Tag Archives: Schools

What To Do About Bad News? Organize, Sublimate, and Repeat

This week, like last week, is saturated with bad news. As if racism, the pandemic, Ukraine, Buffalo, and Uvalde weren’t bad enough, this week we have the Supreme Court ruling on cases in stark opposition to public opinion.

When bad news strikes—especially bad news that feels beyond our control—it’s easy to feel helpless and hopeless. In response to my own helplessness (which feels even worse because I just tested positive for COVID-ugh), I’m reminded of Joe Hill’s old motto and song, “Don’t mourn. Organize!” To that, I’ll add that we should use the best of all the psychoanalytic defense mechanisms (sublimation) and channel our anger into constructive activities.

One lesson from politics over the past 30 years is: “Stay on message, repeat the message, and say it again and again until the message becomes truth.” Some of us have been reluctant to do this because we already have a good case and so why should we say it again? Besides, there are so many issues to address, it seems important to move on. . . which is why I’ve decided to linger a bit with my Superintendent message before I move on to firearms and private healthcare decisions.

Thanks for all the comments on and support for last week’s Missoulian Op-Ed piece on how our current Montana State Superintendent of Schools is a clear and present danger to Montana schoolchildren. Most of the feedback I received was positive, including many references to my phrase describing Superintendent Arntzen as having “Voldemortian-level malevolence.” Among other outcomes, this phrasing caused a pronunciation debate. Is it pronounced “Vold-uh-mort-ee-an” or “Volduh-morshan?” Although I prefer the former, I can see the case for the latter. Either way, I’m happy to report that if you Google Arntzen and Voldemortian-level malevolence you can find the article.

One person commenting on the Missoulian website suggested I should be put on the next list of the 101 most dangerous academics. If speaking up for children and school counselors makes me dangerous, count me in.

The big question about Superintendent Arntzen, firearms, private healthcare decisions and other world events is: What to do? Coming up with constructive activities for channeling our anger is difficult. The good news is that some responses to the Op-Ed included great recommendations for next steps, and so I’m posting them here. I’m leaving the names off, but if you read your content, feel free to claim it.

One reader wrote:

There are 2 Interim [Legislative] Committees that have meetings this summer & fall, and would respond to public outcry on this, especially from districts of Committee members. Dan Salomon (R) is on Education, from Ronan, and has been good on mental health, Medicaid expansion; worth talking to him directly about how to bring pressure. Education met today, June 14 (nothing like this on their agenda), will meet again Sept. 12-13. Children, Families, Health & Human Services is meeting twice this month, again in August, another good pressure point. Danny Tennebaum from Missoula is on it.

If anyone reading this has other ideas on how to advocate for School Counselors and Librarians and push back against Arntzen’s recommendations, please let me (us) know.

To close, another Op-Ed reader shared the following with me as an example of the Superintendent’s incoherence.

This is the Montana State Superintendent of Schools speaking at a federal meeting on school safety:

It is not so much what’s inside the plan because we are very unique. But to say that the plan needs to be revitalized every year. And then, it is not housed at the state level. It is housed within them. So it is their responsibility. Again, I come back to liability, responsibility flowing together. But in Montana, it is a belief. It’s very important for teachers as well. They are in the buildings. This is their livelihood. This is something that their children, their charges, regardless of what age of student that they have within their classrooms. Professional development on mental health is extremely important. We have Montana Hope as an initiative where we are working within the capacity that we have in very rural Montana who do not have social workers, who do not have counselors, psychologists at all, trying to employ something that a classroom teacher might be able to recognize. So to recognize what is happening in schools right now is very important to allow education to flow. Hardening buildings is a topic in Montana. But making sure that we have a quality teacher there that understands the capacity that they can, wherever they are located in Montana, is extremely important. Anything that we can do to instill that that teacher holds that child at that moment of wherever that child is, whatever that child comes into that school with or into that classroom with, to recognize that I think is extremely important. That’s where education is. We’re not growing children like we used to in Montana. They’re very precious resources to us. Professional development.

This is not the voice we want heading up OPI.

Hanging out with the Virginia School Counseling Association in Richmond: The Extra Handout

Richmond Statue

I just had an awesome day with about 260 Virginia School Counselors. You know who you are, and you know you’re incredible.

Just FYI, the state of Virginia is making a big investment in adding school counselors. . . which IMHO, is a very smart and reasonable decision. Other states might want to take note and follow their lead. The problem is that many school age youth are suffering from extremely challenging home, neighborhood, and school situations. Having more competent school counselors available to support student success, student mental health, and teachers is a wise move.

For all of the VSCA members I met today, thank you for coming, but more importantly, thanks for the deeply important commitment you make to the well-being of students in your schools. You are amazing!

Here’s the extra handout, with more details than the powerpoint slides: VSCA 2020 Extra Handout

 

The Dialectics of Diagnosis at MFPE in Belgrade

Waving

Today I’m in Bozeman on my way to present to the Montana School Counselors in Belgrade, MT. As my friends at the Big Sky Youth Empowerment Program like to say, “I’m stoked!” I’m stoked because there’s hardly anything much better than spending a day with Montana School Counselors. Woohoo!

My topic tomorrow is “Strategies for Supporting Students with Common Mental Health Conditions.” That means I’ll be reviewing some DSM/ICD diagnostic criteria and that brings me to reflect on the following. . . .

Not long ago (July, 2019), Allsopp, Read, Corcoran, & Kinderman published an article in Psychiatry Research, not so boldly titled, “Heterogeneity in psychiatric diagnostic classification.” Hmm, sounds fascinating (not!).

A few days later, a summary of the article appeared in the less academically and more media oriented, ScienceDaily. The ScienceDaily’s contrasting and much bolder title was, “Psychiatric diagnosis ‘scientifically meaningless.” Wow!

The ScienceDaily summary took the issue even further. They wrote: “A new study, published in Psychiatry Research, has concluded that psychiatric diagnoses are scientifically worthless as tools to identify discrete mental health disorders.”

Did you catch that? Scientifically worthless!

In an interview with ScienceDaily, Allsopp, Read, and Kinderman stoked the passion, and avoided any word-mincing.

Dr. Kate Allsopp said, “Although diagnostic labels create the illusion of an explanation they are scientifically meaningless and can create stigma and prejudice. I hope these findings will encourage mental health professionals to think beyond diagnoses and consider other explanations of mental distress, such as trauma and other adverse life experiences.”

Professor Peter Kinderman, University of Liverpool, said: “This study provides yet more evidence that the biomedical diagnostic approach in psychiatry is not fit for purpose. Diagnoses frequently and uncritically reported as ‘real illnesses’ are in fact made on the basis of internally inconsistent, confused and contradictory patterns of largely arbitrary criteria. The diagnostic system wrongly assumes that all distress results from disorder, and relies heavily on subjective judgments about what is normal.”

Professor John Read, University of East London, said: “Perhaps it is time we stopped pretending that medical-sounding labels contribute anything to our understanding of the complex causes of human distress or of what kind of help we need when distressed.”

In contrast to the authors’ conclusions, nearly every conventional psychiatrist believes the opposite–and emphasizes that psychiatric diagnosis is of great scientific and medical importance. For example, the Midtown Psychiatry and TMS Center website says, “A correct diagnosis helps the psychiatrist formulate the most effective treatment that will result in remission.”

No doubt there.

In addition, although I literally love that Allsopp, Read, and Kinderman are so outspoken about the potential deleterious effects of diagnosis, I think maybe they take it too far. For example, “Shall we pretend that we should provide the same intervention for panic attacks as we provide for conduct disorder, autism spectrum disorder, and gender dysphoria?”

That’s me talking now . . . and as I discussed this with Rita, she amplified that, of course, if you have a student who’s intentionally engaging in violent acts that harm others, we’re not treating them the same as a student who’s suffering panic attacks. Obviously.

Psychiatric diagnosis is a great example of a dialectic. Yes, in some ways it’s meaningless and overblown. And yes, in some ways it provides crucial information that informs our treatment approaches.

This leads me to my final point, and to my handouts.

What’s our School Counseling take-away message?

Let’s keep the baby and throw out with the bathwater.

Let’s de-emphasize labels – because labelling, whether accurate or inaccurate and whether self-inflicted or other inflicted, are possibly pathology-inducing.

Instead, let’s focus on specific behavior patterns, as well as abilities, impairments, stressors, and trauma experiences that interfere with academic achievement, personal and social functioning, and career potential.

In case you’re interested in more on this. My handouts for the workshop are below.

The Powerpoints: MFPE 2019 Belgrade Final

Managing fear and anxiety:Childhood Fears Rev

Student de-escalation tips: De-escalation Handout REV

Why Kids Lie and What to Do About It

 

 

State Leadership in Education: A Missoulian Op-Ed Piece

Arntzen at opi meeting

Hi All.

I just had another op-ed piece published in the Missoulian Newspaper this morning. It’s about early childhood education. It may come as a surprise to you, but, along with John Adams, our second president, I’m a supporter of early childhood education.

If you’re interested in what John Adams and I think (we’re time-traveling buddies) about education, here’s the link: http://missoulian.com/news/opinion/columnists/state-leadership-in-education-our-children-deserve-better/article_fc8aeea4-7670-5a39-a7f5-bbb1c0875043.html

If you read it and like it, please pass on the link, especially to others in Montana and on Facebook and Twitter and all that.

Thanks . . . I’ll be getting back to the more normal counseling and psychology stuff soon.

John