Wednesday, July 4, 2018

Chapter 5: The Coldest Heart


After sitting with this chapter for a little while, I am still bursting with an array of emotions. Out of any social work setting, I have always thought that I would have the most difficulty working in a jail or prison. This chapter reaffirmed my belief. As I read Dr. Perry’s description of the crime, my body filled with anger. I’m not sure if anger is even a strong enough emotion; it was more like rage. I can usually stomach the cases when a person is assessed as “legally insane” and unable to tell right from wrong. However, I get stuck when an individual knew what they were doing. Based on previous chapters, I assumed a description of severe neglect or abuse would follow the account of Leon’s crime. My gut reaction - the limbic area of my brain- and my research-oriented brain - aka my prefrontal cortex – started battling it out when the chapter ended.

I had the stereotypical thoughts: “not every neglected child murders and rapes” and “how would I feel if the victims were someone I knew?” On the other side, my brain was thinking: “did his genetics and environment create a perfect storm?” I have a difficult time accepting Leon’s actions as inevitable. However, many of the things that would have changed Leon’s path were out of his control. Leon only received punishment, he never came to understand the relationship between people and pleasure, and the programs he was put in only worsened the situation.

I have seen the effects of putting a group of “troubled” adolescents together for extended periods of time. Dr. Perry uses the word “troubled” to refer to disturbed children with behavior problems, but I’m referring to behavior disturbances, as well as self-harm, depression, anxiety, etc. Adolescents benefit from hearing peers in similar situations talk about their experiences. The loneliness or ostracization they feel can be lessened by knowing they aren’t the only ones going through the difficulties. The downside is what Dr. Perry describes as children “egging each other on” and “modeling” behaviors. I witnessed more than one instance of these type of behaviors, whether it be a patient egging on another to fight or one patient self-harming and two or three self-harming soon after. After reading the chapter on behavior therapy, I wonder how reinforcement played a role in Leon’s life and the patients I worked with.

Normally, positive and negative reinforcement is used to reward positive behavior and encourage people to continue to engage in the behavior. However, I’ve noticed that when only punishment is used, the “bad” behavior can be reinforced. In the case of Leon, he only received attention, albeit negative, when he lashed out. I don’t mean to refer to Leon as an animal, but I notice a similar pattern with my roommate’s cat. If I start ignoring Cheddar, he will do something he knows he isn’t supposed to (e.g. knocking over water bottles, scratching the couch). Even though the attention I give him is negative, he knows he gets my attention when he starts engaging in one of those behaviors. More recently, I’ve tried to ignore him whenever his acts up and start petting him when he stops. We discussed in class that positive reinforcement is much more effective than punishment. I would imagine the increase of positive reinforcement and affection early in Leon’s life would have worked wonders. I would hope that even implementing positive reinforcement in preschool would have been helpful. It’s easy for me to say teachers should focus more on positive behaviors, but I’m not the one who has to manage 20 kids in a classroom by myself. I think it’s easy to blame teachers for yelling at their students, but the way the system is set up doesn’t always allot them time to build genuine relationships. I get irritated with my own cat when I’m trying to do something; I can’t imagine trying to implement behavior modification and teach 20 children at the same time.

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