An Open Letter to Parents, Teachers & Administrators Now That School Is Officially Closed

The following is a letter I wrote in response to Massachusetts’ School Closures Due to COVID19. It may or may not be applicable to your school system.
Hello all,
 
I decided to jot down a few thoughts, which you can take or leave with a grain of salt, as someone who has been a teacher, special educator, school social worker, psychotherapist, special needs foster parent and researcher over the past quarter of a century. I have been a Gen Xer since birth. I have heard how stressed parents have been getting trying to deal with online learning and although I can’t dispense clinical advice online, I have some informed opinions. This may not be what you want to hear, but here goes nothing:
 
For parents:
 
1) Please stop trying to be so productive. Our country is obsessed with productivity, it is part of what makes so many kids and adults so anxious. Let your kids eat untoasted pop tarts, sit and watch their iphones, hum to themselves, whatever.
2) Do not cook for your children all the time. Color code microwave speed buttons and have the oldest learn to “cook” for the youngest when possible. Leave out bread and some plastic knives and forks and materials for PBJs. They will be fine if they only drink milk for a day or three. They are in home quarantine not on a cruise ship, and you are not “the help.” If you refuse to let them fend for themselves and become resentful it is ON YOU.
3) Stop worrying about online learning, schools are going to need to assess kids’ academic baseline when school commences in September and reteach anyway. I give you permission to ignore the constant emails from school. They are anxious too. Consider sending your teacher a courteous email saying that your family has determined that your family’s emotional health and domestic harmony takes precedence over math and science facts, but that you may have your kiddo record a brief Youtube explaining a principle in Physics they learned playing Portal 2, or the concept of sequencing as evidenced in Plants Vs. Zombies. Assure their history teacher they will do the same for someone in Assassin’s creed. What are they going to do, suspend your child? THERE’S. NO. SCHOOL. Please don’t worry about this. If your child is an overachiever and feels more secure or relevant doing all assignments disregard the above. If your child had frequent suspensions or school phobia because education WAS their primary stressor please do not try to recreate the stress at home, but instead embrace this divine gift for the next few months.
4) Try to throw money at problems if at all possible. If everyone is online at home invest in the highest speed internet plan available. Get an extra iPad or PC or if possible get one for everyone. For every article about too much screen time I can send you two that discuss the benefits of screen time. If you all can Netflix/game/chat simultaneously without lag you will get along much much better.
5) Please don’t worry about screen time. Please don’t worry about video games causing violence. That is a moral panic and poorly correlated research concept. In fact, more of us have been on screens/gaming this year than ever, and it is the first March in 18 years we haven’t had a school shooting in the U.S. There are lots of articles which can show you how to use video games for educational purposes I can share with you: This is only to calm you down—play is inherently beneficial to cognitive development, so ideally you would just let kids play the games they like.
6) That said, if your family wants to sleep in the traditional fashion, i.e., at night, please switch from visual things (screens, reading, staring contests) to auditory ones (Audible stories, music, campfire songs) 90 minutes or so before your target bedtimes. When our eyes are working they tell our brains to stay awake. Listening to talking puts them to sleep—you probably know this already if you still attempt talking to your teenager.
 
Teachers:
 
1) Be subversive. Please try to avoid passing on institutional expectations if you think they are performance-based. If you are still a fan of performance-based expectations at this time please seek out therapy. The rest of you make silly videos of yourselves that showcase the creativity that got you into education in the first place. Dig deep I know it is there, I have worked with many of you and know that most of you don’t hold to the old adage “never let them see you smile before Christmas Break.”
2) Take care of yourselves. Meet colleagues online for coffee via Zoom and complain about the children or your families or whatever just like you used to during your 5 minutes of unscheduled time. Revel in the new freedom that comes from being able to use the bathroom whenever you want without worrying about 25 people waiting for you in your classroom. Do not assign any homework that you are not looking forward to reviewing 30 times while your spouse is playing the television too loudly. Remember those headaches, they haven’t been there for several weeks have they? Take the hint, don’t assign any homework at all.
3) Focus on your student’s parents more than the students. They don’t know how to be you, most of them weren’t trained to be you. Try not to point out that this demonstrates how you do more than childcare and deserve the summers off. Don’t go there. Please just reassure them that they are doing enough to keep their children safe and psychologically sound, and that their children will not be unemployed and living in a cardboard box at the airport, or worse still at home, when they are 30 because school stopped early this year.
4) Create a filter for email from your school admins. Do not look at it more than once a day. They are so overwhelmed they will not notice. They may have children at home they are feeding pop tarts to. They are probably dealing with budgets now. They are definitely giggling inappropriately sometimes.
 
School Administrators:
 
1) Please don’t be defensive. I know, nobody understands what you do, and they never call you unless there is a problem. It is lonely at the top, and now the top has multiple abandoned buildings that still are falling apart. It is also true that the Bureau of Special Education Appeals is forging ahead with zoom like the rest of us, so no respite there. And even though you all look (and are) tough I know you feel responsible for every single adult, adolescent and child in your district for everything. You aren’t but I know you feel that way. Try to remember that every one of the 200 emails/calls you got today doesn’t know about the other 199. Only you do, and it is exhausting. So breathe—getting defensive will only make it worse.
2) Model Self-Care. Mention loudly to your teachers and principals and assistant principals that you are in therapy, have a zoom peer group, whatever you are doing to keep yourself from going off the deep end. Limit your exciting emails about resources to one digest a day at the end of the day. (They won’t be reading them until the next morning anyway, see Teachers, 4, above.)
3) Encourage silliness wherever possible. Anticipate filling out state waivers for EVERYTHING this summer. Kick every can that has “MCAS,” “Curriculum Frameworks” or other bureaucratic jargon down the road you can. Be aware that you are demonstrating unprecedented leadership in our recent history. Did Churchill talk about “standards-based assessment” during the Blitz? I think not.
4) Plan to pivot. There are many reasons to believe that there will be another round of this in the Fall/Winter. Use the current closure to plan intentionally with your colleagues. Develop a district-wide pandemic plan if you don’t have one. But only do work “work” a few hours a day. The rest of the time have fun or be outrageous. Stream you and a few students playing Call of Duty on Twitch for the District. Pioneer using Tik Tok for Social Emotional Learning (SEL in 20 second increments? How can that NOT fit somewhere in the middle school schedule?)
 
There, I know that none of you may have wanted to hear that, and you may not agree, but I thought I’d give it a shot. I’ve been hearing too many of you being way too hard on yourselves during this pandemic, confusing “need for structure” with “maintaining standards.” This is not Lord of the Flies: Society will not fall into chaos if we relax our educational and parenting goals for a few months, but we might be able to lower the incidences of domestic violence and substance abuse if we can reorder our priorities a wee bit. Thanks for reading.

So Now What? : Education During a Pandemic

Parents, Educators and School Administrators are beginning to realize that this isn’t a break or a blizzard. Many of them are hitting the ground running, some are laying as low as possible this week and hoping things will settle, a few are immobilized. And every teacher I know or talk to is trying to figure out a strategies. Teachers, you know it is true: You LOVE strategies. And I love you for it. But these are strange times, and if your strategies or lack of them are making you feel stuck, maybe some of this will help. I have my two cents and then a list of resources for you.

First, my two cents, based on working in special education, public education, higher education and clinically over the past 25 years. The most important thing right now for kids right now is to stay calm, connected and establish new flexible routines at home. No homework packets, no busy work to keep them “occupied.” As tempting as this may be to administrators, educators and parents, that does not really lend to good learning, in fact it is this adherence to the status quo that partly got us into this problem to begin with.

  1. Play is OK. There is a wealth of research out there on the benefits of physical and digital play on cognition, visuospatiomotor skills, social emotional learning, and more. Allowing kids to engage in stress-relieving fun will make them better learners, keep them in contact with their peers, & feel mastery at a time when all of us are feeling little.
  2. Look for the embedded learning in the activity. This is different than trying to structure learning too much. When you are able to focus on your child between other things you are doing as a parent or online educator, try to identify what learning is happening with the play activity and maybe share it when the child is done. I say maybe because first and foremost this is for you to reassure you and calm your anxiety that your child or student is falling behind and will end up living in a cardboard box on the highway because they are playing Portal 2 rather than doing math sheets. Instead, watch the game a bit, and ask yourselves, are there things about physics embedded in the game? Does Plants Vs. Zombies have an opportunity to discuss task planning, sequencing, or math skills (hint, it does: all of the above.) Try to see the things that kids are always learning in play. Now don’t interrupt and ruin it.

Ok, I know that’s not enough for many of you. So here’s a list of some things educational innovators are offering for parents, kids and schools as resources for online learning:

From Continuity with Care to Zoom Memes for Self Quaranteens–My Internet Responds to COVID-19

Parenting (in RL) during a pandemic

Resources For Teaching and Learning During This Period of Social Distancing

THE COLLECTION :Explore thousands of artworks in the museum’s wide-ranging collection—from our world-renowned icons to lesser-known gems from every corner of the globe—as well as our books, writings, reference materials, and other resources.

Educators can also join one of my free Zoom groups (download free software at (http://zoom.us )

Thursdays 3-4 EST

COVID19 Educator Support: Not tech support. This meeting is to provide psychoeducation and collegial support for educators adjusting their teaching to COVID19

Meeting ID: 906-040-691

Password: 02554

Streaming, Path of Exile & The Repetition Compulsion

As many of you know I have begun streaming. My goal in doing this is to both have some fun, and reach a wider audience when talking about psychodynamic concepts. This is my latest attempt, in which I talk about the Repetition Compulsion in terms of farming for a unique sword in the game Path of Exile. Keep in mind that the conversation about the repetition compulsion during the stream if for a general audience, and should not be substituted for seeking out medical advice or a mental health professional. My hope is that you’ll share it with the gamers in your life, therapy practice, class, etc. And of course if you sign up to follow my Twitch channel I’d be delighted!

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Tetris Beats Nazis: Video Games & Worry

This week I have two stories about video games, one that causes worry and one that effects it.

The first, worrisome, one concerns white nationalism, video games and propaganda. For as long as we have had Nazis, Aryanism, or White Nationalism, we have had its propaganda. Art is one of the most powerful medium that propaganda gets disseminated: Paintings by Erler and Feuerbach; film by Leni Riefenstahl; and music curated by Axis Sally were all examples of how the art form was used to convey Nazism. It should surprise no one that 21st century art mediums such as video games have their own share of deplorables.

One example, which I won’t link to, from the early 21st century was “Ethnic Cleansing” which came out in 2002. Since then there have been games like “Muslim Massacre” and “Zog’s Nightmare.” The games primarily target, Jews, Blacks, and Latinos, and are often on or linked to Nazi sites. Meanwhile, young people may find themselves being solicited online, where low-to-no moderation servers and bulletin boards like Discord and 4Chan provide a safe place to foster white supremacy.

Today, NPR came out with a story worth your attention, on the rise of recruitment efforts by white hate groups in online gaming environments. Now please don’t blame Fortnite. Most video games, even the violent ones, do not blatantly pedal nazi propaganda. The few that do are pretty explicit about it. What we need to worry about is how disillusioned and disenfranchised young men are vulnerable to being recruited by domestic terror groups, and of course they will be doing recruitment where youth are, including video games. My recommendation? When hate crimes or white supremacy comes up in your family discussions please ask your kids if they ever here things online that sound like hate speech or stereotypes. Assure them that you are more interested in hearing about what they may be experiencing than pulling the plug on Call of Duty, and that this is just one thing that people need to keep an eye on in online communities.

If anything shows up in their chat, consider taking screenshots and sending it to Discord or the chat platform you are using to let them know about the hate speech or recruitment. Both things are violation of TOS, and if your child doesn’t send it and someone else does they be banned themselves. Above all, keep an eye on gameplay, the content and the chat happening while it is happening. You don’t have to be Big Brother all the time, but let family members know that occasionally the games and chat need to be without headphones so you get a sense of who their “friends” are, just like you would if the friends were visiting your home in body.

Now that I have you worried about something new, go play some Tetris. That’s right, a recent study published in Emotion, a psychology journal, found that Tetris helped distract people from worrying by helping them achieve flow experiences. I have discussed before how distraction gets a bad rap and is actually evolutionarily adaptive. Here is some more research to support that theory!

So, now that I’ve made you worry, go play a little Tetris. You can do that here. Then, tomorrow, go vote.

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Yeah? Tell That to Squirtle: The Fallacy of “Screen Time”

Recently, the American Heart Association release an “statement” decrying the dangers of screen time. The report, according to USA Today, said screen time can lead to sedentary behavior increasing the odds that kids can grow up obese. The statement says among other things,
Although the mechanisms linking screen time to obesity are not entirely clear, there are real concerns that screens influence eating behaviors, possibly because children ‘tune out’ and don’t notice when they are full when eating in front of a screen.. (USA News & World Today, August 8, 2018)
Most people won’t dive deeper than the article and it’s quote, which is problematic in itself. “Although the mechanisms linking screen time to obesity are not entirely clear,” is really a way of saying what “this is a correlative statement, which is very different than causality.” If you are unfamiliar with the vast difference between the two, this is a great video to explain it. Come back when you’re done.

The problem with these studies, once they get amplified, is that they fuel the ongoing panic we have with emerging technologies. Once again, here’s my reminder list:

1. Doing any activity for more than several hours in a row is unhealthy, with the exceptions of sleep and meditation.

2. Not all “screens” are equal, have identical lighting and spectrums, and therefore identical impact on sleep.

3. Research shows that using your eyes at night stimulates the areas of your brain that arouse you. So reading, looking at your aquarium, crosswords, and even knitting will also hinder the onset of sleep if you use your vision.

4. Whether in a scientific journal or Trump’s “400 lb guy in a basement,” can we please stop fat-shaming people? Not every heavy body type is the same, nor is obesity a moral issue. Why not focus on teaching your children to be kind, critically thinking and funny humans than focusing on their bodies so much?

In fact, I can make a very different correlation, based on my experience with PokemonGo. This summer I increased my gameplay of this screen-based smartphone app quite a bit. To date I have walked over 150 miles catching Pokemon. I also have lost 5 lbs. My experience would predispose me to conclude that increasing this screen time has actually decreased the sedentary nature of my lifestyle, and lowered my weight. Of course, the fact that I spend half of my time in a rural community with friends who like to hike in the summer doesn’t hurt either, but that’s correlation for you.

While I’m at it, since folks are so concerned with the public health of our children here are some pro-active suggestions based on other possible correlations:

  • Stop fat-shaming kids so they seek escaping reality so much.
  • Fund schools better and test them less so things like recess are longer than 15 minutes.
  • Institute better gun control so children and their families aren’t afraid to go outside and get shot.
  • Decrease stigma of trans youth so they can safely explore gender in ways other than just an avatar of a different gender.
  • Make playgrounds and athletic teams universally accessible so that kids can play and engage regardless of physical differences.

You want to connect some dots, there, I got you started. Now stop going for the low hanging fruit and blame something other than Nintendo.

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Can’t We All Just Game Along?

I had a powerful reminder about the prosocial nature of video games this week, and it was nowhere near a console screen. I was on my way home and ran into a Dunkin’ Donuts, in a town I’d never been to before and was unfamiliar with. I ended up waiting in a rather lengthy line and was a bit grumpy. I happened to be wearing a T-Shirt which said this:

I hadn’t worn it for ages, and had forgotten in fact I was wearing it until the cashier called out to me, “I love your shirt.” Cue the endorphins.

“Thank you,” I said, and smiled (which thanks to state bound learning probably cued my body to produce even more endorphins.)  Waiting in the line seemed much more pleasant by this point. I ordered my coffee and sandwich and while waiting for them received another compliment from a customer walking by.

The third person to compliment me was a man in his 40s, scruffy and in jeans and t-shirt. “I love that game,” he said. “I haven’t played it in a while though.”

By now I was in a mood that allowed me to initiate conversations, so I asked “What are you playing nowadays.”

He proceeded to tell me that his 14 year-old daughter had gotten him into Fortnite. She had enjoyed it initially for the crafting, he said, because she really enjoyed Minecraft; but now that they were playing together she was enjoying the combat as well. His face lit up as he recounted how much fun they were having together. I told him about a study that had been done by Brigham Young that indicated increased levels of protective factors against depression. He smiled at that, and we both went on our way.

We spend so much time debating the neurological impact of playing video games that we often lose sight of another dimension; that of talking about playing video games. Talking about arts and culture is a powerful social adhesive. It identifies commonalities, allows for compliments and increased levels of engagement with others, allows us to recall exciting moments and share them. All of these activities in turn facilitate attachment, and increase a sense of well-being on the neurological level. That was the best line I’ve waited in a ages!

We need to find a way to get that message to Salty Sally the Social Worker and Morose Martin the Mental Health Counselor, whose eyes grow dull at the mention of gaming when their patients bring it up. “How much time are you playing Candy Crush?” they say, in uninviting tones, and eye such T-shirts as a clear sign of video game addiction. The next patient, who comes in with a T-Shirt of Monet’s “Water Lilies,” will get a compliment on it and no such screening for an Impressionist Art Addiction. In fact, the WHO didn’t include Art Disorder this go round at all, unless you include the art form of the video game.

In this current political climate, where we are so polarized, I wonder how many bridges (Minecraft or other) might be built if we paused to ask strangers in line if they play any games? I imagine Republicans, Democrats and Independents alike play something.

If Teams Valor, Instinct, and Mystic can all get along together raiding in Pokemon Go, perhaps we can too..

 

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Taking Leaps: Fortnite, HIPAA & Psychotherapy

“You keep dying,” Sam* said. The annoyance in the 9 year old’s voice was palpable. I looked at my avatar lying face down on the screen. Another of the 100 players in the game, appearing as a brunette woman in sweats sporting a ponytail, was doing a victory dance with her rifle over me. Sam was nowhere to be seen on the screen, but I knew he was hiding somewhere in the game, and seething.

“You’re disappointed in me,” I said calmly. A moment of quiet.

“Yeah.”

“You were hoping I’d be better at this, as good as you or maybe better, and it’s frustrating.”

“Yeah… Can we try again?”

And so we tried again and again, and while we did I talked with Sam about the other adults who were disappointments to him, who kept leaving or letting him down. And I guessed that we were also talking about his frustration and disappointment in himself. And at the end of our appointment I promised I would practice Fortnite, the game we had been playing. We had turned on our webcams again so we could see each other to finish the session, so I could see that he brightened at this idea.

“Nice to see you again,” I said. He smiled faintly.

“You too.” His screen went dark.

As I reflect on the work I do with patients, meeting them where they are at, I am struck by the same issues, opportunities, and conversations that can happen in an online play therapy session. I only wish more of my colleagues would try it. What gets in the way? For some it is a dismissal of emerging technologies which masquerades a fear of trying something new. For others it is a worry about running afoul of HIPAA and being sued. If you are one of those people who wonders about how to integrate video games online into your therapy practice, read on.

 *  *  *  *  *

Quick, without Googling it; what does the “P” in HIPAA stand for?

If you are a psychotherapist or other health provider, you probably guessed “privacy.” At least that’s often the consensus when I ask this question at my talks. It would be understandable if this was your guess. You’d be wrong.

The correct answer is “portability,” the basic premise that individuals have the right to healthcare treatment that moves with them as they go through the vicissitudes of life and work. That is also where technology comes in– electronic health records, telemedicine, etc., are ways that technology increases portability by collapsing time and space so that the patient and the healthcare professional can get to work.

In therapy, that work traditional has happened in an office setting. And in the case of children and youth especially, that meant play therapy which was bounded by the space and time of a physical office. From Uno to Sandtrays to the infamous “Talking Feeling Doing Game,” we have often assumed that play therapy needs to be the games of our own childhoods. But 21st century play can, and I maintain should, include 21st century play. That’s where video games come in.

In the days of the Atari 2600, there was no worry about patient privacy, because the system was hooked up directly to a television that didn’t even need to be connected to cable. But nowadays with SmartTVs, PCs and PS4s, video games are often played online with many other people and seamlessly connected to voice chat. This can be a concern for the psychotherapist who is unfamiliar with newer technology, especially with games like Fortnite, which boast Battle Royales having as many as 100 players at a time in the same game instance.

Videoconferencing programs and online therapy using video/audio chat have been around long enough to have specifications that adapt to HIPAA’s privacy requirements, largely because there is market force behind developing products that can be sold to the healthcare industry. Video games and their platforms, on the other hand, do not have a similar demand to give them an incentive to supply. Games like World of Warcraft, Platforms like STEAM, and streaming services like Twitch were designed for gamers, not therapists, and it is unlikely they will go through the technical and legal procedures to become HIPAA compliant anytime soon.

Some therapists have begun developing their own video games, which, like most therapy games are dismally boring. They are thinly veiled therapy interventions that are disguised as play, but lack any of the true qualities of play. True, they are more likely private; but they are also boring, and easily recognizable as “not playful” by patients. Mainstream games have broader appeal, critical user mass, and better graphics and gameplay in many cases, and are more immediately relevant to the patient’s life. But they are definitely not HIPAA-compliant. So what to do?

 *  *  *  *  *

My solution, which I’m sharing as an example that has not been reviewed by policy experts, lawyers or the like, has two parts:

  1. Due Diligence– Research the existing privacy settings and technologies to maximize benefit and minimize risk to patient privacy. So for example, I structure the “talk” part of therapy to happen over HIPAA-compliant software like Zoom or GoToMeeting. We start on that platform with video camera on, until we begin playing. Then we, turn off the camera to save on bandwidth and talk over this software, not the game. Previously, I will have sent the patient or their parent a snapshot of the settings of the game we are using with the voicechat disabled if possible. We also want to lower or turn off the game sound so we can hear each other. So in the case of Fortnite, the settings would look like this:

 

2. Limited HIPAA Waiver- This is the part most therapists overlook as even being a possibility. You can ask patients to sign a release waiving in a limited capacity their HIPAA rights in order to use noncompliant technology. It is entirely voluntary and I’ve yet to have a patient decline. I use a informed consent form that I developed that looks like this:

 

These are examples of how to engage with online technologies in a clinical way that is thoughtful yet forward-moving.

 *  *  *  *  *

Whether you love Freud or hate him, most experts agree that he was one of the fathers of modern psychiatry. He was also an early adopter. He based his hydraulic model of the drives on steam technology of his era. His concept of the “mental apparatus” was likewise integrated from the advances in mechanics and his formulation of ego defenses such as projection occurred simultaneously with the Lumiere brothers’ creation and screenings of motion pictures. Regulatory concerns aside, therapists can be early adopters. Doing so would probably help our patients no end, and definitely cut down on my waitlist.

* “Sam” is based on several patients whose identifying information has been disguised to protect patient privacy.

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The Crisis Behind Crises

So far in 2018 alone, I have worked nationwide with the aftermath of one homicide/suicide in a video game server community; one threat issued over another; and 3 new requests for consultations from clinicians on how to improve their work with families and individuals related to online technology. Schools are now fielding multiple incidents of threatening language in chat rooms that get brought to their attention, and not necessarily handling them well. Multiple arraignments in district courts are pending because someone expressed violent language on gaming servers that was deemed threatening. Youth are ending up on probation for this.

I know, you’re probably thinking that I’m about to blame the technology, the erosion of family values, the rise of violence or some other social ill. I’m not. As I reflect over several of these cases, the common symptom I see is not mental illness or family dysfunction, but a crisis in digital literacy.

What all of these cases have in common is that before they got to the emergent stage, there were several opportunities for kids to solve their own problems; for educators to teach; for parents to engage or for therapists to help; if they’d seen the opportunities and had some education in digital literacy. Too often we see the end result of our dismissing or demonizing tech use. “Just leave the server, or Facebook,” we say, unintentionally further isolating kids. “You need to stop playing so many video games,” we opine, citing sketchy research to take away the one thing a person may experience some competency doing.

As a therapist and educator who has worked for the past twenty-five years with emerging technologies in mental health, I have been helping schools, clinics and workplaces identify vulnerabilities before, during and after crises. I assure you that before is the most useful and least utilized. I’m hoping you and your administrators will consider doing this differently. I have started offering custom educational offerings on Healthy Boundaries in the Digital Age, and you can find out more about it here.  I’m still doing my other presentations as well.

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Mindfulness, Minecraft & The I Ching

Video Games can be a form of mindfulness meditation, both playing and watching them. The Grokcraft Staff take you on a meditative creative session as we begin to build our I Ching Sculpture Park.  Watch, listen, and enjoy..

 

For more info on joining the Grokcraft project, go to http://grokcraft.com .  We are launching Grokcraft with an introductory subscription of $9.99 a month, & subscribers who join now will be locked in at that rate for as long as they are subscribed.  If any of this appeals to you, please check out our new site at http://grokcraft.com & please spread the word to anyone you think might find this resource useful!

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A New Startup Focusing on Minecraft & Social Emotional Learning

2015-12-15_17.20.01

Happy New Year, Gentle Reader!

I wanted to let you know about a new startup project that launches this month that you may find of interest called Grokcraft.

Grokcraft is a Minecraft server, learning lab, & community where parents, kids & professionals engage in playful collaborative social-emotional learning (SEL.) All our members are vetted & for youth require parent permission to participate.  Our counselors are available to mentor youth in SEL.  Our youth group, Grok Corps, will be open to those who want to be trained in conflict resolution & online moderation.  Our vision is that kids will not avoid conflicts as much as learn to resolve them when they arise.  We believe that in free play, children & adults can learn mindfulness, empathy & other social skills in a playful environment.  You can read more about this in our Manifesto.  With both adult and youth groups approaching with complementary educational needs & abilities in SEL & tech skills, there are constant opportunities for collaboration embedded in (most importantly!) fun.

Grokcraft is an educational rather than therapeutic milieu.  Based on the educateur model, professionals are encouraged to refer clients who would benefit from play-based social emotional learning.  Some examples of people who might refer:

  • A psychotherapist who has a patient needing to improve mindfulness, relational skills or empathy training beyond the clinical hour
  • A speech & language therapist who wants to provide a student with more opportunities for social pragmatic skills acquisition
  • A special educator who with students who need more opportunities to learn & practice SEL
  • A parent or professional who wants a child in their care to have a Minecraft community that is safe & supportive & vets each member personally

At the same time, Grokcraft provides a high-touch learning environment for adult educators & clinicians to learn how to use Minecraft in their work.  Monthly seminars for educators, in-game coaching & instruction are available to give professionals a fun way to learn & practice 21st-century game play & add it to their professional repertoire.  Some examples of professionals who may benefit:

  • A psychotherapist who wants clinical training in online play therapy techniques from experts
  • A speech & language therapist who wants a place to provide social pragmatics groups
  • A special educator who wants a secure place to have virtual field trips/project-based learning
  • A parent who wants parent guidance around digital literacy & SEL
  •  All of the above who want a peer community where they can exchange ideas & develop community that is not technophobic

We are launching Grokcraft with an introductory subscription of $9.99 a month, & subscribers who join now will be locked in at that rate for as long as they are subscribed.  If any of this appeals to you, please check out our new site at http://grokcraft.com & please spread the word to anyone you think might find this resource useful!

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Better Living Through Minecraft

2015-02-21_11.14.25

Last month I had the opportunity to talk at SXSW 2015 about how the video game Minecraft has a lot to teach us about mindfulness.  Video games often get a bad rap with mental health folks, but I try to change that thinking by pointing out that playing video games can actually be a form of concentration meditation, albeit one that does not jibe with many people’s traditional concepts of such (focus on your breathing, focus on the candle, focus on..erm, Mario?)  If you want to hear more, the Audio is here:

https://soundcloud.com/michael-langlois-6/better-living-through-minecraft-audio-version

If you want to see the visuals from the Prezi, feel free to do so here:

If you enjoy it, please feel free to share, and if you want me to come talk to you and your colleagues drop me a note.

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The Lava Expert

lava cave

“Sometimes it is the people no one imagines anything of who do the things that no one can imagine.”  –The Imitation Game

Shortly before I fell into the lava I began a conversation with an eleven year old girl, we’ll call her Sal.  This was a while back, on a Minecraft server I play on from time to time.  My name when I play Minecraft has the word “therapist” in it, and Sal had noticed this.

“Hey, are you really a therapist?” Sal asked via our server text chat.

“Yes I am.”  I typed back.  I had been mining obsidian and using a river to cool the lava so I could chip away at it with my diamond pickaxe.  In the time it took to type my reply, I managed to fall into the river and get washed into the lava.  I watched myself go up in flames, and with me most of my loot.  There is always a chance though, when one falls into lava this way, that some of one’s loot can be thrown clear.  So upon respawning I quickly made my way back to the scene of my demise as we continued our conversation.

“Oops, burned up,” Sal said, as the server had announced just that when I fell in the lava.  “Are you the kind of therapist that talks to kids about their problems?”

“Kids and adults both, yes.”

“My mother wants me to see a therapist,” Sal said.

“Why?” asked another one of the kids on the server.

“She says I have problems with friends,” Sal said.  By this point I had returned to the lava pool.  There was no loot that had survived.

“Sal,” I said.  “Everyone needs help with their problems from time to time.  That’s why there are 7 billion people on the planet, to help each other out.”

For some reason that made quite an impact with the other players.  “Wow, you must be an expert!!” one typed.  I’m not sure how he’d come to that conclusion.

“I’m certainly not an expert on lava,” I replied, and fortunately the conversation went back to the business of mining after some sympathetic emoticons.

I have no problem talking with kids about therapy, or being a psychotherapist.  If I did, I certainly wouldn’t have the word in my userid.  And it wasn’t even that I was “off duty.”  I’ve had many conversations in chats over the years and heard a range of problems.  In part I was a little protective of Sal’s right to privacy, although experience has again shown me that kids are often less hung up on therapy than adults, and in many ways are often more trusting of psychotherapy than adults are.  Mostly the reason I wanted us all to get back to playing was that I had caught myself sounding “educational.”

*  *  *  *  *

In play if there is any such thing as an expert it is certainly not the therapist, or adults in general.  Virginia Axline, knew this.  In her book Play Therapy she writes, “Non-directive therapy is based upon the assumption that the individual has within himself…  the ability to solve his own problems satisfactorily.”  (Axline, 1947)  My trainees are often as surprised to find that I am friend to both psychodynamic and solution-focused theories as I am to find that they have been taught the two have irreconcilable differences.

As I see it, my job is often to be a unique experience in the lives of patients.  “It is a unique experience,” Axline writes, “for a child to find adult suggestions, mandates, rebukes, restraints, criticisms, disapprovals, support, intrusions gone.” (Axline, 1947)  And by the time people come to us as adolescents or adults, those suggestions, mandates, rebukes, restraints, criticisms, disapprovals, etc. have become internalized.  By adulthood, many of us feel as if we lack expertise in anything, except perhaps screwing our lives up.

Education has increasingly played a hand in this.  We do not teach so that our students learn to think independently and feel resourcefully.  Instead we teach them to think like someone else.  Critical thinking and exploration become supplanted by the sense that education has to give us something tangible in a materialistic sense:  A good grade; a profitable job; published ideas or maybe if we really drink the Koolaid admiration from other academics.

One thing that is so enjoyable about Minecraft for many is its’ open sandbox environment.  There is an endgame you can play if you want, but there are also myriad variations of play you can do instead.  Sal and millions of other children and adults can range freely through such open and creative spaces without “experts.”  Education certainly can happen there, but often in a lightly curated if not autodidactive way.  People have created versions of Westeros, Middle-Earth, Panem or their own creations.  There are PvP versions where conflict and combat, stealth and griefing hold sway; fantasy realms where people can role-play.  It is a topsy-turvy world where children can have the most wisdom, and we adult experts can trip and fall into lava.

*  *  *  *  *

In a world obsessed with measuring outcomes, psychotherapy can have a rough time of it.  If Sal ever goes to therapy, she will have to be labeled as ill somehow if her mother wants insurance to help pay for it.  Notes will have to be written, treatment plans planned, goals and objectives filed away so bean-counters can determine that Sal should get 14 beans-worth of help.  It’s hard for me to get too angry at the bean-counters though, over the past 25 years I’ve met a few of them and they don’t seem too happy either.

Education fares little better, with things like the Common Core which tells us what should be taught; standardized testing which masquerades as achievement; and trigger warnings which are supposed to warn students of upsetting content as if they somehow were entitled to get through the mind-altering experience of learning without ever being upset.

It takes bravery to stand up to this.  To let the individual chart their own course, make their own mistakes, draw on their own core.  For the therapist and educator it takes bravery to get out of the way, to radically reflect the developing self.  I do believe that each one of us needs help throughout our lives; but that help needs to be asked for lest we run the risk of telling others what to do and implying they aren’t up to the task of living their own lives.

*  *  *  *  *

Many therapists, social workers, and teachers I have met chose to become members of those professions at least in part as an expression of admiration for their own therapists, social workers and teachers.  They had no interest in falling into the lava ever again, so they started focusing on helping other people out.  It’s a thankless job if you are going to go through it secretly hoping to be thanked.  I’m not sure I’ve ever had someone I work with refer to me as an “expert” unless they were being facetious about some blunder I’d just made.  And I’ve made many.  As an apotheosis, being a psychotherapist or academic is rather anticlimactic, not because the work is devoid of meaning or value, but rather because if we truly place such people on a divine pedestal it needs a steady stream of troubled people to hold it steady.

Perhaps an alternative for therapists, social workers, educators and our ilk is to think of ourselves as “lava experts.”  We have some acquaintance with falling into pits, being consumed by intense feelings, losing all our, erm, loot.  These are human experiences.  This is not a secret to anyone, and I doubt most people would put their trust in someone who knows nothing of failure, obsession, overwhelm or grief.

What’s more is we’ve fallen into lava, often the same pit again and again!  We know something of the repetition compulsion.  We have let our yearning for whatever we think we need lead us to risky or self-defeating behaviors.  We can talk to people about their problems, because we are people who have problems ourselves.  We’ve been burned.  Minecraft miners know mining deep is risky:  We know what we’re doing even up to that moment our bones ignite.

Rather than being an expert on a pedestal, accept that you will tumble into fire, again and again, looking outside of yourself for what is precious.  Straight A’s, that book you published, six or seven figures–There’s a little Gollum in all of us.  It’s what makes us forget mindfulness, build empires, win arguments or wars.  No one was ever oppressed by play, only the lack of imagination that comes from the absence of it.

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Using Gaming & Gamification in Clinical Practice

What does “gamification” mean, and what is its relevance to mental health practice?  In this video of a conversation I had at University at Buffalo with Charles Syms, I take a stab at answering those questions.  This is just a start, and hopefully by the end of the video you can begin to see how applying principles of game design could be therapeutic for people dealing with issues ranging from trauma to executive functioning challenges to substance abuse and beyond.

 

 

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Gamer-Affirmative Practice: Today’s Play Therapy

image

The importance of play is universal, and in many ways the nature of play is timeless.  That said, there is a lot to learn about video games as 21st-century play, especially if you are a play therapist.  Adding 21st-century forms of play to your repertoire can be daunting.  With so many naysayers in the mental health profession, avoidance of learning the new takes the form of contempt prior to investigation.  With video games being low-hanging fruit for political arguments ranging from gun control to teen bullying, many social workers, psychologists and counselors give in to the media hype and spend far more time demonizing or ignoring this form of play than they do understanding it.

Recently my colleagues at the University at Buffalo made it a point to take a gamer-affirmative stance and offer a beginning piece of continuing education on integrating video games as play therapy in the form of a podcast.  In it my friend, colleague, and yes, fellow video game player Anthony Guzman and I have a beginning conversation about just that.  Have a listen:

inSocialWork® Episode 144 – Michael Langlois: Gamer-Affirmative Practice: Today’s Play Therapy

 

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Bringing Emerging Technology into the Clinical Process: Implications for Engagement and Treatment

If you have ever wondered how to begin attending to, listening for, and asking questions about a patient’s use of technology, this video might give you some ideas.  In it my colleague Lesa Fichte, LMSW, University at Buffalo School of Social Work, and I, discuss the role of technology, people’s relationship with technology, and how to integrate it into the treatment process by listening, inquiring, and learning.

 

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The Relationship Between Emerging Technology & Psychodynamic Theory

Often when I present, people are surprised that I teach on both emerging technologies such as social media and video games, and classic psychodynamic theories.  Although it may initially seem counterintuitive, especially to classically trained psychotherapists and social workers, I see a strong connection between the two.  Here is the first in a series of posts featuring work I am doing with the University at Buffalo, in which Charles Syms and I discuss the relationship between the two.

 

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Works, Life and Marshmallows: Iterative Design

marshmallow

They say the journey of a thousand miles begins with a single marshmallow.  Ok, I say that, and more specifically I am talking about your life, job or relationship rather than a journey.  I am coming back to my practice from a brief sabbatical, and have been noticing that while many things are going to stay the same, a few are changing as well.  I’ll get back to the marshmallow in a minute.

One thing I learned on my sabbatical is that I definitely want to continue my therapy practice.  As I said to some friends on Facebook this week, “You know, I’m kind of grateful that I get to challenge the self-hatred of others for a living.”  As a clinical social worker and psychotherapist I get paid to do that.  One thing I also decided on my leave was to withdraw from the last managed care insurance panel I was on.  It made no sense to continue to decrease the time I could be seeing people due to paperwork and bureaucratic hassles, and it made no financial sense to have a waiting list of people who are willing to pay my full fee and also deserve treatment just so I could work at half my rate.  I have always built pro bono or sliding scale slots into my practice because I have a commitment to serving a diverse population, so why was I doing that and letting an insurance company slide the remaining hours of my week?

Part of the answer to this and most “why-have-I-been-doing-this-this-way-when-it-doesn’t-work-in-my-favor?” questions is fear. Most of us are afraid of change.  Whether we are staying in an abusive relationship, having difficulty getting sober, flunking out of college or missing days at work, most of us have moments when we see what we are doing to ourselves and ask the above question.  And then we often resume whatever the pattern is, leaving an interesting question unanswered and instead turning it into self-recrimination, which is really just evasion.  Another part of the answer is that we often act is if we only get one shot at answering the question of life satisfaction.  Here comes the marshmallow.

Invented by Peter Skillman of Palm, Inc. and popularized by Tom Wujec of Autodesk, the Marshmallow Challenge may be familiar to some of you:  “It involves the task of constructing the highest possible free-standing structure with a marshmallow on top. The structure must be completed within 18-minutes using only 20 sticks of spaghetti, one yard of tape, and one yard of string.” (per Wikipedia)  You can call it an exercise, or play, but in either event the creators of the challenge have observed something very interesting about how different groups tend to approach it.  Children tend to make a first structure, stick the marshmallow on top, and then repeat the process over and over, refining it as they go.  Adults tend to engage in group discussions, arguments, power plays and plans to produce one structure built once to which the marshmallow is added.  In other words they tend to approach it derivatively rather than iteratively.

Iterative design is a method of creating a thing or addressing a problem by making a prototype (first attempt,) testing it, analyzing the prototype, and then refining it.  Rinse and repeat.  Iterative design isn’t good for everything: As parents know, often there is not time in the world for everything to get done in 18 minutes or before the school bus gets here.  But a life built on derivative design alone is destined for stagnation and rigidity.

Derivative design, as the name suggests, takes something from a pre-existing something-else, whether it be a rule, materials, social construction or interpretation of the something-else.  When you psychoanalyze a patient’s dream and interpret it as a manifestation of their Oedipus Complex, you are deriving your interpretation and their dream from the something-else of Freud, who in turn derived his Oedipal Conflict theory from the something-else of Greek mythology.  Derivative design can save time and effort in many important ways, by collapsing cultural memes and thinking and transmitting them forward through time from Sophocles to your office.  But as feminist thinkers and cultural critics have shown us, we might have arrived at a different “complex” if Audre Lord et al had been in on the prototyping of it.

Derivative thinking left unchecked can get you in a rut.  One of my most recent examples of this comes from The Little Prince, where he encounters the drunkard:
“- Why are you drinking? – the little prince asked.
– In order to forget – replied the drunkard.
– To forget what? – enquired the little prince, who was already feeling sorry for him.
– To forget that I am ashamed – the drunkard confessed, hanging his head.
– Ashamed of what? – asked the little prince who wanted to help him.
– Ashamed of drinking! – concluded the drunkard, withdrawing into total silence.
And the little prince went away, puzzled.
‘Grown-ups really are very, very odd’, he said to himself as he continued his journey.”

Everything derives from the previous thing, but in the end it sometimes gets us nowhere.

We all get in these difficult spirals.  A good therapist or supervisor can point them out to us and then encourage us to become iterative in our design:

  1. So what are you going to do this time?
  2. How did that work out?
  3. So what are you going to do differently?

Therapists starting their private practices also come to see me, often stuck in derivative thinking:

-I need my NPI number.
-Ok, why?
-To get on Medicare.
-Ok, because?
-So I can get on insurance panels.
-Ok, why?
-So I can get patients who will pay me so I can rent an office so I can have an address to register for my NPI.

If you are one of my consultees reading this rest assured I am NOT talking about you in particular:  I have had this conversation a hundred times with people.  We get indoctrinated into the world of managed care and get, well, managed.  In this case, I usually recommend the consultee start by imagining what kind of office space they want.  Answers have varied and included: Sunny, exposed beams, plants, yellow paint, toys, music system, waiting room with receptionist, friendly colleagues in suite, accessible to public transportation, elevator, warm colors, cool colors, and all sorts of other iterations.

Once you have a mental prototype you can either build or design your office, or find and rent it.  Again I tell folks to walk around the areas they want to work in, find buildings that look interesting to them, then walk inside and ask to speak with someone about seeing a unit.  Testing involves going to see several spaces.  Then they can analyze the results: Does the space look like it would become what they imagine it to be furnished? Are there things about their ideal that need to be discarded? Do they now realize that they could be even more wild in their expectations?

This is just one example of the ways that iterative design can open up possibilities.  But be warned, iterative design can be daunting for many of us raised in our current education system.  We have been trained to create one product presented in final form with the expectation that we will be graded on that product alone. Everything becomes about that one paper or exam, which is often more about regurgitation rather than innovation.

I have colleagues who take my breath away with the number of projects and ideas they are consistently throwing out there to see what happens:  It takes guts to do that.  I myself often am afraid that the Project Police are going to pop out and say, “What happened to your idea of a Minecraft group?  Shame on you for proposing it and not completing that project!  You are not allowed any more ideas until you show us you can carry that one out.”

Sound ridiculous? Of course it is, but does it sound familiar to you as well?  If it does, go out and buy yourself some spaghetti, tape and marshmallows:  The quality of your job, relationship and life may depend on it.

Interested in setting up a consult for your practice?  I have some openings come March.  Like this post? I can speak in person too, check out the Press Kit for Public Speaking info. And, for only $4.99 you can buy my book. You can also Subscribe to the Epic Newsletter!

No Matter How You Feel, You Still Failed

Game_Over

Psychotherapists are often people who prefer to deal with feelings in their workings with people.  Feelings are important, and being empathically attuned to how patients are feeling is equally important.  We are taught to explore the patient’s feelings, imagine ourselves into their lived experience, and validate that experience.

This is often where we become disconnected from other professionals we collaborate with, such as educators.  Be it Pre-K or graduate school, educators are charged with working with students to learn and grow as a whole person.  It’s not that they aren’t concerned with feelings, they just can’t get hung up on them to the exclusion of everything else.

To be fair, psychotherapy has a long history of taking a broader view on the individual as well.  A famous psychoanalyst, Winnicott, once responded to a patient of his who was expressing feelings of hopelessness by saying something to the effect of “sometimes when I am sitting with you I feel hopeless too, but I’m not going to let that get in the way of continuing to work with you.”

But often in the past decade or two, feelings have held sway over everything.  Students don’t complete their assignments because they felt overwhelmed and still expect to pass the course.  Adults feel emotionally exhausted and miss work or are late to it.  Children feel angry at the injustice of chores and don’t do them but still want their allowance.

A criticism I often hear toward video games is that they encourage people to believe that they can always just reset, do over and have another shot.  But implicit in this criticism is the fact of something I feel video games actually do better than many of us sometimes:  They acknowledge the reality of failure.

When we play video games, we are failing 80% of the time.  Failing in the sense of Merriam Webster’s definitions including:

  • to not succeed : to end without success
  • to not do (something that you should do or are expected to do)
  • to fall short <failed in his duty>
  • to be or become absent or inadequate
  • to be unsuccessful

In video games the reality of this is driven home to us by a screenshot:

minecraft71

 

 

warcraft

 

 

pac man

 

You can feel any way you’d like about it, angry, sad, annoyed, blase, frustrated with a touch of determination.  But no matter how you feel you still failed.

In life outside games, many of us have a hard time accepting the reality principle when it comes to failing at something.  We think we can talk, think, or feel our way out of failing to meet expectations.  My own predilection is that of a thinker, which is probably why I became a psychodynamic psychotherapist and educator.  I often waste a lot of time trying to think (or argue) myself into a new reality, which just boils down to not accepting the reality principle.  I notice the same with patients, colleagues and students, who miss deadlines, avoid work, come late to class and then try their best to think or feel their way out of it.

The first class each semester I tell my students, who are studying to be social workers and psychotherapists, that the most frequent complaint I get as an instructor is “I feel put on the spot by him.”  I assure them that this is a valid feeling and actually reflects the reality that I will put each and every one of them on the spot.  I will ask them tough questions, I will point out that they are coming late to class, I will disagree with ideas that seem erroneous to me.  Because if they think it is ok to be late or avoid thinking through a problem or confrontation in class, how in the world will they ever be a decent psychotherapist or social worker?  If the single mother you are working with wants to know how to apply for WIC, and you say you feel put on the spot by her question, that is a valid feeling AND you are useless to her.  If your therapist was 15 minutes late every week I hope you’d fire him.  And when you are conducting a family session and someone discloses abuse it is unprofessional to say “I’m feeling overwhelmed and sad right now, can you ask somebody else to go next?”

These sort of disconnects doesn’t happen overnight.  It comes from years of being enabled by well-intentioned parents and yes, mental health providers who focus on feelings to the exclusion of cognition and behavior, and worse, try to ensure that their children grow to adulthood feeling a constant sense of success.  When I hear self psychology-oriented folks talk it is almost always about mirroring and idealizing, and never about optimal frustration.  And I suspect that this is because we have become so focused on feelings and success that we are preventing people from experiencing optimal frustration at all.

The novelist John Hersey has said “Learning starts with failure; the first failure is the beginning of education.”  We commence to learn because reality has shown us that we lack knowledge or understanding.  That’s the good news.  We’ve woken up!  In this light I regard video games as one of the most consistent learning tools available to us.  When that fail happens and that screen goes up you can try to persuade it to cut you some slack, flatter or bully it, weep pleadingly for it to change to a win, but no matter how you feel, you still failed.  And because that reality is so starkly there, and because the XBox or PS3/4 doesn’t get engaged in your drama, that feeling will eventually dissipate and you will either try again, or give up.

Because that is in a lot of ways the conflict we’re trying to avoid isn’t it?  We want to avoid looking reality square in the face and taking responsibility for what comes next.  We want to keep the feelings flowing, the drama going, and we are willing to take entire groups of people and systems with us.  If we are lucky they put their feet down, but more often then not they want to avoid conflict too, and the problem just continues.

So here’s a confession:  I have failed at things.  I have ended a task without success.  I have not done things I was expected to do.  I have fallen short, been inadequate and been unsuccessful at stuff.  And nobody took away my birthday.  I’m still around doing other things, often iterations of the previous failures, quite successfully.

If you are a parent or educator please take a lesson from video games.  Start saying “Game Over” to those in your care sometimes.  If they can try again great.  If they want to read up on some strategy guides or videos to learn how to do it better, awesome.  But please stop capitulating to their desire to escape reality on the illusory lifeboats of emotional expression, rationalization or verbal arguments.  As Mrs. Smeal says in “Benny and Joon,” “when a boat runs ashore, the sea has spoken.”  Reality testing is probably the most important ego function you can help someone develop, please don’t avoid opportunities to do so.

Nobody likes to experience failure, I know it feels awful.  But to move through it to new realizations can be very liberating, and in time become more easily bearable.  And I truly believe that success without past failures feels pretty hollow.  When I play through a video game from start to finish without a fail I don’t feel like a winner.  I feel cheated.

 

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Selfie Esteem

Nancy J. Smyth, PhD, Dean & Professor, University at Buffalo

Nancy J. Smyth, PhD, Dean & Professor, University at Buffalo

 

“Photographs do not explain, they acknowledge.” –Susan Sontag

Last month, the Oxford Dictionary made the word “selfie” not only an official word, but their word of the year for 2013.  Defining selfie as “a photograph that one has taken of oneself, typically one taken with a smartphone or webcam and uploaded to a social media website” the OD made explicit what has implicitly grown to be the norm of our world; a world of smartphones, self pics and social media.

Many psychotherapists and social workers have and will continue to decry this as another sign the the “narcissism” of our age.  Selfies have become synonymous with the millenials, the dumbing down of the populace by the internet, and sometimes even stretching to how Google is making us stupid.  My chosen profession has historically played fast and loose with calling people and cultures narcissistic.  Karen Horney coined the term “the neurotic personality of our time” in the 1930s, initially in part as a critique to the Freudian critique of Victorian modesty.  Kohut’s groundbreaking work on “tragic man,” and the healthy strands of narcissism in human life was co-opted within years by Lasch (1979) to describe the then-current “culture of narcissism.”  In short, even though narcissism has been a part of human being at least since Narcissus gazed into the water in Greco-Roman times, we continue to see it as perennially on the uprise.

 

Joanna Pappas, Epic MSW Student

Joanna Pappas, Epic MSW Student

 

This dovetails with each generation’s lament that the subsequent one has become more self-absorbed.  And yet, as Sontag points out, by making photography everyday, “everybody is a celebrity.”  Yep, that’s what we hate about the millennials, right?  They think everything is an accomplishment, their every act destined for greatness.  But as Sontag goes on to say, making everybody a celebrity is also making another interesting affirmation: “no person is more interesting than any other person.”

 

Jonathan Singer, Assistant Professor, Temple University

Jonathan Singer, Assistant Professor, Temple University

 

Why do many of us (therapists in particular) have a problem then with selfies?  Why do we see them as a “symptom” of the narcissism of the age?  Our job is to find the interesting in anyone, after all. We understand boredom as a countertransference response in many cases, our attempt to defend against some projection of the patient’s.  So why the hating on selfies?

I think Lewis Aron hits on the answer, or at least part of it, in his paper “The Patient’s Experience of the Analyst’s Subjectivity.”  In it he states the following:

 

I believe that people who are drawn to analysis as a profession have particularly strong conflicts regarding their desire to be known by another; that is, they have conflicts concerning intimacy.  In more traditional terms, these are narcissistic conflicts over voyeurism and exhibitionism.  Why else would anyone choose a profession in which one spends one’s life listening and looking into the lives of others while one remains relatively silent and hidden?

(Aron, A Meeting of Minds, 1996, p. 88)

 

In other words, I believe that many of my colleagues have such disdain for selfies because they secretly yearn to take and post them.  If you shuddered with revulsion just now, check yourself.  I certainly resemble that remark at times:  I struggled long with whether to post my own selfie here.  What might my analytically-minded colleagues think?  My patients, students, supervisees?  I concluded that the answers will vary, but in general the truth that I’m a human being is already out there.

 

Mike Langlois, PvZ Afficianado

Mike Langlois, PvZ Afficianado

 

Therapists like to give themselves airs, including an air of privacy in many instances.  We get hung up on issues of self-disclosure, when what the patient is often really looking for is a revelation that we have a subjectivity rather than disclosure of personal facts.  And as Aron points out, our patients often pick up on our feelings of resistance or discomfort, and tow the line.  One big problem with this though is that we don’t know what they aren’t telling us about because they didn’t tell us.  In the 60s and 70s there were very few LGBT issues voiced in therapy, and the naive conclusion was that this was because LGBT people and experiences were a minority, in society in general and one’s practice in specific.  Of course, nobody was asking patient’s if they were LGBT, and by not asking communicating their discomfort.

What has this got to do with selfies?  Well for one thing, I think that therapists are often similarly dismissive of technology, and convey this by not asking about it in general.  Over and over I hear the same thing when I present on video games–“none of my patients talk about them.”  When I suggest that they begin asking about them, many therapists have come back to me describing something akin to a dam bursting in the conversation of therapy.  But since we can’t prove a null hypothesis, let me offer another approach to selfies.

All photographs, selfie or otherwise, do not explain anything.  For example:

 

looting

 

People who take a selfie are not explaining themselves, they are acknowledging that they are worth being visible.  Unless you have never experienced any form of oppression this should be self-evident, but in case you grew up absolutely mirrored by a world who thought you were the right size, shape, color, gender, orientation and class I’ll explain:  Many of our patients have at least a sneaking suspicion that they are not people.  They look around the world and see others with the power and prestige and they compare that to the sense of emptiness and invisibility they feel.  Other people can go to parties, get married, work in the sciences, have children, buy houses, etc.  But they don’t see people like themselves prevailing in these areas.  As far as they knew, they were the only biracial kid in elementary school, adoptee in middle school, bisexual in high school, trans person in college, rape survivor at their workplace.

So if they feel that they’re worth a selfie, I join with them in celebrating themselves.

As their therapist I’d even have some questions:

  • What were you thinking and feeling that day you took this?
  • What do you hope this says about you?
  • What do you hope this hides about you?
  • Who have you shared this with?
  • What was their response?
  • What might this selfie tell us about who you are?
  • What might this selfie tell us about who you wish to be?
  • Where does that spark of belief that you are worth seeing reside?

In addition to exploring, patients may find it a useful intervention to keep links to certain selfies which evoke certain self-concept and affect states.  That way, if they need a shift in perspective or affect regulation they can access immediately a powerful visual reminder which says “This is possible for you.”

Human beings choose to represent themselves in a variety of ways, consciously and unconsciously.  They can be whimsical, professional, casual, friendly, provocative, erotic, aggressive, acerbic, delightful.  Are they projections of our idealized self?  Absolutely.  Are they revelatory of our actual self? Probably.  They explain nothing, acknowledge the person who takes them, and celebrate a great deal.  If there is a way you can communicate a willingness see your patient’s selfies you might be surprised at what opens up in the therapy for you both.

 

Melanie Sage, Assistant Professor, University of North Dakota

Melanie Sage, Assistant Professor, University of North Dakota

 

In other posts I have written about Huizinga’s concept of play.  Rather than as seeing selfies as the latest sign that we are going to hell in a narcissistic handbasket, what if we looked at the selfie as a form of play? Selfies invite us in to the play element in the other’s life, they are not “real” life but free and unbounded.  They allow each of us to transcend the ordinary for a moment in time, to celebrate the self, and share with a larger community as a form of infinite game.

It may beyond any of us to live up to the ideal that no one is less interesting than anyone else in our everyday, but seen in this light the selfie is a renunciation of the cynicism I sometimes see by the mental health professionals I meet.  We sometimes seem to privilege despair as somehow more meaningful and true than joy and celebration, but aren’t both essential parts of the human condition?  So if you are a psychotherapist or psychoeducator, heed my words:  The Depth Police aren’t going to come and take your license away, so go out and snap a selfie while everyone is looking.

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The Changing Landscape of Social Work

TrekWorld_Nicholas-Roerich_Kanchendzonga-1944

Recently I had the great opportunity to be a scholar-in-residence at The University at Buffalo’s School of Social Work.  For three days I met with students, faculty and staff to speak about emerging technologies ranging from Twitter to video games.  During one morning, Dean Nancy Smyth and I sat down for a series of informal discussions around various topics, and the University was kind enough to let me share these videos with you.  If you want to learn more about how I can come to your institution to do the same thing, please contact me.

How to Use Social Media and Technology to Develop a Personal Learning Network:

 

http://www.youtube.com/watch?v=zb74jYN0k5Y&feature=share&list=UUQG8usDJjq8OjMgtNDQC6fg

 

If I Don’t Use Social Media and Technology in Social Work Practice What Am I Missing?

 

 

Social Work is Changing:  Integrating Social Media and Technology Into Social Work Practice

 

http://youtu.be/FQWUMTxXVus

 

 

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Evocation and Mindfulness: Or, How to Think Better

evocation

Like other art forms, video games can be both a mirror and a candle held up to our culture, at times reflecting it and at times revealing things about it.  Normally I direct my posts primarily at people: therapists, gamers, educators, parents.  But today I want to include the company that produces World of Warcraft as well.  We have a crisis regarding thinking, and although I don’t think WoW created it at all, it has reflected it in a recent game mechanic change.

I am referring to a change mages that happened recently, where the spell Evocation was replaced by Rune of Power.  For people not familiar with the game, here’s a simple explanation.  Mages cast spells, but spells require an energy called mana, which gets used up gradually as you cast spells.  How much mana you start with depends on your character’s intellect, and once you have used up your mana, you can’t cast any more spells until it is replenished.  To replenish it you can either wait and it will gradually return (not the greatest idea in combat,) or eat and drink (not possible while you are in combat.)  Or you could in the older days cast Evocation, which meant you stood in place as the spell was going, gain 15% of your total mana instantly and another 45% of your total mana over 6 sec.  Move or get attacked, and the spell broke.

This recently was replaced with Rune of Power, which places a rune on the ground, which lasts for 1 min. While standing within 5 yds of it, your mana regeneration is increased by 75% and your spell damage is increased by 15%.  You have to keep remembering to replace it every minute, but that’s not the problem.  It may even be an easier game mechanic, but that’s not the problem either.  My problem with it is how it reflects our dysfunctional attitude about thinking, and specifically our tendency to think of thinking as separate from doing something.

We live in a culture where people frequently worry about things, and in fact have ruminations that are intrusive.  Many people report feeling hijacked by their minds with worrying or intrusive thoughts.  And yet at the same time, few of us seem to mark our time and set it aside specifically for thinking.  We schedule appointments to do things, but thinking isn’t one of them.  We treat thinking, which is intangible, as if it can occur in the same space as doing other activities that are more observable and tangible.  And then we are surprised when our minds rebel and hijack our thinking with thoughts and feelings that come unbidden, when all along we have been failing to cultivate the practice of intentional, mindful thinking about things.

This is where I think Blizzard and Wow initially had it right with Evocation.  It was acknowledging an important truth, that Thinking IS doing something, and when done intentionally it occupies time and has benefits.  Sure you weren’t able to do other things while casting Evocation, but isn’t that the point?  In the real world, when you want to think deeply and seriously about something, you really do need to be intentional about it, and make a space in your day to do it.  Rune of power definitely embraces the multitasking model, which encourages you to set up a rune and then go about your other business while keeping half an eye on it to know when to refresh.  Multitasking is not inherently a bad thing, but there are times and places that intentional thinking may be more appropriate and less anxiety-provoking.

Part of helping patients learn to manage worrying is often to help them set up a specific time for worrying about things.  This “worry time” can be a placeholder in the day or week which the patient uses when an intrusive worry enters into their thinking: They can dismiss it by deciding to put that on the agenda for the scheduled worry time.  This is a way of training your mind to be intentional about what you choose to think about and when.  But implicit in this is the idea that training your mind to think about things intentionally is a learned skill.

You can apply this to many different aspects of your life and work.  If you are growing your private practice, when was the last time you set aside an hour to think deeply about your business plan or clinical focus.  I’m not talking about daydreaming here, I’m talking about sustained intentional thought.  Clinically, do you set aside supervision time to think deeply about patients?  As students do you take 15 minutes after each article to think specifically about the reading?  As parents, when was the last time you said to your co-parent, let’s make a time to think together about how our child is doing in life at home and school.  Classroom teachers, when was the last time you asked students to take 5 minutes and think quietly about the classroom topic?

Another challenge here is the confusion of tongues around the concept of thinking.  Self-help gurus often exhort us to stop thinking about things and JUST DO IT.  But I don’t think they are talking about intentional thinking, I think they are talking about reactive or intrusive thinking.  Procrastination is reactive thinking, worrying can be intrusive thinking.  Those are often roadblocks to success, but the form of thinking I have been referring to is perhaps better described as a form of concentration meditation.  Concentration meditation has come to be seen by many of us as concentrating on an image, or a candle, or chanting, or a revered object, but that is not necessarily the case, and in fact it is limiting.

What if your idea is the revered object?  What if your thought process about your work, child, patient, class is worthy of your undivided attention?  What if you were to schedule a specific time to think about a certain project?

If you are one of those detractors who say, “I just don’t have time to think,” I don’t buy it.  Thinking time is not a luxury item, although it may be a learned discipline to set aside a few minutes at a time to do it.  So please take a second and schedule a time on your calendar to think about an idea that is important to you.  Schedule a time to hold your random worries and thoughts and show up at that appointed time to seriously consider them.  I suspect this will free up more mental space and time than you may imagine.

And please Blizzard, bring back Evocation.  I miss it, and the important life lesson in mindfulness it has to teach us.

 

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Mental Health: Yes, There’s an App for That..

apps2

Nobody wants to be irrelevant, and many mental health practitioners want to try out new technologies like Apps, but how to choose?  Currently the App Store in iTunes makes available 835,440 different Apps, of which approximately 100,000 are categorized as lifestyle, medical or healthcare & fitness.  And Android users have just about as many to choose from according to AppBrain, which says there are a whopping 858870 as of today.  With so many to look at, how can a clinician keep current?  Hopefully we can help each other.

Instead of writing the occasional “Top 10 Post,” I’m setting up a site for you to visit and review different Apps.  I’ll review some too, and hopefully by crowd sourcing we can get a sense of what are some of the best.  I’ll need Android users to weigh in heavy, as I will be test-driving Apple products alone.

Why have I decided to do this?  Several reasons, the complicated one first:

1. Web 2.0 is interactive.  We forget that, even those of us who are trying to stay innovative.  We keep thinking we need to get on the podium and deliver lectures, information, content.  And to a degree that is true, but we can easily slide back to the old model of doing things.  That’s what you see in a lot of our well-intentioned “Top 10 App” posts and articles.  Recently I found myself trying to explain on several occasions why doing a lecture or post on the best Apps for Mental Health didn’t sit right with me.  Part of it was because Apps are put out there so fast, and then surpassed by other apps, that it becomes a bit like Project Runway:  “One day you’re in, the next day you’re out.”

I was getting trapped behind that podium again, until I realized that we don’t need another post about the top 10 mental health apps, we need an interactive platform.  I need to stop acting as if I’m the only one responsible for delivering content, and you need to break out of the mold of passive recipient of information.  I’m sure that many of my colleagues have some suggestions for apps that are great for their practice, and I’m hoping that you all share.  Go to the new site, check out some of the ones I mentioned, and then add your own reviews.  Email me some apps and I’ll try ’em and add them to the site.  Let’s create something much better than a top 10 post with an expiration date, let’s collaborate on a review site together.  Which brings me to:

2.  I want to change the world.  That is the reason I became a social worker, a therapist, and a public speaker.  I think ideas motivate actions, and actions can change the world. The more access people have to products that can improve their mental health, the better.  By creating a site dedicated solely to reviewing mental health applications, we can raise awareness about using emerging technologies for mental health, and help other people improve their lives.  Technology can help us, which brings me to:

3.  Technology can improve our mental health.  Yes, you heard it here.  Not, “we need to be concerned about the ethical problems with technology X,Y or Z.”  “Not, the internet is making us stupid,” or “video games are making people violent,” but rather an alternate vision:  Namely, that emerging technologies can allow more people more access to better mental health.  Let’s start sharing examples of the way technology does that.  There are Apps and other emerging technologies that can help people with Autism, Bipolar, Eating Disorders, Social Phobias, Anxiety, PTSD and many more mental health issues.  I can’t possibly catalog all those alone, so I’m hoping you’ll weigh in and let me know which Apps or tech have helped you with your own struggles.

Is this the new site, Mental Health App Reviews, a finished product?  Absolutely not.  What it will be depends largely on all of us.  This is how crowd sourcing can work.  This is how Web 2.0 can work.

If you want to contribute, just email me at mike@mikelanglois.com with the following:

  • App name
  • Screenshot if possible
  • Price
  • Link to App

and I’ll take it from there.  Please let me know if you are a mental health provider and or the product owner in the email as well.

You can also contribute by reviewing the Apps below that you use.  Be as detailed as possible, we’re counting on you!  And while you’re at it, follow us on Twitter @MHAppReviews

Innovation is Dangerous & Gaming Causes Asperger’s

GamerTherapist blog is on vacation and will return with new posts after Labor Day.  In the meantime, here is a reader favorite:

At its heart, diagnosis is about exerting control.  Clinicians want to get some sense of control in understanding a problem.  We link diagnosis to prognosis to control our expectations of how likely and how much we will see a change in the patient’s condition.  Insurance companies want to get a handle on how much to spend on who.  Schools want to control access to resources and organize their student body.  And with the current healthcare situation, the government is sure to use diagnosis as a major part of the criteria in determining who gets what kind of care.

Therapists and Educators do not like to think of ourselves as controlling people.  But we often inadvertently attempt to exert control over our patients and entire segments of the population, by defining something as a problem and then locating it squarely in the individual we are “helping.”

This week has been one of those weeks where I have heard from several different colleagues about workshops they are attending where the presenters are linking Asperger’s with Gaming Addiction:  Not in the sense of “Many people on the Autism Spectrum find success and motivation through the use of video games,” but rather in the sense of “excessive gaming is prevalent in the autistic spectrum community.”

This has always frustrated me, for several reasons, and I decided its time to elaborate on them again:

1. Correlation does not imply Causation.  Although this is basic statistics 101 stuff, therapists and educators continue to make this mistake over and over.  Lots of people with Asperger’s play video games, this is true.  This should not surprise us, because lots of people play video games!  97% of all adolescent boys and 94% of adolescent girls, according to the Pew Research Center.  But we love to make connections, and we love the idea that we are “in the know.”  I can’t tell you how many times when I worked in education and clinics I heard talk of people were “suspected” of having Asperger’s because they liked computers and did not make eye contact.  Really.  If a kiddo didn’t look at the teacher, and liked to spend time on the computer, a suggested diagnosis of Autism couldn’t be far behind.  We like to see patterns in life, even oversimplified ones.

2. Causation often DOES imply bias.  Have you ever stopped to wonder what causes “neurotypical” behavior?  Or what causes heterosexuality for that matter.  Probably not.  We usually try to look for the causation of things we are busily pathologizing in people.  We want everyone to fit within the realm of what the unspoken majority has determined as normal.  Our education system is still prone to be designed like a little factory.  We want to have our desks in rows, our seats assigned, and our tests standardized.  So if your sensory input is a little different, or your neurology atypical, you get “helped.”  Your behavior is labeled as inappropriate if it diverges, and you are taught that you do not have and need to learn social skills.

Educators, parents, therapists and partners of folks on the Austism Spectrum, please repeat this mantra 3 times:

It is not good social skills to tell someone they do not have good social skills.

By the same token, technology, and video games, are not bad or abnormal either.  Don’t you see that it is this consensual attitude that there is something “off” about kids with differences or gamers or geeks that silently telegraphs to school bullies that certain kids are targets?  Yet, when an adolescent has no friends and is bullied it is often considered understandable because they have “poor social skills and spend too much time on the computer.”  Of course, many of the same kids are successfully socializing online through these games, and are active members of guilds where the stuff they hear daily in school is not tolerated on guild chat.

Let’s do a little experiment:  How about I forbid you to go to your book discussion group, poker night, or psychoanalytic institute.  Instead, you need to spend all of your time with the people at work who annoy you, gossip about you and make your life miserable.  Sorry, but it is for your own good.  You need to learn to get along with them, because they are a part of your real life.  You can’t hide in rooms with other weirdos who like talking about things that never happened or happened a long time ago; or hide in rooms with other people that like to spend hours holding little colored pieces of cardboard, sort them, and exchange them with each other for money; or hide in rooms where people interpret dreams and talk about “the family romance.”

I’m sure you get my point.  We have forgotten how little personal power human beings have before they turn 18.  So even if playing video games was a sign of Asperger’s, we need to reconsider our idea that there is something “wrong” with neuro-atypical behaviors.  There isn’t.

A lot of the work I have done with adults on the spectrum has been to help them debrief the trauma of the first 20 years of their lives.  I’ve had several conversations where we’ve realized that they are afraid to ask me or anyone questions about how to do things, because they worried that asking the question was inappropriate or showed poor social skills.  Is that really what you want our children to learn in school and in treatment?  That it is not ok to ask questions?  What a recipe for a life of loneliness and fear!

If you aren’t convinced, please check out this list of famous people with ASD.  They include Actors (Daryl Hannah,) bankers, composers, rock stars, a royal prince and the creator of Pokemon.  Not really surprising when you think about innovation.

3.  Innovation is Dangerous.  Innovation, like art, requires you to want things to be different than the way they are.  Those are the kids that don’t like to do math “that way,” or are seen as weird.  These are the “oversensitive” ones.  These are the ones who spend a lot of time in fantasy, imagining a world that is different.  These are the people I want to have over for hot chocolate and talk to, frankly.

But in our world, innovation is dangerous.  There are unspoken social contracts that support normalcy and bureaucracy (have you been following Congress lately?)  And there are hundreds of our colleagues who are “experts” in trying to get us all marching in lockstep, even if that means killing a different drummer.  When people try to innovate, they are mocked, fired from their jobs, beaten up, put down and ignored.  It takes a great deal of courage to innovate.  The status quo is not neutral, it actively tries to grind those who are different down.

People who are fans of technology, nowadays that means internet and computing, have always been suspect, and treated as different or out of touch with reality.  They spend “too much time on the computer,” we think, until they discover the next cool thing, or crack a code that will help fight HIV.  Only after society sees the value of what they did do they get any slack.

Stop counting the hours your kid is playing video games and start asking them what they are playing and what they like about it.  Stop focusing exclusively on the “poor social skills” of the vulnerable kids and start paying attention to bullies, whether they be playground bullies or experts.  Stop worrying about what causes autism and start worrying about how to make the world a better place for people with it.

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Breaking Eggs and Holding Your Fire: Some Thoughts on Skills Acquisition

cod-sniper

Not too long ago, I was learning how to fire a sniper rifle in Call of Duty. It wasn’t going very well. I kept firing (which you do by holding down the right-hand trigger) and missing. Or I would use the scope, which you do by holding down the left-hand trigger; and then try to find my target so slowly that I’d get shot long before seeing it. To make thing more complicated, my patient Gordon** was trying to teach me the difference between “hardscoping” which meant to press and hold down the left trigger, and “quickscoping” which was more like a quick tap and release of the scope.

The key to success, I was told, was to locate the target, quickscope it for a second to take aim, and then fire. The source of my failure was that I’d see the target and not bother to scope at all, and just fire. At first I didn’t even know I was doing that. I thought the scope was going up, and it was, but it was going up a split second after I was firing and not before.  After several fumbled attempts Gordon said, “you have to not fire and learn to push the scope first instead.”  I suddenly realized that he was teaching me about impulse control.

Because many parents and therapists are reluctant to play video games, in particular first-person-shooters, they only tend to see them from outside the experience.  What they learn from seeing that way is that FPS are full of violence, mayhem, blood and noise.  Is it any wonder then that they grow concerned about aggression and the graphic nature of the game?  It’s all that is really available to them unless there is a strong plot line and they stick around for that.

But as someone who has been playing video games for years I can tell you things are different from within the experience.  And one of the most counterintuitive things I can tell you from my experience is this: First Person Shooters can help you learn impulse control.  It takes a lot more impulse control to not fire at a target the second you see it.  It takes a lot more impulse control to wait and scope.  And because all of these microdecisions and actions take place within the player’s mind and the game experience, outside observers see violence and aggression alone and overlook the small acts of impulse control the player has to exert over and over again.

Any therapist who has worked with adolescents, people with ADHD, personality disorders and a host of other patient types understands the importance of learning impulse control. That act of mindfulness, that ability to create a moment’s space between the situation and the patient’s reaction to it is necessary to help people do everything from their homework to suicide prevention.  In addition, there is always a body-based aspect to impulse control, however brief or small, and so to create that space is to forge a new and wider relationship between mind and body.

All of this was going on as we were playing Xbox. Over and over again, I was developing, practicing impulse control from behind that virtual sniper rifle.  Again and again I was trying to recalibrate my bodily reflexes and sensations to a new mental model.  Don’t fire.  When my kill score began to rise, it wasn’t because my aim had gotten better, it was because my impulse control had.

Meanwhile, for the past two weeks I have been practicing making omeletes.

In particular, I have been learning how to make an omelette roulée of the kind Julia Childs makes below (you can skip to 3:30 if you want to go right to the pan.)

This type of omelette requires the ability to quickly (in 20-30 seconds) tilt and jerk the pan towards you multiple times, and then tilting the pan even more to flip it.  Doing this over the highest heat the movement needs to be quick and reflexive or you end up tossing a scrambled eggy mess onto the burner.  I can’t tell you how tense that moment is when the butter is ready and you know that once you pour in the egg mixture there is no going back.  To jerk the pan sharply towards you at a tilt seems so counterintuitive, and this is an act of dexterity, meaning that your body is very involved.

In a way an omelette roulée requires impulse control just like Call of Duty in order to learn how to not push the pan but pull it toward you first.  But just as importantly, making this omelette requires the ability to take risks.  It can be scary to make a mess, what happens if the eggs fly into the gas flame?!

Let me tell you, because I now know what happens:  You turn off the flame, wait a minute and wipe off the messy burner.  And then you try again.

Adolescents, all people really, need to master both of these skills of impulse control and risk-taking.  To do so means widening the space in your mind between situation and action, but not let that space become a gaping chasm impossible to cross.  Learning impulse control also happens within experience, not in a special pocket universe somewhere apart from it.  Learning risk-taking requires the same.  And at their core they are bodily experiences, which may be what Freud meant when he said that the ego was first and foremost a body ego.

When I worked in special education settings, I was often called on to restrain children in crisis.  Afterwards we would usually do a postvention: “What was happening?” “How could you do things differently next time?”  We were looking at their experience from the outside, constructing a little pocket universe with words, as if we understood what had been going on in the experience, in the body and psyche of the child.  I doubt these post-mortems taught impulse control.

I wonder what might have happened if we had risked throwing some eggs on the fire and encouraged the kids to play first person shooters or other video games.  If my theory is right, then we would have been cooking.

**Not his real name. Name, age, gender and other identifying information have been altered to preserve confidentiality.

Mike is on vacation until September, which means that he has started talking in the third person at the end of blog posts.  It also means that the next new post will be next month.  He’ll repost an old fave or book excerpt to tide you over in the meantime.

 

Like this post? I can speak in person too, check out the Press Kit for Public Speaking info. And, for only $4.99 you can buy my book. You can also Subscribe to the Epic Newsletter!

“Can I Kill You Again Today?”: The Psychoanalysis of Player Modes

2057142-shepards

In 1947, Virginia Axline published the first edition of what  was to become a seminal work in the field it was named for, Play Therapy.  In her book she championed the concept of non-directive play, the form of play therapy where the therapist takes in some ways a very Rogerian approach of reflecting rather than directing the play either overtly or subtly.

This is easier said than done, as I learned when I started using it as an intern.  I recall watching a youngster play and describe a family in a horrible car accident.  My first comment was, “are they all right?” covertly signalling to the child that I was anxious in the presence of such violence and the possibility of death.  The child reassured me that the family was okay, and I am convinced that I had essentially ruined that session’s treatment.  Fortunately I was lucky to have an amazing supervisor, Linda Storey (great name for a therapist too!) who helped me to learn how to truly be non-directive.  Over the next year and since I have greeted tornadoes, murder, floods, monster attacks, plane crashes, burning buildings and other disasters with “what happens next?”

Non-directive play therapy is still at it’s heart a two-part invention between the therapist and the patient.  However, unlike some other forms of treatment, it requires the therapist to be able to tolerate a lot of violence and anxiety.  Trying to direct children away from their aggressive fantasies and desires is often rooted in the therapist’s own anxiety about them.  Let’s face it, for many of us death and destruction are scary things.  It isn’t just a rookie mistake to ask the child to make the story turn out “okay,” and yet I think it has never been more urgent for therapists to be able to tolerate violent fantasy and encourage it to unfold in the play.

21st Century Play

Virginia Axline never had to contend with Call of Duty Special Ops, Modern Warfare or Battlefield 3.  What was different about 20th Century play therapy was that the games in the consulting room usually resembled the ones from the child’s everyday life at home or school.  The therapists therefore knew how to play them, and didn’t necessarily need to learn them as they went.  But now we are in the 21st century, where the therapy office often has games from our childhoods rather than those of our patients, and they are very different.

If you are a therapist and never intend to learn to play video games and play them with your patients, you should probably stop reading here; the post won’t be useful to you and I’ll probably annoy you.  But if you don’t plan on using video games with your young patients I hope you’ll consider stopping doing play therapy with children as well.  Certainly stop calling yourself a non-directive play therapist, because you’ve already directed the child’s play away from their familiar games and away from this century.  I actually hope, though, that you will lean into the places that scare you and try to meet your patients where they are at in their play, and for 97% of boys and 94% of girls that means video games.

Video games like Call of Duty and Minecraft are both very useful in both diagnosis and treatment of patients, as I hope to demonstrate by focusing just on one aspect here, that of player modes.  Most video games have a range of player modes, and what the patient chooses can say a lot about their attachment styles, selfobject needs, and object relations.

Solo Play is OK

Like other forms of play, sometimes patients want to play alone, and have me bear witness to their exploits.  They may do so out of initial mistrust, or a yearning for mirroring.  Solo play is looked down on by some therapists, who often think kids using “the computer” are austitic and/or “stuck” in parallel play.  I’d refer you to Winnicott, who taught us that it is a developmental achievement to be alone in the presence of another.  (I’d also refer you to my colleague and therapist Brian R. King who has a lot to say about a strengths-based approach to people on the autistic spectrum, on which he includes himself.)

The Many Reasons to Collaborate.

Some patients want to play with me on the same team in first person shooter games.  The reasons for this can vary.  Some patients want to protect me from their aggression because they are afraid I’ll be scared of it like parents, teachers and other adults may have been.  Other patients want to be on the same team because they want  to have a merger with an idealized parent imago to feel more powerful and able to take on the game.  Still other patients, seen in their daily lives as oppositional or violent, want to play on the same team so they can revive me and have me experience them as nurturing and a force for good in the world.

Some patients  want to have their competition framed by overall collaboration, meaning that they want to get the most or final “kills” but remain on the same team.  Some patients secretly yearn to play on a different team, and may need to “accidentally” change the settings to put us on opposing teams and passively want the game to continue.

Let’s Bring On A World of Hurt.

On the other hand, there are a lot of reasons patients want to compete.  They may want to see if I can stand their aggression and/or desire to win without being annihilated.  They may want to express their sadism by tormenting me for my lack of skill, or alternately project their yearnings for recognition by praising me when I kill them.  They may want to see how I manage my frustration when playing, and interpret that frustration as investment in the game and therefore my relationship with them.  They may be watching very carefully to see how I act when I win or lose.  Do I gloat when I win?  Do I make excuses when I lose?  How might these behaviors be understood by children and adolescents who often feel like they are chronically losing and behind their peers in the game of education?

More questions arise:  Does the patient ask me what mode I want to play or simply decide on one?  Do they modulate their anxiety by playing a combat mode but expressing the desire to stay away from the zombie mode?  By allowing them to do that am I helping them to learn that sometimes life is about choosing the lesser of two anxieties rather than avoiding anxiety altogether?

Multiplayer and Uninvited Guests

In terms of settings, there is some direction on my part, which is part of maintaining the therapeutic frame.  I make it a requirement that we play either locally or in a private game.  And of course this sometimes go wrong, with a random player joining us.

What to do then?  What if we are on an extremely high level and just terminating the game will do more harm than good?  In that case I make sure we are on mute and the our conversation can’t be heard by the added player, and then things get even more interesting in the therapeutic conversation:  Does the patient have any feelings about the new player’s arrival?  What do they imagine the usertag “NavySeal69” means anyway?  Do we help them when they are down or try to ignore them?  How do we feel if they are ignoring us?  Do we team up against them?

Minecraft and the Repetition Compulsion.

I could probably write a whole post or paper on this, but for know let’s talk about creative mode and griefing.  In Minecraft you and other players can build things alone or together.  Other players can also “grief” you, meaning cause you grief by destroying your structures and setting you back after a lot of hard work.   What does it mean when a patient griefs my building, apologizing and promising not to grief it if I rebuild, then griefs it over and over again?  What may be being reenacted here?  Are there adults in the patient’s life who tear her/him down again and again?  When does one give up on any hope for honesty or compassion from the other?  What sort of object are they inviting me to become to them; angry, patient, gullible, limit-setting, mistrustful?

I have used the term child or adolescent here, but exploring the gameplay of adults when they describe it to me is often useful as well.  I often encourage my adult students or gamer readers to do a little self-analysis on their play-style?  What does your preferred mode of moving through video games say about you?  What questions does it invite you to explore?

The goal here is not to give you an explicit case presentation or analysis of one hypothetical patient or game.  Rather, it is to provide you with a Whitman’s Sampler of practice and theory nuggets to give you a taste of the richness you are missing if you don’t play video games with your patients, especially if you are a psychodynamic therapist.  There is a lot that “happens next” if you engage with your patients in 21st century play that has themes you may find familiar:  How do I live in a world that can be hostile to me?  Why should I trust you to be any different?  Will my badness destroy or repulse you?  Will you hurt me if I am vulnerable?  These and dozens of other fascinating and relevant themes emerge in a way that never did for me when I forced kids to endure 45 minutes of the Talking, Feeling, Doing Game.  And what’s more you don’t have to remember to take the “What Do You Think About a Girl Who Sometimes Plays with or Rubs Her Vagina When She’s Alone?” card out of the deck.

I’m not THAT non-directive.  🙂

 

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Saving Ideas

cave painting

Sometime, over 40,000 years ago, someone decided to put images of human hands on the cave pictured above.  It turned out to be a good idea.  This painting has given scientists information on life in the Upper Paleolithic, raised questions about the capacity of Neandrathal man to create art, and sparked debate about which species in the homo genus created it.  Other later cave paintings depict other ideas: Bulls, horses, rhinoceros, people.

I wasn’t there in the Paleotlithic but I doubt that the images we are seeing in caves were the first ones ever drawn.  I imagine that drawing images in sand and other less permanent media happened.  I suspect that the only reason we have cave paintings is because at some point somebody decided they wanted to be able to save their idea, to keep it longer or perhaps forever.

Every day, 7 billion of us have untold numbers of ideas.  So what makes a person decide that an idea is worth saving?  What makes us pause and make a note in our Evernote App or Moleskine journal?  What inspires us to make a video of our idea on YouTube or write a book?  We can’t always be sure that an idea is a “good” one or even what the criteria for a good idea is.  It usually comes down to belief.

In the past several centuries, the ability to save ideas was relegated to the few who were deemed skillful or divinely inspired.  Books were written in monasteries, then disseminated by printing presses, and as ideas became easier to save, more people saved them.  But, and this is very important, saving an idea doesn’t make it a good idea, just a saved one.  Somewhere along the line we began to get the notion that only a few select people were capable of having a good idea, because only a few select people were capable of saving them.  Even in the 21st century, many mental health professionals and educators cling to the notion that peer-reviewed work published in journals is the apex of quality.  If it is written, if it was saved by a select few it must be a good idea.  If you have any doubt of what I’m talking about just Google “DSM V.”

With each leap in human technology comes the power to save more ideas and then spread them.  People who talk about things going viral often forget that an idea has to be saved first, and that in essence something going viral is really a form of society saving an idea.  If anything, technology has improved the democratization of education and ideas.

This makes many of us who grew up in an earlier era nervous and frustrated.  We call the younger generation self-absorbed rather than democratizing.  We grumble, “what makes you think you should blog about your day, take photos of your food, post links to cute kitten videos?”  We may even take smug self-satisfaction that we aren’t contributing to the static.  I think that’s a bad idea, although it clearly has been saved from earlier times.

40,000 years from now, our ideas may take on meanings we never anticipated, like cave drawings.  Why were kittens so important to them?  In the long view I think we remember that people have to believe they have an good idea before they take the leap of faith to save it.  The citizens of the future may debate who saved kitten videos and why, but it will be taken as given that they must have been important to many of us.

What if everyone had the confidence to believe that they had an idea worth saving?  What if everyone had the willingness to believe that it just might be possible that their idea was brilliant?  Each semester I ask the students in my class to raise their hand if they think they can get an A- or higher in the class, and most do.  Then I ask them to raise their hand if they think they can come up with in an idea in this class that could change the world.  I’ve never had more than 3 hands go up.  That’s sad.

This is why I admire the millennials and older groups who take advantage of social media and put their ideas out there.  I doubt that they are all good ideas, but I celebrate the implicit faith it takes to save them.  Anyone, absolutely anyone at all, can have a good idea.  It may not get recognized or appreciated, but now more than ever it can get saved.  Saving an idea is an act of agency.  It is a political act.  Saving an idea is choosing to become just a bit more visible.  On the most basic level saving an idea is a celebration and affirmation of the self.  Think about that, and dare to jot down, draw, record or otherwise save one of your ideas today.  I just did and it feels great.  Then maybe you can even share it with someone else.

What makes a person decide an idea is worth saving?

You do.

 

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Bad Object Rising: How We Learn to Hate Our Educated Selves

Recently I had the opportunity to work with a great set of educators in a daylong seminar.  One of the things I do with teachers when I present is have them play Minecraft.  In this case I started off by giving a general presentation that ended with a story of auto-didactism in an Ethiopian village, where 20 children who had never seen the printed word were given tablets and taught themselves to read.  I did this in part to frame the pedagogy for what came next:  I had them turn on Minecraft and spend 30 minutes exploring the game without any instruction other than getting them networked.

The responses were as varied as the instructors, but one response fascinated me in particular.  Midway into the 30 minutes, one teacher stopped playing the game and started checking her email.  Later, when we returned to our group to have a discussion about the thoughts and feelings that came up around game play, this same teacher spoke up.  We were discussing the idea of playfulness in learning when she said , “you know, I hear a lot about games and learning, and making learning fun; but sometimes learning isn’t fun and you have to do it anyway.  Sometimes you just have to suck it up and do the work.”

“I’m not saying that I disagree with you entirely,”  I said.  “But then how do we account for your giving up on Minecraft and starting to check your email?”

She looked a little surprised, and after a moment’s reflection said, “fair enough.”

I use this example because these are educators who are extremely dedicated to teaching their students, and very academically educated themselves.  Academia has this way, though, of seeping into your mind and convincing you that academics and education are one and the same.  They’re not.

I worked in the field of Special Education for more than a decade from the inside of it, and one of the things I came to believe is that there are no unteachable students.  That is the good news and the bad news.  Bad news because if a student was truly unteachable, they wouldn’t learn from us that they are dumb or bad if they don’t demonstrate the academic achievement we expect.  I remember the youth I worked with calling each other “SPED monkeys” as an insult; clearly they learned that from somewhere and someone.  They had learned to hate themselves as a bad object, in object relations terms, or to project that badness onto other students.  They learned this from the adults around them, from the microaggressions of hatred they experienced every day:  By hate I’ll go with Merriam as close enough, “intense hostility and aversion usually deriving from fear, anger, or sense of injury.”

We tend to mistakenly equate hatred with rage and physical violence, but I suggest that this is because we want to set hatred itself up as hated by and other from ourselves; surely we never behave that way.  But hatred is not always garbed in extremis.  Hatred appears every day to students who don’t fit the academic mold.  Hatred yells “speak English!” to the 6 year olds getting off the bus chatting in Spanish.  Hatred shakes its head barely (but nevertheless) perceptibly before moving on to the next student when the first has fallen silent in their struggle.  Hatred identifies the problem student in the class and bears down on her, saying proudly, “I don’t coddle my students.”  And Hatred shrugs his shoulders when the student has been absent for 3 weeks, and waits for them to be dropped from the rolls.

I’m not sure how I came to see this, because I was one of the privileged academically.  I got straight A’s, achieved academic awards and scholarships that lifted me into an upperclass world and peer group.  I wrote papers seemingly without effort, read for pleasure, and was excited to get 3 more years of graduate school.  And I have had the opportunity to become an educator and an academic myself, having taught college and graduate students.  I could have stayed quiet and siloed in my area of expertise, but work with differently-abled learners taught me something different.  It taught me that people learn to dislike education, shortly after academia learns to dislike them.

Perhaps one of the best literary portrayals of  adult hatred of divergent thinkers comes from the movie Matilda:

“Listen, you little wise acre. I’m smart, you’re dumb; I’m big, you’re little; I’m right, you’re wrong. And there’s nothing you can do about it.”

Nowadays I teach in a much different way than I did early on, before I flipped my classrooms and facilitated guided learning experiences rather than encourage people to memorize me and ideas that I had memorized from others.  And I struggle with this new approach, because I enjoy it so much I feel guilty.  You see, I have internalized the bad object too.  Even with my good grades I internalized it.  And any time I start to depart from the traditional mold of the educated self, I experience a moment of blindness, then a stony silence that seems to say, “you’re being lazy, you should make them a powerpoint and prepare a lecture.”  Yet, if my evaluations on the whole and student and colleague testimonies have truth to them, I am a “good” educator.  So let’s say I am a “good” educator, and if I as a good educator struggle with this, we shouldn’t assume that people that struggle with these issues are “bad” educators.

In fact, when it comes to emerging technologies like social media and video games, educators often try to avoid them, if not because they are fun and suspect, then because educators risk experiencing themselves as the bad object: Who wants to experience themselves as hopelessly dumb, clumsy or lazy when they can experience themselves as the bountiful and perfectly cited fount of all wisdom?  Truth is, both are distorted images of the educated self.

Don’t forget that educators themselves experience tons of societal hatred.  For them it often comes in the guise of curriculum requirements or linking their performance to outcomes on standardized testing.  Hatred comes in the low salaries and the perception that people doing intellectual or emotional labor aren’t really working.  All of this helps educators to internalize a bad object which feels shaming and awful; is it any wonder that we sometimes unconsciously try to get that bad object away from ourselves and locate it in the student?

The good news as I said before is that we are all teachable.  We can learn to make conscious and make sense of the internalized bad object representations.  We can see that thinking of people in terms of smart or dumb is a form of splitting.

And yes, there’s a lot we can do about it.

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10 Nonviolent Video Games

Sometimes mental health providers, parents and educators get so caught up in the debate about video games and violence that we imagine all video games have violent content.  They don’t.

So when I am feeling proactive (like now) I point out that there are dozens of nonviolent video games.  In this case, I’ll give you a rundown of some of my favorites available on smartphones and/or tablets.  You may ask, “Mike, how do you find all of these games?”  I find them for free in several places, and you can too!  One place in the real world is a certain coffee chain we all know and love which often has App of the Day cards to try for free.  Another good source of freebies is App Gratis.  App Gratis has 1-2 daily deals on free apps for iPhone, iPad, and Android.  The app itself is free, so download it as soon as you are ready to go bargain hunting.

Without further ado, here are some games I’m enjoying lately:

 

1. Puzzlejuice

 puzzlejuice

Ok, so the tag line is violent:  Puzzlejuice is billed as a game “that will punch your brain in the face.”  But there’s no punching or violence beyond that blurb.  Puzzlejuice combines the spatial skills of Tetris with the wordplay of Scrabble.  You rotate blocks to line up 3 or more blocks of one color, which turns them into letters.  Spell words with the letters by dragging your finger across them and the blocks disappear.  Sound simple?  Please come back and comment on this post once you’ve tried it, heh.

 

2. Circadia

circadia2

Circadia is all about timing and pace.  The graphics are simple enough, where you try to tap expanding rings in order to time their intersection with a dot and other rings.  But this game is all about impulse control, patience and learning from your mistakes.  Different colors and musical tones indicate different speeds of ring expansion, and once you are through the tutorial you find yourself timing 3 or more rings, dots that move, and increasingly complicated sequences.

 

3. Denki Blocks!

 denki

This is a perennial favorite of mine.  Move blocks with the swipe of your finger to connect all of the same color, avoiding obstacles that will get you stuck.  Add to that timer challenges, special shapes and bonus mystery rounds and you have a simple, playful puzzle game that will challenge you for hours.

 

4. Ticket To Ride

Ticket_to_ride

Based on the German-style board/card game, you can now play TTR on your smartphone or tablet.   TTR combines strategy, planning and blocking other players as they race to build train routes connecting different cities in the US, Europe or “Legendary Asia.”  Play against the computer or online with other players, and if you’re feeling social, the built in chat feature allows you to chat with other players between turns.

 

5. Hundreds

hundreds

Who would have thought a black and white (ok, and gray and red) game could be so beautiful and elegant?  The website explains the basic premise of the game, but just dive right into the tutorial like I did and see what it’s like to learn a game from within it.  Did I mention how beautiful it is?  🙂  Minimalists take note..

 

6. Tilt World

tilt world

Playful, but with a strong ecological message, this offering from game designer and thought leader Nicole Lazzaro makes use of the smartphone or tablet’s accelerometer to make Flip the tadpole help fight the Blight that has affected Shady Glen by eating carbon and planting seeds.  The game is tied to a real world impact:  For each milestone of player points in the world, more trees get planted in Madagascar.  More than 10,000 trees have been planted to date, and players can see a real-world impact calculator here.

 

7. Carcassonne

carcasonne3

Based on the classic tile game, Carcassonne is a game of building medieval towns, castles and monasteries.  Build your cities, place your Meeples, and try to get the most points by the end of the game.  Best part, you can share points with other players, so the game is about strategic alliances as well as blocking another player’s move.  Play by yourself or on networked multiplayer.  Note to therapists:  The basic game can usually be played in the 10 minutes between sessions, just sayin’..

 

8. Osmos

osmos

If you like your games with ambience and an organic dreamlike quality, try this one out.  In Osmos you play a single cell Mote who jets around and absorbs smaller motes to become the biggest cell on the block.  But be careful, because the jet propelling you is made by expelling your own matter, so the farther you go the smaller you get!  This game emphasizes patience and planning over speedy acquisition.  Accompanied by some great electronic music.

 

9. Flower Chain

flower chain

I disagree with the developer Joybean describing this as  “a beautiful game for girls,” and exhort you to play this game regardless of gender!  Tap on one of the small floating buds to cause a flower to burst open, touch a nearby bud and start a chain reaction.  Easy when the early levels only require you to hit 2-3 flowers, but when you have to get a chain reaction of 50, choose where and when you tap carefully!

 

10. Nintai 2

nintaii2

The Japanese term “nintaii” means “patience, perseverance, or endurance,” and you’ll need it to get through all 100 levels of this puzzle.  Flip a rectangular block through a 3-D platform landscape to get to the end of the maze.  Each level is accompanied by trippy music and seemingly random titles like “Joy,” “Bravery,” and “Wealth.”  This game has a high “Huh?” factor, but is a compelling experience and best of all, non-violent.

Versions of these games range from free to $9.99 for most smartphones and tablets, and nothing is shot or slashed, not even watermelon (sorry, Fruit Ninja.)  Many of these games emphasize one or more social and cognitive skills, from cooperation to word-building to problem solving and impulse control.  But don’t let that discourage you–have fun!

Have a favorite non-violent game?  Let us know below!

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Empathy (Re)Training

 

2013.06.08.01.16.34

Last night I was mining Gold Omber in the asteroid belt near Erindur VI, and I can’t begin to tell you what an accomplishment that was. (This post is not just about spaceships, but about pacifists, Ethiopia and education, so non-gaming educators and therapists keep reading.)  OK, let me tell you why it was an accomplishment.  I am talking about playing the MMO EVE Online, which involves piloting spaceships across vast amounts of space in order to mine, trade, build or pirate among other things.  In essence, your spaceship is your character, with the ship’s parts being the equivalent of your armor and weapons in games like World of Warcraft.  But you can only build or use these parts as your pilot acquires skills, ranging from engineering to planetology to cybernetics, so in that way the player’s pilot is the character in the game.  But at the start of the game you’re told that the pilot is actually a clone (this becomes important later on) and as someone was explaining to me last night the whole cloning thing has its own complications once you start using implants to modify individual clones, which you can only do after you’ve trained the skill of Cybernetics.  And why all that is important is because once you use implants you can learn skills more quickly.

If you think that is confusing, try learning how to use the sprawling user interface or UI, which one of my friends says “was made by demons who hate people, hate their hopes and dreams. Know that you are playing with toys made by demons for their amusement and tread lightly.”  Another way of putting it is that you have keep trying to remember what window you opened in the game to do what, and often have multiple windows open simultaneously in order to figure out what you’re doing or buying or training.  There is a robot tutorial program in the game that helps somewhat, but the whole thing is very frustrating and intriguing for the first several hours of game play.  During this time I was ganked repeatedly, lost lots of loot and ore I had mined, as well as a nice spaceship or two.  So to get to the point where I had learned enough skills to be able to warp halfway across the galaxy, lock onto an asteroid, orbit and mine it while defending myself from marauders was extremely exciting.  I was only able to do this because my above-mentioned friend had given me a much bigger and safer ship than I had started out with, as well as lots of instructions on how to do things; and because I was chatting with people in the game who offered great tips.  Of course one of those people then clicked on my profile in chat to then locate me and gank me again (bye-bye nice ship,) but the knowledge is mine to keep.

By now you may be asking “what has any of this got to do with psychotherapy, social work or education?” so I’ll explain.  I had tried EVE months ago, and given up after about a week of on and off attempts, but this past month I have begun teaching an online course for college educators and MSWs about integrating technology into psychotherapy and education.  One of the required exercises in the course is for the students to get a trial account of World of Warcraft and level a character to 20.  There has been a lot of good-natured reluctance and resistance to doing this, in this class and others:  I have been asked to justify this course material in a way I have never had to justify other learning materials to students.   This included several objecting to playing the game because of violent content prior to playing it much or at all.  It’s as if people were not initially able to perceive the course material of World of Warcraft as being in the same oeuvre as required readings or videos.  It is one thing to bring up in your English literature class that you found the violence in “Ivanhoe” or the sex in “The Monk” objectionable after reading it, but I’ve not heard of cases where students have refused to read these books for class based on those objections.  So I was curious, what made video games so different in people’s minds?

Things became easier for several folks after I set up times to meet them in the game world, and help them learn and play through the first few quests.  As I chatted with them and tried to explain the basic game mechanics I realized that I had learned to take for granted certain knowledge and skills, such as running, jumping, and clicking on characters to speak with them.  I started to suspect that the resistance to playing these games was perhaps connected to the tremendous amount of learning that was having to go on in order to even begin to play the game.  In literacy education circles we would call this  learning pre-readiness skills.  Being thrown into a learning environment in front of peers and your instructor was unsettling, immediate, and potentially embarrassing.  And I think being educators may have actually made this even harder.  Education in the dominant paradigm of the 20th and 21st century seeks to create literary critics and professors as the ultimate outcome of education, according to Ken Robinson.  So here are a group of people who have excelled at reading and writing suddenly being asked to learn and develop an entirely new and different skill set within the framework of a college course:  Of course they were frustrated.

So I started playing EVE again not just to have fun, but to have a little refresher course in empathy.  I have leveled to 90 in WoW, so I know how to do things there, and had begun to forget how frustrating and bewildering learning new games can be.  In EVE I have been clueless and failing repeatedly, and getting in touch with how frustrating that learning curve can be.  I have also been re-experiencing how thrilling it is the first time I make a connection between too concepts or actions in the game:  When I realized that there was a difference between my “Assets” and my “Inventory” I wanted to shout it from the rooftops.  I have begun to see and help my students reflect on similar “learning rushes” when they get them as well.  They are now , in short, rocking the house in Azeroth.

We forget how thrilling and confusing it can be to learn sometimes, especially to the large population on the planet that doesn’t necessarily want to be a college professor or psychotherapist.  We forget that our patients and students are asked to master these frustrations and resistances every day with little notice or credit.

There is a village in Ethiopia, where 20 children were given Xoom tablet computers last year.  The researchers/founders of One Laptop Per Child dropped them off in boxes to these children, who had never learned to read or write.  They were offered no instruction and the only restriction placed on the tablet was to disable the camera.  Within minutes the children had opened the box and learned how to turn the computers on; within weeks they were learning their ABCs and writing; and within months they had learned how to hack into the tablet and turn the camera back on, all without teachers.  This story inspires and terrifies many.  It is inspiring in that it tells the story of what children can learn if they are allowed to be experimental and playful.  It is terrifying because if all this was done without a teacher to lecture or a therapist to raise self-esteem, it raises the question “do we still need them?”

Having played EVE, and taught academics in World of Warcraft, let me assure you that the world still needs teachers and therapists.  But the world needs us to begin to learn how to teach and help in a different way.  If EVE had nothing but online tutorials I would have probably struggled more and given up.  I needed to remain social and related to ask for help, listen to tips, and get the occasional leg up.  We need to retrain ourselves in empathic attunement by going to the places that scare or frustrate us, even if those places are video games.  The relationship is still important; to inspire, encourage and enjoy when learning happens in its myriad forms.  But we need to remember that there are many literacies and that not all human beings aspire to teach an infinitely recurring scholasticism to others.  We need to remember how embarrassing it can be to “not get it,” and how the people we work with every day are heroic that they can continue to show up to live and be educated in a system that humiliates them.

What’s exciting and promising, though, is this simple fact:  Learning is happening everywhere, all the time!  Whether it’s a village in Ethiopia, Elwynn Forest in Azeroth, or in orbit around Erindur VI; learning is happening.  Across worlds real and imagined, rich and poor, learning IS happening.

And we get to keep all the knowledge we find.

 

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Want To Help Stop Youth Cyberbullying? Let Your Kids Raid More.

OnyxiaBreath.12.8.06

The above title is misleading.  In fact it is as misleading as the term cyberbullying, which is an umbrella term used from experiences which range drastically.  “Cyberbullying” has been used to describe the humiliation of LGBT youth via video; the racial hatred of Sikhs on Reddit, the systematic harassment and suicide of a teenage girl by a neighboring peer’s mother; a hoax wherein a Facebooker pretended to be a woman’s missing (for 31 years); and the bad Yelp reviews of a restauranteur in AZ.

Wait, huh?

My point, exactly:  All of the things described above are different in scope, intentionality, form of media used, duration, and impact.  We need to keep this complicated.  This is not to take away from the horrific acts that people  have perpetuated with social media, or excuse them.  Rather I think we need to help kids and their parents find more nuanced ways to make sense of the way newer technologies are impacting us.

Social media amplifies ideas, feelings, and conflicts.  It often dysregulates family systems.   Growing up, many family members didn’t need to learn the level of digital literacy that today’s world requires.  Parents may be tempted to put their children in a lengthy or permanent internet lockdown.  I hear the threats, or read them, all the time:  No screens.  You’re unplugged.  She’s grounded from Facebook.

Please don’t do that.

I’ve worked with a number of young adults who have had the experiences of being on the receiving end of hatred, stalking, harassment and intrusion delivered via the internet.  And thank goodness that their parents didn’t unplug them as kids.  Because they stayed online they got to:

  • learn how to ignore haters
  • see/hear others stand up for them in a social media setting
  • come to the defense of a peer themselves
  • increase their ability to meet verbal aggression with cognition
  • make the hundreds of microdecisions about whether to “fight this battle”
  • seek out support from other peers
  • form strong online communities and followings that helped them cope with and marginalize the aggressors

More and more, online technologies are becoming a prevalent form of communication, and to take away access is to remove the hearing and voice of youth.  To do this is disempowerment, not protection.

I’ve said before that parents need to take an engaged approach with kids in order to be there to help kids understand and process the conflicts that are communicated through and amplified by social media.  But this time I want to go further, and suggest that one way to help kids achieve digital literacy in terms of social skills is to let them play more multiplayer video games.

Many of you probably saw that coming, but for those of you who didn’t, let me explain.  21st century video games are themselves a powerful form of social media.  Multiplayer games allow individuals to band together as guilds, raids, platoons and other groups to achieve higher endgame goals.  Collaboration is built into them as part of the fun and as necessary to meet the challenges.

There are exceptions to this, but it has been my experience that people don’t begin systematic personal attacks on each other when they are in the middle of downing Onyxia.  They are too busy joining forces to win.  I am convinced that much hatred we see in the developed world is there in large part because of boredom and apathy.  Games provide an alternative form of engagement to hatin’

Look, I’m not saying that people playing games never say sexist things, swear, or utter homophobic comments.  But I can say that I have heard more people, adults and children, stand up to hatred in World of Warcraft than I ever have in the 2 decades I worked in public school settings.  I’ve seen racism confronted numerous times in guild chat, seen rules for civility created and enforced over and over, always citing a variation of  the same reason:  “We’re all here to have fun, so please keep the climate conducive to that.”

Video games provide powerful interactive arenas for diverse groups of people to collaborate or compete strategically.  They capture our interest with a different sort of drama than the sort that we see our youth struggle with in other settings.  In fact, for many individuals video games provide a welcome respite from the drama that occurs in those other settings.

Social media does indeed amplify nastiness, harassment and hatred.  It also amplifies kindness, hope, generosity and cooperation.  If we don’t lean into social media with our kids, they’ll never know how to use it to amplify goodness in the world.  Worse yet, if we cut them off from connecting with the world online we’ll deprive them of the necessary opportunities to recognize and choose between good and evil.

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Skyrim Family Values

hearthfire-adoption

In psychotherapy we have grown to have a narrow definition of what it means to prescribe something.  Most of us think of prescription in terms of medication, however if we take this definition, you’ll see why I often prescribe video games:

pre·scribe

/priˈskrīb/
Verb
  1. (of a medical practitioner) Advise and authorize the use of (a medicine or treatment) for someone, esp. in writing.
  2. Recommend (a substance or action) as something beneficial.

(Google, Transmitted from http://bit.ly/XyztcE, 2013)

I have mentioned before my assertion that video games are among other things models of the world, that must both resemble and be distinct from the world to be effective.  Sometimes they are models that present dystopian worlds, and other times they model how things could be if we set aside some of our differences.

The game The Elder Scrolls V: Skyrim is such a game, and one I recommend that therapists who work with a diverse range of families familiarize themselves with.  Like other prescriptions it does have some effects that need to be considered carefully before recommending it to patients.  It is rated M by the ERSB, which is characterized as  “MATURE: Content is generally suitable for ages 17 and up. May contain intense violence, blood and gore, sexual content and/or strong language.”  For parents who are very concerned with violence in video games, this one has a range of it:  Set in a quasi-Nordic society, it contains the brutality one would expect there, including a decapitation in the first 10 minutes of the game’s opening.

So what on earth am I thinking in recommending it?

Last week the U.S. and the Supreme Court engaged in public deliberation on Proposition 8 in CA, the repeal of DOMA, and the question of what makes a marriage, and by extension, a family.  As the debate unfolded, the statistics reported indicated that the court of public opinion had already reached a majority about the subject.  The Washington Post reported that 58% of Americans favored gay marriage, the highest percentage of our citizens yet.  And in the Supreme Court, Justice Kennedy raised this:

He was alluding to children of parents in same-sex relationships, some of whom are biological offspring, but a substantial number of others who are adopted.  Adopted children often experience marginalization by virtue of their adoptive status, which can in itself be stigmatizing in a world which often give genetics primacy over nurturance.  But the child who is adopted by same-sex parents often faces a double whammy in a world where their family system goes unrecognized if not persecuted.

I’d like to think that at least part of the change in public opinion on gay marriage and families is due to Skyrim.  The video game from its inception has allowed for quest lines that culminate in your proposal, wedding, and marriage to a partner who can either be the same or different sex.  If your character is female and you ask another female character to get married, your experience is one of acceptance.  Later you get married in a ceremony celebrated and witnessed by several people in your community.  Still later you set up house together, and have the experience so many of us have craved, coming home to someone who loves you after a hard days work (or dragon-slaying as the case may be.)  As of last July, 10 million copies of the game had been sold worldwide, so it is not unreasonable to imagine that a large number of these found their way into the homes and minds of U.S. gamers.  So let’s not give Will and Grace all the credit.

When working with patients from adoptive and/or same-sex families, Skyrim can be a valuable resource in providing a model of a world where adoption and gay marriage are accepted and treated with little fanfare as part of life.  Families can use the game as a launch pad for discussion about what makes a family.  Perhaps more importantly, kids, adolescents and adults can enjoy hours of gameplay in a world that celebrates marriage diversity and the family of adoption.  It’s by no means a perfect world, but the benefits of such a video game may outweigh the concerns about gore.  I can tell you that what I hear discussed eagerly by players is not how cool the gore is, but rather how neat it is to be able to be adopted or marry who you want.

Think about how often parents wish their children could understand them better.  Now  your child has the opportunity to imagine themselves choosing a child as they were chosen.  Imagine a LGBTQ adolescent being able to experience choosing to marry who they want regardless of sex.  And imagine a straight person seeing that they aren’t always what “normal” has to look like.  Not medication, but a powerful prescription for what often ails our patients, and our nation.

And then, as I was preparing to write this post, I was bitten by a vampire.

Another common occurrence in the world of Skyrim is encountering a vampire.  In my case, without choosing to, I had been bitten, and within a few days of game play, people in Skyrim began to notice.  At first the shopkeepers would tell me I looked pale.  A day or so later I was told by the guards that I had a hungry look in my eye.  Finally, when my vampirism was no longer concealable everyone turned hostile.  I couldn’t enter any city, including my hometown without being attacked, both verbally and physically.  No matter that I hadn’t hurt anyone yet, I was forced to sneak around everywhere.  I felt frustrated and victimized.  It was a powerful lesson in ostracism.

I wish I could assign Skyrim to every one of my social work students studying diversity and racism.  The game provides a model of a world which provides you with the experience of tremendous acceptance and empowerment, as well as hatred and stigma.  It also shows us models of love and families which we have yet to embrace sufficiently in the United States of America.

There are  38 children in Skyrim who could be parented by a same-sex couple, in CA there are some 40,000 who have been.  In our nation as a whole an estimated 65,000 adopted children are being raised by same-sex parents.  We risk raising a portion of these, our future population, to feel ashamed, marginalized and flawed.

We can do better.

 

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Continuing Education From Pax East

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For those of you who may not know, Pax East is a yearly convention here in Boston celebrating all things video game. This year I was so fortunate to have the opportunity to present there on “Rethinking Gaming Addiction.” If you are interested in seeing what the presentation was about, you can view the Prezi here:

 

 

For those with the stamina, you can find a video of the presentation here:

 

 

And if you want to just listen to it in MP3 form, you can do so here:

 

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Nice Everything You Have There: Mindful Minecraft

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Did you know that Minecraft has a lot to teach us about how we pay attention to, get distracted from, and cope with things? Embedded in the design and the lore of the game are nuggets of philosophy, neuroscience, and psychology. From work/life balance to physical and mental health to the meaning of life Minecraft has something to teach us.

That’s why I decided to present on mindfulness and Minecraft this year at SXSW.  If you were there, thanks for coming, but if you weren’t fret not, for David Smith of Austin, TX was kind enough to videotape the event on his iPhone.  David, thanks for your stamina!  The video is broken into 5 parts, and I’ll include the prezi for you to play with as well:

 

 

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Twenty-Three Apps for the 21st Century Therapist

apps

 

Mobile applications have a lot to offer therapists.  Whether you are looking for games to play with patients, productivity or billing tools, or something to help you research, there’s an app for that.  Many supervisees, students and consultees have asked me lately what apps I recommend, so I thought it was about time I gave you a list sampling those I find most helpful and fun.  Many are cheap or free, and available for the iPad, iPhone and Android:

1. GoToMeeting

Planning on doing online therapy?  Gotomeeting has desktop and app versions of videoconferencing software, which is HIPAA-compliant.  The app version allows you to attend meetings, but the meeting needs to be initiated from the desktop version.  I use this program for the majority of my online sessions with patients and supervisees.

2. IbisMail

If you are juggling multiple roles or a portfolio career, or simply want better therapeutic boundaries, this is the email program for you.  Installed on your iPad or iPhone, this program allows you to set up automatic filters, so you can sort through junk mail.  But it also allows you to set up folders for patient emails, so that you can have them all in one place.  Then it is up to you to decide when you review your patient communications, rather than have everything coming through one inbox.  Supports multiple email accounts.

3. Flipboard

If you are wanting to add value to your twitter followers or consultees, this is a great app.  It provides a slick intuitive interface on your mobile device that pulls in stories from feeds you set, from you Facebook account to the Harvard Business Review blog.  When you find something you want to share, the app allows seamless sharing on a variety of social media platforms.  In a few minutes you can browse and share selected readings and keep up to date on current interests.

4. Bamboo Paper

This app allows you to write notes on your iPad.  It is great for note-taking during evaluations, and allows you to send these notes to Evernote as a .pdf or email yourself a copy.  NOTE: Doing this is not HIPAA-compliant if you have distinguishing identifying information in the note, so I recommend you refrain from using the cloud-based features if you have any concerns about patient privacy.  If you are using it for workshops or other personal uses, however, no worries.  And if you keep the notes local to your password-protected device, it can be a great tool.

5. Evernote

I was hesitant to add Evernote due to the recent hack they experienced, but their quick and effective response to this have actually made me more confident that this cloud-based note-taking device is still useful.  It is NOT HIPAA-compliant, so I don’t use it for patient notes ever.  That said, it is great for dictating notes about workshops, blog ideas, snapping pictures of things for study aids, and a myriad of other useful tasks.  The notes synch up between every device you have them on, so you’re always up to date.

6. iAnnotate

One of my favorites.  iAnnotate allows you to mark up .pdf files on your mobile device.  If you need to sign off on a document someone emails or faxes you, no more scanning, printing, scanning again stuff.  And if you are a student or researcher this is a must-have, as it supports highlighting and annotating research articles.  Synchs with Mendeley and Dropbox so you can store your research library with notes online.

7. 1Password

How can you make your mobile device more secure and use your web-browser more safely?  This may be the answer for you.  1Password installs on your mobile or desktop, and allows you to save and generate extremely long and secure passwords.  The level of encryption can be adjusted for the most cautious of password protectors.  This program also synchs over the cloud so that you always have the up-to-date passwords on all of your devices.  Even more convenient, it can bookmark your sign-in pages.  All of this is secured by double-password protection on your iPhone.  Stop using the same lame password for everything and start generating unique hard-to-crack ones for true HIPAA-compliance.

8. Mendeley

One part social network, one part research library,  Mendeley allows you to store research articles and annotations online and on your device.  It allows you to network with other colleagues to see what they are researching, share articles, and store all of your articles in one place.  Often it can even pull up the bibliographic entry from the web just by reading the .pdf metatag.  Geeky research goodness!

9. PayPal

This is one option for billing patients and paying vendors that is good to have.  You can invoice by email, transfer money to your bank account, and keep track of online payments on the website.  The app works well in a pinch if you aren’t ready to swipe cradit cards in your office.  NOTE, each transaction has a small fee.

10. Prezi

I’d love to see more therapists using this one.  This presentation software allows you to create dynamic visual presentations on your computer or mobile device.  You could use it to convert boring DBT worksheets to a dynamic online presentation.  Prezi supports importation from powerpoint, and provides free online hosting of your prezis as well as tons of templates and tutorials.  If you do public speaking, upload some of your prezis on your LinkedIn profile to give potential clients a vivid sense of your work.  You can see a sample here, but bear in mind that it would make more sense if I was there giving the talk.  🙂

11. DCU

I haven’t been to a bank in over 2 years, and this app is the reason why.  Digital Credit Union’s Mobile Branch PC, allows me to deposit checks from patients via my iphone.  Just login, scan the checks, and in 10 minutes you’ve done your deposits for the week.  Meanwhile, the online interface allows you to keep track of your spending easily and export to Excel or accounting software if you need to.  Great for tax season!

12. Dropbox

Dropbox is a great and free way to store non-private information on the cloud.  The app allows you to email items easily, so I use it to email intake instructions to patients, press kits to people inquiring about keynotes, and a number of other items.  I also keep all my DBT worksheets on it so that they can be sent quickly and easily to patients should they be feeling in need of extra support between sessions but not acute enough to warrant hospitalization.

13. TED

This app allows you to stay inspired and experience innovation daily, by beaming TED talks to your mobile device from the offical TED site.  You can favorite, search, and share your favorite ones, or hit “Inspire me” for random ideas.  As I wrote this, I was listening to Amanda Palmer speak on “The art of asking.”  This app can allow you access to ideas outside of the filtered professional bubble with therapists often get ourselves stuck in.

14. Line2

Want a second phone line on your iPhone?  This app allows you to have one.  You can port your practice number to it, and stop carrying two cell phones.  At $9.95 a month you can have unlimited US/Canada calling, at $14.95 a month you get a toll-free number and virtual fax.

15. CardMunch

Tired of keeping all those business cards from a shoebox?  CardMunch allows you to snap photos of a colleague’s business card and convert it to a digital one which it stores in your contacts.  Synchs with LinkedIn.

16. Micromedex

Keeping up-to-date on medications is pretty daunting, but this app, with frequent updates, helps you keep track od a medication, its Black Box warnings, contraindications, drug interactions, adverse effects, alternate names, standard dosages and more.

And now for some games!

17. Plants Vs. Zombies

This game is great for helping patients who want to learn about strategy and pacing.  Choose a certain number of plant types to plant in order to stop the zombies from overrunning your backyard.

18. Zombies, Run!

Continuing my zombie kick, this game is better than any pedometer I’ve ever used.  The more you walk or run, the further you progress in this game of fleeing zombies.  Go on multiple missions, play with friends, and even train for a 5K.

19. Kingdom Rush

This game is a classic tower defense game, which helps patients learn to make choices, control impulse spending as part of a winning strategy, and work on pacing, problem-solving and a host of other cognitive abilities.

20. Minecraft Pocket Edition

This mobile app version of Minecraft is a great way to connect with a patient’s gaming, and the app allows you to play together on a wireless LAN, so you can fight for survival or create an amazing construction right from your office together.

21. Flower Chain

This is a completely nonviolent game that focuses on setting up a chain reaction of flower blooms in order to complete each level.  Great eye candy, and a fun game for clearing the mind after a difficult session.

22. Trainyard

This puzzle game requires you to plan out and design multiple railroad tracks.  The trick is to set them up and pace them so that they all meet their goals without running into each other.  Great prompt for talking with adolescents about how they can learn to negotiate peer relationships in the same way, or learn to compromise with adults in order to get along with them.

23. Lavalanche

This puzzle game is reminiscent of Jenga, in that you have to dismantle a tower without letting the Tiki Idol fall into lava.  Another great one for executive function capacity-building around sequencing, planning and problem-solving.

So there you go, give some of these a try and let me know what you think.  Have a favorite app that you want to share?  Please feel free to comment and include the link.

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Live At The Cooney Center: “Improving Our Aim: A Psychotherapist’s Take On Video Games & Violence”

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Learn More About Rethinking Video Games & Addiction Here!

 

In the midst of several projects, including the upcoming 2013 SXSW presentation, but wanted to give you a post in the meantime.  Here is the presentation on rethinking gaming addiction I did there last year.

[gigya ]

This can give you an idea of:

  1. The power of Prezi, even in its’ most stripped down version
  2. The visuals that accompanied the presentation you can listen to if you go here
  3. What my approach to technology and psychology is
  4. What my style is as a public speaker

Enjoy, and I will be posting again with bigger news soon!

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4 Tips For Dealing With Video Game Violence For Parents

See-no-evil-Hear-no-evil-Speak-no-evil-Star-Wars-Stormtroopers3

 

Whenever there is an upsurge in moral panic around violence in the media, the focus becomes more polarizing than pragmatic.  Despite the overwhelming research (such as these articles) that shows weak if any links between video games and violence, media pundits whip up mental health providers and the parents they work with into a frenzy.  Feelings such as a passionate urge to protect children and adolescents are often to intense to be suspended to look at data.  In the midst of all this, moderate and practical ways to address the graphic content of some video games are overlooked in favor of heated philosophical debates.  So for those of you who are parents and/or work with them, here are a few tips and links on how to handle violence in video games:

1. Set console parental controls.  You can set your game consoles to only play games of a certain rating.  If you haven’t done so and are complaining about violence in video games, take some action here.  Here are the how-tos:

XBox Parental Controls

Playstation Parental Controls (Video from CNET

Wii Parental Controls

These are password-protected, and will allow you to set the ratings limits, which brings us to:

2. Know your ratings.  Although I have mixed feelings about the Entertainment Software Rating Board, it’s what we’ve got.  But the ESRB is only as useful if you familiarize yourself with it.  This means not only looking at what each rating means, but using the other resources they have, including mobile tools, setting controls, family discussion guides and other tips for safety.  The message here is that there is more to understanding and moderating access to your child’s gameplay than a rating system, including discussion of in-game content.

3. Make use of graphical content filters.  Many parents, educators and therapists don’t know that a growing number of games have options that can be set to filter out violent graphics, profanity, and alter the experience of game content to a more family-friendly level.  If your child wants a video game, have searching online to see if the game has a GCF be part of the process.  Not only will you be teaching them about consumer choice, but digital literacy as well.  Here are some popular games that have GCFs:

Call of Duty Black Ops 2

Gears of War 3

World of Warcraft

4. MOST IMPORTANT TIP: Parenting has no “settings.”  Parents and educators often want some expert to rely on–don’t try to “park it” that way.  Most games can be rented before you buy them from services like GameFly so you can test drive them.  That’s right, I’m suggesting you play the games yourself so you can make a personally informed decision.  At the very least you should be watching your child play them some of the time, not to be nosy, but because part of your role as a parent is to take an interest in their world.  If you can spend 2 hours going to their Little League game, you can spend an hour watching (if not playing) Borderlands 2.

If you’re an educator or therapist, you’re not off the hook either.  🙂 If you are going to offer opinions on video games and their content, make sure you are playing them.  Chances are you don’t say things like “reading Dickens is dangerous for young minds” if you have never read any of his work.  If you did, you’d probably be out at a book burning rather than reading this blog.  By the same token, don’t presume to opine about video games if you have done nothing to educate yourselves about them.  And please note that asking children about them is a place to start, but by no means sufficient for educating yourself.  If you are a play therapist, please start including 21st century play materials like video games in your repertoire.  And be sure to provide parents with the resources they need to help them make sense of this stuff, such as the resources this post gives you.

Look anyone can have an opinion on video games and violence, but we need practical processes to help people be informed consumers.  This is one parenting issue that has practical, doable options, and is rated “O” for “Ongoing…”

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Epic Every Day: What Video Games and the Millenials Can Teach Us If We Let Them

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The term millennial refers to the generation following mine, Generation X, who were born between the early 80s and 2001.  There certainly may be some differences in the millennial cohort in terms of race and social class, but in my experience working in both urban and suburban settings, technology use is not one of them.  In fact, technology has probably exacerbated some of the traits millennials are known and often criticized for.  Social media has made expression more democratic and amplified, and millennials cite self-expression as extremely important.  Growing up with the internet has also placed them in the same social and informational spheres as their parents more than previous generations, making them more civic-minded than rebellious, and having different, some would say overly dependent, attachments to their parents.

Common complaints about millennials include that they are entitled, tethered to their parents, unable to tolerate longterm goals, averse to sustained effort and require a constant stream of praise for the most minimal pieces of work.  The other side of this coin is worth noting, too:  Higher sense of self-expression has led to millennials’ higher acceptance of diversity in others; they are more comfortable with switching jobs or organizations they work with and working outside the box in general.  Yes, they may also have a higher tendency to blame external rather than internal things for their problems, but having come to self-awareness post-9/11, can we really blame them?

In my work, I often encounter children, adolescents and young adults who are failing in school for a variety of reasons.  These “millennials” avoid attending, and often the blame is placed on excessive video game use.  They are seen to be escaping from reality, and although I can understand this perspective, it also puzzles me in some ways.  Video games would in many ways seem to me to be going from the frying pan into the fire:  They are rife with failure; in fact the statistic Jane McGonigal gives us is that people are failing 85% of the time in playing video games.  MMOs often require even more collaboration, sharing and critical thinking between individuals than classrooms in any given 30 minute period.

Millennials are often criticized as post-academic workers as well, for having less job loyalty, a need for constant feedback, and expecting that feedback to be praise.  In more affluent school districts I often heard their parents described as helicopter parents, who would email school minutes after receiving the report card to begin to debate the grades and exert pressure on educators to change them.  This has led to such grade inflation in my experience that my graduate school students are hurt and insulted when they get a B+ on a paper, sometimes to the point of tears.  I can’t remember a class I had in college where I wasn’t listening to a lecture, millennials are constantly asking for more small group work.  I’ve even had a call on occasion from a parent about their child’s performance.  Did I mention that I taught in graduate school?

From the above criticisms you’d think I was down on millennials, and you’d be dead wrong.  Because I think for the most part the millennials are happy, tolerant, and more likely to help others voluntarily than other generations, and the Pew Research on them bears this out.  And I think that a major reason for this is that they play video games.

The video games of today and the past decade have morphed from Pong and Space Invaders to Halo and World of Warcraft.  They have set up myriad game worlds where survival and thriving requires critical thinking, social collaboration, and lots of trial and error for mastery.  These games have also been played by over 90% of the millennial population, and I would suggest that the result is that millennials have been conditioned to be more collaborative, expect feedback to be quick and positive, and be more connected to others through technology.

Then we send them to school,  and it is frustrating for a majority of them, a majority of teachers, and a majority of parents.  Rather than encourage them to be “lifelong learners,” education as it is currently structured aims to produce a very narrow form of educated person, one that Sir Ken Robinson describes in his TED talk as an “academic professor.”  In addition, we all start to become impatient with millennials to adopt our own often individualistic notions of what adulthood is.  They need to stand on their own two feet, work without constant reassurance, and memorize things that they could just as easily Google.  All to get into the right college, and all to get a good job.

We criticize the millennials’ work ethic for many of the same reasons:  They won’t take individual responsibility for projects, they have trouble working independently, and they expect an award merely for being present.  They need to take things more seriously and get their nose to the grindstone, no one has time to hold their hand anymore.  These are all complaints I have heard levied against adolescents and young adults in my work, and the implicit message is that it is time to grow up.

One of the greatest things we can learn from millennials is something that I think they learned from video games, and that is how to destigmatize, and even enjoy, failure.  The epitome of this for me is the Heron’ The Greatest Spelling Bee Fail/Epic Win of All Time—which was posted on YouTube originally by the millennial who flubbed it.  This ability to have a sense of observing ego and humor about oneself is something many of us in psychotherapy work with our patients for years to achieve, and yet as a generation millennials seem to have grasped it more easily.

Part of my work with gamers is often to explore this paradox:  Why is it fun or okay to fail in video games so much, and so intolerable in work or school?  Sure, part of it is that play is a magic circle according to Huizinga, which is marked apart from real life.  But games impact the same brain, the same emotions that exists inside and out of that circle.  And if that is the case, there must be some transferable skills.  We work on how to destigmatize failure

Innovation requires lots of trial and error, and lots of failures.  As educator Lucas Gillispie said at a recent education conference in Second Life, it makes little sense to penalize so harshly when students get 69%.  Rather than see it as having acquired more than half the knowledge assessed, we make it a source of embarrassment and usually require they repeat the entire exercise, class, or grade.  Millennials have grown up with a split view of failure.  On the one hand, video games have helped them understand that failure can be fun, even if you’re failing 85% of the time.  On the other, they are put in educational environments where the A is everything, and the goal of learning is to get high marks rather than enjoy the creativity and critical thinking.   In fact, A’s are so limiting!  Why not focus on a high score which can always be improved upon in school?  If the best you can do is an A, then you have to resort to accumulating the most A’s possible, which is less intrinsically rewarding and dynamic.

Many detractors will say that millennials need to get with the existing program, that what I am suggesting is dumbing down a curriculum, or that I am being too Pollyanna and that some jobs just aren’t capable of being fun.  But for over a decade companies like IBM have found success modeling work environments on MMOs, and schools which institute dance classes notice higher math scores. And the solution to our economic and occupational troubles may not be the return of a “work ethic” or more job, but the creation of new types of schools and jobs, work we can’t even imagine yet because it hasn’t been innovated or invented.  Can you imagine some 14th century youth telling his farmer dad, “I don’t want to work on the farm.  I’d like to create and use something that applies pressure and ink to paper to make reading and writing something we can all do.”

It probably isn’t a coincidence that the word “epic” has become ubiquitous over the past several years, with so many millennials and others playing video games like World of Warcraft.  And it has come under fire by many of my colleagues, who maintain that in a culture where everything is Epic, nothing truly is.  I’m not saying that everything is Epic, but I am saying that there can be some Epic every day.  It’s what they call teachable moments, flow, success, even the Epic fail that we can laugh off with colleagues before redoubling our efforts to nail it next time.  What we’re really learning here is how to tolerate frustration.

Millennials know that “epic” is a superlative, they’re not devaluing the currency of that word.  If anything, I think that this is a sign that Buddhist thinking is becoming more integrated into the 21st century:  It is Epic that we are here alive in this moment, that we want and fear so much, and the struggles that ensure from those things. There are a lot of levels left to unlock and problems to be vanquished in the world, and we need to cultivate optimism and positive psychology at school and in the workplace, not stomp on it.

Millennials often have that sense that there can be some Epic every day.  Video games offer worlds where there can be some Epic every day, too.  Let’s start noticing it.

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Happy New Year!

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As we start the New Year I wanted to share a quote I think applies to you:

“Talent hits a target no one else can hit; Genius hits a target no one else can see.”

— Arthur Schopenhauer

Going into the New Year, entertain the possibility that you are a genius.  Whether you are a gamer playing first-person shooters, a therapist trying to build your private practice, an educator trying to reach students, or someone trying to live a good life, ask yourself:  What are the targets you can see that other people can’t?

Don’t expect praise, people will think you are crazy for shooting into thin air.  You may be bullied, insulted or ignored, but remember you are not alone.  Find that person or group who believes in you even though they can’t see your target.  Those are true people of faith in your life.

Does this mean you’ll be coasting?  Nope.  It takes practice allowing yourself to look for things invisible to most.  It takes constant effort to hone your talent.

If you play Minecraft, think of 2013 as your new sandbox.  2013 is loaded with things you’ve not discovered yet.  Any rock could conceal diamonds or ore.  You will encounter creepers when you least expect them, lose things and have setbacks.  But you can opt for multiplayer, and build in community.  All of the materials are there for you.  You may think you are starting with nothing, but you always have the tools to build tools.

If you keep at it you can change the world.

Whether you are a regular visitor or a loyal follower of this blog, thank you.  In case you missed them, below are the 5 most popular posts from this year:

 

Dopey About Dopamine: Video Games, Drugs, & Addiction

Epic Mickey and Frittering

Gamer Therapy

How to Get Taken Seriously as a Mental Health Professional

Skyrim, Stealing & Sadism

 

Like this post?  I can rant in person too, check out the Press Kit for Public Speaking info?  And, for only $2.99 you can buy my book.  You can also  Subscribe to the Epic Newsletter!

Angry Birds, Advent, & the 12 Links of Christmas

You may be familiar with Angry Birds, one of the most popular smartphone games in the world. But did you know that they have a holiday season edition? They cover several world holidays, but by far my favorite is the Christmas version, which comes out early each December.

The reason I like it so much is that it is basically an Advent calendar. For those of you who aren’t familiar with them, advent calendars are holiday calendars used to help celebrate the anticipation of Christmas. There are usually 24 little doors or windows in the calendar, and each night you open one of the doors as you get closer to the 25th. Behind the door may be a picture, small piece of chocolate, part of a story, or something else.

Angry Birds Seasons allows you to play one game level per day leading up until Christmas. Whether you whiz through it or play for 2 hours, the next day’s level is locked until midnight. You’ll see a countdown page if you try to move forward, but that’s it.

Many spiritual traditions emphasize the celebration of small patient acts. Hanukkah uses the nightly lighting of the menorah and exchange of small gifts for 8 nights. Diwali has 6 nights of celebration in its festival of lights, and there are many more. And now we have the more secular tradition of Angry Birds.

I want to celebrate with you the idea of waiting and enjoying small things. I think we can enjoy anticipation, see the value in the smallest of gifts. And that those gifts can be as powerful as they are small.

So whatever your particular holiday tradition is, or isn’t, I hope you’ll accept this gift from me to you. I call them the Twelve Links of Christmas, but you can call them whatever you want. They’re hyperlinks (sorry Zelda fans) to 12 different activities and ideas. Some of them are video games you can try, others are gift ideas, some are videos of change. All of them engage you in some activity involving social justice.

Don’t open them all at once! Each day from now until the 25th, click on one link and try it out.

The Twelve Links

1. Darfur is Dying: Refugee Game for Change Play this game to learn more about the genocide in the Darfur region. One of my students played the game for 45 minutes before realizing that she had now spent more time learning about Darfur in one sitting than the totality of her life before.
2. Eli Pariser TED Talk: Beware online “filter bubbles” In this TED Talk, Eli Pariser helps us see how we are in danger of having our experiences and information filtered by emerging technologies, and warns us of the potential consequence of such searches mediating and filtering our understanding of the world.
3. True Colors It’s been two years since this performance was belted out by the LA Gay Men’s Chorus, but it is as moving as ever. Sung to the world, but also to every LGBT youth feeling isolated and hopeless, this resounding cry of comfort and encouragement is perhaps best summed up in the powerful vocals at 3:50: “So don’t be afraid..”
4. Foldit: Science Game for Health Learn about and play the game that contributed to HIV research in 10 days of gaming in ways that computer models had been trying to do for years. Foldit uses a video game to fold proteins, which aids in the search for cures of health issues such as Cancer and AIDS. Within minutes, anyone can begin playing the game and help!
5. Tropes Vs. Women #3: The Smurfette Principal This is one video from Anita Sarkeesian’s series, which offers a feminist perspective on the limited and limiting ways women are portrayed in popular culture. Anita’s more recent exploration of sexism and these tropes in video games sparked a hateful backlash from some, and may just have ushered in a new era of discussion and self-critique as gamers and game developers supported Sarkeesian and have begun working to make the days of such hate numbered.
6. Papo and Yo If you still have any doubt that video games can be both art and social commentary, this powerful trailer may convince you otherwise. This PS3 game offers a powerful exploration of childhood abuse, ethnicity, poverty and the power of the imagination to solve the puzzle trauma inflicts on the oppressed.
7. Ken Robinson Says Schools Kill Creativity Check out this TED talk, not just for its commentary on education in general, but as a meditation on how we could rethink learning disabilities, autism, and other differences in the human learning process.
8. Ethos and Seniors Flash Mob for Elder Abuse Awareness Day This year, senior citizens in my very own Massachusetts dropped into the local supermarket for a flash mob to raise awareness on elder abuse. Their choice of song was apt, and even a bit chilling. Check out the video and see if you can notice how many stereotypes of elders it helps debunk.
9. Heifer.org : Rethinking Gift-giving A perennial favorite of mine, the mission of Heifer is simple: “To work with communities to end hunger and poverty and care for the Earth.” This website will show you the way you can change the world this holiday season by giving a gift of sustainable food and agriculture to indigenous peoples all over the world. Much nicer than another soap on a rope.
10. I Am: Trans People Speak A brave and bold use of social media, this project is affiliated with the Massachusetts Transgender Political Coalition in partnership with the Gay & Lesbian Alliance Against Defamation. It seeks to raise awareness about diversity within transgender communities, as well as empower individuals to create positive change in the media representations of trans people.
11. Food Force 2 Look, you’re on Facebook anyway, why not spend some time learning a bit about sustainability, community organizing and world hunger? This game, sponsored by the United Nations World Food Program, seeks to raise both awareness and money to solve real world food shortages. Since it is a video game on a social media platform, perhaps you can invite your friends to play too!
12. Give An Hour: Psychotherapists Supporting Veterans Got a spare 50 hours? Of course not. Okay, how about 10 minutes to check this video out. In it my colleague Barbara Van Dahlen discusses how she founded Give An Hour, an organization that connects returning veterans with psychotherapists who have volunteered to donate an hour a week of free therapy. After you listen to some of the soldier’s stories, you may find yourself inspired to make room for that hour a week in your practice. I have since 2006, and I recommend it highly.

If you’ve checked out the link before, maybe there is someone important to you you could send it to? Maybe you haven’t shared it with your child? Maybe someone else who you know will be alone for the holidays, or someone you’ve been meaning to reconnect with and can’t quite figure out how to do it?

I hope you find these links as rewarding and enriching as I have. Please accept them as my thank you for reading the blog this year. Please take them as an invitation to change the world. Because that is what social justice is, isn’t it?

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‘Tis The Season For Power Ups

This time of year is for many of us a time of stress and reflection.  The days get shorter and much of the time it seems as if we are wandering around in darkness waiting for things to change.  We may be pursued by haunting images of past relationships and mistakes we have made.  We may feel like we are doing things over and over the same way expecting different results.  We may become painfully aware of our repetition compulsion even as we charge around trying to get something to fill us up.  We may dread the end and fear death.

You all know I’m talking about Pac-Man, right?

No, seriously, by now everyone on the planet, gamer or not, must know that Pac-Man is not just a fun video game but a compelling spiritual meditation.  First off, Pac-Man is walking a labyrinth over and over, focusing on his path, how mindful is that?  And then there are the ghosts, don’t even get me started on them.  They pursue him constantly, like the specter of death or the ruminating thought that can’t be shaken.  They are constantly somewhere on the board with him, yet Pac-Man is essentially alone in the world.

This would all be pretty depressing if it weren’t for the power-ups.  Traditionally there are four of them, in the form of larger blinking white dots in the corners of the maze.  You probably recall the drill:  Pac-Man runs away from the ghosts until he finally eats one of those power-ups.  And then everything changes.  The ghosts turn blue and run away from him, and he can eat them for more points.  Yep, turns out Pac-Man applies good old Buddhist principles to the whole situation:  He faces his fears, and moves toward them.  As Pema Chodron would say, Pac-Man goes to the places that scare him and leans into the sharp points.

Ok, so back to you and your life, or your business or your family or your health, whatever situation or ghostly thoughts are running around the maze in your head.  Let’s do some Pac-meditation on them:

1. Who’s chasing you?  Take a moment to stop rushing around and ask yourself what are you worrying about?  Are you legitimately busy or being hectic?  Remind yourself that in this present moment, the people, places or things you may be avoiding are probably not really there in front of you. If you aren’t physically moving, then remind yourself of that with a breath or two. If you feel like you are moving and you really aren’t, gently remind your mind of that.  And if you are moving, try moving like you are walking a labyrinth not running around a maze: purposefully, single mindedly.  Mindfulness is the difference between a maze and a labyrinth.

2. Don’t let the bouncing fruit distract you.  This time of year especially it is easy to get thrown off course because you can become fixated on one goal: The perfect gift, the perfect holiday dinner, the New Year’s resolution to change X,Y, or Z.  Much of it is hype or a collective hysteria.  Look again, there isn’t one special dazzling fruit (or pretzel) that you have to have to win.  Nope, it’s just ordinary time, the present moment stretching out before you like a string of yummy pellets.  Enjoy those quiet unassuming moments where everything is calm and sufficient.

3. Know your ghosts.  Take a few minutes now to get to know your four ghosts.  This doesn’t need to be all psychoanalytic.  Just try to list off 1-4 things that are most pressing to worry about.  The ghosts often have less scary identities than you may suspect:

Those are the traditional names, but now let’s have you take your ghosts and put your names on them.  For example they could be:

Try to limit the ghosts to four–Remember, this isn’t Space Invaders.  What are the most pressing urgent concerns?  The goal is to get them down and begin to do what Michael White referred to as “externalizing the problem.”

Now you’re ready for…

4. Identify your power-ups.  What are those things that help you feel more powerful, more effective?  Some people identify a song that powers them up to go to the gym.  A favorite quote can be your power-up.  In my office I have one of those Staples Easy Buttons which some people find useful.  My own personal power-up is an Iced Venti Americano at Starbucks.  Sometimes power-ups are specific to the particular ghost you are dealing with, sometimes one power-up works for many different ones.  This is not a new concept, people have been using talismans for years.  Object relations folks would probably call power-ups “transitional objects.”

Last, but not least:

5. Use your power-ups.  This is not as easy as it sounds.  People often forget they have power-ups even after they have identified them.  You need to make sure your power-up is ready at hand.  If yours is an Easy button, you need to keep it at your workspace in plain view.  If it is fresh orange juice you need to make sure there is some in the fridge.  If it is a song it needs to be downloaded on all your gadgets.  If prayer or meditation is your power-up put the cushion on the floor in front of your bedroom doorway.  Enlist your partner or family members to remind you that you have these power-ups.  Then use them no matter how silly it feels, no matter how hopeless you feel.  Just. Use. Them.

This isn’t the only time of year you can use power-ups, but it is definitely a good time to start.  Not because it is the holiday season, but because it is the present.  Right now you are awake, so you can reflect and take action.  The only person stopping you from logging off and figuring out your ghosts and power-ups is you: Game on!

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Avatars & The Curated Self

If I ever meet James Cameron, I hope I will remember to ask him if it was a coincidence that he chose to the make the aliens blue.  His movie, Avatar, garnered 3 Academy Awards for it’s epic tale of humanity’s encounter with the Na’Vi, largely through the creation of avatars, body forms that humans beam their consciousness into so they can mingle and fraternize with the locals.

The concept of the avatar comes originally from Hinduism, and refers to the concept of a God or Supreme Being deliberately descending to earth in a manifest form.  One of the most popular gods for doing this is Vishnu, also blue.  The concept of avatar in  Hinduism is more complicated than this, but the piece of it that pertains to this post is the general concept of the attempt of a supreme being to incarnate part of itself to enter the world.  There is an inherent diminution or derivative quality to it.

If you are more familiar with video games than Hinduism, you are probably more familiar with the concept of an avatar meaning the graphical representation of the player’s character in the game.  When we play Pac-Man, our avatar manifests in the video game as a little yellow circle with a mouth that races around gobbling dots.  Over the decades games and graphics have become capable of more sophisticated avatars ranging from the Viking-like Nords of Skyrim to the soldiers of Call Of Duty.  As these video game worlds proliferate, players descend into them with avatars of many shapes, sizes and species.  Some games, like Eve Online, allow you to customize the features of your avatar extensively; others allow you to pick from a limited number.  We are always diminished by the process of taking on an avatar.  Even if the powers an avatar has in the video game world are immense, it is derivative of the complexity of being human.

What is interesting is that most of us use avatars every day online, we just never realize it.  Video games are just one form of social media, and avatars abound in all of them.  The graphic may be as simple as our picture next to a blog post or comment, or a video on Youtube.  But in the 21st century most of us are digital citizens and use one form of avatar or another.  Some people in the world will only ever know us through our avatar in a video game or Second Life.  And yet we know something of each other.

I think more and more of us are becoming aware of the connection between the avatar and the curated self, the aspects of our psychological self we choose to represent online.  The curated self is the part of ourselves we have some ability to shape, by what we disclose, what graphics we choose, and how we respond to others.  Like an avatar, the curated self at its best is deliberate.  I say at its best, because although the curated self is in our care, we can also be careless with it.

Recently I posted a video of myself on my YouTube channel entitled “Should Therapists & Social Workers Post Videos Of Themselves On YouTube?”  In making the video I chose to wear a bike helmet, and by the end of the post was using the bike helmet as an example of the risks we take when we opt to attempt innovation of our curated self.  The video was designed to inspire critical discussion and thinking, and it did just that.  In some groups where it appeared people described the video and points it was illustrating as “brilliant.”  Other groups interpreted it as an instructional video on how to advertise your therapy practice and lambasted it.  There was a myriad of responses, and I’m sure even more from people who opted not to comment on it.  I received a number of likes of it, and a number of dislikes.

What I think is important and instructional here was how people began to comment through their avatars as if they were addressing the whole person I am rather than an avatar.  And they made incorrect assumptions ranging from my age to my motives.  The bike helmet and my posture on the video became the target for some incredible nastiness disguised as constructive criticism.  From the safety of their own avatars they hurled some invectives at who they thought I was and what they thought I was doing in front of an audience of other avatars who alternately joined in, were silent, emailed me privately to offer words of support, or publicly commented on what they saw.  The irony to me was that people began to demonstrate all of the roles we encounter in “cyberbullying,” which was part of what the video also touched on.  In a perhaps not surpising parallel process, we got to see and play out the sorts of dynamics that our patients and children experience all the time.

We need to remember that every avatar is a derivative of the person.  It is connected enough that we have attachments and responses to it.  We can feel proud or ashamed, hurt or healed through our avatars.  In fact, research from Nick Yee on “The Proteus Effect” has shown that playing a game with a powerful avatar for 90 seconds can give the player increased self-confidence that persists for up to 6 hours.  It stands to reason that if someone experiences their avatar as weak or socially unacceptable for a brief time there may be lasting effects as well.  Behind the guy in a bike helmet is someone else.  He may be a faculty member at Harvard, a sensitive fellow, a father, a student, a man who just lost his partner, a person with a criminal record, or any, all or none of these.  But he is always more than the derivative of his avatar.  We need to practice being mindful of this and model it as we train others to be digital citizens.  It is counterproductive to sound off on cyberbullying to our children or grandchildren, when they can Google us online and see us doing it ourselves.

We also need to help our patients, their families, and colleagues understand the active role we need to take in curating ourselves online.  We need to understand what may happen when we put certain things out there.  For therapists this includes the dilemma of putting out a curated self that resembles what kind of work you would do, while not disclosing or conveying more than you want the world to know.  The example I always use with students and consultees is how I talk about my family but never who they are in particular.  This is deliberate, because it is no big disclosure that I have a family, everyone on the planet has one of sorts with the possible exception of Dolly the cloned sheep.  But beyond that I curate a private self, and let folks project what they may.  If we put out comments describing patients or coleagues as “screwed up,” we are also curating ourself, I suggest poorly.  We need to be mindful that most groups we participate online in are open and searchable.  Many of my colleagues became therapists at least in part because they didn’t want to be known and thought the best defense was a good offense (“We’re here to talk about you, not me.”)  They’re used to sharing the gallows humor with the team, and think the same applies to online.  I’m with Rilke on this one:  “for here there is no place/that does not see you. You must change your life.”

To paraphrase Wittgenstein, “our self is everything that is the case,”  not just one avatar, blog, string of emails or video; not even the composite of all of them.  Nor is our curated self everything that is the case.  We’re more than our Facebook likes or our Twitter following.  Human beings are so much more, much more wondrous and tragic than the curated self.  We descend into the Internet and are diminished, but do bring some deliberate part of ourselves along.  We will only ever know hints and glimmers of ourselves and each other online.  As for the rest:

“Whereof one cannot speak, thereof one must be silent.” –Wittgenstein

 

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On The Importance Of Feeling Useless

Recently I was being trounced in a game of Call Of Duty 3:  Modern Warfare 3.  Not only was I having a difficult time understanding the lingo and mechanics of the game, the controls for this first person shooter were bewildering to me.  I found myself staring down at the controller more than at the screen.  Why couldn’t I remember what the A button did? Over the course of the week, I was also informed that Halo 4, Assassin’s Creed, and Paper Mario: Sticker Star are also here or on the horizon.

I wasn’t sure when I was going to find the time to try all of these.  I was already behind.  Skyrim had new DLC, Minecraft had different updates for both PC and the XBox 360 versions, and the Secret World and Guild Wars 2 had both been preempted by the latest World of Warcraft : Mists of Pandaria expansion.  And what about Salem?  I had gotten a beta key for that, didn’t that make me obligated to try a little more?  And I won’t even go into the iPad and iPhone games, but Baldur’s Gate was just 3 weeks away…

I write all this because I have found that readers and colleagues often assume that because gaming is an area of clinical practice and focus of mine, that I am up on all of the latest games.  If you have been imagining that I always know what every MMO gamer is talking about, or can jive with adolescents about the finer points of COD: MW3 (Call of Duty: Modern Warfare 3) and how it differs from Max Payne, you are in for a rude awakening.

I can relate to every therapist who has sat with a patient and said no repeatedly to “Do you know about” questions involving video games.  I can relate to every colleague with thumbs of lead who plays with (against) their patients on XBox.  I too struggle against the countertransference urge to display my “hipness.”  And boy am I tempted sometimes to throw up my hands and say I am so over the latest thing.

But I don’t throw up my hands because I recognize that it is a defense against feeling useless.  Who wants to feel slow, clumsy, behind the times?  Feeling useless coincides with feeling powerless, devoid of meaning or hope, and isolation.  For me, that feeling of uselessness is touching the water’s bottom:  It’s where I kick off.  Uselessness is almost always the feeling that precedes determination for me and the moment when I am closest to getting going again.  Here are just a few reasons why feeling useless can be important:

1.  Feeling useless reminds me of how my patients often feel.  Regardless of age, gender or walk of life, I have sat with people who experience feelings of utter uselessness.  Most kids feel useless in school at one point or another.  Adults tend to embrace amnesia when it comes to remembering how dumb education can make you feel before you feel smart.  They have forgotten what it was like to be called last for the kickball team, or draw and erase and draw until your paper ripped.  And the population of Baby Boomers can feel useless as they sense the impatiences of their younger colleagues in the workplace:  You talk too slow, drive too slow, and why don’t you just retire?  Meanwhile, younger adults send out resume after resume and spend more hours in sweatpants as they feel that they and their education are both useless.  Parents send their children off to college and experience the empty nest, or send them off to war and experience a more terrifying version of uselessness.  We need to remember how it feels to be useless if we are going to stay empathically attuned to our patients.

2. To recognize that you are feeling useless is to begin to wake up.  At least it can be, because the sense of being useless is completely irrational.  There is nobody, not one person on the planet who has nothing to give of themselves.  There is no such thing as a useless person, it is a cognitive distortion.  And the minute we recognize that distortion we can begin to use our observing ego to ask ourselves “who is this who is telling me I am useless?”  Whoever it is, the media, a parent, an old tape running in our head, or all of the above, it is just wrong.  And that’s ok, because we’ve been wrong before, and now that we know it we can begin to gently guide our thinking back to a more rational place.  If this sounds like meditation, that’s probably because it is.

3.  To feel useless is only a feeling.  Sure feelings are important, and a powerful part of human experience.  But they are only one part of human experience.  Thinking and behavior are two other parts.  We can use feeling useless to motivate ourselves.  We can use it as a barometer for our overall mental health.  We can also use it as a defense to stay stuck, or to attempt to elicit pity from others.  There are all sorts of ways we can use a feeling, and they aren’t all necessarily, well, useful.  Or we can just sit still for a bit, because being just a feeling, feeling useless will float by and be replaced by another feeling, and another and another…

So if you are a therapist, and you notice yourself feeling useless, you are one step closer to coming to your senses.  You can become more mindful of how unpleasant the feeling is, and mindful of how your patient may feel when they experience it.  You can remember it is only a feeling, and become curious about it and why it is coming up.  And you can consciously decide how to use it or cope with it, rather than unconsciously act out in response to it.

To return to my video game example, here’s how I used it.  I noticed the feeling and said to myself, “That’s how my patients experience themselves sometimes.”  From there I went on to think, “That’s how the therapists I consult with about technology experience themselves sometimes.”  Interesting information, and it helped me pause a moment more.  And when I sat with it more it occurred to me that there was some symbolic content that had come up in a session recently that I’d overlooked.  And then it occurred to me to write this blog, and as I wrote the first paragraph I remembered how video games are a form of social media, and how my friend Susan Giurleo often reminds me that we don’t need to be on every single platform of it to be technically savvy.  From that stream of consciousness, and more importantly, from my feeling of uselessness, came this post.  And I have no doubt that at least a few of my colleagues will find it useful, which totally debunks the useless Mike theory.

What about you?  What has elicited a feeling of uselessness for you lately?  What is that feeling about, and what are you going to do with it?

 

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Taking An Interest

 

This week I was at the dentist, and the appointment probably took twice as long as it was supposed to.  This was because as I was waiting in the dentist chair, I was playing Denki Blocks on my iPhone when the assstant came in.  She found the game interesting, and confessed to me that she didn’t know how to download games on her new iPhone.  And as I was explaining how to do that, the dentist came in and he talked about how his children weren’t allowed to play games on the iPhone because they discouraged socializing.  So then of course I explained that there was research that suggested very differently.  He listened quietly and I said, “maybe I shouldn’t be arguing with someone who is about to put a drill in my mouth.”

“No, no,” he said.  “It’s just that I’m thinking about what you said, and I haven’t thought about it that way before.”  All three of us had an ongoing conversation between all the stages of filling a cavitiy, about smartphones, digital literacy, gaming.  And at the end of it I noted how clearly this is a topic for our times if all of us can be talking and listening intently about it for such a long period of time.

In college, one of my creative writing teachers once said, “What interests you is interesting.”  I think there is a lot of truth in this in general, and specifically when it comes to psychotherapy and running a business.  I feel extremely fortunate to be in a portfolio career that allows me to pursue my interests and take an interest in the psyche and society.  Not everybody has an easy or clear path to this in our society.  Some self-help gurus make it sound like all you need is a burning interest to become the happy and successful, which is absolutely not true.  There are millions of talented people out there that start off with less privilege and opportunity, and more stressors due to race, gender, poverty, or living in an ableist culture.  But what I do think my professor was on to was the idea that often what interests you can be a strong motivator to yourself and exciting to others.

A supervisee and I recently were discussing the possible meanings and messages that could be conveyed in leaving a voicemail for a patient.  After discussing this for 30 minutes, I interjected by saying, “Can I just take a step back and point out what a weird profession we’re in that we can spend so much time talking about this?”  We both laughed at this, and it was true, but the time had gone by so fast because we were mutually interested in the subject.

Enthusiasm, in its original meaning, was taken from the Greek enthousiasmos, which came from enthousiazein, to be possessed from within by a spirit or god.  That sense of a powerful force from within that can fill one with energy and ideas and lose track of time is at work in all of the stories above.  It is not the only ingredient to having a successful business, but I believe it is an essential one.  We need to be able to geek out about what we do, to go on at length about it.  Hopefully we can do so in an engaging way, but we need to be able to lose a bit of self-consciousness to be able to focus properly on our patients, our work, and our business.

Frequently I consult with therapists who come to me because they want to grow their practice.  A few of them say that, but what they really mean is that they want to make more money and work less.  That is not in itself a bad thing, but for some it is an attempt at compromise.  For they have grown tired or disinterested in what they are doing.  They feel trapped in their work, not interested in it.  They are afraid that they are too old to change, or don’t have anything else they can do.  Some dream about a time they’ll retire and write a novel.  But for now they are consigned to sit silently and voicelessly in their office.  They grow bored and resentful of their patients, who if they are lucky, escape.  This vicious cycle can go on for years.

The same holds for supervision.  I have heard from a lot of supervisees about supervisions where it’s all about the paperwork, or the liability, or the billable hours.  I’ve heard supervisors lament how they don’t have time to focus on talking about the dynamics of therapies, as if that was “extra” stuff!  My experience is that these comments are voiced midway or at the end of a progression towards burnout.  First the supervisor feels overwhelmed by the “musts” of paperwork and filing 51As, and then the supervision shifts to only being about those.  Next, the supervision gets defined as merely being about that, so that the supervisee sees the supervisor rushing down the hall or on the phone, pausing to ask, “Anything we need to talk about?”  If there is no crisis the student feels pressured and becomes trained to say no, there isn’t.  And now that supervision is only about crises and paperwork, it becomes something everyone wants to avoid because it is boring, lifeless.  There is no enthusiasm.

I would suggest this is ultimately a setup for malpractice.  Supervisees trust supervisors who seem interested in them.  Over and over I have heard that supervisees have a hard time connecting or trusting supervisors who are “just business,” or cheerleaders.  Yes, supervisees don’t want a supervisor who lets them talk for an hour and then says, “sounds like you handled that well.”  This bears saying, because sometimes we unconsciously or consciously try to substitute affirmation for engagement and interest.  If you’re a supervisor, don’t do it, because your supervisees can smell it a mile away.  If you’re vacant, they know it.  If you are filled with the spirit of interest, they know that as well.

I’ve had colleagues tell me how clever I am to have found the niche I have, which drives me crazy frankly.  I didn’t choose to focus on technology, gaming and social media in therapy because I saw a vacuum.  I was just lucky that there was one.  I chose these areas of specialty because I am a total geek about them.  I could play or talk about video games for hours.  I can’t talk about Twitter or Google+ without getting animated.  I see their influence everywhere, read vociferously about them on my “free” time.  I wrote a book about it which I charge $2.99 for.  When asked to teach a class on clinical practice I declined, and said, “No, but I’ll write a syllabus and teach a class for social work and technology.”  Any of you who have taught at the graduate level know that teaching from a pre-existing syllabus is easier and less time-consuming than writing and proposing a pilot course.  But I was enthusiastic about the topic, which fueled my work ethic.  And this has set up a virtuous cycle, where I get more recommendations for reading or TED Talks than I can handle, and referrals to work with those patients.

I’d be lying if I said I didn’t hope someday to become famous or rich, but it is more likely that I will make a decent living and have a modest reputation.  Because as I said there are thousands, no millions of people out there who have talents and interests to share with the world.  I’m just grateful I got lucky enough to be one of the ones who got the chance to do it.

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The New Achievement Gap

 

Last night while watching the political debate, I was struck by how Mitt Romney tried to reassure the nation that his Medicare plan would not affect current retirees.  This is not an anti-Romney, or even political post, because I have heard other politicians, both Democratic and Republican, often use this reassurance when pitching a policy.  This won’t effect you, they say, only future generations.

Only future generations?  Is it possible that people really care that little about people outside our own little 80-year life span bubble?

Actually this post is going to be about education, how proud I am of my students, and how worried I am about the social work and mental health professions.

This year, Boston College made a step into the future of social work when they allowed me to propose and teach the first graduate social work class on Social Work Practice and Technology.  It was a leap of faith for the faculty and administration, and one not lost on me.  A few weeks into the class I bumped into a colleague who sat on the committee to approve the course.  She asked how the class is going, and when I updated her she said, “honestly, when we were reading your syllabus we didn’t understand half of what you were talking about, but I said ‘let Langlois teach it, if anyone can do it he can.'”

Very flattering, but more importantly an example of a social work program taking a leap of faith into educating 21st century social workers.  Are you paying attention, Deans of other social work schools?

But although I am proud of BC and myself for this, I’m even more proud of the students and how they are doing in our class!  They’re starting blogs and commenting on each others, researching and test driving smartphone Apps for possible clinical benefit, and venturing into a class which will be conducted today in World of Warcraft.  In our discussions they are raising thoughtful comments and challenging my technophilia as much as their technophobia.

At the same time, I am being reminded of the mistake older clinicians often make when we assume that all “young people” know how to use technology.  This is an impossibly blanket and uniform statement to make about the diverse group of social work students today.  Many grad students have avoided smartphones, dislike Twitter, and think of blogging as solo and literary rather than multimedia and interactive.  But the speed at which they are learning and innovating is impressive!

So here is the new Achievement Gap, or Achievement Gaps as I see them:

1. The Gap between current students and continuing education.

This class was filled up on its first run, which contrasts sharply with workshops I often try to do with colleagues for professional development. Too many older clinicians are thinking they can still “opt out” of learning about things like social media, video games, and internet technologies.  They’re the Romneys of the social work world, reassuring themselves that technology changes will not effect their business or the quality of the work they do.  And perhaps just as bad, they are leaving it to the younger generation to learn on their own.

This achievement gap is troubling for many reasons, which brings me to:

2. The Gap between knowing how to use technology technically and how to use it clinically and ethically.

Even if we were to overlook the ageism in the assumption that “young folks know all about the new technologies,” it simply is not true.  Young people, and technology itself, are too diverse for that.  Not all grad students have had the same access to technology, the same aptitude or interest, or time to keep up with the proliferation of new technologies.  And even if they did, there is a vast difference between knowing how to use Twitter mechanically and how (or if) to use it as a clinician.

For learning how to be a clinician our students have always looked to our faculty and supervisors for direction.  From what I have heard over the past several years, the response students get to technology-related questions is usually dismissal or fear.  This is reflected in our profession’s consistent focus on technology as an ethical issue rather than as a modality for treatment.  Technology workshops pay lip service to how technology can provide us with new and exciting innovations, but then skip over how to actually do that and focus on the ethical concerns.  Our profession has bought into the moral panic around the internet by making it into solely an ethical topic almost all the time.

In the search of graduate school curricula, I found only one course on the graduate level that addressed technology, perhaps not surprisingly at UT Austin.  The focus however was much more on IT for informatics and case management than clincial social work.

According to the Council for Social Work Education‘s latest report, there are over 213 MSW programs in the US.  Of those reporting information, the indication is that 85,290 full-time and 26,129 part-time social work students are enrolled currently.  That’s 111,419 students.  Of these students, 20 will graduate this year with advanced clinical training on utilizing online technologies and social media.

That’s an Achievement Gap.  That’s scary.

Look, no one is saying that grad schools and agencies, faculty and supervisors, are in an easy position.  We are being called on to teach future professionals knowledge that we often don’t have a sufficient grasp on ourselves.  But that’s a call to action, not a call to resigning that knowledge to be the responsibility of some future generation, or worse the students who pay us thousands of dollars to prepare them for social work in the 21st Century.  This is an epic fail, and one I hope graduate schools remedy quickly.

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Contributing

 
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Bio Breaks

 

If you’re a therapist looking to join a group of innovative colleagues for supervision, you may want to take advantage of this.  Like this post? There’s more where that came from, for only $2.99 you can buy my book. I can rant in person too, check out the Press Kit for Public Speaking info.  Subscribe to the Epic Newsletter!

What Back to School Could Mean

This past week, over 70 million students from Pre-K to PhD went back to school in the United States.  Of those, an estimated 1 million students are homeless, an all-time high.  And this past week, many of us went back to school ourselves to teach these folks.  Maybe you have a adjunct position, or maybe you are supervising an intern, or maybe you are a school counselor or work at a university health service.

It has never seemed more urgent to me then now that we help people get the educations they desire and work toward.  Our country has been struggling immensely over the past several years with fiscal crashes, growing gaps between the upper, middle and working classes, and the sense of hopelessness and pessimism that accompany them.  When 1 million children are homeless in one of the 10 richest countries in the world, there is a lot of change needed.

Education should be fueled by optimism even though it always begins in failure.  By that I mean that we start off by not knowing stuff, and hoping to change that.  If we all knew how to read, write and think critically innately, we’d never need to go to school.  We begin not-knowing, but, and this is what is amazing, hard-wired to learn things.  We are wired to attach to caregivers, acquire language, and make meaning of the world.  And we all have the ability to have ideas.

Recently there has been a lot of useful commentary on how we need to get better at failing, in order to be able to innovate.  That is true, and it is only half the story.  To be able to innovate, we need to be willing to risk and tolerate failure, true.  But just as importantly, we need to allow for the possibility that we could contribute something important and transformative to the world as well.

Recently I was talking with a group of my graduate students, and I asked them to be honest with me and raise their hand if they thought they could get an A in my class.  I was heartened to see that 3/4 of class raised their hands.  Then I said, “Now raise your hand if you believe that you could have an idea in this class that could change the world.”

One student raised their hand.  It was a poignant moment for me, and I suspect many of them.

What has happened to our educational system and values that we teach people to expect they can get an A, but not come up with an idea that can change the world?

I do not fault the students at ALL for this, because I think they have been taught this pessimism by our system.  SATs and standardized tests are the ways we grant access to more educational privilege in the U.S., but numbers don’t allow for the reality that everyone has the ability to ideate, to come up with a new thought that could change the world in small and large ways.  And students are given or not given financial support based on numbers, which at best only indicate potential, the potential in many ways to know what has already been known, rather than the ability to discover the unknown.  These numbers become a driving concern to parents and children, to teachers and students 0f all ages.

Many of the students you are working with are starting the year feeling defeated already.  I remember a talk I gave a while back to students on academic probation at a community college, in the last chance class they had to pass in order to continue.  Every one of them played and enjoyed some sort of video game, and I asked them why they were willing to try and fail repeatedly with video games when they were having such reluctance to try and fail at school?

One student raised his hand and answered, “because with a video game, I might win.”

What a damning indictment of the educational environment we are shaping people’s hearts and minds in.  And yet, by the end of that class every one of the students had spoken, had put forth an idea of their own which brought us as a group further.

Recently, I have been playing a new MMO called Guild Wars 2 and I am finding it very timely for the back to school season.  Although I have played WoW for years and have leveled characters up to 85 there, suddenly I find myself thrown into a new world.  There is a completely unexplored map, a new economy to master, the game mechanics and character classes just different enough to make my keyboard skills rusty.  I didn’t have a clue what was going on until I hit level 5 or 6, when suddenly I began to “get it.”  The big question I have for you is, what kept me going to level 5?

I suspect the answer is that video games like GW2 create an optimistic world, where the possibility of success and creating something new is a distinct one.  I kept trying in places where I got stuck because I knew both that failure was a possibility but so was success.  I also had the opportunity to play the beta version, where we were always being asked by the game designers for our impressions and ideas.  Many of these ideas have been incorporated into the later iterations of games like GW2, WoW, and Minecraft.  These ideas have literally changed the worlds of these games.

What if we looked at our classrooms and studies more like a beta test?  What if we allowed for the possibility that each of us, any of us, could have an idea that changes the world?  What kind of learning and character building would that environment produce?

I highly doubt that if aliens were to visit our planet thousands of years from now that they would be impressed with anyone’s GPA.  I doubt that they’d sift through the ashes of a civilization to see its test results.  They might note the high levels of anxiety and rhetoric in the 21st century speeches on education reform though.

If you are a student reading this I hope you will take this to heart:  I believe that you are capable of coming up with an idea that could change the world.  If you are a teacher I hope you’ll fight to keep your classroom a laboratory of innovation or a beta test rather than crank out widgets of standardized educational achievement.  If you are a therapist I hope you will help support your patients and their families to maintain a sense of their capability and optimism.  If you are a parent I hope you will remember that your children’s willingness to take risks and find interests in the world may not always match your own or the status quo and that that is a good thing.

Someone, many someones, somewhere, many somewheres out there, a world-changing idea is about to happen.  Let’s not miss it.

 

If you’re a therapist looking to join a group of innovative colleagues for supervision, you may want to take advantage of this.  Like this post? There’s more where that came from, for only $2.99 you can buy my book. I can rant in person too, check out the Press Kit for Public Speaking info.  Subscribe to the Epic Newsletter!

Minecraft & The Uncanny, Part 2

This is the second of a two part series on Minecraft.  Up until now you could only read it if you bought my book, but I am posting it here to give you a sense of what the book is like.  You can buy it here.  More importantly, I’m hoping you will find the topic interesting enough to vote for my presentation proposal on Minecraft & Mindfulness for SXSW this year.  You can do that here.

In Minecraft, nothing is present-at-hand, at least initially, until you realize that the ground you are running on or the mountain you are climbing aren’t just that, they are materials.  You can dig up stone to make a furnace, then bake bricks out of clay, build a house and so on.  The world gradually becomes ready-to-hand.

There is no avoiding the sense of throwness when you begin playing Minecraft.  It comes with very few directions, although there is plenty of info on the web to be had.  The downloadable beta allows you to play single and multi-player, with the single being a good way to practice the basic mechanics.  The multiplayer version opens up a whole new vista.

The multiplayer game is hosted on individual servers all over the world, some of which you can log into for free, others for a small fee.  Once logged in, the virtual world is a huge massively multiplayer sandbox, which can be a very social experience.  The cooperative building in some of these worlds is incredible.  My first journey to a server in France threw me into a world which included a vast underground city beneath a dome of molten lava.  Players are allowed to explore the world, and at a certain distance from their neighbors mine, farm and build.  Like Second Life, you can port to various places on the server, and encounter anything ranging from a Waterslide Park to a model of Hyrule, all built out of the game materials by the players.

Once in the multiplayer world, the social element of the game can become compelling.  People on chat are offering to sell gold ingots, suits of armor they crafted, or tracts of land they have developed, for both in-game and out of game monies.  You can have as much or as little to do with that as you like, and you can teleport to far-off corners of the map if you want to build and play in undeveloped lands.

In its simple mechanics, Minecraft allows us to glimpse the uncanny experience that I would suggest all video games have.  Video games are a unique art form in that they are both interactive and aesthetic by nature.  In fact they are far more stimulating and less anergic than watching television, and stimulate more regions of the brain.

Video games allow us to experience our throwness in a new world, and the animistic state of being inherent in the uncanny. We are never completely at home in the world of the game, although the game may become more familiar over time (or not, in the case of the indie game Limbo.)  We are always just visiting, strangers in a strange land.  But within the game world, mana and magic are also real, and our thoughts and strategies can quickly and permanently change the world.

Psychotherapy is in many ways, another sandbox game.  There really is no way to win in it.  The office becomes a setting for a potential space that can be shaped and altered by the patient and something new created.  Psychotherapy is also an uncanny space, one that resembles the world outside the office and yet does not.  It is a place for “everything that ought to have remained … secret and hidden but has come to light.”  Within that space, the patient experiences hauntings by ghostly relationships from the past, encounters the internal monsters of the drives, and explores the wishes behind their secret injurious powers.  Unexplored and avoided, these have calcified into symptoms, and the anxious, exciting, process of therapy helps the patient break down that calcification for a more flexible psyche.

Any child or gamer knows that play is a serious and dangerous business.  There is always the risk of annihilation, and no place worth going to doesn’t have its hazards.  But there are great treasures to be found in the game.  Further, the emotional and intellectual changes encountered within the game can then be taken out of it into the daily life of the gamer.  This is one of the reasons that video games are so compelling.  Why else would people spend hours making houses out of pixel bricks?

Both psychotherapy and video games create very real thought and feeling states in people, and that is part of their curative power.  In this book I hope I have shown that they can restore a sense of purpose and achievement that our patients have lost.  I have discussed how they can help people stay connected with others over great distances in times of duress, help us feel the sense of achievement necessary to learn and change behaviors, and explore aspects of their personalities that may be less easily seen or developed in their daily lives.  I have also explored how we can use the experience and metaphors from video games with patients to help them understand ego defenses, communication patterns and strategies that impact their relationships, and apply game mechanics to their lives to change them.  I have tried to discuss the stigmatization of gamers and technology in terms of diversity, in particular social class.  Finally, I hope I have shown how therapists can apply the principles from video games and gamification to impact both their clinical work and business skills.

All of this pales in comparison to doing the actual work, and by this I mean two things.  The first and most obvious one is the practice of psychotherapy.  Theory is a necessary but insufficient precursor to clinical practice and healing.  The second piece of actual work will be for the therapist to begin playing some video games.  Reading is not the same as doing, and it is only by entering the uncanny and enriching world of the video game that therapists can hope to truly understand them.  Never has play been more important in our work, and never has understanding video games been more urgent in healing the world.  To do so we need to rethink our attitudes and reconsider our biases towards gaming and technology.

It’s time to reset.

Gamer Therapist is on vacation, so we’ll see you in two weeks!  In the meantime, please vote for our minecraft panel at SXSW!

Like this post? There’s more where that came from, for only $2.99 you can buy my book. I can rant in person too, check out the Press Kit for Public Speaking info.  Subscribe to the Epic Newsletter!

Minecraft & The Uncanny, Part 1

This is the first of a two part series on Minecraft.  Up until now you could only read it if you bought my book, but I am posting it here to give you a sense of what the book is like.  You can buy it here.  More importantly, I’m hoping you will find the topic interesting enough to vote for my presentation proposal on Minecraft & Mindfulness for SXSW this year.  You can do that here.

In 1919 Freud wrote and published an article on “The Uncanny.”  In it he described the concept of the uncanny as a specific type of fear something both strange and familiar.  It is worth noting that the article begins with an investigation into aesthetics, something that was not usually done in the medical literature of Freud’s time.  But Freud realized that there was something particularly aesthetic about the uncanny.  It is an anxiety that both draws on the aesthetic, and from a distance also acquires an aesthetic quality itself.  In fact, it could be argued that a whole genre of fiction, such as Lovecraft, embodies the aesthetic of the uncanny.

In German, the uncanny is unheimlich, which translates literally to the “unhomely” or “unhomelike.”  Here homely has a double meaning.  First homely is the quality of domesticity, the warm hearth of the house, down comforters, a cheery cottage coziness, etc.  Second, heimlich refers to concealment, contained within the house’s domestic sphere, hidden from the public eyes of outside society.

Seen in this light, the uncanny or unheimlich is both alien and a revelation or an exposure.  Freud quotes Schelling as saying that ‘“Unheimlich” is the name for everything that ought to have remained … secret and hidden but has come to light..’” Is it any wonder that Freud took up exploration of this concept, with all of its allusions to the unconscious, anxiety, and societal repression?

Freud also talks about the element of repetition in the uncanny, such as arriving at certain places we’ve been to before, or noticing the number 62 appearing throughout the day in a variety of places.  This element of repetition gives rise to the sense that there is a pattern that we may not be aware of, which in turn makes the world suddenly seem both stranger and more imbued with meaning.

Freud goes on to discuss something gamers will be very familiar with, mana, although he discusses it from outside the framework of fantasy as a form of magical thinking that attributes powers to the neurotic overvaluation of their thought processes and their impact on reality.  But the game world is within the realm of fantasy.  Within that world, what Freud refers to as “the Apparent death and the re-animation of the dead” are fairly commonplace.  The game world returns us in many ways to the animistic state of being, characterized by “the prompt fulfilment of wishes, with secret injurious powers and with the return of the dead.”

The uncanny also figures largely in the philosophy of Martin Heidegger, and is connected to the idea of man’s “throwness” into the world.  Human beings want to feel at home in the world, but when they encounter the uncanny they experience themselves as thrown into it and apart from it.  For Heidegger the unheimlich eradicates our sense of Being-at-home-in-the-World, but as it does so it reveals something about the World to us.

For Heidegger the World is also revealed to us (and we are revealed as well) by that which is ready-to-hand, something that has a meaning that connects us to the world.  An example is a hammer, which we experience as imbued with meaning and value and inextricably linked to human being.  We don’t think about the hammer, in fact the only time we are really conscious of it is when it isn’t working.  A similar example is your car, if you reflect on it you will probably notice that you only really pay attention to your car as a concept when it isn’t working.

As opposed to ready-to-hand, present-at-hand refers to an uninvested, detached way of looking at something, one that takes us out of any sort of meaningful relationship.  Its meaning may be unclear and unconnected with human being at all.  If I ask you what you’d like to do with that round green and red thing, you’ll be confused.  But if you see it as an apple, things will become much clearer.  It probably isn’t a coincidence, by the way, that most depictions of Adam and Eve in the Garden of Eden show the fruit as an apple.  Before the Fall, everything is ready-to-hand and imbued with meaning.  Afterwards, in our thrown state, things become less clear, and more uncanny.  Paradise has been lost.

Ninety years after Freud wrote “The Uncanny,” Markus “Notch” Persson created the game Minecraft.   Minecraft is a sandbox type of video game, meaning that the world generated can be permanently changed by the player.  Creativity and survival is the goal, and there is no way to “win” the game.  The premise of the game is that your character is thrown into a vast world designed with 8-bit graphics (think early Nintendo) with only your bare hands.  The game has a day and night cycle, and at night zombies, skeletons, and other monsters come out and will attack you if you are exposed.

Everything in the game world can be destroyed and broken down into elements that can be crafted if you have the right ingredients.  At first you have fewer options, because destroying a tree with your hands takes more time than if you had an axe.  But slowly you gather materials so that you can build things that in turn allow you to build more things, so that you can hopefully build a shelter before night falls.

The landscape of the world is randomly generated by the game, and remains saved if you are killed.  Dig a hole in the ground and it will be there when you return from the dead and to the game.  The graphics are not realistic, with the blocky edges of 8-bit design, which underscores the uncanny element of the world.  The world is vast, and looks like the real world, and also doesn’t.  Minecraft is not trying to trick you into thinking it looks like real life, in fact that is one of the things that makes it so immersive.

Part 2, next week.

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Post to a Young Therapist

I’m a big believer in twofers.  When you run your own business, twofers are essential.  So when I get several emails about a topic I try to craft a post in response.  Recently I have been getting emails from many therapists or therapists in training who want advice on how to pursue a career as a gamer therapist.  Many of them grew up playing video games and have a lot more comfort and familiarity with them than their therapists who have been around for a bit.

Take Claire for example, who has graciously allowed me to share an excerpt from her email to me:

For most of my life, both video games and service to others have been passions of mine. I’ve recently been working at a game company in XYZ, and have been immersed in the gaming culture more than ever. The more I see it (and experience it first-hand) the more I see a need for therapists who can address the issues so many gamers face as a result of their passion.

Before today, I had no idea if anyone had pioneered this field of study, of if there was even a place for it. And then I found you. A quick perusal of your website tells me that you and I are very much aligned in our beliefs about how games affect us, and why they matter. Seeing that you have crafted this job for yourself inspires me to look further into the possibility of knitting together these passions of mine.

Note the use of the word “passion” here.  I hear from these younger folks how their interest and curiosity around video games and technology in general is met with skepticism and often hostility.  Supervisors turn into lawyers before their very eyes and begin every conversation about technology with the words “HIPAA” and “liability.”  The only question asked in the exploration of patient’s video game is “how many hours are they on the computer?”

Part of the problem with this disconnect is that many up and coming therapists become inadvertently ashamed of the fact that they are gamers themselves.  The implicit or explicit pathologizing of video games and tech use shapes the behavior and expectations about whether discussing gaming, or even using it as an intervention, stops before it begins.

Those of us who have been in the field for a while can often become set in our ways.  We can act as if education and the workplace haven’t changed much since we started our practice.  Insulated in our office and routine, we stick with the phone, maybe email, and play therapy games that have changed little since the 70s.  With this stance we are not prepared to work with patients in the 21st century, let alone supervise 21st century trainees.

If you are training to be a therapist, here’s what I recommend if you want to be a gamer therapist:

1. Start from Within

Repeat after me, “It is okay to experience excitement and enjoyment when I am working with patients.”  Somewhere along the line our graduate programs have begun to give you the message that you are supposed to be an evidence-based automaton with little emotional investment in treatment.  I have had students who have heard dozens of times in their training ideas like “emotional detachment,” and “inappropriate boundaries;” yet not once has anyone talked to them about feeling excited and enjoyment in their sessions.  Even trainees doing play therapy express guilt or fear about getting “caught up” in the play.  You’d think we were supposed to spend our entire careers with dull, depressing people!  Allowing for a range of emotional experience with patients means the whole range, including excitement and fun.  So if you are going to be a gamer therapist, start building your capacity to enjoy yourself in sessions.

2.  Create A Gamer-Affirmative Environment

Did you know that research has suggested that 1 out of 4 comic book readers are age 65 or older?  Yet how many offices have comic books for their adult patients alongside People and Time?  The same is true for video games.  Geeking up your office and waiting room sends the message that you don’t equate video games or technology with “toys.”  In my waiting room I don’t have comic books currently, but I do have Wired magazine and titles devoted to video games.  Many conversations have begun as a result.  I also have a Deathwing statue and other game-related memorabilia.  Recently someone saw a Post-It I had with the word Katamari on it.  I had made a note of the game to remind myself to check it out.  That Post-It was all it took to begin a very excited and meaningful conversation about the game (which has a free App, by the way.)  The smallest changes to your office can convey that you are interested.

3. Try (and I mean play) lots of different video games

This is the fun part, usually.  I have the major game platforms and am always trying one or two new games a week.  If a patient mentions a game in a session, I make a note to try it ASAP if I haven’t already.  Sometimes this requires discipline, because like most people I don’t like every sort of game.  But each game I test out helps me understand the patient better.

4. Have video games in your office

I have always had handheld video game consoles in my office, but in addition I have an XBox 360 as well.  I don’t think you can be doing contemporary play therapy well without it.

5. Disclose that you play video games

The fact that you have game consoles probably implies this a bit, but let’s be explicit. Regardless of age, 64% of Americans play video games, and the percentage is much higher under 40.  So if you have played video games, disclose that you have.  If you have a supervisor who sees that disclosure as more akin to “I smoked pot as a teen” than “Yes, I saw Star Wars” run away.  Video games are an art form not a controlled substance, and there is a big difference between those two conversations.

6. That said, be on the lookout for countertransference.

Whether you like or hate, play or avoid, video games, you need to be mindful of the reasons why and when you talk about aspects of it.  If your patient is telling you that they managed to fish up the giant sea turtle in WoW, it is an empathic failure to say, “Yeah I got that last week, isn’t it cool,” rather than to reflect to them what that says about their persistence and discipline.  Note any feelings of competition you have (or don’t have) and wonder about it.

7. Get good supervision, even if you have to pay for it privately.

One of the downsides of licensure having a (in MA) 2 year post-graduate supervision requirement before you get your independent license is that it inadvertently sends the message to fledgling clinicians that after two years you don’t need it any more.  That is not true.  I encourage new therapists to consider ongoing supervision of some sort to be a business expense to build right into your practice.  I had the opportunity to have weekly supervision for free at my workplace for 12 years.  That sort of job benefit has gone the way of the milkman in many places today.  This means you’ll need to buy some.

If you buy private supervision, remember that it is a different experience from your earlier or agency experiences with it.  This is not your boss, you are hiring them.  Hiring people means interviewing them, and screening them for fit.  If they are technophobic they are not going to be a good fit for a gamer therapist, so it is important to let them know your pro-technology and gaming stance from the beginning.

If you are interested in participating in a small group supervision experience, you may want to check out the Supervision Package I’ll be offering this fall.  You can find out more about it here.

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Tower Defense & Executive Functioning

Some of the most important tasks the human brain performs are known as the executive functions.  According to the National Center for Learning Disabilities, executive function is “a set of mental processes that helps connect past experience with present action. People use it to perform activities such as planning, organizing, strategizing, paying attention to and remembering details, and managing time and space.”  As such, the executive functions are crucial to the learning process over the life cycle.

Like many phenomenon in mental health, executive functions were focused on initially in regards to populations that had some deficits in them.  With the advent and prevalence of the diagnosis of ADHD, as well as the study of learning and learning disabilities, educators and therapists began to become familiar with a concept that had previously been of most interest to neuroscientists. We still tend to think of executive functioning from a pathology-based approach, only paying attention to how they work when they don’t work.

The truth is everyone has executive functions, which are a combination of nature and nurture, and can develop well into adulthood.  They can also deteriorate for a variety of reasons, from traumatic brain injury to Alzheimer’s disease.  And there is a body of research which suggests that mental and physical exercise can help maintain, if not improve our executive functions as we age.  Not surprisingly, as the Baby Boomers age, interest and research grows in this area.  At both ends of the life cycle, our focus on the executive functions are widening beyond pathology to the optimal environments for human learning.  How might we get better at planning, attending, strategizing, and managing time and space?

My suggestion:  Start playing more tower defense games.

Tower defense is a particular genre of video games, one which in general focuses on on preventing the progress of an enemy army across a map.  This is done by the use of towers which have varying abilities, costs to build, and points earned from downing enemies.  You don’t necessarily need to have towers in the game:  Plants Vs. Zombies for example is an example of a tower defense game where the plants are the equivalent of towers, with special abilities used to defend against the march of those pesky undead across the lawn.

More recently I have been fascinated with one of the latest iterations of tower defense games on the iPad, Kingdom Rush.  You start out with a variety of maps and coins for building.  You can use one of 4 basic tower types.  There are barracks which have soldiers who can fight and slow down the invaders.  There are artillery towers which drop bobs for an area wide (AOE) damage.  There are marksman towers which target individuals and fire arrows or guns.  Finally, there are magician towers with wizards firing spells of various types.

Each invading monster has different strengths and vulnerabilities, which are discovered by trying out different towers and noting their effects.  As the invading army is always moving forward in waves, the time element requires you to plan which towers to build first, where to place them, and what upgrades to focus on.  To do this requires a tremendous amount of strategy, organization and time management.  You also need to make decisions, including how long to delay gratification.  The more powerful towers require you to save up many more coins to buy them.  Upgrades that you can select from a talent tree add another layer of choice and complexity.

In short, to succeed in Kingdom Rush you need to have good executive functions.  It isn’t enough to have good hand/eye coordination or reaction time.  You need to be able to learn from your past experiences, and often switch strategies midway through the game.  You need to recall which towers are best for different situations and monsters.  There is a map to be managed in space and a marching army and builders to manage in time.  You need to recognize both immediate feedback and notice trends.  And there are multiple towers and units to keep track of.

The more I play Kingdom Rush, the more struck I am by how many if not all of my executive functions are required to succeed.  I can see where using this game could be both a useful assessment tool and intervention for deficits in EF.  It also has reminded me how necessary executive functions are in terms of managing money as well.  The ability to recall prices, to budget and pace spending, and set up investments that accrue value over time–all these economic experiences are embodied in the game.

Speaking of economy, you can try this game for free if you have a computer in your office or classroom here.  And you can buy it for a whopping $2.99 for your iPad.  Check it out, and see if you agree that it might be a fun, feedback rich way to challenge your executive functions.

 

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21st Century (Psycho)education

Whether you’re a psychotherapist, an educator or a parent, sooner or later you will be involved in the facilitation of growth through learning.  The bad news is that most of us were educated in the 20th century, when education was largely modeled on the 19th century.  The view of literacy then was narrower, standardized and often monolithic.  The good news is that technology today can help us invigorate learning as never before, often by using the mechanics or design of video games and social media.

Before we press on, it is time to choose your own adventure!  I encourage you to ask yourself and answer this question: Is education inevitably like a daily spoonful of cod liver oil?  That is, do I believe that it is something that is routine, unavoidably unpleasant the people need to just suck it up and deal with?

If you answered yes, click here to stop reading this post and go to Mordor, where you can play a free MUD with other denizens of gloom and doom.

If you answered no, read on to find some examples of how simple game mechanics can revolutionize a curriculum.

1. Game Patches

Game patches are supplementary, downloadable game content that patches into existing games to either fix bugs or introduce new content into existing games.  One example was the famous Burning Crusade from World of Warcraft, which added another world of play, new races to create characters as, flying, and many new quests to challenge players.  More recently, Minecraft added patches to include jungles (1.2,) fixed multiple crashes (1.2.4,) and made cats more impatient and eager to sit on things (1.2.5.)  Much of the patch content comes from user experience comments, and players often know and eagerly await for patches for weeks in advance of their arrival.

Introducing content into classroom settings can benefit from this approach.  First off, polling students during subject matter about what aspects of what they are learning would they like to know more about?  What ways can learning or behavioral problems be debugged?  For example, elementary school teachers can hype up the class before rolling out Grade 3.5, at the halfway mark of the year, and include in this patch a total restructure of seating plans, allowing new class configurations and addressing problems in a way that starts to be both expected and exciting.

In terms of curriculum, from kindergarten to college, most educators have some lesson plan, and previewing content of upcoming lessons can generate interest and engagement.  This can range from creating a funny trailer on YouTube with teasers for the next lesson, to releasing hints about upcoming problems and subject matter.  This can include contests to name upcoming characters, for example the characters involved in mathematical word problems, or residents of new areas about to be unlocked and explored in geography.

In school-based and outpatient therapy groups, where is often a psychoeducation component, group leaders can initiate a countdown before patching new content or welcoming new group members into the group.  For process-oriented groups, members can be invited to debug and modify the design of the group to deal with challenges or conflicts in the group.  I remember a really interesting version of this that a colleague of mine went through in her internship.  We were at an outpatient mental health clinic, and although it was not languaged as a patch, her co-leader had her join the group for the first several weeks as a participant-observer.  She attended the first 4 groups without speaking, and as week five approached there was much discussion and projection from other members about what she would say when she finally spoke.  She was in essence the new content “patched” into the existing group, which introduced change, and new transference while maintaining some group stability and continuity.

2. Talent Trees

If we can just get beyond the tendency towards and linear thinking in curriculum, I am convinced that this intervention could be extremely effective.  First, for those of you who are unfamiliar with the idea of a talent tree, here’s an example:

 

In many games, players have some choices about how to specialize in the area of talents.  As they progress through levels, they acquire talent points to spend on unlocking different talents.  So if an educator can be flexible in the order of learning certain topics, students can choose to specialize in learning something first or second.  Let’s take Literature, would you like to be an Arcane Satirist, Epic Voyager, or specialize in Bloodmagic Murder.  If you want to progress through the first talent tree, you will need to read and complete assignments involving Gulliver’s Travels, the second, The Odyssey, and the third MacBeth.

If you are doing psychotherapy we already have a version of this, it’s called DBT.  In it people focus on unlocking talent points in the trees of mindfulness, interpersonal effectiveness, emotion regulation and distress tolerance.  Which does the patient feel that they would benefit from working on first?  Which do you recommend?  For adolescents especially, this can make the difference between engaging in treatment and just another boring worksheet.

Other ways to use talent trees effectively can include:  Helping gamer couples unlock skills to better communicate or improve their sex lives; helping parents focus on and prioritize specific behaviors to work on with their children; a template for an emergent adult’s first career search; and systematic desensitization of a phobia.

These are just two ways that we can use both the technology and concepts behind it effect change therapeutically and educationally.  Can you think of others?

 

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“On the Computer.”

You can often tell a lot about how people value (or don’t) something by a preposition.  It is very subtle, but I have come to find that “on” in particular is a problematic one.  People are on drugs, on parole, etc.

Often I hear parents or clinicians talk about how much time Janey spends “on” the computer, or on Xbox, Playstation, etc.  I also hear about how much time Eric is “on” Facebook, 4Chan, etc.  There is always a negative connotation to this.  I have never heard someone complain about how much time someone spends “on” the book, on the gym, on the dance, etc.

This may seem like a small detail, but why are the recent technologies, things that we are “on?”  Is it because the web and video games were seen as analagous to the phone and television in their early days?  I don’t think that is the whole story.  Maybe we view technology as still cold and alien so we don’t curl up “with” a video game like we would a good book.  I can’t quite put my finger on it, but there seems to be something perjorative about being on the computer or social media that just isn’t presented the same ways with the older more familiar literacies and arts in our culture.

But my biggest problem with this preposition is that it allows important clinical data to hide in plain site of the clinician: Our patient telling us that they are on the computer at night tells us next to nothing about what they are doing with it.  The same goes for Facebook or Tumblr.  When someone tells you in your office that they spent several hours on Facebook, do you ask them what they are doing on it?

These question matter, because as technology has become more advanced and mainstream the computer can be used to access many things: information, play, sexual excitement, art, all these and more are a mere mouse-click away.  And when we are told someone is on the computer, I’d suggest we are only one question away from a panoramic window into their conscious and unconscious life.

So to with Facebook.  In 2012 being on Facebook can mean any or all of these: reading, status updating, letter-writing, IMing, game-playing, listening to music, political activism, remembering a birthday, seeing photos of grandchildren, searching content, RSVPing to a party, planning a party, and yes, even having a party.  Many relational things are happening on social media, real connections are beginning, middling and ending on it as you read this.

One good check for you is to pause and ask yourself what you think they are doing on Facebook.  I am often amazed at how disinterested therapists appear to be about that.  I have heard things at workshops like, “I don’t want to have anything to do with Facebook.”  End of subject.  Well, the statistics are accurate, more than half of the people in the US are “on” Facebook.  And I personally think when  half the population is involved in something, we can’t afford to be disinterested in it.  At best this dismissal of a patient’s interest is an empathic failure, at worst it is dangerous.

I believe more and more that we have an ethical duty to educate ourselves about social media sufficiently so that we can help our patients and our society move towards universal digital literacy.  We need to be able to help parents understand privacy settings, as well as challenge them not to think parenting has a privacy setting they can “park” their responsibility on.  We need to help schools help kids learn how to communicate online even as we educate them that cyberbullying is different than traditional bullying, and in fact often more indicative of a moral panic about technology rather than an “epidemic.”  We need to help extend our support of the individual’s reality testing to the online world, or as Howard Rheingold says, help them develop their “crap detector.”

Additionally, we need to become more nuanced in our understanding of what can be done or experienced “on” the computer, in order to understand how to keep psychology and social work relevant.  We need to include video games in play therapy, use Pinterest for DBT skills building, YouTube to provide transitional objects or guided imagery.  These do not have to dilute traditional psychotherapy, but our reluctance to use them does.  As a psychodynamic practitioner I note how we are falling behind our more behaviorally-oriented colleagues in using technology.  Technology has always had its place in psychoanalytic theory, as metaphor, analogy, and the technology of literacy to help us make sense of human experience.  Technology aids and abets the ego defenses, creates another arena for object relations to play out, and provides selfobject functions.

We are not just “on” the computer or Facebook, our relationship with them and their’s with us is much more complicated than that.  If by on we are talking about position, we’ve got the position all wrong.  “On” implies perching on top of something, like a precipice.  We are within experiences of the computer and social media, the plunge has been taken and we are swimming in it.  Now we need to begin to figure out what that means.

 

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Unplanned Obsolescence: Rethinking Play Therapy

Recently I ordered a copy of Call Of Duty: Modern Warfare 3, which I plan to try this week.  As I have mentioned in a previous post, I am not easily interested by first-person shooters, but as a gamer-affirmative therapist I can’t let my low interest get in the way of educating myself.

I once calculated that by a conservative estimate I had played approximately 27,000 games of Uno in my decade working in a public school as a clinical social worker.  I drove around with a ton of board games and a sand tray as well.  I had learned the value of play therapy at the first placement I ever had as an intern, from Winnicott’s squiggle game to the infamous Talking, Feeling, Doing Game.  This is all a roundabout way of establishing my “street cred” for valuing play therapy.

Back then, I would go home from work, and many times play Legend of Zelda: Majora’s Mask on the Nintendo 64.  My roommate at the time liked to hang out with me while I played and we chatted about life, education (he was a teacher) and politics.  He also liked to imitate the fairy guide in the game, and would often cry out, “Listen!” and offer a couple of tips.

In all those years, it never occurred to me that I could have played those games at school if I’d had an office (and some years I did) or that there was a disconnect between what I was doing with the students (card playing) and what they were talking about (Nintendo, XBox, Playstation.)  I could hold a conversation with them about these things because I played them in my spare time, but the idea of playing them with my students didn’t register as, well, therapeutic.

I am not alone in this.  Many if not most play therapists are not inclined to play video games with their patients, and it is time to rethink this.  When 97% of the boys and 94% of the girls we work with play video games, it is no longer an outlier.  But there are a few fallacies which I think get in the way of play therapists integrating play therapy into the 21st century.

One I hear frequently is that video games don’t require imagination, or offer projections to explore.  But I think this is contempt prior to investigation for the most part.  The proliferation of video games is itself the best evidence that there is imagination going into each generation of games, which are produced by imaginative people who must have been able to develop their imagination in part through video games.  And we don’t start each session making our children build their own dolls and dollhouse from scratch.  We use available tools that do to an extent always structure and limit the imagination.  For example, why does the dollhouse have a pointy roof and two floors?  This is limiting, and in fact didn’t represent 90% of the urban population I worked with at all.  And few play therapists would avoid using Elmo puppets on the grounds that it limits the imagination of the child, even though Elmo is clearly an icon of popular culture.

In fact, play has often had its inception in the popular culture of the time.  We may take chess for granted now, but when it came into being it was a reflection of a medieval monarchy, with kings, queens, and bishops.  Yet play therapists often fall prey to nostalgia, if not luddism, and maintain that there are certain games and play that are relational and therapeutic, and others, usually the modern ones, are not.

This brings me to what I suspect is another reason we resist using video games in play therapy, which is the therapist’s fear of being incompetent or failing at the unfamiliar.  Years of training in a traditional educational model have taught us to silo down in our area of “expertise” as soon as we can.  We “major” in psychology or social work, go to graduate school for advanced specialization, and basically get to a point where we can work in a routine and structured environment.  For years we get in the habit of certain forms of play therapy: Candy Land, Chutes and Ladders, cards, chess, dollhouses and telephones.  These are easy and portable, but more importantly perhaps, we know how to play them, so we can not be “distracted” by the game, or lose by design if we want to build the kids self-esteem, and otherwise feel in control of the play situation.

It’s time we work through this resistance.  People can and do have conversations while they play video games, and video games are in themselves social media.  There are plenty of metaphors to explore in and after video gameplay.  Angry Birds is rife with themes of anger, different abilities, and protecting the innocent and defenseless.  Call of Duty can give rise to expression of competition, drives, and the hunger for destruction or cooperation.  And a recent (to me) favorite, Demon Souls, is a tone poem on isolation, yearning to connect, and persistence in the face of despair.

I’m sure I’ll get comments arguing that video games are inherently violent as well.  To which I would respond, just like Battleship and the card game War are inherently violent.  We have become insulated to the violence in them, and it may not have the graphic sophistication of video games.  But the next time you play Battleship ask yourself what you think happened to all the people on the battleships that sunk?  The game doesn’t come with little lifeboats, you’re drowning people.  Play therapy does not avoid violence in its expression.

Virginia Axline, one of the founders of modern play therapy, had 8 guiding principles for play therapists:

  1. The therapist must develop a warm, friendly relationship with the child, in which good rapport is established as soon as possible.
  2. The therapist accepts the child exactly as he is.
  3. The therapist establishes a feeling of permissiveness in the relationship so that the child feels free to express his feelings completely.
  4. The therapist is alert to recognise the feelings the child is expressing and reflects those feelings back to him in such a manner that he gains insight into his behaviour.
  5. The therapist maintains a deep respect for the child’s ability to resolve his own problems if given an opportunity to do so. The responsibility to make choices and to institute changes is the child’s.
  6. The therapist does not attempt to direct the child’s actions or conversation in any manner. The child leads the way; the therapist follows.
  7. The therapist does not attempt to hurry the therapy along. It is a gradual process and is recognised as such by the therapist.
  8. The therapist establishes only those limitations that are necessary to anchor the therapy to the world of reality and to make the child aware of his responsibility in the relationship.

 

Nowhere in there does it say, the therapist sticks with the tried and true games s/he grew up with.  To my colleagues who are ready to decry the death of the imagination and lesser play of video games, I think Axline said it best:  “The child leads the way: the therapist follows.”

Following in the 21st century means having Gameboys and Playstations in our repertoire.  If we don’t keep learning and using technology in our play therapy, we may find ourselves in a state of unplanned obsolesence.  Am I saying we should stop playing Jenga and Uno?  No.  But if our patients are looking for video games amongst the chess sets and dollhouses, perhaps they are telling us something we need to pay attention to.  Just because we don’t know how to play a game doesn’t exempt us from learning it.  And what a gift it can be for an adolescent to experience themselves as more competent and talented by an adult!  So many of them come to us having been labeled as “failed learners,” and we have the potential to help them experience themselves as successful teachers, of us.

Those of us working in agencies and schools need to resist the temptation whenever possible to use the excuse of needing to be mobile or budgetary constraints.  Video games are now as portable as a Nintendo DS PSVita or Smartphone.  And the price of a video game system is not so prohibitive as to be a given.  The real reason we often don’t advocate for video games at the agency or school is our own bias that they are somehow less valuable as therapeutic play media.

I anticipate that this will meet with resounding criticisms from the “play-is-going-to-hell-in-a-hand-basket” crowd, but I’m really interested in hearing from colleagues who have managed to successfully integrate video games into their play therapy.  What are your success stories?  What have been some challenges you’ve had to overcome?  Do you schedule online play sessions?  How do you manage the noise in an office suite?  I’m really interested in your experiences.

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Harriet At Forty-Eight

If you never read the novel Harriet the Spy, I hope you will ASAP.    My hope is that most children, parents and therapists have had a chance to read it already, because it has a lot to teach us about digital citizenship.  You can get it on Amazon here.

Harriet spends a lot of time writing down things in her notebook.  Truthful things.  Unflattering things.  And one day the notebook falls into the hands of her classmates, who read these things, and respond to her with anger.  What I find interesting is the way Harriet’s friends, teachers, and parents respond.  Their initial response is to take, or try to take, Harriet’s notebook.  Of course Harriet gets another one.  That’s not the problem.

Harriet the Spy was published in 1964.  According to Wikipedia, at least one variation of the technology of the notebook had been around since 1888, and there are examples of its common usage in the early 1900s.  This technology was prevalent long before the 1960s.  No one says to Harriet that she has a “notebook addiction,” although her usage of it becomes problematic.  In fact, her redemption in the book also comes from the same technology of the written word.

One of my favorite moments in Harriet the Spy comes in Chapter 14, when Harriet has her initial appointment with a psychiatrist.  As they settle down to play a game, the psychiatrist takes out his analytic pad:

Harriet stared at the notebook.  “What’s that?”

“A notebook.”

“I KNOW that,” she shouted.

I just take a few notes now and then.  You don’t mind, do you?”

“Depends on what they are.”

“What do you mean?”

“Are they mean, nasty notes, or just ordinary notes?”

“Why?”

“Well, I just thought I’d warn you.  Nasty ones are pretty hard to get by these days.”

“Oh I see what you mean.  Thank you for the advice.  No, they’re quite ordinary notes.”

“Nobody ever takes it away from you, I bet, do they?”

 

This vignette illustrates how the clinician is not above or apart from technology.  Harriet’s psychiatrist uses it himself.  And his response to her struggle and worry about using technology is an approach I’ve come to see as key:  He doesn’t try to restrict her from using the technology, he engages her around its use and thinking about its use.  He actually gives her a notebook, and then respects her usage of it when he lets her leave the office without taking it back or asking to see it.

He then recommends that her parents talk to the school about allowing her to use technology to amplify her thoughts and expression there, via the school newspaper.  He also suggests that they use technology in the form of a letter written by Harriet’s old nanny to give her some advice and connection.  Many will say that Ole Golly’s letter is the pivot point for Harriet in the story, but I’d suggest that the pivotal moment comes when the mental health practitioner doesn’t demonize technology (the notebook) or pathologize its usage, but rather leans on technology as an avenue into the patient’s forward edge transference.

Technology, as Howard Rheingold reminds us, is a mind amplifier.  It can be used to amplify our memory in the form of notes, for example.  It can also be a voice amplifier, for better or for worse.

If Harriet was around today, I imagine she would be on LiveJournal, perhaps with her settings on private, but on LiveJournal nevertheless.  In fact, her LiveJournal notebook would probably be more secure than a notebook carried around on her person without encryption.  But maybe she’d also be on Facebook, Twitter, and Tumblr.  And unless she had parents or teachers who talked to her about digital literacy, she might not know or care about privacy settings or mindful use of technology.

Every day, on Facebook or Twitter or other social media, people young and old post, and “drop their notebook” to be read by hundreds or thousands of people, who can amplify the notebook even further by liking, pasting, sharing or tweeting it.  By comparison, Harriet’s class of 10-15 students seems paltry.  When an adolescent complains about her ADHD medication on her status, or when a parent tweets how proud he is of his Asperger’s child, these nuggets of information, of expression, of identity formation are sent out into the world and amplified.  Our work as therapists needs to be to help our patients understand the significance of what they are about to do to themselves and others when that happens.  And to do that we need to understand the technology ourselves.

Few of us would consider giving Harriet a notebook as “feeding her addiction,” or giving her a hair of the dog that bit her.  Yet, we level such technophobic claims on the social media and technology of our time, trying to focus on technology as an addictive substance rather than as a tool, and pathologizing its use far too quickly and easily.  And we often join technophobia with adultism, when we try to intrude or control the use of technology by children and adolescents (note that I said “often,” not “always”)

When you look at some of the stories Harriet prints in the school newspaper, you have to marvel at the bravery of the educators in that school!  How many of school administrators would allow entries like “JACK PETERS (LAURA PETER’S FATHER) WAS STONED OUT OF HIS MIND AT THE PETERS’ PARTY LAST SATURDAY NIGHT.  MILLY ANDREWS (CARRIE ANDREWS’ MOTHER) JUST SMILED AT HIM LIKE AN IDIOT.”  Can you imagine the parental phone calls, even though the parents were both the behavioral and quoted source for this story?  Can you imagine kids being allowed to experience communication and learning with this minimal form of adult curation?  But also, can you imagine parents saying that the problem is allowing access to the technology of writing a newspaper, and that the idea of a school paper should be abolished?

When you think about it, we live in an amazing era of the amplification of human thought and expression.  Our children will need to learn how to manage that amplification in a way we still struggle to understand ourselves.  I remember one notebook I dropped, when I was managing a staff of guidance counselors.  I was very frustrated with the response of one of them to something, and wanted to share that with my supervisor.  I thought it would be important to share my emotional response to this with someone I understood to have the role of helping me sort this stuff out, and I was being impulsive and cranky.  I ended up sending the email to the staff instead.  Boy, did that torpedo those relationships.  But I did learn a lot about how to pay more attention to the power of technology, and that part of being a good digital citizen requires thoughtful use of ampliying your words and ideas!

Most of us probably have a notebook-we-dropped story we’d rather forget, but we need to remember them and share those stories with the up and coming generations as cautionary tales, and examples of good and poor digital citizenship.  Ole Golly tells us, “Remember that writing is to put love in the world, not to use against your friends.”  Writing, a technology we have come to understand a bit better since Gutenberg, can be used for good or ill; but we don’t ban it.  Now we are all learning, albeit uncomfortably at times, how to handle the newer technologies of social media, digital communication, and video games.  It may be a bit utopian to suggest that texting/tweeting/gaming/Facebook/blogging is to put love in the world.  But the alternative seems to be that while some of us ignore, avoid or fear it, other people, governments and corporations will learn how to use it against our friends.

Embedded in Harriet the Spy is a quote from Lewis Carroll, which aptly describes where we find ourselves in the 21st century of social media: “‘The time has come,’ the Walrus said,/’To talk of many things:”  Indeed, the chatter can be deafening, impulsive, hurtful and confusing.  But the solution is to choose our words carefully, not to stop talking altogether.

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Homework on Mars

In the 20 years that I have been working with children, adolescents and their families, I have seen no end of grief caused by homework.  In fact, I sometimes wonder what families would do with all the time they saved if they weren’t doing homework, fighting about doing homework, looking for lost homework, trying to understand homework, or reading notes from teachers about incomplete homework.

And having worked in several school systems across communities of varying socioeconomic status, I can tell you that bad and boring homework knows no barrier of class or poverty.  I’ve seen my fair share of photocopied worksheets and looked at “problems 1,2, 4-8 on pages 125-129″ enough to empathize with my patients over the years.  Sometimes I manage to answer the question, how is this going to help me in life?”  But more often I’m of the opinion that I’d glaze over looking at some of the homework assignments too if I were them.

If you are someone who believes in the idea that we’ve always had homework, and that kids and young adults have just got to shut up and do it, don’t waste anymore time reading this post.  Because I think in general that homework is more over-prescribed than any psychiatric medication, and that it reinforces some pretty distorted views about education and work.  Unfortunately, they are also pretty prevalent views of education and work, but they definitely aren’t the only ones.

I’m not alone in my critique of homework.  Educator John T. Spencer wrote a great blog post about it a year ago, which points out that among other things, homework has been shown to not improve academic achievement and may even decrease it.  This research came from Cooper’s metaanalysis of over 180 studies of homework conducted between 1987 and 2006, and you can find it here.  Nor is this a recent critique:  As Gill and Schlossman point out in their work many learned and progressive people spent the earlier part of the 20th century trying to abolish homework.  Most of us parenting today however, were taught in such a way that we think of homework as a fundamental and inevitable “given” when it comes to school.

From the point of view of social emotional development and creativity at least, kids have a lot more important things to do when they aren’t in school.  Homework takes time away from developing peer relationships, engaging in extracurricular activities, and, well, being a kid.  And most assignments come in the form of worksheets and packets, which encourage dry research rather than lived experience or creativity.

I have a colleague whose son was given a list of “historic places” to research, which did not include one location in our Metro Boston area.  No Old North Church, no African Meetinghouse, no Lexington Battle Green, nothing.  No one place that encouraged parent/child time to take a trip or have a fun experience.  This is one way that schools inadvertently teach kids to “phone it in.”  And that’s not the only problematic habit homework instills:  If a child comes home from a day of work and does more work, that is being a good student; if an adult comes home from a day of work and works more we call them a workaholic.

The other thing about homework is that it inherently demeans teachers.  Although we are seeing some exciting developments with MITx, Udacity, the Khan Academy and other attempts to make education more scalable, we are being reminded that direct instruction by teachers is in many ways irreplaceable.  Even if homework reinforces what is done during the day, which it may or may not, it doesn’t replace it.

Worksheets in particular become just another metric for grading, and a metric that doesn’t say much about how varied in support and context each of the homes it is occurring in can be.  It can be argued that truly egalitarian public education happens in the school setting, as that is the one place that is a level playing field in terms of race and class.

But I don’t doubt that homework is not going away, if for nothing else than because it is “the way we do things.”  But given the wonderful new technologies out there, I don’t see any reason why it has to be so rote and dismal as it often is.  Originally I was going to write about using Netvibes as a virtual “Trapper Keeper” for homework, but then I began exploring and gardening on Mars.

Waking Mars is a game from Tiger Style, which I recently sampled for the iPad (it also is available for iPhone.)  You play the game as Liang, an astronaut who finds himself exploring subterranean caverns on Mars.  There he discovers various species of creatures called Zoa, who may be plants, animals, or something else entirely.  In order to solve the mysteries of the cavern, Liang must experiment and learn how to interact with the different Zoa.  This includes planting seeds, changing the pH of ground, helping mobile Zoa reproduce or herding them into predatory Zoa to create compost.  As one progresses, the player must gather data on each Zoa in terms of their reproduction, vulnerabilities, ideal environment and interactions in order to help replenish the biomass of each cavern.

I could envision a range of educational uses for this game.  It could be used to illustrate the concept of phyla and Linnaean taxonomy in general.  It demonstrates both symbiotic and autonomous relationships in biology.  It requires one to observe behavior and learn to predict it.  It shows how and why understanding the environment and life cycles of a biosystem may have applied value.  It requires problem-solving and critical thinking to advance, and the ability to compare and contrast types as well.

Waking Mars is an example of what could be begun in a connected classroom, and then continued at home.  Achievements are recorded and available for later assessment.  There is also social media capabilities to help kids collaborate on learning by tweeting things they’ve learned, and help teachers assess where the class as a whole is in terms of content.  Best of all it is fun, and more intrinsically rewarding than a worksheet.  I suspect parents would find it enjoyable too, and engage with their kids in a much more fun and playful way than the traditional role of parent as homework monitor.

These games are out there, and gamification is already being used in many educational settings.  And if you think about it, it makes a lot of sense.  What would you rather do, fill out a form or complete a quest?  Both require literacy and other skills, but the added benefit of playing video games and using social media is that it begins to let kids integrate learning about digital literacy as well.  One example of digital literacy that Howard Rheingold discusses is “crap detection,” where the individual doesn’t just Google something, but also questions whether the source is reputable, and fact checks it.  So to return to Waking Mars, an instructor could pose the question, “should we consider the game and its’ website factual evidence to support the hypothesis that Mars has caves?”  Why or why not?  And if not, what or where might we search online to get more valid information?

Sometimes we need to allow for the possibility that youth might know better than us about something.  If they are demonstrating that they want to spend time on iPads or computers, let’s ditch the pencils.  If they enjoy video games and technology, let’s throw away the weekly worksheets.  Do we want them to have the same disempowering and puritanical experience of education that many of us had?  Or do we want them to enjoy learning and become lifelong learners? It would be great if we could get rid of homework entirely, but if we insist on having it let’s make it fun and engaging.  Enough with the worksheets and problems 1,2, 4-8 on pages 125-129.  Let’s jet-pack through caverns and garden on Mars.

 

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Attention, Distraction & Creepers, Oh My!

 

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Digital Citizenship and the Forward Edge Transference

Recently I had an opportunity to visit a school for a daylong workshop, where I got to meet with the kids during the day, and their parents at night.  I love it when this happens because I can then ask the children what they struggle most about with their parents regarding technology.  So during the course of the morning I asked over 425 5th, 6th, and 7th graders what I should help their parent understand about technology.  I got lots of great answers from them all, and my favorite one came when one 7th grader raised his hand and said, “can you please explain to my parents that multiplayer video games have no save?”

There are several reasons why that request is actually brilliant, but the one I want to focus on is how this statement, and a person’s frustration at being asked to log off in the midst of a multiplayer video game may be a forward edge transference.

The term “forward edge transference” comes from Marian Elson’s work in self-psychology.  She has described the forward edge transference as being akin to what Kohut was talking with his interns about when he described leading edge transference.  Forward edge transferences, according to Tolpin, are tendrils of psychological growth in the patient, often hard to see, if not completely overlooked, by the therapist because they don’t look like growth.  Often we consider “psychological growth” as in the eye of the beholder, whether it be therapist, parent, teacher or someone else other than the patient.  One of the example’s Tolpin uses is that of a patient who cuts to be able to “feel,” and to bleed.  The forward edge transference there in Tolpin’s estimation, is the self’s still healthy yearning for kinship, to “bleed like everyone else.”

I use this example because it very powerfully demonstrates how even an easily pathologized concern such as cutting, could indicate a tendril of healthy growth, easily overlooked.  The behavior forward edge transference travels concealed within is glaringly “obvious” to us, and because of that forward edge transferences may be misunderstood, and the striving for psychological health get stymied.

So what does this have to do with Massively Multiplayer Online Games?

As I mention in my book MMOs are a form of social media, and collaborative play, where the player is often cooperating with a group of others in a raid or guild to achieve something that could not be accomplished individually.  Whether it be downing a dragon in World of Warcraft, unlocking guild achievements, or building a city overnight in Minecraft, the player is part of a larger group.  They matter to the larger group.

Embedded in the comment “multiplayer has no save” is the forward transference for a sense of kinship, and more specifically the dawning of a concept of being a digital citizen.  Here is an adolescent saying that they understand their behavior has an impact on others, that they want to collaborate online, and that they feel responsible to the larger group.  Saying in fact what all the adults around them have been trumpeting for over a decade of their lives in most cases.

A digital citizen is defined in Wikipedia as “a person utilizing information technology (IT) in order to engage in society, politics, and government participation.”  To be a digital citizen requires “extensive skills, knowledge, and access of using the internet through computers, mobile phones, and web-ready devices to interact…”  And the elements of digital citizenship per digitalcitizenship.net include:

  • Digital Access:full electronic participation in society.
  • Digital Commerce:electronic buying and selling of goods.
  • Digital Communication:  electronic exchange of information.
  • Digital Literacy:process of teaching and learning about technology and the use of technology.
  • Digital Etiquette: electronic standards of conduct or procedure.
  • Digital Law:electronic responsibility for actions and deeds
  • Digital Rights & Responsibilities: those freedoms extended to everyone in a digital world.
  • Digital Health & Wellness:physical and psychological well-being in a digital technology world.
  • Digital Security (self-protection):electronic precautions to guarantee safety.

Here’s the rub:  If you look at those elements, many of the adults charged with caring for and educating the young aren’t necessarily competent digital citizens themselves.  I can tell you for a fact that I have participated over the past decade with professionals and peers on listservs and bulletin boards, and have seen appalling standards for conduct and procedure.  It rivals anything I’ve seen adolescents do to each other.

We live in interesting times, when we are entrusted to educate youth about a technology when we often don’t know how to use socially and effectively ourselves.  We tell them not to interrupt, then answer our cell-phones in the middle of them telling us about their day.  We tell them to pay attention to us even as we’re checking our emails on the Blackberry.  We stalk them on Facebook to censor them in one browser window, and post embarrasing pictures and comments of them in another.  And we pull the plug on them while they’re playing an MMO even as we tell them that they’ve been inconsiderate of their younger sibling who wants a “turn.”

Part of the problem here is our neophyte digital citizenship.  People from older generations tend to think of video games as this:

when they’re actually more like this:

When was the last time you showed up at your daughter’s basketball game in the 3rd quarter and told her, “you’ve been on the court long enough, you’re coming home?”  And yet, we do this to kids online all the time, and foil their attempts to be team players and group contributors.

There’s a lot at stake here:  Multiplayer has no save.  10-30 people, often from all over the world have come together to try to overcome an obstacle.  When you pull the plug, you’re pulling it on all of them.  It is great that our kids know this and care about it!

Most of us have wanted to be a part of something bigger than ourselves, to create something together, even if it is just one moment or memory with others.  We need to look at video games without the Pong Goggles, and see it as a form of society and an opportunity for digital citizenship.

To recognize the forward edge of a transference is never an easy thing.  It is small, fragile, the newest shoot of growth.  In a sense, all of us on this planet are in the midst of such a tendril of growth when it comes to technology.  But the time when digital literacy was optional has passed, and we need to do a better job with the next generation of digital citizens than we are doing.

 

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Optimism

This week I had the opportunity to meet with a group of college students who are on academic probation.  There were supposed to be over 20 in the class, and 10 showed up, 5 late.  One of the the things I was struck by initially was how subdued they were, and I suppose I can’t blame them.  The class they are in, on how to succeed in school, meets twice a week in different locations at the college, half the time in a basement computer lab even though they won’t be using the computers.  If they don’t pass this class they are out of the school altogether.  There was something discouraging about the whole setup.

When I asked them how many of them played video games, they all did.  Most of them had played their favorite game as recently as this past week.  And when I went through the room and asked each what they liked playing, I was taken by how for a moment their face would brighten and they’d smile, even make eye contact.  Probably the most memorable moment for me came after I shared with them the statistic that 80% of the time we play a video game we are failing at it, and asked them to think with me about why we can tolerate failure so much in video games yet have so little tolerance of failure in other parts of our lives such as school.  What was different with a video game?

One student, I’ll call him John, raised his hand and said, “I might win.”

What a sad commentary on what education can do to students who don’t fit a certain mold.  Somewhere along the line, John and thousands like him have lost a sense of optimism, a sense that they even have a chance to win at life.  And yet, throughout the one and a half hours I was with these students, every one of them participated, had really interesting comments, argued and engaged with me.  The last holdout was a guy in the back row.  I asked him what he had learned so far today about video games and our discussion.

He sunk a little into his seat, and said, “I’m drawing a blank.”

“Let’s take a minute,” I said, “and let’s assume optimism.  Because you can add something to this discussion.  I know you can.  What have you learned in here today?”

Long pause.

And then he said, “self confidence.”

I should add, and did say to the class then, that we hadn’t even brought up that key concept to academic success yet.  If he hadn’t have added it, we might not have ever gotten it into our discussion.  Each of them had unique ideas, worthwhile ideas, not all of which we agreed with, but ideas nonetheless.

It takes optimism to risk answering a question in class, start a business, go to therapy, or play a video game.  Without optimism we won’t risk trying and failing, and without trying and failing there can be no innovation.

Take a second and think about the world around us.  Is it perfect in every way, or would you like some things to change?  If you think it is perfect we’re done here.

But if you think that the world can be a better place, for people and all sentient beings, then you’re thinking something needs to change.  Maybe you think racism needs to change.  Maybe you think poverty and starvation needs to change.  Maybe you need to be a better parent or partner, or learn more about something in school.  Maybe you want a better job, or want to create a work of art.  Maybe you want to better understand what it all means and how to fit in?  Maybe you want your daughter to have a better life with more respect, maybe you want your son to have a better future.  Maybe you want a war, all war, to stop.

Nothing gets better without change, and risk of failure.  But to risk failure we need to think we can win.  To fail and try again we need to think we could win this time.  Optimism improves resilience and changes our body, according to dozens of studies done by Seligman and other positive psychologists.  And optimism can create a more conducive learning environment.

Optimism, in my opinion is not simple delusion, or a brain defect, as some would say.  Yes, we might fail, but let’s not let that get in the way of making an effort.  Yes there is a lot of suffering and injustice in the world.  We’d better get busy.

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Failing Better

 

Play is a vital part of being a person, and failure is a vital part of play. One of the things I’ve been thinking about lately is the connection between autonomy and failure. When children, adolescents and adults for that matter play video games, they fail a lot. In fact, according to Nicole Lazzaro, 80% of the time we are playing video games we are failing. What other activities in our daily lives can we say that about?

Education, on the other hand, at least the traditional model, grades us on a 100% model very differently. If you get 70% of a test or a class material “correct” you get to pass it. If you get 69% it needs to be done over again, or you don’t get any credit at all. This system actually flies in the face of what educators and therapists know about learning, that it is a matter of trial, error, course correction, trial, error, course correction… and so on.

This in some ways answers a question I have often wondered about: Why are we willing to be failing 80% of the time in video games, and so reluctant to risk failure in “real life” even a fraction of the time? One answer the percentages above point to is that education often stacks the deck against us, effectively rendering any mastery of content below 70% as a failure. This failure has attached to it, shame, sense of time wasted, futility, and hopelessness.

But there is another aspect of failing in video games that I think we need to pay attention to, and that is the role of autonomy. In a 2009 study, Jesper Juul found that people prefer to play games where they feel responsible for failing. The majority of those surveyed didn’t want to attribute it to bad luck, but something the did or didn’t do. They wanted a sense of autonomy in their game play, not luck. Conversely, they didn’t want to feel victimhood either, but rather optimism.

I have been playing a game on the iPad called Incoboto which has given me pause to reflect on fun failure. (An aside for gamers who have also played this and Dark Souls, have you considered Incoboto as a cutified version of Dark Souls, trying to link the fire and bring light to a darkened solitary world? Just saying..) The game has a series of puzzles which one needs to solve in order to collect star pieces to feed to the kawaii sun Helios following your character around. There have been a few places where I got “stuck,” and spent in my opinion too much time having to throw something exactly the right way. This highlighted for me the subjective experience I had for the majority of gameplay, that I was being challenged but would eventually be able to overcome the unneccessary obstacle. On those occasions I called getting stuck, I began to experience feelings of victimization and externalize responsibility. The game was not “being fair,” it was too hard, there was a “bug” in it making the ball not land “right.”

What helped me persevere was both compelling graphics and gameplay, but also a sense of faith in the game. Ok, sometimes I cheated too, by looking up spoilers on the game forum. In those moments, you could say that I was giving up the voluntary attempt to overcome an unnecessary obstacle of the game. But, and this is what’s important, I was also ceding my sense of autonomy. It’s a weird balancing act, in one case I didn’t look at the cheat to find the solution as much as to get reassurance that what I was trying was the solution. But even though I was exercising my digital literacy here, I was also giving up for the moment my sense of autonomy, and agency.

Failure, and tolerance of failure is a subject thing, which is why Lazzaro’s presentations illustrate zones, not points, of fiero, frustration, relief, and bored. Everyone has variations in how they experience emotions, and failure in video games. And if I didn’t keep that in mind, I might feel very disheartened when I read this review of Incoboto:

“Great mix of platformer and puzzle game, very smooth learning/difficulty curve, and quite a nice gameplay experience too”

Now I am not going to get into a discussion on norms and trends and the importance of betas, because my point here is to compare and contrast the experiences of failure in video games and education.

Education in our country is trying to overcome some serious design flaws of its own. Children and adolescents are given tremendous responsibility for their performance without a commensurate amount of autonomy. This creates a culture of victimhood. Rather than noticing they got more than half of something right, we flunk them. Rather than setting meaningful individual goals, we create industrialized curriculum. And if we do give someone an individualized set of goals in the form of an IEP, we label them as learning disabled first to justify it!

We need to improve the quality and experience of failure in schools. Because video games don’t occur in a separate reality from the point of view of our minds. That mind/body split of Descartes has been debunked for ages, and yet we’re still talking about “real” life. The reality is that mastering challenges and fun failure creates a feeling of optimism, which neurologically and emotionally improves our ability to learn in the future. If we think we are capable of solving a problem, we will keep at it. Therefore, we need to foster a sense of autonomy in learning. The minute we start talking about “my special needs child,” we are taking away their autonomy.

Am I saying we should expect everyone to perform the same at school or other work? Not at all, I am saying we should be better curators of children in learning environments, and let them have less stigma around failure. In a real sense, every child should have an individualized education plan, because we are moving (hopefully) out of an industrial model of education.

As a therapist and educator who has worked in and with school systems and parents for nearly two decades, I have struggled with this frequently, both within myself and with my patients. The language of diagnoses and learning disabilities is a language I speak all too well, and I have unintentionally colluded at times with parents and systems who use it as shorthand for, “my kid can’t ___.” Maybe if failure was more tolerable and fun in school we wouldn’t be so quick to adopt these identities, and maybe if we curated environments that allowed for more autonomy we would notice different varieties of success as well.

The other night I was on a Minecraft server I participate in, founded by educators and edutechs for their children. Several of the kids were on and chatting when I logged in, and shortly thereafter this huge flame war erupted. Capital sentences of “I HATE YOU” flew across the screen. Kids stormed out of the chat room, returned, then logged off again. Some of the young moderators were instigating further conflict, while others were earnestly trying to figure out why people’s feelings had been hurt in the first place. From the therapeutic point of view, they were failing miserably, exhibiting poor social skills, dysregulated affect, and poor impulse control. It took a herculean act of will not to jump in and actively curate this group and allow them to exercise their autonomy.

They kept at the chatting, and over the next several minutes they began to collaborate on understanding what had happened. This did not have the grown up version of a happy ending where the aggrieved parties apologized and made up, so much as the group told one party that they appreciated the apology and weren’t ready to accept it then (my translation) told a second party to stop instigating in the guise of defending someone, and encouraged the third to come and build something to take his/her mind off of it.

In my mind, the fact that this took place in a game environment where failure is destigmatized and autonomy is presumed made it easier for people to keep at the challenge until it had been resolved “enough.” There was no adult who was forcing them to stay on and work at this, they were voluntarily engaged. There were several halting starts and stops of chat. But social emotional learning was occurring.

This in my opinion is an example of “failing better,” and I think this is a skill that not only can be translated from video game experience, but desperately needs to. The more we except failure as an essential part of learning and work, the less stigmatizing it will be. The less we stigmatize failure, the more we encourage autonomy and optimism. Autonomy and optimism make you a better learner, a better collaborator, and a better worker. Personally I think the world could use a lot more of that.

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Why Therapy Is Like A Game

Game-playing often has negative connotations in the field of psychiatry.  We have all sorts of erudite ways of describing what laypeople call “mind games.” A great example is in the language of Axis II personality disorders.  People are borderline, dependent, avoidant, narcissistic, antisocial, and the most FABULOUS of them all, histrionic.  These words attempt to describe the psychological conditions which motivate problematic behaviors.  Serious business indeed.

But come right out and say that therapy is like a game, even a kind of game, and that gets a lot of hackles up.  Therapy is serious business, and games are anything but serious, right?  Wrong.

To describe something as a game is not to minimize it or take it less seriously, but I suggest to describe what Bernard Suits calls the “lusory attitude.”  This is the state of mind, the psychological attitude, required of any player when they play a game.  The most succinct way Suits describes the lusory attitude is to say that it allows the “voluntary attempt to overcome unnecessary obstacles”

An example of this, not mine originally, is that of golf.  The activity is directed at achieving the goal of getting a ball into a hole.  But instead of just creating an activity where we find a ball and drop it into a big hole, we take the hole, make it small, say you can’t use your hands to drop the ball in but must use a metal club, and start you off hundreds of feet away from the hole.  That’s golf, and it is so full of unnecessary obstacles!  There is no reason to make it so challenging, EXCEPT that that challenge is what makes it fun, and frustrating, and more fun.  And nobody drags you into the wilderness, gives you a golf club and points a gun at your head to golf.  It is a voluntary act.  People love to, choose to, spend hours with sticks hitting balls from great distances with the hope of getting them into little holes.  Why choose to do something so weird and difficult?  Because they are playing.  They have voluntarily attempted to overcome unnecessary obstacles.  They have adopted a lusory attitude.

Life is hard.  And for many of therapy patients, life has been extremely hard, and cruel.  And yet, how often do we notice that they are making life even harder on themselves in some ways?  Perhaps unconsciously, perhaps subtly, but more difficult nevertheless.  That neurosis, the reenactment of the past, is what I would suggest is the unnecessary obstacle.

For example let us take PTSD-precipitated by child abuse.  The abuse was serious, hurtful, sadistic, real.  It happened.  But in the case of the adult patient, the abuser is no longer there.  The introjects, the learned stuff, the unconscious stuff, that is all there, but the perpetrator has fled the seen of the crime long ago.  They were real obstacles, but trauma recreates them as unnecessary obstacles in the here and now.

Another example would be a phobia.  Why not be fearful of everything?  Spiders aren’t the only thing that we could fear:  There’s death, and hurricanes, and black cats, and dirt, and blindness, and the next presidential election.  But we don’t fear everything in the world that is or is perceived as harmful to us.  Phobias are very specific, that is why there are so many clever names for them.  They are again, unnecessarily specific obstacles.

Again, I want to stress that by calling these unnecessary obstacles that I am not at all saying that phobias or PTSD or not serious, painful, debilitating, conditions.  What I am saying is that they are unnecessary to the life of the patient.  Even as compromise solutions they have outlived their usefulness if the patient is in the here and now experiencing distress as a result of trying to defend against or cope with the past encroaching on their present.  The repetition compulsion is a game of both danger and optimism.  We do the same things over and over, often with disastrous results, true; but we keep doing it because on some level there is an urge to get it right.  And like a video game, the repetition compulsion doesn’t just get defeated one day; rather we get progressively further in the game, acquire new levels and skills.

When our patients arrive at our office, they are in a state of lusory attitude, they are really trying to resolve the problems the best they can, and they have sought out our help to that end.  If they are mandated to treatment, this is less likely to happen.  But for a majority of patients, they choose to show up.  And from a psychological point of view, showing up must be voluntary for therapy to work.

In order to do therapy, we also have to adopt together a lusory attitude.  Both therapist and patient volunteer to work together to overcome the unnecessary obstacles.  The therapy time and space are in some ways unnecessary obstacles: we choose to limit the session to the 45-50 mins, in a specific office, with only two “players” if it is individual therapy.  These may be the warp and woof of therapy but they are also arbitrary distinctions that create unnecessary obstacles.  We could rotate different therapists in, or meet for varying times whenever we both want, and hang out at Dunkins, but that would be therapy in the sense we are talking about would it?  No, therapy, like games, must have agreed-upon rules.

Although I’m speaking in clearly psychodynamic terms here, doesn’t it seem that more behavioral approaches would find the concept of lusory attitude applicable as well?  Surely we don’t try to extinguish behaviors we think are necessary.  The behavioral approach also implies that the obstacle (behavior) is unnecessary and tries to over come it.

Having a lusory attitude is not always about being lighthearted, although it can be, but it is about taking play very seriously, engaging in it and often having an immersive experience.  Psychotherapists who engage in play therapy with children often have an easier time understanding this than those who do adult psychotherapy.  There is a general tone from our profession of, “we need to be taken seriously,” which I think has lots of its roots in the tendency of the medical profession in the past to have considered it less important.  And somehow being taken seriously becomes equated with being important or being valuable.

I often supervise interns who repress any sense of enjoyment that comes from making an interpretation that moves a patient forward, or seeing theoretical elements manifest in the treatment, and try to help them see that enjoying the process of learning psychotherapy and learning about the patient is not the same as having fun at her/his expense.  As Sutton-Smith says, “The opposite of play isn’t work.  It’s depression.”  In this regard I agree with him:  When engaging in a lusory attitude with patients we are working with them.  Removing those obstacles is very hard, dangerous work, and it is deeply and seriously playful.

To add gamers and video games into the mix, I would suggest that approaching video games as an addiction is a step in the wrong direction.  This is not to say that I don’t think that some people play video games to the detriment of their lives and relationships.  I do think that happens, just like I think people engage in a number of activities at times to the detriment of their lives and relationships.  But to label them as pathological is to miss the point.  Even if we rule out the cultural incompetency of the clinician around video games which often masquerades as dismissal or villainization, we need to understand that we are in essence asking the patient to adopt the same lusory attitude with us that is often there already for them with video games.  We are saying, “don’t play that game, play this game of therapy instead.”

(Unless you have this view of psychotherapy:

 

Psychotherapy needs to stop taking the lusory attitude for granted.  What if we became more mindful of our lusory attitude?  We all have them, over coffee with a colleague when we look at each other and say, “this is such a weird profession!”  It’s like golf in that respect, it seems; so intricate and complicated with rules we take for granted that make a particular human relationship much more complicated than it has to be.  Try that on the next time you are trying to discuss your fee with someone:  “I charge you $150 an hour because this is a weird relationship that has intricate rules and is much more complicated than human relationships have to be.”

I think that there are strong parallels between therapy, neurosis, and games, and that the thread that links them together may be the lusory attitude.  In games, the design always boils down to a voluntary attempt to overcome and unnecessary obstacle.  In neurosis, the attempt to repress intolerable conflicts and feelings creates an unnecessary obstacle even as the patient tries to remove the unnecessary obstacle of those same conflicts and feelings.  (Game designers may recognize an interesting resemblance to the concept of iterative design here.)  Finally, in therapy, the neurosis or symptom becomes the unnecessary obstacle that the therapist and patient voluntarily attempt to overcome.

What do you think?  Does this jibe with your experience as a therapist, patient, gamer or game designer?

 

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When They Hate You.

Many therapists I work with dream of expanding their practice to being a consultant and presenter. In our initial appointments they ask me with a lot of excitement about my experience doing these things. And I am usually very positive and optimistic about it. But although I am “living the dream,” there are many rude awakenings along the way.

One such awakening came this week when I received my evaluations back from a recent talk. Out of the 760 people who attended, 566 of them did evaluations. It isn’t often that I have a chance to get feedback from 566 colleagues at once. What struck me is how I tended to react to them and how I had to fight the urge to focus on the negative. If 535 people rated me as good or excellent, my eye was drawn more often to the 2 “poor” ones. No matter that .35% is a really small percentage, that fraction of a percent that delivered a poor rating was hard to overlook.

The comments were even more challenging, as I noticed that my eyes flew over comment after comment describing me as interesting, great, edgy, fresh, thought-provoking, relevant, a gem, and passionate. But boy did they stop when I read this: “His bias towards media enraged me,” or this: “Seems like he has a chip on his shoulder, perhaps because he was told he had poor social skills.”

Ouch.

Would-be presenters please take heed. When you put yourself out there, people will take shots at you. This will hurt, even when it is a fraction of a percent. Part of what hurts is the asynchronous and anonymous nature of these comments, because you have little recourse to respond, correct an error you may have made, or just plain defend your point of view. But if you want to do public speaking, you’ll need to get a thick skin.

Part of why you need a thick skin is to allow for the accurate appraisal of your work. Here’s how I do it:

I divide the critical comments into one of three categories: Absolutely Useful, Fair Enough, and No ROI.

  1. Absolutely Useful: These comments are ones that don’t make me defensive, where I can imagine myself saying to the person, “absolutely.” An example of this kind is “it was somewhat difficult to follow along in the booklet because he seems to have changed the order of slides.” This comment was extremely useful, as I can put more emphasis in my prep to not change my slides at the last minute. This is an easy fix, and will benefit the audience.
  2. Fair Enough: These comments do make me a little defensive, but there is some benefit in spending time to acknowledge or address them. I can imagine myself saying “your point is well taken, however…” For example the comment “limited research” is fair enough. Your point is well taken, however I was only allowed 45 minutes to present, and needed to choose from my copious slides only 60. Another commentator expressed that they wished I had spoken more about the impact of violent video games and how they are a problem. This is fair enough, however there are plenty of places people can get that information or misinformation, and few places that they can get my take. What I can take from these comments are points to consider weaving in or addressing when there is more time.
  3. No ROI. These are the comments that are clearly ad hominem arguments. A good clue is if they hurt my feelings or make me feel extremely defensive. “Seems like he has a chip on his shoulder, perhaps because he was told he had poor social skills” is an example of this sort. There is little return on investment of time or energy I should expend on this. Who knows why a person would think that comment would help anyone, but more importantly, how would it help make a presentation’s argument more effective? These need to be set aside ASAP to focus on more helpful comments.

The irony is that the most useful comments are usually not the ones that are extremely validating or invalidating, but matter of fact, like the slide order comment. The job of a presenter is to become a better presenter. Whether you like the information and opinions I present is none of my business really, my job is to present it.

In my opinion, part of what makes a person an effective speaker is also bound to make them hated: namely, their passion and conviction. Of course I am biased, of course I think that my point of view is important. Would you really want me up there talking about things I don’t feel or think strongly about? At an old internship of mine a colleague once asked me, “have you ever been hated by somebody?” At the time I thought I hadn’t, and said so. “That’s too bad,” she replied, “It’s very defining.”

Since then I have come to realize that I, like most of us, have in fact been hated. Merriam Webster defines the noun hate as “intense hostility and aversion usually deriving from fear, anger, or sense of injury.” People are hated because they are black, or white; LGBT or straight; rich or poor; Nazi or Jew. In everyday affairs we like to pretend this is not true, and when we do so it is crazy-making. It is often a bittersweet relief to a patient when we say, “you weren’t crazy, you really were experiencing hatred.” Finally, someone told the truth.

When I present about technology and video games, I speak out explicitly or implicitly about adultism. This comes across when I challenge people around the concept of screen time. One very prescient member of my audience stated that my message seemed to be focused on changing adult behavior, not child behavior. Bingo.

When it comes to gaming, technology, and education, we need to take a good hard look at how adultism is implicit in many of our practices. We think we know better than our youth, and we think we know better than they how they should spend their time. Back in grade school, well-meaning adults decided that my time would be better spent memorizing multiplication tables, drilling them into my mind, giving me A’s for knowing them. Yet, now I live in a world where I am never more than few feet away from my phone, laptop, or dedicated calculator, and I have to question whether that time couldn’t have been spent better learning other things. What we are taught as important is bound by the history and culture of the adults in power at the time, and it isn’t always a good thing. In retrospect, I’d have been more prepared for life if I’d learned about the subjugation of indigenous people in school rather than drawing hand turkeys.

So if you are passionate about something, it will give you the passion to devote time and energy to it, go above and beyond the workaday life that we often lead. But it will put you out in front of people who don’t agree with you, see you as a threat to what they believe as good and true. You will be hated. You will get tired and hurt and frustrated. And when that happens I recommend that you take some solace from loved ones and friends, and then get back to work.

Some posts, like this one, are written for me as much as for my colleagues and consultees. We all get discouraged and need to be reminded that we are choosing to strike a blow for freedom in whatever path we choose. But I want to give the last word to one of my commentators, who said exactly what I need to hear when I have moments of flagging confidence and doubt: “Mike’s presentation changed my outlook on technology in my professional and parenting roles. Thank you so much, from a FORMER technophobe!!”

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I Come To Praise First-Person Shooters, Not To Bury Them

 

I should begin by saying that I don’t personally enjoy the type of video game known as a first-person shooter (FPS) very much.  They make me jittery when I play, and I am easily overwhelmed by them.  I’m still stuck in the tutorial room with Jacob in Mass Effect 2.  If there are settings to disable gore and swearing on a game I’ll click ’em.  But as I looked back on my past posts I realized that I have neglected to weigh in on FPS, and in doing so am guilty of the same kind of dismissal I critique in colleagues.  (Note to gamers: I know there are several important distinctions between FPS and TPS or third-person shooters, but that’s for another post.)

There’s a lot to like about FPS games, and here’s a few examples.

  1. Many FPS such as Halo 2 can be collaborative as well as violent.  Players join platoons and need to learn how to coordinate, communicate and problem-solve in a fast-paced environment.  Games like Halo also provide environments for players to learn how to assume leadership roles, follow directions from other players, and think critically about stressful in-world situations.
  2. FPS encourage impulse control as well as aggression.  Crucial to success in FPS games is the ability to time attacks and maneuvers.  This requires the ability to control the impulse to pull that trigger.  Although we tend to focus on the aggression in FPS, there’s often a lot of sneaking going on as well.  In Bioshock there are actual decision points in the game where refraining from killing characters changes the entire outcome of the game.  Even though the player is not learning teamwork in single-player games, they are often learning the same sorts of forms of decision-making and impulse control in good old-fashioned “Red Light, Green Light.”
  3. First-person shooters improve hand-eye coordination.  One important component of hand-eye coordination is visuospatial attention.  Research by Green et al. suggests that video games improve visuospatial attention, and further that FPS video games do it even better than games like Tetris.  Hand-eye coordination is a skill most of us would agree is a good thing to have.  It helps improve your readiness to learn, increases your ability to excel at sports, increases your confidence and makes juggling less stressful.
  4. First-Person Shooters may increase a sense of mastery and alertness.  So many parents and educators lament how children aren’t able to pay attention.  And yet, what makes FPS games so compelling is their immersive quality.  As Grimshaw et al. discuss, the literature describes immersion in varying ways, such as ‘the state of consciousness when an immersant’s awareness of physical self is diminished or lost by being surrounded in an engrossing total environment, often artificial’  Further, in order to be completely immersed in an environment, “players ‘must have a non-trivial impact on the environment.”  Wandering around the game world may not be sufficient to immerse players into a flow-like state, and shooting people, whatever else you may say about it, does not lend itself to feeling trivial in an environment.  Imagine if classrooms could harness the ability to create such immersive qualities in the classroom.  Much more effective than saying loudly, “Pay attention!” which usually has the exact opposite effect than the statement intended.

Given the above compelling reasons to think well of FPS, why are they so often singled out as the bad seed of video games?  The answer, I would suggest, is a sociopolitical one that gamers as a whole ignore at their peril.

Science is often, maybe always, political, and has an uneasy relationship with civil rights movements.  The example that springs to my mind is the LGBTQ civil rights movement.  Back when a preponderance of science was pathologizing of all LGBTQ people, there was a more predominant solidarity amongst the various thinkers, activists, and citizens of those subcultures.  From Stonewall up through the early AIDS crisis, there was less fragmentation and more coordination, with the understanding that civil rights benefited everyone.

But within the past two decades, many members of the LGBTQ community have begun to receive recognition and acceptance in society as a whole.  At this writing 7 states have legalized gay marriage (Welcome Washington!) and more accept domestic partnerships between same-sex couples.  Bullying based on sexual orientation and hate crimes have received more coverage from media with sympathetic stances towards LGBTQ youth.  And I can’t remember the last time I heard talk about the latest study locating the “gay gene.”

And yet, science and politics have turned their gaze towards specific subsets of the LGBTQ population.  Transgender rights (a notable recent gain in my home state) are still ignored or reduced to bathroom conversations and debates about the poor parenting of those who don’t make their children conform to Cisgender norms.  The status of LGBTQ youth of color as a priority population is met with grumbling.  Bisexuals are still considered in transition or confused, asexuals frigid or repressed.  Polyamory is confused with lack of commitment or neurotic ambivalence, and BDSM isn’t even recognized as worthy of any sort of advocacy.

And to a large extent, whenever one of these specific subcultures are targeted, the other factions of the LGBTQ community remain silent.  And in doing so, they become allied with the perpetrator.  As Judith Herman points out in her seminal work, Trauma And Recovery, “It is very tempting to take the side of the perpetrator. All the perpetrator asks is that the bystander do nothing.”  This is exactly what members of the LGBTQ community are doing when they cease to maintain the solidarity and mutual support that helped get homosexuality removed from the DSM-III.

And so the focus shifts from the general “gay people are bad/sick” to the more specific populations also under the LGBTQ umbrella, and rather than fighting for them we allow them to be omitted from civil rights.  A case in point was made by openly trans HRC member Donna Rose, when she resigned in protest to HRC supporting an Employment Non-Discrimination Act which included sexual orientation but didn’t include protections for transgender people.  A group may only be as strong as its weakest member, but solidarity often ends when the strongest members of an alliance get what they want.

The gaming community would do well to take a lesson here.  Recently video games have been getting increasing recognition as an art form, an educational tool, and possible solution to world problems ranging from poverty to AIDS.  As society moves to a more progressive stance on technology and video games, studies come under scrutiny for their sweeping and pathological generalizations of a complex and diverse group.

(The most pernicious example of this in my opinion is the concept of the “screen” and “screentime.”  Studies ask questions about how much time subjects spend in front of electronic devices, as if all activities were identical in experience and effect.  Watching television, playing video games, surfing on Facebook are all treated as similar neurological phenomenon, when they aren’t.  It’s much more complicated than that, and different physiological systems are affected in different ways.  Even the idea that all screen time dysregulates sleep the same way is being questioned recently, with televisions showing less repression of melatonin than iPads.  So what screen you’re doing things on makes a difference.  And then there’s what you are doing.

Watching television is a more passive and anergic activiy than playing video games in my experience.  No, I’m not going to cite a particular study here, because I want us to focus on thinking critically about the designs of studies not the data.  And as Paul Howard Jones points out in his video, learning itself activates different parts of the brain at different phases of the individual’s learning cycle of a particular activity.  So yes, video game users have different looking brains than those that aren’t using them, that doesn’t mean it is bad, but that they are using different parts of their brain function and learning different things.  Most people in the gaming community would have some solidarity here with other gamers, and balk at the idea that a screen is a screen is a screen.  And “screen time” is usually implying screens watching television, playing games or surfing the net, not screens compiling doctoral dissertation lit reviews, planning a vacation, doing your homework, or looking up a recipe.)

So gamers are solidly behind fighting these blanket generalizations.  That’s great.  But I find that where gamer solidarity is starting to fall apart is around the more specific attacks that are being levied in science and politics around FPS and violent games.  Studies says these desensitize children to violence, increase aggression and correlate to hostile personalities.  There are also studies that conflict these findings, but I want to ask a different, albeit more provocative question:

What’s wrong with being aggressive?

I think that child’s play has a long history of being aggressive:  Cops and Robbers, water pistols, football, wrestling, boxing, tag all encourage some element of aggression.  Most of us have played several of these in our lifetime with some regularity, have we become desensitized and aggressive as a result?  Am I sounding too hostile?  🙂

And we are sending children and adolescents a mixed message if we label aggression as all out bad.  Not everyone or every job requires the same amount of aggression.  Wanting to be #1 and competing, whether it be in a boxer or a president, requires some aggression.  Aggression is in fact a leadership quality.  It allows us to take risks, weigh the potential hazards, and go for something.  Feelings of aggression heighten our sense acumen, can speed up our assessment of a situation and help us stand up to bullies.  Whether we agree with this war or that, would we really want our soldiers to be in-country with no aggression to help them serve and defend?  Fortune, as the saying goes, favors the bold, not the timid.

FPS games have a place on the Gamestop shelf and a place in the gaming community.  They allow us to engage in virtual activities that have real-life benefits.  They are a focal point for millions of gamers, and I believe unlocking their DNA will go a long way to discovering how to improve work and learning environments.  Stop letting critics shoot them down, or don’t be surprised if you’re in the crossfires next.

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The Kids Are All Right

image courtesy of gamerfit.com

image courtesy of gamerfit.com

Last week some family friends came over to our house for dinner. The children, we’ll call them Larry, Curly and Moesha, were ages 12, 4, and 8 respectively. As you may imagine, children enjoy coming over to the Gamer Therapist house, which has 3 gaming consoles and a dedicated big-screen TV. After a quick tour of the gaming room, Larry and Moesha sorted through my games and located Portal 2, and within minutes had set themselves up to play cooperative mode. Curly was content to sit between them, and the adults retired to the first floor to hang out and prepare dinner.

Throughout the evening we could hear the sounds of the happy gamers and the game, while my friend Rebecca talked frankly about her ambivalence about their gameplay. The ambivalence sprang primarily from a well-meaning friend who had criticized her parenting style. Another set of parents had told them that their children wouldn’t be able to play with them anymore because they thought that the children were picking up bad messages from video games.

This conversation was interrupted by the children twice, both by Moesha. The first time she came down to inform us that Larry had succeeded in unlocking a very difficult achievement. The second time she came down to ask me if I could join them and help them solve a puzzle in the game they had been struggling with. I went up, and within a few minutes a fresh perspective and Larry having some patience as I familiarized myself with the controls had advanced them to the next level. A polite thank you let me know that I was no longer required, and I returned to our conversation.

A discussion about education and video games was in full swing, and a debate about how much screen time is too much. At this juncture I pointed out how hard it is for us to catch children when they are doing things right. I observed that for the past 2 hours children, siblings, spanning an age difference of 8 years had been engaged in cooperative learning. What’s more they had voluntarily engaged with the adults on two occasions. The first was for one child to express pride in the achievement of her sibling. The second was to request adult assistance with some problem solving. And all along our parental ears had heard not one whit of conflict or argument. Yet all of this would have been easy to miss, or worse, dismiss as “parking the children in front of a screen.”

Every day, parents like Rebecca are bombarded with much-hyped exposes on how dangerous video games are to children. Horror stories like the one my colleague at BC psychologist Peter Gray blogs about are touted, in which a South Korean young man plays for 50 hours straight and dies after going into cardiac arrest. Gray goes on to put this tragedy in perspective: There are 7 billion people on the planet, and this incident represents 0.000000014% of the population. It is by contrast far more difficult to catch the number of children and adult gamers doing things like learning physics, researching a vaccine for HIV, or gaming to raise money for hospitals.

And although studies linking the dangerous connection video games have to childhood obesity, the media somehow never manages to pickup ones like this that showed that children who had electronic devices in their room were more likely to engage in outdoor play. Perhaps the Obama administration did read this study though, as they are moving to a more gamer-friendly position with the appointment of Constance Steinkhueler to study the civic potential of playing games (Thanks to my colleague Uriah Gilford for calling my attention to this.) The video game danger is overhyped.

Parents are playing a game far more dangerous than any video game, and that is the “Who Is Parenting Best” game. Over and over I hear conversations about what the best school district is, how to set privacy settings and enrichment activities. This despite, as Rob Evans EdD. points out in his book Family Matters that by age 18 children and adolescents will have only spent about 10% of their total lives in school. Setting privacy settings is the first and most minimal step to helping children navigate the 21st century community that relies on the internet. And enrichment activities are unfortunately often activities that appeal to what a parent wants quality time to look like, rather than what a child enjoys.

In discussing school districts, privacy settings and quality time, parents are often missing the point. Worse, they are confusing worry with effort.

We need to stop “phoning it in” with our kids, finding the “right” school, program or setting to park them on so we don’t need to worry. It is human nature to want to get to a safe spot to relax and stop changing: We need to fight it.

Often when I speak with parents who complain about the amount of time their offspring are spending playing I ask them if they have ever played the game with their child. The answer is invariably that they haven’t, even though a recent study showed that girls who gamed with their fathers reported lower levels of depression. Quality time always has to be some Puritanical ideal: a bracing hike, the symphony, or a museum. I love doing all of those things, which is why I do them. That doesn’t mean that a child or adolescent will have them as a preferred activity.

I know, I’m criticizing your parenting, please bear with me. Because you can take it, and your children need you to stop playing the Who Is Parenting Best Game. They need you to try playing Portal 2 with them if that is what they’re into. If you fumble with the controller, all the better, because we adults have forgotten how clumsy and awkward learning makes children feel. Education has gone taught us to find a safe spot and stop learning about anything that is outside that comfort zone.

We have long known that one of the strongest protective factors for children is an involved parent, but somewhere along the line we have gotten the mistaken idea that that means control. To be clear, parental control does not equal parental involvement. At best it is one element of involvement, at worst it is phoning it in.

Does this mean schools have no responsibility? Absolutely not. But I would like to suggest we return to Larry, Curly, and Moesha for a different example, namely a curatorial model. That means setting up a place for them to explore and negotiate things on their own for the most part, while we are constantly available for engagement. Yes that is a tall order, and one that requires that we think beyond the nuclear family and school as factory models.

I am fortunate to belong to massivelyminecraft.org a server where children and adults from the UK, US, Australia and other places play the sandbox game Minecraft together. It is not segregated by age, but vetted by the server moderators, who require parental permission for children to join. Within the game world, you can see adults and children learning and playing together at any hour of the day or night. They are voluntarily learning about geometry, math, physics, animal husbandry, chemistry, geology, economy, social skills, communication and a host of other things, in a way that is curatorial rather than proscriptive. Adults are there and occasionally on chat or via Skype will step in to mediate a conflict between two children, or if help with a task is requested.

Why can’t 21st century education be like this? Imagine a virtual classroom where parents and teachers can privately chat while both observing unobtrusively a child’s progress. Imagine homework at the table replaced by building a virtual pyramid together. Imagine virtual trips to Paris in Second Life, where no one is too poor to come along. Imagine time on learning that is maximizing the child’s engagement and minimizing unnecessary supervision. Imagine adolescents finally having educational settings that run synchronously with their biological clocks. Imagine a collaborative effort that doesn’t segregate human beings by rigid grades, parent/teacher roles or socioeconomic status. Imagine recess that can happen year-round, sometimes in a field, sometimes on the Wii Fit or Kinnect.

I believe the research is showing more and more that these things are possible. And I believe that our children are counting on us taking a leadership role in technology and education rather than a fear-based ones.

I leave you with this image. As he was leaving my house, Larry looked at me and declared that I “wasn’t entirely horrible” for an adult. What parent wouldn’t love to hear such high praise from their tween?

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The Uses of Disenchantment

Magic fulfills the wish that we could have powers to be beyond who we sadly suspect we are. As children, magic explains the inexplicable nature of external forces (i.e. parents, teachers, death) and internal ones (unconscious drives, nameless attachments, inconsolable sorrows and consuming rages.)

Anyone who plays WoW, Elder Scrolls, or Dungeons & Dragons, knows that enchanted weapons and armor are valuable items to be gotten. They raise our stats, make us stronger, more intelligent agile, or resistant to harm. They fulfill the wish that we could be more than we are.

That being the case, the profession of Enchanting is a very valuable one to master. To do so is to be able to craft our own items for use or to sell. And to master the skill requires not only enchanting practice, but also the act of disenchantment.

Disenchantment is the breaking down of an enchanted item into its component reagents. In Skyrim this consists of taking the enchanted item and destroying it, which allows you to discover the enchantment. So, for example, if you come across an Iron Battleaxe of Scorching, you have a choice. You can enjoy your new battleaxe which will add fire damage to the physical damage you do using it. Or you can disenchant it, and learn how to imbue any weapon with the ability to do fire damage.

In World of Warcraft disenchanting items is necessary to provide you with the reagents, or raw materials, to do other enchantments. Learning the enchantment is done separately, by training or reading a recipe, but disenchantment is still necessary to break down enchanted items into components you can use for other enchantments. Enchantment operates in the domain of creation and destruction, attachment and loss. I can remember feeling many the hesitation as I was about to take an Epic staff I’d used for months and dissolve into Abyss Crystals. Even though I knew that I was going to get a new weapon with a strong enchantment out of it, disenchantment required sacrafice.

Many patients labor under the illusion that the purpose of therapy is to make you feel good. I have always maintained that that is not true. Therapy is not about making you feel good, but rather about learning how to not to feel good. It’s about learning how to experience and tolerate those unpleasant feelings in a different way than we’ve learned to previously. People abuse substances, food, sex, and yes, occasionally video games because they cannot tolerate feelings that don’t feel “good.” Who wants to feel inconsolable sorrow, thwarted passion, grief, terror, or hopelessness?

And so people come to us wanting symptom reduction, not character building; relief, not the raising of unmentionable wishes and fears to consciousness. At first, we often provide those other things to be sure. A compassionate ear to listen, a calming influence, a holding environment. But in the end, therapists are alchemists and enchanters: Nothing new can be created by our patients without something being destroyed. Something must be given up to create something else.

Consider this: Neurosis is like an enchanted armor that we can no longer use. Maybe we have outgrown it. Maybe it never really fit well but it was the best compromise we could come up with. Maybe it buffed up our strength stats when we really needed more intelligence to play our class effectively. For whatever reason, it is no longer helping us, in fact it has created distress.

Symptom reduction alone won’t solve this problem. It may alleviate our distress for the moment, relieve pain enough to create the “space” between feeling and behavior so that we can begin to do the longer-term work.

That’s where disenchantment comes in. We need to take the item, the neurotic conflict, and break it down into the components that create it. What is the wish and the worry? What causes the guilt? Just what are we so afraid of that we can’t look at it directly?

This doesn’t always have to be painful, and therapists shouldn’t use this as a justification for brutality. But to think that the process of therapy is not going to be uncomfortable and difficult; is not going to take some time and hard work is pretty much delusional. If our enchantments could have gotten us any farther we wouldn’t have given them up. Most addicts and alcoholics would have used longer if they could have. If they could have enjoyed one more binge, party or high, they would have.

Insurance companies love to focus on symptom reduction, and a narrow view of what evidence-based treatment really is. Symptoms are problems to be solved, rather than signposts pointing towards underlying issues. And although this is short-sighted, it is understandable: 10 sessions costs a lot less than weekly sessions. And yet, the most recent research I’ve read indicates that psychodynamic therapy is as effective as CBT and other therapies, and in fact more effective in sustaining longterm change.

Bruno Bettelheim, a psychoanalytic thinker, is perhaps best known for his book The Uses of Enchantment. In it he discusses how the themes of fairy tales often symbolize the real emotional and psychological struggles that children go through. Through the projections of stories, children are able to work through their fears in remote and tolerable ways. In a similar way, Klein speaks of the paranoid-schizoid position where the parent is split into good and bad objects, the fairy godmothers and evil witches of fairy tales.

Disenchantment, from a Kleinian lens, leads to the depressive position. It is where we hopefully get to, despite the depressing name, that point when we realize that people are not either all-good, or all-bad, but both good and bad, nurturing and depriving, gratifying and frustrating. In other words, human. The world seems less magical in some ways, and that is experienced as a loss. Sounds depressing, eh? So what is gained?

There is a practice in Tibetan Buddhism called tonglen. In this form of meditation, you begin by touching the tender spot of whatever is sorrowing or distressing to you. Say you’ve lost your loved one. Allow yourself to feel that grief for a moment, really feel it. What an awful wrenching feeling that is. You may reflect that nobody should have to feel what you’re feeling right now. And yet, all over the world, there are those who have felt that, may be feeling it even as you are right now. So you breathe in, and imagine breathing in all of that grief as if for that moment you could take it into your heart so that nobody else would have to feel it. And then you imagine yourself breathing out comfort and security and everything that is the opposite of grief and suffering to the world and to all those in it who need it. You reverse the cycle of trying to avoid pain and grasp pleasure, and in doing so generate compassion.

That is the use of disenchantment; breaking down our fantasies that we can avoid pain and transmuting it into compassion for others. Imagine if you were to really accept that everyone is human and fallible and mortal. If you were able to walk around tomorrow and remain conscious that everyone you meet is dying, would you treat them in the same way as you did today?

Interested in working with me online or in person? Check out the Gamer Therapy and Work With Me Pages!

And if you want to learn more about gaming and psychotherapy, you can always buy my book

How To Have An Epic Holiday With Your Child Or Teen & Video Games

As I write this, those of us in the US have 4 shopping days until Christmas.  So I wanted to share a few tips on both games to consider but also how to connect with the gamer in your life during this time of year:

1. Play with your child.  If it is a multiplayer game, join in.  If it is a single-player, ask to take a turn.

2. Sit and watch your child play, and ask them to teach you how to play a game.

3. For adolescents, don’t take no for an answer.  If they don’t want to show you how to play at that time, make an “appointment” with them for later.

4. Encourage boys and girls equally.  A recent study showed that girls who play video games with their fathers endorse fewer symptoms of depression.  Ask your children if there are different games they like.

5. Remember that multiplayer games are forms of social media and community.  Your child may be having a chat while they are playing without you even knowing it.  Be patient with them and ask if you are interrupting something.  This is good training for when they are interrupting you.  Remember social skills are a two-way street, and just because you don’t think something is important doesn’t mean they feel the same way.

6. Pay attention to ESRB ratings.  They aren’t perfect, but they can give you a good idea of what ages and levels of maturity are the best fit for your child.

7. Vet the online community.  If they want to join a server for Minecraft, search together for one that requires children apply and requires parental approval.  Ask the adult moderators questions about what kind of activities and conversations happen in-world.  Discuss how privacy is handled.

8. Sit with your child as they sign up for a game.  Discuss whether they should answer questions about where they live and their age.  If these are required, email the moderator if you don’t feel comfortable with that.  Your child’s digital footprint starts here, and will last for decades to come, so be careful and thoughtful about it.

9.  That said, don’t evoke a sense of anxiety and paranoia with your children.  There are plenty of normal or healthy people online, and they may be making lifelong friends.  If they want to chat or Skype with peers, don’t forbid it, but ask to have a brief introductory call with their parent, and have a week probationary period where all chat is audible before the headphones go on.

10.  Have fun!  Video games can improve your mood, sharpen your wits and fine motor skills, and even give you exercise.  But the most benefit for you and your child will occur if you take an interest and try to play yourself.

Ok, so now for some suggestions.  This is by no means exhaustive, and if you want to recommend others please comment below!

Multiplayer Games

These can often have a subscription, but sometimes they are free.  A good family game for younger children is Wizard101, which takes place in a world of wizard schools and magic duels.  Combat is turn-based card game style.  If your children like Magic:  The Gathering, chances are they’ll love this.

Another great one is Minecraft, which costs a one-time price of $26.99.  The game allows no end of possibilities, from mining to building to exploring to killing monsters.  If you join a multiplayer, the whole family can play together.

World of Warcraft is a perennial favorite of mine.  In addition to buying the software, this game has a monthly subscription, and there are lots of servers to choose from.  Try searching for child-friendly servers and guilds, there are plenty of them out there.

Eve Online is a MMO that takes place in outer space.  If your family is more interested in building and flying spaceships than fighting dragons this may be the game for them.  Like WoW there is a monthly subscription in addition to the software purchase.

Console Games

For your older gamers I recommend Dark Souls.  This is a very challenging game, which players can expect to last for hours.  There will be lots of dying and starting over, and lots of fun failure.  This game also has a strong RPG element and a dark mood.

Not quite as dark, but very challenging, is the new Elder Scrolls: Skyrim.  This game puts you in a Nordic-type environment as a “Dragonborn,” and the main quest has you fighting dragons and absorbing their powers.  But the fun thing about this game is that you don’t have to do any one quest if you don’t want to.  Players can focus on exploring, crafting, learning marriage or picking locks!  The graphics are beautiful, and the music is fun too.

If you are more interested in a game with a puzzle-solving element, check out Portal 2.  You wake up in an abandoned lab with only a wormhole gun to your name.  In order to escape players will need to strategize and learn a lot about physics on the way.  There’s a lot of fun humor in the game as well.

All of the above games are available for Xbox, PS3 and the PC.

For Xbox, you can also bring a bit of meditation to the family with Deepak Chopra’s Leela.  This game uses the Kinnect, and you’ll your whole body playing games to both actively exercise and stimulate the chakras or energy centers in the body; or meditate and keep an eye on your posture.  The game is easy to learn and very colorful, and you can even design your own mandala.

Also for the Kinnect and PS3 is Child of Eden.  This full body game has you trying to same the AI Lumi from a computer virus.  It’s a fast-moving game with some rocking music from the virtual band Genki Rockets.

As far as the Wii goes, there’s only one I want to recommend at the moment, and that’s Legend of Zelda: Skyward Sword.  This latest addition to the classic Zelda series will take you back to history before the Ocarina of Time, and up into the clouds of Skyloft, as you help Link take wing to save his kidnapped friend Zelda.

iPad

Last but not least I want to direct your attention to a couple of games on the iPad.  Infinity Blade II.  This game is not for the faint of heart, there is a lot of melee combat, and a lot of dying.  If you like swordplay and battling monsters this is the game for you.  The world is 3D and dynamic, and there are lots of different weapons and armors to try.  Be warned, there is an option to “buy” more gold, so have a talk with your child about whether and how to do that.

A more playful game for all ages is Windosill from Vectorpark.  This is a short game, but the dreamlike quality and graphics make it feel more like having fallen into a picture book than playing a video game.  Get your whimsy on with this one.

These are only some suggestions, and are based on games I have test-driven.  For example, I haven’t recommended any Nintendo DS games because I haven’t played any lately.  I’m not affiliated with any of the above companies.  Have some other game suggestions?  Let us know below.  Have a great holiday!

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If Freud Had Played Video Games

This post is dedicated to my supervisee, Alex Kamin, who inspired me to make the connections. I learn so much from my supervisees!

Last night I spent a great deal of time mining for diamonds.  They are fairly rare, and can only be mined if you have an iron pickaxe (or a diamond one).  This meant that I needed to mine iron ore first with a stone pickaxe, but I should start at the beginning.

Minecraft is a game which now rivals WoW in popularity.  It has been around in beta for a while, but now has been released to the general public.  The game takes place in what is known as a sandbox world.  What that means is that the game world can be effected permanently by the player.  Dig a hole and it stays dug, chop a tree down and it stays chopped, plant new ones and in time they grow.  As opposed to having a beginning, middle and end, Minecraft can be played for as long as you like.  You can play it in single-player mode or log on to a minecraft server and participate in a multiplayer world.

Starting with nothing but her or his bare hands, your character takes materials from the environment and fashions tools, houses, works of art out of these raw materials.  That is the crafting part.  Once you have fashioned the most basic pickaxe, out of wood, you start to do the mining part.  Which brings me back to diamonds.

Diamonds are very rare blocks in Minecraft, and are mostly found at the bottom layer of the world.  You have to tunnel through loads of dirt blocks, stone blocks, and gravel blocks.  Sometimes you tunnel straight into lava and get burned up.  Sometimes the ground beneath you turns out to be a giant chasm and you plummet.  Sometimes there is water that floods your tunnel, or monsters if you are looking in one of the world’s many caves.

A lot of time is spent underground, but a big part of the game is to bring the materials back up to the surface.  There you make your crafting table, house, and forge.  Days and nights pass.  At night the monsters from the caves come out and roam the surface, and you’d better be in your house with the doors shut!

This is a very brief synopsis of an amazing virtual world that is already being used in classrooms and by families to provide cooperative and fun learning. You can find one such example, The Massively Minecraft Network, here.

One group who could benefit from understanding and playing Minecraft is psychodynamic psychotherapists, especially psychoanalytically-oriented ones.

For decades, psychology textbooks have used the iceberg to explain Freud’s early topographical model of the mind.  It’s the one I grew up as a therapist with, and you probably did too.  One version is this one:

Photo found on Allpsych.com

The topographical model introduces the concepts of the conscious, the preconscious, and the unconscious.  Freud was ultimately dissatisfied with this model, and moved on to his structural theoretical model of Id, Ego and Superego.  I wonder if he would have done so if he’d been able to play Minecraft.

Two of the deficits of the topographical model as pictured by an iceberg are its static nature and its failure to locate where and how psychotherapy works.  The second deficit derives from the first.  Psychodynamic therapy is as the name suggests, a moving process.  Now imagine playing the game I described above, and you have a dynamic model.  There is the conscious surface that changes over time, is constantly changing and growing, where things are visible.  There are the caverns and depths which are the unconscious.  And there is the preconscious twilight and night, when the monsters and creatures from the unconscious slip up to the surface and terrify us.

In terms of describing psychodynamic therapy, Minecraft makes that easy too.  I have often had a difficult time explaining to a patient what the unconscious is and why I think it is important.  But any gamer who has played Minecraft will understand the process of therapy and their work in it in the metaphors of mining.  During the week, our patients roam the surface of their psychosocial world.  Then one, two, or three times a week, they come into therapy and begin tunneling.  Week after week they mine dirt, stone, and occasionally strike a vein of insight.  Like iron ore, insight is a necessary but insufficient requirement for change.  Without smelting and crafting, iron ore can never become a tool we can use.  Likewise, without reflecting on our behaviors and changing them we can never improve our ego functions.

You can explain ego functioning via Minecraft as well, by discussing those above tools.  Tools in Minecraft include shovels, pickaxes, hatchets, swords, wool shears and hoes.  A hoe is excellent to use in gardening, whereas a sword will not function in the game that way.  You can chop down a tree with a pickaxe but it takes longer and wears down the pickaxe more quickly than if you were to use a hatchet.  Different ego functions do different things, and the ego defenses are only one subset of the ego functions.  Only one of the tools is explicitly made to be a weapon.

And if you lead with your ego defenses all the time you will be disappointed.  Take sheep for example.  If you kill a sheep with a sword you get one block of wool.  But if you shear it with the iron shears you get three wools, and the sheep lives to grow more wool.  By the way, if you craft a hoe you can grow wheat, which allows you to domesticate and breed sheep for even more wool.  Just so our ego functions, which provide a holistic and dynamic system that allows us to mediate the world and our wishes.

When you start mining you have a wooden pickaxe.  You mine stone so you can get a stone pickaxe.  You mine iron ore with the stone one.  Only iron pickaxes can mine diamonds.

Psychotherapy takes time and effort, lots of time and effort, if you are aiming for more than symptom reduction.  Patients begin with the raw tools they started out with, and build on each developmental gain.  Often our patients will feel very raw and discouraged, state that they despair of ever getting better, whatever better means to them.  When that happens we can remind them that therapy is minecraft.  It takes delving and work back on the surface in the real world outside the office.  It takes time and patience.  Sometimes they will feel consumed by feelings as hot as lava, or flooded by memories like water in a mineshaft.  Sometimes it will feel like they’ve lost everything they’ve been carrying and have to start over.  But with each set of tools they acquire they’ll find it easier to make their way in the world.

And sometimes they will find diamonds.

 

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Skyrim, Stealing & Sadism

If you have been a therapist for at least, oh, say three months, you’ve probably had a conversation with a patient who steals. Sometimes it is mandated counseling as a result of a criminal charge or EAP referral; sometimes it is the confession of shoplifting. But if you haven’t talked about stealing yet, chances are you haven’t asked.

Stealing is always a metaphor and enactment. It may be other things as well, a means of survival, an indication of impulse control: But for the patient it always means something consciously, preconsciously or unconsciously. (If you don’t believe in the existence of the unconscious, why are you reading my blog?? No good can come of it.. 🙂 ) Sometimes the stealing is a symbolic expression of the desire to possess something that one feels was stolen from one: for example, a survivor of sexual abuse who steals toys to express the experience that her childhood was stolen. Sometimes it is to express the fear of being deprived; for example someone who steals and hoards food or clothing. I’m sure you could come up with plenty of examples, but let’s move on and discuss it in terms of narcissistic rage.

The difference between anger and narcissistic rage, according to some psychoanalytic thinkers like Kohut, is time and revenge. If a situation makes one angry, it usually has a short time span, and little to no accompanying desire for revenge. If a narcissistic injury occurs, the accompanying rage can last for a lifetime, as can the accompanying desire to have vengeance upon the person responsible. We experience both forms of feeling in our lives, and I’d say they’re different rather than better or worse for someone. And both are very useful sources of information about a patient’s inner world.

Skyrim is the latest video game in the Elder Scrolls series. This much-anticipated game has shipped 7 million copies worldwide its first week garnering $450M. Within the first 24 hours 280,000 PC players were downloading it, and within 48 hours Bethesda reported 3.5 million copies sold. It is looking to be one of the most popular video games this holiday season, if not Game of the Year.

Skyrim is a single-player game, not an MMO, but one of the things that makes it impressive is its scope, which is closer to MMO games than traditional single-player games. It has an immense game world, the province of Skyrim, and has an open-ended quality to it, in that you can play the game to your heart’s content without ever completing the main quest line. There is a main story, but you can choose to ignore it, and focus on doing other things. There are side-quests to train at Mage or Bard College, there are achievements to unlock and crafts like mining and smithing to learn.

And then there is stealing.

In Skyrim, there are lots of things lying around for you to take. If they are in a cavern or the world at large they are usually loot. But go inside someone’s shop or inn and you’ll see in red the option to steal them. If you do steal something, you may get caught or not. You may get caught and persuade the guard to let you go. You may get thrown in jail and forced to pay bail. Or you may get killed. The same applies to any lockpicking you do to break and enter someone’s real estate.

The more you steal, the higher the bounty on your head in each city gets. And each city has its own record of your crimes, meaning you can have a different reputation in each city. In fact, if your do enough criminal activity, the Thieves Guild, an invite-only thieves guild, may recruit you.

Not every video game allows for stealing, and by now some of you may be asking, “Why would anyone want to play a video game where they steal things?” Good question, let’s not dismiss this phenomenon: This game is 5th in a popular series which has consistently allowed theft in the game world, and developers don’t create and keep dynamics that nobody wants or plays. But to return to my earlier assertion that stealing is always a metaphor and enactment, we can begin to see the importance of asking our gamer patients about it in the particular, i.e., “What makes you steal in Skyrim?”

One of the advantages to taking a gamer-affirmative approach with patients who play video games is that you look at the video game as meaningful, rather than as merely a symptom or pathology. Once you do that the questioning loses it’s dismissive tone, and can become a useful part of the treatment. Why does the patient or gamer steal in Skyrim? Are they acting out a loss? Are they trying on a new way of being in the world? Or are they allowing some part of themselves to be expressed in the game that they try to hide from themselves in real life?

For example, did one of Skyrim’s NPCs with their Schwarzenegger accent say something insulting to you when you went in their shop? Maybe the fact that they sound like Schwarzenneger means something to you, and you like the idea of taking some tough bodybuilder down a peg. If you feel slighted, and steal from the innkeeper to “teach them a lesson,” this is an example of narcissistic rage. Having seen this in the game, can you begin to see any connections with people in your world outside the game whom you’ve felt insulted by, whom you wish you could teach a lesson?

It is often easier to look at our sadism and our narcissistic rage in the symbolism and displacement of a dream or art. Video games, which are social media and art forms with elements of dreams, are rife with opportunities to do this. The gamer-affirmative therapist can ask if your stealing to become noticed and recruited by the Dark Brotherhood might have any connection to the rage you feel that the girls/women/boys/men in your life only seem attracted to “jerks,” not “nice guys” like you. Or do other interesting (to a therapist) patterns emerge? Do you only steal from male NPCs? Do you ever regret stealing? Does whether you steal during gameplay depend on your mood that day? Do you think it is wrong to steal from the NPC? Why or why not?

Therapists: Don’t take the excuse, “it is only a game,” because any gamer knows, in fact we all know on some level, that play is not meaningless. You don’t accidentally steal, ok wait, scratch that–you can inadvertently click on something and steal it in Skyrim, and then all hell breaks loose. But if it was an accident, did you feel anything after it happened? Do you do it again? What does this say about your learning style, or repetition compulsion?

And sometimes, people steal in Skyrim to experience a conscious, guiltless pleasure and awareness of their own sadism. In video games, like in all fantasy, we get to do things we’d never do in real life, and enjoy them. If you’re recoiling at the idea of taking a loaf of bread from a little girl in a video game, stop and reflect: Might you have an overactive superego? Might you be splitting off and disowning some sadism here? Or was Oscar Wilde wrong when he said, “One must have a heart of stone to read the death of little Nell without laughing.”

There is a reason why the Germans have the word Schadenfreude in their vocabulary: There is something archetypal about taking joy in the suffering of others. In real life it can be more problematic than satisfying for us, or it can be an ethical dilemma. But in fantasy and in psychotherapy, exploration of sadism is often meaningful and important.

Gamers might worry that talking about the joy they experience stealing from or even killing characters in Skyrim will have adverse effects on them. In one direction, you may worry that exploring these fantasies and the satisfaction you feel might demystify and ruin the game for you. I doubt that will happen, understanding the meaning of an unconscious fantasy doesn’t have to spoil the fantasy, in fact it might enrich it. Or you may worry that talking about these fantasies will be trivialized or pathologized by your psychotherapist. To that I say, if they do, perhaps it is time for you to get a new one.

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Dopey About Dopamine: Video Games, Drugs, & Addiction

Last week I was speaking to a colleague whose partner is a gamer. She was telling me about their visit to his mother. During the visit my colleague was speaking to his mother about how much he still enjoys playing video games. His mother expressed how concerned she had been about his playing when he was young. “It could have been worse though,” she’d said, “at least he wasn’t into drugs.”

This comparison is reminiscent of the homophobic one where the tolerant person says, “I don’t mind if you’re gay, as long as you don’t come home with a goat.” The “distinction” made actually implies that the two things are comparable. But in fact they are not.

Our culture uses the word addiction pretty frequently and casually. And gamers and opponents of gaming alike use it in reference to playing video games. Frequently we hear the comments “gaming is like a drug,” or “video games are addictive,” or “I’m addicted to Halo 3.” What muddies the waters further are the dozens of articles that talk about “proof” that video games are addictive, that they cause real changes in the brain, changes just like drugs.

We live in a positivistic age, where something is “real” if it can be shown to be biological in nature. I could argue that biology is only one way of looking at the world, but for a change I thought I’d encourage us to take a look at the idea of gaming as addictive from the point of view of biology, specifically dopamine levels in the brain.

Dopamine levels are associated with the reward center of the brain, and the heightened sense of pleasure that characterizes rewarding experiences. When we experience something pleasurable, our dopamine levels increase. It’s nature’s way of reinforcing behaviors that are often necessary for survival.

One of the frequent pieces of evidence to support video game addiction is studies like this one by Koepp et al, which was done in 1998. It monitored changes in dopamine levels from subjects who were playing a video game. The study noted that dopamine levels increased during game play “at least twofold.” Since then literature reviews and articles with an anti-gaming bias frequently and rightly state that video games can cause dopamine levels to “double” or significantly increase.

They’re absolutely right, video games have been shown to increase dopamine levels by 100% (aka doubling.)

Just like studies have shown that food and sex increase dopamine levels:

This graph shows that eating food often doubles the level of dopamine in the brain, ranging from a spike of 50% to a spike of 100% an hour after eating. Sex is even more noticeable, in that it increases dopamine levels in the brain by 200%.

So, yes, playing video games increases dopamine levels in your brain, just like eating and having sex do, albeit less. But just because something changes your dopamine levels doesn’t mean it is addictive. In fact, we’d be in big trouble if we never had increases in our dopamine levels. Why eat or reproduce when it is just as pleasurable to lie on the rock and bask in the sun?

But here’s the other thing that gets lost in the spin. Not all dopamine level increases are created equal. Let’s take a look at another chart, from the Meth Inside-Out Public Media Service Kit:

This is a case where a picture is worth a thousand words. When we read that something “doubles” it certainly sounds intense, or severe. But an increase of 100% seems rather paltry compare to 350% (cocaine) or 1200% (Meth)!

One last chart for you, again from the NIDA. This one shows the dopamine increases (the pink line) in amphetamine, cocaine, nicotine and morphine:

Of all of these, the drug morphine comes closest to a relatively “low” increase of 100%.

So my point here is twofold:

1. Lots of things, not all or most of them drugs, increase the levels of dopamine.

2. Drugs have a much more marked, sudden, and intense increase in dopamine level increase compared to video games.

Does this mean that people can’t have problem usage of video games? No. But what it does mean, in my opinion, is that we have to stop treating behaviors as if they were controlled substances. Playing video games, watching television, eating, and having sex are behaviors that can all be problematic in certain times and certain contexts. But they are not the same as ingesting drugs, they don’t cause the same level of chemical change in the brain.

And we need to acknowledge that there is a confusion of tongues where the word addiction is involved. Using it in a clinical sense is different than in a lay sense– saying “I’m hooked on meth” is not the same as saying “I’m hooked on phonics.” Therapists and gamers alike need to be more mindful of what they are saying and meaning when they say they are addicted to video games. Do they mean it is a psychological illness, a medical phenomenon? Do they mean they can’t get enough of them, or that they like them a whole lot? Do they mean it is a problem in their life, or are they parroting what someone else has said to them?

I don’t want to oversimplify addiction by reducing it to dopamine level increase. Even in the above discussion I have oversimplified these pieces of “data.” There are several factors, such as time after drug, that we didn’t compare. And there are several other changes in brain chemistry that contribute to rewarding behavior and where it goes awry. I just want to show an example of how research can be cited and misused to distort things. The study we started out with simply found that we can measure changes in brain chemistry which occur when we do certain activities. It was not designed or intended to be proof that video games are dangerous or addictive.

Saying that something changes your brain chemistry shouldn’t become the new morality. Lots of things change your brain chemistry. But as Loretta Laroche says, “a wet towel on the bed is not the same as a mugging.” We need to keep it complicated and not throw words around like “addiction” and “drug” because we want people to take us seriously or agree with us. That isn’t scientific inquiry. That’s hysteria.

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Epic Guest Post: Newbie Therapist Esther Dale on Staying Determined

Every once in a while I receive an email that reminds me that the work I am doing is making a difference.  Today I received this from a new colleague to our field, and with her permission I share it in its entirety.  I hope that you will comment on it and show her that she’s not alone:

Hello Mike,

I am a newbie therapist, having entered the licensed profession less than a year ago. Though despite my newbie status, despite the fact that I currently have no clients, no office, no firm job prospects, with a website and business plan that are both still in the initial stages, I still feel that I am an Epic Therapist. Or, at the very least, I am in training to be one!

Anyway, I just wanted to let you know how truly, truly, refreshing I found your blog. In the past, I have spent many, many, many hours skimming one random psychotherapist website after another. More often than not, I get so bored to tears reading the same drivel. I can’t understand how so many of them stay in business. From their websites, I feel that often there is no real spark or passion for their profession, and that they are all trying so hard to play it so safe, that so many psychotherapists end up sounding so cookie cutter. Not to mention the rather pretentious attitude that comes with, “I specialize, well, in the whole DSM-IV. What is your disorder? How may I help you in your disordered state?” Or my personal favorite, “Are you anxious? Depressed? Do you find yourself worrying a lot? Do you sometimes find yourself feeling lonely?” My thinking after reading that is always, “Yeah, I am depressed and anxious just from reading that!” After exhaustive online research, I felt rather alone in feeling like a therapist could dare to have their personality shine online. And then I found your site, and I was like, “Someone who dares to break the mold!” YAY! 🙂

So I have basically spent my free time the past couple of days reading as many of your blogs as possible. I know that you must get many, many e-mails. And I am trying my very best to have my e-mail be worth your time. I am hoping at the very least that what I have to say might spark a possible interest for a blog response.

When I am in my Secret Headquarters, well, ummm, Head(corner) more like it, I feel like anything is possible. I feel the passion and excitement and knowledge for my blossoming niche, Sandplay/Play Therapy. I feel my passion and excitement for my professional focus on the more non-verbal approaches to psychotherapy, for the times when individuals just can’t seem to find the right words to truly express everything that is going on inside of them. Even right now, I feel myself fumbling around for words, and wish I didn’t have to rely solely on words at this moment in time to captivate my Epic Therapist passion. So when I am in my Secret Head(corner) I feel rather invincible. I feel like I can make it. I feel like I have the ability to design the website I want, and set up shop the way that I want. Though the moment I step out of my Secret Head(corner) I am immediately flooded with all these scripts of why I can’t do this. I feel like there are so many “voices” telling me I can’t succeed on my own terms quite yet because I haven’t paid my dues to the system. The current system that exists between many CMH, Non-Profit establishments and insurance companies, make it near impossible for newbie therapists to get a traditional job. From my own experience, I didn’t even qualify to apply for the clinical position for which I interned. When this happened to me, I acknowledged to myself that the current system is way out of joint, and that deep down inside, I have no real desire to associate with that kind of business structure. Though still I feel so many professionals trying to taint my passion for a private practice with their venom of, “Well, you need to walk, crawl, climb your way through Mordor, in order to finally be able to sever your newbie status ring into the fiery pits.” Though I tend to see another option rather than the traditional route: http://www.youtube.com/watch?v=1yqVD0swvWU  (I love this video, two minutes of LoTR epic-parody goodness.)

In their eyes, I am trying to take a short-cut. Though I am not trying to take a short-cut, merely a different path. I have checked the policies and procedures regarding private practice, and even with my Limited License Professional Counselor (LLPC) status, I am able to set up shop. I have a qualified supervisor and seek out as many mentors as possible; I am constantly researching to gain as much knowledge as possible; I spent much time and effort in receiving professional training in Sandplay/Play Therapy. I feel like I am a blossoming professional in my field. I am determined to have an ethically driven, professional private practice, with a strong niche, and a strong professional voice. Though, every time I think of my “Limited License” status, or I think of all the things I still need to learn, I sometimes feel myself retreat into this defeated status. So I guess my question is this, how does one continue to build up and defend their Epic Therapist status, when so many naysayers want to tear you down because you are forging your own path?

If this sparks a possible blog/e-mail response that would be awesome. If it doesn’t, that is okay too. I know your time is valuable. I am just grateful if you took the time to make it to the end of my letter. Best of luck in all your efforts!

Sincerely,

Esther Dale, MA, LLPC

 

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A Moment of Light in Dark Souls

For centuries the general thinking was that the world was flat, but by late antiquity the world was commonly accepted as being spherical.  Although it is a myth that Christopher Columbus proved that the world was round, it was much easier for seafaring cultures to conceptualize the earth as round, because they were able to measure and base their perceptions on additional observational evidence.  And so it was for the next 1800 years or so we labored under this second delusion.

Two weeks ago the English version of the video game Dark Souls came out.  I was one of the nearly 280,000 people who bought it the first week, and it has been growing in popularity ever since.  The game is in many ways a traditional “dungeon crawl,” with the emphasis on the “crawl.”  Your character dies in Dark Souls, a lot!  The game is billed as “Probably the Second-Hardest Game You’ve Ever Played,” by Matt Peckham of PC World.  I can attest to that.

The world of Dark Souls is one where the Flame that lights the world has almost vanished, and the player awakens to find themself as Hollow, or undead, in an asylum for the undead in the north of the world.  Over the course of the game’s beginning, you fight your way through other groups of other undead, dragons, and demons in a quest that presumably has something to do with restoring the light and warmth to the world.  I say presumably because the game offers few instructions, and emphasizes the experience of “throwness” in the game world.

You can save your progress at bonfires, and use the soul and humanity fragments you win from killing creatures to level up and restore yourself to a human being.  However, each time you do that, the dungeon resets, and every single creature you killed returns to life, and I swear they learn from their experience of fighting with you.  The game is not an MMO in a traditional sense, but you are connected to other players in some interesting ways.  You can see their last moments of a fatal battle as their specters dance through your game, and if you are human, you can summon the spirit form of another random player into your world to help you fight.

This is a story about that. (Although all identities and locations are heavily disguised to protect privacy.)

I had been trapped in the Undead Burg for about a week.  My pyromancer had been slowly leveling up but was very weak.  I had a wooden shield and battered axe that I had scavenged off of one of the fallen undead.  I had lit a second bonfire and managed to learn how to dodge the firebombs thrown by zombies as I tried to make my way to the Taurus Demon.  But usually I ran out of life and health flasks before I got to him, and when I did he one-shotted me, and seemed little more than irritated by my chops or fireballs.  What’s worse, there was this horrible Black Knight that kept ganking (slaughtering) me halfway there.  I knew the Knight was guarding some nice treasure, but I could only get him down to half-health before I would be sent back to my bonfire, stripped of all the soul points I had accrued.  My axe was getting battered, and was probably going to break at at any time.

I looted a scrap of humanity from a undead, and ran back to my bonfire.  I offered it up to restore my human form, and when I did I noticed for the first time some glowing white runes written on the floor.  I later discovered that these are summoning runes, which can only be seen when you are fully human.  I clicked on the runes, and a few seconds later a warrior bathed in golden light appeared.  Chibi was his name, and he was one of those transparent spirits summoned from another game somewhere to help me.  We couldn’t speak or chat with each other, but he signaled his friendly intentions by hopping up and down and I by running around in circles.

Chibi was level 53, and I was level 8, so I followed him as he tore through groups of undead that had taken me hours to get a handle on.  I was excited and emboldened by his prowess, but I still felt uneasy when I saw that he was actually making towards the Taurus Demon.  As we ran by the tunnel that the Black Knight hides in, I had an idea.  I stopped, and after a few minutes Chibi turned around and came back.  I ran to the tunnel mouth and began hopping up and down vigorously.  Chibi ran down the tunnel past me, and began attacking the Black Knight, while I hung back and hurled fireballs.  Within a minute the Knight was down, and I looted a magic ring, and then with surprise the Black Knight’s Sword!  Compared to my axe which did 40 points of damage, the magic sword did 200!

We continued on to the Taurus Demon, but since I wasn’t skilled enough yet to equip the new sword, the demon took a lot of damage from Chibi and then at about 25% health killed me again.  This sent me back to my bonfire, and Chibi back to his own game.  But I had a new sword to inspire me, and I was about to set out to level myself up to use it when my PS3 blinked that I had a message from Chibi.  I hadn’t realized people could send each messages, and when I clicked on it I read, “Sorry.  I killed it right after you died.”  I wrote a message back saying, “No worries, killing that Black Knight was a great help.”  I added Chibi as a friend on the network, and then realized I could open a chat window with him.  We spent the next half hour chatting.

Chibi’s real name was Taylor, and he was an iron worker in Montana.  Taylor was 36, and had just got a promotion at his factory which he was very proud of.  He worked 12 hour shifts and came home and gamed.  He did not tend to go out of the house other than that.  Taylor lived by himself, and had moved from to Montana from Pittsburgh 4 years ago, when his girlfriend and their unborn child had been killed in a car crash.  He had not talked for three of those years.

Taylor credited therapy with helping him recover from a depression that nearly took his life, and a grief I could not imagine.  Although he did not credit playing video games as helping him, I asked him if he thought they might have.  He said he didn’t know, he really couldn’t remember those years of his life.  Rather he remembered them the way trauma survivors often remember things, as memories of facts with shards of feelings sticking out of them.  He didn’t want to burden me with doing “work” and I told him not to worry about it.  He asked me about my life and family, and was very open and accepting of my story which was very different than his.

By now it was midnight in Massachusetts, and although it was earlier in Montana, he had a morning shift at his factory.  We logged off and I went to bed.

In the days that have followed I have leveled up my pyromancer to 25.  I can handle the Black Knight’s Sword and sliced through that Taurus Demon and a Red Dragon to boot.  I have moved from the Undead Burg to the Undead Parish, discovered bonfires and short-cuts, and somewhere along the line I have learned how to play Dark Souls.  I occasional see the anonymous flickers of other players flash through my game, nameless imprints of their last battle in some game somewhere in the U.S., Japan, or the world.  I have seen Taylor come online from time to time, and although I haven’t sent him a message I have no doubt that I will at some point.

As I talked with Taylor I imagined how my colleagues often thought about gamers.  I wondered if they would have focussed on how many hours he played video games and his isolation rather than his resilience, helpfulness and initiative in Dark Souls.  Would they focus on our focus on violent games or sword size?  Or would they note the themes of repetition compulsion, our attempts at mastery, our playing out the endless cycles of life, death and rebirth?

The world is not round, it is hollow and full.  It is not the one world we think we perceive, but hundred of overlapping worlds, layer upon layer of human struggles and stories, connected by time and feeling and, yes, technology.  There is a world where therapists from New England live, where iron workers go to work in Montana every day and look forward, not back.  There is a world where pyromancers run through abandoned cities and struggle to release a fire that will warm the world, where warriors grow stronger over time and adversity.  And every once in a while, if you have an open mind and heart, light from one of these worlds bursts through, and warms the other.

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A Follow Up to Dings & Grats

My last post, “Dings & Grats,” generated quite a lot of commentary from both therapists and gamers alike.  I was surprised at many of the comments, which tended to fall into one of several groups.  I’ll summarize and paraphrase them below, following with my response.

1. “I haven’t seen any research that shows video games can increase self-confidence, but I have seen research that shows they cause violent behavior.”

Fair enough, not everyone keeps up to date on research in this area, and the media certainly hypes the research that indicates “dire” consequences.  So let me direct you to a study here which shows that using video games can increase your self-confidence.  And here is a study from which debunks the mythology of video games causing violence.

2. “I find gamers to be generally lacking in confidence, introverted, reactive and aggressive, lacking in social skills, etc.”

These responses amazed me.  Gamers are part of a culture, and I doubt that many of my colleagues would say such overarching generalizations about other groups, at least in public.  Would you post “I find women to be generally lacking in confidence,” or “I find obese people introverted,” or “I find African American people lacking in social skills?” And yet the open way many mental health professionals denigrated gamers without any sense of observing ego was stunning.  I was actually grateful that most of these comments were on therapist discussion groups, so that gamers didn’t have to read them.  This is cultural insensitivity and I hope that if my colleagues aren’t interested in becoming culturally competent around gaming they will refer those patients out.

3. “Real relationships with real people are more valuable than online relationships.”

This judgment confused me.  Who do we think is behind the screen playing video games online, Munchkins?  Those are real people, and they are having real relationships, which are just as varied as relationships which aren’t mediated by technology.  Sure some relationships online are superficial, and others are intense; just like in your life as a whole some of your relationships are superficial and others are intense and many between the two.  I’ve heard from gamers who met online playing and ended up married.  And if you don’t think relationships online are real, stop responding to your boss’s emails because you don’t consider them real, see what happens.

4. “Video Games prevent people from enjoying nature.”

I am not sure where the all or nothing thinking here comes from, but I was certainly not staying that people should play video games 24 hours a day instead of running, hiking, going to a petting zoo, or kayaking.  I know I certainly get outside on a daily basis.  But even supposing that people never came up for air when playing video games, I don’t think that would be worse than doing anything else for 24 hours a day.  I enjoy running, but if I did it 24/7 that would be as damaging as video games.  What I think these arguments were really saying is, “we know what is the best way to spend time, and it is not playing video games.”  I really don’t think it is our business as therapists to determine a hierarchy of leisure activities for our patients, and if they don’t want to go outside as much as we think they ought to, that’s our trip.

5. “I’m a gamer, and I can tell you I have seen horrible behavior online.”

Me too, and I have seen horrible behavior offline as well.  Yes, some people feel emboldened by anonymity, but we also tend to generalize a few rotten apples rather than the 12 million + people who play WoW for example.  Many are friendly or neutral in their behavior.  And there is actually research that shows although a large number of teens (63%) encounter aggressive behavior in online games, 73% of those reported that they have witnessed others step in to intervene and put a stop to it.  In an era where teachers turn a blind eye in”real” life to students who are bullied or harassed, I think video games are doing a better, not worse job on the whole addressing verbally abusive behavior.  Personally, I hate when people use the phrase “got raped by a dungeon boss,” and I hope that people stop using it.  But I have heard language like that at football games and even unprofessional comments at business meetings.  I don’t think we should hold gamers to a higher standard than anyone else.  Look, we’ve all seen jerks in WoW or Second Life, but we’ve seen jerks in First Life as well.  Bad behavior is everywhere.

6. “Based on my extensive observations of my 2 children and their 3 best friends, it seems clear to me that…”

Ok, this one does drive me nuts.  If you are basing your assertions on your own children, not only do you have a statistically insignificant N of 2 or so, but you are a biased observer.  I know it is human nature to generalize based on what we know, but to cite it as actually valid data is ludicrous.

7. “I think face to face contact is the gold standard of human contact.”

Ok, that’s your opinion, and I’m not going to argue with it.  But research shows that it is not either/or, and the majority of teens are playing games with people they also see in their offline life.  And let’s not confuse opinion with fact.  You can think that video game playing encourages people to be asocial, but that is not what the research I’ve seen shows.  In fact, I doubt it could ever show that, because as we know from Research 101 “correlation is not causation.”

By now, if you’re still with me, I have probably hit a nerve or too.  And I’ve probably blown any chance that you’ll get my book, which is much more elaborate and articulate at this post.  But I felt compelled to sound off a little, because it seemed that a lot of generalizations, unkind ones, were coming out and masquerading as clinical facts.  Twenty-First Century gaming is a form of social media, and gamers are social.  What’s more they are people, with unique and holisitic presences in the world.  I wasn’t around to speak up in the 50s, 60s and 70s when therapists were saying that research showed all gays had distant fathers and smothering mothers.  I wasn’t around when mothers were called schizophrenogenic and cited as the cause of schizophrenia.  And I wasn’t around when the Moynihan Report came out to provide “evidence” that the Black family was pathological.  But I am around to push back when digital natives in general and gamers in particular are derided in the guise of clinical language.

To those who would argue that technology today is causing the social fabric to unravel, I would cite a quote by my elder, Andy Rooney, who once said, “It’s just amazing how long this country has been going to hell without ever having got there.

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Dings & Grats

I am convinced that if more people played video games, in particular massively-multiplayer online games, the human race would become kinder and self-confident.  Here’s one reason why:

In MMOs like Warcraft, you have a social chat text window that is in the lower corner of your screen, constantly streaming messages.  These messages are color coated so you can identify those you want to be reading, and screen out or hide those you don’t.  For example, I usually have my guild chat “on” so I can talk and listen to guildies, but I rarely have the world “Trade” chat on, because I’m not a big shopper.

As you progress through the game, you level up.  And when you level up, that’s an accomplishment.  So you type into guild chat: “Ding!”

Ding, reminscent of the bell on a game show, is a way of calling attention to the fact that you have accomplished something.  It’s tooting your own horn.  But in gaming, dinging is socially acceptable!  So when you announce over chat, “Ding!” You usually get a stream of “Grats!”

Grats, you may have guessed, is short for “Congratulations!”  It is the public acknowledgement in gamer culture of your achievements.  And if you are in a big guild and there are a lot of people online, you will sometimes get a stream of 50 or more “Grats.”  This also means that if you are logging on or only half-paying attention you will catch on that somebody just achieved something.

Since everyone goes through the same levels, everyone recalls what a sense of accomplishment they often had when they dinged, and they pay it back or forward because they know how great it felt to get those grats.  What emerges is a culture where achievements are announced and mirrored, which makes for a heightened sense of community and self-esteem.

When gamer patients announce they’ve hit level 85, or downed a major boss, or rolled and won on a piece of Epic loot, I am often quick to Grats them.  I also encourage some coaching clients to get better at dinging when they have hit an achievement.  “I finally rented my own office, Ding!” “I have 10 new patients, Ding!”  Each of these is worthy of a quick energetic announcement of accomplishment.

By now some of the naysayers are probably thinking, “How corny.”  And who has time to congratulate someone for every little achievement?  We’ll just end up raising a generation of narcisists who overstate every accomplishment.

Obviously I disagree.  First off, you don’t have to Ding on world chat, so to speak.  Who is your guild?  What group of people form your supportive circle that want to know when you’ve accomplished something.  Second, there is always some self-regulation when Dinging.  I don’t ding every time I mine some ore or pick an herb in WoW, but when I hit level 85 you bet I Dinged.

Third, when did we get so miserly with compliments?  Is it some sort of holdover from the Pilgrims and the dour work ethic?  It takes a second to Ding and the same to Grats.  What is lost in that second pales in comparison to the affective shift in our psyche and the change in our neurochemistry.  Think about any day you went into a job you hated, and the number of decision moves you made to do it even though you didn’t want to.  If that didn’t deserve a Ding as you passed a co-worker’s cubicle, I don’t know what does.

Lately I have been trying to increase my Grats as well.  Whenever a colleague posts on Twitter that they published a book, or finished a course, or got their license, I try to retweet with a big “Grats!”  I try to amplify their achievement, not ignore it or dismiss it.  One of the great powers of social media is how it can amplify things.  And one thing many of us need practice with is unlearning a depressive stance, where we only see the negative.  Now I am not a positive thinker, in fact positive thinkers make me feel uncomfortable, because I think they’re a bit deluded.  But that doesn’t mean that I can’t get better at noticing and acknowledging the achievements and positive contributions others make.

I’m sure you can begin to see how this is applicable to therapy.  Help your couples patients practice dinging and gratsing.  Work with school staff to set up a Ding and Grats system in their classroom.  Can you imagine how amazing it would have felt in middle school to finish your presentation with a “Ding!” instead of “The End,” and hearing 25 voices say “Grats!”

Dinging and Gratsing are expressions of enthusiasm, and sometimes it seems to me that there is some silent war being waged on enthusiasm.  We’re supposed to play it cool, be “laid back,” and never indicate we care that strongly about anything.  Is that really the apathetic and guarded culture we want to pass on?  Let’s get off Plymouth Rock for goodness sake, and start calling out with some enthusiasm!

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Innovation is Dangerous & Gaming Causes Asperger’s

At its heart, diagnosis is about exerting control.  Clinicians want to get some sense of control in understanding a problem.  We link diagnosis to prognosis to control our expectations of how likely and how much we will see a change in the patient’s condition.  Insurance companies want to get a handle on how much to spend on who.  Schools want to control access to resources and organize their student body.  And with the current healthcare situation, the government is sure to use diagnosis as a major part of the criteria in determining who gets what kind of care.

Therapists and Educators do not like to think of ourselves as controlling people.  But we often inadvertently attempt to exert control over our patients and entire segments of the population, by defining something as a problem and then locating it squarely in the individual we are “helping.”

This week has been one of those weeks where I have heard from several different colleagues about workshops they are attending where the presenters are linking Asperger’s with Gaming Addiction:  Not in the sense of “Many people on the Autism Spectrum find success and motivation through the use of video games,” but rather in the sense of “excessive gaming is prevalent in the autistic spectrum community.”

This has always frustrated me, for several reasons, and I decided its time to elaborate on them again:

1. Correlation does not imply Causation.  Although this is basic statistics 101 stuff, therapists and educators continue to make this mistake over and over.  Lots of people with Asperger’s play video games, this is true.  This should not surprise us, because lots of people play video games!  97% of all adolescent boys and 94% of adolescent girls, according to the Pew Research Center.  But we love to make connections, and we love the idea that we are “in the know.”  I can’t tell you how many times when I worked in education and clinics I heard talk of people were “suspected” of having Asperger’s because they liked computers and did not make eye contact.  Really.  If a kiddo didn’t look at the teacher, and liked to spend time on the computer, a suggested diagnosis of Autism couldn’t be far behind.  We like to see patterns in life, even oversimplified ones.

2. Causation often DOES imply bias.  Have you ever stopped to wonder what causes “neurotypical” behavior?  Or what causes heterosexuality for that matter.  Probably not.  We usually try to look for the causation of things we are busily pathologizing in people.  We want everyone to fit within the realm of what the unspoken majority has determined as normal.  Our education system is still prone to be designed like a little factory.  We want to have our desks in rows, our seats assigned, and our tests standardized.  So if your sensory input is a little different, or your neurology atypical, you get “helped.”  Your behavior is labeled as inappropriate if it diverges, and you are taught that you do not have and need to learn social skills.

Educators, parents, therapists and partners of folks on the Austism Spectrum, please repeat this mantra 3 times:

It is not good social skills to tell someone they do not have good social skills.

By the same token, technology, and video games, are not bad or abnormal either.  Don’t you see that it is this consensual attitude that there is something “off” about kids with differences or gamers or geeks that silently telegraphs to school bullies that certain kids are targets?  Yet, when an adolescent has no friends and is bullied it is often considered understandable because they have “poor social skills and spend too much time on the computer.”  Of course, many of the same kids are successfully socializing online through these games, and are active members of guilds where the stuff they hear daily in school is not tolerated on guild chat.

Let’s do a little experiment:  How about I forbid you to go to your book discussion group, poker night, or psychoanalytic institute.  Instead, you need to spend all of your time with the people at work who annoy you, gossip about you and make your life miserable.  Sorry, but it is for your own good.  You need to learn to get along with them, because they are a part of your real life.  You can’t hide in rooms with other weirdos who like talking about things that never happened or happened a long time ago; or hide in rooms with other people that like to spend hours holding little colored pieces of cardboard, sort them, and exchange them with each other for money; or hide in rooms where people interpret dreams and talk about “the family romance.”

I’m sure you get my point.  We have forgotten how little personal power human beings have before they turn 18.  So even if playing video games was a sign of Asperger’s, we need to reconsider our idea that there is something “wrong” with neuro-atypical behaviors.  There isn’t.

A lot of the work I have done with adults on the spectrum has been to help them debrief the trauma of the first 20 years of their lives.  I’ve had several conversations where we’ve realized that they are afraid to ask me or anyone questions about how to do things, because they worried that asking the question was inappropriate or showed poor social skills.  Is that really what you want our children to learn in school and in treatment?  That it is not ok to ask questions?  What a recipe for a life of loneliness and fear!

If you aren’t convinced, please check out this list of famous people with ASD.  They include Actors (Daryl Hannah,) bankers, composers, rock stars, a royal prince and the creator of Pokemon.  Not really surprising when you think about innovation.

3.  Innovation is Dangerous.  Innovation, like art, requires you to want things to be different than the way they are.  Those are the kids that don’t like to do math “that way,” or are seen as weird.  These are the “oversensitive” ones.  These are the ones who spend a lot of time in fantasy, imagining a world that is different.  These are the people I want to have over for hot chocolate and talk to, frankly.

But in our world, innovation is dangerous.  There are unspoken social contracts that support normalcy and bureaucracy (have you been following Congress lately?)  And there are hundreds of our colleagues who are “experts” in trying to get us all marching in lockstep, even if that means killing a different drummer.  When people try to innovate, they are mocked, fired from their jobs, beaten up, put down and ignored.  It takes a great deal of courage to innovate.  The status quo is not neutral, it actively tries to grind those who are different down.

People who are fans of technology, nowadays that means internet and computing, have always been suspect, and treated as different or out of touch with reality.  They spend “too much time on the computer,” we think, until they discover the next cool thing, or crack a code that will help fight HIV.  Only after society sees the value of what they did do they get any slack.

Stop counting the hours your kid is playing video games and start asking them what they are playing and what they like about it.  Stop focusing exclusively on the “poor social skills” of the vulnerable kids and start paying attention to bullies, whether they be playground bullies or experts.  Stop worrying about what causes autism and start worrying about how to make the world a better place for people with it.

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Fun & Failure

Early in the summer I had the opportunity to give a workshop at the University of Buffalo.  The evening before I gave it I had the opportunity to sit down and have dinner with Nancy Smyth, the Dean of the School for Social Work.  Although we’d never met before in person, the time sped by with good conversation and laughter.  Fortunately I had finished my prep for the workshop, because I was quick to crash that night.

The next day I spoke in front of a group of clinicians, caseworkers, and administrators.  The age ranged from 20s to 60s, and the discussion was so lively that the day sped by, and before I knew it, I was being ushered out of the classroom and into the car to the airport.  The workshop participants did not agree with each other (or me) on all points, but everyone said that they were walking away with me having changed their thinking about technology, video games, social media and healthcare.

Sometimes I take for granted how much fun my work is.  There is enough diversity in who I work with to keep me invigorated most days, and the balance of a portfolio career really suits me.  Being my own boss suits me as well, and this year I mixed it up a little.  I dropped one class I was teaching and took this semester off so I could focus on writing and promoting my new book.

Promoting Reset is not something I enjoy doing.  Although I coach and blog about the importance of self-promotion and what hold us back from doing it, that doesn’t mean that I enjoy doing it all the time.  But one thing I have been learning is that writing the book was the eas(ier) part.  I need to keep getting the word out about it, and sometimes I feel like I am overtaxing the patience of my Twitter followers, Google+ circles and Facebookies.  Some of these people are in multiple groups, and I can imagine that they get irritated with another post about the book.  “Enough already!” I imagine them saying.

Speaking up is not easy, and many of us actually have a much easier time speaking up for others than for ourselves.  We speak up for our clients, our kids at school, our pets when they depend on us for care.  It’s ironic that we get so good at striking blows for freedom, blogging against oppression, picketing, and political advocacy; and yet we cringe at the idea of promoting ourselves.  Perhaps that is because the former makes us feel righteous, and the latter makes us feel guilty.  I definitely enjoy advocating for technology and the people who use it with my colleagues, but I wonder if I would have promoted my book at Buffalo if it had been published then.

I’d better get used to it, because now there are more speaking engagements coming up, and having an eBook means I can’t just lug a pile of them to the the hotel and have them sit on a table.  I need to be speaking up about Reset, because no one else will.  And one thing I have also learned to do at talks is to let people in them know I enjoy speaking engagements and am available to do more.  And each time I have done that, I have gotten a lead.  Hopefully out of all of you reading this I’ll get hired to do another few.

This is such a contrast to my clinical work, where I am required to be more quiet, reflective, and other-focussed.  I am not alone in this, psychotherapy tends to require us to listen more and talk less much of the time.  It is also a safe place to “hide out” if we aren’t careful.

One of the most unfortunate lessons our current educational system teaches us is that we should hurry up and find out what we are good at, what comes easily for us, and then stick with that.  In school settings, not-knowing is considered a bad thing rather than the predecessor to curiosity.  By college we have learned to speed through any unpleasant “requirements,” and major in something that interests us.  The problem with this is that by then we have learned to take an active disinterest in things that we struggle with.  So we arrive in adulthood having learned to play to our strengths, and avoid the rest.  And whereas children are fairly powerless to avoid what they struggle with in school, adults can often construct a life that cocoons them from learning unfamiliar things.

Therapists in particular, have pushed themselves through grad school and internships, licensing tests and boards, and by the time we get licensed to do private practice we feel entitled to close the office door on outside influences.  Several times when I have been hired as a coach or consultant, I still find my clients reluctant to “come clean” about things they aren’t good at.  Some haven’t billed insurers for months because they don’t know how to do the paperwork, or a claim has been denied and they are letting the appeal sit on their desk.  Websites lie around half developed, brochures printed up but not mailed, and all of this is nothing compared to the disarray and avoidance of work/life balance.  Office hours are whenever the patient can make it, their specialty is “anxiety and depression,” and they are running themselves ragged.  And all the time, they suspect that they are really frauds awaiting discovery, and why?  Because they learned that you aren’t supposed to admit you are confused or don’t know something, let alone ask for help.

Fortunately I play video games.

As Jesper Juul points out in Fear of Failing? The Many Meanings of Difficulty in Video Games failure is more than just about not winning.  It forces gamers to readjust their perceptions.  In fact, players prefer games where they feel responsible for failing.  What’s more failure adds content to the game.  Think about what a powerful paradigm shift that is.  Failure adds content that wouldn’t be there.  What might happen if we were able to see failure in our lives as adding content?

Actually, therapists often have a lead in understanding this.  We know that empathic failures are often inevitable, and that when we successfully navigate them with our patients the relationship deepens.  The failure adds content.

So think about your life, your practice, your business or your relationship.  And look straight at where you are failing in it.  I know, it’s tough, but try it for 5 minutes, and then ask yourself, “what content is this failure adding to it?”

This is much easier to do in hindsight, which is why we need to try to practice it in the now.  Because if we don’t avoid seeing the failures, we can readjust our perceptions and progress farther.  Maybe just a small progression, but anyone who works with kids knows the importance of proximal goals.

To go back to the Buffalo speaking engagement, this began as a failure and the setting of a proximal goal.  The failure was this:  I wasn’t getting enough paid speaking engagements.  How did that add content to my life?  Well, it added the mission, should I choose to accept it, of getting more paid speaking engagements.  So I set the proximal goal of starting to let people know I was looking for them.  One night on Twitter Nancy said something complimentary about a blog post, and I quipped that she’d better hire me as a speaker before my rates went up.  A few months later I was invited to speak.  And in addition I deepened a connection, met some really cool students, and saw Niagara Falls for the first time in my life:  How’s that for added content?

So much is possible for you, your business and your life.  None of what I have described above was achieved because I have some special gene.  It took what Pema Chodron calls going to “the places that scare you.”  We are all failures at something–come out of the closet!  Over 6 billion people around you are failing and trying and failing and trying again every day.  Those that aren’t are hiding inside an ever more rigid and constricted life.  That doesn’t have to be you, and it sure as hell isn’t going to be me.

Oh, and I hope you buy my book, and I’m available for speaking engagements, so call me.  😉

 

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Defeating the Boss: Overcoming Your “Big Bad”

 

Like this post?  There’s more where that came from, for only $2.99 you can buy my book.

Gaming, Slacking, & Stigma

Any group that is stigmatized usually finds that they are the object of more than one stereotype.  In fact, the stereotypes are often completely opposite in nature.  Women are weak enough to be the “frail sex,” yet strong enough to be a “battle ax.”  Blacks were considered lazy enough to require slavery to motivate them, yet motivated enough to steal away white women.  Gays are either acting like “sissies” or always at the gym working out.  The abstract contortions made to bind all these stereotypes into a web that seems to hang together contains many tensions of opposites.  In short, stigma creates a lose/lose situation for whatever population is targeted.

I have recently tried to explain the connection between technology and class, a connection that has endured as far back as Greece in 400 BC.  And I have often decried the pathologization of gaming as an addiction and gamers as “addicts.”  The portrait I often see sketched is that of gamers as monomaniacal, sacrificing work, friends and their health because they can’t stop playing video games.  These addicted personalities, the stereotype asserts, are online for hours playing without any regard for real life.  Worse, I often hear gamers refer to themselves as “addicted” to video games, which is often a shorthand for and identification with the negativism they have picked up from popular culture and popular psychology.  Even therapists who feign neutrality often convey this stereotype:  When was the last time you asked someone how many hours they did something that you didn’t think was a problem.

But forever Scylla there’s a Charybdis, and gamer stereotypes are no exception.  For people who are so obsessive and driven by addiction, gamers are also referred to as slackers.  They’re never working hard enough at what really matters, rarely bathe, are morbidly obese and locked in a perpetual state of early adolescents.  As slackers, gamers are purported to be lazy, unkempt, and always slouched over their keyboards.  They have no interest in “real life,” which is the term we use to refer to anything we think is interesting.  This stereotype presents the gamer as apathetic and avoidant of any work or investment.  And one thing we know about stereotypes is that they can be internalized and lead to self-fulfilling negativism, and I’ve come to hear gamers refer to themselves as lazy slackers.

Here’s why I know this isn’t true.

It’s not just the survey PopCap did which showed 35% of executives surveyed played video games at work.  Nor is it the fact that gamers have compiled the second largest compendium of online knowledge, WoWwiki, the first being Wikipedia.  I know the reason why Gamers aren’t slackers is because as Nicole Lazzaro points out gamers are failing 80% of the time they are playing the game.  That’s right, 80% of the time a gamer plays a video game they try, and fail, and try again.  That is not the characteristic of a slacker.  If anything, that’s a perfectionist.

Video games create experiences that can be challenging and frustrating, but engaging nevertheless.  This hard fun would not be possible if gamers were truly lazy or apathetic.  And the level of detail that many gamers pay attention to is staggering, whether it be leveling a profession to 525 in WoW, unlocking every achievement in Halo 3, or mapping out every detail of the EVE universe.  This is not apathy, this is meticulousness.

One of the most ironic things about the slacker stereotype is that it has its roots in the US History of WWI when the word slacker was used to avoid the draft and avoid serving in the military.  One hundred year later, video games have been embraced by the military, with research that shows gaming to be the 2nd most efficacious coping mechanism for psychosocial stressors during service in Afghanistan.  Apparently if that’s slacking, it keeps you saner.  The US Army has not bought into the slacker stereotype at least since 2008, when it invested $50 million to create and fund a video game unit for 5 years to help prepare soldiers for combat.

Working with gamers as a therapist requires its own cultural competency, and we need to be cautious about using the oversimplification that stereotyping allows.  Just because someone is interested in something we aren’t doesn’t mean they are delusional.  In fact we may be the ones slacking off if we aren’t trying to understand a video game beyond hours played.

And gamers have their own responsibility in this.  We need to stop bandying about terms like addiction and slacker.  And perhaps more importantly, gamers cannot and should not resign themselves to being misunderstood in treatment.  If your therapist seems unable to discuss video games beyond hours played, encourage them to read Jane McGonigal’s work.  Print out some of my posts for them.  Let them know that games are an important part of your life and world and that they need to try to understand them in order to understand you.  And if they refuse to do that, consider finding a gamer-affirmative therapist.

It wasn’t many years ago that therapists didn’t think they had any gay, lesbian, transgendered or bisexual patients because they never asked their patients if they were gay, lesbian, transgendered or bisexual.  And worse, because therapists assumed they weren’t.  This vicious cycle made learning how to best treat LGBT patients take much longer than it should have.  This can only change through therapist education.

We need to stop trivializing video games in life and in treatment.  We need to stop rushing to peg gamers as addicts or slackers, and try to listen to them.  Because I am convinced that it is within the content of the video game’s meaning that we may best understand the gamer, and how they play the game may hold the key to how they can resolve their difficulties elsewhere.

Integrity Is Your Brand.


Recently I had two experiences which took me a bit by surprise. The first was when a representative from an online gambling site contacted me and asked me to consider affiliating with their website.  Apparently they had read several of my blogs and found my site and the posts to be in their words “respectable” and “well written.” They wondered how much I’d charge for them to be able to include a link to their site in my next blog.

As many of you can guess, I derive no direct monetary income from this blog.  The revenue I do get comes in requests for consultation, workshops and speaking engagements from people find me through this site, and summer is slower in those areas.  Needless to say the idea of making some money from the blog is always tempting.  And I have nothing against online gambling per se.  But I declined, and at this point I can’t imagine accepting advertising or affiliating.  It might be more tempting if Blizzard or Nintendo were to call, but even then I would have to decline.  Not because I think affiliate marketing is inherently wrong, but because in this case something more valuable is at stake.

The second experience didn’t involve money, but it was actually an even harder decision.  Not long ago I had the privilege of being elected to the board of a professional organization.  I’ve been on several boards, so I was expecting to commit a lot of time and work to this one.  What I wasn’t expecting was to get a call from the chair about my blog.  Seems that someone had forwarded a post where I criticized several organizations for their stance on technology, including this one.  I was told that I’d have to retract the post, and refrain from making any future critical posts about the group.

This is an organization I think highly of, and I can tell that the members of this group are not just in it for the title.  I’m sure I could have done a lot of good serving on it.

But again, I had to decline.

Neither money nor a titular position is more important than my integrity.  In fact, I’d go so far as to say to you that integrity is your brand.

It’s important not to make the mistake of demonizing either of the two parties in the examples.  There is nothing inherently wrong with marketing or in my opinion online gambling.  But I have not built my reputation on being an expert on gambling, and I’m not one.  So even though the website might derive benefit from having a respectable blog link to them, I wouldn’t.  Sure money is great, but as I said, something more valuable, my integrity, might be lost.  I have worked too hard and too long to risk losing that.

I can also understand the board’s point of view: As an ambassador of the organization, whatever I say about it, critical or otherwise could be problematic for them.  I don’t agree with them entirely, but when I understood what was expected my choice was clear.  This blog isn’t Mashable, but many of you have been reading it for as long as it has been up.  And people expect me to tell it like it is, whether it be about technology, gamer-affirmative therapy, or growing your private practice.  If you’ve read the comments you know that everyone doesn’t always agree with my point of view.  But many people have come to find the blog, and me, consistent and honest.  There are other people who can do board work, but without my integrity there is no blog.

At the risk of sounding self-righteous, I know that writing this has made a difference in the lives of therapists and the patients they treat.  It has allowed me to gain access to publications and groups to spread the word that technology is not incompatible with therapy, and that gamers need therapists who are culturally competent in gaming rather than contemptuous prior to investigation.  Seasoned clinicians have told me that they have begun to rethink some of the cherished ideas our field holds about addiction, and fledgling therapists have sought me out for supervision on how to grow and market a profitable and socially just practice.  And of course writing for all of you has helped me feel “powered-up” to continue to do the work even when there’s pushback from colleagues and our field.

I’m not telling you this just for catharsis.  And I don’t have that “Blog With Integrity” badge on the blog just for show.  Here’s what I want to make sure you know:

One day, maybe very soon if it hasn’t already happened, you’re going to realize you’re a success.  You’ll realize that you haven’t been worrying about your practice as much, or that your caseload is full, or that you’re being asked to teach on your expertise.  One day, you’re going to be a success.  And when that happens, you’re going to have opportunities that require you to make tough choices.  Because people will notice you’ve become successful. Whether it be those word of mouth referrals or podcast interviews, you’re going to have become more influential.  Some people will want to harness your influence to help them, others will want to harness it to control it.  And the only person who can decide what choice to make is you.

If you don’t feel comfortable seeing yourself as successful or influential, that’s your problem.  Ignorance is always a vulnerability.  You matter.  The work you do matters.  Your thoughts and opinions matter.  Its when we don’t think we have an impact that we hurt our patients, our families, our business, in fact our world.

Immanuel Kant once said, “Act only according to that maxim whereby you can at the same time will that it should become a universal law.”  I take this to mean act as if anything you were about to do in your life would become a universal law for how to do it.  That’s heavy stuff.  It’s not easy to decide how to act in a way that you’d be willing to have be the way to act for the rest of your life. In this case, blog with integrity.

Integrity is your brand.  Are you willing to do what keeps you whole and constant in your therapy, business and life?  Do you stand up for the things you believe in even when they cost you money, comfort or being liked? And perhaps most difficult, are you willing to notice your success, admit that you matter, and live with the knowledge that you have an impact on the world?

How To Learn About Video Games & Why You Ought To

http://www.youtube.com/watch?&v=JY8h-U7rE6Y

Being A Noob

Over the past few months I have taken some time off from playing World of Warcraft to try a new MMO called Rift.  Rift takes place in a different world from WoW, the world of Telara.  It has a different storyline and although the user interface is pretty much a duplicate of WoW’s, there are many many other differences as well.  I have been playing WoW for several years, and had progressed my character to level 85, the highest you can get as of now.  In those several years I have been a member of three guilds, leveled 6 professions,  and spent countless hours researching the internet on strategies, spell rotations, and boss strategies.  I’ve traveled the length and breadth of Azeroth and Outland, and completed hundreds of quests and achievements.

And now I’m a noob again.

In Telara I’m just out of the training zone, and level 13.  I have no idea where I am, and most of the map is still an undiscovered blank screen.  I don’t have more then 20 points in any profession and I’m not in a guild.  I’m reading new material and trying to figure out what sort of place Telara is, why the sky is constantly ripping apart as rifts from some other dimension open up and rain down monsters on me and any other players in the area at the time.  I keep running the wrong way into mobs of villains many levels higher than me and dying.  Lots and lots of dying.  And lots and lots of running back from graveyards as a ghost trying to find my body.

Good times.

For those of you who don’t know this, being a “noob” is a term for being a newbie, a newcomer unfamiliar with game mechanics and the lay of the land. It can be a very frustrating experience.  The first time I was a noob, in WoW, I had no idea how much I was learning as I was learning it.  There was such a steady progression that I didn’t realize how much experience and skill I had amassed with the game until I switched over to a new game.  Now it is like I have lost all of that experience and skill, and I can feel overwhelmed.  I am nowhere near Rift’s “endgame,” and everything is new and weird.  So why not just go back to playing WoW?

First off, I have a little faith. As I stumble through being a noob in Rift, I can remember feeling similarly clueless at the beginning of my time playing WoW.  I know that I am learning a great deal, more than I can even tell, and that this sense of being overwhelmed will pass.  Also, I am enjoying the heightened sense of discovery, stumbling into the city of Meridian for the first time, having chats with other noobs as we form public groups and down elites.

The last time I was on, my mage was teamed with a warlock and a warrior, and we took on an elite without a healer. We gave it all we got, and then the warrior was down and the warlock was getting attacked.  As the warlock fell, and the boss approached me with only 5% of its health left I kept spamming shadow bolts at it until it got to me.  Just as it killed me I set off one more bolt that killed it.  We closed the Rift, resurrected ourselves, collected the loot, and I felt the same level of thrill and achievement as when I first started playing WoW.

Every gamer was once a noob. Every gamer you see in your therapy practice was once thrown into a strange unfamiliar world knowing no one, with only the clothes on her or his back and a few silver in their satchel.  Those men and women in your office who have been deemed failures at school or work by parents or coworkers has tried and failed and tried again hundreds of times.  They have wandered around lost in a dangerous world knowing no one, and struck up conversations with other wanderers.  They’ve banded together with others to defeat powerful adversaries, worked diligently to perfect professions and skills, and you’ve known nothing about it, because you didn’t ask. Instead therapists often focus on how many hours a person plays, pathologizes gaming as an addiction, or dismisses it as a silly hobby with no clinical or real-life value.

(How many of us approach our patients’ dreams that way?  How many of us ask, “how many hours a night do you dream?” or consider them to have a dreaming addiction?  When was the last time you dismissed dreaming as a valueless, silly hobby.)

Being a noob takes courage, and stamina.  We therapists know this deep down.  Most of us gravitated to our profession because we wanted to help the vulnerable, the bewildered and the confused grow into the strong, wise and whole people our patients become.  We help them map out their inner world, strengthen their coping skills through trial and error and retrial.  We encourage them as they level their professions at work or school, build guilds of peers and loved ones to raid life with, and face whatever monsters they have to to heal from trauma.  Let’s recognize the game mechanics in what we do, and learn from the game mechanics in what they do.

Last but not least, let’s talk business.

In the 21st century, many therapists are seeing a game change in our profession.  The way we practice therapy and help our patients is changing in many ways.  We can use Google to help them find the closest AA meeting, Skype with them when they are away on business in Hong Kong, email them DBT worksheets or set up mindfulness reminders for our groups on Twitter.  Even if we avoid using these technologies with our patients, they are trying to talk to us about bullying via Facebook, sexting on their iPhones, or falling in love in Second Life or World of Warcraft.  In the 21st century, technology is no longer negotiable, it is embedded in virtually all treatment issues one way or another. And so therapists are noobs once more.  This doesn’t mean that we can’t still practice psychotherapy the way we always have.  But do you think that that should be our prime goal, to do things the way we always have?

When I first advertised on Google, I paid .10 a click.  Nowadays colleagues in my area are paying upwards of 6$ a click to be visible.  Having a Google ad or website is now pretty common.  Between changes in social media and healthcare, many of my colleagues and the therapists I consult with are finding that the game has changed again, and they feel frustrated and bewildered like they haven’t in years.  They’ve become noobs again.

Being a noob isn’t bad, although it can be uncomfortable.  But what I’ve learned from fellow gamers is that being a noob can be fun as well.  The key is to keep your sense of humor, and not take having to learn new things as an insult.  I sometimes hear colleagues express outrage at having to do things differently to grow their business, and heaven forbid they spend money on coaching or business planning or consulting with someone who has more expertise than they do!  The subtext is “How dare I be treated this way?!”

Change isn’t meant to single out and insult you, lighten up. Of course you should be learning new things, and leveling up.  Have a little faith that you are learning even though it feels clumsy.  We keep trying to get to this “secure” place where we’ll never need to stretch or do something different, and it just doesn’t exist.  We need to cultivate what my colleague Chris Willard refers to in his book of the same title as our “Child’s Mind.”

In other words, we need to embrace being a noob.

Epic Mickey and Frittering

The last week I have had a blast playing Epic Mickey; two blasts actually.  In the game you’re Mickey Mouse, and your primary tool is an enchanted paintbrush, which sprays two different substances with very different effects.  The first is a magical blue paint, which can make invisible things real, and make an enemy in the game turn blue and become a friend.  The second is a magical green paint thinner, which can make real things invisible, and thin an enemy into nothing.

There are good reasons to do both of these things, but the unnecessary obstacle in the game is that there is a limited amount of paint and thinner, and so if you use too much too quickly, you have to wait until a cooldown replenishes it, or until you find a power-up.  Power-ups, in case you aren’t familiar, are items in the game you can come across that replenish your health, and in the case of Epic Mickey, your paint supply.

The game is a Wii game, and so the motion controller is how you aim the paintbrush to paint or thin.  And when I started playing it quickly became apparent that I was going to have to get better at aiming if I wanted to accomplish anything before running out of paint/thinner.

Epic Mickey teaches therapists, gamers, and anyone else who wants to learn through video games some important lessons about living life and frittering away your resources.  The game has very simple mechanics, but life often has more complicated ones.  Fortunately, this video game can help serve as a meditation on mindfulness and achieving goals.

Lesson 1:  Paint Vs. Thinner

When approaching a problem, relationship, or business, it isn’t always immediately apparent whether to add paint or thinner.  Do we need to add more stuff or clear some off our plate?  Will additional effort reveal opportunities that were invisible moments ago?  Do we need to process more with our partner, or less?  Perhaps we need to simplify, reduce or focus our practice niche? Maybe we need to remove an obstacle, rather than spray creativity all over the place.  One of my favorite paint thinners in real life is Occam’s Razor, which has been often interpreted as “the simplest explanation is most likely the correct one.”  Or to put it more like it was originally intended, we should try to avoid any unnecessary pluralities, and tend towards the simpler theories or applications.  Sounds like thinner to me, who would have thought Mickey Mouse to be a Scholastic thinker?

And to make things more complicated, Epic Mickey shows us how if we can’t make up our minds we will go back and forth between paint and thinner, undoing anything we may have started and wasting time and effort. So whether we decide we need to add something or take something away, we need to commit to a course of action, or we’ll be confusing dithering with effort.  In Epic Mickey so far, I have found that many problems can be solved in a variety of ways, some using paint, some using thinner.  I suspect life is like that too.

Lesson 2:  Keep an Eye on Your Power Reserves

In the game, you always have to keep an eye on your paint and thinner meters to make sure you pace yourself and don’t run out. They will replenish automatically over time, but slowly.  In my business I can attest that this is also true.  I usually have a couple of irons in the fire, but I have learned to pace myself.  I remember a few years back I was seeing 25 patients a week, supervising three interns and therapists, teaching two classes, taking another, sitting on 2 commissions and trying to write.  I had to learn the painful lesson that I was doing a subpar job of every one of these because I wasn’t prioritizing, and perhaps more importantly, I wasn’t allowing time for replenishing myself.  Nowadays, I try to pace myself and make time to do fun stuff, like running at least once a week, playing some games, spending time with my family chilling or getting a massage, eat regularly and get enough sleep.  Not only are these things rejuvenating, but if I can resist multitasking they block off time so I don’t get exhausted and put out subpar work.

Are you keeping an eye on your reserves?  And more importantly, are you willing to give up a few things so that you can devote more time to living life and having fun so you have the energy to do others?  I certainly didn’t want to give up any of the activities I was doing, I liked doing them all, just not all at once.  Often I hear colleagues say “I just don’t have enough time to simplify and relax,” as if it is a luxury rather than a choice.  Sure giving up a couple of things is going to discombobulate you, especially if you’ve learned to pride yourself on being busy.  But you won’t run out of paint as often.

Lesson 3:  Keep an Eye Out for Power-Ups

In Epic Mickey, time isn’t the only way to replenish, there are treasure chests with power-ups.  When I recently defeated the Clock Tower Boss, the way I did it was to keep an eye out for power ups, and sometimes pass up what seemed a perfect shot to get a power-up.  In the long run, keeping an eye out for the things that power you, your relationship or your work up will be worth foregoing the perfect shot.  This is especially true in relationships:  It can be very hard for us to resist zinging that perfect shot, but backing away and taking time to do something replenishing will usually make things turn out more harmoniously!

What are your Power-Ups?  Is it a massage, a walk in a botanical garden, meditation, playing Super Mario or spending time with your kids?  It’s your responsibility to figure out what these are, make a little time for them regularly, and do them even when you aren’t feeling totally depleted.  Pay attention to what happens when you do certain things, eat a certain way, or take something else into your being.  Do you double in size and power?  Become able to hurl fireballs?  Defeat previously impossible monsters?  If so, chances are whatever you just took in is a power-up.

Lesson 4:  Focus stops Frittering

Last, the more targeted you are in what you’re trying to do, the less wasted energy and resources you’ll have.  In life, like in Epic Mickey, you often need to aim for something. Sure, sometimes random efforts yield surprising results.  When it does, huzzah, but that’s no excuse for not trying to be focused.  Mindfulness is in a large part about focusing your mind and body on something, letting distractions drift by.  Use the Force Luke–if you don’t you will probably find yourself feeling depleted, frustrated, and confused as to why.

Yes, focusing means giving up on something else.  Frittering means giving up on everything while deluding yourself you haven’t.  Parents who become obsessed with quality time rather than choosing a game night are frittering.  Saying you want a committed marriage while you’re out every night drinking beer with the buddies is frittering.  Complaining about managed care and lower fees rather than marketing your business or helping a forward-thinking candidate is frittering.  And there are a thousand other ways that all of us confuse dithering with effort.  So pick something and try to focus on it single-mindedly.  At least that’s what works for Epic Mickey, and can an 83 year-old mouse who can still defeat monsters and jump over chasms be all wrong?  I think not.

The Importance of Having a Secret Headquarters

Save and Continue

Recently I was playing God of War III, and noticing something I take for granted much of the time, the savepoint. This is something that has become so integrated into video games that gamers hardly notice it after we discover what the particular “savepoint” looks like in the game we are playing. The saved game has been around for decades, and has become increasingly important as games have grown in length and complexity. I was reminded recently by Nancy Rappaport, a colleague and attending psychiatrist at Cambridge Health Alliance about how the concept of the saved game may not be taken for granted. I was trying to explain to Nancy during a workshop certain gaming concepts, and she was explaining that her point of reference in playing video games was Pac-Man, and in a general sense video games from an arcade setting that early on didn’t always have savepoints, where the player was asked if they wanted to “Save and Continue.”

This may be useful to remember when you are becoming frustrated with a gamer who is not as concerned with the quantitative time (bedtime, for example) as they are with the qualitative time of getting to the savepoint. But that actually isn’t what this post is going to be about. Instead I want to return to the concept of what makes an Epic Therapist here:

Epic Therapists remember the importance of saving and continuing.
To start with, therapy is in many ways a savepoint. At certain times in their lives or week our patients arrive at our office, pause, and take stock of things. In his 1914 paper “Remembering, Repeating and Working-Through” Freud alludes to this when he remarks that “In these processes it particularly often happens that something is ‘remembered’ which could never have been forgotten because it was never at any time noticed–was never conscious.” Like the savepoint in a game, the patient arrives at the place for the first time, understands how important it is to hold on to that progress, and remembers or saves it from repression. But part of what makes therapy therapy is the therapeutic frame, and at some point the session ends, and the patient goes back out into the rest of their life. They can’t just stay at the savepoint, they have to continue.

Readers have probably noticed by now that I draw frequent parallels to psychoanalytic theory and video games, and this is no exception. Our profession has a rich theoretical history that has grown from individual therapists learning from each other, disagreeing with each other, building on the prior work of each other and diverging from each other. Psychology as a field to flourish has had to frequently “save and continue” by writing these theories down in journals and now blogs, to take stock of what we have learned, but we’ve also had to move forward and continue to challenge pre-existing models. It can never be just save or just continue: To just save would stagnate our thinking and practice, and to just continue would mean we never consider thoughtfully the work we are doing.

In many ways, the problem with healthcare has been few if any savepoints, discouraging providers from taking time between patients to reflect before continuing on to the next patient. Interns in mental health agencies have many no-shows, and with no infrastructure to hold patients responsible to keep their appointments, these interns “continue” through the years where they should be receiving the most training with a fluctuating and diminishing number of patients to practice their craft under supervision.

Ask yourself this: If you were about to have open heart surgery and the doctor told you that he had only had the opportunity in medical school to practice the procedure 3 times because most of his patients cancelled or no-showed, would you feel confident in their ability? And yet we crank our interns through graduate programs based on the number of years rather than skills acquired, because the healthcare system is flawed and and patients are not held accountable for missing/cancelling appointments. This isn’t the interns’ fault, they are trying to get through to their knowledge and experience “savepoint,” but graduate schools and placements inadvertently become the parent shutting off the light because its “bedtime,” and we are producing generation after generation of clinicians who have had inconsistent or insufficient practice. This is continue without the save.

On the other hand, let’s take a look at the radical save mentality that permeates our profession. There are certain parts of the way many of my colleagues practice psychotherapy which have become extremely fixed, and I too fall prey to this at times. The 45-50 hour, a certain therapeutic stance, and my favorite, shunning technology. They bar their adolescent patient’s cellphones at the door rather than exploring who is texting them, refuse to consider Skype as an option let alone suggest it to their patients.

I frequently get referrals emails from several listservs, looking for therapists in Seattle, London, or Singapore. I enjoy practicing in-person therapy immensely, but does it ever occur to these colleagues to consider beginning to practice online as well? Why refer a patient to someone in Taiwan based on location when you could have one of your colleagues whom you know and respect take the patient on? On occasion I reply to these referral requests asking if the patient would be interested in Skype, but for the most part I’ve become reluctant to do that because I am pretty sure it doesn’t go anywhere. In terms of technology these psychotherapists are often in a lock-down save mode, and I foresee that they will resist change as the world continues without them.

My friend and colleague Susan Giurleo and I often find these things frustrating, and I realized today one reason why we may have this in common. We both went to Connecticut College in the late 80s early 90s, between the college presidency of Oakes Ames and Claire Gaudiani. In fact our graduating class became known as “the folks who knew Oakes.” And during this time our college had a motto that was drilled into all of us: Tradition and Innovation. Everywhere we looked, in all the college information and stationary were those words, tradition and innovation. Save and continue.

I have definitely tried to live that in my profession and my life of the mind. I’m a psychodynamically oriented therapist who uses Twitter and plays video games. I teach my students about Freud and Facebook. And I think that perhaps the affinity I find in the fin de siecle of the 19th century is how its denizens struggled to save and continue, to embrace the advances of technology then as we do now in the 21st century. In a recent article at boston.com Chris Brogan alluded to this when he said, ““The excitement for me about [social media] is, it’s gone from ‘Gee whiz!’ to ‘Now what?’ ”

Technology is here to stay and embedded in our lives, and today, like after the Industrial Revolution, we must learn the “now what?” To do this we can’t just rush forward and forget everything we ever knew, but we can’t stay stuck in a mindset from the pre-IBM world. Web 2.0 has arrived, and we need both tradition and innovation if we want to progress.

We must save and continue.

Video Games and Social Media

 

Do Your Dailies

UVN4UFFHFPND

 

Epic Therapists do their dailies.  And if you’re not a therapist, but a gamer or someone else who wants to have a better life, this post may be useful to you also.

At a recent workshop, I began by showing a slide with our “Epic Agenda.”  And the first question I got from a therapist was a great one, one that staggered me:

“What does Epic mean?”

Gamers among you may be chuckling now, but try to answer that question, and try to remember back to a time when you didn’t know the difference between green and purple gear.  Back then you didn’t know what Epic meant either.  So let me offer us a working definition of Epic:

Epic means “the most super amazing over the top of all time.”  An Epic Win would be the most super amazing over the top win of all time.  An Epic Fail would be the most super amazing over the top fail of all time.  Epic is big, Epic is superlative, the most super dooper in history.

We don’t talk about ourselves in epic language much.  We tend to think of it as arrogant, unrealistic, and asking to be taken down a peg.  The idea of being Epic anything makes us self-conscious, with a lower-case s.  And yet, I think it is time we change that.

All over the world you people are being Epic. Right now in Japan, every one of those people is Epic.  The people surviving a disaster of multiple phases and historic proportions are Epic.  I doubt that any of my readers would argue that.  Every person helping those survivors is Epic.  Even as we speak the people of Japan are pulling off what will be seen in years to come as one of the biggest Epic Wins in their history.  (By the way, if you want to support their Epic Win, go to the Red Cross and take 5 mins to donate.  There’s also a great definition of psychosocial support there for you therapist types.)

But you don’t have to be at the epicenter of a disaster to be Epic.  Gamers know that there are several ways to get that Epic gear.  Sure, one of the ways to do that is to down that boss on heroic mode.  But there is another way to get that gear and become Epic:  Do your dailies.

Dailies, in WoW, are daily quests that you do to gain XP, gold, or points towards buying Epic gear.  And it takes a long time to earn those points.  But each day, the game server resets, and you get to run these daily quests again.  One of the first things an experienced gamer will tell a “noob” who wants to get better gear is, “Do your dailies.”

Back to you therapists:  Epic therapists do their dailies. The most successful therapists I know show up for those mundane tasks every day.  They return phone calls every day, respond to emails every day, step back to consider the state of their practice every day.  Epic therapists read about their craft regularly.  Epic therapists learn about what their patients are talking about regularly.  Epic therapists reach out and connect with their colleagues regularly, and Epic therapists take risks to make their business visible regularly.

Last Friday I met a dozen Epic therapists who came to my workshop.  They spent time and money to learn about online gaming and gamers.  I can’t tell you how moved I was to see these colleagues spend 3.5 hours with me learning how to better understand gamers.  They were willing to step beyond the model of addiction and see gaming as a culture they needed to become more competent with.  They decided not to dismiss video games as trivial or uninteresting and as a result will be able to meet their patients “where they’re at” more than ever.  Less than 50 therapists across the world have ever spent 3.5 hours on a workshop to understand gaming, so these folks are truly Epic!

Am I suggesting you all enroll in my workshop to become Epic?  Hardly.  But I am suggesting that you do your dailies and when you’re feeling down about your practice, keep doing them. I have noticed that the people who tend to be naysayers in our profession tend to be people who don’t want to take risks or invest extra time on a daily basis.  They are hoping for a quick fix or solution, one book or secret that will tell them how to succeed.  I think there are a lot of books out there that may help, but I think the secret to becoming an Epic Therapist may just be to do your dailies.

And if you’re one of my gamer readers, this applies to you too.  You can be Epic out of the game as well as in it.  That same stamina it takes to do your Baradin Hold dailies can be applied to your life outside of Azeroth.  Getting up a half hour earlier so that you can get to work without feeling anxious is doing your dailies.  Doing every bit of your homework is doing your dailies.  Listening to your parents and doing your chores are doing your dailies.  Telling your partner that you love them is doing your dailies.  Spending an hour in meditation, in therapy or at an AA meeting are examples of doing your dailies.  Sometimes these dailies will seem easy and quick.  Sometimes they will seem a grind.  No matter.

Do your dailies.

 

 

 

UVN4UFFHFPND

The Lessons of Zelda

One of the most popular and longstanding game series in the Nintendo franchise is the Legend of Zelda series.  The first game came out in 1986, and there have been 15 games to date.  The games almost always revolve around the Hero Link and his attempts to rescue Princess Zelda and/or defeat the evil wizard Ganon.  They are a combination of puzzle-solving, exploration and action fighting.

Nearly all of the games make use of the mechanic of transforming oneself or the world in order to win.  Link must learn to use an Ocarina to change time in order to access all part of one game.  He needs to transform himself into a wolf to complete another.  One of the earliest games, and also my favorite, The Legenda of Zelda:  A Link to The Past, established the concept of a parallel world that Link needs to shuttle back and forth between in order to ultimately defeat Ganon.

Another key to navigating the game is that the player needs to complete dungeons to get the reward of another item, which are necessary to move further into the game.  Until you get the grappling hook, for example, you can’t swing across certain chasms to move on.  Or if you don’t have the flaming arrows you can’t melt the ice block obstructing the passage to another dungeon.

Zelda is also famous for its concept of the Triforce, represented by three triangles connected to form a larger one.  This force needs to be assembled from smaller parts in order to grant Link or Zelda extra super powers.

All of these elements are challenging yet soothingly familiar each iteration of the game.  And all of these elements are useful examples of how therapists and gamers can communicate about strategies for handling real life challenges as well.

Lesson 1.  You need to be able to shift between worlds to win in any of them.

People may take my posts, which are clearly pro-gamer, to indicate that I think that life in-game is more important or a replacement for the world outside of it.  Nothing could be further from the truth.  In fact, the recent research indicates that if you spend more than 3-4 hours a day playing video games, the positive effects of them begin to decline quickly.  So this lesson is a good example to use with your gamer patients or friends about the necessity of not getting stuck in the gaming world to the detriment of the outside world.  Ultimately that will ruin both worlds for you.  If you stay home and don’t go to work you’ll lose your job and money and therefore access to playing.

On the other hand, if we can’t take a break from the outside world we will find that our functioning in it deteriorates as well.  We need to be able to take a break on the most visceral level, its one of the reasons our eyes blink.  In Ego Psychology this is referred to ARISE, or adaptive regression in service of the ego.  Often when people are feeling stuck around a real life problem, playing video games can distract their conscious mind while their unconscious mind continues to work on it.  AND the cognitive and emotional boost we get from gaming can actually refuel our brain’s ability to return to the world with renewed vigor.  So with video games and real life, it is always both/and that brings success, not either or.  With games though that axiom only works for sure for a limited, 3-4 hour period.  More than that and all bets are off!

2.  We need multiple tools to solve the problem.

Whether in Hyrule or Hoboken, there is no one instrument or approach that solves every problem.  You can’t rely on your sword to swing across chasms, and you can’t rely on your intellect to lose 10 lbs.  We need to encourage our patients to have as many tools in their toolbox as they can find and not rely on just one.  And it is an interesting phenomenon that the acquisition of a tool or skill often brings access to new challenges for every problem it solves.  And that’s a good thing!  At SXSW this year Seth Priebatsch helped us wonder what education would look like if we unlocked achievements at varied paces rather than moved up grades homogenously  (Answer: it would look a lot more fun, interesting and engaging than public education looks today.)

So whether you find yourself using your verbal sword to hack through relationships or your grappling hook to swing from person to person, take a look at all the items in your knapsack.  Maybe a soothing ocarina might be a better choice than a flaming arrow when it comes to communicating with your employee.  Maybe the opposite is necessary to melt through some rigid thinking.  Isn’t it great that you can do both?

Lesson 3:  It takes time, patience, and effort to assemble all the parts to succeed.

People often come to therapy looking for a quick fix.  Insurance companies bank on this being a continuing trend with short-term therapy or medications.  Those are often useful parts of the solution, but just that, parts.  Whether you are trying to improve your life, build your practice, or heal a relationship, it is going to take a lot of time, patience and effort.  And yes, it will often be redundant!  In WoW we often talk about downing a boss using “rinse and repeat,” meaning that we learn the strategies we need, and then have to use them over and over and over to ultimately down the boss.

Rome wasn’t built in a day unless you’re playing Civilization III.  It takes time to assemble the pieces of the most powerful parts of our lives.  Therapists can remind gamers that they are good at this!!  I can’t tell you how many times I have run the same dungeon in a Zelda to get the map to find the compass to find the boss to get the key to unlock the item to cross the obstacle to get the key to down the big boss.  Gamers are no stranger to persistence when we’re engaged, and we’re not dissuaded from effort when we have some optimism, that’s how we roll.  🙂

So these are just some of the Lessons of Zelda, lessons that therapists and gamers alike can use to improve their coping and lives.  Are there other lessons I’ve missed?

Reputation, Grinding & You

 

What I Learned at Pax East.

For those of you who aren’t in the know, Pax East is a 3 day event founded by Penny Arcade a great website for online comics and other fun stuff.  Pax East takes place in Boston, and this is it’s 2nd year.  It is a huge convention which had approximately 70,000 video, tabletop and PC gamers.  Last year I went to Pax East because I had finally decided I needed to take gaming and gamer-affirmative therapy seriously as part of my growing practice.  I had always thought video games were fun, but it was only over the past 10 years that I had come to see that they could be life-changing.

I had discovered firsthand how World of Warcraft, Mario, and Zelda had helped me recover from a terrible job loss and re-evaluate what I wanted my work and life to be like.  I had met dozens of gamers in-game and out who were recovering from various life struggles through gaming.  I met soldiers stationed in Iraq who were gaming to keep their morale up or stay in touch with their families.  I met LGBT people who had come out and found community for the first time in a Warcraft guild.  I met people who had fought off isolation in other countries by raiding with loved ones at home.  Still more had survived a divorce, discovered a way to rebuild confidence when they’d lost the ability to walk, or taken the first steps to socializing when their autism had stigmatized them and all seemed lost.

I also began to meet a growing number of young men and women who were refusing to be labeled as addicted or abnormal by virtue of their gaming experience.  And I began to wonder what it would be like if as a therapist I came out as a gamer and helped people begin to take video games seriously.

At the same time I began to realize that I needed to take my career more seriously, because I had decided to start a full-time private practice.  I had had a part-time practice for over a decade, but it always felt like a hobby.  And so when I began to float the idea to family and colleagues I was amazed by their response.

They took me seriously.

Anyone who has launched a business can probably identify to some extent.  You spend a lot of time wishing, and then daring, and when you finally decide to tell others you find that they have a far easier time taking you seriously than you do yourself. It was as if the company I’d helped built, my education and my CV were all fluff in my head.

If I had a hard time imagining myself as a independent businessman and a full-time private practice therapist, you can imagine how hard it was to imagine being a successful therapist who specialized in video games, virtual worlds and social media.  Sure I could justify playing video games with children I worked with, but a gamer-affirmative therapist?  This was a harder row to hoe.  I had people thinking I meant online gambling and referred gamblers to me.  I had colleagues who pretended Facebook didn’t exist and glazed over when I told them about the social media company I had helped develop.  And most often I had this response.

Oh, I don’t know anything about video games.”

This from colleagues who were throwing out the term gaming addiction willy-nilly.  So I knew that I had a couple of choices, keep quiet or begin working with gamers and educating psychotherapists about what video games actually are, and what they can do for us.  And I decided that if I was to really try to educate people on video games and doing therapy with gamers, I’d have to take myself seriously.  And that is where Pax East and Blizzcon came in.

Where better to meet gamers than in those places?  And what better form of continuing education for me than to see what is happening in the gaming world?  This was part of the work I wanted to do, and the only thing holding me back from engaging in it seriously was that I felt guilty for having fun.  From graduate school and continuing education I had learned that education was serious and not necessarily fun.  But when I took the plunge I found that the money I spent on travel and the conferences was totally worthwhile, and the people I met were really interested in my work.  This is something my colleague Susan Giurleo wrote about recently regarding another such convention that she is going to, SXSW.

I’ve learned a lot in the past two years.  Last year at Pax East I didn’t have nearly as much fun as I did this year, because I felt like I needed to be there every minute and take everything seriously.  This year I went Friday and picked a few things I wanted to do, like attend Jane McGonigal‘s keynote speech.  And I took fun more seriously and learned more.  I got a sneak peek and play of the Nintendo 3DS.  I got to watch the amazing new XBox Kinect game Child of Eden.  I walked around all day with a Plants Vs. Zombies traffic cone on my head.  I participated in the largest massively multiplayer thumb-wrestling match in world history!  And all around me I saw happy and energized people playing and socializing with strangers.

I was reminded of the things I tell my supervisees all the time, that if you aren’t enjoying yourself in your work something is wrong.  Because enjoying yourself helps you achieve a state of believing that success is possible.  And that the people who settle for less in their work get less.  Such optimism is crucial, because running your own business takes a lot of time and effort.  I have never worked as hard at a job in my life, and I have never loved what I do as much as I do now.

 

The Gamification of Psychotherapy

“Ring Around The Rosy by W. Earle Robinson

In the 19th century Sigmund Freud revolutionized the fields of neurology and psychiatry.  Whether you agree or disagree with the particulars, psychoanalytic theory, and the psychodynamic theories that sprang from it changed the way we understand the human mind.  Freud pioneered our understanding of the psychosomatic illness, conflicts, drives and the unconscious, to name but a few of the ideas that still influence theory and practice of psychotherapy today.

The way Freud came to understand and then attempt to help us understand these ideas was by applying other theoretical models to our psychology.  The industrial revolution, with its steam-powered hydraulics and locomotives powered by internal pressure, heavily influenced his beginning work of trauma affect and drive theories.  His famous topographic model of the psyche, with its strata of conscious, preconscious and Unconscious, was inspired by the advances in geology and archaeology of his day.  In short, the technological advances of his time informed and shaped the way he thought about and worked with people.

Now we are in the 21st century, which is new enough that saying it still fills us with amazement.  The revolutions in technology continue, and I want to begin applying some of these technological advances to my theory and practice.  I have blogged a lot about games, and today I want to discuss the application of game theory in understanding the human psychology.

Gamification is the act of using the elements of game design and applying it to other parts of human existence.  We have seen gamification begin to be used in businesses like IBM and written about in the Harvard Business Review.  MacDonald’s has been using gamification with its’ Monopoly game for years.  The Army has been using viedo game technology to gamify our defenses.  Socially Serious Games like Against All Odds are being used to educate people about human rights and global conflict.  So can gamification be applied to psychotherapy?

I think so.

In her new (and excellent!) book Reality Is Broken, Jane MacGonigal reminds us of the concise yet brilliant description of what a game is according to Bernard Suits.  Suits states that “playing a game is the voluntary attempt to overcome unnecessary obstacles” in his book The Grasshopper.  An example of would be chess where we agree to use the playing pieces on the board, the unnecessary obstacle is that each type of piece can only move a certain prescribed way, and we attempt to overcome this in order to capture the king of our opponent.

One example of gamifying psychotherapy is if we posit something similar:  Psychotherapy is the voluntary attempt to overcome unnecessary obstacles.

Psychotherapy must be voluntary to be successful. If the patient refuses to engage in the process either by physically or mentally absenting himself, therapy will not happen.  Yet even people mandated to treatment can benefit from it if they agree subconsciously to engage with us.  Adolescents who are dragged to treatment will sit with us in stony silence week after week because they are not there voluntarily.  Sometimes we can get a part of them to come out and “play,” i.e. engage with us.  And if we don’t want to work with the patient for some reason, it makes treatment next to impossible.

Patients come to us because they are attempting to overcome something.  They don’t just drop in because they wanted to read the magazines in the waiting room.  Something in their life has caused them pain, sadness, anger, discomfort and they want that to stop.  They may have noticed a pattern of bad relationships, they may be having traumatic flashbacks, they may be encopretic.  But something in their life outside the therapy office has seemed insurmountable, and they want our help in overcoming it.

Which brings us to the unneccessary obstacle.  I would suggest that in many cases the symptom is the unnecessary obstacle.  Whatever the behavior might have been in the past it is no longer necessary now.  As a child, hiding their body or mind may have been necessary to keep themselves safe from an abusive parent or sibling.  As an adult, their tendency to dissociate in meetings and avoid success at work is an unnecessary obstacle.  As a teen a patient may try to control an out of control environment in order to feel a sense of self.  As an adult they may seek to control their bodies through disordered eating or self-injury for much the same reason.  The challenge here is that the patient continues to go through life unconscious of this and acting as if the obstacle was necessary.  In a sense they are playing out (albeit very seriously and sometimes fatally) something outside of the playground.

Huizinga referred to the “magic circle” of play, within which the game unfolds.  Therapy, with its 45-50 minute hour, office setting and professional boundaries, is such a magic circle.  If you don’t take the idea of play seriously, you will probably find this analogy offensive.  But in my opinion play is very serious.  In psychotherapy, patient and therapist become earnestly engaged in the immediacy of what happens.  People become ghosts of other people, monsters appear, and ancient kingdoms rise up from beneath the waves for a day.  I believe that most people who have been in treatment will be able to recall the immersive and powerful experiences they have had there, experiences which have felt tragic and heroic.  Hopefully the patient leaves the magic circle having changed, the unnecessary obstacle is overcome, and life gets better.

We live, as Freud did, at the threshold between two centuries.  We live, as Freud did, in a world story frequently punctuated by war.  I imagine that back then things felt as difficult, healing seemed as urgent as it does today.  People came to Freud then, and us now, to help them overcome unnecessary obstacles that were ruining their lives.  Freud benefited from applying the diverse technologies of hydraulics, geology and archaeology to understand the human condition; and I believe that we can benefit from applying ludology and game theory to the serious business of therapy.  Gamification will not be used to “lighten up” treatment but rather deepen it.  Patients who play video games may respond better to leveling up than treatment planning, power-ups as opposed to coping strategies.  Virtual worlds may serve as practice for real ones, just as therapy has served as practice for other relationships.

Freud was an Epic Therapist.  He researched and synthesized what was going on in the art and science of his day in order to do better treatment.  Today’s Epic Therapists will need to do the same, and that means having the courage to play with technology, games and ideas.  Our resistance to doing so is an unnecessary obstacle we need to overcome, and our success in achieving this will be an Epic Win for our patients and our profession.

(Un)Desperate Times, or Know Your Talent Trees

Recently I was given a referral for an evaluation, and upon some reflection I declined it.  This is not something I am often in the habit of doing, but in this case the evaluation would have involved a clinical situation that did not fit with my integrity.  So it got me thinking about the relationship between building your business and professional integrity.

The referral would definitely have been lucrative, and within my scope of experience and skill.  And most of us these days certainly cannot afford to turn away business.

Or can we?

If I had taken this evaluation on, I would have most likely have been called on to testify about something that I was not entirely behind.  This would have compromised my ability to be an expert witness.  As I weighed the pros and cons I was quickly aware of my feeling of “halfheartedness” about the whole thing.  And that was what clinched it for me.  No patient deserves anything less than a wholehearted therapist as far as I am concerned. And I believe that when we catch ourselves trying to make something “fit” with our practice, we should probably stop right there.

Most of us were trained in clinics or hospital settings where we did not choose our patients.  We were there to help everyone, and the idea of a good clinical fit was something we were usually reluctant to give voice to.  Social workers in particular are often encouraged to be little mental health Statues of Liberty, treating any of the huddled masses that get sent our way.  But no one of us is supposed to treat everyone in my opinion.  And believe it or not, there are therapists who want to work with every segment of the population.  I have met therapists who love working with borderline personality disorder.  Others feel invigorated by working with substance abusers.  There are people who really enjoy working with schizophrenia, like me.  So in the long run, I think it is important to notice who you like working with, especially if you want to be in private practice.

Being clear on this is hard enough when we are starting or growing our practice.  Turning down a referral can be terrifying and guilt-inducing.  Somebody needs our help, we need to earn money, and we’re going to decline a referral?  Sometimes, yes.  Sometimes we need to hold a space open in our practice for a bit.  And always the patient deserves a therapist who is 100% committed to the therapeutic relationship.  So if we are lucky and have a good coach or supervisor we brave our fears and hold open the space for a while.

But later on in the development of a private practice, you may encounter a slightly different issue, what can be called an “embarrassment of riches.”  The phone starts ringing with calls from potential patients, requests for court or special education evaluations, or maybe your old employer wants you to come back and do a workshop for your old agency.  It can be tempting to overextend yourself, but I would suggest the following when this happens:  Don’t just do something, sit there.  Give yourself time to evaluate whether this opportunity is the best opportunity for you after the initial shine or honor of being asked has worn off a little.  Because only you know your business plan, and which of the opportunities presenting themselves to you is the best one for furthering your practice.

The picture at the beginning of the blog is what World of Warcraft veterans will recognize as a talent tree.  Each character class has three talent trees they can choose from to put their talent points into.  The more talents points you put into one tree, the more access you have to higher powers and abilities of a certain kind.  At the same time, since you have a finite amount of talent points, putting talent points deep into one tree makes it impossible to put them deep into another.  So for example, if I am a mage, I can choose to put my talents in Fire, Frost, or Arcane trees.  If I put most of them in fire, I won’t be as powerful when I need to use frost spells.

Sometimes newbie gamers decide to spread their talents across all three trees.  They divide up the points and suddenly notice that they are at a high level but aren’t doing that well in the game.  At some point someone will notice their talent trees are a mess, and explain to them the importance of specifying their talents.  Sometimes therapists do the same thing:  We try to be everything to everyone and learn to do a little of this and a little of that.  This is often where the diabolical word “eclectic” comes up.  We’re not frost mages OR fire mages, instead we’re hurling bolts of lukewarm water, and who needs that really?

If you have been building your practice for a while, you have probably noticed that your phone is starting to ring more, or your website is getting more hits, and this can be so exciting and intoxicating you’ll lose sight of your business plan.  This week I had a day like that, where I got 2 referrals for psychotherapy, an extended evaluation, and invited to teach 2 classes!  You bet that feels good (and overwhelming!)

But I needed to spend my talent points wisely.  If I load up on patients, I won’t have time to do my writing or workshops and ultimately develop passive revenue streams.  What’s worse, the patients will get an overworked overtired therapist who is not wholehearted. If I teach two classes, I won’t have enough time to do something else, and if I take on an eval that has me interviewing, writing and expert witnessing, same thing.  Time to refer back to my Tweaking 2011 plan.  So everything went on hold for a day (remember, we’re running a private practice, not an ER:  If something seems so emergent that it can’t wait a day, it may not be something to take on) and  I ended up declining half of the embarrassment of riches, offered alternate referrals, and hopefully everyone will be the better for it.

Have you started to specify your talents yet?  Have you chosen the talent tree you’ll put the majority of your points in?  The secondary one that enhances the first?  Does what type of work you accept clearly map to the business plan you’ve made for yourself?  I’ve written before about being an Epic Therapist and this is one of the qualities that makes a therapist Epic:  Epic therapists specify and hone their talents in one main area. And because they do that they can explain what kind of therapist they are at parties.  And they can do solid work and reading in their area so the patient gets excellence.  Excellence is what will keep your business afloat in the coming years, so spend your time and talents wisely!

Real Life, Ego Defenses & You

Anna Freud, Sigmund Freud’s daughter, greatly expanded on her father’s theories of psychoanalysis.  Perhaps one of the most memorable ways she did this was in her exploration and cataloging of the ego’s defenses.  In her work “The Ego and the Mechanisms of Defense” in 1937, Anna laid the groundwork for understanding the ways we cope with internal conflicts between the way things are and the way we wish they could be.  She initially came up with nine general categories, which I reproduce here from a great resource on www.changingminds.org :

Ego defenses are numerous, and range from the most primitive  (repression) to the most evolved (sublimation.)  When I say primitive, I want to convey that they are the earliest we acquire developmentally, not the least useful or most pathological.  And it is important to remember that all defenses are useful, and that the ego is using the best resources it has to cope with any given problem.  Later thinkers would begin to specify and amend this list, but it was the first attempt to explain how the ego helps the human mind make the unbearable bearable.

When I assess patients who play video games, I am always very interested in which spells or actions they employ when they game.  The reason I am so interested is because many of these spells and actions are directly parallel to certain ego defenses.  If a warlock uses Fear a lot, I may wonder if they are inclined toward projecting their anxiety onto others, as a result of a world view that sees others as more powerful and scary than they are.

I also like to explain to patients the way they seem to be using their ego defenses in terms of these spells or abilities.  For example, if someone always wants another member of the therapy group to go first in checking in, I may explain this displacement in terms of the Hunter’s ability Misdirection.  Often gamers can understand the ego depenses exceptionally well, because these defenses are clearly illustrated in the way they play the game.  Therapists working with gamers would do well to ask their patients what their class is (Warlock, Hunter) and then the spells or abilities they enjoy or use the most.  Likewise, shifts in using different spell rotations or changing class can often indicate large shifts in the ego and character development of the patient.

And now a word about real life.

Real Life, is a concept used by both gamers and therapists.  Gamers talk about how they can’t raid because they have a “RL obligation.”  Therapists talk about a patient’s reality testing, and their ability to participate in real life.  Real life is a useful concept, and like many useful concepts it is often misused.

I often hear therapists describe gamers as people who are trying to avoid “real life” by using games.  The implicit judgement in this statement is that games are not a part of reality, and therefore are less than.  But this seems like a false dichotomy to me, in many ways similar to the way therapists often talk about how therapy is not real life.  Of course it is!  Therapy has distinct rules and boundaries, and it is a rarified form of relationship, but it is not of a different substance than that of “real life.” If it were truly a different thing, it is unlikely that patients would gain anything useful from it.

By the same token, games are part of real life.  World of Warcraft is inherently social, there are over 12 million real people playing it all over the world.  Gamers deploy real skills to solve real problems and their neurological responses to an “Epic Win” or “Fail” are real physiological responses.  This is not to say that the gaming part of a patient’s real life can’t get out of balance with other parts.  But it is not a given, and it is not different from the way others use their ego defenses.  We all use repression and sublimation to cope with the conflicts and anxiety that occur in daily life.  I recall a clinical professor of mine who sublimated her murderous impulses by reading murder mysteries.  Hurling fireballs in WoW is an excellent way to prevent oneself from hurling objects or insults in real life.  The defenses are there for a reason, and they are not inherently bad.

If you are a therapist and you are seeing your patient who games as someone who is not paying attention to their “real life,” ask yourself if you are not perhaps projecting.  Many therapists have a great deal of difficulty finding balance in their own lives.  They may find it easier to say that a gamer needs to “get a life,” than to realize that they are projecting their own feelings of disregard for themselves onto gamers.  By this I mean that therapists often overvalue the work they do in proportion to their family, friends, and other areas of their lives. For example therapists often will see too many patients at a sliding scale fee while their children are impacted by their lower income:  They overvalue their therapist role and their parental role suffers.  Other therapists may have a difficult time making time for friends or having conversations that go beyond 45 minutes, they may listen but not share of themselves.  And still other therapists may neglect exercise and meditation because they don’t have the time, but overbook their work schedules.

Before we can help gamers appreciate the need for balance in their lives, we need to empathize with what they are doing.  They are relying on the areas of strength they have in themselves when they game, and are reluctant to go to the areas that need development.  We therapists do that too, if you don’t believe me just ask your spouse or child if they ever feel like you are using your therapeutic abilities on them!

Let’s be careful if we have to use the idea of “real life” at all.  It is often a veiled judgment, and veiled judgments are often projections. Let’s go with Wittgenstein here, who began his Tractatus Philosophicus by stating “The world is everything that is the case.”  Privileging some aspects of life over others is often the first step towards the oppression of others, be it race, gender, orientation, class, or I would suggest, gaming.  It certainly won’t help our patients get any better.

And it may just make our own lives worse.

Some Beginning Games for Therapists to Try

This Video Blog was inspired by friend Carolyn Stack, who asked that I recommend a iPhone game to ease her into the world of iPhone gaming.  Here are a few of my favorites and why you might want to try them:

Are You Out There?

"Adolescence" S. Dali

One of my favorite performing artists, Dar Williams, wrote a song with the same title as today’s blog, inspired by her childhood experience of listening to late-night radio.  In it she sings:

Are you out there, can you hear this?

I was out here listening all the time
And though the static walls surround me
You were out there and you found me
I was out here listening all the time

It is an ode to the late-night radio DJ, both a calling out for reassurance and assuring that she is out there listening as well.  Williams recalls the poignant sense of isolation that we forget adolescents experience, often to the point of despair and suicide.  Even working with teens, it is often hard for us to look beyond the behaviors and see the intense feelings many experience.  Because when we do, we remember.

Adolescence is the first time we experience loneliness with self-consciousness.  As children we experienced the immediacy of loss and abandonment, as terrifying as it was all-consuming and eternal.  As adults we will have come to abstract loneliness into a fact of life or a thing to be avoided.  But as adolescents, we take our first steps across a new threshold of mentality, and we become aware of our loneliness.  Perhaps this is one reason why the peer group is so important to youth, at this moment of existential awareness that the planet is really a lifeboat afloat in something so freaking big.

Winnicott often remarked that it is a developmental achievement to have the capacity to be alone, and requires the experience of being alone in the presence of an empathic, quiet other.  I have found this an invaluable thing to remember when sitting with an adolescent sprawled on a chair in my office who was in danger of being labeled “sullen” by me.

It is important to know that someone is out there listening, and I have been reminded of this recently not by my work with adolescents, but by working with therapists.  Every blog post has grown my readership (thank you!) and as it has grown so have the comments on the blog and the emails behind it.  People write to me about their practices, why they decided to take the plunge, what they are worried about, how their supervision has gone, or a victory of self-care.  They write me about how angry they are at the government for changing the rules, how angry they are at insurance companies for lowering their fees, and how angry they are at me for sounding so rigid about online boundaries.

And I hear from gamers as well.  They say how glad they are to read my blogs taking a pro-gaming stance rather than condemning their lives; they tell me how frustrated and confused they are that more therapists don’t seem interested in learning about these things and therefore them; and how angry they get at the media each time it hypes a new study about online addiction or “pathological gaming.”

I have remarked in my contact page that I discourage brain-picking, that act of trying to get free consultation without paying for it in the guise of asking “just a quick question.”  But I could read emails from the above people all day long.  They share so much with me, and those authentic voices, even those who don’t go on to buy my services, are always valued.

Another great thinker, Alanis Morrisette, says, “There is no difference in what we’re doing in here/That doesn’t show up as bigger symptoms out there.”  Our world is broken, and there are many people alone together in the lifeboat, people who have forgotten the wisdom of holding onto each other as adolescents do.  You know this, you work with these people, I work with these people, and we are these people.  We all need to regress a little, to remember that secure solitude begins in the presence of another who cares.

So if you have been thinking about commenting or writing, please don’t hesitate.  You deserve to have someone you can be alone in the presence of, and I am out here listening.  I really am, and if you’re anything like the epic therapists, gamers or patients who have already written me, I know you’re a rock star too.

Children, Mental Illness & Video Games

Photography by Mykl Roventine

I hesitated to use the above title, because I can imagine my gamer audience rolling their eyes already.  Bear with me please, it’s not what you think.

A new study has come out reporting that children are using video games “pathologically,” and that this is a global problem.  The study, summarized here, reported that out of a sample of 3,034 children, 9% of them could be considered “pathological” in their play, which the researchers found “some serious problems – including depression, anxiety, social phobias and lower school performance – seemed to be outcomes of their pathological play.”  And so the media has already begun to hype this up as video games cause mental illness in children, as well as video game addiction is a problem.

So let’s think this through together.

First, there is the problem of cultural translation.  The study was conducted in Singapore, and as one of the researchers acknowledges, “”In the US, we didn’t follow the kids across time, so we don’t know where that threshold is across each culture or if there is a certain amount that is too much.”  And we also don’t know the cultural variables when we compare Singapore, a city-state, with other countries.  Children in urban areas often play more video games due to the safety concerns of living in an urban area.

But more importantly, let me share with you some other statistics, more close to home.  The National Institute for Mental Health as recently as last September released this information.  Using a sample of over 10,000 teens ages 13-18, they found that over their lifetimes 20% of the children had “suffered from a mental disorder with symptoms severe enough to impair their daily lives.”  An earlier study with over 3000 younger children found that 13% of the children met the criteria for one or more mental disorder.  This figure, by the way is down from the Joint Commission on the Mental Health of Children, which in 1969 found that 13.6% of all children had “emotional disturbance.”  So that’s long before Pong, people, and the statistics if anything have gone down with the advent of better treatment.

Let me share with you one more statistic, from the Pew Research Center which found in 2009 that 99% of boys and 94% of girls play video games.  So yes, close to 100% of children in the U.S. play video games, and yes, somewhere between 13-20% of U.S. children have some mental health issue, but that’s because the statistic correlates to a pretty consistent percentage of the population over time predating video games entirely.  And if the first study from Singapore were comparable, we could make the argument that kids in Singapore play more video games and have less mental health issues than kids in the U.S.  So go Singapore!

If you think you game more than you’d like, feel free to change that, but don’t do it because someone in Singapore says you should.

But if I stopped my rant here, I think that would be doing a large percentage of the population a disservice, namely, those 26.2% of Americans who live with some form of mental illness.  Haven’t we stigmatized these folks enough?  The constant warcry of “video games are bad,” leans on the ableist stereotype that “mental illness is bad.”  It’s not.  Mental illness can be challenging, heartbreaking, costly and different from a societal norm, but it is not bad.  It is a prevalent health condition, like other prevalent health conditions like, per the CDC statistics, p. 292, Diabetes (10.1%,)High Cholesterol (15.6%,)  Hypertension (30.5%,) and Low Back Pain (25.6%.)  Whether it be providing adequate health coverage and parity, or taking away the moral overtones, it’s time we stopped treating mental illness like it is something different than other health concerns.

Gamers and people with mental illness do have something in common:  They are both marginalized and socially stigmatized by the larger population.  So whether you play Super Mario or live with PTSD; whether you play WoW or keep challenging your Depression; whether you have ADHD, Asperger’s or a PS3, game on!  There’s nothing bad about you all, any of you, no matter what the experts say.

 

UVN4UFFHFPND

What Do Gamers & Social Workers Have In Common?

The Dutch cultural theorist and early scholar of ludic studies Johan Huizinga took play very seriously.  Gamers and Social Workers alike would have loved Johan–he spoke out against Nazism and German influence on Dutch Science in 1942 at a lecture he gave.  This was not the first time he had done so.  As early as 1935 he had grown alarmed at the rise of fascism and written, “We live in a demened world, and we know it.”  By 1942, his speaking truth to power had finally gone too far in Nazi estimations, and he was imprisoned, then detained, by the Nazis in the village of De Steeg.  He died there 3 years later.

It was during these final years of his life that he refined and wrote his book, Homo Ludens, which translates to “Man the Player.”  In this book he explored the serious nature of play as a cultural phenomenon present in art, war, and politics.

Huizinga determined that play has 5 essential elements, to which I add examples as appropriate to gaming and/or social work:

  1. Play is free, is in fact freedom. When we are playing, we are not doing it for any other reason than that we want to.  Play to be play must be a voluntary activity that we initiate or accept the invitation to enter into ourselves.  In that regard you could say that play is always an assertion of the self, and free will.  We gamers choose to spend our time gaming, choose one game over the other.  This is why gaming as play does not adhere to the slavish concept of addiction.
  2. Play is not “ordinary” or “real” life. What makes play so much fun, and so important is specifically that is isn’t bounded by the realities of daily living.  It is pretend, and extraordinary, and it allows us to escape real life.  But this is exactly why gamers and other people who play aren’t psychotic.  We may talk about the games we play to lengths that bore or disturb others, but we know that games are apart from real life.  That’s what makes them fun!  I may hurl arcane energy at a dragon in WoW, but I am aware (albeit sadly at times) that if I ever encounter a dragon in real life I will not be able to summon magic at my whim to destroy it.  And that is why Second Life is not called First Life.  For play to be play, we have to know we are taking ourselves out of the real world to participate in something else.
  3. Play is distinct from “ordinary” life both as to locality and duration. When I get ready to play WoW,  I sit down or stand at my computer; but when I play I am in Azeroth.  Whether it is chess, poker or a video game, the play experience takes place in another time and space, and it has a beginning and an end.  Even MMORPGs, which push the last quality in some ways, have an end for individual players, when we cease participating in the game world for the time being and resume the activities of daily living that await us in the real world.
  4. Play creates order, is order. Play demands order absolute and supreme. By this Huizinga meant that for play to work it needs to have rules as well as time and space boundaries.  We all know how to play Hide and Seek, the next time you play it try being the “Seeker” and go hide along with everyone else; or come out of hiding and start chasing the Seeker.  Bizarre and funny, but the game won’t be Hide and Seek anymore–Tag, maybe, but then we’ll know that something has fundamentally changed.  And in World of Warcraft everyone needs the same amount of experience points to get to level 80, and we expect the griffin flight paths to always stop in the same places.  Wizards will never wear plate mail and hunters can’t teleport.  That’s just the way things are, that’s the order of things.
  5. Play is connected with no material interest, and no profit can be gained from it. Ask any gold farmer around the world, and they will tell you that there is a big difference between playing WoW and logging in to the game to make and then sell money.  Gold selling can’t even happen entirely in-game, and Blizzard bans it for good reason.  It’s cheating, not serious play.  The loot items that I “get” in the game aren’t things I can profit from in the real world.  I can’t take my Corp’rethar Ceremonial Crown with me when I leave the game, which is why I would be so useless if a dragon shows up in Harvard Square.  And although Second Life has a different approach, allowing you to buy in-world “Lindens” for real-world monies, I’d suggest that the act of buying the Lindens occurs outside the play experience:  Sigmund Steampunk isn’t buying Lindens, Mike is buying Lindens “out here” and sending them to Sigmund “in there.”

So what’s all this got to do with gamers and social workers?  Lots!  Both gamers and social workers value freedom a great deal for starters.  And social workers (I am saying social workers, but this applies to all psychotherapists) understand that therapy, like gaming, is a form of play.  We experience more freedom to explore and express our internal world in therapy.  It happens at a given time and place, even as an online event.  What happens inside the therapy, a la Winnicott’s “Transitional Phenomenon,”  is both alike and different from the “real world.”  And there is order in therapy, some firm rules and limits in terms of what can or should happen in it.

As for the money bit, I would suggest that if we lived in a culture where capitalism was not the norm, the same parts of therapy that are so powerful and rewarding, the play-elements, would still be as powerful.  Another way of looking at this is to ask yourself if you conduct therapy any differently with patients who are on Medicaid than those who are private pay?  I’m not talking about feeling annoyed that you aren’t getting paid well, but the game you play.  Do you only think psychodynamically with your private patients?  Do you change the boundaries when its Medicaid?  Or do you try your best to do what’s best for each patient regardless of the payment?

And as social workers, don’t you advocate for others with the powers that be in ways that are not connected with your material interest?  Take Civil Rights, for example.  The years and years of advocating, protesting and legislating are not something that the social workers involved derived a profit from.  In fact that is what makes our endurance in fighting for social justice so admirable.

This is why many gamers will make excellent social workers, by the way.  Gamers are experts at endurance.  That guy in your office that seems like a “slacker” actually has more in common with you than you think.  He has spent hours trying to down the Lich King–trying and failing, and then trying again.  He has spent hours researching strategies to work as part of a team and not given up.  Jane McGonigal pointed out recently on NPR that majority of time gamers are online, they are failing to accomplish their tasks.  That’s why it is so admirable that they keep at it.   So yes the adolescent you’re sitting with may have grades that are plummeting in school, but don’t blame the games!  Try instead to harness that discipline, focus and stamina by exploring how it shows up in-game, and then how it can be used to change his real life.

And the connection between gaming and social justice isn’t as far-fetched as you may think:  A 2009 Pew presentation from Amanda Lenhart showed that 49% of teen gamers reported seeing people being “hateful, racist or sexist” while playing– which means that they can identify hate, sexism and racism.  What’s more, three-quarters of these kids reported seeing other players regularly respond to such behavior to confront it.  That’s a hell of a lot better than most high schools and college campuses are doing these days!

So gamers and social workers both understand the value and seriousness of play, as an imagined space in therapy or in Azeroth.  Gamers and social workers both understand the value of psychic change and social activism.  And gamers and social workers alike regularly demonstrate hard work and stamina in the face of dragons and fascism.

Johan Huizinga would be proud.

Virtual Worlds, Real Feelings

When psychotherapists begin working with gamers and exploring their in-world experience, it can be a bit overwhelming.  So much new language, trying to imagine virtual worlds that you’ve never seen.  What’s a raid?  Why would someone go on quests?  And aren’t guilds something that artisans used in the Middle Ages to control the market?  I’ve often encouraged therapists to take the time to use the free trial membership on WoW or other games in order to immerse yourself in the virtual world (and hopefully have fun!) for a little while.

But one thing that can get overlooked in the exploration of the technology is the exploration of feelings, and one reason that this gets overlooked is because therapists inadvertently trivialize the experience of feelings experienced in-game or in social media.

Let me give you a real-life, non-game example to start.  I went to Connecticut College with my friend and colleague Susan Giurleo (she’d never say this, but Susan was definitely the more organized one in college 🙂 ) and we went on to live the next two decades with no real contact.  And then Twitter stepped in, and we resumed contact.  When I read her blogs and posts I was happy to discover that we had a lot of similar and overlapping interests.  We made a time to meet for coffee via email, and I was excited and nervous to see her for the first time in a long while.  Those feelings, of happiness, discovery, excitement and nervousness were all real feelings happening in real time to a real person via a virtual world.  We’d reunited virtually and this has had a real and positive emotional impact on me.

You may still be inclined to dismiss the emotional impact of virtual worlds.  “Sure, Mike, you had real feelings, but Susan was a real person that you have had real face-to-face contact with in the past.”  So let me give you another example.  I recently had the opportunity to email Chris Brogan, and in the course of that mentioned my knowing Susan.  Shortly after that I “heard” them talking about me on Twitter:

from @susangiurleo @chrisbrogan So glad you met my friend, @MikeLICSW ! RT Gamers meet therapy – http://ow.ly/3DT0A

@ chrisbrogan @susangiurleo – yep, loved what he shared. That @MikeLICSW is a nice fellow.

Two lines of Twitter, and as I read them I noticed myself smiling, well actually beaming.  That’s real pleasure I was feeling, from feeling recognized and introduced.  And I’ve never laid eyes on Chris in the virtual world.

So virtual worlds create real feelings, and we need to remember that when working with gamers.

I’ve written before about the face behind the screen but it bears repeating.  Gamers are people, and they have feelings.  Even if the stereotypes were true (and they’re not) that gamers are autistic, people on the spectrum have feelings too.  Gamers get excited when they down a boss, upset when someone says something racist in guild chat, and happy when someone whispers them that they did a good job or tells them a joke.  There is a world of real feelings in those virtual worlds, and we need to pay attention to them.

So do you ask adolescents about their facebook friends as well as their classmates?  Do you ask gamers about how they get along with their guildmates as well as their roomates or partners?  Do you explore their relationship to their raid leaders as well as their parents and other authority figures?  If not, you are missing a whole lot of significant information, and it is only an ask away.  Gamers may be reluctant to talk about their in-world feelings and relationships because of past disinterested receptions, but don’t imagine they don’t have them.

The next time you are checking out Facebook and see an old friend, or read a political post, notice if you are feeling happiness, excitement or anger.

The ask yourself, can I tell the difference between this and a “real” feeling.

Latest Newsletter is Out!

Some of you have expressed interest in what my monthly newsletter for colleagues is like.  So below is a link to the January one.  The program I use is Constant Contact.  I really enjoyed putting this one together, a combination of health reform, business and gaming stuff.  Feel free to subscribe while you’re there.  🙂

January Newsletter

Tweaking 2011

photo courtesy of profalbrecht.wordpress.com

This is my first blog entry on Evernote.  I’m excited about that because learning and trying out Evernote is one of my 2011 goals.  More about that in a sec.

One of the reasons I love supervising therapists is that it keeps me honest and focussed on innovation.  The other night I was talking with a supervisee about scheduling our time for the upcoming year.  Would an evening time on another day work better for me? (Quite a thoughtful supervisee, not an uncommon experience given our field.)  I found myself answering that I wasn’t sure yet, because I needed to re-evaluate my evening time.  I have been noticing a drop-off in my work with adolescents, and have been coming to the conclusion that if I want to keep working with adolescents I’ll need to give up some of my evening time.

This time of year is an excellent time of year to give your practice and your career the lookover.  In the past several years I have gravitated to more traditional hours so I could pursue other projects.  For example, my professional development and networking goals for the past year and a half have been fulfilled by my Fellowship appointment at the Massachusetts Institute for Psychoanalysis.  In 2009 I identified the need for more collegial contacts and friendships as well as wanting to have CEs for my license.  The Fellowship has provided me both in abundance.  Like many of my actions to meet my goal, the MIP Fellowship was a “twofer.”

I always try to have as many twofers or threefers as possible, so that I don’t overwhelm myself with actions to meet the multiple goals.  Twofers are important to me because I want to consolidate my actions, but not my goals.  So I list my current goals and then put the actions under the goal(s) it fulfills.  I also rate it hot or backburner.  That way if I have a few actions I make myself evaluate the relative strength of my interest to do each.  So follow me along for an example:

Professional Development Goal

  • MIP Fellowship- heading towards backburner.  This is my last year of it, and I’m ready to move on to a different structure and get my Monday night back.
  • Program Exploration – hot.  I need to begin planning on what I will do to replace the Fellowship, which means taking a look at workshop or mini-course offerings or webinars that happen during the day.  Am I willing to give up my weekends yet?  Traditionally I have balked at Saturday workshops, so I am revisiting this.
  • Continuing Ed on cultural competency working with transgender population- hot.  My practice has been trending towards an increase working with this population, so I need to invest time in updating my skills in theory and best practices.

Clinical Therapy Goal

  • Adolescents- hot.  I have noticed that I am trending downward in my work with adolescents, a population I love.  Most adolescents require parental transportation and can’t miss school regularly, so I need to revisit my giving an evening up.  Saturdays? No.  (This is an excellent example by the way, of how there is no one right answer for this.  My colleague Susan Giurleo regularly works an evening and Saturday, and there are lots of good reasons for doing this.  I have consciously chosen the last 2 years to not have an evening because the evening time was more valuable to me than the money I was choosing not to make.  Choosing not to make money is different than saying, “why can’t I fill my practice, whoa is me.”  Money is one item of value, time is another, it is up to you to choose what you want to give up.
  • Gamers- hot.  I want to continue to focus on working with more gamers.  I need to revisit where and how to get referrals.  This year I will try to offer more public speaking opportunities to colleagues to increase awareness of gamer-affirmative therapy.  Also will use Twitter to remind my followers of my interest in working with this population.
  • Couples work- backburner.  Even on my best day, this is not my preferred modality.  I will maintain my “no more than 3” couple limit, but am tweaking it to focus on private pay, gamer couples or online therapy.

Technology Goal

  • Twitter-hot.  I continue to find Twitter useful, but am tweaking it a lot.  I will use it to Tweet blog articles or RTs and hold to my goal of 2RTs and 2 salient tweets (i.e., tweeting something I think is relevant professionally rather than for the sake of Tweeting.  Recently I have fallen short of this goal because of the magnitude of tweets that come my way.  Will add this to my Epic Win program and scale back on how much time I spend reviewing.  Will keep an eye out for Tweet-management software to see if I find any I like more than TwInbox.
  • Evernote- hot.  I have heard about how great Evernote is for too long from too many people I respect to ignore it.  I will familiarize myself with this program and try using it for blogging, as well as exploring which other goals it might further.
  • Game exploration-hot. I have been focussing on WoW and Second Life.
  • Rockmelt-backburner.  Still in beta and having some bugs.  Still limiting access so limited as social media.  Shut down and I lost a whole blog post!  I am continuing to play with it a little but relying on Firefox until it gets a little more stable.

Social Justice Goal

  • Give an Hour-hot.  I still find this a meaningful way of donating clinical time to fulfill the gap for returning vets.  There is an increasing number of vets and active duty gaming, and this is a potential twofer with the Clinical goal.
  • Diversity Class- hot.  I continue to find teaching this worth the “pay cut” I take by giving up those clinical hours.  This is a twofer a teaching goal and writing goal on rethinking how we teach Diversity.
  • Masshealth-backburner.  I am opting out of taking Masshealth due to the high cancel rate I’ve experienced in the past.  This is a twofer with my business Goal below of decreasing my involvement with insurance and diversifying revenue.

Business Goal

  • Reduce dependence on insurance-hot.  The writing is on the wall for decreased revenue and increased hassle as Health Care Reform takes effect.  Leave Masshealth and UBH networks.
  • Increase online therapy-hot.  I need to focus on increasing marketing for this modality, it is all private pay and more flexible in time to meet patients and my needs.
  • Increase consultation and supervision-hot.  Supervision and consultation was the biggest growing area of my practice last year.  Need to poll current consultees about what they find most valuable so I can emphasize that.  Be willing to slide down to my bottom line to attract supervisees in early stage of their career.  Make and post more video on supervision and consultancy.
  • Advertising-backburner.  Google Ads not yielding much ROI, decrease ad bids.  Stay on Psychology Today for next year but focus marketing/advertising through speaking engagements.

Teaching Goal

  • Additional psychodynamic class-hot.  New syllabus written and course approved.  Hopefully this will be offered this summer, will apply to teach it.
  • One class per semester-hot.  This tweak from two classes one semester and one the next was a big improvement.  Evaluations better, enjoyed work more.  Will consider whether to make up third class by committing to summer course regularly.
  • Offer visiting lecture or workshops to universities-hot.  This year I want to get out to more college health centers and schools for social work to present on gaming.  Tufts very successful, will look for opportunities to present at other universities.   Put the word out, twofer with business and professional development goals.

Writing and Research Goal

  • Newsletter-hot.  The readership response has been positive and begun to generate revenue.  Need to stay focussed on keeping newsletter relevant and yet distinct to my niche.  Review of clicks indicates that the psychoanalytic topics are more popular than the gaming ones.  How can I increase traffic to those stories?
  • Blog-hot.  Now have over 100 readers subscribed, and growing.  Need to continue to make this a focus.  2-3 posts weekly remains doable and will maintain 2 minimum.  Again, the practice/business posts are more popular than the gaming ones, need to consider how to increase interest in those articles.  This is a threefer with business and clinical goals.
  • Journal article-backburner.  The style and tone of blogging is much more satisfying currently, will revisit later in the year to see if this changes.

So that’s my beginning of 2011 review and tweak.  It took me 40 minutes to think and write about this.  Don’t you think it would be worth 40 minutes of your time to do the same?  What are your goals for this year, feel free to use the blog comment to get started!

2010 in review: Some Statistics and Most-Read Posts

The stats helper monkeys at WordPress.com mulled over how this blog did in 2010, and here’s a high level summary of its overall blog health:

Healthy blog!

The Blog-Health-o-Meter™ reads Wow.

Crunchy numbers

Featured image

A Boeing 747-400 passenger jet can hold 416 passengers. This blog was viewed about 6,600 times in 2010. That’s about 16 full 747s.

In 2010, there were 35 new posts, growing the total archive of this blog to 47 posts. There were 69 pictures uploaded, taking up a total of 470mb. That’s about 1 pictures per week.

The busiest day of the year was November 5th with 216 views. The most popular post that day was Showing Up for No Shows.

Where did they come from?

The top referring sites in 2010 were linkedin.com, twitter.com, facebook.com, mail.yahoo.com, and mail.live.com.

Some visitors came searching, mostly for venn diagram 2 circles, venn diagrams, venn diagram circles, venn diagrams for kids, and blank venn diagram 2 circles.

Attractions in 2010

These are the posts and pages that got the most views in 2010.

1

Showing Up for No Shows November 2010
14 comments

2

Want a Private Practice in the 21st Century? Get a Thick Skin. November 2010
12 comments

3

The Truth? You Can Handle The Truth. October 2010
10 comments

4

Referrals, or, Flossing the Gift Horse October 2010
13 comments

5

About Me July 2010

Players and Characters: A Primer

[Read more…]

Understanding Clients’ Involvement with Role-Playing Games

Today’s blog is a twofer, in a couple of ways.  I wanted to be able to discuss what playing online games like World of Warcraft might mean to patients, and how to approach them clinically.  And I wanted to take the day off.

So I am attaching a two-part article that appeared in the MA NASW Focus Newsletter this September and October.  It is co-written by my colleague Bet MacArthur and myself.  Bet is a very interesting and dynamic clinician, and you can find out more about her here.  Special Thanks to Carol Trust and MA NASW for allowing the reprint and making it available to clinicians outside of the Massachusetts area!  Check out the NASW MA website, even if you can’t go in the Members Only Section there is a lot of good stuff to peruse.

I hope you find these articles helpful, and let me know if you have any questions or thoughts on them.

Understanding Client’s Involvement in Online RPGs Part 1

Understanding Client’s Involvement in RPGs Part 2

What Does Gamer-Affirmative Therapy Mean?

The Face Behind the Screen

photo courtesy of Koku Gamer

This past weekend at Blizzcon I met several interesting people.  And I was reminded yet again how every gamer has a story, a very human story.

The first person I met while socializing in the ½ mile line of people waiting to get in was Luke (all names have been disguised.)  Luke was a gay man who had begun playing World of Warcraft with his then partner and friends about 2 years ago.  In the course of the past two years, Luke and his partner had tried unsuccessfully to adopt a child, which he believes was thwarted by a judge who did not think gay couples should marry.  He and his partner saw the legalization of gay marriage and its overturn in his state, CA.  His partner had lost his job, and their relationship subsequently deteriorated, ending in divorce.  Throughout all of this Luke was able to stay connected and supported by his friends and other members of his guild.  He attributes his ability to move on and be ready for the next phase of his life through the enjoyment of WoW and his guildies.

A second man credited WoW with saving his life.  Sam was working abroad in Qatar in the Middle East.  He told me how he had fallen into a profound loneliness and depression shortly after moving out of the country.  His work began to suffer, and he had a hard time dealing with the isolation.  All his friends were back in the US, and he had a hard time being in touch with them.  He had seriously begun contemplating suicide.  Then he remembered that his friends had been pestering him to try this game, World of Warcraft.  He had nothing to lose, so he loaded the game onto his computer.  He found the game very compelling, and was even happier to discover that he could log on to the same server as his friends at home.  They were able to raid and talk together for the next 9 months he was living in the Middle East, and isolation and suicidality became a thing of the past.

I also met Matt, a young man in the elevator, wearing his gaming regalia.  “How are you enjoying the convention?” I asked him.  He looked glumly at me and pointed to his badge which said “TEAM 127” on it.  “I came in 5th,” he said.  “Congratulations,” I said, adding, 5th place isn’t bad.

“5th place you only win $1000,” he said, “1st is $25000.”  Turns out that he had been flown across the country to participate in the WoW tournament.  So much for gamers as slackers who have no ambition or work ethic.

I wish my colleagues could meet the thousands of people like Luke and Sam who made the trip to Anaheim for Blizzcon.  They would see some very resilient people who were dealing with some pretty big life problems.  These weren’t people who checked out of reality, instead they leaned on the virtual world and the human relatedness they found through it.  I was struck by how affable and engaging everyone I met was.  They were so happy to be in a place where they could engage with others around the games they enjoyed.  The stereotypical lack of social skills people associate with gamers was not what I saw. I saw people willing to strike up a conversation with me as we waited in line.  I saw fathers and their adolescent sons and daughters spending quality together.  I saw couples of every configuration and entire families, all spending time together, not avoiding human contact.

I hope you’ll keep these stories in mind the next time you hear someone making fun of a gamer, or criticizing online gaming.  Each gamer has a story, just like each of our patients do.  And each story deserves our respect.