More on Emo

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Following on from my earlier post about emo, I think I’ve give a real-world clinical example, dealing with a self-harming emo kid.

A quick caveat before I do. Teenage self-harming is not an “emo thing”. We see plenty of cutters in CAMHS, and the bulk of them are not emos. Chavs cut themselves too. In fact, some kids cut themselves despite not being part of any fashion clique at all. It’s almost as if self-harm were a mental health issue rather than a fashion trend. Strange, that.

Anyway, let’s bring in our emo. He’s 15 years old, and in honour of My Chemical Romance, we’ll call him Gerard.

I’ve been doing a bit of individual counselling and CBT with Gerard following his referral to our service due to low mood, sleep problems and self-cutting - usually fairly superficial razor cuts on the legs and arms. He has suicidal thoughts, but doesn’t think he’ll act on them. He’s a pleasant, intelligent lad, and we get on pretty well during our sessions together. As a result we often wind up having a chat about music or art or whatever while doing the therapy.

A bit of background for you. Gerard’s early childhood was marked by marital breakdown and his witnessing of physical abuse by his now-estranged father against his mother. At the age of 11, Gerard was diagnosed with Developmental Coordination Disorder - poorly developed motor coordination. As with a lot of kids with DCD, his self-esteem plummetted and he became a target for bullying. Diagnosis at least meant he stopped getting berated as “bone idle” by his teachers for becoming frustrated with trying to write legibly, then giving up and staring out of the window in a daydream. It didn’t stop the other kids from taunting him for attempting to kick a ball on the football field and seeing it go in every direction except at the goal.

The reason I give the above bit of life history is to point out that Gerard did not become depressed as a “fashion trend”. The reasons can be found in his early life and upbringing.

Anyway, let’s cut back to the present, and Gerard is now a 15 year old emo. He’s got the spiky haircut with the fringe that looks a bit like Hitler. He’s got the My Chemical Romance hoodie. He’s got the black painted fingernails. He chats to other emos on Myspace and meets up with them at gigs, or just to hang around in a bedroom or in the park. He vastly prefers their company to the “ignorant, racist” kids in his class. Sometimes they get pissed on cider or smoke a bit of weed. This has led to a couple of occasions where, being a 15 year old who hasn’t yet mastered the art of pacing himself, Gerard has wound up collapsing drunk.

I’ve explored in sessions what Gerard feels he gets out of being an emo. His answers: a sense of identity, a feeling of mutual understanding with others, being accepted and valued in a way that he isn’t by the bullies at school who push his head down the toilet. All of which are things that have therapeutic value. The fact that he does booze and drugs with them isn’t so therapeutic, but underage drinking was certainly not invented by emo.

The consultant psychiatrist decides he’d like to review my progress. Given the high professional esteem with which I hold my consultant, we’ll call him Dr Cretin.

Dr Cretin is…shall we say…a little old-fashioned. Therefore I had a feeling things weren’t go to go well when Gerard turned up to the appointment wearing eyeliner.

Dr Cretin looks at him disapprovingly. “So….this emo cult that you’re involved in. Is that why you started cutting yourself?”

Emo cult? Oh Christ, please don’t tell me Dr Cretin read that bloody Daily Mail article.

Gerard looks at him blankly, “Er, no. I just started doing it because it made me feel calmer and stopped me from getting angry.”

“Really?” mutters Dr Cretin, “Anyway, you also need to keep away from alcohol. You’re probably doing more damage to yourself with that than you are by making a few cuts on your arms.”

“I just have a few drinks with my friends…” mumbles Gerard.

“Well then, you need to change your friends, don’t you? If you’re in with a crowd that’s getting drunk and using drugs, you need to move to a different crowd.”

Gerard looks like he’s trying to implode into his chair.

“So, then,” continues Dr Cretin, “Do you want some medication? Some antidepressants?”

“Erm…..yes?”

“Very well, I’m going to prescribe you some fluoxetine. But it’s not going to do much good unless you cut out the drinking. Medication alone isn’t going to make the change. You’ve got to make the change yourself, young man. You’ve got to want to change.”

Brilliant move there from Dr Cretin, because getting 15 year olds to change by giving them a hectoring sermon has such a track record of success, doesn’t it?

He then makes the only helpful decision of the session by leaving the room while he goes to write out the prescription. By this point Gerard looks like he’s about to cry. Which is unsurprising, since he’s just been told his personal identity is a cult and he should get rid of all his friends. I decide to take the time alone to chat more with him about his interests so as to put him a bit more at ease. We gossip about bands and the quality of the local gig venues.

Dr Cretin eventually returns with the prescription and arranges for a review in 6 weeks. I also arrange to see Gerard myself for the following week. Partly to monitor medication compliance but mainly to make sure he hasn’t been completely scared off.

I finish off by saying, “So, you’ll be seeing me regularly for the talking therapies, and Dr Cretin occasionally to review the meds.” Hopefully he’ll realise that this is my coded way of saying, “Don’t worry, you won’t have to speak to him very often.”

I mean, honestly. You’d think that to be a consultant psychiatrist you’d consider it a priority to work on your people skills. (No disrespect to The Shrink or Cockroach Catcher, both of whom I’m sure are charm personified.)

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DeeDee Ramona

Sadly there seem to be quite a few doctors who think “people skills” are something that corporate HR departments do.

WHY are so many of them like this. I mean, surgeons, I can understand, it doesn’t really matter. But psychiatrists???

(Disclaimer: pretty much every doc I have had any dealings with where I now live is just fantastic. I’ve encountered some doozies in the past in other countries and boroughs though).

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In all fairness, there’s only one doctor in our clinic who I think is an idiot. It’s just unfortunate that he’s the consultant.

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DeeDee Ramona

So I wonder if it’s the “old guard” then? (no idea, just postulating). Is he a specialist in CAMHS though? In which case it’s his JOB to know about teenage fashions. I mean, I’ve been a goth since about 1988. Lots of other teenagers were goths at the time (I just never grew up lol). Teen fashion is not a new thing. You could ask the doc to look up the Bay City Rollers :).

—–
BTW, Z, may I be so bold as to shamelessly announce that I have my own blog if you’re interested - on LJ - actionreplay.livejournal.com. The publicly-accessible entries of any interest are all recent, otherwise everything except lolcats and the like is friends-only. Had the LJ since 2004…

It’s not a patch on this one mind you…

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I’d not wish for a good third of Consultant Psychiatrist colleagues to treat my friends or family. Many can be shamefully woeful.

And me, charm personified, Zarathustra? Why, yes of course. Folks are wont to cast themselves to my feet and bask in wondrous joy 8)

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And lo the sun did verily shine out of his arse ;-)

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Dr Cretin sounds like a real charmer. It’s really quite sad that he’d probably feel quite happy to use his status as a consultant to justify his ignorance about young ‘uns.

oh well, if in doubt then just pump them full of SSRI! That’s never done anyone any harm! [/sarcastic comment]

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@DeeDee

So I wonder if it’s the “old guard” then? (no idea, just postulating). Is he a specialist in CAMHS though? In which case it’s his JOB to know about teenage fashions.

Yep. He is indeed a child and adolescent psychiatrist. Some of the better consultants have recently been seen in the office googling “emo” to try and at least get some insight as to what it’s all about.

@Shrink

And me, charm personified, Zarathustra? Why, yes of course. Folks are wont to cast themselves to my feet and bask in wondrous joy

Do you have a cravat and smoking jacket? ;)

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seratonin sister

Z I am sure the consultant is masquerading as my Bastard Shrink.Or is related to him or trained at same time.

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I keep saying it, the good Lord doesn`t give you everything. If you have the brains to sail through medical school and bucketloads of charisma, you`ll be blighted with erectile dysfunction.

Personally, I don`t see why “Dr. Cretin” should be an expert in youth culture. You can argue, quite legitimately, that he should have a litle more awareness but that`s it. It does no harm for a few figures of authority and role models to be perceived as straight laced. Of course, he does deserve flogging for prescribing SSRI`s so readily.

Emoism may not be the sole cause of low mood and self harm but there is someting of the melancholy about it and I`ve no doubt, whatsoever, that there are other interests out there which would have a more positive impact on Gerard. As for stupid fringes and black polished nails, if you introduce that to a school with minimal discipline then I can`t believe for one second that anyone is even faintly surprised that the poor lad ends up with his head down the bog.

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@OSB

Should a child and adolescent psychiatrist be an expert on youth culture? I certainly wouldn’t expect a consultant in his 50s to be up to speed on what’s going on in the pages of the NME, but a bit of light googling wouldn’t be amiss - as I’ve said, one of the other consultants has been seen doing exactly that. Either way, one should at least have the decency to recognise somebody’s identity as being theirs and be willing to accept that, even if one doesn’t necessarily understand it.

Does being an emo contribute to the bullying? I’ve no doubt that the haircut and the fingernails have certainly helped make him a target for chavs on an emo-bashing spree. Even so, his head was going down the bog long before he reached for the nail polish. If we’re going to have a crowd for the stars of the football team or the prettiest girls in school , there might as well be one for the unpopular kids too. In my day it would have been the chess club, and at least becoming an emo offers some hope of getting laid.

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Hang on. I`m in danger of becoming Disgusted of Tunbridge Wells here but this kid is 15. You`re opposition to his cannabis misuse is weak to say the least. You`re sympathising with his inability to “pace himself” with alcohol and you`re almost hoping that his “cultural” choices get him “laid”.

You sprinted to the moral high ground when Crippen speculated about Brown`s mental state. The moral high ground seems vacant here and any legal perspective is, strangely, disregarded.

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I’d certainly agree that it’d be a good thing if he didn’t drink or smoke weed, but he’s not going to do so simply because I tell him not to. Sermonising to 15 year olds simply doesn’t work.

For record I’ve involved a substance misuse nurse in his case, so I don’t think I’m ignoring the issues or the risks.

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DeeDee Ramona

@OSB: My husband and I have just now had the misfortune of being subjected to a tirade of abuse from a group of about 5 neds (or “chavs” as you call them Doon Sooth), mainly, it seems, as we were walking past them on the way back to our flat from Tescos.

I was very worried for a minute as it looked like they were forming up for a fight/kicking, and they were keen to check if we had any additiona “mates” behind us (standard thug tactics: form up to surround your target, pick a fight in a small group and once it starts have all your mates come from a short way back and pile in).

That didn’t happen, thankfully. Wisely, we ignored them and said nothing, but I was livid.

In case you’re wondering, we’re both adults (30s and 40s respectively), dressed in jeans and tshirt - do you get dressed up to go to tesco? - and this is not a rough area by any means. They also ripped down a load of planning notices and the like.

I have on various occasions seen and heard of similar things all over Scotland and indeed the rest of the UK.

Not once, ever, have I heard of anyone being set upon or verbally abused by a pack of “goths” or “emos”.

I take it these are the same sorts of lads (about age 15) who are perpetrating serious bodily harm on the emo lad on a regular basis - shoving someone’s head down a toilet is criminal behaviour and bodily harm, not bullying - “bullying” is being called names and not invited to the popular boy’s birthday party.

OSB is right in that this young lad’s school has a discipline problem. The problem is not whatever the kids are wearing, it’s that behaviour like the above is tolerated by the school, is obviously tolerated by the brats’ parents, and it seems society at large. How is he expected to learn anything if he has to worry about being violently assaulted in the corridors?

Instead of having a go at the lad for wearing eyeliner, how about asking why his classmates are allowed to get away with violent crimes on a daily basis? The school can worry about uniforms and dress code AFTER they have sorted out their serious violence problem.

I know this may seem emotive but bear in mind the incident described above only just happened. It won’t only be kids who dress differently who will get shafted if this sort of crap is allowed to continue all over the country. They learn to pick on other kids first, then they look for bigger fish as it seems they can do what they like.

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OSB;
Emoism may not be the sole cause of low mood and self harm but there is someting of the melancholy about it and I`ve no doubt, whatsoever, that there are other interests out there which would have a more positive impact on Gerard

I was a ‘hippygoth’ (as the local chavs used to shout across the street - no, I don’t know either) and although I would agree that a lot of alternative music does appear melancholy, I would argue that listening to music you like and that speaks to your own experiences is actually pretty uplifting. It’s reassuring to know that you are not the only one that feels how you do…and if I was forced to listen to something more ‘positive’ (dance music anybody?) I really would be suicidal. It wasn’t listening to this music that affected my thoughts and feelings, rather it was these feelings that made me seek out music that I could relate to.

Also, our school had a strict uniform that I adhered to, and I was still bullied because I was ‘different’. They can just tell…possibly the lack of an orange tan and an ability to end a sentance without using the word ‘innit’.

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DeeDee;
Not once, ever, have I heard of anyone being set upon or verbally abused by a pack of “goths” or “emos”

We are a peaceful people :0)

Instead of having a go at the lad for wearing eyeliner, how about asking why his classmates are allowed to get away with violent crimes on a daily basis? The school can worry about uniforms and dress code AFTER they have sorted out their serious violence problem

Exactly.

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Z, You`re missing my point. I was 15 once, intent on pumping any young lady bovine enough to let me anywhere near and drinking as much as I could before my legs went ( I didn`t seek out cannabis and it wasn`t widely available ). I was mostly frustrated as adulthood and authority frowned upon such things. Sermonising won`t help but you have to send out a strong message. We seem to have the highest teenage pregnancy rate in Europe, STD`s are rampaging through young people, hepatic failure is common in 20 somethings and a ridiculous percentage of the population are misusing drugs. Ambivalence won`t do.

DeeDee, I sympathise with your story but I`ve no clue as to why you`re telling me. I`ve been a lone voice on MentalNurse advocating the restoration of school discipline and corporal punishment, rigid adherence to school uniform and an hours PT in the morning for the disruptive. I would happily impose some army discipline on your neds and those that bullied Gerard.

Cellar Door, Hippygothing may have worked for you but I`m still not convinced that you couldn`t have been doing something more conventional and constructive.

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DeeDee Ramona

@OSB> You seemed to be stating that the main problem was Gerard’s appearance.

Generally, I dislike it, when a kid is the victim of repeated violent crime in the schoolyard, that the chorus is often to tell the victim off for not fitting in. Suggestions as to ways he could change his appearance to be less of a target are neither here nor there - what needs to be done is for the school to get serious about preventing the violence.

However, if the same thugs turn their attention to the general public the same indifference doesn’t hold. Were that group of neds to have actually attacked me and my husband, it’d have been in the local paper no doubt. Why is a 15 year old going to his place of work or study different from me and my husband and why would he not also be entitled to the protection of the law?

And BTW, I am a “hippygoth”. As regards doing things more conventional and constructive, well… let’s see… I spent most of my time after school doing homework and revising, attending cross-country training, classical and traditional music practice, and farm and household chores. Oh, and chatting to my friends on the phone, and going to the cinema about once a month. Perhaps I should have refrained from such subversive activities. (You’ll notice: No booze. No drugs. No ciggarettes).

You need to step away from the clothing and appearance as somehow being a problem in and of itself - I see things like drink, drugs and violence as problems. Teenagers wearing ridiculous get-ups, no so much.

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OSB;
Hippygothing may have worked for you but I`m still not convinced that you couldn`t have been doing something more conventional and constructive

Such as? I got (very) good grades, read a ridiculous amount of books, saw friends, did lots of housework… Which of these are not conventional or constructive? Fair enough, I wasn’t particularly extroverted but then some people aren’t - is this a bad thing? And do I deserve to be spat on in the street, as happened on numerous occasions? I think I’ve managed to grow into a fairly well balanced individual despite the ‘hippygothing’. Or maybe thats just the voices talking…

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Once you`ve got used to my right wing ranting you won`t draw such mistaken inferences DeeDee. I was pointing out that kids can, and will, be cruel. You can`t happily combine poor school discipline and being different. Woolly minded liberals appear surprised by this. I`m much more pro uniform than I am anti hippygoth attire. Kids dressed uniformally have less to distract them and will, in consequence, focus more readily on their studies. After an hours PT that is.

Beyond school hours I don`t perceive hippygothing to be any huge problem in itself. However, I`m not sure it`s the optimum way ahead if you`re low in mood.

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OSB;

I agree that uniforms are important in schools. But some people will be different even in a uniform. It can be the way they talk, the things they say, the people they talk to, the fact that they do their homework…etc.

And I think if you are low in mood, the last thing you want to be told is that you can’t listen to your favourite music. I found it very therapeutic. I don’t think the Spice Girls would have had the same effect.

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DeeDee Ramona

@OSB> You can`t happily combine poor school discipline and being different. Woolly minded liberals appear surprised by this.

Are you sure you didn’t mean “good school discipline”?

I don’t have a problem with a strict uniform where makeup, excessive jewelery and the like are not allowed. I’m not allowed to show up to work in the sort of outfit I wear to concerts, after all. Provided enforcement is well, uniform, and rampant violence isn’t being ignored at the same time, no problems there.

My school incidentally had a uniform and didn’t have a rampant violence problem.

The stories I’ve heard from friends at the crap that went on in some of their schools in England are eye-opening (please note, I was not educated in the UK). In particular, stories like violence to the level of broken bones and being pushed down stairs, but nothing being done about it, and if they complained, they got a telling off about their appearance. (And these went on to be Oxbridge students, so it’s not that they were lazy tossers the teachers had no time for). See what I mean?

The main problem if someone is being assaulted is to stop the assaults - then if they want to bring in uniforms for everyone, you won’t see me complaining.

However, as an adult, I never, ever, EVER wear anything navy.

I think an hour of PT a day for everyone would be fun actually. But then, I used to do cross-country, and still do sporty stuff now, so maybe I’m the only one that would be enthusiastic about it. American schools do have 1 hour of PE every day as standard.

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Just to clarify a couple of points. Gerard’s school *does* have a uniform policy. He was on an inset day when he came into clinic wearing eyeliner.

In all fairness to the school, they’ve worked to reduce the bullying (with some success) but the teachers can’t be everywhere at once.

I actually trace more of his bullying problems back to his Developmental Coordination Disorder rather than becoming an emo (though it’s true the emo thing didn’t help.) It’s a fairly traditional, very sports-oriented school with a strong emphasis on football and rugby. Nothing wrong with that, but it doesn’t make it a fun place to be if you’re the dyspraxic kid who can’t kick or catch a ball to save his life.

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DeeDee Ramona

Ok Z, OSB and I will stop fighting, put away the rulers and hockey sticks and pay attention in class in future :) .

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Oh, don’t do that! This blog wouldn’t be much fun if people weren’t arguing. ;)

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Oh don`t worry I`m not going to stop arguing. We needed to get back on track though.

DeeDee, I saw your assertions that thuggery and bullying are rife and unacceptable therefore peaceful pastimes such as hippygothing should be beyond criticism to be little more than social comment. What`s more, I doubt very much that if we were in the judiciary you would be more robust than me in sentencing those who launch vicious, unprovoked attacks on folk going to Tesco. In fact, I would fine you too for having a farming background and still using a major supermarket !!

The real debate here is to whether hippygothing, which may or may not have a passing fascination with death, induce people to spend inordinate amounts of time in front of a computer screen, listen to melancholic music and dress in dark clothing is:

a) in any way worthwhile
b) beneficial to young people who may be prone or predisposed to low mood.

What the hell was wrong with chess club ???

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Speaking personally, I have a certain sympathy for the emos because back when I was an awkward, insecure and frankly desperately unhappy teenager I was a Manic Street Preachers fan. I think if I was a little older I’d have become a Smiths fan. A bit younger and I’d have been into Marilyn Manson. Younger still and I’d have been an emo.

I was 18 when the Manics released the Holy Bible, just before Richey disappeared and the Manics turned into three fat old blokes. Listening to The Holy Bible gave me a sense of validation that my feelings were legitimate and that I wasn’t the only person who felt that way. Listening to 2Unlimited certainly wouldn’t have done that for me.

As the internet became more widespread and usable, Manics fans started forming online communities and then organising meetups. This gave me and others the chance to actually speak to people who felt the same way and were able to feel understand and welcomed in a way they didn’t necessarily feel among their immediate peers. Personally I think this was the precursor of what emo is doing now, and I think it’s probably helping a lot of kids who would otherwise feel totally alone.

I might write a longer post about this at some point.

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DeeDee Ramona

@OSB> I’ll try and keep this short as right now I’m busy hosting a discussion over on my livejournal on the vitally important topic of whether or not the UK should bother entering the Eurovision next year.

I think you’re reading too much into the emo/goth/whatever “thing”.

Being an emo/goth isn’t something that takes up time that could otherwise be devoted to playing chess. I mean, it’s like “being a Beatles fan” or supporting Leeds United. Let’s see it involves…

- Listening to music. Which may have unhappy lyrics. I suggest giving the lyrics to Elvis’s Heartbreak Hotel a good listen (great song too might I add) - this is not new. Teenagers have been listening to sad music for decades.

- Wearing ridiculous outfits when going out, whether that is to chess club, youth club, Leeds United game or mainlining crack cocaine under a bridge etc. All teenagers do this. The emos/goths wear black silly outfits. The neds have their tracksuits - I find this very silly, as I own several track suits, but they are for exercising in, not going out with my mates. I wouldn’t have been seen dead in a tracksuit going out in my teens or early 20s and in the latter case most pubs in town wouldn’t have let me in in that state anyway.

That’s it. Nothing different from the usual teenage stuff, except that the clothes stand out a bit more. It’s not a lifestyle, club or secret society. It’s a fashion trend and a set of musical tastes. That’s it. Give it two years, it’ll be something else.

Now, booze, drugs, sex, smoking, spending too much time online and not getting enough exercise or socialising: these are all problems. They aren’t related to what the perpetrator is wearing at the time (although if you’re in full cold weather kit on a hillwalking trip in the Highlands the booze and sex could be tricky).

Re Tescos: we’re working on this one. We get the meat and fish from local shops now. The veg is harder as I’m not here a lot of the time during the week so getting a box of veg means half of them go off.

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