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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Should Therapists & Social Workers Post Videos of Themselves on YouTube?

 

http://youtu.be/pWQIbIkOVtY

 

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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.

 

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The Perilous Price of a Good Living

Recently I had the opportunity to talk with a group of young clinicians, and very bright young clinicians at that.  We were discussing the role of class in psychotherapy, and how to understand it psychodynamically.  I was demonstrating to them how difficult it was for therapists to talk about money, by asking each of them what they would set their fee at.  The majority of them were extremely reluctant to give a dollar amount, and it was striking to me that the dollar amount was almost to a penny what a leading insurance company set their allowed fee at.  But the most troubling response to me was “enough to make a good living.”

I imagine you’ve heard this phrase frequently–like me, maybe you’ve said it yourself from time to time.  It is a throwaway statement, which tells you nothing really about what kind of living a person wants or how much money they need in a capitalist society to make it.  Amongst professionals it is the “Whatever” of salary statements.

Pushing folks, I usually get a comment about “having a good home,” “enough to comfortably support my family,” etc.  These are similarly throwaway statements, but they indicate to me what continues to be considered socially acceptable when talking about money in mental health.  It is ok to want to make money if you only use it to support and shelter your family.  Maybe a vacation, but let’s not push it.  In her 1994 article “Money , Love, and Hate:  Contradiction and Paradox in Countertransference,” Muriel Dimen refers to “Puritanism’s conflict, in which hard work and thrift are valued, but their material rewards may not be enjoyed.”  In other words, what most psychotherapists consider a good living.

Often when working with consultees who are giving everyone a sliding scale fee and often acting out in their countertransference as a result of it, I work with this Puritanism, rather than combat it head on.  I’ll ask them to take a photo of their children, partner, any loved one who depends on them, and keep it visible to them in their office from where they usually set their fees.  These are the people, I tell them, who will go without because you have issues about your fee.  You may think you are being noble by sliding down all the time, but these people are bearing the burden of your nobility.

Am I saying you shouldn’t have a sliding scale fee?  Well yes and no, actually.  I certainly have 2 slots where I slide my fee.  Exactly two, because that is what I have determined in my business plan I can afford.  And if someone is going to be offered one, I always go over with them their financials.  So if you have a business plan, and if you can have a concrete conversation with your patients about how much money they make and expend in their life, you have my blessing, you can have a sliding scale.  But if you have not taken a good look at how much YOU need to make, what your plan is to earn money and have pro bono, and if you can’t bring yourself to talk about a patient’s finances, I don’t think you should have a sliding scale.  In fact, I’d suggest you should really only work in an agency and/or cap your fee at what Insurance Company A tells you are worth.

Because that in fact is how this got started in many ways.  We lament how exploitative insurance and public agencies are, but the reality is they provide us with a buffer from the conflict of having to talk with our patients about money.  Many of us make the third party the “bad guy,” because we don’t want to sully our therapeutic conversations with the topic of money.  Sex, sure.  Incestuous fantasies or homicidal impulses, no problem.  But cash? Forget it, that’s too tough to talk about.

Like many of you, I am very pleased that we have passed the Affordable Care Act this year, but I am equally happy that I don’t have to be limited to seeing patients via insurance.  This is the difficult paradox many of us try to keep secret:  We want everyone to have access to health care, but we don’t want our incomes capped by those rates.  Not everything our patients come to see us for is medically necessary treatment.  Some of it is quality of life and personal insight, and maybe our patients should pay for that themselves.  This may sound like a two-tiered system, and that’s because it is, and in my opinion you will see this two-tiered system get acted out as soon as we switch to a medical home, global payment model.

For me a good living is not having a home and enough to support my family.  I want an XBox, and an iPad, and someone to help me clean my house, and vacations and my Starbucks as well as some other things that even I am reluctant to admit.  I want things that exceed a comfortable lifestyle.  Maybe you want these things as well, or a yoga retreat, a summer home or a pony, I dunno.  Take a look at cable TV sometime, and ask yourself why there is such a proliferation of reality TV surrounding making/winning/wheeling/dealing so much money.  Our voyeurism betrays our fantasies.  But Priscilla or Myles, our inner Pilgrim, still trips us up, and we are afraid to admit exactly what we want as a good life.

In case you think that I have exorcised Myles from my psyche, let me assure you I still struggle with wanting, having and making money.  In a way, my evangelizing on this could be a reaction formation.  But it is a feeling, and I can’t let a feeling get in the way of understanding myself and being ethical.

You see, I’m with Plato and Socrates on this one. Socrates defined the good life.  The good life is the examined one, the life lived in pursuit of knowledge and consciousness.  Socrates doesn’t really talk about money when he talks about the good life, but he does make some interesting points about virtue and how knowledge leads our virtuous behavior.  Not what you feel, but what you know.

Sounds simple, but it isn’t.  In Meno Socrates describes how important perplexity is in the process of attaining knowledge, and hence ethics.  Perplexity is struggling with the contradictions to try to make sense of them, like “I want to help people,” and “I want the iPad 3.”

Periodically I re-evaluate what I want in my life, because my wants, my needs and my financials change.  My financial limits are clear to me, and not always in accordance with those of others.  For example, my billing company thinks that I shouldn’t allow balances higher than $200 to be carried.  I consider $400 to be my limit.  It is up to me to struggle with and get clarity on these things if I want to own and run a business.  And money runs through and beneath my business.  If I want to take a day off, my boss is pretty stingy.  I rarely take sick days.  I have a 48 hour cancellation policy that is much more rigid than many colleagues, but not as rigid as the week cancellation policy of some.  I can live with all of that, I’ve thought it through.  I don’t hide behind the vague salve of “making a good living,” I struggle with the perplexity of my needs and wants, the moral implications of them, and how to live ethically in the context of that struggle.

In many ways, that’s what I call a good life.

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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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Social Justice & Technology

Every day technology makes life easier for millions of people, and in doing so makes life harder for others.

Adam Gopnik, in his New Yorker Article, “The Information: How the Internet Gets Inside Us,” breaks down the population into three groups:

call them the Never-Betters, the Better-Nevers, and the Ever-Wasers. The Never-Betters believe that we’re on the brink of a new utopia, where information will be free and democratic, news will be made from the bottom up, love will reign, and cookies will bake themselves. The Better-Nevers think that we would have been better off if the whole thing had never happened, that the world that is coming to an end is superior to the one that is taking its place, and that, at a minimum, books and magazines create private space for minds in ways that twenty-second bursts of information don’t. The Ever-Wasers insist that at any moment in modernity something like this is going on, and that a new way of organizing data and connecting users is always thrilling to some and chilling to others—that something like this is going on is exactly what makes it a modern moment.

Anyone who has read this blog or heard me speak would have me pegged as a Never-Better, and that is pretty close to the truth. I do think that we live in an era that rivals that of the printing press, with its subsequent explosion of literacy and education. In my lifetime I have already seen a startling collapse of time and space due to how the internet and other technologies have allowed us to traverse great geographical distances in seconds. From my home I can bank, buy, and sell. I provide therapy and consultation to people as close as my city and as far as Singapore with little to no noticeable difference. And when I want to relax I join colleagues and friends in a virtual world that has denizens from Australia, the UK, and Asia.

And yet, as much a Never-Better as I am, I have noticed how social justice continues to lag behind. Not in the technology, but in both the access to it and fit between human beings and the systems they are in. Technology, as always, has advanced beyond our ability to master it, think critically about it, and perhaps most importantly achieve equity with it.

Let me give you an example I have experienced fairly recently in how the technology that benefits me has put others in my own social sphere at a disadvantage. I have an iPhone App, courtesy of a nameless coffee vendor, that has allowed me to use my iPhone to pay for my daily coffee with the flash of a barcode. My local barista rings me up, scans my iPhone, and the transaction is finished. At first, as an early adopter, I was one of the few folks using this in the Cambridge area, but more and more people are taking advantage of this App, and it is now commonplace in Austin, TX and Silicon Valley.

The problem with this App is that is financially disadvantages the baristas. There is no functionality as of yet in the App to allow for adding a gratuity, and since technology has worked all too well in eliminating the need for paper currency, I rarely carry any money with me to add a gratuity. When I initially became aware of this, the temptation was to slink away from the register as quickly as possible, and if I didn’t have ongoing relationships with the baristas I might easily have done so. But instead I asked them if they had noticed a drop in gratuities since the App became prevalent, and they remarked that they had. So what has been a convenience for me has significantly reduced the regular income of others.

This may seem a privileged example, and a minor one, but that is in fact one reason that I am mentioning it. Every day, through these minute transactions, we are influencing the lives of others, often without thought. The trope of the machine replacing the worker is in fact an industrial one: Each day, a section of our population does basically the same work they did a decade ago, but technology has made it easier to overlook and underpay them. And for that to change, we need to notice the behavior, and then, I suggest, address the technology.

There is a shortfall between lived experience, social justice and technology occurring on a microscopic level in the US, and part of why we all need to become more digitally literate is so that we can advocate on behalf of under-served and marginalized populations for technology to improve their lives. Avoiding technology is not the answer. Slinking away from the register is not the answer. The answer, in part, is to contact the company in question and suggest adding features to the technology to bridge the gap. In this case, I’m contacting the nameless coffee company suggesting they add a feature in either the App-user interface or the register-barista interface to allow for the inclusion of a gratuity. Seems like a simple fix, but as someone who owns and works in a company that creates customizable features I can tell you that they are expensive, and therefore often not made until somebody requests them.

In terms of world equity and technology we have an even greater challenge, namely, access. More than 81% of people in the US have some form of broadband internet access, as compared to approximately 5% of the African continent. 1 out of 3 people in the US have internet speeds 10 Mbs, as opposed to 0 in Ghana, Venezuela, and Mongolia.

Recently I had the opportunity to participate in a game developed by Jane MacGonigal at SXSW, which she claims will have have boosted my resiliency and hence extended my life by 7-8 minutes after playing it just once. I believe her. Which makes me think it is all the more important that we find ways not only to create games where people in the developed world learn about developing countries; but help people in developing countries access and develop their own video games. With all of the great work being done in the US and Europe on socially serious games, and games for health, we are seeing how video games can increase resilience and learning skills. How can we use these technologies to bring about similar changes in less affluent countries and populations? Because if playing a video game could help us crack the eznymatic code of HIV, which 1.2 million people in the US live with, what about playing a video game to increase resilience in Subsaharan Africa, where 22.9 million people live with it?

I think it is also imperative that people in developing countries have access not only to playing video games, but creating them. If they don’t, then the same cultural colonialization that has happened in the past will repeat itself. We need to support social justice in such geeky and subtle ways as making sure that indigenous cultures all over the planet have the opportunity to design games that reflect their own cultures, not a globalized McVersion of it.

Between the whittling away of a worker’s salary in the US and Subsaharan HIV are a myriad other social justice concerns, but digital literacy and emerging technologies are the threads that bind them all together. The same internet that allowed LGBT people to find each other in a hostile 20th century can be used to out them against their will today. The same social media that allows a more participatory experience can give people new avenues and amplifications when they want to harass people. The problem is not technology, but our lack of digital literacy. And by “our” I mean the individual you and me. Because corporations and governments are making it their business to learn how to master technology and its power even while we debate whether it was Better-Never or Never-Better.

I’ve often said on this blog that if you want to run a private psychotherapy practice in the 21st century you cannot ignore technology. Now I’m upping the ante, and saying that if you want to be a socially just human being you cannot ignore it. We need to learn how emerging technologies work and how they don’t. We need to identify the slippages between human systems and the technologies that convenience some at the expense of others. We need to see the internet as an infrastructure necessary to make the developing world as viable as the developed. And we need to understand how digital literacy can empower us before someone takes that power away.

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Money: The Post You Don’t Want To Read But Should

First off, not only am I not a financial advisor, an economist or an accountant, I have never been the poster-boy for “financial whiz.”  I say this out of neither pride or shame, but for two other reasons.  First, as a caveat to the reader that all of this is based on personal learned experience and therefore as limited as it is true for me.  And second, because if I can do this, I think you can too.

Money is the Achilles heel of many therapists.  We are averse to think about or speak aloud about it, and we come by this aversion honestly.  At least in the US, we are raised and educated without a single class or course in financial planning or money management.  Ask yourself, what subject have I ever learned about in life that I avoided thinking or talking about?  But in the case of finances, many of us emerge into adulthood with huge blind spots about how to function in a capitalist economy and society.

In my coaching and clinical supervision with therapists, and in my talk with colleagues, I have heard some amazing examples of these blind spots.  I once heard a colleague justify not charging a patient for a missed appointment because if she has to miss an appointment the patient doesn’t charge her!  These statements bely an ambivalent and confused statement about money.  Patients are hiring us, we aren’t hiring them.  As uncomfortable as this assymmetry is, the fact is that we don’t pay patients to help us and they do pay us to help them.

I have launched into general diatribes before, but today I want to be really specific and concrete.  I want to share with you one pointer I share with all my coaching clients about how to make more money and how to manage it better.  I’m even going to give you a specific vendor link.

The pointer is this, if you want to make more money, take a look at the bank you’re using.  Making money isn’t just about your fee or caseload, but the fees you may be paying out.  (I know, some of you who’ve made it this far are already getting ready to click away, hang in there.)  One of the things large banks have is large overhead.  They are, for reasons too numerous and obvious, in a lot of distress these days.  For example, Consumer Reports estimates that the government legislature that required them to cap their fee each time you use your debit card at 24 cents a transaction is going to cost banks 6 billion dollars in revenue lost.  So to recoup their losses, they are finding other fees to levy on you that are legal.

What banks are banking on is that we’re afraid of change.  And let’s face it colleagues, most of us want to find a place to “park” when it comes to money management.  We want to find the fee we can set and not look at again rather than adjust it over time.  We want to program our billing into computers or contract it out to services so we can not deal with it.  And we don’t want to compare interest rates and fees, but rather find a bank and stick with it.

And the larger banks don’t just gouge you with fees, they use you in another way.  Maybe you’ve noticed that when you do use your ATM or the bank website advertisements come up that are eerily resonant with what you spend your money on.  This is because banks value your patronage for data mining purposes as well.  Many of them are selling this data to big business.  I am often struck by the irony that a profession which values privacy and confidentiality for our patients turns a blind eye or accepts the violation of their own financial privacy.  So if nothing else, do a little research about whether your bank sells your debit transaction or other data, and if they do, move.

Since 2009 I don’t think I have set foot in a bank to do actual banking.  The last time I went in the building was to have something notarized.  By the same token, my deposits have become much more quick and efficient in my business, and my fees have been minor.  Why is this?

It is because I use an online credit union, Digital Federal Credit Union in fact.  DCU is a completely full-service credit union with the emphasis on online banking.  This is not surprising since it began in 1979 as a charted credit Union for Digital Equipment Corporation.  The eligibility requirements are not at all onerous, in fact your interest in social justice can make you eligible.  I say this because my eligibility came from being a disability rights ally.  I joined the American Association of People with Disabilities.  That was it:  Fifteen bucks to a great cause and I was eligible to join DCU.

As an online credit union, DCU is actually more portable than my licensure!  I can move to any state, bank from any state, online.  Their technology and website are in my opinion excellent.  I can transfer funds easily from my account to other family members’ accounts at DCU, and interbank exchanges are almost as easy.

They have a great bill-paying feature that allows me to schedule payments electronically, either one-time or recurring.  The bill-pay feature has also been a lifesaver for me when I need to dispute something with a vendor or track how much I have spent on utilities for my practice or home in a given amount of time.

And at tax time, house closing, or any other time you need financial documentation quick, DCU allows me to download check images, statements, etc. into PC files.  Or if I am trying to sort my expense deductions for the year I can import the entire tax year into an Excel or other software spreadsheet to sort, locate, and calculate expenses.

But the thing about DCU that makes me go absolutely blissful is their iPad and iPhone app, because it allows me to take photos of checks and deposit them from my office, living room, wherever there is, well, the internet.  No more hoarding checks to make a trip to the bank, no more waiting in lines at the bank.  In fact, I often do my deposits late at night or on weekends, because banking hours aren’t really an issue.

Think about all the time you are spending, which is money you’re spending, on your banking.  Do you spend 30 minutes running to the bank each week?  That’s time you could see a patient.  Is your income stream stuttering because you avoid depositing check until you have to?  And clinically, what message(s) may you be sending your patient that you haven’t cashed their check yet?  If you want to be a better therapist, get better with your money.  And if you want to get better with your money, use an online credit union.

Oh, I have lots of thoughts and opinions on how to use technology to improve your therapy practice clinically and financially, maybe you want to work with me online or in person?

 

 

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.

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