Category Archives: psychotherapy

An Open Letter to Social Workers – Part One

Is Social Work Following its Own Code of Ethics?

code-image2The NASW Social Work Code of Ethics is a very helpful but demanding document. It asks us to live a cognizant life both at work and at home. If we take this document seriously, and we certainly must, it demands that we are prepared to confront things not in concert with the Code.

Unfortunately there is a massive failure by the entire social work industry to adhere to that code going on right now.

If you will, think about a southern, rural town in the early 1950’s. Imagine you are there to give a workshop to the townspeople on racism. Can you guess their reaction to your words about racial equality? Their daily habits and way of life is based on something far from what you are describing to them. What do you think they would say and do? My guess is they might politely listen but after leaving conclude that you were some sort of nut — a “n***** lover” or even more likely an interloper who hates them and their way of life.

In some ways I feel like that person right now. There is a form of discrimination that is clearly present, potently hurtful and yet most of those around me are hostile to hearing about it. They just don’t and won’t see it. If you call attention to it, if you point to the elephant in the room, they become hostile.

Who is the group that faces discrimination that no one sees? It is men and boys. And the treatment of them in the arena of social work has taken a very, very disturbing detour from the NASW Code of Ethics for quite some time now.

Where it concerns the interrelationship between men and women our early survival mandated cooperative gender roles. Men would provide, protect and risk in order to ensure the safety of women and children. Women provided the essential immediate care of children.

This arrangement is what we have come to know as gynocentric in that the roles taken on by men and women hinged on the fact that women and children had to be protected at all costs. While both roles are or were vital in the overall picture, life and limb sacrifices, the role of protector and provider fell on the shoulders of the male. In short, the male is replaceable. The women are not, because men can’t have children.

This arrangement worked spectacularly for a long time. However, human advancement, through the cooperative efforts of men and women, resulted in a world where gender roles are generally not essential for human survival. We have far fewer concerns over our immediate safety than we did on the African Savanna and technology has made many professions accessible to both men and women. Accordingly, women’s roles have evolved and expanded, affording them the opportunity to make more conscious choices, and to experience more freedom than strict gender roles could have ever afforded.

Men, however, have lagged behind in this area and that is where we start to encounter some of the problems that they face today. To more fully understand this, we must take a look at cultural development through the gynocentric lens.

Even before the industrial revolution, while the male role was functional and successful without question, it was one of significant, unrecognized and unseen sacrifice. Of course that made sense. Were humans to practice the same protection and compassion for men as they did for women, it would have destroyed us. In an environment of hardship we could not afford to busy ourselves with men’s suffering and pain. That unrecognized burden was what kept us alive.

Men’s roles threw them into positions where people just didn’t know if they would ever return home at any point. Whether in the Paleolithic realm of hunting and tribal conflict, or more modern warfare, the certainty of any man’s survival was never assured. When there is constant uncertainty about a person’s fate we tend to detach for our own psychological benefit. We see them as more disposable and basically live in a state of preparedness for their possible demise.

cher

Let’s take an example. Those who are designated to die in war are treated like heroes if they accomplish the miraculous and survive. That “heroism” is offered to young men as a standard of manhood in order to have them fulfill the expectation of sacrifice when needed. When something or someone is seen as disposable we generally ignore their pain and hardship. Indeed, most antiwar sentiment in America is based on the fact that we are killing, not because we are dying. That is expected of the disposable sex.

In the 1980’s and 1990’s, when I worked as a psychotherapist with many traumatized men and women, it was clear that society’s focus was to help women suffering from emotional trauma. Matters became a lot more fuzzy where it concerned men’s pain. I found out very quickly that a man’s emotional pain was taboo. No one wants to hear it, people want to run away.

Honestly and compassionately addressing men’s pain usually triggers an instinctive fear that in doing so those men will no longer be available to provide and protect. They become, at least in our unconscious minds, a liability that we cannot afford.

It took me some time to understand that this fear created an empathy gap that is still rampant in the field. Even in what is supposed to be an enlightened field of work, we are operating on some level as though compassion for men will bring us to ruin. This detachment, indifference to and even hostility toward men’s pain and hardship will be made quite visible to you in the remainder of this article.

You will also see how and why social work currently operates as a professional culture in violation of the NASW Code.

We will demonstrate these issues one by one by first quoting from the code and then documenting how it is systematically violated. Let’s start with discrimination by laws.

Here’s what the code says:

  1. 4. SOCIAL WORKERS’ ETHICAL RESPONSIBILITIES AS PROFESSIONALS 4.02 Discrimination Social workers should not practice, condone, facilitate, or collaborate with any form of discrimination on the basis of race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, or mental or physical disability.

That is very unambiguous language. It paints a clear, ethical path that social workers must follow when performing professional duties. Failing to follow those edicts is not just an ethical violation, it is an act of moral turpitude and an abuse of individuals entrusted to their care.

Let’s take a look at an example.

Domestic Violence

We know now that men are a significant portion of the victims of domestic violence. The latest CDC research confirms this and in fact states that in the past 12 months men were 53% of the victims of domestic violence. (see image below) Most estimates about the percentage of male victims of domestic violence seem to be between 25-50%.  However when you search on domestic violence on the NASW web site the focus is on female victims. Here’s an example and another here.  Not only NASW focuses more on women, the services on a national level for domestic violence are astoundingly built to serve only women. This is overt discrimination.

dv-stats

We know from the research of Denise Hines1 that when males do seek help as victims of domestic violence at these female only services for victims they are not only turned away, they are often told they are the abusers. Many battered men have reached out for help for themselves and their children only to be offered anger management classes because that is all these facilities will offer men.

This is profoundly destructive. It is, if we are to be honest, a second perpetration of abuse, this time at the hands of professionals who are ethically bound to do just the opposite of what they are doing.

Nearly everything related to the amelioration of domestic violence has been built for women. Social workers have said very little about this but the courts have started to acknowledge the discrimination that men face as victims of domestic violence.

In the Woods et. al. vs California2 case in 2008, a Superior Court in Sacramento, ruled that male domestic violence victims had been unconstitutionally denied services. The court held that state laws violated men’s equal protection rights by excluding male victims from state-funded domestic violence services. The court found: “domestic violence is a serious problem for both women and men” and that “men experience significant levels of domestic violence as victims.”

Then, in October 2009, a West Virginia judge3 struck down state rules for regulating domestic violence shelters because they operate “on the premise that only men can be batterers and only women can be victims” and “exclude adult and adolescent males from their statutory right to safety and security free from domestic violence based only on their gender.”

Family violence against men is seen as humorous.
Family violence against men is seen as humorous.

It’s clear that this problem is now widespread in the United States. Yet where is any objection to any of this being raised by social workers who are deeply embedded in the provision of services to the victims of domestic violence?

Consider this. In California and West Virginia they were sued and found culpable for violating anti-discrimination laws. In both states they were found guilty of violating laws that almost exactly replicated their code of ethics.

So if social workers were involved where are the professional sanctions against them? What NASW sanctions were placed on any social workers responsible? What investigations were done? What recommendation offered? Why, despite the fact that there is open and systemic discrimination against men practiced by social workers, is the NASW not taking action?

Does NASW draw the line at adhering to their own ethics where it concerns women and less so with men? It seems a possibility.

In fairness it must be said that social workers are also people. And people, generally speaking, are detached from men’s pain.

Our humanness, however, does not excuse us for doing damage instead of rendering aid. We are educated people who must be expected to operate in accordance with our own professional codes. Just as we are expected to rise above every other area of potential bias we may have toward other groups, we are also beholden to practice the same with men and boys.

If you are a social worker working in the area of domestic violence are you aware of this discrimination? Are you speaking out against it? Remember, being aware and doing nothing is what the code calls “condoning and facilitating.” As social workers we need to stand up for those who are facing discrimination and in this case it is men and boys. If you do see this and say nothing you are a part of the problem. You are living in a small, rural town in the 1950s.

Will you follow the code and stand up for these men who face discrimination?

OB/GYN

Social Workers in hospitals pediatric or OB/GYN units should be aware that there is severe discrimination going on right under their noses, a discrimination that is built right into our laws. Baby girls are protected from having their genitals mutilated by law. No exceptions for cultural or religious differences. No exceptions for anything, as it should be. Penalties for breaking this law are severe. At the same time genital mutilation of baby boys is one of the most popular surgical procedures in America. This is not a minor prick of the skin.

Circumcision on average removes 6,000-10,000 nerve endings of erogenous tissue, nearly as many nerve endings as the entire female clitoris which many estimate to have around 8,000 nerve endings. The adult male equivalent in terms of amount of skin removed is the size of an index card, about 3 x 5 inches.

And there is now an abundance of medical research concluding for the most part that circumcision is actually just a euphemism for genital mutilation. There are deaths associated with this medically unnecessary procedure and now a variety of confirmed and suspected negative side effects.

From the group, Doctors Opposed to Circumcision:

“Memory starts before birth and newborn infants have fully functioning pain pathways. One would expect, therefore, to find psychological effects associated with the painful genital cutting operation [circumcision].” Doctors Opposed to Circumcision

Any loving parent, and for that matter any responsible mental health worker who is working with new parents, should consider the following demonstrated facts and known side effects of neonatal cutting, as follows:

What we find, when considering all the evidence about circumcision is that the only difference between male and female genital mutilation is that one is socially acceptable and one is not. It seems obvious when you consider the longstanding, programmed indifference to the pain of males, which is which and why.

Here are some sources demonstrating the severely negative impact of circumcision on infants, their parents and how those consequences follow the victims through life.

http://www.cirp.org/library/psych/goldman1/
https://www.psychologytoday.com/blog/moral-landscapes/201501/circumcision-s-psychological-damage
http://www.circinfo.org/Warren.html

There is an abundance of other research. True enough, there are studies that conclude that circumcision does not produce significant problems for men but as we find in criticisms of those studies, circumcised researchers and circumcised doctors who perform circumcisions both have emotional and financial investment in the procedure.

What is most damning in my mind though is that social workers in the OB-GYN and neonatal fields may not deliver information to parents that might make them reconsider whether circumcision was healthy for their child.

This failure to educate and inform their clients, or indeed to inform themselves of the research is a clear violation of NASW ethical codes.

Part of what drives this is that male genital mutilation is a profitable venture. Aside from the money made doing the procedure the foreskins can be sold for around $400 each depending on how they are used.

Some are used for research while some are turned into very expensive women’s facial cream advertised on Oprah. We are now aware that these circumcisions, the majority of which are conducted without anesthesia, are causing psychological problems and physical problems for the boys and men who are unfortunate enough to have been subjected to them.

Alexithymia (a deficit in emotional acumen and experience) and PTSD have both been connected to male infant circumcision and it is doubtless that many more negatives will be found. In fact much of what we know about girls who have faced genital mutilation is also being found true for the millions of little boys and the men they become.

Social workers are rightly very concerned about female genital mutilation but are failing roundly to address this concern on behalf of boys. If you are a social worker are you following the code and speaking out against the mutilation of children for profit, or are you turning a blind eye to the matter altogether as long as the victims are boys?

And have you considered that if you are working with a family going through childbirth and postnatal care, and you have remained silent about this issue that you can reasonably considered accessory to the abuse?

These are tough questions but as social workers we are not ethically afforded the luxury of failing to answer.

Now let’s move to an area where men and boys face discrimination not from laws but from societal ignorance and lack of compassion.

Here’s what the code says:

6.04 Social and Political Action (a) Social workers should engage in social and political action that seeks to ensure that all people have equal access to the resources, employment, services, and opportunities they require to meet their basic human needs and to develop fully.

Places men face discrimination based on ignorance and/or lack of compassion.

Suicide

Did you know that eight out of ten completed suicides are males4? Have you heard that stat tossed around? Have you ever heard a social worker rise up to say that we are ignoring the glaring problem of male suicide? Probably not. The gynocentrism in modern social work does not permit for men, as a group, to have any of their issues given due prominence. This is true even when men are killing themselves at four to five times the rate of women.

suicide-stats

NASW studied suicide some years ago. The study focused on girls and suicide. I asked at the time why they didn’t study boys since boys were 80% of the victims and Elizabeth Clarke, the NASW Executive Director at the time said the funding requested the study focus on girls. Sadly, this is not uncommon. The focus of the media, researchers and clinicians is on girls and women even though they are a fraction of the victims. As a social worker, do you see this discrimination? Shouldn’t a commensurate amount of research be done based on those who are most victimized? Shouldn’t any conference on suicide have most presentations related to male suicide and what to do about it? Shouldn’t we create services designed for those who are most at risk? We need to stand up for the victims and potential victims of suicide that are being ignored and marginalized. Will you stand up for boys and men? Do you think that ignoring that question puts you in direct violation of your professional responsibilities?
 

Longevity

Men tend to live shorter and sicker lives than women. The fact is that white women have the greatest longevity followed by black females, followed by white males, followed by black males. Both black and white men live shorter lives than both black and white females. Some are thinking that black males are at the bottom since they face the burden of both racism and of being male.

longevity

“‘Being male is now the single largest demographic factor for early death,” says Randolph Nesse of the University of Michigan in Ann Arbor. “If you could make male mortality rates the same as female rates, you would do more good than curing cancer.”

Nesse’s colleague Daniel Kruger estimates that “over 375,000 lives would be saved in a single year in the US if men’s risk of dying was as low as women’s.” (New Scientist Magazine, July 2002)

Men die earlier and more often than women from nearly every major cause of death except for one, Alzheimer’s. And the reason for that is that they do not live long enough to compete for that honor.

Even with the longevity and poor health experienced by men what we find is that the services available to them are considerably less than what is provided for women. The United States has seven national offices for women’s health but none for men. They have web pages for womenshealth.gov and girlshealth.gov but none for menshealth.gov or boyshealth.gov. Why do we discriminate and treat men and women so differently? As a Social Worker are you speaking out and standing up for the men and boys who are obviously being marginalized? If not, are you violating our code of ethics?

 

Education

The roles in education have been reversed. What was once considered discrimination against women and girls in their 22% deficit in college degrees has now reversed. It is the boys and men who are getting far fewer degrees than the women and girls. The difference? Now we don’t call it discrimination against boys — we call it empowerment of girls. The disadvantage and discrimination of the boys and men is simply ignored and reframed as a positive. As a social worker are you willing to stand up against this discrimination against boys and men?

education

I hope you are starting to see the profound bias facing men and boys in today’s world, and in the way that that the social work field is not just ignoring, but facilitating that problem.

The hardship and discrimination they face is ignored and worse, they are villainized and blamed for the problems they experience.  Where did Social Workers learn this?  In grad school. Our social work education is clearly anti-male and is in dire need of an overhaul to close the empathy gap, and to restore the social work profession to its own ethical standards. If we are educating and training social workers to violate their own code of ethics then it stands to reason that we are left with a pervasive problem throughout the field. We are left with the disturbing reality that the field is the problem.

Part Two will focus on Social Work Education and its anti-male bias.

References

  1. Douglas, Emily M.; Hines, Denise A.; McCarthy, Sean C.Violence and Victims, Volume 27, Number 6, 2012, pp.871-894(24)

Abstract:

Research since the 1970s has documented that men, in addition to women, sustain intimate partner violence (IPV), although much of that research has been overlooked. A growing body of research is examining the experiences of men who sustain female-to-male IPV, but there is still much to be learned. This exploratory study assesses the experiences of 302 men who have sustained IPV from their female partners and sought help from 1 of 6 resources: domestic violence agencies, hotlines, Internet, mental health professionals, medical providers, or the police. We examine what demographic characteristics and life experiences are associated with where men seek help and how they rate those experiences. We make recommendations for agencies, service providers, and first responders about how to tailor services for this specific population and their families.

  1. https://www.prisonlegalnews.org/news/2013/may/15/denying-male-domestic-violence-victims-aid-is-unconstitutional/
  1. http://www.firstamendmentcenter.org/w-va-court-tosses-rules-governing-domestic-violence-programs

excerpt – “This is just basic unfairness. It’s raw gender bias,” said Harvey D. Peyton, attorney for Men & Women Against Discrimination.

The West Virginia legal challenge is among a growing number of battles being waged across the country by groups that allege state laws requiring gender-neutral programs are skewed by discriminatory rules and regulations that embrace gender biases.

  1. https://www.afsp.org/understanding-suicide/facts-and-figures

Resources

  1. These three reports were written by the Maryland Commission for Men’s Health and explore the problems of domestic violence, suicide, and men’s health.
  2. Youtube’s with more information on Domestic Violence, men’s issues,
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False Accusations and the Denial of Men’s Emotional Pain

I keep hearing that false  accusations of rape make it harder on real victims of rape.  Really? There may be a kernel of truth in this idea but it completely ignores the trauma and pain of the man who is falsely accused. The knee jerk reaction of most people is to worry over the woman and ignore the pain of the man.

This pattern to focus on females in emotional pain and offer help whilman-164216_1280e ignoring the emotional pain of men and boys is the default in the United States.  This not only leaves our men and boys without help, it also leaves us with an ignorance about their emotional pain.

To get a sense of the emotional pain of the falsely accused listen to the words of a young man falsely accused of rape via an article on slate.com:

“My girlfriend was raped several years ago.  I was falsely accused of rape less than a year ago.  I contacted her (I had known her before her incident) because I was desperate for someone to talk to who would understand what I was going through.  To my great relief, it turned out that we understood each other very well.  From the initial stages of suicidal thoughts and not being able to function to the long-term fear, mistrust, and guilt that are facts of our lives, it turns out that her experience of being raped and mine of being falsely accused of rape were very similar. …”

He touches on some of the hallmarks of a false accusation which he and his girlfriend realized were very similar to her reaction to having been raped.  The loss of functioning, the suicidal thoughts, the long-term fear and mistrust along with the potent guilt are a few of their similar reactions. 

It often starts out innocently enough.  He hears that she has accused him of something he didn’t do.  He is not so worried, at least not at first.  He knows he did nothing wrong and figures that when people get the facts that this will blow over like a dark cloud that never rains a drop.  But, to his shock, he starts seeing that even when he speaks the truth about what actually happened he is still considered a criminal.

But our young falsely accused man goes a step farther in his descriptions of his situation.  Listen to what he says:

“One important difference, though, is that when she was violated, she received a great deal of help (medical, legal, psychological).  Apart from family and friends, I was on my own.  My legal and psychological problems had to be dealt with by me at a time when I couldn’t eat, sleep, or think (except, of course, about killing myself).”

He sees very clearly that very few believe him while nearly everyone believes the woman. The system and our culture are failing him. His pain is invisible while hers is treated with reverence, even though she is lying. 

He must be shocked by the amount of coddling and care that she gets from friends, family, the university, the authorities, and so many others.  He is likely shocked again when he compares this to the reaction he receives.  Almost no support, but plenty of negatives.

In most instances the woman is believed no matter what. The police ignore his side and treat him like a rapist, the media is more than happy to paint him as if convicted and throw his name around willy nilly with at least the inference that he is a rapist. Rape centers make demands that all those claiming to have been raped should be believed no matter what.  While it might be a good idea to put your trust in someone in crisis it quickly turns to crap if you put your trust in someone who is lying.  The rape centers refuse to admit there are liars out there and they will go to great lengths to shame the police, the hospital, the media, the public or anyone who might even ask a question about the veracity of her claims.  This sets us up for a real mess. By giving the liars a pass you set up the falsely accused for chaos.

As time goes on he realizes that he is basically alone in his knowledge of the truth.  No one believes him.  Even his friends are wondering.  He starts to feel way out on a limb and also very shocked.  It is just hard to believe that your entire universe of friends, teachers, adults are looking at you sideways due to the lies of a woman.  It’s hard to believe that a system of “justice” has gotten things so wrong and is intentionally and wrongly painting you as a criminal.  The world which not long ago seemed safe and predictable has now become unsafe and very unpredictable. This promotes confusion and  the devastating isolation that is so common for the falsely accused along with the potent fears of the world being a big unpredictable booby trap.  They feel isolated, profoundly judged and labelled, unsafe and alone and in a world that has gone mad.

This is a billboard that says double standard.  While the emotional plight of the young woman is given support at every step by friends, family, the police, courts, the media and others the emotional state of the young falsely accused male is ignored and denied.  He is viewed as the problem. She is automatically seen as a victim simply because she accuses him, he is seen as a pariah simply for being accused. He is in great pain and turmoil but no one lifts a finger to be of assistance.  The sad fact is he is presumed guilty prior to trial. He is now seen as an object, not as a human being.  He is profoundly objectified. The double standard could not be more stark.

The larger problem is that this pattern of catering to the emotional pain of females and ignoring the emotional pain of males is not exclusive to false accusations.  You see this same pattern most everyplace you look.  In my work with traumatized men over the past 30 years I have seen it repeatedly.  Time and again I would see that in a traumatized family the men’s wives would be the focus of help and the man’s pain would be ignored.  Often times people would approach the father and rather than ask about his situation they would say, “How’s your wife holding up?” The woman gets the support, the man, gets asked about his wife.

This same pattern is seen when our culture, media, and academia all focus on female victims of domestic violence and ignore the male victims.  They do this even though research shows that men are about 1/2 of the victims.  Congress sets up a billion dollar service for women and men get ignored or even blamed.

We see the same ignoring of men’s emotional pain when we see that males are 80% of completed suicide but there are no services specifically for males who are suicidal.  There is also not much research looking into why men are 80% of completed suicides.  It seems it is much easier to get funding to study women, the men get left out.  And of course, the media fails to inform the public of men in pain.  Dead silence.  Same thing with workplace deaths where men are 93% of the dead.  People simply don’t care.  If these deaths were female or even some minority the media would be screaming loudly.  But when men are the victims, we get silence.

Our culture is now and always has been very gynocentric. (for more information see http://gynocentrism.com)  One definition of gynocentrism found on that site is “any culture instituting rules for gender relationships that benefit females at the expense of males across a broad range of measures.”  When it comes to emotional needs it is clear in our culture that a woman’s emotional pain is a call to action while a man’s emotional pain is ignored.  Some try to cover this profound bias by claiming men are cold and don’t want to deal with their emotions.  But this has simply been a cover to excuse oneself from even needing to pay the slightest attention to the man’s emotional pain. Epic fail.

The contrast is great between the cultural response to female and male emotional pain.   One gets compassion and the other gets ignored, shamed, or both.  This contrast is so great that it behooves the label of bigotry. Just as we saw whites create a system where whites automatically got services superior to that of blacks today we see our government and charities  developing services where women get care and compassion far superior to that of men and no one even notices. No one.  Reminds me of a bigoted 1950’s southern town that didn’t think its action were in any way a problem. In today’s world, the status quo, that is nearly everyone, are guilty of bigotry by not having compassion for the emotional pain of men. Which side of the fence do you stand on? Are you a bigot who has little compassion for boys and men? 

Perhaps someday we will look back on this era and see its bigotry just as we now look back on the racism of the 1950’s.  I do hope that day comes quickly.

 

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