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Hollender

Helping Teens Who Cut

This is a temporary file where I am collecting a few of my notes on the Hollander book. I am critiquing this book partly for the general public and partly for one parent in particular who I am trying to help.

There are some things I like about this book, but first I am going to list what I am concerned about. S. Hein

--

Some general concerns:

Hollander is very understanding of the parents, but not so understanding of the teens who cut.

He calls teenagers "kids."

He labels the teens as "emotionally reactive," "emotionally vulnerable," and "emotionally dysregulated"

He devotes much of the book to telling us what the teenagers are doing wrong, or where they lack skills, but very little of the book to telling us where the parents lack skills or how they are contributing to the situation.

He frequently "blames the victim." Here is one example with Penelope's story.

Hollander tells us there are "two ingredients" which make a teen "emotionally vulnerable" and thus prone to self-injury. He says:

The recipe for emotional vulnerability calls for two ingredients: emotional reactivity and an environment that has somehow made the kids doubt the validity of their own emotional experiences.

So the two ingredients are:

1. Being born as an "emotionally reactive" person

2. The environment.

Note that Hollander says "an environment that has somehow made the kids doubt the validity of their own emotional experiences." (My emphasis on the "somehow". He isn't very specific considering he is a psychologist. I wonder what grade he would get on an exam if he said something like this. I would give him a D.) One might think the parents would be a major part of the teen's environment since their birth, yet Hollander assures parents that this is not the case. He says

An environment that fails to help the child learn how to identify, accurately label, and modulate emotions can arise from a combination of factors in the child‘s surroundings. Let me make clear that this is rarely the result of inadequate parenting.

Many other professionals would tell us that it is primarily the parent's job to help the child "learn how to identify, accurately label, and modulate emotions." Hollander, however, tells us that it is not the fault of the parents, but instead, "these children are difficult to parent."

Hollander seems to go to great lengths to assure the reader (who we assume is usually a parent) that parents are nearly 100% blameless. In fact I really wonder if he has done so merely to increase his book sales to parents. I certainly don't believe many self-injuring teens would buy his book or find it very helpful. It is also possible that, being a parent himself, his own defense mechanisms simply won't allow him to see things more accurately.

My partner, who used to regularly self-injure, said she is sincerely worried that a parent who truly wants to help their teen may one day feel misled by Hollander's book. They may find out too late that they were in fact the ones primarily responsible for the death of their son or daughter.

Thomas Gordon said, "For a relationship to change in any significant way, he who holds the power must change." Michael Hollander does not seem to agree with this view. Instead, Hollander, concentrates more on what the teen can do to "calm down," "regulate," "self-soothe," etc.

I believe Hollander would help both teens and parents more by strongly recommending the parents get immediate help to quickly unlearn their old parenting beliefs and methods, and replace them with new beliefs and skills.


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Penelope‘s Story

Last night I had a wicked fight with my father. He can be such an idiot. Doesn‘t he know by now that he isn‘t helpful when I‘m upset?
He heard me crying in my room after instant messaging with my best friend, who was being a jerk. He started asking me all these questions about how I was feeling. You know, am I angry or sad or worried? I know he was trying to be helpful and kind, but I didn‘t know what I was feeling and he was just making it worse. He wouldn‘t stop pestering me. Giving me all this advice about how I could solve the problem. I just started screaming at him to shut up! Finally he got really angry with me and stormed out of the room. I was so upset I just had to cut myself.

Hollander says nothing about the father. Instead he only says this:

If Penelope had been able to identify her feelings and had some coping strategies at her fingertips that would lower the intensity of her feelings, she would have been much less likely to engage in self-harming behavior. Some simple, immediate solutions would have been to go jogging or to listen to some upbeat music or to take a bubble bath.

It seems Hollander thinks the father did nothing wrong, nothing to further upset Penelope, so thus the problem is 100% Penelope's. This is just one of the many examples where I would say Hollander is "blaming the victim."

Although Hollander shows that he understands invalidation, at least intellectually, I'd say that recommending someone in Penelope's situation "take a bubble bath" is itself very invalidating.

Also, Hollander doesn't suggest any solutions for the father who got angry. Nor does he suggest the father apologize to his daughter.

Hollander also fails to mention that Penelope might not want to share her feelings with her father, even if she could identify them. It is clear that she already has learned that her father isn't helpful. Even if the father had good intentions, he did not respect Penelope's feelings about not wanting his help. Instead he kept trying to fill his own need to be helpful. Then he felt rejected and hurt when she made it very clear she did not want his "help." The father, in other words, was too emotionally needy himself.

At some point in the book Hollander does address the issue of the parent's being needy, though he doesn't put it in exactly those terms. (When I find the exact quote again I will add it)

sulk - sulking to her room

dwell - But if you dwell on the situation...; But dwelling on the situation

wallowing

revels in

 
she‘s understandably put off by Celia‘s out-of-control behavior,  
In first 110 pages...

he never suggest parents apologize.

10 times in first 110 pages he talks about the parents' good intentions. He never says the teens have good intentions in anything they do.

0 - emotional support

0 - listening skils

0 - listener, listeners

 
4. Think about your typical
responses to your teen’s emotional distress. Do you tend to
unwittingly make things worse?
 
He does seem to understand that teens self-harm when they are in intense emotional pain.

He doesn't suggest their environments might be more painful.

 
He could

- Explain judging, punishing, threatening, rejecting, distrusting

He could have a list of expressions and words not to use. And explain why.

- Explain that their homes are more emotionally painful. Less emotionally supportive.