Thursday, May 2, 2013

A little discussion on sexual orientation


Sexual Orientation
            Over 1,500 animal species participate in homosexual behavior (http://www.news-medical.net/news/2006/10/23/20718.aspx), yet humans seem to be the only species who seems to have an issue with sexual practices that stray from the “norm” of heterosexuality. The idea of sex for purely procreation reasons is an outdated one, yet it still seems to infiltrate many social media outlets and even politicians debate the morality of same-sex relationships.
            The sexual continuum, as suggested by Kinsey, Pomeroy, and Martin (1948) suggests that sexuality is even more complex than many realize. The Heterosexual-Homosexual Rating Scale consists of a range from 0 (exclusively heterosexual), to 6 (exclusively homosexual), with a myriad of degrees of sexual preferences located along the scale. The scale portrays just how intricate individual sexuality can be, and just like humans, varies greatly.
            Another, and a bit more complicated way of measuring sexuality is the Klein Sexual Orientation Grid. While it does share the varying degrees of sexuality like in the Kinsey Scale, the Klein takes into account several different variables of interest. These include sexual attraction, sexual behavior, sexual fantasies, emotional preference, social preference, heterosexual/homosexual lifestyle, and self identification (Klein, 1993). Additionally, the Grid takes into consideration the past, present, and ideal sexual identity categories of the individual, thus indicating that in some, sexuality is fluid.
Legal and Ethical Considerations of Homosexual Clients
            In theory, mental health workers should treat every client like a human being, allowing full access to the quality care they deserve. However, this has not always been the case, which has led to legal implications for those who refuse to offer services to homosexual clients. A student in the counseling program at Eastern Michigan Universtiy was expelled from her program due to her refusal to counsel a gay client in 2009 (http://abovethelaw.com/tag/julea-ward/). However, a recently proposed bill in Tennessee (HB 1185) would prohibit universities from taking disciplinary actions against students in counseling programs who refuse to see LGBT clients, citing religious objections (http://openstates.org/tn/bills/108/HB1185/documents/TND00022457/). So, it appears that counselors can in some cases legally refuse to offer services to clients who identify as LGBT, but it still remains unethical, as the refusal to treat can in some cases, inflict more harm (Hermann & Herlihy, 2006).
Multicultural Competency and Sexual Orientation
            Multicultural competency addresses all aspects of who a person is, which encompasses their heritage, racial background, religious affiliation, and their sexuality. While there may be some counselors who object to same-sex relationships based on their own beliefs, there are steps that they can take to better prepare them to offer assistance to a wider variety of clients. Such steps include class activities, discussions, and continual learning in a safe environment (Charles, Thomas, & Thornton, 2005). Neglecting to include sexual orientation in multicultural training is a disgrace, especially within the marriage and family therapy (MFT), as not all couples that seek counseling are heterosexual.
References
1,500 animal species practice homosexuality. (2006, October 23). Retrieved from http://www.news-medical.net/news/2006/10/23/20718.aspx
Charlés, L. L., Thomas, D., & Thornton, M. L. (2005). Overcoming bias toward same-sex couples: A case study from inside an MFT ethics classroom. Journal of Marital and Family Therapy31(3), 239-249. doi:10.1111/j.1752-0606.2005.tb01566.x
Hermann, M. A., & Herlihy, B. R. (2006). Legal and ethical implications of refusing to counsel homosexual clients. Journal of Counseling and Development84(4), 414-418.
Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Philadelphia: W.B. Saunders Co.
Klein, F. (1993). The bisexual option. New York: Harrington Park Press.
Lat, D. (2012, February 6). Julea Ward « Above the law: A legal web site – News, commentary, and opinions on law firms, lawyers, law schools, law suits, judges and courts + career resources. Retrieved from http://abovethelaw.com/tag/julea-ward
Open States (n.d.). Bill Text - HB 1185 - Tennessee 108th Regular Session (2013-2014). Retrieved from http://openstates.org/tn/bills/108/HB1185/documents/TND00022457/

Tuesday, April 30, 2013

Sexual issues and multicultural implications: A personal reflection


Abstract
The realm of sexuality is quite vast, with many individuals having different concepts of what “normal” looks like with respect to human sexuality. Some are influenced by their own experiences, family beliefs passed down over generations, from religious definitions, and even by what culture deems as acceptable. Counselors often work with clients who have a different background, which includes sexuality. Multicultural competency spans more than where someone comes from, their ethnic makeup, and their socioeconomic status; sexuality also plays a key role in establishing who a person is, just as much as the aforementioned aspects. This paper will identify some key sexuality topics, as well as how counselors can help their clients when working with diverse clients. Additionally, legal considerations for counselors will be addressed in regards to sexuality issues.

Sources of sexual information
            A challenge faced by many of the current generation stems from the plethora of sources available in which they can gain information about society, sexuality, and culture. In the past, people were more apt to share the outlooks and beliefs of their family and those in their social circle. However, advances in technology have afforded individuals to expand their horizon when it comes to sexuality, thus broadening the definition of what is considered “normal” in society.
            Many still receive their guidance on appropriate sexual behavior from their religious affiliations. While turning to faith may comfort some, it also can make others feel excluded. According to the literature, a shift in acceptable sexual standards has swayed away from that of which is associated with Biblical tradition (Williams, 2013). Within the Christian faith, especially those who observe strict interpretation of the Bible, sexuality that strays from heterosexual or sex for procreation reasons is shunned. Sadly, such an outlook excludes many people, leading to an increase in depression, guilt, anxiety and suicidal risk (Subhi & Geelan, 2012).
            An additional influence into the definition of sexual identity is geographic location, which is also a part of one’s culture. One study found that sexual practices could be categorized by either “good/normal” or “bad/abnormal,” based on Western cultural standards (Morrison, Ryan, Fox, McDermott, & Morrison, 2008). The same study revealed that in addition to the acceptable practices, there were differences between what was deemed “normal” when it comes to gender, with male sexual practices that include homosexual fantasy and submission to fall under the category of “abnormal,” whereas the same was not found among female sexuality practices.
Geographic location comes into play when analyzing the level of acceptance of practices that are deemed “abnormal,” with the United States, Ireland, and Poland being associated with conservative sexual practices. Canada, Norway and the Czech Republic were reported as being more liberal when it comes to “abnormal” sexual practices (Morrison, Ryan, Fox, McDermott, & Morrison, 2008). The most sexual liberal, when compared to the United States, is Sweden, which reports a more accepting stance on nudity, masturbation, and expressing a desire for sex, including those that were deemed as “abnormal.”

Education and exposure: Combating biases

            Within the United States, many receive their sexual education from uncomfortable school presentations, which focus largely on either abstinence-only or abstinence-plus programs that stress abstinence as the primary choice, but also provide information on condoms and contraceptives (Haglund & Fehring, 2010). While the programs do provide some information about sexual health, they often come up short when it comes to the broad definition of sexuality. Many focus on safe sex, including condoms, contraceptives, pregnancy, and sexually transmitted diseases (Kirby, Laris, & Rolleri, 2007), leaving a large percentage of sexuality unaddressed.
            The educational shortcoming is not limited to those in the K-12 grades, as medical residents have also reported a lack of formal education when it comes to sexual health practices. A lack of education was found among the topics of non-Western cultures and homosexual relationships, with less than 50% of medical schools in the United States and Canada spending more than two hours on sexual health (Morreale, Arfken, & Balon, 2010).
            While many physicians and mental health care workers have come to the consensus that sexuality plays a large role in the lives of their patients (Morreale, Arfken, & Balon, 2010), the educational system does not appear to mirror their sentiments. Individuals who identify as gay often report feeling left out of the sexual education present in the educational system, and are more prone to being the target of harassment (Sherblom & Bahr, 2008).
            Just as sexual orientation seems to be missing from the curriculum, so do many other aspects of sexuality, including sexual dysfunctions. The lack of education regarding sexual dysfunction is not limited to the K-12 area of knowledge, but it is also present at the physician level. Formal education among physicians in the realm of sexual health is often just a bare bones version, which ignores an aspect of life that has the ability to affect the lives of their patients. Many physicians have reported being uncomfortable discussing the topic of sexual issues with their patients (Foley, Wittmann, & Balon, 2010). However, data suggest that physicians, who are involved in continuing education and possess effective communication skills, are more apt to speak to their patients about sexual health related topics (Foley, Wittmann, & Balon, 2010).

Ethical considerations and sexual issues

            Personal beliefs are an important part of one’s identity, but it is important for physicians and those in the mental health profession to separate their personal beliefs from that of their client. Counselors are bound to encounter clients who have a different cultural background, which makes multicultural education, including sexual identity, an important part of continuing education.
            The American Counseling Association has set forth a code of ethics for those in the counseling field to abide by, which includes several references to cultural sensitivity. Specifically, Section A.4.b. addresses the idea that counselors are to be aware of their own values, and being cognizant of not imposing their own values onto their clients (ACA, 2005). Additionally, if counselors find that they are unable to treat clients, they are to cease treatment and offer referrals to other counselors that may be more adept within the scope of practice, as noted in section A.11.b. (ACA, 2005).

Conclusion

            The vast array of sexual issues that counselors may encounter during their practice makes personal reflection and continued education essential in providing quality services for clients. Cultural influence regarding what is deemed “normal” can vary due to religion, geographic region, and personal experiences, all of which contribute to an individual’s identity, including their sexual identity. Being aware that people vary within a culture is important for both those working in the mental health field, and society as a whole.

**References Available Upon Request**

Saturday, April 27, 2013

The Facial Feedback Hypothesis: Applications and Implications


ABSTRACT

Is it possible to improve your mood, just by smiling?  Research into the facial feedback hypothesis indicates that there may be some credence to the old adage of “grin and bear it.”  Originally sparked by Charles Darwin in his book, The expression of the emotions in man and animals, in 1872, the concept of physiological changes having an impact on the experience of emotions had been addressed by researchers looking for confirmation ever since.  There have been a myriad of researchers who have addressed the facial feedback hypothesis from many angles.

There are many contributors involved in the expression of an emotion, supplied from external stimuli, internal states, and even culture.  While the exact neurological reason behind the impact outward expression has on emotional experience is still unclear, the psychological effects are evident.

THEORIES AND RESEARCH ON THE FACIAL FEEDBACK HYPOTHESIS

The facial feedback hypothesis is the thought that facial movement can influence emotional experience.  In a well documented experiment, participants were asked to hold a pen in their mouth, either between their lips or with their teeth, then asked to rate the humor of a cartoon (Strack, Martin, & Stepper, 1988).  Holding the pen between their lips, the participants contracted the orbicularis oris muscle, resulting in a frown, and were unable to contract the zygomatic major muscle involved in smiling.  However, those who held the pen between their teeth were able to contract this muscle and forced them to smile.  The results indicated that the participants who smiled while holding the pen in their teeth, were more likely to rate the cartoon as more funny.  This is quite an amazing discovery, considering the cartoon was the same in each condition, with the only difference lying in the contracting of the zygomatic major muscle.

The muscle contracted during the mouth pen holding experiment, the zygomatic major muscle, which causes the cheek muscles to draw lip corners up toward the cheekbones, is the same one that is associated with the Duchenne, or genuine smile.  This type of smile is usually thought of a more felt smile and also involves activation of the orbicularis oculi, or the muscle of the eye that causes the “crow’s feet” in the corners of the eye.  It is hypothesized that an individual experiences greater pleasure when displaying a genuine, Duchenne smile when compared to a non-Duchenne smile, which supports the facial feedback hypothesis (Surakka & Hietanen, 1998).

Another, more recent study, involved participant evaluation ratings regarding the pleasantness of pictures, composed of neutral faces or nature scenes (trees, forests, and landscapes).  The two experimental conditions in this study required the participants to look at the pictures while either elevating their cheeks (similar to a smile), or contracting their eyebrows (associated with frowning).  As with the Strack study, the results confirmed the facial feedback hypothesis, since the participants who were in the smiling group rated the pictures as more pleasant when compared to the frowning group (Dimberg & Söderkvist, 2010).

While there appears to be a plethora of research supporting the facial feedback hypothesis, there have been some opponents who have voiced their own opinions.  One of the first to suggest an alternative to the facial feedback hypothesis was William James who posited in 1884 that instead of a change in the muscles and facial expression producing the emotion, the emotion leads to the changes.  James proposed four steps in the generation of subjective experience of an emotion, which consist of: a sensory stimulus transmitted to the cortex and perceived; the reflex impulses travel to muscle and skin; the changes in these areas are transmitted back to the brain; the return impulses are perceived, and when combines with the original stimulus perception, produce the “object-emotionally-felt” effect (James, 1890).  James’ theory of emotion is similar to the facial feedback hypothesis, but in reverse, starting with the appraisal of the stimuli which leads to a change in the facial muscles, followed by an assessment by the brain, producing the emotional experience.

The Differential Emotions Theory, developed by Carroll Izard in 1971, suggested that the primary components of emotion include neural activity, striate muscle, and subjective experience of the individual.  Izard suggested that each emotion operates as a system of interacting neural, expressive, and experiential components, and upon cognition occurring, the emotion is expressed.  According to the differential emotions theory, emotions retain their adaptive and motivational functions, which aid in social interactions (Abe & Izard, 1999).

Another theory that arose in the light of the facial feedback hypothesis was that of the self-attribution theory of emotion, which suggests that emotions are a mixture of autonomic arousal and cognitive processing (Schachter, 1964).  The interesting part of the self-attribution theory is that the reaction to the emotion being experienced is able to be operationalized, therefore, less subjective, and possibly more reliable than the results gathered during self-reports from participants.

In 1980, Ross Buck suggested that there may be two different renderings of the facial feedback hypothesis, the between-subjects and the within-subjects versions.  The between-subjects design suggests that individual differences contribute to the experience of emotions, for example, if one person freely expresses their emotions, they will have a greater response when compared to someone who shows little expression.  Studying of the between-subject version has led to objective supporting evidence, particularly regarding nonexpressive people.  While holding in an emotional expression, it has been noted that there is an increase of heart rate and skin conductance when reacting to a stimuli.  This finding may suggest that facial feedback is not necessary for the experience of an emotion to occur. The within-subject aspect of Buck’s theory holds that when the free expressor is experiencing a given emotion, if they outwardly express rather than stifle the emotion, they will have a greater external response and the emotion will increase in intensity.

Building on Buck’s within-subject aspect of the facial feedback hypothesis, the difference between internalizers and externalizers needs to be addressed.  Individuals in the internalizing group do not freely express emotions, whereas externalizers freely express what they are feeling and experiencing.  According to a somewhat unethical study involving electric shock, those who exaggerated the intensity of the shock were actually experiencing more pain than a group who suppressed their pained expressions while receiving a shock of equal value (Lanzetta, Cartwright-Smith, & Kleck, 1976).  This research also revealed that when compared to the baseline, hiding a facial response to the shock also reduced the galvanic skin response (GSR). These findings suggest that when suppressing, or internalizing the reaction to a stimulus, the experience is actually less intense.  While the externalizer-internalizer distinction doesn’t seem to fit with, and may even contradict the facial feedback hypothesis, they are actually quite similar, since both examine the link between the external expression and the internal experience of emotions.

COGNITIVE LINK BETWEEN THE INTERNAL AND EXTERNAL

There is a complex network of nerves, muscles, and brain functions associated with the expression of an emotion that lies beneath the skin.  Although it has not been empirically shown, research has speculated that the feedback from the muscles of the face and skin during genuine and imitation expressions is sent to the amygdala and the neural network, where it leads to the experience of the expressed emotion (Hennenlotter, Dresel, Castrop, Cebellos-Baumann, Wohlschläger, & Haslinger, 2009).  The amygdala is a key component in the processing of emotions, and has been considered “the gateway to the emotions” (Aggleton & Mishkin, 1986).  Some of the roles of the amygdala include evaluating if a stimulus is dangerous or harmless, pleasant or unpleasant, and is a major contributor to the facial expressions of emotions, both intentional and unintentional (Habel, Windischberger, Derntl, Robinson, Kryspin-Exner, Gur, & Moser, 2007).

In order to research the role of the amygdala in the processing of emotions, researchers used functional magnetic resonance imaging (fMRI) to monitor activity in the brain when exposing participants to pictures of five basic emotions (happiness, sadness, anger, fear, and disgust) along with neutral faces.  Participants were also asked to provide an approximate age for the person that was displaying the emotion.  Results show that when participants attempt to identify which emotion they are seeing, there is activation in the amygdala in both conditions (emotions and age); however, there was far greater activity present when trying to identify the emotion.  This suggests that the amygdala plays a large role in the identification of emotions, as well as appraisal of the emotions viewed (Habel et al., 2007).  It has also been noted that when processing a fearful expression, activity in the orbitofrontal cortex also occurs (Neta & Whalen, 2010).

INTERNALIZERS AND EXTERNALIZERS

As mentioned earlier in Buck’s within-subject version of the facial feedback hypothesis, there are two different kinds of individuals, those that freely express their emotions, externalizers, and those that stifle their expressions, internalizers.  Personal differences between internalizers and externalizers may also dictate which category a person may fall into.  Previous research has suggested that females are more facially expressive than males in emotion-provoking situations.

In a study conducted by Thurnberg and Dimberg (2000), researchers set out to determine whether females were generally more facially reactive, or if they were more emotionally reactive in general, compared to men.  Participants were deceived as to what the exact nature of the experiment was, in order to prevent bias or demand characteristics.  Two groups, composed of either male of female participants, were exposed to fear-relevant and fear-irrelevant stimuli while an electromyography machine monitored the activity from the corrugator supercilii muscle region (activity in this region is associated with the exhibition of the fear expression, which consists of the eyebrows being raised, opening the eyes widely).

In order to effectively induce a fear response in the participants, researchers used pictures of snakes, which has been shown to reliably produce an increase in corrugator muscle activity, and are usually consistently rated as being unpleasant.  Participants were also exposed to fear-irrelevant stimuli (flowers), which have been shown to induce either a neutral of slightly positive facial reaction (Dimberg, 1997), in order to determine if the changes in activity were due to the individual or the stimuli.  After exposure to each set of pictures, fear-relevant (snakes) and fear-irrelevant, the participants were asked to rate how unpleasant they experienced the stimuli.

When evaluating the results of the corrugator muscle activity, there was not a significant difference when comparing the fear-relevant and fear-irrelevant stimuli; however, there was a difference in the activity level between the two groups.  It was discovered that females not only produced a larger response than males to the fear-relevant stimuli (snake pictures), but the responses of the females differed between both stimuli as well; females showed a larger corrugator response to the fear-relevant than the fear-irrelevant stimuli.  In this experiment, the participants in the male group would be considered internalizers and the participants in the female group would be considered externalizers, since there was more corrugator muscle activity in response to the fear-stimuli.

Researchers have suggested many reasons as to why this difference between males and females exist, including genetics differences in the central nervous system, cultural influences that have worked to inhibit the fear expression in males (Brody & Hall, 1993), and even a possibility that females are more perceptually sensitive than males (Buck, 1984).  Females may also have a genetically evolved fear response that has developed out of necessity for protection of offspring in dangerous situations.

Many studies have supported the hypothesis of increased facial expressiveness of emotion is correlated with increased physiological arousal.  In a study involving exposing participants to pictures of people exhibiting happiness, sadness, anger, or fear, while monitoring blood pressure and heart rate, researchers discovered that there was a measureable correlation between the stimuli photos and the physiological reactions.  Fear and happiness were linked with and increased heart rate, however, in the fear condition, the heart rate increased more (Schwartz et al., 1981).  This increase in heart rate as a response to fear may be an example of the fight-or-flight response that has evolved in order to keep a species alive and able to escape danger.

The increase in emotional expression among externalizers has been thought of as a form of cathartic discharge, since according to some, emotion must find an exit, and if it cannot be vented outwardly through expression, it is routed inward, resulting in physiological changes.  According to Jones (1948), individuals who outwardly express emotion but show little arousal, or physiological changes, are externalizers; whereas those who show little to no outward emotion, but substantial autonomic physiological activity are internalizers.

When studying the physiological differences between internalizers and externalizers, the results are mixed.  Research involving voluntary facial expressions of anger, disgust, neutral, and control conditions during anger imagery showed that the voluntary facial anger reduced blood flow volume, but did not show an increase in heart rate, contrary to the findings of Schwartz et al. in the previous study (Ianni, Stettner, & Freedman, 1986).

It is suggested by researchers Boden and Dale, that internalizers are individuals who habitually and effectively control their emotions and that there are immediate and significant consequences to such regulation.  While devoting tremendous energy to prevent externalizing behavior from surfacing, there may be not only higher blood pressure and pulse present, but also possibly a diminished memory and cognitive processes (Boden & Baumeister, 1997).  It appears that internalizers may have a way of protecting themselves from unpleasant events, possibly by generating pleasant thoughts; they are able to avoid processing of unpleasant emotions.

WHAT HAPPENS WHEN THE FACIAL FEEDBACK PATHWAY IS BLOCKED?

In a quest to maintain a youthful appearance, many women, and some men, have turned to injections of botulinum toxin, or Botox, to prevent the appearance of wrinkles.  Botox, a deadly poison, causes temporary muscle paralysis by preventing acetylcholine release at the neuromuscular junction, acting as a roadblock to expression formation (Dastoor, Misch, & Wang, 2007).  Patients are advised that Botox will not keep them from expressing themselves, just their facial expressions.  Some of the more popular areas for injection of Botox includes the glabellar rhytides (involved in furrowing of the brow), horizontal forehead lines, and crow’s feet, all areas involved in routine facial expressions (Alam, Barrett, Hodapp, & Arndt, 2007).  With these locations being paralyzed, would the inhibition of facial expressions lead to an interrupted facial feedback pathway?  Since the theory of the facial feedback hypothesis suggests that posing a facial expression should increase the intensity of the emotional experience, inhibiting the facial expression should decrease it.

Research into how Botox affects emotional experience suggests that when the facial feedback pathway is blocked, the strength of the emotional experience is decreased.  One study compared self-reports of emotional experience of participants before and after they received one of two types of cosmetic facial injections, either Botox or Restylane (Davis, Senghas, Brandt, & Ochsner).  Unlike Botox, Restylane acts as a filler and does not cause temporary muscle paralysis.  In order to evaluate any changes between the pre and post injection responses, emotional response to positive and negative video clips were recorded.  Upon analyzing the within-group results, there were no statistically significant findings, however, when comparing the between-group data, the participants who received Botox injections showed a significant decrease in the strength of emotional experience.  These results suggest that when the facial feedback pathway is inhibited, there is indeed a diminished experience of emotion, confirming the facial feedback hypothesis.

By paralyzing the target muscles, specifically the orbicularis oculi, less Duchenne-type smiles may occur, however, it may also result in a more positive mood.  By reducing the furrowing of the brow associated with negative emotional expressions, it may lead to a more positive emotional expression (Alam et al.).

According to the facial feedback hypothesis, expressing more positive emotions may lead to more smiling and a happier emotion, however, on the other side, by losing the ability to display negative emotions, the expressions of disgust, fear, and anger may be diminished.  With the possibility of losing the ability to express emotions, physicians who perform Botox injections are urged to consult with their patients, especially those who rely on demonstrative facial expressions (actors, salespersons, teachers), a side effect to injections may include distress due to the inability to effectively transmit their emotions (Singh, 2003).

CLINICAL APPLICATIONS

If our emotional states are a result of our facial expressions, it would be presumed that by smiling, individuals who are depressed could improve their mood.  Impairment in the ability to smile may elevate the risk for depression, since according to the facial feedback hypothesis, if an emotion is not able to be expressed, that emotion will not be fully experienced (VanSwearingen, Cohn, & Bajaj-Luthra, 1999).  In addition to not being able to experience the emotion, another side effect to an inability to smile is that some may experience increased social isolation due to their impaired ability to communicate positive emotion in social contexts (Fridlund, 1991).  In a different study of individuals with depression, researchers discovered a positive correlation between patients with a higher level of EMG activity measurements of the corrugator and zygomatic face muscles and more positive treatment outcomes (Greden, Price, Genero, Feinberg, & Levine).
In studies involving individuals without smile impairment, some research has supported that facial expressions can influence emotions.  In an experiment, participants experienced increased positive moods when they engaged in positive facial expressions and decreased positive moods when they engaged in negative facial expressions (Kleinke, Peterson, & Rutledge, 1998).

Since, according to the facial feedback hypothesis, we are able to deliberately control and change our feelings and emotions, we are also able to control the physiological responses associated with them.  This idea would be quite useful in a clinical setting, and has been employed in many relaxation-based therapeutic practices.  It is suggested that relaxing facial and other muscles may produce a positive experience of relaxation, while reducing muscle tension and negative emotions (Duclos & Laird, 2001).

CONCLUSION

The debate over the facial feedback hypothesis, which was started over 200 years ago, is far from being over.  As with any good scientific method, researchers will continue to try to find supporting evidence as well as contrary evidence regarding how, and if, facial expressions do indeed have an impact on the emotional experience.  Some of the debate regards the inner workings of the brain and how it relays information; others are concerned primarily about the objectivity involved in the collection of data.  No matter which side of the hypothesis you may find yourself, you will find controversy, which is a sign of progress.

**References available upon request**

Tuesday, April 16, 2013

Crisis Helping and Traumatic Events


As the news outlets keep replaying the traumatic images, one has to wonder what impact, or even reason the media has for doing such. Repeated exposure to traumatic images and stories about the such events can often impact the viewers. Especially susceptible to vicarious trauma are those who have experienced traumatic events in their past. This can be seen with the recent rape and suicide events in the media, as well as the Boston marathon bombings. People running in the streets, unaware of what had just happened, with the pictures that are eerily similar to those in the direct aftermath of 9/11.

I am currently working towards becoming a trauma therapist, so I do have a vast array of tools at my disposal. Additionally, I have experience with countless hours of emergency, terrorism, and hazardous material spill drills. It’s what I do, what I know, where my passion lies. Using some aspects of social psychology, one can look at the past to tell the future. The outpouring of compassion, the sense of community, and camaraderie that we see now, in the wake of the bombings, will give way to a more individualistic culture that is more conducive to looking out for one’s self, just like what happened in the wake of 9/11. I am not a pessimist, just a realist. It’s the ebb and flow of human nature. It’s not right, nor wrong. But rather just is.

The following are some resources that may be of value during and after traumatic experiences:

• Explosions (section on After an Explosion)
FEMA – Ready.gov

• Coping with Disaster
FEMA – Ready.gov

• Managing traumatic stress: Tips for recovering from disaster and other traumatic events
American Psychological Association

• Taking Care of Your Emotional Health After a Disaster
American Red Cross

• Recovering Emotionally
American Red Cross

• Helping Children Cope with Disaster
American Red Cross/US Federal Emergency Management Agency

• Disaster Distress Helpline (24/7 phone and text)
Substance Abuse Mental Health Services Administration

• Building Your Resilience
American Psychological Association

Tuesday, April 9, 2013

Customer Service Rant


Customer Service…some people just should not be in that line of work. Having done it myself, I know that it is not always the most pleasant thing, but it’s your job. Today I had to venture out into where the public is located…outside my door. I will name the stores, just on the off chance they happen to find this post, perhaps they will do something about their employees and train them…but I won’t hold my breath.

I called around to my favorite stores to see if they had a weighted vest in stock. They did not, but would have some in a week or so. That’s the way it is with the smaller stores. Great for when you need a common item, but not so great when you have your heart set on something…NOW. 

Anyways, since I didn’t feel like waiting, I decided to visit one of the newer stores to spring up in the area, Sports Authority. I had been to one in the past, but it was about an hour’s drive away. This new store was closer, but also smaller. I walked in, quickly figured out where the weighted vests would be located and started to look around. An employee approached and I told him I was looking for a weighted vest, preferably a 40 pound adjustable style. He pointed to the one on the shelf, which was a 16 pound vest and said that was the only one they had.

So, while that may have been true, that was poor customer service. I have been in situations where we did not carry what the customer was looking for, but I was able to see if there was another one available at one of the other stores in the chain. Even looking it up online to see if one could be ordered and shipped to the store for the customer. THAT is customer service. Not just pointing to the one on the shelf, stating that was all they carried, which was not even close to the requirements asked of by the customer.

Leaving there, I headed to the horrid Big 5 Sporting Goods Store, located down the street from the Sports Authority. I loathe Big 5, with a passion. Perhaps it’s just stores, employees, fellow shoppers, and humans I loathe. Oh, but I digress. An older male employee asked what I was looking for as I entered. I stated that I was interested in a weighted vest, preferably over 20 pounds and adjusts. He led me over to their location, and showed me that they had both a 20 and a 40 adjustable weight. 

I thanked him and went to grab the 40 pound. That is when his mistake occurred. He said, “You should really stick with the 20 pound version. The 40 is too heavy for women.” 

Um…really, buddy? He was just lucky I didn’t launch it and the medicine balls at him for that remark. I told him that I would like the 40 pound since it would allow me to grow with it as I grew stronger.  He again stated that 40 pounds was a lot of weight. I ignored him the best I could as I brought the vest up to the counter for him to ring me up.  As I was leaving, he said, “Well, don’t go hurting yourself!” Wanker.

The final poor customer service I experienced today was at another one of my least favorite stores, Kmart. It is located near Costco, which was a pleasant stop, as I kept my headphones on and used the self-checkout register. Anyhow, I was out of hand lotion (I like the Carmex lotion…it’s non-greasy and works well on my hands) and knew that Kmart had carried it in the past. Well, they didn’t have any in stock. I found a different lotion, and my sleeping medication (I have made my own nightly concoction, comprised of about 5 different sleeping medicines), and headed to the register. 

So far, not a horrible experience. There were no other customers in line, so there was no wait. I ended up having to wait for the cashier, as she was too busy talking to another employee about lunch plans and where she was going to go. Awesome. Do you think you could possibly trouble yourself for a minute and actually do your job? Cunt.

Friday, April 5, 2013

I can’t, I won’t, and ethics


I consider myself an ethical person so perhaps that is what brought me to the decision I made this week. I had offered my skills as a writer to an individual I found through an online freelance site. I worked for them for about a week, writing a variety of papers for their clients. However, I continued to have this nagging pain, which seemed to be emanating from deep inside, from where I imagine my soul would reside. 

I attempted to push that worry aside, but it kept festering and infecting my thoughts, just like the heartbeat famous in Edgar Allan Poe’s The Tell-Tale Heart. I tried to rationalize my actions, focusing on the fact that I was being paid to do something that I loved…research and academic writing. However, no matter how much I focused on that aspect, I felt the guilt suffocating me, like a scarf that was cinching down upon my windpipe. 

To make matters worse, the works that I had put many hours into researching and writing, were being critiqued by the customers, who themselves had horrid grammar, spelling, and punctuation. How could some rich brat of a kid criticize my work? The work that they themselves wouldn't even attempt? When I saw the replies to my submissions, I became furious and decided that I could not continue.

Perhaps it is because I would never think of paying someone to write something that I would then attach my name on, passing it off as my own work. When it boils down to it, I was helping an anonymous individual commit the academic crime of plagiarism, which I do not condone. Education is something that should be praised and enjoyed, for it is a lifelong process, not something that you pay someone else to do for you. 

Some of the assignments were for introductory courses in a community college. If students are buying papers in the beginning of their post-high school education, perhaps they need to reexamine their plan. Some companies charge upwards of $20 per page, depending on level of expertise and time constraints, and the sad thing…they are able to remain in business, as students are still willing to pay. I even helped to edit a thesis on turbojet engines. Granted, that was a bit of an easier job, and a necessary one, but it was based on the actual work of the student, rather than just a figment of the farmed out writer’s imagination. 

As the new quarter is about to start, finishing up my first year of graduate school, I wonder how many of my fellow students, both past and present, use such services. I'd rather earn a failing grade, than buy my way through life. Fortunately, I am able to maintain a near perfect grade point average and take pride in my work. When people buy papers, they really are just cheating themselves. 
#DoWorkDontCheat