Thursday, December 31, 2009
Bujutsu Tetsugaku continued: Isshinryu No Megami
Tuesday, December 15, 2009
Yin Yang and the Pillars of Heaven
Wednesday, December 9, 2009
Bujutsu Tetsugaku - Intro
Friday, December 4, 2009
Face of Evil
Sunday, May 24, 2009
Brownie points
Thursday, March 12, 2009
Forbidden Knowledge
Saturday, February 28, 2009
Kiai and Aiki
Wednesday, February 11, 2009
Nature and Pharmacy
Tuesday, February 3, 2009
Dissociation: Who is your co-pilot?
Note well: The following experience was arrived at through poor judgment and could have been quite fatal. Realize that your own adventures will befall you without putting yourself at unnecessary risk. Please, do not purposely try any of these experiences for yourself.
If you do something often enough, it is said to become a "routine." Certainly I've developed quite a few so far, but only one so far was nearly fatal.
If you drive a car, you likely have experienced dissociation. Dissociation is a complete or partial disruption of psychological functioning such that one's body takes action but one's thoughts, feelings, and memories for that action are not readily recallable. When one drives along a given route with repetition, eventually there is only a memory like pulling out of a parking lot and then getting into your neighborhood. It is as if you have an autopilot for your car and like you took a nap. That may be so, but, go figure, you have to remain awake for it to work.
It was the year after I graduated from university and I was working as a research assistant and resident computer guru for a smoking cessation research group in Rochester, NY. It was also probably one of the loneliest years of my life. Most of my undergraduate friends had left Rochester and my friends in Buffalo were caught up in the beginning of their own lives. At the time, my girlfriend, K, was in her second year of undergraduate study in Johnstown, PA. To see her I would have to drive over 300 miles. It was about five hours through some of the most rural sections of New York and Pennsylvania. I drove roundtrip at least once per month if not twice per month. I would usually leave right after work and eat as I drove. After a while, I thought I had every bend in the road, every abandoned farm, every broke-leg dog memorized along the way. Eventually, I started dissociating, which wasn't a problem until I convinced myself that the autopilot function would work even if I took a nap.
Just past DuBois, PA, where Route 219 met Route 322, the road slowed from 55 miles per hour to 25 miles per hour in order to make a near 90 degree turn ending at a t-intersection. Cement barriers bracketed the turn to emphasize the need to slow, make the turn, and come to a stop. The fact that traffic on the 322 moved briskly at about 75 miles per hour always made the intersection thought provoking. But, with too many repetitions, it wasn't compelling enough. Just past DuBois, PA, I fell asleep at the wheel.
My first memory upon awakening was of my car just about to enter the concrete encased turn at 55 mph. I recall the twin circles of light, from the beams of my headlights , growing rapidly upon the approaching barrier and thinking, "I am not going to make it." Without a sound, I slammed hard on my brakes and pulled the wheel hard right.
Frighteningly, my car leapt into the air and began to spin like a top toward the curve. I thought, "this is how I die," as with each revolution I approached the concrete wall. Then, astonishingly, before I could hit the barrier, my spinning car began to follow the path of the curve! Rather than rejoice, I recall realizing that the curve ended at a t-intersection and, more likely than not, I would sail out into the intersection and then get grand slammed out of this life by a tractor trailer going 75 mph on the 322. I had time enough to wonder if it would hurt when my car suddenly stopped. Stopped spinning, stopped completely, right at the t-intersection.
A cloud of dust rose up around my recently landed vehicle like when a helicopter settles unto its pad. The traffic light flashed before me as if nothing out of the ordinary had just happened. I realized I had been holding my breath when I began gasping and then looking quickly from left to right as if the world would once again start spinning madly. I grasped hard on the wheel and caught my breath as reality and unreality renegotiated their relationship.
How did I survive? Is God my co-pilot? Am I some sort of mutant with a very limited power? Did I experience some exotic but plausible application of physics? The only thing I am sure of is that no matter how routine anything in your life seems to become, don't expect that you can sleep through it without things becoming much more interesting than you would like.
Saturday, January 31, 2009
Surviving trauma and laughing it off
What doesn't kill us makes us stronger. Well, at least if we aren't killed, we are still alive. Stronger, maybe. Smarter, hopefully. And, perhaps, a little wiser. No matter how bad the trauma, I'd like to think that a person can find something out of a traumatic experience that is of use. If not to them personally, then perhaps to others. Thus, here is the one of my personally traumatic experiences that may be of help to others even if just for their amusement.
Note well: These experiences were arrived at through poor judgment and could have been quite fatal. Realize that your own adventures will befall you without putting yourself at unnecessary risk. Please, do not purposely try any of these experiences for yourself.
My girlfriend, K, was going on a trip to the Devil's Hole State Park and she asked me to meet her there. In retrospect that alone should've given me pause. But, being who I am, I agreed.
If you've never been there, it is a beautiful park on the American side of the Niagara Gorge that not only provides a breathtaking view of the gorge and the rapids, but also a long stairway that you can take down to the Niagara River. Looking to get away from the crowd, K and I took the stairs and then walked along the river.
The walls of the gorge are made up of layers of shale and sandstone as well as some limestone with a cap-rock of dolomite. There are tremendous dolomite boulders at the bottom of the gorge along the path that fell after wind and water had eroded the shale below them. Down near the path, the rocks provided a tempting wall to climb and I decided to take them up on that challenge.
I was about seven feet up when the wall presented an overhang. Considering that I had done well up to that point, and my girlfriend was watching, I figured I should stretch and pull myself up. What I did not consider was how I would get back down.
Looking back over the edge as best I could, I did not see the path and I only imagined twisting my ankle of even breaking my leg if I went back down blind... hey, those were some nasty looking boulders on that path! For some horrible reason, I thought climbing up a shale gorge was a much better idea.
The first challenge I encountered was dwelling on my situation and freaking out. Fortunately, I remembered the movie "Capricorn One." When one of the three astronauts was climbing up a rock-face, the astronaut told a long joke while he climbed to keep himself from freaking out. It really worked! Even later, when things got dire, telling long jokes kept me distracted from the true gravity of my situation...
This brings me to the second challenge; friction or the lack thereof. The first 20 or 30 feet up the gorge wasn't so bad. Then I noticed that the angle of the side of the gorge was, quite naturally, getting increasingly steeper the higher I went. This did not seem at first to be much of a concern until the rock walls started to crumble in my hands. Worse was around 50 feet when I started sliding back down.
I realized that if I began to slide and did not stop, by the time I got to the bottom I would end up with worse than a twisted ankle. The image of my twisted body broken across the rocks was more than enough to initiate a new strategy. Whenever I felt I was sliding, I would press my forearms and my legs into the shale surface... which would catch a hold of me and stop my descent at the cost of some skin and blood.
The third and final challenge was breathing. Every time a downward descent would begin, shale would crumble around me until I managed to grind myself to a halt. Much of the crumbled shale would turn into a cloud of dust that swirled around me. I didn't quite realize the hazard until I started to cough and began an almost immediate second descent. Fortunately, the solution was readily available. By tucking down my face into the collar of my sweat-soaked t-shirt, I was afforded a decent though foul air filter.
When I finally reached the top and climbed over the guard rail, from the wrong side, and looked down it was hard to believe what I had just experienced. Certainly I was so dazed that I was not aware of anyone around me. When I turned to go to the restroom, I blundered through a wedding party apparently there for a scenic backdrop for their pictures. I remember hearing some gasps but I thought it was because they thought I was being a jerk. It was not until I got to the restroom mirror that I discovered how I appeared.
From head to toe, I was covered in shale dust which gave my hair and my skin a gray tint. At my elbows and knees, streaks of blood contrasted brilliantly against my gray skin. I began laughing so hard that I coughed up a bunch of black phlegm and I shook a cloud of dust out of my hair.
What is there to learn? Well, aside from "don't climb the Niagara Gorge," I know that survival can be won by keeping a clear head, making sacrifices, and being resourceful. Hmm... did I really have to climb the gorge to learn that? Okay, not really. Then perhaps the best lesson here is that, if you survive, you really should try to laugh about it. It might help knock off some of the darkness and help clean out some of the crap that got inside.
Monday, January 26, 2009
Caretaker of souls
Psychotherapy and third-party payment
Three psychologists and a managed care rep were driving down a steep mountain road when the brakes began to fail. They bring the car to a stop using the emergency brake. All four get out and discuss how to deal with the problem.
One psychologist states, "we should get back in the car and drive again. Do not react to anything the car does or fails to do. The resulting free action demonstrated by the car will be very informative regarding its pathology and eventually lead to a solution."
"That's ludicrous!" bellows a second psychologist. "We should get back into the car and drive. But, every time the car succeeds in braking we should reward it with gasoline."
The third psychologist offers, "I think we should just accept this car for itself. It should feel supported by us whether it can brake or not."
The managed care rep declares, "well, no matter what any of you do, every 100 yards I'll decide whether we keep driving or jump out of the car."
So, all four get back in the car and resume driving down the road. One hundred yards later the managed care rep makes them all jump out. They watch with some sadness as the car goes over a curb and then off of a cliff.
Sunday, January 25, 2009
Internet parasites
I had the opportunity to speak to some middle-schoolers regarding sex offenders on the internet. While preparing for this presentation, I had an insight; there really is not much out there designed with children as the primary audience. If you browse the internet or even contact the FBI directly, you will find out that what is out there is created for parents.
As a psychologist, I knew this kind of material would be difficult to bring across effectively to children. So, here is an analogy that parents can use to help their children understand the need for internet safety rules.
Imagine the internet as a forest. It is huge and you can find all sorts of things in it: beautiful things and grotesque things; safe things and dangerous things. If you stay on the paths, you can be led to all sorts of interesting and wonderful things. Stray from a path and you could get lost or even hurt.
A child should be nodding along up until the getting hurt part. After all, how could the internet hurt someone? Ask them, when they are in a forest, how often they think that an animal is watching them? They will likely guess a low number. You can say with confidence that, whether they knew it or not, most of the time some animal is watching a person as they go through the forest. Some of those animals are dangerous.
You can remind your child that they have never gotten hurt by any animal while in the forest. Then ask them, why is that? If they don’t come up with the answers on their own, tell them: because they were with an adult they knew; because they followed basic rules that pretty much assured their safety. The internet has its own version of dangerous animals. If people don’t follow basic rules for safety, those animals will try to hurt them.
At this point you will have to decide how much more your child can or should know with regard to exactly how these people can hurt a child. For most children, I would say that these people try to fool you into thinking they are a friend. And, once they think they have fooled you, they will try to hurt you.
Now, with a more understandable image of the internet in place, your child is ready to hear some of the material available to parents with regard to basic internet safety.
There is one other point on this topic. It regards the term “internet predator.” This is a key phrase associated with this topic and it is the first time I’ve used it in this commentary. That is because I really do not like that phrase.
For me, the word “predator” has a cool “danger-mystique” surrounding it. When I think of the word predator I think of wolves, tigers… you know, cool, beautiful, dangerous animals. This is not the image I want to associate with sex offenders. They are dangerous. Some could be physically engaging but all sex offenders are certainly NOT cool.
So, what other phrase would I suggest? I believe the word predator is used because we think of sex offenders as “hunting” for their victim like a predator hunts its prey. In addition, the word predator suggests something that we must be aware of and guard against. There is another type of animal that we must guard against and hunts for its prey besides predators.
Parasites! Parasites have a specific prey or host that it hunts. We must take precautions against parasites or be attacked by them. Like a predator, a parasite can cause physical harm to its prey. In addition, unlike a predator, a parasite can cause lasting change in the behavior of its prey! For those of you who know someone victimized by a sex offender, you know that the physical trauma does heal, but the traumatic stress will change your loved one’s behavior for years afterward. Finally, where we attempt to respect predators and live alongside them, I believe that most people want to stay as far away from parasites as possible.
So, I propose that we drop the term “internet predator.” It is not only a horrible allusion to predatory animals but I believe it is also inaccurate in both the image and the idea it conveys about sex offenders on the internet. Instead, I would encourage the use of the phrase “internet parasite.” Personally, I think it is not only more accurate, it just feels right. I would rather associate the idea of an internet sex offender with a tick or a worm than with a tiger or a wolf.
Saturday, January 24, 2009
Big girls don't kiai... why?
As an aside, in truth, the sound is not critical. A powerful yet relaxed exhalation of air, coordinated with movement, is what is actually necessary for the technique to be most effective. The audible just helps me as a teacher to get an easier sense of the student's breathing, posture, and focus in a technique.But, it is surprisingly common for a student who is not using an audible kiai to still not really kiai even after you insist that they do so. Why? I tell them it will help startle their attackers. I tell them it will psyche them up for the brief struggle to come. Sometimes I may even remember to tell them how the kiai helps engage key muscles that will help protect their internal organs. Still, they often mew like a kitten or make no noise at all. Even with permission, yelling or crying, despite the context, is resisted by adults. I suspect for many of those students it is simply a matter of being embarrassed to draw attention. But for some I have found that it can be much more.
Friday, January 23, 2009
Who supervises the supervisors?
As with most things, we can only be as good as the people we surround ourselves with. For a psychologist in particular, the most important person in that mix is the supervisor. Having been trained to provide supervision, I used to think that I was pretty good at it. Fortunately that delusion was dissolved when one supervisee as much as told me that she had felt like she was floating in an ocean with sharks circling. What did I do wrong? Well, probably a lot of things at the time... but, how can I be at least a "good enough" psychologist-supervisor for my next victim... I mean supervisee? Here are three rules:
First things first, supervision is not therapy. While I believe it is important for a supervisor to be aware of any particular "buttons" or "issues" the supervisee feels could effect his or her performance, a supervisor should not use "the voice" and try to get the supervisee on the proverbial couch. I know I had a couple of supervisors who I dreaded talking to because I got the impression they were more interested in my personal damage than helping me improve my clinical technique.
Second, provide structure. No matter how advanced your supervisee is, everyone likes to start off being directed as if they were a first year student. Give articles to read. Tell the rules of the setting and go over how therapy works -- according to your school of thought. Really scrutinize technique and give plenty of feedback early on. More advanced supervisees should quickly tire of your structuring and give you signs that they are ready to go beyond the basics. I try to pick up on clues before the snoring or blank stares followed by standing up and walking out of supervision 30 minutes early. Of course, with experience you will be able to rely less on their level of irritation to inform you as to when to back off.
Third, balance the challenge. Certainly meet the supervisee where they are at from a professional development standpoint as well as an emotional one. Push too softly and they will feel like the experience is a waste. Push too hard and you will crush their spirit.
So far, I have been good with point one. That's it. For those receiving supervision, give feedback as soon as you realize what is not going well. These are the basic opening lines that I think supervisees should use (with me anyway):
For problems with Rule 1: "I was wondering if we could spend more time on my conceptualization of this client I am working with?"
For problems with Rule 2: "I am not sure I quite understand how you believe I could be handling this case. Could you work with me a little on how to develop a treatment plan?"
For problems with Rule 3 - low challenge: "I think I would like to work with some more challenging cases."
For problems with Rule 3 - excessive challenge: "Wow, I feel like I have a long way to go. I think I need a lot more supervision on this."
Try these out. Raise your voice level as need be but, please, no spitting or hitting. Talk to your supervisor's supervisor if you must. And, believe me, you might have to. I know I have had supervisees who used some of the above statements and I do not think I responded well to their hints at a need for improved supervision. My only defense is that providing supervision is as much a work in progress as developing a therapeutic style.
Wednesday, January 21, 2009
Medical model versus Psychodynamic theory
The word "iatrogenic" is almost exclusively used to mean an adverse effect or complication related to the provision of health care. The word "iatrogenesis" really refers to both the good or bad effects related to but not the actually intent of the actions of a healer. So, why is iatrogenesis almost always used to refer to negative effects? I could just say that many who use the term in this manner are control freaks and think anything that happens that they did not will to be is therefore bad. But, then this would be a short post. Instead I will focus on how I believe that the emphasis on the negative points to what I believe is the essential difference between the medical/behavioral model and psychodynamic theory.
The medical/behavioral model, in my opinion, operates on the assumption that what is critical in the success of an intervention is not the interventionist, it is the quality of the intervention itself. A medication will be successful if it is the appropriate medication at the appropriate dose. A homework assignment will be successful if appropriately presented, conducted, and reviewed. The only concern for the exact nature of the relationship between a healthcare recipient and a doctor is that it be professional. Anything that occurs that was not expected from the intervention is interpreted as due to "error" or a "placebo effect."
Psychodynamic theory, conversely, is very concerned with the nature of the relationship between the psychologist and the client. The concepts of transference and counter-transference clearly emphasize that it is the therapeutic relationship which is the critical component of healing. When anything occurs that was not expected from the intervention, it is interpreted as informative about the client's personality, history, and presenting problem. The unforeseen improvement or insight is considered a boon not a burden.
Then what should we do with undesired, unforeseen, negative results of intervention? How should we react to institutionalization -- an iatrogenic effect of long-term care? I believe psychodynamic theory indicates that we should understand the dynamics of the relationship between the client and the institution. For example, does a client become institutionalized because at some level the hospital unwittingly promotes that result? Or could it also be that a battered soul will choose the safety of a cell over the responsibility and dangers inherent in freedom? Such informed analyses could potentially lead to both policy and procedural change that could reduce the incidence of institutionalization. With the current emphasis on the medical/behavioral model, I am doubtful that such analyses will be performed, let alone operationalized, in the near future. But, it is a seed that should be planted and nurtured by new, up-and-coming doctors -- psychiatrists as well as psychologists.