417: Defeating the "Inner" and "Outer Bully"!

Podcast 417 Bullying

Featuring Manuel Sierra, MD (pictured above)

Today, we welcome an old friend, Manuel Sierra, MD, who practices pediatric psychiatry in Idaho, and Dr. Matt May, a familiar and beloved colleague, to discuss bullying.

Below you'll find a great list of questions Dr. Matt May submitted just prior to today's podcast, along with some links you may wish to explore for more information. We addressed some of the questions, but certainly not all, during the podcast!

Manuel described bullying, and said the ¼ of children and adults have experienced bullying. The consequences can be severe, including suicidal urges or completed suicides, along with shame and a severe loss of self-esteem, and more. He pointed out that bullies are good at zeroing in on aspects of ourselves that we feel insecure about, including how we look, our ethnicity, our aptitudes, and more. He provided links to resources on bullying.

The bully picks on someone who is weak, so there is a power imbalance, and does the bullying to gain popularity and power, at the expense of the victim. David and Manuel emphasized that the bullying per se cannot cause the depression, shame, and so forth, but rather the victim must buy into the bully's mean-spirited statements, like "you're weak," or "you have an ugly zit on your nose," "your mother is a dirty whore," and more.

Then, the inner dialogue of the victim often goes like this:

1. I must be a terrible and horrible person to get bullied like this.
2. I'm worthless.
3. All the kids are looking down on me.
4. Everybody hates me!
5. Everyone is laughing at me.
6. I'm just a loser.

And that, of course, is the voice of the "inner bully" who does all the emotional damage. Manuel and David both emphasized that the goal of treatment is to help the victim see that the "badness" is not with them, but rather with the kid (or adult) who's doing the bullying.

Because the victims nearly always feel ashamed, they will often suffer in silence, keeping the bullying a secret. David described what he calls the "abuse contract" that many, and perhaps most, humans buy into when being hurt or exploited. It's really a contract between the abuser and the abused, and there are there parts to the agreement.

1. I get to hurt you for my own pleasure. This might include sexual, physical, financial, or psychological torture or abuse.
2. You, the victim are entirely to blame for this. You are the bad one. I am superior and totally innocent. You deserve what's happening to you.
3. We have to keep this a secret, even from ourselves. You cannot even hint that I am doing something wrong. If you try that, I will REALLY hurt you.

David emphasized that the tendency to "accept" this type of horrible contract is not limited to children, but includes adults as well.

He emphasized that sometimes the child who is being bullied will tell parents, who then tell the teacher or school officials, who will tell the bully to stop. This is rarely effective, and often makes the situation worse, since the bully tells the victim that they are a snitch and now they will REALLY get what  they "deserve."

Matt described many types of bullying, including physical, psychological, and cyber bullying. Manuel described some of the signs to look for if you suspect a problem with your child, including:

1. Not wanting to go to school.
2. Saying things like "everyone thinks I'm terrible."
3. Changes in sleep, eating habits, and energy.
4. Somatic symptoms such as stomach aches and headaches.

Manuel emphasized that the goal is not to eliminate negative feelings entirely, but rather to reduce the time you spend feeling anxious, humiliated and upset after being bullied. He also emphasized that ongoing practice talking back to your own negative thoughts is an important key to change, in exactly the same way that athletes must commit to ongoing daily practice to boost their physical skills and stamina.

Manuel emphasized the importance of empathy and support, as well as asking victims if they'd want some help combatting their automatic negative thoughts and feelings. He shared that he endured considerable bullying as a kid, and was bullied because he was poor, of Mexican heritage, short, wearing glasses ("four eyes"), and young, and sometimes called "a fag" and other hurtful things.

He said that reattribution is one useful strategy, among many, for combatting automatic thoughts and negative feelings. Instead of automatically blaming yourself for the bullying, you can ask questions like this: "What is it in their life that makes them want to do things like this.?" And "They are trying to hurt and embarrass me. Why are they doing that."

The goal is to help the victim see tha