Morality Plays

•January 8, 2013 • Leave a Comment

Because the world of the marginalized is inevitably fraught with moral assumptions, the clientele being served by human service agencies are immersed in a Harry Potter-like venue where dramas of right and wrong, power and weakness, greed and largesse, pain and suffering, compassion and retribution are paraded daily before the public. It is a stark world of contrast in which subtlety has little salience. In this sense, it is much in tune with an electronic media desperately seeking ratings.

Child welfare, correctional, and mental health, agencies must fulfill politico-mythological roles that go well beyond their stated purposes (e.g. addressing child abuse, preventing delinquency and crime, or bolstering mental stability.)

While these agencie may be publicly encouraged to be effective, they must simultaneously buttress whatever prevailing myths may surround their clientele – whether or not these comport with reality.

As a consequence, whether a child welfare agency deals well with a specific incident of alleged abuse, a mental health agency treats a mental patient decently, a juvenile justice agency leads a youth toward a law-abiding life, or a prison deters an adult offender from further crime are all essentially beside the point.

While it may be laudable if these goals can be accomplished, they are less crucial to the agency’s survival than whether its practices buttress the political ideologies, biases or prevailing public distortions that might be hyped regarding their target populations. As a result, they are largely in the business of labeling individuals for quick and easy disposal – updating the nomenclature to keep current with the political demands of the times. Possessing the power to make ultimately hurtful labels stick while offering “help” is what keeps these agencies in business. Their “successes” have largely to do with negotiating this slippery slope.

It’s one reason why failed agencies trundle on from decade to decade. While they may fail their clientele – they are in fact, highly successful at more publicly valued tasks.

morality plays

•October 9, 2011 • 1 Comment

basic training

•October 9, 2011 • Leave a Comment

Basic Training

(535 Words)

 

At one or another time during the past thirty-five years, I directed human service systems in Massachusetts, Illinois, Pennsylvania, and the District of Columbia.  Occasionally, I managed some reform.  Too often, things went miserably.[i]  No doubt, I came with an attitude. 

 

Having  obtained my graduate degree in psychiatric social work during the heyday of psychoanalytic influence on social work, with a bit of therapy, a fledgling grasp of the nomenclature, a proper professional attitude, and a modicum of technique under my belt, I enlisted in the Medical Service Corps of the United States Air Force.  The Air Force was good to me.

 

Over the next decade, I was assigned to various Air Force psychiatric units in this country and overseas – taking a three-year hiatus to obtain a doctorate under the Air Force Institute of Technology’s sponsorship.

 

General George Patton embodied the dilemma that would hound psychiatry in the military from its introduction during World War II.   His full slap in the face of a clueless enlisted man gave clear salience to a common attitude his peers shared but usually kept sub Rosa.

 

Psychiatric personnel were an embarrassment to the military – the crazy cousins who came to visit during World War II and once inside, couldn’t be allowed to leave.  They knew too much about the family.

 

While psychiatric clinics are now a fixture in the military, they remain a contradiction to it.  Any serviceman or woman – officer or enlisted – who walked through a military psychiatric clinic door puts his or her career in jeopardy.[ii]   

 

There were only the chanciest guarantees of confidentiality.  All psychiatric records were open to commanders and military investigators – if they chose to look.  Most didn’t.  Some did.

 

I wasn’t surprised to hear that my cynical assessment from 40 years ago is still largely valid.  While discussing his book, Odysseus in America, Dr. Johnathan Shay, staff psychiatrist in a Boston veteran’s outpatient clinic put it bluntly.   “In the armed forces today, no career NCO or officer can go to mental health without ending his career.” [The Diane Rehm Show, WAMU Washington, D.C. 12 Dec 02].

 

My response to this state of affairs was to fine-tune a repertoire of frankly manipulative skills.  I grew chary of taking extensive notes, learned to clothe hurtful diagnoses in benign attire  and kept separate files away from the base.  I devised convoluted personal codes for recording my musings concerning any particular airman or officer I might be seeing – avoid ing normal channels when dealing with abnormal situations.  To do otherwise, commonly hurt someone needlessly.  I learned to speak bureaucratese with the best of them while keeping important decisions below the radar. 

 

 I was not surprised therefore to recently hear that my cynical assessment from 40 years earlier remained  largely valid.   In his relatively recent book, “Odysseus in America,” Dr. Johnathan Shay, staff psychiatrist in the Department of Veterans Affairs Outpatient Clinic in Boston put it bluntly.   “In the armed forces today, no career NCO or officer can go to mental health without ending his career.” [The Diane Rehm Show, WAMU Washington, D.C. 12 Dec 02].

 

It was a matter of accepting the rules of the game without insisting that they be believed.


[i] Along the way, there were detours to state reform schools, detention centers, and jails – most holding juveniles – some, adults – in California, Texas, Utah, Oregon, New York, Maryland, Tennessee, Louisiana, North Carolina, Florida, Wisconsin, Virginia, Delaware, Ohio, West Virginia, and Michigan among others.  I had usually been asked to assess programs or facilities that were in one way or another, seen as broken and were facing civil rights or class action suits.  In the early 90s I served as “monitor’ to a federal court in overseeing its orders relative to overcrowded conditions in the nation’s fifth largest jail system.  I was later appointed by the federal court in the District of Columbia to be “Receiver” of that city’s child welfare system. 

practice driving theory – rather than the reverse (theory driving practice)

•June 13, 2011 • 1 Comment

This will be a web site that explores the Hx and practices of facilities meant to contain the most marginal members of society.  They include, but are not “confined” (no pun intended) to prisons, reform schools, mental hospitals, etc – all of a genre that is created (often in anger or retribution – with little or no basis in fact or in empirical research.  The theories that justify these entities appear after the fact – virtually never before they happen or become policy.

 

Hello world!

•June 13, 2011 • 1 Comment

Welcome to WordPress.com. After you read this, you should delete and write your own post, with a new title above. Or hit Add New on the left (of the admin dashboard) to start a fresh post.

Here are some suggestions for your first post.

  1. You can find new ideas for what to blog about by reading the Daily Post.
  2. Add PressThis to your browser. It creates a new blog post for you about any interesting  page you read on the web.
  3. Make some changes to this page, and then hit preview on the right. You can alway preview any post or edit you before you share it to the world.
 
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