Breakthrough Article in The Boston Globe About Inequality in Special Education Services in Massachusetts

I just read the extraordinary article in the Boston Globe from yesterday.

The less money a family has, the less likely their child is to receive appropriate special education services. And the greater the level of services needed, the greater the impact of this inequality.

School districts are spending massive amounts of money on out-of-district placements. Some of these agreements for out-of-district placement tuition are public, while others are secret.

Here is a quote from the article:

“The staggering amount being spent to outsource special education in Massachusetts, and the even greater sum that would be required to fully meet demand, reflects the need for schools to provide better and earlier services to students with disabilities, advocates said. While some students, such as those who are medically fragile, will always require specialized settings, children with less intensive disabilities should be properly served at their home schools, they say.”

This is one of the major reasons why Laura Balogh and I wrote The Therapeutic Inclusion Program: Establishment and Maintenance in Public Schools (Routledge).

It looks like The Globe has some more reporting on the topic, and I’m sure I’ll have more to say…

‘Seven Brief Lessons On Physics’ and One Brief Lesson on Psychotherapy

Recently I read a short book called Seven Brief Lessons on Physics, by Italian theoretical physicist Carlo Rovelli. Rovelli describes two great theories of physics: general relativity and quantum mechanics. Both theories go a very long way to describe and predict the nature of the universe, but the theories do not agree with each other. As both theories describe the same universe, it stands to reason that in some way we don’t now understand, these theories can be integrated into a unified theory. But for the time being, they are distinctly different ways of understanding.

These theories have often been developed through predictions about phenomena that were not observable but could be inferred. Scientists, sometimes decades later, devise methods to test these theories. Both theories have periodically been strengthened by confirmation of these predictions.

I use this as inspiration in my psychotherapeutic work. The unconscious is unknowable, yet we accept that it exists and that its impact on our experience and behavior is significant. We can make inferences about the content and action of an individual’s unconscious through indirect observation. But unlike physics, in psychotherapy we do not have any ability to test our hypotheses empirically, so the satisfaction of definitive confirmation is not available for us. 

Despite this perhaps discouraging obstacle, we will not get far in our understanding of people, and their feelings, thoughts, and behavior, without considering the unconscious. We are foolish to ignore it.

I find these facts to be humbling, and I find the humility liberating. In short: 1. The unconscious is a significant factor in the human experience and we must consider its role in any individual, relationship, or group. 2. Our hypotheses regarding the content and action of the unconscious are impossible to confirm. 

This understanding can really help get one’s ego out of the way. As far as the contents and action of my unconscious for example, fundamentally your guess is as good as mine. In therapeutic relationships, this understanding encourages collaborative wondering, challenging, and co-creating of hypotheses regarding the unconscious’s contributions to our thoughts, feelings, behaviors, and motivations. -All the while holding the humility that we don’t know, and nor will we know. 

We can use this understanding to deepen the work together. And while we can’t directly test our hypotheses, we can observe whether their consideration provides relief to the patient.

References 
Rovelli, C. (2016). Seven brief lessons on physics (S. Carnell & E. Segre, Trans.). Riverhead Books. (Original work published 2014)

Announcing Tuesday Group – A Therapy Group for 10 to 12 year-olds.

Tuesday group is a weekly therapy group for 10 to 12 year-olds, led by me, launching on January 7th, 2025.

Tuesday Group will meet on Tuesdays from 4pm to 5pm at my office in Porter Square, Cambridge.

While the aims of the group can be understood in many ways, the main aim is for members to accumulate positive experience being in a group through collaborating with each other and myself.

Children who have struggled to be members of groups (classes, family, social activities, etc.) are good candidates.

It’s possible to address a range of clinical and sub-clinical issues in a group therapy format. Whether your child is a good fit is best determined through conversation with me, on an individual-by-individual basis.

The group will launch with six members, and I am currently accepting placements. Please contact me if you are interested in more information.

How We Learned to Start Worrying and Forget the Unconscious

In times of anxiety, we reflexively reach for certainty. 

In our current anxious times we seek certainty by collecting and parsing data. -As if we could evade human biases, and unlock the code of human behavior with the right numbers. We say “data driven” and hope to assuage our audience’s anxiety.

Another recent trend in creating illusions of certainty is leaning on neuroscience to sell ideas. Neuroscience is often referenced to categorize people, and explain all kinds of human phenomena, to the same effect as a plot device in a science fiction piece. 

In Back to the Future, time travel is possible, and Marty and Doc can do it because of the flux capacitor. If we want to enjoy the story, we are wise not to ask too much about the flux capacitor. In our current cultural moment we are sold the idea that humans are easily understandable through neuroscience. Of course neuroscience is a valuable and vibrant field of study, my point is simply that neuroscience is often rhetorically used in this manner.

How fitting is it that the unconscious has seemed to slip out of cultural awareness?

Developing and popularizing our understanding of the unconscious was a major cultural contribution of Sigmund Freud and his contemporaries in the first decades of the 20th century. A basic understanding of unconscious motivations crossed over into mainstream culture in the following decades and informed how we think about relationships, dreams, individual behavior, and mistakes – such as Freudian slips.

An understanding of the unconscious remains fundamental to a sophisticated understanding of psychology, but in my experience, it has largely receded from popular culture. When I ask teachers whether they consider unconscious motivations when trying to understand their student’s behavior, I am generally met with blank confusion. I find it similarly absent in conversations with parents, and unconsidered within organizations. 

The vexing thing about the unconscious is that it is unknowable. It always remains a known unknown. We can agree that it is there, but we cannot be certain of what it contains. Any responsible and thorough effort to understand an individual or group must account for the unconscious, but we also must accept that we cannot verify our hypotheses. This is exactly the kind of paradox that is very unappealing, if not intolerable, in our times.

In keeping with the theme of unconscious factors, I would argue that as a culture we are largely fooling ourselves by pretending we can supplant healthy uncertainty with a false certainty offered by oversold data, or simplified “neuroscience”.  (In quotations here because I am referencing a rhetorical device, not the actual field of study.) And, I hypothesize that our awareness that we are fooling ourselves is repressed into our unconscious, and that the effects of this are manifested in growing generalized anxiety and rampant imposter phenomenon. 

Take a moment to reacquaint yourself with the unconscious – in yourself, in others, and in groups. I mean, slipping out of sight from the culture and stirring up our anxiety, resulting in surprising and neurotic thoughts and behaviors?  -Classic unconscious, am I right? While we can’t do an inventory of the unconscious, our awareness and consideration of it always make our understanding of self, others, and groups richer.

Practices, Policies, and Laws: Why We Must Differentiate Between Them in Special Education

I’ve come across a recurring issue in IEP meetings, special education meetings, and professional conversations: Many professionals don’t make clear distinctions between laws, policies, and practices. 

At first glance, I can see how this might not appear important, but the distinctions are of great importance. 

The rights of students and families, and the professional freedom of school staff, are impacted very differently depending on which category of constraint is being applied.

It’s taken some years of experience to see this, and it has helped to incorporate relevant lessons from my work. -Things I understand better now than I did toward the beginning of my career, about 20 years ago. Stick with me and we’ll put it all together.

One lesson is that the best way to understand or predict the behavior of a group of people within a system is to look at their incentives and disincentives. I’m by no means a behaviorist, and I am deeply interested in the complex motivations of any individual, but there is no better way to understand the behavior of an otherwise anonymous class of people.

Laws, policies, and practices are efforts to apply logic to our work with students and families. Another lesson from my therapeutic work is that the benefits of logic are limited. Still, we should endeavor to get as much benefit as we can from it. This requires us to make distinctions between laws, policies, and practices. From what I can perceive, many people group these three things together in a conceptual category called something like “rules.” 

I will break them down briefly.

Practices can be defined within an organization simply as “what we usually or always do.” 

Policies in the context of schools are the written organizational directives and limitations set forth by school administration.

Laws are rules set forth by the government at local, state, or federal levels, and are enforced through consequences delivered by those same entities.

Pretty simple, right?

Why are the distinctions important?

A school’s practices may or may not be consistent with their policies. A district or school’s policies may or may not be consistent with law. And various parts of special education law are subject to different interpretations. You can see that it really matters what category is being discussed in any given instance. They draw on very different levels of authority and are therefore more or less subject to negotiation in the collaborative special education process.

It’s easy for anyone involved in special education to feel overwhelmed, bulldozed, inadequate, and other unpleasant experiences. This includes students, families, teachers, paraprofessionals, administrators, and counselors. It is the responsibility of school staff to be aware of the distinctions between practices, policies, and rules. We cannot expect the same of students and their families. In fact, we have a great responsibility as paid professionals to make these distinctions clear to parents and guardians, and students as developmentally appropriate. 

I will illustrate with the example of a parent of a child who is in the special education eligibility determination process.

The parent feels that an autism screening should be included in the eligibility evaluations. The special education administrator tells the parent that the district cannot include one. The special education administrator does not indicate whether their position is based on their opinion of what is appropriate, a school or district policy, or a law. (For the record it’s a position based on their opinion, which is up for discussion and negotiation among the team including the parent.)

The special education administrator is in a position of great power relative to the parent. Meetings generally take place on the administrator’s home turf, they are experienced with these meetings, and they are the experts on special education. The parent on the other hand enters the administrator’s turf for the meeting, may have never had any experience with special education meetings, and is not trained and experienced in special education. We can generally assume that the parent is under stress in this situation, and not in a good position to challenge the declarations of the school administrator. In most cases, the parent is likely to assume that what the expert school administrator says are simply “rules.” 

Given these circumstances, when the school administrator says “the district cannot include an autism screening” without explaining whether this is based on opinion, practice, policy, or law, I consider this an abuse of power. In the collaborative process of special education, district employees have a responsibility to delineate the scope of their authority in any given instance.

Unfortunately, this example is not the worst of it. I’ve certainly heard school officials make reference to non-existant “rules”, which they probably believe exist somewhere. This is hilariously and poigniantly described in this article about Cambridge Public Schools serving cold cheeseburgers to students with autism. It becomes more problematic as we incorporate my lesson regarding incentives and disincentives, and consider conscious and unconscious motivations as we must in order to account for the behavior of individuals and groups.

While the example offered previously is clearly sympathetic to the parent, I am also sympathetic toward the school administrators. They are almost always under a lot of pressure to preserve the resources of the school district by keeping spending on special education as low as possible. Depending on their district and superiors, their job security is either largely or entirely dependent on their ability to restrain services/spending. The risk of losing their job threatens not only their income, but also their membership in their work community, and their identity as school officials. Those are the big and easy incentives to understand but there are also more gradual incentives, such as making decisions that keep the school administrator in the good graces of their boss and make their next meeting with them more pleasant.

Addressing sometimes unconscious motivations, the school administrator is not particularly motivated to delineate between practices, policies, and law. In fact, they may not be especially motivated to even understand the differences between practices, policies, and laws. Having a fuzzy understanding may actually be a better position for them to restrain spending from, and therefore maintain their income, employment, and good graces of superiors. And, increasing my sympathy for the school administrator, they are often pressured and expected to behave as if special education laws are clear and coherent, despite the fact that they often are not. These pressures leave school administrators, teachers, and counselors exquisitely primed for imposter phenomenom, as described in a previous column (Where Special Education Law Meets Imposter Phenomenon).

One path toward increased personal freedom and agency is in becoming more aware of our motivations. That’s a kind of growth that can happen on both individual and group levels. It frees us up from our habitual reactions, and liberates us to consider a wider array of possibilities. If you work in special education, it’s your responsibility to understand and clearly delineate between practices, policies, and laws. It will also make you better and more free in your efforts to serves students and families.