Welcome...

Welcome to the Leadership21 blog, an ongoing conversation on mental health, civil rights and social justice. Posting on the blog are twelve young mental health advocates who comprise the L21 commitee, and anything goes--the personal, the political, the cultural, whatever! We hope that you'll check out what's here, and make some comments, and please know that if you're concerned about anonymity, you can comment anonymously. We hope that what you read, and what you contribute, will make you want to return regularly, because to our knowledge, there really isn't anything out there that has the potential to engage people on so many levels about mental health. But we need "outsiders" like you to make it grow into a robust, contagious online blog. So thanks for coming, welcome to the conversation, and please, pass it on--L21

Wednesday, June 6, 2007

Does talk therapy help a "psychopath" like Tony Soprano?

Ok I know it was hard enough to lose Bobby and Sil in 20 short minutes let alone think about the possibility that talk therapy may not help psychopaths or anyone, but it’s an issue that needs to be addressed. I have to admit it has taken me a couple of days to even start processing what happened Sunday night and there’s a lot that happened, but I am only going to focus on Tony being a psychopath. It seems there has been enough outrage about his therapist Dr. Melfi Leaving him, and the unethical leaking of who she was treating at a therapists’ dinner by an even more disturbed therapist, so I’ll leave that alone.

For the past couple of episodes Tony’s therapist has been hearing from another therapist that studies show talk therapy doesn’t help psychopaths and that it indeed will only give them an opportunity to test their manipulative skills on someone else and in some ways reinforce their psychopathic behavior. Now we have to keep in mind that the Sopranos aren’t real people. However, a quick Google search did turn up that the study that is quoted on the show is real, which leads to an interesting question.

Anyone who watches the Sopranos for a couple of episodes can clearly see that Tony is emotional both in and out of therapy. The aspects that he identifies in therapy are things that he talks about outside of therapy and becomes more aware of. I would never say becoming aware of them leads to him making efforts to change anything that happened to him, but that isn’t different from a large majority of people who go to therapists. In my opinion a psychopath and I think I have only met one (and I hope she doesn’t remember me or isn’t reading this) doesn’t necessarily go through all of the effort to cry and talk and go to a therapist to locate where these thoughts come from only to test out more of their psychopathic side. I mean it’s definitely possible for some people to do, but I don’t see the psychopathic qualities in Tony. I may be just like the rest of millions of people in this country, especially guys, who have fallen into the trap of glorifying gangsters and viewing what they do more as a job that’s part of a disturbed side of life rather than psychopaths, but to be honest Tony has done more work in therapy than most people I know! He shows regret, he feels pain, he expresses concern for others and when he isn’t in the mob job mode does breakdown, which to me isn’t “normal” psychopathic behavior. If we examine Tony’s past for a brief second he isn’t much different from a kid raised by a father who is in a gang and doesn’t know a way to get out, so he constantly fights, and possibly kills as a part of the nurture/nature problem. Can that lead to being a psychopath? Sure. But again it’s the feelings Tony shows that lead me to believe this may be more of a “job” and other environmental factors like power contributing to making his behavior acceptable rather than him simply being a psychopath. Maybe he has manipulated me!

My whole problem with his therapist deciding to no longer see him based on a study that said talk therapy may only reinforce psychopathic behavior is that I am not convinced he is one. And I don’t think his therapist necessarily was either. When anyone hears their therapist is refusing to see them it can lead to further isolation and result in even more dire circumstances. I think that is what was going on in his therapist’s mind when she closed the door on Tony. The fear that cutting him off would cause him to do more drastic things and the larger fear that maybe the years of all the talking and her hard work didn’t do anything were written all over her face. So I am sure everyone had thoughts as they were watching his therapist close the door on him after all of these years and I want to know do you think Tony is a psychopath and if you do what are your thoughts on all of his talk therapy and his therapist leaving him?

Friday, June 1, 2007

Why Lindsay Bothers Me


1. Because I think she is actually talented. And talent makes me care about people. And I hate caring about addicts.
2. Because her mother, her publicist, and her lawyer are at the top of a long list of criminal enablers. Lindsay will end likely end up addicted and destroyed, and they'll end up rich.
3. Because she does influence young people and she does glamourize addiction to them.
4. Because the media pays more attention to her than to political corruption, poverty, healthcare, the war in Iraq, and education.

Does Lindsay Bother You?

Thursday, May 31, 2007

Dana's Post: sitting with difficult thoughts

My yoga instructor told me yesterday that this is the month of sitting with difficult thoughts. I had been doing a lot of that so here is one:

I have found my thoughts this month coming back again and again to what we give up to be "normal." I know normal is the wrong word, but I can't think of a better one. In many cases, this is the price we pay for taking psychotropic medications, not financially, but personally. I think often people forget that these loses are real. Or sometimes it isn't medication, but just a type of self-stifling that we do, to keep ourselves in check, to not let the seems show in the fabric of our personalities so that we can write that last paper, make that last phone call, finish that last article, be that supportive friend. It's often the people who love us the most who may forget we've lost something by only showing these versions of ourselves, the ones that are competent and sane and yes, normal, because they are so relieved that we are spared (and they are spared) from the more difficult aspects of differences.

re: Nature is nature's prozac

Lizzie, I know just what you mean. I spent Memorial Day weekend in Ithaca, NY with family. While it was lots of running around (and a six hour drive to and from Ithaca-Washington) there were still very peaceful and gratifying moments, like helping my family on the farm, truly "getting back to nature." I do miss that in my  urban life, and also returned with renewed energy to get in my garden, feel the soil in my hands, and de-clutter my life.


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Monday, May 28, 2007

Nature is Nature's Prozac


I've just returned from a weekend in Vermont with the man, and it really did wonders for my mental health---I know I'm stating the obvious here but the way we live so bombarded by advertising and media brings about a kind of low level hypervigilence that just is so freaking unhealthy. And the fargin internet just makes me totally scattered. I'm pledging to keep my life more simple, to bring a little VT to NYC, but who knows if I'll be able to pull it off. I think that the ability to relax is paramount to mental health---and as a culture we're just creating more and more toxins that corrupt relaxation---it just seems like everything corporate culture produces is at odds with simplicty and balance and moderation.