while planning a few Turkey Day dishes, I offered up one simple suggestion that may have required only one or two brain cells and could easily have been brought forth during a so-called fight-or-flight brain shut-down. Her response of, “That’s a REALLY good idea!” made me laugh out loud (even amidst my gloomy mood). This small interaction reminded me of the many ways that I am lucky to be supported and inspired by Rita every day.

Our children (and son-in-law) are basically overachieving geniuses who work every day to make the world a better place. I won’t go into details here, but this is more good fortune on a rather magnificent scale.

This past weekend I hung out with my sisters, attending a Bat Mitzvah with my Jewish cousins who welcomed us into their celebration with open arms and hearts. We mercilessly teased each other, laughed together, played games, and did what family does. My sisters and I often marvel at our mutual family experiences . . . as given to us by our amazing parents. More big gratitude.

First thing this morning, I got to lightly supervise a few interns who are facilitating a group for dads, prepping to present to classrooms of 8th graders, and being coached by Dylan Wright, who just might be the most dynamic presentation coach of all time. These young people are smart, capable, and committed to being therapeutic forces in the world. . . and I get to work with them.

Tomorrow Rita and I will have dinner with a long-time friend who, having already made substantial contributions to the mental health of a multitude of Montanans, invited us over to help her eat up a frozen turkey that she surprisingly found in her freezer. We have gratitude to her for the past, present, and future.

Just in case you’re wondering, the empirical research on gratitude is pretty fantastic. Focused and intentional gratitude will not immediately transform your life, but in general, gratitude practice is linked to improved mood, increased positive communications with others, hope, and improvements in physical exercise. That last one is as cryptic as my linguistic pet peeves. How could gratitude make you exercise more? Nobody knows. All I can say is this: How about you practice gratitude tonight, tomorrow, and into the future and then see if it helps you exercise more? As B.F. Skinner might say, we should all experiment with our experiences.

Given all the world-wide and local reasons to be grumpy and discouraged, my plan is to counter those feelings by spending more time being grateful. I know it won’t fix the world . . . but I know it will create nicer feelings . . . and that, I suppose, is plenty good for now.

Cool Counseling, Therapy with Adolescents, Tough Kids

Tough Kids, Cool Counseling — An Online Workshop – Dec 6, 2024

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My wife (Rita) and I used to argue over who came up with the catchy “Tough Kids, Cool Counseling” title for our 1997/2007 book with the American Counseling Association. I would swear it was MY grand idea; she would swear back that it was HER idea. If any of you are in–or have been in–romantic partnerships, perhaps you can relate to disagreements over who has all the best ideas. I doubt that this dynamic is unique to Rita and me.

Years passed . . . and now I’ve come to very much dislike the title. . . leading me to give Rita ALL THE CREDIT! You’ve got it Rita! It was all you!

Despite my dislike for the title, I still sometimes use it for workshops. Why might that be, you may be wondering? Good question. I use it so I can make the point, early in the workshop, that we should NEVER use language that blames young people for their problems or their problem behaviors. In fact, we should never even “think” thoughts that assign blame to them for being “tough.”

My reasoning for this is informed by constructive theory and narrative therapy. When we assign blame and responsibility to young people for being “tough” or “difficult” or “challenging,” we risk contributing to them holding a tough, difficult, or challenging identity–which is exactly the opposite of what we want to be doing. Instead, I tell my workshop participants that we should recognize, there are no “tough kids” . . . there are only kids in tough situations . . . and being in counseling or psychotherapy is just another tough situation that young people have to face. Consequently, it’s NOT their fault if they engage in so-called tough or challenging behaviors.

All this leads me to share that I’ll be online all day on December 6, 2024, doing a workshop for mental health professionals. The workshop, anachronistically titled, “Tough Kids, Cool Counseling” is sponsored by the Vermont Psychological Association. You can register for the workshop here: https://twinstates.ce21.com/item/tough-kids-cool-counseling-131540

Even if I do say so myself, I’m proclaiming here and now that this will be a very engaging online workshop. If you work with youth (ages 10-18) in counseling or psychotherapy, and you need/want some year-ending CEUs, we’ll be having some virtual fun on December 6, and I hope you can join in.

Happiness, Personal Reflections, Writing

Exploring Your Eudaimonic Belongingness Sweet-Spot at West Creek Ranch

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[Moon Rise at West Creek Ranch]

This past week I spent four days at West Creek Ranch, where I was forced to eat gourmet food, do sunrise yoga, experience a ropes course (briefly becoming a “flying squirrel”), watch a reflective horse session, dance away one night, hike in the beautiful Paradise Valley, and hang out, converse, and learn from about 25 very smart/cool/fancy people. Yes, it was a painful and grueling experience—which I did not deserve—but of which I happily partook.

On the first morning, I provided a brief presentation to the group on the concept of belonging, from the perspective of the Montana Happiness Project. Despite having shamefully forgotten to take off my socks during the sunrise morning yoga session, and having anxiety about whether or not I belonged with this incredible group of people, they let me belong. They also laughed at all the right moments during my initial mini-comedy routine, and then engaged completely in a serious reflective activity involving them sharing their eudaimonic belongingness sweet-spots with each other.

If you don’t know what YOUR eudaimonic belongingness sweet-spot is, you’re not alone (because hardly anyone knows what I mean by that particular jumble of words). That’s because, as a university professor, I took the liberty of making that phrase up, while at the same time, noting that it’s derived from some old Aristotelean writings. Yes, that’s what university professors do. Here’s the definition that I half stole and half made up.

That place where the flowering of your greatest (and unique) virtues, gifts, skills, talents, and resources intersect (over time) with the needs of the world [or your community or family].

I hope you take a moment to reflect on that definition and how it is manifest in who you are, and how you are in your relationships with others. If you’re reading this blog post, I suspect that you’re a conscious and sentient entity who makes a positive difference in the lives of others in ways that are uniquely you. Because we can’t and don’t always see ourselves as others see us, in our University of Montana Happiness course, we have an assignment called the Natural Talent Interview designed to help you gain perspective on your own distinct and distinctive positive qualities. You can find info on the Natural Talent Interview here: https://johnsommersflanagan.com/2023/12/26/what-do-you-think-of-me/

And my West Creek presentation powerpoint slides (all nine of them) are here:  

AMBFF West Creek John SFDownload

You may have missed the main point of this blog post—which would be easy because I’m writing like a semi-sarcastic and erudite runaway loose association train that’s so busy whistling that it can’t make a point. My main point is GRATITUDE. Big, vast, and immense gratitude. Gratitude for the Arthur M. Blank Family Foundation (AMBFF) and our massively helpful program officers. Gratitude for our retreat facilitators. Gratitude for the staff at West Creek Ranch. Gratitude for the presence of everyone at the gathering. And gratitude for the therapeutic feelings of belonging I had the luxury of ruminating on all week. My experience was so good that I’m still savoring it like whatever you think might be worth savoring and then end up savoring even more than you expected.

Thank you AMBFF and Arthur Blank for your unrelenting generosity and laser-focus on how we can come together as community and make the world a better place.

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*Note: At the Montana Happiness Project, we do not support toxic positivity. What I mean by that is: (a) no one should ever tell anyone else to cheer up (that’s just offensive and emotionally dismissive), and (b) although we reap benefits from shifting our thinking and emotions in positive directions, we also reap similar benefits from writing and talking about trauma, life challenges, and social injustice. As humans, we are walking dialectics, meaning we grow from exploring the negative as well as the positive in life. We are multitudes, simultaneously learning and growing in many directions.

Clinical Interviewing, Suicide Assessment and Intervention, Therapy with Adolescents, Writing

Notes on My Favorite New Article

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It can be good to have an IOU. I knew I owed my former student and current colleague, Maegan Rides At The Door, a chance to publish something together. We had started working on a project several years ago, but I got busy and dropped the ball. For years, that has nagged away at me. And so, when I read an article in the American Psychologist about suicide assessment with youth of color, I remembered my IOU, and reached out to Maegan.

The article, written by a very large team of fancy researchers and academics, was really quite good. But, IMHO, they neglected to humanize the assessment process. As a consequence, Maegan and I prepared a commentary on their article that would emphasize the relational pieces of the assessment process that the authors had missed. Much to our good fortune, after one revision, the manuscript was accepted.

I saw Maegan yesterday as she was getting the President Royce Engstrom Endowed Prize in University Citizenship award (yes, she’s just getting awards all the time). She said, with her usual infectious smile, “You know, I re-read our article this morning and it’s really good!”

I am incredibly happy that Maegan felt good about our published article. I also re-read the article, and felt similar waves of good feelings—good feelings about the fact that we were able to push forward an important message about working with youth of color. Because I know I now have your curiosity at a feverish pitch, here’s our closing paragraph:

In conclusion, to improve suicide assessment protocols for youth of color, providers should embrace anti-racist practices, behave with cultural humility, value transparency, and integrate relational skills into the assessment process. This includes awareness, knowledge, and skills related to cultural attitudes consistent with local, communal, tribal, and familial values. Molock and colleagues (2023) addressed most of these issues very well. Our main point is that when psychologists conduct suicide assessments, relational factors and empathic attunement should be central. Overreliance on standardized assessments—even instruments that have been culturally adapted—will not suffice.

And here’s the Abstract:

Molock and colleagues (2023) offered an excellent scholarly review and critique of suicide assessment tools with youth of color. Although providing useful information, their article neglected essential relational components of suicide assessment, implied that contemporary suicide assessment practices are effective with White youth, and did not acknowledge the racist origins of acculturation. To improve suicide assessment process, psychologists and other mental health providers should emphasize respect and empathy, show cultural humility, and seek to establish trust before expecting openness and honesty from youth of color. Additionally, the fact that suicide assessment with youth who identify as White is also generally unhelpful, makes emphasizing relationship and development of a working alliance with all youth even more important. Finally, acculturation has racist origins and is a one-directional concept based on prevailing cultural standards; relying on acculturation during assessments with youth of color should be avoided.

And finally, if you’re feeling inspired for even more, here’s the whole Damn commentary:

Empathy and Compassion in AP with MRATD 2024Download