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Stick ‘Em Up!

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Every so often a new study posits the link between media violence and real violence. The theory most often is that children exposed to violent themes and games become inured to real violence and thus more likely to commit violent acts. There is a certain logic to the premise but is it really that straightforward? Hasn’t violent play always existed?

People raised during the earlier days of television were exposed to far more violent images than their moving picture going or radio listening ancestors. A child growing up in the 1950s was immersed in cowboy-shoot-em-up imagery and play. Cowboy and cowgirl costumes (replete with guns and holsters) were not just Halloween costumes; they were toys. Television, movies, books, comic books and creative play was rife with shooting. Even Superman (the television show) had people shooting (and killing) people. Toy soldiers, G.I. Joe and war games have been a part of child’s play since the advent of war. But all of this happened in a distinct child’s world, in which an adult (related or not) was always at the ready to impose adult order. The world belonged to adults and children knew that. They were ever conscious of their place in the adult world and the distinct delineation between being a child and being an adult. Children engaged in unsupervised play and then returned to the structured adult world.

The adult world demanded marked different behavior than that of a child’s world. The language (e.g., slang, profanity,) manners, appearance and attire requirements in the adult world were different from that in the child’s world. Adults maintained the boundaries in various ways. There were many subjects that were not discussed in front of children (little pitchers have big ears; what in the world does that mean!?) Adults socialized without their children and enjoyed other privileges of adulthood (e.g., choosing which television shows were watched, what foods were eaten, which clothes were purchased, etc.) The rigidity of home life was countered with the wildly independent social life of a kid. Play was unsupervised and free-range. Children engaged in activities without parents. They played sports, danced and sang without their parents witnessing every single moment. They were in their world and they were just playing.

Children flourish when they can explore the world safely. Knowing that adults are in charge and are sure as shootin’ gonna tell them what to and not to do, is very comforting. However, if a child is left with a feeling that the adults are not in charge, or worse yet, the child is in control, that child can grown very frightened and insecure. The same child who senses that “no one is the boss of me” not only has a fuzzy sense of fiction and reality (which is an inherent part of childhood development and why children need parents) but also could possibly be left to immerse themselves far too often in violent games and play. There is nothing about holding a plastic gun and aiming it at a screen that is more violent than holding a Davy Crockett pistol against a friend’s head. However there is something numbing about playing alone and obsessively. An interesting treatment in these “violence studies” would to be to have one group of children “Go Outside And Play!”

This dance of control in which parents involve themselves in a child’s world and children are given equal footing in the family may not be the most effective formula for growing strong children. Children flourish when they are given limits. They want to grow up when being a grown-up looks better than being a kid. While there is nothing positive one could say about violent video games, it is short sighted to think any imagery in any form has the power to change collective behavior. Blurring the lines between reality and fantasy, and childhood and adulthood is much more likely to affect change. If in fact the exposure to violent imagery (in games, film, video, etc.) has risen and violence in children and young adults has risen, that is indeed correlation. But to suggest (yet again!) causation and wag our finger at the media makes us look silly and a bit irresponsible.

 
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Posted by on August 25, 2013 in Childhood, Media/Marketing

 

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All aTwitter

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There are two (polar opposite) views of modernity. There are the early adopters who froth and queue up for new and shiny gizmos and gewgaws and then there are the progress curmudgeons. These curmudgeons sit on their metaphorical porches and attribute the downfall of society to; ‘those dadgum moving picture shows.’ Most of us fall somewhere in the middle of these two opposing views. The early adopters aren’t a new concept (please don’t tell them that it would just kill them) people have been running to buy what’s being sold since the first wheel kiosk opened. It’s the progress curmudgeons that are far more fascinating. Nobody is born a progress curmudgeon. Every kid is intrigued by something newer, faster, and shinier. No, a curmudgeon must be created. They must find a time in history and stick with it. Any and all things that came after these glory days must not be trusted.

This is not an entirely irrational perspective; some things simply aren’t made as well as they once were. For instance clothes used to be made to last a lifetime, although who would want to wear the same clothes for their entire life alludes me. Cars were far less disposable, but they were also lethal (both for riders and for anyone in the car’s path.) Certainly items were easier to use once upon a time. Picking up the phone and asking the operator to connect you was easier than…pushing a speed dial button? Well a typewriter was certainly easier to use than a computer. You only need insert a ribbon (use lye to remove the ink from your fingers,) insert paper, reinsert paper after you realize the lye missed some spots and ink has leached onto the paper, insert paper again with carbon paper (use lye to remove carbon from fingers) commence typing, commence searching for white-out, miraculously finish letter, try and type address onto envelope, give up and handwrite envelope, find stamp, walk to mailbox, repeat. Fine, communication is easier but what about music. Don’t you miss records? You remember records don’t you? There were those paradoxically highly fragile yet extremely heavy items you had to lug around with you through life. They crackled and skipped and sounded nothing like the real thing.

I think we can all agree that progress is just that; progress. We don’t have to like it and we don’t have to adopt it, but we cannot argue with the fact that it is progress. No one wants to feel left behind or to have his/her rituals upended. But discounting progress, or worse imbuing progress with negative consequences is misguided. How many times have you heard people blaming modern movies and videos for increased violence (as if silent movies weren’t horrifically violent)? And what of this notion that social media is to blame for increased bullying. It’s not lax parenting, or the soul crushing experience of a Kindergarten graduation ceremony that leads to the self-esteem issue that is always at the root of bullying. Nope, it’s social media that is to blame. The same social media that allows for positive reinforcement that simply does not exist in any other domain of the real world with the exception of group therapy. Before the advent of (social media) Linkedin did anyone ever publicly endorse your skills? Whether it is a meaningful gesture or has any validity at all is beside the point. It is a public attaboy that simply did not exist in the past. Before we tweeted, did we publicly support other’s views or endeavors? Do we even remember a life before Facebook and the villages it’s created? When, beside a reunion (family or class) did we ever cheer accomplishments, offer sympathies and coo over baby pictures?

Expanding our sense of community is always a good thing. It reinforces our attachment and obligation to the larger world. Humans despite their many differences are at their core the same; they need to be connected to other people. It is not the gaming or chatting that encourages antisocial behavior; it’s the fact that people are using these outlets to avoid social behavior. In that sense the video game is no more detrimental than the comic book (which was also decried as the downfall of civilization.) The progress doesn’t create maladjusted people, it’s that maladjusted people still crave human interaction, simulated or not. Banning or demonizing the tangible is always more tempting than dealing with the elusive. The only way to reach troubled people is to reach out to troubled people. Blaming something we don’t care for or don’t understand is distracting and disingenuous. Social media, comic books, dime novels or pool do not create trouble. Troubled people are drawn to things that make them feel less alone.

 

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An Illness In The Family

 

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Periodically, most often prompted by crisis, mental health pops up in our cultural conversation. Pundits point out the obvious flaws in our care system, medical professionals speak of conflicting and vague diagnostics, and some families share heart wrenching personal tales. This flurry of post-crisis activity is actually a microcosm of the complex issues of mental health care: People state the obvious, others admit to the complexity and the people in need are suffering.

Family members (and by ‘family’ we mean everyone who shares love) are often in the direct line of fire of mental illness. Their lives can be upended by the illness of a loved one and their every moment consumed with pursuing effective care. It is those closest to someone ill who will witness and be subjected to troubling behaviors. And unless the ill person is a minor or the behaviors so blatantly outrageous, it is difficult to judge when it’s appropriate to intervene and to what extent. We are a culture that holds personal freedom and autonomy in the highest regard. And while we like to tell people what to do with their lives in the abstract, we shrink from doing so in reality. We don’t want to unnecessarily offend and even if we did, it’s difficult to know what to say or do. It might be helpful to think of behaviors and approaches categorically.

Danger to self or others – There’s no wiggle room here. Our society has agreed that impending physical harm trumps personal freedom. While the “danger to self or others” definition is meant to be applied in crisis, the philosophy applies more universally. When asking ourselves; “Is it time to seriously intervene?” we can use this statement as a guide. It is time to move on from nagging and/or cajoling a family member to eat when you see/feel that their weight loss is dangerous. If someone is driving when drinking, passing out and/or injuring themselves when drinking, they are a danger. If someone cannot get out of bed and has vulnerable people in his/her care he/she is a danger. The question to ask when making this judgment is; “Is someone going to get hurt?”

In crisis is probably the most common presenting challenge. There is no immediate danger but instead a person who is simply not well. For the most challenging mental illnesses (i.e., schizophrenia, bi-polar, personality disorders) a state of crisis is a common occurrence. For people faced with depression or anxiety, crises can be one-offs or few and far between. Depression is a real and debilitating illness, it should not be confused with sadness. Being sad is prompted by incident: a death, a world event, a hormonal event all can trigger sadness. Of course these events can also trigger depression. The key is how long is the darkness lasting and has it changed the very nature of the individual? The same is true for anxiety. When a response to real and present danger morphs into sustained hyper-vigilance it is not serving the individual well.

Intervention – Erase any image you might have of corralled family members confronting someone while shakily holding index cards. It’s a powerful scene for television and movies but is flat out surreal in real life. If there are other caring people who can assist in getting the person in need appropriate care, so be it. But folding chairs and prepared statements are not necessary. If the person is in crisis (danger to self or others) they need immediate professional assistance. If someone has demonstrated a desire to hurt themselves or others they can and should be hospitalized and treated until they are stable. If the person in crisis is compliant you can take them to an emergency room yourself. If they are violent the police will help them to the hospital. *Note: It is best to assume that each and every threat of harm is valid. There is nothing to gain from assuming someone is crying wolf. If nothing else the emergency room staff will become more familiar with the person in crisis and be able to provide more specific care with each return trip.

For people not in crisis, intervention can be a hairy and anxiety provoking business. Every situation, relationship and individual is different. There are no universal guidelines on what to do, but there are some pretty clear guidelines on what not to do. Do not make it easy for someone to not get help. Do not take on the role of amateur therapist. Do some research and find a therapist in the right price-range (any doctor’s office, school, women’s health clinic, or divorce attorney will have referrals.) When the individual seeks to emote or purge have a contact number on hand and take full responsibility; “I want to help in a meaningful way, I’m your friend/family but not a therapist.” If an individual refuses professional help do not abandon them but do not engage in the fiction (i.e., “it’s just a phase, the season, pesticides, politics, etc.) Keep in mind that they are not entirely themselves and may not be the most reliable narrator. Bring them into the world (perhaps kicking and screaming.) Do not sit by their side and watch television. Go for a walk; remind them of the world they’re missing out on. Do not lose sight of the goal of professional help. Do not give up until you’ve exhausted every argument and yourself.

Someday we will treat mental health as we do dental or physical health. Blame and shame will dissipate and systemic effective care will be available to all. Family (in all its definitions) will always be at the front, but in time they will have proper support. There simply is no sane alternative.

 
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Posted by on January 7, 2013 in Cultural Critique, Well-Being

 

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Mental Health In Crisis

Unknown

During the first few hours after the school shooting in Connecticut there were vague and conflicting reports. The shooter was still being misidentified as the first rumblings of mental health issues began to surface. Amateurs and professionals began to pontificate on the need for meaningful support for first responders, victim’s families and witnesses. We have become much more comfortable in acknowledging the profound psychological impact of trauma. We can look at a (massively media covered) tragedy and think; “ah yes, this will have an impact.” What we have a bit more trouble discerning is mental health challenges that may not stem from widely covered events. We are also a bit challenged in trying to foresee lasting effects.

Our first thought when hearing about murdered children is about their parents. If we’ve been lucky, it is beyond our first hand comprehension. It is simply unfathomable to lose a child let alone in such a horrific manner. The parents’ lives, now unrecognizable to themselves, are forever marked by this loss. Our minds grasp for any detail that we can construe as offering comfort. Are there surviving siblings, someone to motivate the parent to go on? And then we remember that while it is a gift to survive it is a burden as well. The siblings, no matter their age, will forever be survivors. They will feel that label and internalize it in varied ways. Even siblings not yet born will wear that identity. It could color (and potentially burden) their entire lives.

Similar survivor issues may well develop in adults and children who could have been included in the count. It is tempting to not give survivor mental health issues the attention they warrant. These people still have their lives after all. But if we’ve learned anything from this (and other) barbaric acts it is that mental health care cannot be ignored. Many will need and should have access to a lifetime of mental health support. In the coming days we will learn more about the perpetrator and the details leading up to the massacre. We will demand serious and desperately needed real gun control. We will light candles and say prayers. And we must, if we hope to ever live in a humane world, give mental health care the respect and importance it deserves.

 
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Posted by on December 15, 2012 in Well-Being

 

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