Friday, November 19, 2010

The Heretic's Guide to Working With Kids: Installment #5


l  Missionaries, Mystics, Mentors,  Mavericks and Masters

Missionaries
I have been involved in the alcohol, tobacco and other drug prevention field for nearly 14 years. Like many in my field I am a 'recovering alcoholic.' With over 20 years of sobriety I can now view my present with the disdain of hindsight. I started out as a missionary like most other folks in this field. I wanted to save every single student that came my way from the ravages of the disease of addiction....
Missionaries start out with a set of cultural assumptions. They assume that their way is right, that the way of others is inferior and that their God Given task is to convert all the ignorant heathens to the true and right path. Missionaries begin and end with dogma. Never wavering in their task, they have a frightening certainty that they are right and everybody else is wrong.
The missionary stance begins with the peculiar Western position of Good and Evil. In this cosmic epi-tragic comedy, they represent the forces of light and Good. Drugs, the people who use them and everything associated with it is Evil. Bearing the sword of righteousness, they bring their programs, techniques and media to bear down upon the infidel. Notions such as the medical use of marijuana do not fit easily into this duality and are thus dismissed as bad science.
Data, research, measurement and evaluation are the hallmarks of the true believers. Any approach which cannot be quantified and distilled into a curriculum that all must use is suspect. This path, of course, creates enormous bureaucracies and institutions. The weight and enormity of all that data, the books, pamphlets, videos and surveys needs buildings to be housed in, cocky young data heads, managers, their supervisors and of course...forms.
Outreach is fundamental in the roots of America's approach to alcoholism. The curious dichotomy of Alcoholics Anonymous which states on one hand “attraction rather than promotion” and sends an army of simple minded zealots into the heather through the 12th step creates a subcultural schizophrenia in the recovering community. They must convert everybody they can but not tell anybody. They have to remain anonymous.
Prevention missionaries initially started with the belief that if they just told everybody their truth, then of course all would see and everybody would be saved. They felt no need to pay attention to simple developmental psychology, Maslow or even the casual observations of teachers who tried to tell them that giving middle schoolers information about anything just made them curious. The missionary model, beginning with the cultural assumptions of good and evil, created albatrosses like DARE. DARE relied not only on the information model and scare tactics. They also created a police state situation in which students were encouraged and rewarded if they turned in their parents.
The incredible acceptance and funding which this program received testified to its alignment with Western modes of thinking. It ignored such possibilities as dirty cops and denied mountains of research which generally indicated that DARE generally only resulted in “better informed users.”
Anomaly and Hypocrisy are the twin flags of the missionary. “If you use drugs (tobacco, alcohol, etc) then someday you're going to die” becomes easily interchangeable with “if you don't believe like we do then someday you will go to hell.” “Someday” is not a concept that most kids will ever understand. What is worse, in the case of those who begin abusing substances early in life and so never reach developmental milestones, “someday” is just another abstraction.
The missionary philosophy manifests itself through campaigns (crusades}, task forces, local advisory boards and in the school system through “prevention clubs.” The end goal of course is to create more missionaries and ultimately a body of believers who have been saved...........
I have a fat bias. I admit it. I own it. I joke with people that while some girls have a biological clock which logically results in teenage pregnancy, my family has a fat clock in which we can only press the snooze button. With this knowledge, I religiously exercise, watch my diet and do an internal cleanse twice a year.
With this baggage in mind I sat dumbfounded through an all day presentation about the evils of tobacco from a presenter who was easily pushing 400 pounds. She was a walking heart attack warning kids about health issues. Prevention missionaries love data but they also select their data carefully. America's court jester Mark Twain warned us over 100 years ago that: “there are three kinds of lies: lies, damned lies and statistics.” Cruising with tunnel vision down the war on drugs highway with the warning of “someday” and “death.” we are often just part of the background chatter in a noisy information world.


Mystics
Mystics are often full of shit but it is entertaining shit. Mystics by nature are searchers, questioners and heretics. You will only rarely find them at the top of the large bureaucracies created by the counseling industry. Heretics love to point out such discrepancies as the obesity created by the junk food industry and use the system's numbers against them. There are some 450,000 deaths from tobacco, 360,000 deaths from obesity and over 100,000 deaths from what the Harvard Medical Review calls “medical misadventure.” Heretics like me love to point these things out. I have suggested that if we are going to use punishment, interdiction and incarceration as primary approaches then all addictions should be punished equally. This would put the obese donut eating cop in the same cell as the heroin junkie and  the person who consumes resources than the planet can sustain. Move over tweaker, you're bunking with Bill Gates tonight!
  They like to ask questions about the role of sugar and nutrition in behavior. Perhaps we should do yoga, jog or do tai-chi before we medicate that client...
The immature mystic is full of answers, solutions and anecdotes. “Mrs Dawson, if your class would do 7 sun salutations per day you would have no behavior problems all day long.” As my good friend and veteran Bill Smith knows, “shit is what happens when plans hit the light of day.” Fuzzy logic based mostly on personal but not universal experience..... Mystics in their personal search for truth often find it. With a missionary ethos buried in their subconscious they assume that their truth will work for everybody ....
The mature mystic may have discovered many truths in her search. The truth searcher surfing the noosphere may have gone through multiple cycles of questing; each truth and samadhi in a spiral to the center of the truth. She recognizes that each path has is its joys and foibles. The modern archetype for the mystic is the character of Socrates in “The Way of The Peaceful Warrior.” He has attained some degree of wisdom and remains at a certain level to help others stumbling the path.
That each person must find their own truth and their own path remains central to the mystic. Missionaries find this approach heresy. When this approach comes to the visceral level is becomes painful. In the addictions field it is unfortunate but true that some people never quit using. The missionary will beat his head against the wall and stoop so low as to become severely codependent with such clients. The mystic mourns quietly and prays that this sufferer will sort things out but also recognizes that each has his path in this world with lessons he cannot steal from them.
Like Socrates, the mystic is demanding, elusive, cranky and paradoxical. In the white savior motif movie “The Last Samurai” Tom Cruise, the typical cocky American approaches the master Samurai with his boken assured that enough energy and confidence will see him through. After being knocked to the ground multiple times, he looks quizzically at the master who tells him “You! Have too many minds.”
In Post Mall America, the mystic's task is doubly difficult. Today's average adolescent is so disconnected from themselves and has so much misinformation clogging their brain stems that the first task is not just to unplug the pipe but to destroy the pipeline entirely.

When I think of mentors, I think of grandpas and grandmas, kind sweet faces no longer worried about wrinkles or accomplishments. Every place you have been they have been there before. Every struggle you struggle they have walked through. They will listen with kindness to your challenges and assure at the end of the conversation that everything you are experiencing is normal, that you are okay and you will emerge intact.
Mentors listen with kindness to your new diet, all about your latest romance, your recent discovery of an age old truth. Acceptance of the searcher exactly where he is at is the code of the mentor. There are some along the path who pose as mentors. In truth they are “tormentors.” Tormentors are interested mainly in their own power. They enjoy one up/one down relationships. Their delight comes from feeling that there is at least one person in the world who is less than them....

Mavericks are the loose cannons of the counseling world. In their ideal state they are pure flow. They may dip into mystic posturing but never rest there. If the mood strikes, they may feel the need to preach and convert the masses to the new agenda, curriculum, program or thought but this rarely lasts. When they make a personal connection with a student, they become a mentor. Mavericks do not attach themselves to any approach but the approach that works at the time.
On their shadow side, immature mavericks become cynical and bitter. They reject all philosophies and so do nothing. They sit in their office and surf the net. They died but forgot to tell anybody....

  MASTERS

Lynn Duus is a master. She does everything I would never do. She helps whatever class she is advising sell donuts and hot chocolate in the mornings as a fund raiser in a school and town with an incredible obesity problem. There is a jar on her desk full of Hershey's chocolate kisses that brings a steady stream of sugar junkies to her office between classes. She is the only Republican in a school full of Democrats and she is an unapologetic Roman Catholic faithful church goer who accepts people of all faiths.
She has taken the time to learn the ropes course and some fun activities but she would not be considered a master of any of these disciplines. She crosses multiple lines of counseling professionalism. She buys clothes and shoes for students who seem to have none. She also has a small stash of granola and energy bars stashed in her desk for students who don't get breakfast. She has even taken students home to live with her. She is by many counseling standards “unprofessional.” She is a Zen master who could not even tell you what that means.
She may or may not say it but she teaches love and she has become wise. Despite her conservative politics and world view, she falls short when it comes to rules, discipline and organization. She would much rather talk a student through an agitated state  than send him to the office to face detention and suspension. She believes that such states of mind are opportunity for breakthrough rather than the time to restore order.
Like most counselors, she has a star pupil. Lorenzo is by any stretch of the imagination, an orphan. His story is familiar to those in my field. His mother was incapacitated by her disease of addiction. His father due to police state views of immigration had to stay in Mexico, his only crime being his nationality, place of birth and perhaps being poor and brown. Lorenzo's older brother John took on the task of parenting. He made sure Lorenzo woke up, arrived at school on time fed and ready to learn. When Lorenzo was in the sixth grade, the river took John's physical form forever. He drowned on a bright sunny day in July during a low water run tubing run.
The odds were against John's death. The river was the lowest it had been in years. Tubing was a daily activity that nobody thought much about. John's tube, however, drifted into a log on a tight bend and he became trapped underneath that log and drowned. Lorenzo shut down not long afterward. A kid who used to be goofy, squirrelly and mischievous began to harden. It was a slow process but by the time he was in middle school Lorenzo was smoking and beginning to experiment with alcohol and other drugs.
As such things go he was soon on probation and the legal system had their talons in him. He went through all the usual stuff; anger management, moral recognition therapy, reality therapy and of course medication. He was a wonderfully resistant client. Nothing seemed to take hold.
Until Lynn came along.

Thursday, November 18, 2010

Landing and Launching: 101 Checkins and Checkouts: Installment #8

14 Tattoos

Preparation time: Five minutes
Materials: A variety of fake tattoos and a small bowl of water for application.
Procedure:
(a)    Place fake tattoos in center of circle
(b)   Instruct participants to select three tattoos; one for how their day went, one for how they want tomorrow to be, and one for a hope for their future.

Alternatives: As a feedback exercise, have group members by consensus select a tattoo for each member. This can occur at the end of a day long retreat or as a seasonal shift activity.

Notes: Although this is generally a low risk activity, there are some cultures which forbid any sort of body adornment. American culture has come a long way in accepting tattoos. They are now more common than not but to quote the man who taught me to be a river guide: “If you must err, err on the side of caution.”

15 Student make own cards

Preparation time: 10 minutes
Materials: Old magazines, 3x5 cards, glue sticks, scissors (one pair per person)
Procedure:
(a)    Have the laminator ready
(b)   Instruct participants that they are going to make their own set of permanent check in cards using old magazines.
(c)    Cards should reflect feelings that most group members can connect to.
(d)   Distribute old magazines and scissors and 3x5 cards.
(e)    Instruct students to lay out their card designs.
(f)    Then and only then distribute glue sticks.*
Alternatives: You can easily bring this activity up to the computer age by doing it on computers.
Notes: I have had some of my most creative and revealing cards emerge from this deceptively simple project. What a student may not be able to voice they will sometimes put on a card. Less mature students may want to put up pictures of scantily clad women or alcohol. In this case I tell them that they are free to make those but they will not be part of the permanent group set.
*I have discovered through experience that if you give out glue sticks at the beginning students will immediately start plastering images on cards. Waiting for glue sticks will encourage them to be more mindful.

16 COLOR SWATCHES

Preparation time:
Materials: Absolutely Free! Go to your local hardware store and ask for all the color swatches you can get. You can use pieces of construction paper but there is a much more infinite variety of shades of color at the hardware store.
Procedure: Explain that historically colors have represented different primary human emotions. Although it may be redundant you may want to use the following list:
(a)    Red: Anger
(b)   Blue: Sadness
(c)    Green: Jealousy and Envy
(d)   Yellow:
(e)    Brown:
(f)    Black
(g)   White
(h)   Purple: Higher consciousness

Explain further that emotions generally go on a scale of intensity.

Lay out the colors in  a spectrum from lightest to darkest. For example, a pale shade of pink represents only mildly angry whereas dark pulsing red represents rage

Notes: Different cultures may have different connotations for different colors. For example in one culture red represents unity because red is the color of blood no matter what color skin you have

Tuesday, November 16, 2010

Integrated School Health Tip#7: Sugar Mamas and Sugar Daddies

Nope. Sorry. This is not that rich man you were hoping to find on match.com or the gorgeous female widower heiress who has suddenly taken a liking to you. These are real people who are part of a real problem: childhood obesity.

If you work in schools or other institutions that serve youth or live in a neighborhood with kids you have met these people. She is the teacher with the great big jar of candy on her desk or the counselor who hands out mountain dew as part of the counseling session. I used to look at these people as relatively harmless. They just wanted to make kids feel good. Sugar tastes good. Sugar makes kids feel good. What's the problem?

Now I see sugar mamas and sugar daddies as part of the problem.

It seems so innocuous. It's hard to connect that friendly face handing out soda pops and candy bars to a lifetime of diabetes and all its complications but that's the way we need to start seeing these people. The statistics are in. Over 350,000 people die from obesity related causes. This is second only to tobacco with its approximately 450,000 victims.

From a strictly behavioral standpoint rewards are a bad idea. It reduces children to the status of dogs being trained to fetch a ball.

"Rewards are no more helpful at enhancing achievement than they are at
fostering good values. At least two dozen studies have shown that people
expecting to receive a reward for completing a task (or for doing it successfully)
simply do not perform as well as those who expect nothing (Kohn, 1993)."
 
Of the many ways to change behavior, punishment and reward are the least effective. Our overflowing prison systems are ample evidence of this. I still remember an incident from my own junior high experience back in 1975. I was sitting on the table in the cafeteria. A male teacher walked by and told me to get off the table.Like a good teenager I did so until he left. As soon as he was out of sight I sat back on the table. He came by two more times and each time I was sitting on the table. After the third time he marched me to his room and gave me a "hack." For the uninitiated, a "hack" was a legal form of physical abuse back in those days.In my school it was the males who administered this abuse.They took great pride in their prowess and each had their own special wooden board. You generally were forced to grab your ankles and then endure at least one swat with a wooden paddle.

This changed nothing for me. But I did learn to keep a wary eye out for that teacher in much the same way I would watch for the school bully.
 
Rewards and bribes are just the flip side of punishment. They elicit the same range of emotional responses.Kids who do not get a reward while others do endure the same level of shame and embarrassment as does the child who is publicly punished.
 
This is all well known psychology. I am not making news here.
 
I hear a variety of rationalizations from the sugar mamas and daddies. One person tells me she does it so kids will come into her office and talk to her. In my over 25 years of youth work I have never had to bribe a kid to come into my office with anything. I have always had a steady stream of young clients. Another teacher explains that if he doesn't have his soda reward system he can't get the kids to do anything. I have a radical response to this now. I used to be more tactful.

If you have to bribe kids with soda or candy to get them to do something, perhaps you should consider another profession.

In my years as an alcohol, tobacco, alcohol and other drug counselor I am always asked what I consider to be the gateway drug. I inevitably point to the pop machine. Pepsi and Coke, not marijuana and cigarettes are the original gateway drugs. They set up the brain's reward centers for addiction on multiple levels. If you doubt this, think about what happens when alcoholics quit drinking and smokers quit smoking. Their sugar intake increases. They revert to the source addiction.
 
You may know my thinking by now: With the lifetime of health risks and misery obese children will endure I see sugar mamas and sugar daddies as just different types of dealers. If we feel a need to contribute to their diabetes because of our own lack of skills we need to rethink everything, perhaps even the entire school system but that's a longer essay.


Wednesday, November 10, 2010

The Wild Wild Wild West of School Lunches #6: Corn Dogs

Yesterday I thought I'd take a chance and eat school lunch. Most days at this particular school the offerings are actually somewhat healthy. But when I wandered into the kitchen I was greeted by the sight of an enormous pan of corn dogs.The idea seems fun, perhaps even sound. A hot dog dipped in corn batter seems innocuous. I love cornbread. I love healthy hot dogs.What harm could there be in that? It it was just cornflour and meat, it might be okay but like the rest of our industrial supply things are never quite that simple. I quickly changed my mind about partaking of the school lunch. On the way of the kitchen I spotted several boxes that the corn dogs had come in.

I became curious.

Making sure nobody was looking,and sneaking around like a thief, I secreted the contraband box up to my office and started reading.This is what I found. This is the complete ingredient list:


Enriched flour:( wheat, malted barley niacin iron, thiamine mononitrate) ,ribolflavin  folic acid sugar, yellow corn,Enriched degermed yellow corn meal:( yellow corn meal, niacin, iron, thiamine mononitrate), riboflavin,folic acid, Sodium acid pyrophosphate.Soybean oil,Salt,Egg yolk,Potato flour,Egg white,Dried honey,Artificial flavor,Fried in vegetable oil

Chicken

2% or less corn syrup solids,
 potassium lactate: , sodium lactate, spices, sodium phosphate, sodium diacetate, flavorings ,sodium erythorbate, sodium nitrite: 

CONTAINS WHEAT SOY EGGS AND GLUTEN

Hmmm.

In addition to having an inherent mistrust of "brown" food I have come to wholeheartedly mistrust  the food substitute  known as "mechanically separated chicken." Years ago when I was evolving into an enlightened omnivore I ate chicken sausage because I thought it presented a healthy alternative to beef. Eventually, however, I started  wondering what "mechanically separated chicken" looked like. I envisioned an entire chicken going into the poultry industry equivalent of wood chipper beak first with feathers, beak and feet included.

I wasn't that far off.

Mechanically separated chicken is all that stuff left over after the chicken has been butchered. It's ground into a paste and various fillers and binding agents are added to make it appear to be meat. But by law it cannot be labeled as meat. Another mystery solved. If you've ever eaten a chicken leg, think about all the various parts that are meat like (gristle and small bones). That's the stuff that goes into your corn dog, Mcnuggets and almost all other industrial chicken products.

So that's the "meat" part of your school's corn dog.

With my personal guidelines on reading labels I quickly discarded the notion of enjoying a tasty dog: With a product like corn dogs, the first two ingredients should be something like meat and corn flour. For the intrepid epicurean, however, I took the time to research some of those strange sounding names in the ingredients list. I noticed that the manufacturer (eating note: when you refer to a food supplier as a manufacturer rather than a grower or farmer, take caution) took great pains to highlight Wheat, Soy, Eggs, Gluten which might actually be the healthiest part of that tasty treat. These products are highlighted to warn people with allergies and intolerances to those substances. Strangely the manufacturer felt no need to warn us all about five different types of salt in their product.


For the curious, here are some of the highlights of what I found:

sodium nitrite: "The jury is out on how harmful these substances are. Sodium nitrite reacts with stomach acid and other chemicals in the stomach to produce nitrosamines, which have been shown to cause cancer in animals when consumed in large quantities.

Sodium bicarbonate "contains a large amount of sodium. If you are on a sodium restricted diet or have high blood pressure talk to your health care professional before taking sodium bicarbonate."

Sodium acid pyrophosphate :
Ingestion:
Causes irritation to the gastrointestinal tract. Symptoms may include nausea, vomiting and diarrhea. Phosphates are slowly and incompletely absorbed when ingested, and seldom result in systemic effects. Such effects, however, have occurred. Symptoms may include vomiting, lethargy, diarrhea, blood chemistry effects, heart disturbances and central nervous system effects. The toxicity of phosphates is because of their ability to sequester calcium.
Skin Contact:
Causes irritation to skin. Symptoms include redness, itching, and pain.
Eye Contact:
Causes irritation, redness, and pain.
Chronic Exposure:
Chronic ingestion or inhalation may induce systemic phosphorous poisoning. Liver damage, kidney damage, jaw/tooth abnormalities, blood disorders and cardiovascular effects can result.
Aggravation of Pre-existing Conditions:
Persons with pre-existing skin disorders or eye problems, jaw/tooth abnormalities, or impaired liver, kidney or respiratory function may be more susceptible to the effects of the substance. 



Yummy!


I don't wish to bore you with all the grim details of the rest of the ingredients but I encourage you to research one or two and see what it does to your body.Post your findings in the comments section. I tend to shy away from ingredients that include the word "pyro." Isn't that slang for someone who like to set fires? "Phosphate?" Isn't that the stuff in laundry detergent that causes all the problems in our water supply? Why is there so much salt? What does "degermed" mean? Enriched" means that they take all the good stuff out and put other stuff in.I don't know. Maybe I just have too many questions.


But let's end on a positive note. It is possible to enjoy a healthy corn dog.