Misunderstanding violence and mental illness

The September 2014 issue of Monitor on Psychology (the American Psychological Association’s monthly magazine) includes a column on violence and mental illness. Norman Anderson, the APA’s Chief Executive officer, tries to dispel various misconceptions about the perceived connection between violence and mental illness.

Anderson writes:

Today, the national dialogue on mental illness and gun violence continues based on reports of mental health problems among some mass violence perpetrators…. Unfortunately, the conversation in the media has focused in large measure on keeping guns out of the hands of what some have called the ‘dangerous mentally ill.

The vast majority of violent acts are not committed by people who are diagnosed with, or in treatment for, mental illness….Moreover, the focus on mental illness ignores the fact that most gun violence is committed by people in crisis, who are under the influence of drugs or alcohol, or in the context of domestic violence or other illegal activitie.

Given that most people with mental illness do not harm or threaten others, continuing to frame the conversation about gun violence solely in the context of mental illness does a disservice both to the victims of violence and those who suffer from mental illness. More important, it does not direct us to appropriate solutions.

It is easy for us to accept unquestioningly what we see on television or the Internet. I appreciate the APA’s efforts to set the record straight. They also continue to conduct research on the nature of violence of all kinds, and on our best, scientifically based efforts to prevent and respond to such violence.

A Natural Opportunity Close to Home

In a recent issue of the Winston-Salem Journal columnist David Bare highlights a development near downtown Winston-Salem that will provide environmental and psychological benefits. The Gateway Nature Center is a project to restore and preserve 19 acres of land that had been tarnished by years of industrial activity and the encroachment of nonnative species of plants.

The Center will provide educational programs and facilities for all ages. The Gateway Environmental Initiative, the organization responsible for the Center, hopes to counteract one negative impact of our growing dependence on technology: decreased interaction with the natural world.

Exposure to nature seems to be a balm for some of the irritations of modern life. Nature sounds, and silence (remember silence?), stimulate effects that counteract the negative impact of human-generated noise on attention and sleep. Immersion in nature appears to reduce the symptoms of stress, depression and ADHD.

One of the questions I typically ask new clients is about the time they spend in nature. Our busy schedules and urban environment sometimes make it difficult to get out in the backyard, let alone the back woods. Still, research suggests that the effort is worth it.

Do yourself a favor and take a hike!

An Unhappy Story That Gives Me Hope

A week ago I read an essay in the NY Times by a man working as a mentor for a teenager at risk for a lot of bad things. The author, Ron Berler, was focusing on academic underachievement and possible gang involvement. Of course, this child could have many other problems.

I've met many boys like this one. For several years I was the psychologist assigned to work with youth involved with juvenile court. Some of them committed very serious crimes. Fortunately, most did not. Many of them came from families beset by numerous challenges. At a time when the economy was fairly stable, many of the parents were unemployed or underemployed. Some parents had substance abuse problems. Some engaged in criminal behavior. Some were just not there. It was easy to become discouraged. What chance did these kids have?

Berler's essay described his teen's lack of motivation to succeed in school, his mother's lack of financial and emotional resources, his father's lack of participation in parenting. His father worked long hours to provide for the family, but he left the discipline to his wife. Even the school system had all but given up.

Berler encountered an incarcerated felon who wanted to help. This person, Orlando Mayorga, was serving a decades-long prison sentence for a crime he committed at age 17. Mayorga has plans for when he gets out; he hopes to become a counselor for at-risk individuals, as he was, as Berler's mentee is. Mayorga encouraged the teen (in a letter) to think not only of himself but also of his loved ones, who will be hurt if the teen is incarcerated, injured or killed. Mayorga's letter may have an impact; it's too soon to tell.

This could wind up as another tale with an unhappy ending. It gives me hope, however. It is a story of two people going in different directions. Orlando Mayorga, whose life got off to such a poor start, looks like he is turning things around, for himself and for others. Ron Berler's young friend seems to be making many poor choices. If Mayorga can change his course after going so far down the wrong road, then it is definitely possible for this teenaged boy to turn things around also.

The Benefits of Playing Video Games?

I’ve been catching up on some professional reading, and I came across an article in the January 2014 issue of American Psychologist with the above title (minus the question mark). I was pleased to see scholarly treatment of video games that does not focus exclusively on their problems. The authors acknowledge that such problems are real and are supported by research. However, they contend that the media’s treatment of these games has been one-sided and simplistic. Isn’t it possible that some of these games have some redeeming qualities?

According to the research (which is limited but growing), they do. Video games may help our children learn how to selectively attend to relevant information, how to process visual information more accurately, and how to solve problems more creatively and effectively. They can create the awareness that “persistence in the face of failure reaps valued rewards.” The social nature of many video games offers our children the opportunity to develop social skills. All of these benefits may be generalizable to their lives outside the video game environment.

It is worth noting that some types of violent video games can have cognitive and social benefits. One point of this article is that the world of video games is enormously complex and varied; simple conclusions about the impact of these games – the stuff we see in headlines – are probably unwarranted.

I believe that we can go too far with video game playing; I routinely talk to my clients and their parents about sensible limits. I also believe that video game play can have a negative impact on some people. It is refreshing, however, to glimpse the more positive aspects of playing these games.

I’d hate to have to log off completely.

More Music and Healing

A story in Sunday's Winston-Salem Journal brought further validation of the benefits music offers to those with mental illness.

Ronald Braunstein and Caroline Whiddon have founded the Me2 Orchestra in Vermont, comprising people with mental illness and those who support them.  Their goal is to increase public awareness of the gifts of people with mental illness, and to remove the stigma associated with having a mentally disorder.

In the process, the orchestra has given many participants - including conductor Braunstein - an opportunity to feel the healing power of music. 

Learn more about the Me2 Orchestra here.

Music in Psychotherapy

In 1697 William Congreve wrote, “Music has charms to soothe the savage breast,” in his play The Mourning Bride. 

This familiar quote reflects the awareness that music can have a profound effect on our state of mind.  References to the use of music in the treatment of illness go back much farther, to ancient civilizations in Greece, Egypt and China. 

The formal use of music therapy as a treatment modality in the United States began in the early 1800s.  Music therapy is now a recognized discipline that is used in the treatment of physical, psychiatric and developmental disorders.

In a recent issue of the American Psychological Association’s Monitor on Psychology an article describes recent successes in the use of music to soothe pre-term babies and their parents in neonatal intensive care units, to reduce pre-surgery anxiety, and to calm children being treated in emergency rooms.  Researchers are exploring the possible uses of music and vibration (vibroacoustic therapy) in the treatment of Parkinson’s disease, fibromyalgia, and Alzheimer’s disease.

As an amateur musician I am interested in finding new ways to integrate music into my work with my clients.  I often encourage them to bring in their instruments; sometimes we play and sing songs together.  Sometimes they share their lyrics and recorded music with me.  These are ways I can connect with them through something we both enjoy.  It strengthens our relationship, and it often opens new avenues for discussion of important issues.

Recently I have taken online courses through MusicTherapyEd.com, a website that offers continuing education courses for music therapists.  I have been learning about the use of technology in music therapy, and about writing and recording songs for use in therapy and beyond.  I am enjoying the process thoroughly.

I am not a music therapist, and I am not likely to become one.  However, I hope that this new knowledge can help me to help my clients achieve their treatment goals. 

I’d love to hear about the ways music has enhanced your life.  Thanks for reading!