Behavioral Research Insights

Behavioral Research Insights This page is an extension of the Alabama Institute for Behavioral Health and Research, John M. Duffey, MAC, NCC, ALC. Everyone is welcomed.

This site is designed to be a digital meeting and information sharing forum for students, professionals, and generally curious persons regarding the application of psychology in contemporary cross-cultural and historical or archaeological settings. Though this page is visited by many professionals and aspiring students it is not officially or unofficially affiliated with any institution or university.

08/15/2021

John Duffey, a clinical mental health counselor discusses stress, how to manage it and maintaining self-care.

03/15/2021

Today I have submitted my proposed topics to teach/speak on at Auburn University's School of Nursing and Nurse Practice in April. They focus on important mental health issues faced by nursing professionals today and with concentration on women's issues for both the nursing professionals and potential women patients.
These are some of them (if you think of anything related to nursing, and women's issues through the clinical counseling lens please let me know):
1. Nursing: Balancing practice and life with self-care.
2. Patient Compliance: Motivational Strategies for nurses.
3. Physical and Emotional Abuse: Impact on women patients’ health, attitudes, cognitions, and medical advice compliance
4. Super-Nurse: personal and professional self-esteem and self-efficacy building through the feminist theory perspective.
5. When Nurses become Counselors: Reaching out to help women patients with what their body says but their voices don’t.
6. What does that look like and how can I help my patient? Should I refer? An examination of the symptomatic elements most commonly manifested in women patients experiencing Major Depressive Disorder, Generalized Anxiety Disorder, Post-Traumatic Stress Disorder, Acute Stress Disorder, and Panic Disorder combined with strategies for nurses to assist them.
7. The “S-word!” An examination of Su***de, suicidal thoughts, ideation , and risk assessment in the clinical environment.
8. On the Front Line: Managing and coping with the stress of working with and within the COVID-19 Pandemic.

02/26/2021

Last night's panel discussion, "2021 Su***de Prevention Strategies," went very well. The participation was more than I expected and a video was screened entitled, "The 'S' Word." After that the participants were able to ask questions and voice concerns.
First, always take statements indicative of thoughts of su***de seriously. However, don't panic or become overly excited about it - no drama mama. Instead remain calm and speak normally as if you and your friend were having one of many casual conversations. Remember, there is a big difference between suicidal thoughts and suicidal intent. The goal is to see which one is at play and then move from there.
Second, be an active listener. Be open-minded and set aside your own beliefs and prejudices on the subject and simply focus on what the person is saying and feeling. Acknowledge his/her pain and feelings and inquire. BE GENUINE and EMPATHIC with the person.
The biggest thing that I have observed professionally is that there is a myth circulating about su***de and people considering su***de as an option to escape their pain or feelings of being overwhelmed. That myth is that merely asking the person if they are thinking of su***de will somehow plant the idea into the person's mind. This is an absolute myth. In fact, most people considering su***de are relieved when someone simply asks about, "the 'S' word," and will talk about it. So, don't be afraid to ask your friend or loved one if they are thinking about su***de because the idea is already there if they are and if they aren't then it has already been considered and dismissed by the person. Either way, they will feel relieved of the fear and tension of holding in their desperation and fears and will talk to you about it.
There are some best practices to asking a person if they are considering su***de. Always use open-ended questions and avoid closed-ended questions. Open-ended questions stimulate more in-depth discussion and description by the person where closed-ended questions simply get a yes or no response. So, "how are you feeling?" "What's behind that belief?" "what happened next?" "How did that work out?" "What does that mean to you?" "Are you thinking of killing yourself?" "How would you do it?" "Tell me about what's leading you to think about su***de as an option." "What might persuade you to not kill yourself?" are all open-ended questions. Avoid "why" and when you do use it use it properly. Asking, "You aren't thinking of su***de are you?" or "Why would you want to do that?" are judgmental in their very nature and will put the person on the defensive and make them feel embarrassed and, "clam up," or withdraw.
Remember, as I stated earlier, that there is a difference between suicidal thoughts and suicidal intent. Both must be taken seriously and not dismissed. Many of us, at different points in our lives, have thought about su***de but had no intention of acting on it (suicidal thought absent of intent) it is important to determine where the person is. The risk of an actual su***de attempt increases as certain elements manifest.
There are thoughts of su***de that may end there. But, there may be thoughts of su***de with a determined intent to die. You want to get as much information as you can. Does the person want to die? Does he/she have a plan to do it? Do they know when they will do it? Do they have the means ready available to attempt of complete su***de? Has the person attempted su***de before? Also, are alcohol or drugs involved?
The risk of su***de behavior goes up with each yes. A person who wants to die, has a plan, has established a date and time and placer to do it, and has access to the means of killing him/herself then there is a very high risk and the person needs to be linked with emergency services for help. The risk is higher if the person has made an attempt to commit su***de in the past. AND, alcohol and drugs in the system decreases judgement and increases impulsivity while exacerbating depressive feelings.
So, there is a kind of scale. 0=thoughts only w/o plan, 1=thoughts with intent to die, 2= thoughts w/intent w/plan, 3=thoughts, intent, plan, and time-place, 4= thoughts, intent, plan, time/place, and access to means. Add one to any of these for previous attempt and add one for alcohol or drug intoxication. This will help you determine risk. There is a score range of 0 to 6 with six being practically eminent. 3 would be a moderate risk.
The above is a very rough way of assessing on the spot. There are more accurate formal assessment screening tools out there. But, when you don't have access to them this is a good way to measure the risk.
NEVER LEAVE THE PERSON ALONE - NOT EVEN FOR A SECOND. If you have to leave the room have someone sit with the person. Call emergency services if the person seems at high risk - follow your gut if something isn't right most likely it isn't. There is no law or penalty against erring on the side of safety but there are for negligence. You friend might be pi**ed at you - but later on he/she will appreciate you for it.

02/26/2021

I am proud to have been asked to be part of a discussion panel of mental health professionals discussing su***de and su***de prevention tonight. I will be fielding questions from participants on su***de statistics and general questions on even asking the question if someone is suspected of thinking about su***de.
My research into the subject over the past years has kind of placed me in one of those "expert roles." I remain humbly excited to be a part of the scientific push to fully understand the phenomenon and to explore intervention strategies for it. To-date, I have completed at least five research projects/experiments with four published peer-reviewed research articles on the topic. Much of what I have discovered will be discussed this evening

I am now treating Veterans and Veteran Spouses (widows(ers) also) in Alabama and Western Georgia with clinical counselin...
02/21/2021

I am now treating Veterans and Veteran Spouses (widows(ers) also) in Alabama and Western Georgia with clinical counseling services FOR FREE in most cases and at or below $35/session for all others! Under a private grant my clinic, located in Phenix City, AL, services are open to all veterans. I treat/provide services for PTSD, Military Sexual Trauma, Anger Management, Major Depressive Disorder, Generalized Anxiety Disorder, Couples Counseling, Substance Addiction, Reintegration and Adjustment for exiting service members, and career counseling.
Tele-mental health services are available to veterans and veteran spouses/widows inside the state of Alabama.
Contact: Alabama Institute for Behavioral Health and Research at 334-540-5538. Website: www.alabamainstitute.com and email jmduffey@alabamainstitute.com

John M. Duffey Clinical Mental Health Counselor, ALC, and Nationally certified Counselor specializing in PTSD, Anxiety, Depression, and other counseling.

UNDERSTANDING DYSFUNCTIONAL RELATIONSHIPPATTERNS WITHIN YOUR FAMILY Many people hope that once they leave home, they wil...
01/03/2021

UNDERSTANDING DYSFUNCTIONAL RELATIONSHIP
PATTERNS WITHIN YOUR FAMILY

Many people hope that once they leave home, they will leave their family and childhood problems behind. However, many find that they experience similar problems, as well as similar feelings and relationship patterns, long after they have left the family environment. Ideally, children grow up in family environments which help them feel worthwhile and valuable. They learn that their feelings and needs are important and can be expressed. Children growing up in such supportive environments are likely to form healthy, open relationships in adulthood. However, families may fail to provide for many of their children’s emotional and physical needs. In addition, the families’ communication patterns may severely limit the child’s expressions of feelings and needs. Children growing up in such families are likely to develop low self esteem and feel that their needs are not important or perhaps should not be taken seriously by others. As a result, they may form unsatisfying relationships as adults.

Common Patterns Seen in Dysfunctional Families

The following are some examples of patterns that frequently occur in dysfunctional families.

One or both parents have addictions or compulsions (e.g., drugs, alcohol, promiscuity, gambling, overworking, and/or overeating) that have strong influences on family members.

One or both parents use the threat or application of physical violence as the primary means of control.

Children may have to witness violence, may be forced to participate in punishing siblings, or may live in fear of explosive outbursts.

One or both parents exploit the children and treat them as possessions whose primary purpose is to respond to the physical and/or emotional needs of adults (e.g., protecting a parent or cheering up one who is depressed).

One or both parents are unable to provide, or threaten to withdraw, financial or basic physical care for their children. Similarly, one or both parents fail to provide their children with adequate emotional support.

One or both parents exert a strong authoritarian control over the children. Often these families rigidly adhere to a particular belief (religious, political, financial, personal). Compliance with role expectations and with rules is expected without any flexibility.

There is a great deal of variability in how often dysfunctional interactions and behaviors occur in families, and in the kinds and the severity of their dysfunction. However, when patterns like the above are the norm rather than the exception, they systematically foster abuse and/or neglect. Children may:

Be forced to take sides in conflicts between parents.

Experience “reality shifting” in which what is said contradicts what is actually happening (e.g., a parent may deny something happened that the child actually observed, for example, when a parent describes a disastrous holiday dinner as a “good time”).

Be ignored, discounted, or criticized for their feelings and thoughts.

Have parents that are inappropriately intrusive, overly involved and protective.

Have parents that are inappropriately distant and uninvolved with their children.

Have excessive structure and demands placed on their time, choice of friends, or behavior; or conversely, receive no guidelines or structure.

Experience rejection or preferential treatment.
Be restricted from full and direct communication with other family members.

Be allowed or encouraged to use drugs or alcohol.

Be locked out of the house.

Be slapped, hit, scratched, punched, or kicked.

Resulting Outcomes

Abuse and neglect inhibit the development of children’s trust in the world, in others, and in themselves. Later as adults, these people may find it difficult to trust the behaviors and words of others, their own judgements and actions, or their own senses of selfworth. Not surprisingly, they may experience problems in their academic work, their relationships, and in their very identities.
In common with other people, abused and neglected family members often struggle to interpret their families as “normal.” The more they have to accommodate to make the situation seem normal (e.g., “No, I wasn’t beaten, I was just spanked. My father isn’t violent, it’s just his way”), the greater is their likelihood of misinterpreting themselves and developing negative self concepts (e.g., “I had it coming; I’m a rotten kid”).

Achieving Change in Your Life

Sometimes we continue in our roles because we are waiting for our parents to give us “permission”; to change. But that permission can come only from you. Like most people, parents in dysfunctional families often feel threatened by changes in their children. As a result, they may thwart your efforts to change and insist that you “change back.” That’s why it’s so important for you to trust your own perceptions and feelings. Change begins with you. Some specific things you can do include:

Identify painful or difficult experiences that happened during your childhood.

Make a list of your behaviors, beliefs, etc. that you would like to change.

Next to each item on the list, write down the behavior, belief, etc. that you would like to do/have instead.

Pick one item on your list and begin practicing the alternate behavior or belief. Choose the easiest item first.
Once you are able to do the alternate behavior more often than the original, pick another item on the list and practice changing it, too.

In addition to working on your own, you might find it helpful to work with a group of people with similar experiences and/or with a professional counselor.

Things to keep in mind

keep in mind the following:

Stop trying to be perfect. In addition, don’t try to make your family perfect.

Realize that you are not in control of other people’s lives. You do not have the power to make others change.

Don’t try to win the old struggles – you can’t win.

Set clear limits – e.g., if you do not plan on visiting your parents for a holiday, say “no,” not “maybe.”

Identify what you would like to have happen. Recognize that when you stop behaving the way you used to, even for a short time, there may be adverse reactions from your family or friends. Anticipate what the reactions will be (e.g., tears, yelling, other intimidating responses) and decide how you will respond.

Finally,

Don’t be discouraged by moments where you find yourself reverting to your old patterns. This is normal as you begin to learn more healthy behaviors and regression will become less frequent as you continue to put the more healthy thoughts and behaviors into practice. NEVER QUIT - IT DOES GET BETTER WITH TIME AND EFFORT.

For Counseling Help: Alabama Institute for Behavioral Health
Col(H) John M. Duffey, MC, NCC, ALC
1211 7th Avenue, Suite A
Phenix City, AL 36867
334-540-3358/0315
jmduffey@alabamainstitute.com

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1211 7th Avenue, Suite A4
Phenix City, AL
36867

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Wednesday 9am - 5pm
Thursday 9am - 5pm
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