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James Goodman

The "Mental Illness" Paradigm: An "Illness" That is out of Control - Mad In America - 0 views

  • The “mental illness” paradigm—an insidious cancer:  I find it interesting to turn the “medical model” language of “mental illness” back onto itself and consider this entire “mental illness” paradigm as acting like an insidious cancer (the difference in my use of the term “cancer” here being that I’m readily acknowledging that this is just a metaphor). Cancer is essentially what occurs when a cell of an organism “forgets” its role as a member of a larger whole and turns against the organism, becoming consumed only with its own reproduction. Using this metaphor, we can say the “mental illness” paradigm fosters this turning one part of a whole against itself. We see this taking place interpersonally between members of our society as we develop ever increasing fear of those labelled “mentally ill,” and we see this taking place intrapersonally as we develop ever increasing fear and suspicion of our own “unusual” or “extreme” subjective experiences. We see signs of this cancer spreading throughout nearly every branch of contemporary Western society—our schools and education systems, our media, our government policies, our way of trying to make sense of ourselves and others’ experiences and behavior, and of course our health care systems. We also notice that this type of cancer thrives particularly well on a diet of greed, fear and ignorance—greed (enormous financial incentive to many in the pharmaceutical and mental health industries), fear (especially our fear of uncertainty, preferring an understanding that is clear although flawed to having to make some peace with mystery and the unknown), and ignorance (just think of the daily bombardment by massive amounts of misinformation coming at us from almost every angle).
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    "The "mental illness" paradigm-an insidious cancer: I find it interesting to turn the "medical model" language of "mental illness" back onto itself and consider this entire "mental illness" paradigm as acting like an insidious cancer (the difference in my use of the term "cancer" here being that I'm readily acknowledging that this is just a metaphor). Cancer is essentially what occurs when a cell of an organism "forgets" its role as a member of a larger whole and turns against the organism, becoming consumed only with its own reproduction. Using this metaphor, we can say the "mental illness" paradigm fosters this turning one part of a whole against itself. We see this taking place interpersonally between members of our society as we develop ever increasing fear of those labelled "mentally ill," and we see this taking place intrapersonally as we develop ever increasing fear and suspicion of our own "unusual" or "extreme" subjective experiences. We see signs of this cancer spreading throughout nearly every branch of contemporary Western society-our schools and education systems, our media, our government policies, our way of trying to make sense of ourselves and others' experiences and behavior, and of course our health care systems."
James Goodman

Gabor Maté: Why We're a Culture of Addicts | Spirituality & Health Magazine - 0 views

  • Addiction, says Maté, is nothing more than an attempt to self-medicate emotional pain.
  • The only difference between the identified addict and the rest of us is a matter of degrees.
  • Maté points to a host of studies that clearly show how neural circuitry is developed in early childhood. Human babies, more than any other mammals, do most of their maturing outside the womb, which means that their environment plays a larger role in brain development than in any other species. Factor in an abusive, or  at least  stressful, childhood environment and you’ve produced impaired brain circuitry – a brain that seeks the feel-good endorphins  and stimulating dopamine that it is unable or poorly able to produce on its own. A brain that experiences the first rush of heroin as a “warm, soft hug,” as a 27-year-old sex trade worker described it to Maté.
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  • It’s the adversity that creates this impaired development, says Maté, not the genetics emphasized by the medical community.
  • And our response to addicts – criminalization, marginalization, ostracism – piles on that adversity, fueling the addictive behavior.
  • “[Prevention] needs to begin in the crib, and even before then,” Maté writes in Hungry Ghosts, “in the social recognition that nothing is more important for the future of our culture than the way children develop.”
  • What’s more, Maté, unlike many of his medical counterparts, factors into our potential for recovery – even transformation – “something else in us and about us: it is called by many names, ‘spirit’ being the most democratic and least denominational.”
  • The Illusion of choice We’d like to think that addicts have a choice, that they can just choose to stop—even if it’s hard. But Maté insists that the ability to choose is limited by the addict’s physiology and personal history.
  • “The more you’re driven by unconscious mechanisms, because of earlier defensive reaction to trauma, the less choice you actually have,” he says. “Most people have much less choice in things than we actually recognize.”
  • But, he writes, “I’ve come to see addiction not as a discrete, solid entity – a case of Either you’ve got it or you don’t got it – but as a subtle and extensive continuum.” Unless we become fully aware of the drivers of our addiction, he says, we’ll continue to live a life in which “choice” is an illusion.
  • “All addictions, whether to drugs or to behaviors such as compulsive sexual acting out, involve the same brain circuits, the same brain chemicals and evoke the same emotional dynamics,” he says. “Behavior addictions trigger substances internally. So (behavior addicts) are substance addicts.”
  • Or, as he writes in Hungry Ghosts, “Passion creates, addiction consumes.”
  • Compassion for the addict — and ourselves Responding to addiction requires us not only to care for the body and mind but also the soul, Maté says. The spiritual element of his practice is critical, he says, not only to understand the  hard-core street addict but also our own struggle.
  • “We lack compassion for the addict precisely because we are addicted ourselves in ways we don’t want to accept and because we lack self-compassion,” he says. And so we treat the addict as an “other” – this criminal, this person making poor choices – to whom we can feel superior.
  • “Compassion is understanding,” he says. “And to understand is to forgive.” We need, he says, to turn compassion into policy. “To . . . point the finger at that street-corner drug addict who’s in that position because of that early trauma is blind to say the very least,” Maté said in a 2010 talk at Reed College. “I think that if we developed a more compassionate view of addiction and a more deep understanding of the addict and if we recognized the similarities between the ostracized addict at the social periphery and the rest of society and if we did so with compassion both for them and for the rest of us we would not only have more efficient, more successful drugtreatment programs, we would also have a better society.”
James Goodman

How Can We Jump-Start the Struggle for Gender Equality? - NYTimes.com - 0 views

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    "The restrictions on women's lives that prevailed in the early 1960s today seem draconian; removing them was an obvious extension of basic rights to half the population. But there was fierce opposition to such reforms, and their success was never guaranteed. Someday we may come to see paid family leave, reduced work hours, and public child care as part of our natural suite of rights. And with them, gender equality may not be as far behind as it looks today."
James Goodman

Inertia, Not Progress Defines the Decade After 9/11 : The New Yorker - 0 views

  • But the main reason that 9/11 didn’t become a source of jobs, or of ideas for revitalizing the economy, was that the country wasn’t thinking about its own weaknesses. President George W. Bush defined his era in terms of war, and the public largely saw it the same way. September 11th was a tragedy that, in the years that followed, tragically consumed the nation’s attention.The attacks were supposed to have signalled one of the great transformations in the country’s history. Bush talked about ridding the world of evil, columnists wrote of “World War Three,” and almost all Americans felt that, in their private lives and in the national life, nothing would ever be the same. But the decade that followed did not live up to expectations. In most of the ways that mattered, 9/11 changed nothing.
  • The Second World War brought a truce in the American class war that had raged throughout the thirties, and it unified a bitterly divided country. By the time of the Japanese surrender, the Great Depression was over and America had been transformed. This isn’t to deny that there were fierce arguments, at the time and ever since, about the causes and goals of both the Civil War and the Second World War. But 1861 and 1941 each created a common national narrative (which happened to be the victors’ narrative): both wars were about the country’s survival and the expansion of the freedoms on which it was founded. Nothing like this consensus has formed around September 11th. On the interstate south of Mount Airy, there’s a recruiting billboard with the famous image of marines raising the flag at Iwo Jima, and the slogan “For Our Nation. For Us All.” In recent years, “For Us All” has been a fantasy. Indeed, the decade since the attacks has destroyed the very possibility of a common national narrative in this country.
  • “We are at war against terror.” Those were fateful words. Defining the enemy by its tactic was a strange conceptual diversion that immediately made the focus too narrow (what about the ideology behind the terror?) and too broad (were we at war with all terrorists and their supporters everywhere?). The President could have said, “We are at war against Al Qaeda,” but he didn’t. Instead, he escalated his rhetoric, in an attempt to overpower any ambiguities. Freedom was at war with fear, he told the country, and he would not rest until the final victory. In short, the new world of 2001 looked very much like the bygone worlds of 1861 and 1941. The President took inspiration from a painting, in the White House Treaty Room, depicting Lincoln on board a steamship with Generals Grant and Sherman: it reminded Bush of Lincoln’s “clarity of purpose.” The size of the undertaking seemed to give Bush a new comfort. His entire sense of the job came to depend on being a war President.
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  • What were the American people to do in this vast new war? In his address to Congress on September 20, 2001—the speech that gave his most eloquent account of the meaning of September 11th—the President told Americans to live their lives, hug their children, uphold their values, participate in the economy, and pray for the victims. These quiet continuities were supposed to be reassuring, but instead they revealed the unreality that lay beneath his call to arms. Wasn’t there anything else? Should Americans enlist in the armed forces, join the foreign service, pay more taxes, do volunteer work, study foreign languages, travel to Muslim countries? No—just go on using their credit cards. Bush’s Presidency would emulate Woodrow Wilson’s and Warren G. Harding’s simultaneously. Never was the mismatch between the idea of the war and the war itself more apparent. Everything had changed, Bush announced, but not to worry—nothing would change.
  • At the time of the attacks, few educated Americans born after 1950 had any direct experience of war or persecution or cataclysmic failure. After 9/11, this gap in the résumés of intellectuals gave them both a sense of inadequacy—an outbreak of envy for the Greatest Generation—and a compensatory tendency to inflate the drama of the war on terror and their own role in it. This took place at a level of abstraction that is made possible when the fighting is eight thousand miles away. As a result, a number of the country’s best minds mistook the post-September 11th era for a new American golden age.
  • After the attacks, Americans asked, “Why do they hate us?” This turned out to be the wrong line of inquiry. The most pressing questions were about us, not them: our leaders, our institutions, our ability to act as a cohesive nation and make rational decisions, our power to take action abroad in a way that would not be a self-defeating waste. Starting with the intelligence failures that did not foresee the attacks, every major American institution flunked the test of the September 11th decade. The media got the W.M.D.s wrong. The military failed to plan for chaos in postwar Iraq. Congress neglected its oversight duties. The political system produced no statesmen. C.E.O.s and financiers couldn’t see past short-term profits. The Bush Administration had one major success: it succeeded in staving off another terrorist attack in America. It botched almost everything else.
  • After 9/11, life in America changed in a few palpable ways: you needed I.D. to get into an office building, and boarding an airplane became an ordeal. But all the structural trends stayed on course: the stock market, after a setback, maintained its relentless upward climb; inequality soared, as Wall Street fortunes reached unimaginable new heights, while average wages began to decline; just about every remaining textile job in Surry County disappeared; Americans sank deeper into debt and depended more on their houses for wealth; the iMac progressed to the iPad; CBS News continued its descent into irrelevance and Fox News its corrosive rise, while newspapers kept cutting back or closing shop. The political division of America into red and blue hardened into the mutually hostile and unintelligible universes in which we live today. Bush, already viewed as illegitimate by many Democrats, became one of the most hated Presidents in American history; the writer Nicholson Baker even published a novella about the merits of assassinating him. Meanwhile, the Republican Party fell completely under the control of its most extreme elements, and “traitor” became a routine term for its opponents. For all the talk of national unity and a new sense of purpose, the terror attacks did nothing to bring together the country. America after September 11th was like a couch potato who survives a heart attack, vows to start a strict regimen of diet and exercise, and after a few weeks still finds himself camped out in the living room.
  • The Bush Administration collapsed in the late summer of 2005—not in Falluja or Kandahar but in the submerged neighborhoods of New Orleans. The response to Hurricane Katrina gave Americans such a devastating picture of official failure that it suggested something fatally wrong with an entire approach to governing. Iraq, of course, had provided evidence of high-level arrogance, incompetence, and neglect for two years, and Afghanistan for even longer than that, but, because these places were far away and American troops were risking their lives to serve the nation, the public wasn’t ready to withdraw its support. When the footage came out of the Gulf Coast—when, for the second time in four years, a great American city looked like Kabul or Kinshasa—it was Iraq in fast motion, and right around the corner. Government at all levels, but especially in Washington, had failed to plan for the worst outcome, even when the entire country saw it coming. An Administration staffed by cronies neglected to take care of citizens for whom it had the greatest responsibility. Katrina made brutally clear that the White House had substituted passive, self-congratulatory bravado for serious organized effort. Like Iraq, New Orleans represented a failure of individual leaders, but also of national institutions.
  • After Katrina, support for the Iraq war evaporated. Having been asked for very little ever since September 11th, other than to take the Administration’s way on faith, Americans had little trouble reframing their allegiances. This was the price of a foreign policy based on assertion rather than on persuasion. The war on terror had been a kind of confidence game: it depended on a belief in American virtue and ability that had proved unwarranted. With the exception of his advocacy of the surge, in 2007, Bush became an increasingly irrelevant figure, and his foreign policy crawled away from grand projects for “world order.” When Vice-President Cheney called for new wars with Iran and Syria, there were no takers.
  • In the years after Katrina, Americans began to see that the same unstable combination of hoopla and neglect that had characterized the war on terror also characterized the decade’s supposed economic boom. While the media were riveted by the spectacle of celebrity wealth, large areas of the country were—like Surry County—left to rot. The boom had been built on sand: housing speculation, overvalued stocks, reckless deregulation, irresponsible deficits. When the foundation started to crumble with the first wave of mortgage defaults, in 2007, the scale of the destruction became the latest of the decade’s surprises. Hardly anyone foresaw how far the economy would fall; hardly anyone imagined how many people it would take on the way down. Even the economic advisers of the next Administration badly misjudged the crisis. The trillions of dollars spent and, often, misspent on wars and domestic bureaucracies were no longer available to fill the hole left by the implosion of the private economy. Reborn champions of austerity pointed to the deficits in order to make the case that the country couldn’t afford to spend its way back to health. And, like the attacks that were supposed to change everything, the recession—which was given the epithet “Great” and was constantly compared with the Depression of the nineteen-thirties—inspired very little change in economic policy. Without effective leadership, the country blindly reverted to the status quo ante, with the same few people making a lot of money, if a little less than before, and the same people doing badly, if a little worse.
  • This malignant persistence since September 11th is the biggest surprise of all. In previous decades, sneak attacks, stock-market crashes, and other great crises became hinges on which American history swung in dramatically new directions. But events on the same scale, or nearly so, no longer seem to have that power; moneyed interests may have become too entrenched, élites too self-seeking, institutions too feeble, and the public too polarized and passive for the country to be shocked into fundamental change.
James Goodman

8 Things You May Not Know About HPV - Sexual Health Center - Everyday Health - 0 views

  • The human papillomavirus (HPV) garnered news headlines recently when researchers from Moffitt Cancer Center in Tampa, Fla., revealed that as many as 50 percent of U.S. men are infected with HPV. Last February, Ohio State University researchers said that HPV causes more than 60 percent of oropharynx cancers (a type of throat cancer), making the virus a bigger risk factor for that kind of throat cancer than tobacco. No wonder HPV is a hotbed of medical research right now: It’s extremely common, partly vaccine-preventable, and plays a significant role in multiple kinds of cancer, including cervical cancer in women. But for all the buzz about HPV in the scientific community, experts worry that many people are still fuzzy on details about the virus — including how it’s transmitted, who’s most at risk, and how to protect yourself from infection. “There’s so much people don’t know or misunderstand about HPV,” says William Robinson, MD, a professor of gynecologic oncology at Tulane University in New Orleans. Everyday Health asked him and other leading experts to shed light on the most common HPV knowledge gaps.
James Goodman

Choosing a Pronoun - He, She or Other - After Curfew - NYTimes.com - 0 views

  • Though Google created the “other” option for privacy reasons rather than as a transgender choice, young supporters of preferred gender pronouns (or P.G.P.’s as they are called) could not help but rejoice. Katy is one of a growing number of high school and college students who are questioning the gender roles society assigns individuals simply because they have been born male or female.
  • “You have to understand, this has nothing to do with your sexuality and everything to do with who you feel like inside,” Katy said, explaining that at the start of every LGBTQQA meeting, participants are first asked if they would like to share their P.G.P.’s. “Mine are ‘she,’ ‘her’ and ‘hers’ and sometimes ‘they,’ ‘them’ and ‘theirs.’ ”
  • P.G.P.’s can change as often as one likes. If the pronouns in the dictionary don’t suffice, there are numerous made-up ones now in use, including “ze,” “hir” and “hirs,” words that connote both genders because, as Katy explained, “Maybe one day you wake up and feel more like a boy.”
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  • Teenagers are by nature prone to rebellion against adult conventions, and as the gender nonconformity movement gains momentum among young people, “it is about rejecting the boxes adults try to put kids in by assuming their sexual identity labels their personal identity,” said Dr. Ritch C. Savin-Williams, director of the Cornell University Sex and Gender Lab. “These teens are fighting the idea that your equipment defines what it means for you to be a boy or girl. They are saying: ‘You don’t know me by looking at me. Assume nothing.’ ”
  • Dr. Savin-Williams, who is also the author of the book “The New Gay Teenager,” went on to list some of the new adjectives young people use to describe themselves: “bi-curious,” “heteroflexible,” “polyamorous” and even “wiggly.”
  • The semantic variations are part of a nascent effort worldwide to acknowledge some sort of neutral ground between male and female, starting at the youngest ages. Last year, a preschool in Sweden, appropriately called Egalia, opened with the goal of eliminating all gender bias by referring to the children as “friends,” instead of girls and boys, as well as avoiding all gender-specific pronouns.
James Goodman

Occupy Wall Street's Victory: It has shaken up American politics. Here's what it should... - 0 views

  • Occupy Wall Street Has Already Won
  • Occupy Wall Street has already won, perhaps not the victory most of its participants want, but a momentous victory nonetheless. It has already altered our political debate, changed the agenda, shifted the discussion in newspapers, on cable TV, and even around the water cooler. And that is wonderful.
  • And then OWS showed up. They brought something that had been in short supply: passion—the necessary ingredient that powers citizen activism. The tempered, carefully modulated, and finely nuanced statements of Beltway politicians and policy wonks do not alter the debate.
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  • Suddenly, the issues of equity, fairness, justice, income distribution, and accountability for the economic cataclysm–issues all but ignored for a generation—are front and center. We have moved beyond the one-dimensional conversation about how much and where to cut the deficit. Questions more central to the social fabric of our nation have returned to the heart of the political debate. By forcing this new discussion, OWS has made most of the other participants in our politics—who either didn’t want to have this conversation or weren’t able to make it happen—look pretty small.
  • Of course, the visceral emotions that accompany citizen activism generate not only an energy that can change politics but an incoherence that is easily mocked. OWS is not a Brookings Institution report with five carefully researched policy points and an appendix of data. It is a leaderless movement, and it can often be painfully simplistic in its economic critique, lacking in subtlety in its political strategies, and marred by fringe elements whose presence distracts and demeans. Yet, the point of OWS is not to be subtle, parsed, or nuanced. Its role is to drag politics to a different place, to provide the exuberance and energy upon which reform can take place.
  • The major social movements that have transformed our country since its founding all began as passionate grassroots activism that then radiated out. Only later do traditional politicians get involved. The history of the civil rights movement, women’s rights movement, labor movement, peace movement, environmental movement, gay rights movement, and, yes, even the Tea Party, follow this model. In every instance, visceral emotions about justice, right, and wrong ignited a movement. Precise demands and strategies followed later. So the critique of OWS as unformed and sometimes shallow may be correct, but it is also irrelevant. Just as importantly, most of those who are so critical of OWS have failed to recognize inflection points in our politics. They fail to recognize that the public is responding to OWS because it is desperate for somebody to speak with the passion, and even anger, that has filled the public since the inequities and failures of our economy have become so apparent.
  • There is much ground to cover before real reform, but as a voice challenging a self-satisfied, well-protected status quo, OWS is already powerful and successful.
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