Search

conversations on the fringe

Category

Juvenile Justice

A Report on Bullying by a 12 Year Old


Chloe is a 12 year old (nearly 13 now) 7th grader from Central Illinois. She wrote this amazing piece on bullying. It’s such a powerful and insightful paper and it’s written by a tweenager.

Have you ever been bullied?

In this paper, I will tell you about the effects of bullying. Being bullied is terrible. There are a lot of different forms of bullying. Some forms include physical, emotional, cyber, and sexting. Sexting can be a form of bullying. It is one that is common but no one really talks about, but can still have the same effect as cyber bullying.

There is a lot of bullying in schools. School is where a lot of bullying starts. One effect is not being able to learn what you need in life because you stop going to school because you were being bullied. Another effect is depression, anxiety, drug use, and even suicide (Effects of Bullying, 2017). Usually if you are LGBT (lesbian, gay, bi-sexual, transgender), you get bullied more. If you are LGBT, people treat you like you don’t exist. Usually they will try to hurt you if you are LGBT. You could also not be able to sleep because you are worried about being bullied at school the next day. Being bullied could lead on to drinking and taking drugs, and then you could die from an drug overdose.

Cyber bullying is where people get bullied the most today. People who get bullied on social media will be more likely to have depression (Effect of Bullying, 2017).  Sexting is also a form of bullying. Sexting affects how you look at yourself and could lead to bad self esteem. Poor self esteem is when you think you are ugly, dumb and you say bad thing about yourself. Sexting is when you send a nude of yourself and then the person you sent it to sent to all his/ her friend and then they kept sending it on and on then they would begin to tell stories about you, your body, or your behavior. And then you would have bad self esteem because of what people said about your body type. Sexting could also lead to anxiety because you try to starve yourself because of how you look at yourself or how you think others look at you. Some people even take pills that say it will make them skinnier but actually can’t. You can still die from a drug overdose if you take a lot of those.

The biggest effect of bullying is suicide. There are 4,400 death per year because of bullying. One of the most common suicide death are cutting him/herself, and taking drugs to die from a drug overdose. Another effect that leads to suicide is depression. When  someone suffers from depression, they tend to think everything is sad and you feel lonely. 10-14 year old girls will be at a higher risk of committing suicide study have shown (Bullying and Suicide, 2017).  Also, people who get bullied or have depression may take drugs because they think it will make them happier, but that can and will lead to a drug overdose if you keep taking them.

Bullying is a real problem. We need to put a stop to it. The suicide numbers will go up each year if we do not put a stop to it. People who are LGBT, an outcast, or people with disabilities should be treated equally. No one should be bullied because of who they are, they are all human beings, then they should be treated the same way as everyone else. And not just them, NO ONE should be treated like that. How as a nation or school or anyone, can we put a stop to bullying?

 

Netflix’s 13 Reasons Why Has The Teen World Buzzing


If you haven’t heard about the new Netflix series 13 Reasons Why you’ve been living under a rock. It’s all anyone is talking about right now. This series is based on the Jay Asher novel of the same name. This story centers on Hanna, a teenager who takes her own life due to a series of events. She leaves behind a series of cassette tapes to explain what led to her suicide and the role others played in driving her to that point. Here’s the goodreads.com summary:

The #1 New York Times bestseller and modern classic that’s been changing lives for a decade.

You can’t stop the future.
You can’t rewind the past.
The only way to learn the secret . . . is to press play.

Clay Jensen returns home from school to find a strange package with his name on it lying on his porch. Inside he discovers several cassette tapes recorded by Hannah Baker–his classmate and crush–who committed suicide two weeks earlier. Hannah’s voice tells him that there are thirteen reasons why she decided to end her life. Clay is one of them. If he listens, he’ll find out why.

Clay spends the night crisscrossing his town with Hannah as his guide. He becomes a firsthand witness to Hannah’s pain, and as he follows Hannah’s recorded words throughout his town, what he discovers changes his life forever.

http://www.youtube.com/watch?v=JebwYGn5Z3E

The series is not for tweens. It’s definitely for a more mature audience and should be discussed to help the students process what they’re seeing. This is a realistic expression of the rawness of teen life so there’s quite of bit of language, mature content, implied sex, rape, self-injury, and suicide. The book and the series aims to address the difficult issues adolescents face daily and it will be hard for parents and adults to watch or to believe life can be like this.

The topics addressed in the series have long been the focus of Conversations on the Fringe. Here’s a list of links to the topics explored on the show that we’ve written about:

Suicide

Depression

Bullying

Self-Injury

Dating Violence

Sexting

Look for more resources in the next couple weeks on 13 Reasons Why. We’ll be interviewing students, releasing a discussion guide, and will continue to explore themes addressed in the book/series. If your kids aren’t watching this already, they are talking about it daily with their friends that have seen it. Use this opportunity to lean into the difficult issues your teens might be facing but are often so hard to talk about.

Reimagining Adolescence: A Workshop for People Who Love Adolescents (June 17th, 2017)


Reimagining Adolescence: Kids growing up today are living in a world that is fundamentally different from the one their parents grew up in. This poses challenges to even the most adept adult. In this workshop you will discover the systemic cultural changes that are creating a whole new developmental experience for our kids as they attempt to find out their true identity and place of belonging.

This 1 day workshop is for all of us who struggle to understand the challenges adolescents face in today’s world. Join us as we explore the developmental, physiological, social, cultural, and spiritual complexities of guiding adolescents through contemporary society. This event is perfect for parents, grandparents, teachers, social workers, coaches, youth workers, or anyone else that love kids and desire to walk alongside them as they navigate an increasingly difficult world.

Here’s a sample of what you will cover in this workshop:

Adolescent Development

  • Primary tasks of adolescence
  • What drives adolescent behavior
  • Brain development
  • Sexual development
  • The Imaginary Audience (social)
  • The Invisible World
  • The Impact of marginalization

Mental Health Considerations

  • Systemic Abandonment
  • Identity Incongruence
  • Mental Health
  • Developmental Assets/Relationships
  • Discovering mission and purpose

LUNCH ON YOUR OWN

Surveying the Landscape

  • Pop culture influences
  • Toxic gender training
  • Shame and image
  • Culture and diversity
  • Technology

Praxis

  • Understanding power and agency in adolescents
  • Universal considerations
  • Listening better
  • Revisiting Developmental Assets/Relationships/Communities/Organizations
  • Empowering and letting go
  • Becoming friends with kids (mentoring)
  • Inviting them into adulthood (celebration and ritual)

If you are interested in attending this event, register soon. Space is limited!

There are two ways you can register:

Image result for eventbriteImage result for facebook logo

Creating and Supporting Developmental Communities


Kids are going to need more than just developmentally supportive relationships with adults. They also need developmentally supportive communities. 

The Search Institute has been researching developmental assets for youth for the better part of 50 years. The higher number of assets a young person has the higher the likelihood they will become thriving and contributing adults. The lower the number of assets, the higher the likelihood they will engage in unhealthy behaviors, such as bullying, substance use, or unsafe sexual practices. These behaviors often carry over into adulthood.

Conversations on the Fringe initiatives aims to equip individuals, organizations, and communities with tools to become asset rich and therefore increase the number of assets available to developing youth. We believe this will dramatically impact the outcomes of their journey into adulthood.

In 2017, we are highlighting three community-based asset developing programs. Each program exists to equip adults, organizations, and communities with real skills, tools, knowledge, and experiences to make a greater impact in the lives of the young they love and serve. You can choose and customize the program that best fits the needs of your youth and community.

RealTalkRealTalk Drug Prevention Program

RealTalk Drug Prevention programs are geared towards those who wish to have honest conversations about drugs and alcohol, providing science-based research drugs of abuse and adolescent brain development science.

bullyinglogoNOT IN MY SCHOOL: Anti-Bullying Program

This program helps to nurture safe school and social environments through empathy and character development by equipping students with skills to increase emotional and social intelligence.

No automatic alt text available.True North Student Leadership Intensives

Every student has leadership potential waiting to be nurtured and released. When young people assert their leadership they have the potential to unleash a powerful force for creativity and change.
Contact us today to find out about cost or if you are interested in scheduling one of our community-based program at your school, church, or organization.

Conversations on the Fringe

P.O. Box 74

Delavan, Illinois 61734

Phone: 309.360.6115

Email: cschaffner@fringeconversations.com

Check out our other Fringe Initiatives too!

Conversations on the Fringe: 2016 Year in Review


2016 was our busiest and most fruitful year to date. There’s so much that happened over the year that we’d love to share with you but we’ve condensed it down to the highlights. Thanks for making 2016 an awesome year. We’re looking forward to journeying through 2017 with you.

Grace and peace,

Chris Schaffner

Founder of Conversations on the Fringe

 

Top 10 Blog Posts

  1. Youth Ministry and the Post-modern Learner
  2. Teen Gender Dysphoria and Christmas Shopping
  3. Sex, Aggression, and Adolescents
  4. How to Talk About Intimate Partner Violence with Your Students: A Guide For Youth Workers
  5. Stages of Sexual Identity Development for LGBTQ Youth
  6. Imaginative Hope
  7. Trauma-Informed Youth Ministry
  8. White Privilege
  9. Protecting Against Sexual Abuse In Youth Programs
  10. This is Your Brain On Opiates

 

Highlights

  • Youth Specialties Facebook Live Q&A Series (self-harm, addiction, depression/suicide)
  • Can the Church Be Good News to LGBTQ Youth for the Illinois Mennonite Conference
  • Can the Church Be Good News to LGBTQ Youth at Simply Youth Ministry Conference
  • Conflict Management at Youth Leadership Academy at Elgin Community College
  • Reimagining Adolescence at the Faith Forward Gathering
  • Racial Reconciliation Experience at National Youth Worker Convention
  • Student Retreat at Heights Cumberland Presbyterian Church in Albuquerque, NM
  • Guest Lecturing at Eureka College on Systemic Abandonment and Moral Disengagement for the Juvenile Criminal Justice Program

 

New Initiative in 2016

Innovative Disruption – Helping churches disrupt the status quo and discover innovative ways to reach marginalized and vulnerable youth.

Fringe Life Support Training – Helping churches help hurting youth through pastoral counseling, spiritual direction, and mentoring.

RealTalk Drug Prevention – Working with communities who desire to have honest conversations about effective drugs and alcohol prevention among area youth. We offer a variety of educational opportunities for students, parents, schools, and communities.

Reimagining Adolescence – We explore the developmental, physiological, social, cultural, and spiritual complexities of guiding adolescents through contemporary society. This event is perfect for parents, grandparents, teachers, social workers, coaches, youth workers, or anyone else that love kids and desire to walk with them as they navigate an increasingly difficult world.

AND…CHRIS RAN INTO BILL MURRAY!!! (That was a personal highlight, even though he locked up and could barely talk to him.)

 

Dreams for 2017

True North Youth Leadership Training Online Cohort – This online student leadership cohort is aimed at nurturing and activating your student’s leadership through individual and group projects that will directly impact the community they live in.

Fringe Learning Labs – Learning Labs fill in the gap that traditional youth ministry education doesn’t address. We provide an affordable, customized training experience for volunteer and staff youth workers to explore difficult issues facing yout today; issues such as race, gender, disability, sexual orientation, and mental health.

Prisoners of Love: Teen Dating Violence Education

Dirty Little Secrets: dealing with the Problem of Porn

Digital and printed resources for youth, parents, and youth workers

Incorporation as a 501c3 nonprofit organization

Youth Ministries That Nurture Resiliency In Vulnerable Youth


Young people are living in a world that seems hell-bent on breaking those who try to navigate it successfully. Likewise, the church in America has a tendency to break people as well, especially its young. If our students, children, and community youth are going to move out of adolescence into functional adulthood they will need to be resilient.

So, what exactly is resilience? Resilience is the ability to ‘bounce back’ after a tough situation or difficult time and then get back to feeling just about as good as you felt before. It’s also the ability to adapt to difficult circumstances that you can’t change, and keep on thriving.

Rick Little and the fine folks over at the Positive Youth Development Movement have identified the 7 Cs: Essential Building Blocks of Resilience. They say “Young people live up or down to expectations we set for them. They need adults who believe in them unconditionally and hold them to the high expectations of being compassionate, generous, and creative.”

Competence: When we notice what young people are doing right and give them opportunities to develop important skills, they feel competent. We undermine competence when we don’t allow young people to recover themselves after a fall.

Confidence: Young people need confidence to be able to navigate the world, think outside the box, and recover from challenges.

Connection: Connections with other people, schools, and communities offer young people the security that allows them to stand on their own and develop creative solutions.

Character: Young people need a clear sense of right and wrong and a commitment to integrity.

Contribution: Young people who contribute to the well-being of others will receive gratitude rather than condemnation. They will learn that contributing feels good and may therefore more easily turn to others, and do so without shame.

Coping: Young people who possess a variety of healthy coping strategies will be less likely to turn to dangerous quick fixes when stressed.

Control: Young people who understand privileges and respect are earned through demonstrated responsibility will learn to make wise choices and feel a sense of control.

carl-jung

This is a great grid to think through when creating programs, purchasing curriculum, and planning events. Can our efforts increase resilience in the most vulnerable youth? I think they can but it will take thoughtful intentionality.

  • What if our we created more opportunities for students to lead (in big church)? Would that increase their competence to have their leadership validated and nurtured by other leaders?
  • What if we taught a series on confidence (I can do all things through Christ who strengthens me)? Sound familiar? Are we driving this truth deep into the hearts of young people? I’m not talking about the notion that I can achieve but more the notion that I can overcome.
  • What if we continued to beat the drum of integrity and character but laced it with grace so when they fail they are able to get back on track without having to avoid the shame monster?
  • What if we did more than just allow our kids to babysit for the Women’s Fellowship Coffee? What if we actually gave our students meaningful work in the church and community? What if they led teams with adults? What if they helped plan services? What if they researched their community needs and church leaders valued their work so much that it might actually alter the organization’s mission?
  • What if we offered more than shallow platitudes to manage the hurt and pain they experience as they navigate life? What if we deliberately included emotional and social intelligence in all our teaching and small group curriculum? What if we actually modeled self-control and appropriate vulnerability of emotions? What if we taught coping skills to kids in our youth group?
  • What if we allowed teens the power of choice? What if we allowed them to make wrong choices and were there to help them process the consequences of those choices? What if we encouraged rebellion (minor rebellion) and autonomy instead of conformity? What if we didn’t overindulge youth so they develop a sense of entitlement and instead taught them the value of work and earning respect?

I wish I had learned many of these lessons growing up. More than that, I wish I had been surrounded by a great herd of adults that walked alongside me while I learned these lessons, encouraging me, walking beside me, challenging me by raising the bar, modeling resilience, and not giving up on me when I screwed up. I imagine that sounds a little like heaven to a vulnerable teenager and that’s the point, isn’t it?

Trauma-Informed Youth Ministry


I went to a training on creating trauma-informed systems of care. I was impacted by the implications on schools and youth ministries. People often look to the church for hope in the midst of tragedy. The church can be a place of good news and healing if they take steps to be trauma-informed in what they do.

Print

Trauma studies report 70% of all adults have experienced some form of trauma. Trauma experiences can range from a simple car accident that results in injury, to gang violence in the city, to physical or sexual assault, to repeated name calling, to being in high stress environments such as jail or prison. 90% of those people suffering from trauma end up in public behavioral health systems seeking support and therapy. 70% of teens who seek treatment for addiction report having traumatic experiences in their young lives, often repeated trauma. New research has revealed trauma can actually derail normal development of the body, brain, and cognition.

SAMHSA (2012) reports “individuals can be retraumatized by those whose intent it is to help”. Trauma clearly interferes with healthy brain development and coping measure become problematic (i.e., substance use, avoidance, aggression, risky behaviors).

As we engage youth in our programs (especially schools and churches) we must understand the principles of trauma informed care.

Understanding attachment theory should be required for all who work with children and adolescents. Attachment theory is best explained as the type of connection (attachment) one has with their primary care givers as a child. When the infant/child is cared for and nurtured the growing infant develops a sense of security that their needs will be taken care of. As a result, the child will likely develop into an adolescent/young adult who is autonomous, self-controlled emotionally and behaviorally, well-formed identity, and can adapt to changing circumstances.

A child who experiences high levels of stress or trauma is more likely to develop insecure or avoidant attachment styles of interacting with the world around them. If they are victimized, they will likely be extra weary of people and see the world as unsafe. Due to this worldview, the child has to develop maladaptive ways to interact with the dangerous world they live in.

When a child experiences trauma the architecture of the brain is changed and emotions and cognition are not integrated. The separate regions of the brain do not communicate effectively with one another so, when something triggers a memory of trauma that fear signal cannot be challenged with rational thought because the pathways have been disrupted. This means everything is a potential trigger for re-activating the trauma.

One example of this is when a young person, that has been sexually abused and threatened or coerced into not reporting the abuse, is told by a well-meaning youth worker that she cannot have her cell phone on the retreat away from home. The reason for this is so the student can focus on God without the distraction of modern mobile technology. Unfortunately, a trauma-impacted student may experience this as a loss of safety that reignites the feeling of being powerless to call for help if needed.

Children and youth are vulnerable populations but there are intersections that increase their vulnerability because we live in a society that marginalizes anyone that is different from the norm (i.e., LGBT, people of color, disables, gender, religion, class, etc.). The greater the number of identity intersections the higher the likelihood of victimization and trauma. Think about the homeless black teenage girl who was kicked out of her house because she identifies as a lesbian. She also recently dropped out of school because she has a learning disability. Now, in order to survive on the streets, she resorts to survival sex with strangers just for a warm bed and a hot meal. This is traumatizing if it happens just once but for many marginalized youth, this becomes a way of life.

If a young person is handled with care, healing can occur. Our school or church can help this precious child begin the healing by creating a trauma informed program or ministry. This starts by educating staff and volunteers. Bring a local therapist, who specializes in trauma, to speak to your team about the impact of trauma and how to be more informed as a team. There are also plenty of resources on the web. Conversations on the Fringe has several blog posts dedicated to trauma.

Another way we can help a hurting student is by creating safe spaces for them to walk with Jesus. Their journey may not be as linear as most of their peers. Cultivating an environment for vulnerability is of the utmost importance but remembering the classroom or youth ministry room is no replacement for a qualified and trained therapist.

Trauma impacts whole family systems. They will need support as they begin the journey to freedom and healing. Trauma alienates and can lead to isolation for families who are ashamed, embarrassed, overwhelmed, and hurting themselves. They need your friendship more than anything. Be present. Sit quietly. Cry with them. Bring meals to families sorting out their trauma stories. Incarnate real love and support. Prayer is good and essential but no replacement for a hug or wiping away tears or a warm dinner.

Lastly, creating a trauma-informed program is a justice issue. If a traumatized young person is to ever recovery a sense of goodness and justice in the world, if they are ever to let go of the natural anxiety of being victimized and move out into the world a whole-hearted person, they need to know and experience goodness that brings balance to their life. Trauma leaves such a powerful and deep impact on the mind and soul that it will take good people doing good to re-establish equilibrium to their mind and soul. The issue of justice cannot be avoided in human service or ministry organization because, it is the heart of why people seek help for trauma in the first place.

What does justice work look like for victims of trauma? What does it look like for perpetrators of trauma?

White Privilege


There’s no denying who I am. I am a white, middle-class, straight, American, Christian male. I, and others like me, and we are legion, we are many, and we are in control of the American culture.

I have more power over my life than most others around the world. I didn’t steal this power from others. It was given to me by a generation of white males that didn’t steal it either. I’m not sure how far back we’d have to go to find the culprits but somewhere along the way (there are definite benchmark though), someone took power that wasn’t theirs to take. Using and benefiting from power that isn’t mine to begin with makes me complicit in the act of theft.

If someone steals a television from their neighbor and sells it to me without telling me it’s stolen, I cannot be held responsible for the theft. I may still have the privilege of using it and watching cable and movies on it but I’m not aware it shouldn’t be mine to begin with.

Once I learn the television is stolen (wake up), I have a moral and social responsibility to address this problem. If, instead, I just keep using the television, knowing it was stolen, I am complicit and an accessory to the act and I am equally responsible for the harm committed against the neighbor from which the television was stolen from.

I order to stay asleep (in denial about my privilege) I have to morally disengage. You can read about that here. Moral disengagement is the cognitive process where we justify our harmful actions towards others. It’s mental gymnastics.

I have come to the conclusion this year that I have not only profited greatly from this privilege but have sought to protect it by personally and systematically oppressing other people groups, other beloved children of God. I have undergone a personal, internal awakening, one in which I have become painfully aware of the origins of my privilege and the toll it has taken on others. Here’s a great post on how white people experience white privilege.

I once heard a talk at a conference in which the speaker talked about three phases of change; orientation, disorientation, and reorientation. 2016 has been a period of disorientation and I’m hoping 2017 will be a reorientation to a new normal. The disorientation started long ago but I became acutely aware of it this year while reading the following:

Peter’s Vision

9 About noon the following day as they were on their journey and approaching the city, Peter went up on the roof to pray. 10 He became hungry and wanted something to eat, and while the meal was being prepared, he fell into a trance. 11 He saw heaven opened and something like a large sheet being let down to earth by its four corners. 12 It contained all kinds of four-footed animals, as well as reptiles and birds.

13 Then a voice told him, “Get up, Peter. Kill and eat.”

14 “Surely not, Lord!” Peter replied. “I have never eaten anything impure or unclean.”

15 The voice spoke to him a second time, “Do not call anything impure that God has made clean.”

16 This happened three times, and immediately the sheet was taken back to heaven.

17 While Peter was wondering about the meaning of the vision, the men sent by Cornelius found out where Simon’s house was and stopped at the gate. 18 They called out, asking if Simon who was known as Peter was staying there.

19 While Peter was still thinking about the vision, the Spirit said to him, “Simon, three[a] men are looking for you. 20 So get up and go downstairs. Do not hesitate to go with them, for I have sent them.”

21 Peter went down and said to the men, “I’m the one you’re looking for. Why have you come?”

22 The men replied, “We have come from Cornelius the centurion. He is a righteous and God-fearing man, who is respected by all the Jewish people. A holy angel told him to ask you to come to his house so that he could hear what you have to say.” 23 Then Peter invited the men into the house to be his guests.

I spent the better part of the past year meeting with, talking to, interviewing and blogging and speaking about marginalized and vulnerable populations of people; LGBTQ youth, heroin users, racial minorities, refugees, people with disabilities, and people in the criminal justice system and the more time I spent listening to them the more ashamed I became of myself. I also became ashamed of my faith, for it was guilty of the same thing.

The focus of what I’ve learned this year is the danger of having too much (personal and corporate) dominance over a culture and how the systems that govern it may be contributing to a larger problem that will impact our personal and corporate faith for a long time to come.

As a white, middle-class, straight, American, Christian male, I am part of the power structure at the top of the ladder. When any group rises to the top it is often accompanied by a sense of privilege. It’s the “Good Ol’ Boys Club” mentality. And, it often happens without its members even knowing it. As a result of one group believing it has privilege, another group consequentially is oppressed. I have and you do not.

In other words, if people from the dominant groups, in this case, me, really saw privilege and oppression as unacceptable – if white people saw race as their issues, if men saw gender as a men’s issue, if heterosexuals saw heterosexism as their problem – privilege and oppression wouldn’t have much of a place in the future of the church. But that isn’t what’s happening. Dominant groups don’t often engage these issues, and when they do, it’s not for long or with much effect, and rarely do they address the systemic causes. I had developed throughout the course of my life; toxic ownership, entitled sense of power and control, unequal distribution of that power and control, a fear of scarcity, and a homogenous community.

When asked “How or Why?” certain responses pour out without hesitation. Because I benefited most in the dominant culture I don’t see privilege as a problem. Why couldn’t I see it?

  • Because I didn’t know in the first place. I was oblivious to it. The reality of privilege doesn’t occur to me because I don’t go out of my way to see it or ask about it and because no one dares bring it up for fear of making things worse. I also have no understanding of how my privilege actually oppresses others.
  • Because I don’t have to. If you point it out to me, I may acknowledge that the trouble exists. Otherwise, I don’t pay attention, because privilege shields me from its consequences. There is nothing to compel my attention except, perhaps, when a school shooting or sexual harassment lawsuit or a race riot or celebrity murder trial disrupts the natural flow of things.
  • Because I think it’s just a personal problem. I thought individuals usually get what they deserve, which makes the problem just a sum of individual troubles. This means that if whites or males get more than others, it’s because we have it coming – we work harder, we’re smarter, more capable. If other people get less, it’s up to them to do something about it.
  • Because I want to protect my privilege. On some level, I think I knew I benefited from the status quo and I just didn’t want to change. I felt a sense of entitlement, that I deserved everything I have and wanted, including whatever advantages I have over others.
  • Because I was prejudiced – racist, sexist, heterosexist, classist. My attitudes use to be consciously hostile towards blacks, women, lesbians, gay men, the poor. I believed in the superiority of my group, and the belief is like a high, thick wall. I developed circular reasoning to protect against myself against cognitive dissonance.
  • Because I was afraid. I may be sympathetic to doing something about the trouble, but I was afraid of being blamed for it if I acknowledge that it exists. I was afraid of being saddled with guilt just for being white or male or middle-class, attacked and no place to hide. I was even more afraid that members of my own group – other whites, other heterosexuals, other men, the ones that affirm my power – will reject me if I break ranks and call attention to issues of privilege, making people feel uncomfortable or threatened.

So there you have it. That’s me, or more accurately, the old me. A work is being done in me, as I look back throughout the last decade, especially as I look back over the last year and what has brought me to the place I am today. In my heart I want to have this vile, evil purged from me. I want to do the right thing.

Although doing the right thing can be morally compelling, it usually rests on a sense of obligation to principle more that to people, which can lead to disconnection (injustice) rather than to restorative justice (reconnection). I take care of my children, for example, not because it’s the right thing to do and the neighbors would disapprove if I didn’t, but because I feel a sense of connection to them that carries with it an automatic sense of responsibility for their well-being. The less connected to them I feel, the less responsibility I feel. It isn’t that I owe them something as a debtor owes a creditor; it’s rather that my life is bound up in their lives and theirs in mine, which means that what happens to them in a sense also happens to me. I don’t experience them as “others” whom I decide to help because it’s the right thing to do and I’m feeling charitable at the moment. The family is something larger than myself that I participate in, and I can’t be a part of that without paying attention to what goes on in it and how everyone is affected.

So, maybe that’s where I start today, maybe that’s where we all start…paying more attention to all the members of the family. Not just the few that look like us. But, it can’t just end there, as it usually does. We must share our lives and resources, breach cross-cultural barriers, take risk, and sacrifice our comfort if the church is to ever be what God intended for it to be.

Where do you see privilege in your heart and your community? Where do you see overt or subtle oppression? What unconscious biases are you becoming more aware of? What conversations do we need to start? How are our youth being shaped by privilege and oppression? Do we have real friendships with people not from our tribe? Do you have ideas and beliefs about people but don’t intimately break bread with them on a regular basis? Maybe that’s where we all start…That’s what Peter did when the Spirit showed him the vision. It took him three viewings, so know that we’ll struggle with this initially. That’s ok, embrace the disorientation and trust that God wants to reorient you to a new way of thinking, living and loving.

What Does Effective Treatment Look Like (part 5)


image

The treatment of prescription drug and heroin use is one of the most pressing issues facing our country right now. Across the country, opiate related overdose deaths, fueled by prescription pain killers, now takes more lives that car accidents, with nearly 100 Americans dying from an overdose EVERY DAY.

Given the current state of affairs related to opiate use and abuse, current legal, regulatory, and budgetary constraints, federal agencies and the White House have been working hard to develop guidelines for effective treatment  and to generate and direct resource at this epidemic. But, on the frontlines, counselors and treatment professionals are trying to figure out what will really help and what doesn’t.

There is no silver bullet for a disease as complex as opioid addiction. Research does reveal the longer a person is involved in treatment the better the outcomes. There needs to be an alignment of the stars to get all the wheels of treatment and recovery to move in the same direction. It is not impossible but, without the needed resources, it is very difficult. Let’s take a look at what effective treatment looks like.

1. Individualized Treatment Planning
Each individual comes to treatment with a unique set of circumstances. Some are caught in a domestic abuse situation, others at involved with Children and Family Services, yet others are facing serious legal consequences. Most are simply aware that the path they are on will end in death. Because of the myriad variable in each story, effective treatment must be responsive to the individual needs and considerations. That doesn’t mean there aren’t universal skills each person will need, such as relapse prevention skills, it simply means that a cookie-cutter approach isn’t helpful when everybody starts at a different place.

2. Level of Motivation
Besides the unique process that led an individual to seek treatment there is also a unique level of motivation for each that should be considered. Many develop a sense of hopelessness that they can every get this monkey off their back. Others, while drug dependent, haven’t been motivated by the consequences to quit yet. One of the ways humans resolve the cognitive dissonance between what we do and how that impacts our lives and the lives of those we love, is denial. It’s a protective mechanism that keeps us from being overwhelmed with guilt, shame, and remorse, but also enables ongoing drug use. Understanding a person’s level of motivation is key in helping them through the process, when they are motivated.

3. Understanding the Science of Addiction
We have learned so much in the last 10 years about the brain that we struggle with presenting current information because what we are learning is outpacing our ability to integrate it into treatment. But, people desire to know how the brain works and how drugs affect it. The more you understand that science of behavior and addiction and what is happening in the brain the greater the sense of being able to control what is happening. For example, if a person in treatment learned about how the brain is rewired through drug use and what new behaviors will help the brain heal and rewire into healthier behaviors, that is empowering. There is meaning and understanding to the choices they make. Plus, science is cool.

4. Cognitive Behavioral Therapy
There is a direct connection between how we think about ourselves and the world we live in and how we behave. If someone is afraid of flying and they believe planes are unsafe, they will not likely fly anywhere. But, when that thinking is challenged with rational thinking, such as how safe flying actually is, and that you are more likely to be injured in a car accident that have your plane fall from the sky, you are more likely to fly. Good treatment helps the individual challenge and replace irrational thinking and evaluate it in the light of reality. When you live under the fog of addiction you live in survival mode. There is so much deluded thinking that is necessary to navigate that world but is problematic once an individual enters recovery.

5. Wellness
The mind and the body and intricately connected. The benefits of healthy habits are well documented. For the opiate dependent sleep, exercise, and nutrition are essential to quality recovery.

6. Family Engagement
Just because the wind from the storm is over doesn’t mean there still isn’t work that needs done. The family has taken a toll because of their loved one’s addiction. Work needs to occur to rebuild trust and habits of relating to each other. Imaging living with someone and you both speak English (the language of addiction/anger/stress) and then someone goes to treatment or seeks out recovery. In recovery they speak French (recovery, therapy). Now, you have two parties trying to co-exist and they can’t communicate because they speak different languages. Both groups need to be speaking the same language if restoration of relationships is to occur.

7. Accountability
Drug use monitoring is an important part of the recovery process. Drug screens and medication counts help bring accountability to the person in recovery. Because old habits die hard, the need for someone to ask tough questions and to provoke honest dialogue is also necessary. This is most effective when there is trust and rapport between the two parties.

8. Co-occurring Conditions
Many times drug using individuals are self-medicating because of a co-occurring condition, such as PTSD, depression or anxiety. Taking opiates, benzos, or other depressants can give temporary relief to an often debilitating condition. If these conditions are not treated, relapse is imminent.

9. Employment Support
Studies show one of the biggest predictors of sustained recovery is gainful employment. Working gives the individual a sense of purpose, accomplishment, and independence. This can be a challenge if you have a felony record or a spotty work history. Having someone trained to walk alongside you while job seeking can be an indispensable source of encouragement and support.

10. Pro-Social Recreation
Anhedonia is the inability to experience pleasure. This often occurs when the reward center has been hijacked due to years of opiate misuse. When you experience pleasure so off the charts over and over again, the brain rewires to that level as the new default. Anything less than that is no longer experienced as pleasure. Boredom is a HUGE trigger for people early in recovery precisely for this reason. Who wants to live an existence where they experience no or low levels of pleasure in anything. Retraining the brain to enjoy (pleasure) life is also an important part of the recovery process. Developing new hobbies that are not related to using drugs, listening to music without getting high, being sexually intimate without having to use first are all difficult for the person early in recovery.

11. Criminogenic Needs
Do you know what you get when you sober up a horse thief? A sober horse thief. Criminal attitudes and behavior are a part of the lifestyle associated with drug use. The mere fact that someone uses drugs means they are engaged in a criminal act. Along with behaving in a criminal manner means adopting criminal attitudes that support or endorse your behavior. This needs to be undone if someone is going to thrive in recovery.

12. Case Management
Because the person can be caught up in other systems there is a need for effective case management. It is possible that a drug using individual ca be on probation, Children and Family Services, Drug Court, see another therapist for past trauma, or a host of other service, all aimed at helping them get back on the right path. Effectively communicating with these other services is necessary, as is making appropriate referrals to address these needs.

13. Harm Reduction
I won’t say much about this now because I’m designating a future blog to this but Harm Reduction is the idea, that if an individual is not willing or struggling to abstain from drug use, how can we support them where they’re at? For example, providing clean needles is proven to prevent the spread of blood born disease common among IV needle users. This also reduces the associated cost of health care for treating someone, likely without insurance, in the emergency room and ongoing treatment for Hepatitis C, a commonly spread disease among IV needle users. This is a controversial strategy but one that is often misunderstood. We’ll explore this in greater detail.

14. Intersections
Individuals are unique and complex. There are other intersections to consider when providing effective treatment, race, ethnicity, gender, religion, sexual orientation, ability/disability, age, educational levels, and a host of other considerations. All which need to be addressed when providing individualized treatment.

15. Recovery Community
Yes, addiction has biological hooks. The pleasure is such a powerful reward that it draws a user back with powerful cravings. But, more often that not it is reinforced by the community of peers we surround ourselves with when using. Recovery is no different. Creating the community we crave, that was denies by our addiction, is one of the most powerful reinforcers of remaining clean or returning after a relapse. Recovery has more to do with being connected in meaningful ways than just about anything else. The pain of alienation and isolation, the pain of being marginalized and feeling outcast, the deep hurt of feeling utterly unloved and unlovable will drive addiction to dark places we never knew existed. If we are going to heal our those addicted in our communities we must be willing to venture into those dark places and lead them out.

We are constantly learning more about what it means to be a person dependent on opiates every day. In spite of the progress we are making, not everyone who needs treatment can access it when they need it or are motivated to seek it. We’ll address barriers to treatment in our next post. 

A WordPress.com Website.

Up ↑