Update on the Rehab Reviews

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Some time has gone by, so I thought I’d update you on the progress of my project to review chemical dependency facilities of the Rochester area.

I haven’t made any.

You see, I knew I wasn’t going to be satisfied with my own impressions or the impressions of the people around me. I was looking for outcome data. I thought it would be the responsible thing to do. I knew that the New York State Office of Alcoholism and Substance Abuse Services makes programs collect information on how every client that is admitted to their facilities does, whether they complete the program, meet goals, and stay clean. I wrote to the directors of all these programs and asked for a summary of this information. Then, I thought, I would have something more to go on.

With the exception of one facility that publishes their outcome data online, Tully Hill, none of these facilities would send me this information. One of them was nice enough to invite me to their annual barbecue and send me a new client as a referral, but they wouldn’t release their outcome data. I wasn’t asking them for confidential medical information on individuals; I was asking for a summary of how effective their programs are.

My next stop was to write to the state Office of Alcoholism and Substance Abuse Services, itself. Certainly, they would release the outcome data that they require these programs to report. It’s not like I’m an ordinary slob, looking for this information out of idle curiosity or with an axe to grind. I’m a licensed professional who needs to know so I can do my job. Nope they said; I would have to file a Freedom of Information Act request first.

So, that’s where we are on this project, awaiting a response for a Freedom of Information Act request.

Meanwhile, if you’ve had experience as a patient, a professional, a family member, or a visitor with any rehab or detox in the region (anywhere in the Northeast) and care to share it, please fill out the form below. Your response will be kept confidential.

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Thank you for your response. ✨

Feel free to forward this announcement to anyone else you think might be interested in this project.

Hemi-Sync

Bringing you the best of mental health every week.

Something wonderful happens when a sound of one frequency enters one ear at the same time that a sound of another frequency enters the other. The listener will perceive an auditory illusion of a third tone, in addition to the two pure-tones presented to each ear. The third sound is called a binaural beat.

That’s not the only wonderful thing. These sounds are said to induce relaxation, promote sleep, facilitate learning and memory, and elicit altered states of consciousness for the purpose of spiritual development. There are also claims that they help with ADHD, depression, and could cut down the need for anesthesia in surgery.

It all sounds too wonderful for me, but the folks at the Monroe Institute have been sponsoring research for over 40 years into what they call hemi-sync technology. They also sell that technology, which rouses my skepticism. You can read about their research, buy their DVDs, and try out binaural beats yourself to see if it does all that. Or you can listen to the sounds on YouTube for free. Just be sure you use a good set of stereo headphones or nothing will happen.

I don’t usually recommend things of questionable scientific value on the Shrink’s Links. There’s quite enough flakey recommendations in mental health treatment already. But binaural beats have the advantage of being very cheap, even free if you access them on YouTube. Also, I can’t imagine what kind of harm they would do, as long as you don’t discontinue other, established forms of treatment.

I tried out a few of the recordings on YouTube and, except for the initial YouTube advertisement blaring at me, found listening to them a relaxing experience. However, I suspect listening to any calm music would be relaxing.

If I was really serious about setting up a trial of binaural beat recordings to see if they help with all the things they claim, I would need to be able to listen to a few recordings randomly, along with some relaxing, non-binaural beat recordings as a control, and compare the results. I can’t know what I’m listening to beforehand, so I’ll need to have someone help me.

I just don’t have that kind of time; and, if I did, I wouldn’t need binaural beat recordings to relax me. But, if you have the time for this and want to try it out, please do so and write back to me by filing out this form. Tell me anonymously how you set up your experiments and what the results were.

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Thank you for your response. ✨

Click here for the Monroe Institute website. 
Here for some sounds on YouTube. 

Cognitive Bias Cheat Sheet

Bringing you the best of mental health every week.

Do you ever worry that, as carefully as you think something through, you might be missing something? Are you concerned you might be fooling yourself? Is there something about something that someone claims that doesn’t seem right; or, does it all sound too good to be true? There are a million ways you can deceive yourself (and one of them is by exaggerating for effect); how do you know that you aren’t engaging in one of them?

You could know if you have this handy-dandy cognitive cheat sheet. It classifies all the most common errors in thought and links you to extended articles about them. There’s even a chart that lays it all out. Click here to see.

Asking for what you want without asking for trouble

All too often, people who know what they want, fail to get it, not because their partner is unwilling, but because they ask for it in a manner that starts a fight. If you’ve been following along as I describe the road to reconciliation and dealt first with your own shortcomings, before correcting the faults of others, you can avoid a lot of these unnecessary fights; but not all. Manners still matter. The way you talk about things matters as much as the things you say.

If you want to ask for what you want and actually have a chance of getting it, there are certain rules to follow, regulations to adhere to, guidelines that increase your chance of success. I wrote about all of these in detail in my other book, Constructive Conflict, but let me summarize some of these regulations for you here, now. [Continue reading…]

Announcement: My New Website

Bringing you the best of mental health

If you ever write a book, I highly recommend posting early versions of it on a blog so you can get feedback and encouragement as you go along. If you establish a regular pattern of posting, as I have for this blog, looming deadlines can compel you to get to work.

Unfortunately, if your book tries to make any profound points, or if it requires readers to start at the beginning before they can comprehend later points, reading a book on a blog is not the best thing. Also, blogs show the latest posting at the top. So, if you’re reading a book posted on a blog, you have to read from the bottom, up.

This is why I have created another website, theroadtoreconciliation.com. As you may know, I have been posting chapters of my next book, The Road to Reconciliation, as I write it on this site every Friday. I’ll continue to do that. More precisely, I’ll post the first few sentences of the new chapter; then, if you click on the link to continue reading, you’ll be brought to The Road to Reconciliation website where the text that I’ve added begins. This way, you’ll be able to see the new chapter in context and be able to navigate around the whole book easier.

Click here to go to The Road to Reconciliation website.

Dealing with Post-Election Stress

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On the eve of Independence Day, the Shrink turns to post-election stress.

There are three things you can do with your post election stress. The first two are:

  1. Speak out
  2. Shut upBoth of these methods work to some extent, but can also cause stress. Speaking out can cause stress when there is no positive effect, so people often try the second method; but that causes stress when they feel cut out of the conversation. Luckily, there’s a third method. Rather than choosing or alternating between the two, you combine the two. I call this method:

    3. Statescraft.

    Here I am in a video in the Speaking for Justice Series of Higher Group Productions. I briefly talk about post-election stress and statescraft.

Click here to watch.

 

To Confess or Not to Confess, That is the Question

No question about it, confess to yourself. If you can’t be honest with yourself, who can you be honest with?

If you believe in God, then confess to God. He knows anyway.

If you have a neutral third party you can trust, then confess to her. Confession is cleansing. It’s a double check for bullshit. It returns you to the land of the righteous.

The only time confession might be questionable is when your confession brings harm to the person you’ve already harmed.

The idea is that your confession should not be at the expense of the person you harmed, so you can feel better. That doesn’t seem to be the route to reconciliation. That road heads the wrong way. On the other hand, you’re cutting yourself off from a powerful source of healing, you are underestimating your victim’s capacity for grace, and you’re crawling even further in the dog house than you belong.

The question comes up most when one partner has had some extramarital sexual activity and feels guilty about it. He comes to me, his therapist, and tells me all about it. I’m the neutral third party he can trust. He asks me the question, “Do I tell my wife?”

Some therapists have answers to that question. I don’t. I just have more questions. Some therapists have firm opinions on what a marriage should be; they believe a marriage should be perfectly open and honest, and any marriage which is not is headed for trouble. I believe there are all kinds of successful marriages. I also believe being perfectly open and honest may be a quality to which to aspire, but it’s not a status to achieve. No one knows their partner fully and it may not be especially desirable if they did.

The question comes up in other cases, too. The rapist should probably not seek out his victim to tell her he’s sorry; he’s likely to be misunderstood. It may be too late for the father who beat his daughter to bring it up now. She may have no stomach to review the past.

Like I said, I have no answers. I only have questions. Questions like:

Are you reluctant to confess because you want to avoid the consequences?

Be careful how you answer this question.

If you say you are reluctant to confess because you want to avoid the consequences, then you are not serious about change. You’re just trying to get away with the thing you did. You’re not ready for a confession, anyway; it would just be worthless.

If you say you won’t tell her because she’ll call you a selfish prick, make you sleep on the couch,  tell your mother what you did, and file for divorce, then grow some balls. You brought this on yourself. If you know now she’d react that way, you knew then. It was OK to risk your wife’s ire when you were sleeping with that other woman, why is it not OK, now? You wouldn’t walk out of a restaurant without paying; it’s time to pay up now.

On the other hand, if she’ll take a knife to your private parts or tell your children they’re worthless because they came from you, then you might have a good reason not to confess. If you somehow know that she’s going to hunt down the other woman and literally kill her, then I’d say, keep it to yourself. You have my blessing, but I will wonder why you would risk that reaction by sleeping with the other woman in the first place.

You should anticipate consequences and, to some degree, be fearful of them. To claim otherwise is nonsense. However, if you decide not to confess, you should not be tainted by your fear of the repercussions, except in the extreme cases I mentioned. Your decision should be motivated completely out of a realistic concern for your victim.

How can you be sure your decision not to confess is not prompted by your desire to avoid the repercussions? Easy, there should be repercussions, anyway. Even if you decide not to confess, you should still go ahead with making amends as if you did confess. These consequences, which you put on yourself, should be costly so that there’s no question that you decided not to confess because you were avoiding the aftermath.

What kind of relationship with you does your victim want to have?

If your victim has an order of protection out on you, then you know what kind of relationship he wants to have. He wants you to keep your distance. If he wants a confession out of you, he’ll ask for it.

What if there’s no order of protection? That was the case with the father and the daughter he abused when she was small. In those situations, you can look to see whether your victim is trying to get close to you, or whether she seems to want you to keep your distance. Is she is trying to make sense of her past, or would she rather pretend it never happened?

If you’re still married to the person you hurt and there’s no order of protection, then I think you can assume she still wants a relationship with you, on some level. She, at least, partly feels that way if you haven’t gotten papers from a lawyer. In that case, does your partner want the kind of marriage where you tell each other everything, or the kind that is compartmentalized, where secrets are expected? There are all kinds of marriages. In some of them, there is an understanding not to ask too many questions. Is this what she wants, or is this what she is settling for?

For that matter…

What kind of relationship do you want to have?

You’ve created the kind with secrets. Is this your idea of marriage?

If you don’t know what kind of relationship she wants to have, or if it’s not evident by her behavior, then that’s a conversation to initiate before you consider confession. If the two of you want a different kind of marriage, then you have bigger problems than extramarital activity.

Here’s another question for those in love relationships:

Who did your partner fall in love with, you or a perfect person you were pretending to be?

When you first started dating, you were probably on your best behavior; you were playing a perfect person. There’s no way you could have kept that up. At some point, you did something that put him off; something horrifying, annoying, discomfiting, or just plain weird. If he stuck around, and didn’t reject you, that’s how real love was formed. Love doesn’t come from flowers, kisses, and sweet nothings; but from acceptance, following anger, embarrassment, and shame. It’s a beautiful thing when it happens, even though it ain’t pretty when it’s made.

Here’s a related question:

Who do you want your partner to love, you or this fiction you created?

Do you want him to love the real you, with your imperfections, or a statue that belongs in the town square, covered by pigeons?

Not every client I see who confesses extramarital sexual activity asks me if he should tell his wife. Sometimes I have to ask him whether he will tell her. “Hell, no,” some say. “It’ll kill her… What she doesn’t know can’t hurt her… She doesn’t want to know.”

For them, I have more questions:

How do you know it’ll kill her? How do you know she’ll never forgive? How do you know she doesn’t want to know?

You’re staking a lot on how you believe she would take it. Maybe you know these things. Maybe you had a talk once. Maybe she said, “If you ever have an affair, don’t tell me. I wouldn’t want to know.” But she probably didn’t.

Once a relationship passes the initial fake perfect stage, you might think the couple would feel free to let it all hang out and be honest about everything. But, no; often that’s not what happens. What happens is the relationship has now become so vital that you don’t mess with it. You don’t quite go back to your original position of putting an attractive face on everything because, like, who are you kidding; but you head in the direction of secrecy. You don’t want to risk losing someone who knows you so well. Once your loved one has seen the bad and still loves you, you think you can never let her see anything like it again.

That is when couples stop communicating. That’s when they stop being honest; not out of any malice, but out of a desire to protect and preserve. That’s when you start your extramarital activity with someone who doesn’t matter.

To put it another way:

If your wife failed to know you well enough to suspect extramarital activity, then how can you be sure you know her well enough to know how she would react?

Here’s another one:

How many chances are you willing to take?

When your cover is blown, and she finds out before you tell her, all hell will break loose for two reasons, the crime and the coverup. The coverup is worse.

If you are a risk taker and willing to take a chance on coverup, then…

Can you take a chance that confessing will be the very thing that changes your marriage for the better?
That happens sometimes, most of the time, actually; especially when the one doing the damage is serious about change. A marriage is one of those things: to keep it you have to be willing to lose it; not through extramarital activity, but by putting weight on it and counting on your partner’s trust and understanding to get you through.

If you’ve considered my questions and still believe you can’t confess your wrong to the person you hurt, then go back to your written statement of responsibility and add the following.

“I could have confessed to you, but, after consultation with an advisor, I carefully decided that a confession would just hurt you more. If I was wrong and have given you more reason not to trust me, then I acknowledge I was wrong to do this. I accept any consequence that comes of it and am committed to disclosing everything to you in the future if you want me to.”

Date it, have your adviser witness it, and put it in a safe place, so you can take it out when the jig is up.

This is an excerpt from my book, The Road to Reconciliation

 

Hedy Yumi

Bringing you the best of mental health every week.

Hedy Yumi, an Israeli therapist, living in Washington DC, specializes in working with couples who are ready to make amends after an affair. If you’re ready, you could schedule an eighteen hour session with her, over two days, and get it done. The thing is, you’ve got to be ready. If you’re the one who had the affair, you can’t still be dodging and ducking. If you’re feeling victimized by the affair, you’ve got to be ready to let go of vindictiveness. In other words, this is only for couples who have already done all the work involved in reconciliation, but need a powerful, emotional, corrective experience to set them on a new track.

Hedy Yumi

Fluent in six languages, Hedy is a master of the metaphors of English. For instance, just take a look at her Ten Commandments for Committed Loving Relationships; jam-packed with powerful images and good advice.

1 – Honor the Bridge: There is an invisible bridge that connects us to our partner, and this bridge allows us to visit them, and get to know them and “learn” them. Become bi-lingual by learning the language of your partner.
2 – Honor the Space: Our relationship lives in the “relational space” between us. It is like a garden whose soil we are tending. The space between us is the playground of our children. Keep the space sacred.
3 – Honor the Laboratory: Our relationship is a small “living laboratory” where two grownups, who are little children on the inside, can help each other become two mature adults. Carry a picture of your partner as a little child in your wallet.
4 – Honor the Differences: Do remember that “incompatibility” is a boost to your relationship! When two people are the same….one of them is superfluous. Embrace the differences.
5 – Honor the “Other”: Transform your point of view from: “The two of us are one…. and I’m the one!”, or “The two of us are one….and you are the one!” to “The two of us are two!” Each one of us is a unique individual on a joint journey towards relational maturity. Learn to become intelligent “in” your relationship.
6 – Honor the Safe Harbor: Create a safe harbor for your partner because when things are difficult, growth is trying to happen. Conflict is a friend! Whenever there is a conflict say: “A Conflict! What an opportunity!”
7 – Honor the Romance: Keep the fire going through romance: All day is foreplay. Gift your partner with at least 100 small gestures of love and caring every day. And remember to keep your relationship flourishing. There is a “Five to One” ratio of appreciations to criticisms.
8 – Honor the Gift of Frustrations: There is a 90-10 formula in any conflict: 10% of the energy of the current frustration comes from the present, and 90% of the frustration comes from the past, which is still buried. “The Past is a silent voter in your apparent Present.” Frustrations are gifts to liberate us from the shackles of our past.
9 – Honor your Dreams: Put your “wildest dreams” on the horizon because “Energy follows Attention.” When we dream alone it is just a dream. When we dream together it is the beginning of a new reality. Create a “joint vision” for your relationship. Providence will provide unexpected serendipities and gifts to realize your dreams.
10 – Honor the Silence of the Soul: Take time each day to just look at each other in silence, holding your eye contact softly, holding hands gently, breathing together, and letting yourselves feel that there is “All the Time in the World” just to be together, and that “All is Well.”

One thing Hedy is not good at and makes no pretension of being good at, is joining with clients. You don’t go to see her to be understood or to get something off your chest. You should get that out of your system before you make the appointment. Go to see her because you and your partner are tired of living the way you’ve been living and are willing to be immersed in a new way of thinking. Her way. A session with Hedy must be like jumping into a rushing river and letting the current take you so far downstream you may never be able to find your way back to that horrible place again.

Click here to go to her website.