Categories
Depression melancholy The Kinks

The Kinks’ “Misfits” As Melancholy

Welcome to From Insults to Respect.

My previous post utilizes the Kinks song “Low Budget” to sympathetically discuss how our money woes can take a bite out of our feelings of respect for ourselves and others, while suggesting some helpful approaches to deal effectively with such challenges. The positive feedback that I received led me to see if I might utilize another Kinks song, partly just for the fun of it, but also as a way to explore some issues relevant to respect.

On this blog, I have on several occasions (see HERE and HERE) made the case for the value of transforming periods of depression into the more helpful experience of melancholy. It just so happens that the Kinks song, “Misfits,” offers us a wonderful opportunity to further enhance this pregnant idea.

After the first introduction verse, Ray Davies sings,

You say your summer has gone
Now the Winter is crawlin’ in
They say that even in your day
Somehow you never could quite fit in
Though it’s cold outside
I know the Summer’s gonna come again
Because you know what they say
Every dog has his day

These words suggest Ray is singing about you, the listener, but as I interpret it, he’s also singing about his own feelings. He’s feeling emotionally chilly with the way things are going for him. He has a desire to comfortably fit in socially, but he’s not there. You, the listener, might feel this way from time to time as well. Within this emotional state, Ray seems to be seeking to turn his attention to a more hopeful future, with the return of a warmer weather, happier period.

The chorus then goes on to say,

You’re a misfit, afraid of yourself, so you run away and hide
You’ve been a misfit all your life
Why don’t you join the crowd
And come inside

You wander round this town like you’ve lost your way
You had your chance in your day
Yet you threw it all away
But you know what they say
Every dog has his day

Here, Ray sees his difficulty is made worse by running away and hiding from it. He’s also bemoaning that there were actions he could have taken back in his day but failed to do so. Still, he seeks to bolster his spirits with the hope his day will come.

The song’s bridge tells us to,

Look at all the losers and the mad eyed gazers
Look at all the looneys and the sad eyed failures
They’re giving up living ‘cos they just don’t care
So take a good look around
The misfits are everywhere

La la la la la la

We see here Ray throwing the typical insults at those with the shortcomings and feelings he and the others are singing about. At the same time, he recognizes they are not alone; there are folks all around us having similar feelings, and they are giving up living. This giving up doesn’t sit well with Ray, so he launches into the next verse that seeks to lift our spirits:

This is your chance, this is your time
So don’t throw it away
You can have your day
‘Cause it’s true what they say
Every dog has his day

In the song, we see Ray using two approaches to deal with how he is feeling–insulting himself, and trying to lift his spirits with hopeful, positive words. On this blog, when people are singing the blues and insulting themselves, we say they are experiencing depression. One type of approach to kick yourself out of depression is to focus on some positives, such as the fact that you have company with what you are going through and keeping hope alive for a more positive day. But there is a dramatically different alternative for dealing with the blues than these two, an approach I refer to as melancholy.

Consider how musician and song writer Joni Mitchell described melancholy in her beautiful song, “Hijira.”

There is comfort in melancholy where there is no need to explain, it’s just as natural as the weather in this moody sky today.

She sees melancholy as a comfortable state and natural.

At another point, Joni tells us such experience “can be the sand that makes the pearl…. Most of my best work came out of it. If you get rid of the demons and the disturbing things, then the angels fly off, too. There is the possibility, in the mire, of an epiphany.”

In a New York Times article titled The Case for Melancholy” we learn from American writer Laren Stover about her own personal experiences. After telling us of her weariness of all those folks on the internet promising to show us how to be delightfully happy in just a few short steps, she writes:

sadness 3“Whatever happened to experiencing the grace of melancholy, which requires reflection: a sort of mental steeping, like tea? What if all this cheerful advice only makes you feel inadequate? What if you were born morose?”

Laren continues to weave her creative images of melancholy with such words as:

sadness 2“Sadness has a bad reputation. But I soon came to feel that melancholy — the word itself is late Latin from the Greek melancholia — is a word with a romantic Old World ring, with a transient beauty like the ring around the moon.”

Here’s how the great psychologist, William James, viewed the subject at hand. He wrote that many so called “healthy-minded” individuals believe that those who worry are “morbid-minded” and “diseased,” but it may very well be true that “the world’s meaning most comes home to us when we lay them most to heart.” He, himself, learned to appreciate these visits of melancholy as something of extraordinary value, and stated that,

…there is no doubt that healthy-mindedness is inadequate as a philosophical doctrine, because the evil facts which it refuses positively to account for are a genuine portion of reality; and may after all be the best key to life’s significance, and possibly the only openers of our eyes to the deepest levels of truth.

Jon Kabat-Zinn

Although the pharmaceutical industry has spent millions seeking to convince us that these types of experiences are pathological, a sickness, requiring drug “treatment,” Jon Kabat-Zinn, an American professor emeritus of medicine and the creator of the Stress Reduction Clinic and the Center for Mindfulness in Medicine, Health Care, and Society at the University of Massachusetts Medical School, tells us,

If we listen carefully to the body, it can teach us a great deal about what is most difficult for us to recognize and come to terms with from the past, and how we might approach our hurt with kindness and wisdom.

We can learn to respect and honor melancholy. Yes, as we do so, from old habits curses along with efforts seeking to bolster these bluesy experiences may arise. We can come to recognize them as old habits while not absolutely accepting their validity. During all of this we can learn to become friends with the underlying experience, patiently, empathically, being with them, spending time with this natural, healthy way to process life’s challenges.

Well, them are my thoughts for this week. Love to all the Kinks fans out there.

My Best,
Jeff

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence.  To begin at the very first post you can click HERE.

Categories
Depression

Is Depression Really So Bad?

Welcome to From Insults to Respect. As this post’s title indicates, today I take up the question, “Is depression really so bad?” In doing so, I imagine many will conclude I must be out of my head or a complete numbskull. My challenging task for today is to see if I can convert such insults to at least a modest degree of respect.

As a start, let me be clear that I recognize and empathize with what I imagine the insulters’ position is likely to be:

Depression is every bit as bad as a majority of folks think it is, and even a whole bunch worse. Depression, these people are likely to point out, leads to some folks ending up committing suicide, or attempting it. Other sufferers of depression will end up being hospitalized at great societal cost, including costs to U.S. employers that has been estimated at $187.8 billion a year. This includes $134 billion in health care (health and mental health combined), $20.9 billion in absenteeism, and $32.9 billion in lost productivity. Finally, the anguish that comes from depression is nothing to make light of.

My case about the degree of badness of depression is worth considering is three pronged: 1. Repeatedly, the evidence indicates people who take antidepressants leads to more suicides and hospitalizations. 2. The available evidence indicates the consequences of using the arguments about suicide and hospitalization to convince people to take antidepressants leads to worse long term suffering of those folks experiencing depression. 3. When the nature of depression is clearly understood as a natural, potentially healthy process for dealing with stressful situations, it leads to less harm than believing that it really is so bad.

Evidence that Suicides and Hospitalizations Increase with Antidepressant Treatment

Convincing folks that depression is so serious because some people who experience it end up committing suicide or are hospitalized for suicidal thoughts is counterproductive. People who become convinced by this type of argument are more likely to get treatment with so called antidepressants when they find themselves becoming depressed. Moreover, such people, using the same argument will urge others who are depressed to get such treatment. This would be fine if the treatment sought would be just counseling/psychotherapy, but in modern countries, such as the United States and Great Britain, the first-line treatment is either antidepressant medication or a combination of antidepressant medication plus psychotherapy.

Despite this, according to a November 15, 2023 study appearing in Psychological Medicine by Harvard University researcher Nur Hani Zainal, such approaches can have dire consequences. Treatments that included antidepressant medications, either as a stand alone treatment, or in combination with psychotherapy, had significantly worse outcomes than psychotherapy alone for suicide deaths, suicide attempts, psychiatric emergency department visits, and psychiatric hospitalizations. This is a consistent finding that included 34 random controlled trials.

More specifically, the researcher wrote:

Forty-seven out of 1273 (3.7%) in the combined treatment arm and 24 out of 1240 (1.9%) in the psychotherapy-only arm had suicide attempts and other serious psychiatric adverse events, and this difference was statistically significant (OR 1.96 [1.20–3.20], p = 0.012)…

Thirty-one out of 1030 (3.0%) in the psychotherapy-only arm, and 67 out of 1192 (5.6%) in the ADM [antidepressant medication]-arm had suicide attempts and other serious psychiatric adverse events. This difference was statistically significant.

This analysis, along with others, suggests regardless of the treatment, over 94% of those going for treatment are unlikely to end up having one of the very serious consequences of depression. Framing the need for treatment by raising the prospect that very serious consequences are likely to occur without treatment, rather than being helpful, too often leads to antidepressant treatment, which the best science we have indicates this will increase the risk of such serious consequences.

The Effects of Antidepressants On Suffering 

The available research findings indicate so called “antidepressants’ can increase the likelihood of strokes, heart attacks, falls and even death. Antidepressants can cause side effects, including nausea, agitation, weight gain, lower sex drive and indigestion. Research also suggests that people often experience unpleasant withdrawal symptoms, known as antidepressant discontinuation syndrome, when they stop taking antidepressants, sometimes for weeks or months. Thus, people seeking relief from a challenging emotional experience who turn to the most frequent prescribed treatment–antidepressants–are actually increasing their risks of suffering from these various negative consequences.

A very recent study titled “The impact of antidepressants and human development measures on the prevalence of sadness, worry and unhappiness: cross-national comparison,” the researchers conclude,

In this study, we examine the relationship among individual symptoms (sadness, worry and unhappiness), human development factors and antidepressant use in 29 OECD [Organisation for Economic Co-operation and Development ] countries. We report that increased antidepressant prescribing is not associated with decreased prevalence of sadness, worry or unhappiness. However, income, education and life expectancy (measured using the Human Development Index) are associated with lower prevalence of all these symptoms. This suggests that increasing spending on depression treatment may not be as effective as general public health interventions at reducing depression in communities.”

An estimated 18 billion dollars a year is being spent on these drugs, (approximately 100 billion dollars spent every six years). This amount does not include the cost of appointment hours of psychiatrists and other prescribing doctors that is part of the required process of people getting access to these drugs. This appears to be a lot of wasted money that can be used more productively in other ways. Given this cost, along with the drugs’ side-effects, and negative health outcomes, framing depression as being so bad so that it ends up encouraging people to take “antidepressants” may be unwise.

So, why do so many who are taking these drugs come to believe they are enormously helpful? There are three major guesses about this.

  1. Many people who become depressed start to feel better after a few months without taking this type of drug. If they do take the drug when they become depressed, and begin to feel better, they attribute it to the drug rather than the natural course of the experience.
  2. If they start to feel better while taking the drug, they may try to stop taking it. Because of the withdrawal effects that feel awful, they are likely to think these awful feelings are due to their depression returning, so they quickly return to taking the drug while now more convinced that the drug is helpful.
  3. Some people are very susceptible to the placebo effect, and therefore any drug that they are prescribed by a doctor leads to the perception that the drug is effective.

Depression as a Natural, Potentially Healthy Process

Conceptualizing depression as a mental disorder tends to fail to motivate active coping beyond taking a pill. Moreover, it fails to honor the labeled person’s perspective. In contrast, framing these concerns as potentially a healthy functional signal can lead to less self-stigma, and greater self-efficacy in making healthy life-style improvements.

One example of this line of thinking is provided in Joshua Wolf Shenk’s (2005) biography of Abraham Lincoln. There the author makes the case that Lincoln’s depression fueled his greatness. Similarly, David Yaffe (2017) has written a biography about the music legend, Joni Mitchell, titled Reckless Daughter. There, he writes of her frequent bouts of depression and quotes her saying,

Depression can be the sand that makes the pearl. Most of my best work came out of it. If you get rid of the demons and the disturbing things, then the angels fly off, too. There is the possibility, in that mire, of an epiphany.”

Schroder, et al. (2023), recently carried out a relevant study. As the authors describe it,

“We describe the historical development of popular messages about depression and draw from the fields of evolutionary psychiatry and social cognition to describe the alternative framework that depression is a “signal” that serves a purpose. We then present data from a pre-registered, online randomized-controlled study in which participants with self-reported depression histories viewed a series of videos that explained depression as a “disease like any other” with known biopsychosocial risk factors (BPS condition), or as a signal that serves an adaptive function (Signal condition) …. The Signal condition led to less self-stigma, greater offset efficacy, and more adaptive beliefs about depression.” 

In a recent blog post, I describe in far more detail this healthy way to understand the nature of depression (see HERE) and a no financial cost process to maximize its benefits. There the reader learns that transforming one’s belief that depression is a “really so bad” experience, to one that develops a friendship with the experience is doable. Once the transformation is complete, I prefer the term “melancholy” for it becomes a distinctly different experience without all the insults directed at oneself and thoughts of being mentally ill.

For many people, it takes more than reading a few paragraphs about this way of thinking. It typically takes some practice over a few months. By beginning with my very first blog post (see HERE) many will find that for free the practice sessions provided are sufficient. Having a counselor/psychotherapist that reacts to such folks’ depression experiences with kindness and empathy, rather than with insults and seeking to convince them that their experience is so terribly bad, can also be enormously helpful. Such counselors/psychotherapists provide a model that leads one to emulate this way of being supportive of themselves throughout their days even when their therapist is no longer present.

Conclusion

Dr. Jeffrey Rubin

There is a subgroup of people who, upon becoming depressed, end up seriously considering, or even attempting, suicide. I am in no way attempting to make light of the experiences of people who reach this level of desperation. Some kind empathetic support can be very helpful to deal with such situations. What I am seeking to convey is that the vast majority of people experiencing depression don’t go to such extremes. For them, the argument that their experience is so bad they need to rush out and get someone to provide “antidepressant” treatment might not be wise.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional and social intelligence.  To begin at the very first post you can click HERE.

Categories
Depression melancholy The Beatles The song "Rain"

The Beatles’s Song “Rain” as Melancholy Metaphor

Welcome to From Insults to Respect. 

In today’s world, if you are experiencing melancholy or depression, the pharmaceutical industry very much wants to sell you on the idea that you have an abnormal condition that is deemed an illness. You would think with the popularity of the blues type of music, periods of bluesy feelings would be viewed as normal as trees in a forest; nevertheless, the pharmaceutical industry has successfully sold prescribing physicians it requires drug treatments.

These drugs have a number of side-effects, and for those who come to decide the drugs are either not working for them, or the side-effects are intolerable, many find that upon trying to stop taking them the withdrawal reactions are awful. And yet, these drug treatments are appealing to many people because of the ease of popping a pill, and health insurance either completely covers the cost, or reduces the cost to such an extent that they are very affordable. Moreover, it is a medical doctor who is prescribing these pills, and since doctors have such extensive training they are viewed as the experts, and people succumb to their advice without much thoughtful consideration.

With this in mind, in my view, if you can find a way to avoid the drugs and learn to make friends with these base notes of experiences, you potentially will be healthier in the long run. In several of my earlier posts (for examples see HERE and HERE), I provide numerous examples of people who found various experiences typically labeled as depression and melancholy as helpful. For example, Joshua Wolf Shenk in his biography of Abraham Lincoln, makes the case that his depression fueled his greatness. Similarly, the music legend, Joni Mitchell, upon discussing her frequent bouts of depression observed,

“Depression can be the sand that makes the pearl. Most of my best work came out of it. If you get rid of the demons and the disturbing things, then the angels fly off, too. There is the possibility, in that mire, of an epiphany.”

We learn further of Joni’s view of melancholy from her soulful rendition of her song “Hejira.” There she sings,

There’s comfort in melancholy
When there’s no need to explain
It’s just as natural as the weather
In the moody sky today

As another example, we learned in an earlier post that the great writer Leo Tolstoy came to understand his bouts with depression as crucial to his personal development as it provoked a gnawing questioning that eventually led to one insight after another.

The Beatles song, “Rain,” as I interpret it, provides us another expression of melancholy and depression as natural.

The Beatles’ song, “Rain”

This song was released on the 30th of May, 1966, as the B-side of The Beatles’s “Paperback Writer” single . According to Wikipedia, it was written by John Lennon although credited to the Lennon–McCartney partnership. It contains a slowed-down rhythm track, George Harrison’s distorted lead guitar, Ringo Starr’s nifty drumming, Paul McCartney’s droning bass line, and the last lines are vocals played backwards.

The first lines go:

If the rain comesThey run and hide their headsThey might as well be deadIf the rain comes
Here, the Beatles, it seems to me, are bemoaning how people view a rainy period negatively (They might as well be dead). Many people, when they have experiences referred to as melancholy and depression are similarly likely to interpret it as a negative, and they might as well be dead. This is often due, in part, to the way they were brought up.

There are parents who are not given to periods of sadness, anguish, and tears. For them, it’s “steady as she goes,” which is not a bad constitution to have. Their talent for averting their attention from evil, and living in the light of good offers benefits for our society for they can be counted on, day after day, to accomplish many tasks that have to be done for the smooth operation of our society. However, there is another constitution that complements this “steady as she goes” type.

Those with this complementary constitution experience far more acutely facts which strike them as wrong, and this wrongness is a genuine portion of reality. To them, rather than turning away from these feeling, their constitution has them staying with these feeling for an extended period so their life’s significance can be more deeply pondered and ultimately better understood. Though often nothing apparently positive comes from some of these periods, every now and then it serves to open their eyes to deeper levels of truth that end up benefiting them and society as a whole.

Now, when the “steady as they go” parents see their child feeling blue, this strikes them, from their perspective, as abnormal. These parents try to talk their child out of these sad experiences. A father seeing his little Susie not snapping out of her rainy day mood might even get testy, insisting he had enough of her whimpering. “Stop it already,” he may scream, “you’re acting like a horrible baby!” Offering a sympathetic ear would be far more helpful at such times, but children don’t get to pick parents who always act perfectly at all times.

Similarly, adults in general, if they have a “steady as they go” constitution, will readily accept the belief that they are the mentally healthy folks and anyone given to waves of bluesy feelings must have a mental illness.

Now, some of the folks who have a bluesy constitution may have learned to deal with their tumultuous feelings by trying to squelch them by drinking an excess amount of alcohol or consuming various other drugs. When this happens, they become at risk for a real physical illness from the toxic effects of these substances. Dealing with addictions can require support and the first part of that support is to come to understand that some people are given to bluesy moods, and that these moods are natural for them and has the potential to lead to something positive.

The next set of lines in “Rain” go,

When the sun shinesThey slip into the shade (when the sun shines down)And sip their lemonade (when the sun shines down)
When the sun shinesWhen the sun shines
RainI don’t mindShineThe weather’s fine

Here, the song contrasts the pleasantness of sunshiny days and the experience of rainy ones, which is also fine–different, but nevertheless fine in its own way. Metaphorically, we can come to experience our bluesy moods as a different type of mood that is also fine. We can come to learn that for many of us, melancholy is a period of time when, by feeling deeply about our various concerns, we process them more deeply than the more steadily happy folks. There are times when this processing leads to something creative. Biographies teach us that the most creative people are given to periods of melancholy and depression.

The next lines in the song go,

I can show youThat when it starts to rain (when the rain comes down)Everything’s the same (when the rain comes down)I can show youI can show you
RainI don’t mindShineThe weather’s fine

Here, the lines, it seems to me, are designed to encourage us to experience rain as every bit as an equal to a shiny day. It reminds me of a line from St. Basil–“Many a man curses the rain that falls upon his brow, and knows not that it brings forth abundance.” In my view, this is equally true for melancholy. Depression is a little different.

When people become depressed, they are prone to throw personal insults at themselves, typically choosing ones that have to do with feeling guilty about becoming depressed, past mistakes, being crazy, and being worthless. The psychiatric model has them thinking they have bad genes, a lifelong pathological condition, as well as having a condition that is stigmatizing. All of this leads to the person experiencing periods of self-loathing. As a result, they develop what some call a double depression–not only are they depressed, they are depressed that they are depressed.

In contrast, melancholy is a richer, and more powerful approach for addressing our concerns, even the most challenging ones. It doesn’t waste time with all of the insults, though, because of old habits, some may still leap into consciousness. When they do, those in melancholy can observe them without believing they are true. Rather, they recognize them as old unhelpful habits, allow themselves to experience the physical sensations that come with them, and then, when those sensations pass in their own good time, they move on to other emotional work that needs to be done.

The next few lines from the song are,

Can you hear me?That when it rains and shines (when it rains and shines)It’s just a state of mind (when it rains and shines)Can you hear me?Can you hear me?

Here, we are encouraged to view the experiences that come with rainy days and sunny days as just states of mind. This is equally true for uplifting days and days filled with angst.

Now I understand that some people who have reached such a deep level of self-loathing will find it hard to learn to transform their depression into the more natural and supportive state of melancholy. They may have experienced a trauma in their past so awful, they can’t seem to get beyond it. Feelings of getting relief by ending their life may intrude into their thoughts.

The natural ways to deal with this is to take daily walks, particularly in natural settings, talking with a supportive family member or friend, and getting enough sleep. The “Expressive Writing Technique” and meditation are very beneficial and cost free (See HERE for free descriptions of how to use these two techniques). Professional counseling and mindful self-compassion courses can help to get people through particularly challenging times.

The final few lines of “Rain are:

Sdeah reiht edih dna nur yehtSemoc niar eht fi (rain)Niar (rain)Senihs nus (rain)

These lines seem like nonsense words but are actually from a recording tape played backwards. Perhaps it’s meant to suggest that when we view rainy days as “we might as well be dead” we are viewing the experience backwards. Perhaps we would be better off to turn that idea around so it tells us to live fully even when the sun shines and when it rains, and appreciate the full spectrum of human experience.

My Best,
Jeff
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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.
Categories
Depression melancholy

Bob Dylan’s “Melancholy Mood”

Welcome to From Insults to Respect. For many of us who have endured a brutally hot summer, the approaching of autumn sure is a welcome.

This past weekend, I happened to be checking out some stuff on YouTube and came upon a wonderful version of the song, “Melancholy Mood,” sung, believe it or not, by Bob Dylan.

 

The amazingly prolific song writer and musical performer typically sings songs he personally penned, but in 2016 he released an album titled Fallen Angels, and “Melancholy Mood,” is one of its twelve classic American songs.

“Melancholy Mood” was written by Walter Schumann and Vick Knight back in 1939. Upon its initial release, several big band performers cut versions, including Harry James’s orchestra with a very young Frank Sinatra doing the vocals. Harry’s instrumentation of the song naturally featured his dynamic trumpet playing, but there is none of that in Dylan’s version. Instead, we get some gentle, pensive guitars. And though it’s hard to beat the rich vocal tones and wonderful phrasing of Sinatra, Dylan’s vocals, as music critic Ray Padgett describes it, “underplays the emotion perfectly.”

The song immediately caught my interest because it brought into focus the topic of melancholy, which, as regular readers well know, I have discussed on several occasions (see for example, HERE, HERE, and HERE). In these earlier posts, I contrasted my views on the differences between melancholy and depression. To me, when we experience melancholy we have made friends with this experience, recognizing it as a natural process in which life hasn’t deserted us forever, and there may be some epiphanies in the mire.

Joni Mitchell

As Dylan’s fellow musician and song writer, Joni Mitchell, describes melancholy in her beautiful song, “Hijira.”

There is comfort in melancholy where there is no need to explain, it’s just as natural as the weather in this moody sky today.”

Similarly, in an article titled “The Case for Melancholy,” Ms. Laren Stover writes,

sadness 3“What ever happened to experiencing the grace of melancholy, which requires reflection: a sort of mental steeping, like tea?”

From the perspective of William James’s, when we are in melancholy we are sure we will be up again just as we are sure, when elated to be down again.

“Six months, or any cycle of time, is sure to see you produce a certain amount…. The good time will come again, as it has come; and go too.”

In contrast, depression arrives periodically just as melancholy does, but it is combined with insults thrown at oneself for being depressed without questioning if the insults are valid. Some refer to this as having a double depression because not only are we feeling depressed, but we are depressed about being depressed. Words come out of the depressed person such as, “I don’t have time for this! I’m crazy, mentally ill! This is the end of the road for me!” These are more than just words;  there is a furious deep belief that these words are completely true, and a sense of hopelessness is overwhelming.

So, with this as background, let’s take a look at the lyrics of “Melancholy Mood” to see how they depict the melancholy experience. The first few lines are,

Melancholy mood forever haunts me
Steals upon me in the night, forever taunts me
Oh, what a lonely soul am I, stranded high and dry
By a melancholy mood

So far, the lyrics have Dylan expressing a mood in which he will be forever going through. He is stranded high and dry, with no means to move to a better place.

It’s not clear if the word forever, as used here, means that the singer will be always in this mood, or he will forever have periods of this mood that will come and go. A recognition that this mood is something he will have to go through, but good times will come again would be more like what melancholy means to me. At this point in the song, Dylan might be depicting someone drifting into depression. And yet, he is not clearly insulting himself. Perhaps he is just putting into words the gloomy sense one feels at such times.

Let’s move on to the next stanza

Gone is every joy and inspiration
Tears are all I have to show, no consolation
All I can see is grief and gloom, till the crack of doom
Oh, melancholy mood

These words beautifully capture the melancholy moods that I experience. There is no sign of words that are insulting the singer. Even if there is, it would not automatically mean the person has fallen into depression as I define it.

To this day, because of old habits, as I fall into melancholy, I find old habits that I learned as a youngster will spring to mind, like, “I hate myself!” or “I’m such an idiot.” But when these words shoot into my consciousness, I now well recognize that they are not at all helpful in dealing with my current state, and I let them fly away, without trying to suppress the underlying feelings that accompany them. The main difference, for me, between a melancholy mood and depression is whether or not I am convinced that the words that spring to my mind are absolutely true or not. If not, then I’m in a melancholy mood. If I really am convinced that every nasty thing that comes to my mind is true, I’ve become depressed.

Another aspect of the above four lines from the song’s lyrics also worth thinking about, is the phrase, “till the crack of doom.” It suggests there will be no relief ever arriving. Such a hopeless view suggests a depression type of experience if the person saying them truly believes this. If he or she just notices these words coming into consciousness without accepting they are absolutely true, this is more consistent with melancholy.

Moving on to the next few lines, they point to a specific reason for the person grieving:

Deep in the night I search for a trace
Of a lingering kiss, a warm embrace
But love is a whimsy, as flimsy as lace
And my arms embrace an empty space

Here, the desire for romantic love is powerfully expressed. As we move on to the last four lines, along with the accompanying melancholy guitar rifts, we fall under the spell of the song’s grieving feelings.

Melancholy mood, why must you blind me
Pity me and break the chains, the chains that bind me
Won’t you release me, set me free, bring her back to me
Oh, melancholy mood

From these final words, we learn that it is not the desire for just any romantic love the singer is sharing with his audience. Rather, the words tell of someone grieving over the loss of a romantic relationship involving a particular woman. He is pleading for the mood to release him from this grief by bringing the woman he loves back to him.

The song suggests an important function of melancholy moods. We see the person depicted in the song articulating what his desire is, and spending time with his feelings. This just might lead to processing within his mind about what led to the breakup, and what might he do to reignite the shared romantic love he once had. Or, if not that, maybe the processing of the mood will lead to some thoughts of what he might do better in a future romantic relationship that will lead to a better outcome.

Well, in any case, that’s some of my little musings on a recent song I’ve been listening to. I share it in the hopes it will deepen understanding of the nature of melancholy and depression.

May you all have a colorful autumn.

My Best,
Jeff

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence.  To begin at the very first post you can click HERE.

Categories
antidepressants conflict resolution

Antidepressant Treatment: Toxic Flimflam?

Feeling depressed? If so, you may decide to consult with a psychiatrist or other medical doctor. By doing so, chances are your description of your feelings will be translated into a language of symptoms, diagnosis, and mental illness, and you will leave the doctor’s office with a prescription for pills marketed as “antidepressants.” Unfortunately, this medicalization approach is so inconsistent with scientific evidence that many people view it as a remarkably successful flimflam funded by the enormously wealthy pharmaceutical industry.

To throw light on this, today’s post briefly summarizes the scientific theory that runs counter to the mainstream psychiatric pathologizing “antidepressant” approach. Then, it addresses the question, Are doctors and the pharmaceutical industry supporting the pathologizing of depression really engaging in deliberate deception?

The Theory That Is Inconsistent With The “Antidepressant” Approach

A few weeks ago I presented a post about a study. Here’s how the authors summarized their findings:

Our work shows that the more people hold beliefs that others expect them not to experience negative emotions, the more frequently and intensely they are likely to experience those negative emotions. Such ironic effects also relate to indicators of well-being, such as satisfaction with life and depression. Moreover, our findings suggest that these relationships are at least partly mediated by negative self-evaluations that people have when they experience undesired emotions. Attempts to promote the value of feeling good over the value of feeling bad by emphasizing social norms for these emotions may therefore have the effect of making people feel bad more often.

While keeping this research in mind, let’s turn to some other ways to look at the nature of depression that runs counter to the pathologizing view.

People Who Get Over Depression Without “Antidepressants” Do Better Than Those Who Had Taken Them

Prior to the availability of modern pills to treat depression, numerous examples exist of people recovering without them. Psychologist William James, back in 1902, in his classic book, The Varieties of Religious Experience, provides us a ton of such examples. Most of them involve a religious conversion experience, but James also provides examples that appear to be a result of “…the eruption into the individual’s life of some new stimulus or passion, such as love, ambition, cupidity, revenge, or patriotic devotion.”

One particularly insightful example is the story of William James’s own recovery. There we learn that three events provided the essential ingredients–a change in his philosophical understanding of the nature of depression, marriage to a very helpful wife, and finding a career that suited him (for a more complete story of his transformation, see HERE).

Since those early days of psychology, a clearer understanding of the nature of depression has emerged from careful scientific study. A recent publication in the journal American Psychologist by Professor Steven Hollon neatly summarizes what I am referring to.

Depression is an inherently temporal phenomenon. Any given episode tends to remit spontaneously even in the absence of treatment but recurrence is common (at least among people seeking treatment). There is reason to believe that depression may be an evolved adaptation (like pain or anxiety) that increases reproductive fitness (the likelihood that one’s gene line will pass on). If so, then any treatment that facilitates the functions that depression evolved to serve is likely to be preferred to one that only anesthetizes the distress.  

After this opening statement, Prof. Hollon provides a more complete description of his theory:

Depression is an adaptation that evolved because it keeps organisms focused on (ruminating about) complex social issues until they can be resolved and that medications work not so much by addressing a nonexistent deficit in neurotransmitters in the synapse as by perturbing underlying regulatory mechanisms to the point that they reassert homeostatic control over those systems. If the latter is true then medications may work to suppress symptoms in a manner that leaves the underlying episode unaddressed and patients at elevated risk of relapse whenever they are taken away. 

Prof. Hollon then begins to review the evidence to support this theory. For example, he describes studies that demonstrate depressed individuals who are treated to remission with cognitive therapy are less than half as likely to relapse following treatment termination as a matched group of depressed folks treated to remission with antidepressant medications. He goes on from here to argue that some people have trouble working through their depression efficiently because they misinterpret life events in a negative fashion and that cognitive therapy helps them examine the accuracy of their beliefs, and by so doing it relieves their distress more quickly. Prof. Hollon goes on to say, “it is likely that cognitive therapy works by making rumination more efficient so as to facilitate the resolution of the complex social issue(s) that brought the episode about.”

Although Prof. Hollon focusses on the benefits of cognitive therapy, other research has found that counseling that focusses on resolving interpersonal problems, and humanistic approaches to therapy that empathetically values what each person is going through, are also often helpful. Such approaches avoid the numerous side effects of “antidepressants” and the awful withdrawal reactions that occur upon ending one’s reliance on drug treatment.

For the links to the actual studies documenting the long term harm of the “antidepressant” approach, see my post “Do Antidepressants Worsen Depression?” and my post “Do Antidepressants Increase the Risk of Adult Suicide?” To get a much better understanding of the nature of depression, see HERE.

Are Doctors Promoting “Antidepressants” Deliberately Engaging In A Flimflam?

Early in my career of providing psychological services, having reviewed the scientific evidence regarding the effectiveness and safety of “antidepressant “drugs, I assumed medical doctors were well aware of this research. The fact that they were prescribing them despite the evidence that they are far more harmful than beneficial in the long run led me to wonder if these doctors were deliberately ignoring the research for financial gains.

While reflecting on this, I was hired by a medical doctor to provide counseling to his son who was struggling with depression. It soon became quite clear to me that this doctor dearly loved his son, and yet, in addition to having me provide counseling, he had arranged for his son to take daily an “antidepressant.” In my mind, there is no way this father would go along with the drug approach for his son merely for money and, therefore, it seems to me he must have come to genuinely believe the drug plus counseling approach was the best way to address his concerns about his son. In an effort to understand this doctor’s reasoning, I decided to ask him a few questions.

It quickly became apparent that the doctor was familiar with a very few short term studies that appear to support the value of the drugs, but none of the studies that found the opposite results. In his defense, he noted that it was not billable time to go to the library to review the evidence. Moreover, in any given week he was prescribing dozens of other very different types of medications, and new drugs were regularly becoming available. To be up to date on the research for all of them would be just way too much to expect of medical doctors. Instead of reading the research, he relied on the Physicians’ Desk Reference which is a compilation of prescribing information provided by the drug companies. There, you can find, among some other very limited information, if the drug is approved by the Food and Drug Administration (FDA) to treat the patient’s complaint, such as depression. He went on to say, and I am paraphrasing here, for I don’t remember his exact words:

As long as the drug has been approved by the FDA for depression, then I’m willing to give it a try with my patients. In time, I carefully monitor whether or not the drug is being helpful. With the antidepressants most of my patients have done well on them, and several have told me it has saved their life. I also want to add that the leading experts in the field support the use of these antidepressants as first line treatments for depression and argue that it would be malpractice to not prescribe them to depressed patients. Even if I was to agree with your research analysis, I could not risk getting sued for malpractice.

Since my discussion with this medical doctor, I have had other opportunities to discuss this issue with medical doctors. These discussions have led me to conclude that most of them use a similar set of reasoning for why they prescribe “antidepressants.” My impression is that rather than a flimflam, they truly believe they are doing something helpful for their patients.

Is The Pharmaceutical Industry Engaging In A Flimflam?

As far as the pharmaceutical industry engaging in a flimflam, here I have little first hand knowledge to draw any firm conclusions. My knowledge chiefly comes from reading The Truth About the Drug Companies: How They Deceive Us And What To Do About It. It was written by Marcia Angell, M.D., the former editor in chief of the prestigious medical journal The New England Journal of Medicine and she is currently a member of Harvard Medical School’s Department of Social Medicine. I came away from reading her book thinking that the enormous profit motive in the industry does lead to substantial bias in how research is carried out and the information they provide to medical doctors.

The FDA’s approval process, Dr. Angell tells us, relies extensively on information provided by the pharmaceutical industry. This clearly raises concerns about bias.

I do think the FDA does serve a valuable function for evaluating treatments for diseases that have clearly objective criteria for identifying their existence. For example, when patients who have a cancerous tumor, it can be objectively seen by doctors with the use of an imaging device. How large each of the patient’s tumor is can be assessed objectively by measuring its circumference. In a clinical trial that has half of the patients randomly assigned to a group that gets a placebo, and the other half to a new drug, if, after three months, the placebo group’s subjects tend to have tumors that grew larger, while those getting the new drug have shrunk, this shows a clear benefit for the drug treatment.

As another example, let’s say the drug company develops a vaccine for Covid 19. When tested against a placebo, let’s say far more people who took the placebo end up dying than those who took the vaccine. This provides clear objective evidence that the drug is effective at preventing death because we have an objective way to tell if someone is alive or dead.

Unlike these types of objectively identifiable conditions, with depression doctors rely on a subjective indication of effectiveness, that is, a conversation. Moreover, the studies that the FDA looked at to approve the “antidepressants” were done with patients who took the actual drugs for a mere few weeks, even though doctors regularly advocate that their patients take the drug for far longer, often for the rest of their life. It is the long term studies that came out after the FDA approval process that has begun to indicate that these drugs are likely to be worse than non-drug approaches.

There are far more problems with the control studies that had been used by the FDA to approve the various “antidepressants” on the market, and the links I provided earlier in this post describe them. But for now, let’s move on to discussing the wisdom of doctors relying on what their patients say in order to evaluate whether or not their “antidepressant” prescriptions are working.

Relying On The Reports Of Patients Regarding the Effectiveness of “Antidepressants”–Is That Wise?

Recall that doctors often will defend their use of “antidepressant” by saying, “With the antidepressants, most of my patients have done well on them, and several have told me it has saved their life.” The problem with this, as noted earlier in this post, is that people with depression spontaneously recover at a high rate even without treatment. It is this fact that leads to the doctor’s misattribution.

Thus, consider an example. Upon prescribing an “antidepressant” for depressed patient Judy, Dr. Smith hear’s from her after a few weeks that she has recovered. Did she recover as a result of the drug treatment, or because of the natural rate of spontaneous recovery of depressed patients. Because she began to feel better shortly after she began to ingest the drug, she and her doctor are likely to mistakenly attribute her improved mood to the drug’s effectiveness.

Consider another example. Dr. Smith has prescribed an “antidepressant” for depressed patient Marc. Not feeling any better despite taking the drug for several weeks, Dr. Smith tells Mark, “It takes time for the drug to have an effect, so give it a little more time.” A few more weeks go by with no improvement, so Dr. Smith tells Marc, the dose of the drug needs a little adjustment because some folks need a little more than others. When a few more weeks go by with no improvement, Dr. Smith responds by prescribing a different “antidepressant.”

Notice that more and more time is going by, thus further increasing the likelihood that some of the doctor’s patients would recover without the drug approach. If the patient does recover during this process, rather than attributing it to the natural recovery process, the improvement is misattributed to the drug treatment. In this way, doctors fall under the illusion that by assessing their patients responses to their prescribed “antidepressants” they can come to know how effective they are.

Conclusion

I have presented the case that medical doctors typically genuinely believe their prescriptions for”antidepressants” are effective, and therefore are not deliberately seeking to mislead their patients in order to make more money. Their process of coming to their belief about the effectiveness of these types of drugs is indeed deeply flawed, but a quality evaluation appears to be a too arduous process for each doctor to perform. I have heard that in my area doctors in medical practice for a medical company find their company advocates each patient be seen for a mere few minutes. I do think medical doctors must understand that their drug information is coming from people selling the drugs. Although I respect doctors for their life saving efforts, I would respect them more if they would ban together and hire a team of epidemiologists to provide an independent evaluation of the risk and benefits of these treatments.

As for the pharmaceutical industry, in a recent New York Times, I happened to notice an article indicating drug distributors and the drug company Johnson and Johnson have reached a $26 billion deal to end opioid lawsuits that came about because of the hundreds of thousands of overdoses. The vast majority of those who died began their addiction as a result of prescriptions from doctors that relied on the Physicians’ Desk Reference, which, as I have said, bases the information it supplies to doctors on information provided by the pharmaceutical industry. From what I have read about the opioid crisis and the way research on “antidepressants” has been carried out, my best guess is that there has been some flimflamming going on within that industry.

When I discuss problems with the “antidepressant” approach for dealing with depression, some folks who are currently taking such drugs sometimes decide to stop taking their pills. Suddenly stopping them all at once can be risky because of a variety of distressing withdrawal reactions possibly including waves of suicidal feelings. For help in deciding on the safest way to go about the withdrawal process, I recommend tapping into Mad In America’s “Drug Withdrawal Resources” page (see HERE). The madinamerica.com website is an excellent nonprofit resource for finding out a host of information about psychiatric drugs that seeks to be free of the pharmaceutical industry’s financial influences.

My Best,

Jeff

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence.  To begin at the very first post you can click HERE.

Categories
conflict resolution Depression Mental Illness sadness

Feeling Bad About Feeling Sad

Welcome to From Insults To Respect. 

A couple of years ago I wrote a post titled, “Am I Bad For Being Sad?” There I discussed the tendency in our society to promote the notion that when we experience sadness it is a symptom indicating there is something wrong with us. I then asked readers to consider the possibility that this notion may be disrespectful and harmful, and it may be far better to frame our sad experiences as healthy, and a process that serves the function of planning our future. In that post, to encourage readers to think about this, I used two parables and a New York Times article in which the writer relates the experience of a woman dealing with sadness. Today, let’s take a quick look at a summary of that earlier post, and then I’ll discuss a research article that helps to deepen a discussion of this issue.

A Brief Summary of the Earlier Post

In the first parable, a mother tells her son it is time to go to bed, he resists, and eventually he begins to cry. The mother responds:

 Don’t you dare start with this crap or I’ll give you a real reason to cry! You’re acting like an infant!!! Now you stop this instant and get to bed!!!”

In the second parable, the same set of circumstances occurs except that the mother replies to her son’s tears differently. Instead of getting angry, she says in a caring manner:

“I see you are feeling sad. That’s understandable. You were enjoying the game so much, and you’re disappointed about having to stop. You know, when we feel sad, it’s to help us figure out how to better handle what we do in the future. I wonder how we can better handle the going to bed situation. Any ideas, Carl?”

After presenting these two parables, I asked readers some questions:

Will this mother’s response in the first parable to her son’s sadness lead him in time to not only feel sad about whatever led to his sad feelings, but additionally, to feel bad for not living up to his mother’s expectations of what a good, mature person should feel during disappointments? 

Might he, thus, learn to have a kind of double depression each time he is disappointed–depression at the disappointment, plus depression because he is depressed?

With this mother’s approach, might he eventually become motivated to drown his negative emotions in alcohol, or mask them with illegal or prescription drugs?

In contrast to the first parable, the second one has the mother explaining that the experience of sadness is natural and has the potential to be helpful. I noted that this doesn’t instantly eliminate a period of sadness. Then I asked readers:

Is it possible that by viewing sadness as natural and helpful, might it eliminate much of the self-insults that make a sad experience worse?

Might it also helpfully guide attention toward constructing positive future plans?

After discussing these questions, I then went on to the New York Times article that I used to further deepen the sadness discussion. There, the writer tells us about Laura.

When Laura was young, she saw a psychiatrist because from time to time she would begin to sob. He convinced Laura there was something wrong with her and sold her on the idea that she needed to take a prescribed pill. Before long he had her taking a whole cocktail of pills.

When on the drugs, Laura said, “I never had a baseline sense of myself.”

Eventually, Laura began to question her psychiatrist’s medical model, and although she suffered through the process of weaning herself off the prescription drugs, finally she reported that she felt as if she were learning the contours of her adult self for the first time. When she felt dread or despair, she tried to accept the sensation without interpreting it as a sign that she was defective. “It felt like a revelation,” she said, “to realize that the objective in being alive isn’t the absence of pain.” The article concludes with Laura stating, “I never felt helped by the drugs in the sense that I have meaning, I have purpose, I have relationships that matter to me.”

There is quite a bit more that I covered in my earlier post on this subject, and I hope you consider reading it (see HERE). In that post, I relied chiefly on stories to illustrate the relevant issues, for stories are particularly helpful in making sense of life’s challenges. However, there is another path toward understanding–scientific research. So, let us now turn to a research article employing the scientific method that focuses its keen eye directly on today’s topic.

The Research Article

A team of researchers (Brock Bastian, et al.) published an article in the peer reviewed journal Emotion titled, “Feeling Bad About Being Sad: The Role of Social Expectancies in Amplifying Negative Mood.” The authors begin by summarizing previous relevant research, then describe four studies they carried out to throw light on this subject, and then present their conclusions. The entire article can be viewed for free HERE. It is a bit long and written using some technical language and complicated statistics so I thought I would provide the gist of it to those who prefer a shorter read.

Upon reviewing previous research, they found evidence that in many cultures people are expected to strive for happiness and not to feel sad or stressed. Moreover, happiness has been enthusiastically promoted as important for personal well-being and a meaningful life. Even common malaise is often diagnosed as an illness and is considered detrimental to our own and others’ health.”

The authors go on to say,

One does not need to look far to see which emotions are socially valued and more normative than others. Daily we are reminded of the value of happiness, from TV advertising that highlights the hedonic pleasures of consumption, to national campaigns designed to improve happiness and well-being.
Meanwhile, commonplace emotional experiences such as sadness, depression, or anxiety are pathologized and medicalized, viewed as deviant from desired norms…. Negative emotions are touted as bad for our health… and can be “cured” with an array of drugs and interventions designed to quickly and efficiently return us to normality. On the other hand, the many benefits of negative emotions, such as their creative potential…, importance for interpersonal relations…, and role in achieving a rich and meaningful life… are rarely prominent in current social discourse. 

When the authors write that the benefits of negative emotions are rarely prominent in current social discourse, they are referring to modern Western individualistic cultures such as Australia, Great Britain, and the United States. They contrast these Western cultures with the very different attitudes of many people in Asia. Thus, the authors write,

[T]he importance placed on happiness and the devaluation of sadness is not as apparent in Asian cultures. In Japan, acceptance, emotional balance, and even hardship are highly valued, and the pursuit of happiness often has “immoral” connotations.

Now, after the authors described the previous research that I have sought to summarize, they then begin to describe their four original studies. In brief, hundreds of people, mostly Australians, but some from Japan, were asked to rate several of their personal characteristics on a scale that ranged from 1 (strongly disagree) to 9 (strongly agree). Examples of the characteristics they were asked to rate themselves on are:

Feeling sad makes me dislike myself.

When I feel sad I feel like a bad person.

It is very important to me not to feel sad.

I would always try to avoid feeling sad. 

Feeling sad is normal.

Feeling sad is an important part of life.

There is far more to these four studies than just having people rating themselves, but this gives you some idea of what was done.

Among the findings, there was a clear tendency for Australian individuals to feel worse about themselves when experiencing negative emotions than the Japanese individuals who were more likely to view sadness as normal and helpful.

The authors’ final conclusions, after looking at the result of all four studies, are:

Emotions are fundamentally social phenomena. Our research provides the first evidence that people’s generalized beliefs about how others expect them to feel may play a central role in their emotional experience and well-being. Our work shows that the more people hold beliefs that others expect them not to experience negative emotions, the more frequently and intensely they are likely to experience those negative emotions. Such ironic effects also relate to indicators of well-being, such as satisfaction with life and depression. Moreover, our findings suggest that these relationships are at least partly mediated by negative self-evaluations that people have when they experience undesired emotions. Attempts to promote the value of feeling good over the value of feeling bad by emphasizing social norms for these emotions may therefore have the effect of making people feel bad more often.

Now, relevant to this discussion, there does exist some evidence that sometimes people who experience depression end up hurting themselves, or lapse into periods in which their functioning diminishes. This evidence is used by many psychiatrists to urge people to take psychiatric drugs. But, is it really the depression that leads these people to hurt themselves, or is it how they respond to their sad feelings that lead to various undesirable outcomes?

In contrast to the medical model that urges drug treatment, there is evidence that the drug treatments increase suicide and disabilities.

Robert Whitaker

For an excellent review of this evidence see Robert Whitaker’s fine book, Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America.

Now, let’s say you were brought up immersed in a culture that favors happiness over negative emotions. If you had become convinced it would be wise to change your old habits of self-hate when experiencing depression, perhaps you might find it hard to break those habits. What can you do?

By reading this blog beginning with the earliest post can help to support making the change. You can begin at the earliest post by clicking HERE. Two of its benefits are, it is completely free, and you can utilize it at your own pace.

Another approach is to go to a personal counselor well trained in promoting the notions that sadness is helpful and self compassion is a better way to deal with it. The personal interaction with a skilled, supportive counselor can be a powerful motivator to make the needed changes in your life. Its chief drawback is its financial cost.

If you do wish to utilize this approach, I can recommend two professionals who are excellent–my son, Jack Star Rubin, and his wife, Emily. Their services are provided online via Skype or Zoom. You can access their webpages HERE.

OK then, I think I’ll end this discussion for now. That said, please feel free to extend it in the comment section below.

My Best
Jeff

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.

Categories
Advice to a depressed daughter conflict resolution

William James’s Advice to His Depressed Daughter

Welcome to From Insults To Respect. Today’s topic: How might parents wisely respond to their teenager’s experience with depression?

Imagine your thirteen-year-old teenage daughter begins to express a concern about being depressed. Many in the psychiatric profession, heavily backed up by the pharmaceutical industry, would urge you to make an appointment with a psychiatrist as fast as you can. That approach typically leads to the doctor encouraging your daughter to take pills referred to as “antidepressants.” The main argument that is made for beginning this type of treatment is, “untreated depression is associated with an increased risk of suicide.”

This fear arousing comment frequently works because parents tend to jump from this statement to the thought that treatment with so-called antidepressants either eliminates this risk or significantly reduces it. But a large body of evidence suggests just the opposite: That the use of antidepressants doesn’t reduce the risk of suicide, but actually appears to increase it. At the same time many studies have been suggesting that depression is an inherently temporal phenomenon and most episodes will remit spontaneously even in the absence of treatment. There is reason to believe that depression is often beneficial and an adaptation that evolved because it keeps individuals focused on complex social issues until they can be resolved. Medications, although they sometimes appear to work by suppressing symptoms, they do so in a manner that leaves the underlying episode unaddressed and patients at elevated risk of relapse whenever they are taken away. Moreover, these drugs are associated with a number of troubling side effects, and many find that once they start using them, stopping them can lead to some awful withdrawal reactions that are far worse than the initial experience of depression.

Long before these drugs became available, William James, arguably the most brilliant American psychologist of all time, was forced to address his 13-year-old daughter’s struggle with depression. This was back in May 1900, while James was himself suffering from heart problems.

After failing to get satisfactory care from doctors in the United States, professor James and his wife went to Europe to see if he could find a more helpful doctor. His daughter, Peg, was left with family friends, Mr. and Mrs. Clarke, and their children. Upon receiving several letters from Peg expressing the difficulties she was going through, James wrote her a long, thoughtful reply, which I present for your consideration.

The Letter

Darling Peg,

Your letter came last night and explained sufficiently the cause of your long silence. You have evidently been in a bad state of spirits again, and dissatisfied with your environment; and I judge that you have been still more dissatisfied with the inner state of trying to consume your own smoke, and grin and bear it, so as to carry out your mother’s behests made after the time when you scared us so by your inexplicable tragic outcries in those earlier letters. Well! I believe you have been trying to do the manly thing under difficult circumstances, but one learns only gradually to do the best thing; and the best thing for you would be to write at least weekly, if only a post-card, and say just how things are going. If you are in bad spirits, there is no harm whatever in communicating that fact, and defining the character of it, or describing it as exactly as you like. The bad thing is to pour out the contents of one’s bad spirits on others and leave them with it, as it were, on their hands, as if it was for them to do something about it. That was what you did in your other letter which alarmed us so, for your shrieks of anguish were so excessive, and so unexplained by anything you told us in the way of fact, that we didn’t know but what you had suddenly gone crazy. That is the worst sort of thing you can do. The middle sort of thing is what you do this time—namely, keep silent for more than a fortnight, and when you do write, still write mysteriously about your sorrows, not quite open enough.

Now, my dear little girl, you have come to an age when the inward life develops and when some people (and on the whole those who have most of a destiny) find that all is not a bed of roses. Among other things there will be waves of terrible sadness, which last sometimes for days; and dissatisfaction with one’s self, and irritation at others, and anger at circumstances and stony insensibility, etc., etc., which taken together form a melancholy. Now, painful as it is, this is sent to us for an enlightenment. It always passes off, and we learn about life from it, and we ought to learn a great many good things if we react on it rightly. 

[From margin] (For instance, you learn how good a thing your home is, and your country, and your brothers, and you may learn to be more considerate of other people, who, you now learn, may have their inner weaknesses and sufferings, too.) 

Many persons take a kind of sickly delight in hugging it; and some sentimental ones may even be proud of it, as showing a fine sorrowful kind of sensibility. Such persons make a regular habit of the luxury of woe. That is the worst possible reaction on it. It is usually a sort of disease, when we get it strong, arising from the organism having generated some poison in the blood; and we mustn’t submit to it an hour longer than we can help, but jump at every chance to attend to anything cheerful or comic or take part in anything active that will divert us from our mean, pining inward state of feeling. When it passes off, as I said, we know more than we did before. And we must try to make it last as short a time as possible. The worst of it often is that, while we are in it, we don’t want to get out of it. We hate it, and yet we prefer staying in it—that is part of the disease. If we find ourselves like that, we must make ourselves do something different, go with people, speak cheerfully, set ourselves to some hard work, make ourselves sweat, etc.; and that is the good way of reacting that makes of us a valuable character. The disease makes you think of yourself all the time; and the way out of it is to keep as busy as we can thinking of things and other people—no matter what’s the matter with our self.

I have no doubt you are doing as well as you know how, darling little Peg; but we have to learn everything, and I also have no doubt that you’ll manage it better if you ever have more of it, and soon it will fade away, simply leaving you with more experience. The great thing for you now, I should suppose, would be to enter as friendly as possible into the interest of the Clarke children. If you like them, or acted as if you like them, you need not trouble about the question of whether they like you or not. They probably will, fast enough; and if they don’t, it will be their funeral, not yours. But this is a great lecture, so I will stop. The great thing is that it is all true….

At this point in the letter, James changes the subject, explaining how his treatment for his heart problem is going, what he has been doing to deal with things back home even though he is thousands of miles away, and expressing frustration about the cold, sunless weather.  He then concludes:

Your mother is sleeping, and will doubtless add a word to this when she wakes. Keep a merry heart—“time and hour run through the roughest day”—and believe me ever your most loving  

W.J.

How did Peg end up after receiving this letter? She wrote to her mother that, “Papa’s letter was a beautiful one; it cheered me immensely.” She also said she was determined to act upon Papa’s advice; and “with God’s help I think I shall be a better girl.”

She went on to attend Bryn Mawr College, acted in a couple of plays, married, and had two children. She was viewed as the best of citizens in San Francisco, working with the civil rights group, supporting the Community Chest operations and heading up the Ladies’ Protection and Relief, and devoted her time as war began in 1939 to British War Relief. Throughout her life, she did have two more bouts with depression, but she handled them well. The last one, at her husband’s urging, she went with him hiking in the foothills near Santa Clara, and after a while, the exhilarating experience of being in the wonderful and exhilarating landscape, along with the lively exercise, led to the depression passing. The family legend pronounced this a California cure for a New England psychological illness.

My Interpretation

Dr Jeffrey Rubin

The letter begins as a response to a letter Peg had written to her parents after a long silence. Apparently, she had been led to be silent because of her mother’s urging that when she is in a bad state of spirits she should try to “consume her own smoke,” and grin and bear it.

For those who are not familiar with the phrase, it means to accept aggravations in silence and to react with an extra effort of hard work so that those about you may not be annoyed with the smoke, dust, and soot of your complaints. Plainly, James was not satisfied with this approach. Thus he explains to Peg that the best thing for her to do is to communicate with her parents at least weekly about how she is doing, including sharing with them if she is in bad spirits and describing it exactly as she would like.

James’ next words may sound contradictory. He tells Peg the worst thing for her to do is to pour out the contents of her bad spirits on others. And then he writes that because she refers to her sorrow in her most recent letter in too mysterious a manner, he wishes that she be more open about it.

I’m not really sure what distinction James was trying to make here. My best guess is he was trying to encourage her to avoid TAKING OUT her sad/upset feelings on others, but still speak openly about what she is feeling, at least to her parents.

James, in the end, chose to encourage Peg to express what she is going through as she wishes. I like this, particularly if what she expresses is to be received with empathy and love. Note that James signs off his letter with the words, “…believe me ever your most loving W.J.” I think this strikes exactly the right tone.

Elsewhere in the letter, James begins to frame Peg’s experience as helpful for producing “an enlightenment,” if “we react on it rightly.” The wrong way, according to James, is to get into the habit of accepting the woe without doing anything constructive about it. The right way is “to jump at every chance to attend to anything cheerful or comic or take part in anything active that will divert us from our mean, pining inward state of feeling.”

It is interesting that James suggests that when we act wrongly, it is “usually a sort of disease, when we get it strong, arising from the organism having generated some poison in the blood.” Two years later, in his classic book The Varieties of Religious Experience, he refers to this type of biological theory as “simple-minded” and “superficial medical talk.” To explain his position, he wrote that many so-called “healthy-minded” individuals believe that those who worry are “morbid minded” and “diseased,” but it may very well be true that “the world’s meaning most comes home to us when we lay them most to heart.” Like James, I view framing these challenging experiences as a type of disease as flawed. It is much more helpful to view them as useful tools that, if handled well, can potentially provide us with some enlightenment.

I also agree with James that there is a right way and a wrong way to deal constructively with our feelings of woe, but perhaps we differ on some specifics of what is to be viewed as wrong. James claimed in the letter that we must try to make our sad feelings last as briefly as possible and not an hour longer than we can help.

I believe that, rather than fighting against melancholy, we should allow ourselves some time to be with it, just as we would if an old friend came to visit. We can spend this time observing, in a nonjudgmental manner, the emotions drifting through us in a manner similar to a scientist observing a flock of birds flying off in the distant sky. When it comes to grief, we need not set some artificial time limit by which we “should be” through with the process.

Nevertheless, just as when a friend visits, after a while we come to recognize that it is best to move on to other valuable activities, just as James recommends. But later, we can go back to letting ourselves take some time to be with our sad feelings once again, going back and forth like this until the roughest parts of these experiences have passed. For me, taking time to be with my feelings like this, and also taking time to respond as James suggests, works very well. Similarly, if we can teach our children to accept and handle these ebbs and flows, it is likely to benefit us both.

I’m not suggesting that James would disagree with me on this issue. His encouragement for Peg to fully express her feelings to him and her mother at least weekly allows her to be fully and regularly with her feelings. Recent research indicates that folks going through a period of depression, if they write about what they are experiencing for a period of time, referred to as expressive writing, can be enormously helpful. He wrote his letter to Peg when he wasn’t feeling well, and in a day or two, with more time to reflect, he no doubt would have added far more nuance to this topic, some of which might well be in line with my own views.

Although the letter should not be viewed as a full account of James’ position on what to say to a child under similar circumstances, I offer it because it provides some relevant ideas for 21st-century parents to consider when deciding how best to respond to their children’s struggles.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on. This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence. To begin at the very first post you can click HERE.

Categories
anxiety conflict resolution Emotional pain Grief

Anxiety and Grief as Emotional Pain

Welcome to From Insults To Respect. Today we explore the question, Is it helpful or harmful to view our anxiety and grief experiences as painful?

Let’s begin this exploration with a diary entry from a mental patient that appears on page 224 in Richard P. Bentall’s fine book, Madness Explained:

Rhoda [a friend] asked me if I were spoiled and I angrily said no, but feel hurt, as if I was born for a purpose I hide from, covering myself with warm blankets. Go to hell, World! I cannot die in peace and safety. I cannot face the slightest breath of real life or death or ugliness. But I hurt for being a coward. I was always a coward – socially, physically, mentally, sexually, emotionally. If I go insane, am I brave? I will, because then, and only then, I am brave, not a coward. I hate people. They compete and want stimulation. I hate them all, all. None loves, none cares, none understands or ever will understand. I am dead, dead – very, very limited, afraid and hurt. Go to hell, World!

There is a lot we might wish to unpack in this quote, but for today, let’s focus on the fact that the patient mentions three times that what he is experiencing hurts.

In our society, many of us are taught, beginning in our earliest years, that to experience anxiety and grief is cowardly and symptoms of mental illness. From such teachings, many come to believe people who don’t have such feelings are brave and viewed with great respect. All of this occurs despite the fact that pretty much all of us regularly experience anxiety and grief, even those who act in the most courageous manner. The swirling emotions that come about from this misunderstanding is often experienced as painful.

Once we, in our modern society, come to associate anxiety and grief as painful, this leads many of us right into the idea that we best manage it as we do when we experience physical pain, that is, by distracting our minds to something pleasant and washing the feelings away by consuming alcohol and other drugs. And yet, even when dealing with physical pain, these two approaches are often far from optimal.

In research studies, when distracting oneself from pain was compared to a “sensory focus” approach, sensory focus came out distinctly better even for when dealing with the particularly challenging pain that occurs while giving birth (see HERE for a review of this scientific research).

Sensory focus involves turning your attention to observing the painful physical sensations. If the sensations bring forth words such as pain, or awful agony, you accept this without judgment. You very gently, when you feel ready, return your focus to the physical sensations as if you are tasting, for the first time, some fresh mountain water from a tropical island. You just observe the sensations as they wash over and through you.

As for using alcohol and other drugs to deal with physical pain, the problems that can occur are no doubt already known to most of you. Nevertheless, I will bring to your attention a few of them.

Millions of people who turn to alcohol to relieve pain end up with a serious addiction and liver damage. For those who turned to prescription opioids to manage their pain in 2018, there were nearly 15,000 deaths from overdoses. Drugs that contain acetaminophen, like Tylenol, are the leading cause of acute liver failure in the United States, and some studies indicate that it can be harmful to kidneys as well. Each year, the side effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which are commonly used for pain, cause nearly 103,000 hospitalizations and 16,500 deaths. More people die each year from NSAIDs-related complications than from AIDS and cervical cancer in the United States. Common over the counter NSAIDs include ibuprofen (Motrin, Advil) and naproxen (Aleve).

So, because of the common tendency to deal with pain by distracting and taking drugs, conceptualizing the experiences that come with anxiety and grief as pain may not be ideal. So, today, let’s take a few minutes to consider another approach, and then we’ll compare it to the pain approach.

An Alternative Approach to Experiencing Anxiety and Grief

Let’s begin here with a series of studies indicating that how we conceptualize emotional arousing experiences can dramatically alter the experience.

These studies began in earnest back in 1964 when a team of researchers presented a film showing primitive adolescent “subincision” rites to their subjects and found that it produced marked stress reactions. However, when some subjects were coached to view the film as if they were objective scientists, their stress reaction was markedly reduced. The findings supported the conclusion that the same visual stimulus varies in the amount of stress produced depending upon the nature of the cognitive appraisal the person makes.

Subsequent studies replicated this study by using a series of films that showed horrific workplace accidents, and again, altering the cognitive appraisal strategy of the subjects, altered the level of stress experienced. So, perhaps altering how we appraise our experience with anxiety and grief might alter our level of stress for the better.

What might a better alternative to how people in modern society typically view anxiety and grief? Let’s try this one on for size.

We have, for over two million years, been evolving ways to address our concerns so we have a better chance to survive and to pass our genes on to subsequent generations. Two of our most common concerns involve perceiving a risk of future danger, which we experience as anxiety, and perceiving we have lost something or someone important to us, which we experience as grief. Recognizing these types of concerns is the first step in a more complete process of finding ways to minimize the risk of danger and to successfully move forward despite our losses.

These types of concerns are a type of memory that brings to our attention that we have some processing to take care of. One of the characteristics of dealing with these concerns is that we often can delay attending to them for a limited period of time so we can engage in other tasks viewed by us as having higher priorities. When we put off dealing with these types of concerns, they don’t just go away; they come back again and again reminding us that we have to adequately address them. Despite our efforts at putting them off, as our concerns begin to accumulate without being fully addressed, it becomes harder and harder to delay dealing with them. Our memory begins to remind us of them more frequently and more intensely until we reach a point at which we must attend to them, like it or not. If we put off taking time to process our concerns for too long, our functioning for dealing with many aspects of life can begin to deteriorate, and at some point, we may end up having what some people refer to as a mental breakdown.

So, with this understanding, anxiety and grief are part of a wonderful process, rather than a sign of mental illness that we need to distract ourselves from or to take drugs to manage. Part of this process requires that we devote enough time to process these concerns or the level of intensity is liable to become more and more challenging.

When we are reminded of our perceived dangers and grief, rather than automatically perceiving such experiences as painful, we can allow ourselves to observe the physical sensations that come with it. If words such as, “Man, this is painful,” “Man, this is hurting,” or, “I can’t stand this suffering,” we can observe them without automatically accepting them as accurate. What is accurate is the physical sensations, and the specific concern to be addressed as best as you can fathom. Once the sensations go through us, we naturally begin to spend some time thinking about some ideas to address the concerns.

An Example of Someone’s Personal Experience Dealing with These Types of Experiences

Kerin Jervert

In a recent Mad In America post titled, “Can We Allow Suffering,” Karin Jervert tells us how she was treated by psychiatry over a 20-year period. She found that the entire industry is based on this very human, very common, reaction to suffering, the inability to allow it—the inability to hold it with nonjudgmental compassion—whatever its manifestation. When those in psychiatry perceived that she was suffering, they drugged her without consent, leading to some awful side effects. They also isolated her and involuntarily committed her. The terms they used were “disease” and “a broken brain.”

As Karin so eloquently put it,

For years, I never thought of my suffering as something that deserved anything but force in response: suppression, drugs, hospitalization. Until I started to look back on all this and it all seemed like punishment for suffering too greatly, too powerfully; that I was not allowed to suffer this way. So, I began to broaden my idea of what was acceptable suffering, and my healing began. My fears of my own and others’ suffering lessened. What before was something to pounce on, to solve, to fix, became something to witness, to honor, to allow.

So, there you have it, some thoughts about conceptualizing anxiety and grief as emotional pain, and what might be a better alternative. I hope you give this some thought, and please join us again soon right here at From Insults to Respect.

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Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional intelligence.  To begin at the very first post you can click HERE.

Categories
anxiety anxiety disorder conflict resolution

The Nature of Anxiety

Welcome to From Insults to Respect. Today’s topic–anxiety.

What brought me to write about it? Well, recently I published a post titled, “The Nature of Depression and Melancholy” (see HERE). Shortly afterwards, one of my readers commented that rather than depression or melancholy, he is more likely to experience anxiety, and therefore, wondered if I might write a post on it. Since how people handle anxiety can influence their degree of self-respect, I decided the topic was relevant to this blog.

As I took up the task, it soon became apparent that it would not be possible to explain the nature of anxiety without integrating it with what we know about depression and melancholy. After all, each share six similar characteristics, and in the same episode of depression or melancholy, people can have waves of anxiety. Additionally, at times all three states of being (depression, melancholy, and anxiety) blend together.

So, we begin today with a brief summary of the six common characteristics of depression, melancholy, and anxiety. Afterwards, I’ll describe how all three states of being differ from one another.

Brief Summary of The Six Common Characteristics of Depression, Melancholy, and Anxiety.

Depression and melancholy, as I explained more fully in a previous post, share six characteristics. Anxiety also shares these as well.

All three are usefully viewed as a type of memory. Its function is to remind you that you have concerns that need to be addressed.

This memory can be visualized as a bucket. When it is only slightly filled, each time the memory warns you that you have some work to do in order to deal with your various concerns, you can, if you so choose, easily put off dealing with them until a more convenient time by shifting your attention so you can carry out some other task.

As the bucket gets more and more filled by more concerns, or particularly big concerns, the warnings become more frequent. They also feel more intense, and it becomes harder and harder to shift attention to other tasks. If your concern memory bucket becomes filled to the top, putting off dealing with at least some of your concerns is no longer possible.

As the concerns become more frequent, or feel more intense, some medical doctors, particularly psychiatrists, will be eager to classify your experience as a symptom of a mental disorder and prescribe drugs to deal with this. It is a lucrative business model, but in my opinion, this causes more harm than good. One way or another, concerns have to be addressed, and masking them with substances that have a variety of harmful side effects will only lead to more concerns in the long run.

The amount of concerns and degree of seriousness of concerns that one has in their concern memory provides two of the reasons why people vary when it comes to how often, and how intense their concerns are experienced. Another reason for this variation is that people inherently have different capacities for putting off addressing their concerns until a more convenient time. We can visualize this as being born with either a large, average, or small concern memory bucket. For those who are born with a relatively large concern bucket, they can hold more concerns and larger, more serious concerns before their bucket begins to become filled than an average person. Thus, they can go for longer periods before they begin to have more and more difficulty shifting their attention away from their concerns. Others who are born with smaller buckets find that it takes less time than the average person for it to begin to fill up. Thus, even when facing relatively few and minor concerns than the average person, they nevertheless begin to have more and more difficulty shifting their attention away from their concerns.

Another characteristic that depression, melancholy, and anxiety share is that there are various ways to decrease the contents in our concern memory bucket before we begin to have trouble postponing dealing with our concerns. For example, meditating once or twice a day provides an opportunity to spend time addressing concerns with little distractions. Although as we enter into meditation, we don’t do so with the intent to address concerns, they naturally bubble up from the relatively peaceful state, and our minds spend time working through our various concerns in a natural manner.

Taking a walk, journal writing about concerns, speaking to a counselor, or watching a sporting event like baseball that provides significant down time to mull over our concerns, can also be very helpful. By working through our concerns in these ways allow us some control over when we have to deal with a full blown experience that might otherwise occur at very inconvenient times, or feel so intense that they begin to feel painful.

In today’s world, there are an incredible number of opportunities to distract us from addressing our concerns, from entertaining TV shows, movies, the ease of calling friends, and engaging on social media platforms. Methods that free us from so many distractions for periods of time can be enormously helpful in avoiding reaching what some have described as a nervous breakdown.

So, the six common characteristics of depression, melancholy, and anxiety I want to bring to your attention are, 1. the concern memory system serves as a warning sign, 2. we can delay attending to these warnings for a limited period of time, 3. when we put off dealing with our concerns, they don’t just go away, they come back again and again until they are adequately addressed, 4.despite our efforts at putting them off, as our concerns begin to accumulate without being fully addressed, it becomes harder to delay dealing with them, and our memory begins to remind us of them more frequently and more intensely, until we reach a point at which we must attend to them, like it or not, 5. people vary on how many and how serious their concerns must become before they no longer can divert their attention from their concerns, and 6. we can decrease the period of time before our concerns start to reach extremely frequent, strong, intense experiences by putting aside each day some time to reduce external distractions so we can more smoothly and comfortably address our concerns.

How Are Depression, Melancholy, and Anxiety Different From One Another?

We experience desires, aspirations, strivings, wishes, and longings. For convenience sake, let’s just use the word desire to represent all of these experiences.

As we experience desires, several emotions can spring to our attention. Sometimes we experience the emotion of renewed hope because something we did, someone else did, or some change in the environment signaled that our desire is more likely to be fulfilled. When a desire is fulfilled, we experience a wave of an emotion we call happiness. Whenever we interpret a situation as interfering with achieving a desire, we experience a wave of frustration. And whenever we interpret a situation as indicating a desire is no longer achievable, we grieve for a period. When we recall situations in our life, this can lead to re-experiencing the emotions that had occurred in the original situation.

Hope, Happiness, Fear, and Grief

One desire people have is to avoid harm. Whenever we perceive situations in which we may be harmed either physically or psychologically, we experience fear. If we perceive a tiger rushing toward us, we would experience fear that would immediately fill up our concern bucket, and our attention would be completely on this event. During this time, you would not be thinking about what TV show you want to watch later that evening. Instead, your body would go into a state of flight or fight, your heart would be pounding, and adrenalin would begin to circulate in your blood, giving you added strength.

Not all fear experiences are as intense. For example, observing a doctor coming toward you to give you an injection might produce just a mild degree of fear. At such time, you might decide to divert your attention to a pleasant image, and find you can do this.

Now, there is a type of fear that arises when we anticipate that there is a real possibility that we will be facing some harmful event some time in the future. For example, a woman might have plans to traverse a path in a jungle next week having heard that tigers have attacked people on that path. Each time she thinks about this, she is very likely to experience some fear.

When we are not immediately facing the fearful event, it is a somewhat different experience than one in which we are immediately facing it. We typically distinguish this type of fear by calling it anxiety, or we say we are worrying about the upcoming event.

Not everyone makes this distinction. For some people, when experiencing frustration, grief, an immediately occurring fearful situation, or anxiety as I have just defined them, they may use words like being upset, anxious, depressed, and melancholy to refer loosely to all of these emotional states. There is some justification for doing so, because when we look at specific examples of people having these types of experience, we find that all three emotions can blend together, and it is not always easy to say which emotion is most apt for describing what is actually being experienced. Let’s look at some examples to show you what I mean by this.

Some Examples

Rob’s Desire To Get Home

After a hard day at work, Rob desires to get home so he can relax. As he is driving home, suddenly he hits a traffic jam, slowing his car almost to a stop. He initially experiences frustration. As he assesses the situation, he sees there is some road construction blocking one of the lanes. Then he sees that just up ahead, once cars pass the construction, traffic picks up to normal. This five-minute delay is no big deal, and his mind passes to some song playing on his radio.

Parable Discussion

This is a simple example of a person experiencing frustration, and it soon passes without other emotions arising. This type of experience occurs to all of us quite frequently.

Shanice’s Recipe Concern

Shanice desires to be viewed by her family as an excellent cook, and her family of four love that she takes charge of the evening meal. One day, as Shanice is working around her house, a concern arises within. She thinks to herself, “What should I make for supper?” When she can’t think of anything, she feels frustrated. Over the past few days, she has gone through her main classics, and now she doesn’t want to make something she views as “the same old, same old.”

Suddenly the phone rings, and because Shanice is in the midst of experiencing her frustration over this issue, she pauses before answering, thinking she wants to get her supper plans settled. But then she says, “I guess I could put this supper stuff off for a few minutes,” and she decides to answer her phone.

After a nice chat, Shanice writes a condolence letter to a friend who recently lost her mother to cancer. Then her concern memory reminds her that she still doesn’t know what to make for supper. Again, feeling frustrated, her attention fully focuses on this issue, and then she remembers she has, back in one of her draws, a red folder with recipes that she has saved over the years. As she remembers this, she experiences a wave of hope.

As Shanice flips through these recipes, her eyes fall upon one for sesame pasta. “Oh,” she says, “the last time I made this, everyone raved about it. I haven’t made it in a long time. I bet this might be a perfect choice, and she is now even more hopeful.”

She then calls out to the rest of her family, asking them what they think about this. They all express delight. So now Shanice can take this dinner concern out of her concern memory bucket, and a wave of happiness is experienced.

It just so happens, that Shanice’s son, Daniel, is in a counseling graduate program and one of his classes is focused on emotions. So, Daniel asks Shanice what she was experiencing as she went through addressing her concern.

“I was just frustrated because I really couldn’t think of what to make,” she replies.

“Did you experience any anxiety or worry as you went through the experience?”

“Well, I felt a little anxiety each time my mind went to the thought that my family is going to start thinking I’m losing my touch for being a great cook.”

Parable Discussion

This little story is designed to help us see that people can feel mainly frustrated as they deal with a concern, but thoughts that lead to hope, happiness, and anxiety can be part of the the total emotional experience. It also illustrates that being reminded of our concerns can be helpful for achieving our desires. If Shanice had completely forgotten about her concern once she became distracted by a phone call, she would not have come up with an approach that fulfilled her desire. Recalling our concerns don’t guarantee that all of our desires will be fulfilled, but it often helps.

In this Shanice example, the whole incident passes by in a fairly brief period. Let’s take a look at another example, but this one lasting several months.

Fred’s Employment Concern

Fred, an assistant manager in his firm, desires to get a promotion. When his annual review comes, it is excellent, and his hopes soar. One day the firms owner calls him into her office. He thinks to himself, “Maybe she’s going to tell me I’ve been promoted,” and once again his hope soars. Instead of a promotion, she fires Fred, explaining that the firm was just bought out by a big conglomerate, and they are bringing in their own personnel leadership.

Upon hearing this, Fred is very frustrated.

When he gets home, for several days waves of frustration frequently blend with periods of grieving each time his mind falls on the fact that seeing several people he loved working with on a daily basis has come to an end. It has not been easy for him to continue to do several of his daily obligations, such as picking up the kids after team practices, participating in a charity organization, and emotionally supporting each member of his family as their concerns arise, but for the most part, he struggles through this.

The next week, at one point he finds it is so hard to attend to what they are saying, his mind drifting to what he has to do to land a new job, that he excuses himself and goes for a long walk.

During the walk, as he recalls moments of his firing and the loss of seeing his coworkers, powerful emotions arise within, and he sits on a park bench and begins to cry.

It lasts for a few minutes, and then he gets up and resumes his walk. A half mile further along, a plan begins to take form. He has to make some calls to get recommendations, and his resume has to be polished up. Then, all of a sudden, he realizes that some of the firms he was thinking of applying to would require long commutes. He had bought his current house so he could walk to work because he hates dealing with the awful traffic in his city. Now the fear of having a daily commute is experienced as a powerful bout with anxiety.

As Fred continues his walk, an idea comes to him. I’ll first just apply to the three firms within a twenty minute drive.

It’s a month later. He is grieving because he has received rejection letters from two of the nearby firms. He also finds that when he wakes up every morning he has a bout of anxiety, fearing the letter carrier will bring another rejection letter.

Finally, one morning Fred gets a letter from the third nearby firm that he had applied to. With great fear, he opens it. To his delight, it invites him to come for an interview the following week. Reading this, his hope soars. But then, later in the letter, it explains that part of the interview involves making a presentation in front of the interviewers. This produces a wave of anxiety. He has a good deal of experience making presentations, but this one will be in front of people he doesn’t know, and his whole chance of getting this job will largely depend on how well he carries this off.

The anxiety proves to be productive. It motivates Fred to put off any other plans he has for the week, so he can work on the presentation. In the end, he really puts together something he has confidence in.

The story has a happy ending. Fred lands the job.

Parable Discussion

Here we see an example of someone experiencing, during a period of months, strong feelings of hope, frustration, anxiety, grief, fear, and happiness. There are times Fred has trouble concentrating on the usual family matters and community obligations. Still, many of the important tasks of life that don’t involve looking for a job manages to get done by Fred. But, at one point, he does excuse himself so he can eliminate distractions, fully experience his emotions, and formulate some plans.

As in our previous example, the plans Fred comes up with do not guarantee success. Nevertheless, the alternative of doing things that continually distract himself are likely to lead to his concern memory bucket reaching an overflowing state, and then many of his daily obligations may end up suffering. He could have also turned to heavy drinking of alcohol or some other drugs to suppress his emotions. The side effect of this approach may have added to his already challenging concern.

Janet’s Anxiety Concerns

Janet has just graduated from a Mental Health Counseling masters program. She now has thousands of dollars in college loans, but her husband makes just enough money so their living expenses are just barely being met.

For Janet to start making any significant money as a counselor, she has to pass the National Clinical Mental Health Counselor Examination. So, she pays to take the exam which is only given twice a year. If she fails, she would have to pay the fee again and wait another six months until she can take it again.

The test is coming up in a few months. To prepare for the test, she pays for a set of computer based instructions, which also provides practice tests. The cost to take the test, and the instructional material has really stretched her budget to the ultimate limit.

Janet has long desired to have a child, but put off starting a family because of her studies. Now she has reached an age at which putting off having a child becomes increasingly risky. So, at the same time that she is preparing for the test, she has decided to see if she can have a baby.

As she begins to prepare for the test, she meets Al, a guy who recently failed the same test she has been studying for, and he tells her that he knows others who studied a great deal, and also failed. Janet experiences, upon hearing this, a wave of anxiety. At the same time, she decides to increase the amount of time each week for studying.

After studying for a few weeks, she takes a practice test, and fails. Anxiety comes flooding into her whole being.

The next week, Janet discovers she is pregnant, and the hope of having a child soars. This lasts for a few days, and then, in addition to having anxiety every time she thinks about possibly failing her test, she also finds herself thinking about what would happen if she has a miscarriage, or has a child with serious medical problems. Her anxiety becomes more frequent and dramatically more intense. At the same time, she begins to take greater care of what she eats, does research on what other habits can be altered to reduce risks to her developing baby, and decides to reduce her alcohol consumption.

As time goes on, there are times when she fails a practice test, and a mixture of frustration and anxiety is experienced. There are also times when she passes a practice test and hope is experienced. Hope also occurs when an exam by her obstetrician indicates her baby is developing well.

Anxiety, frustration, hope, continue throughout this period of her life.

Parable Discussion

In this example, if Janet was asked to describe her emotional experience during this period of her life, she may very well say that she was mainly feeling a great deal of anxiety. The combined fear of failing her test, having to take the test over, maybe failing it again, having a miscarriage or having a baby with serious medical problems, we can imagine, could have overshadowed her other emotions.

In this little story, I tried to give the reader a sense that anxiety can spur one to better address concerns. Thus, concerns about failing a practice test did not just lead to experiencing anxiety, it also spurred Janet to increase her study time. Her anxiety associated with thoughts about her pregnancy led her to take steps to reduce risks.

Anxiety, Depression, Frustration, Grief, and Melancholy

To understand the nature of anxiety, we must understand how it is related to four other emotional experiences. The above four examples seeks to help us see these relationships.

All of these experiences begin with desires. Ron desired to get home so he can relax. Shanice desired to be viewed by her family as an outstanding cook. Fred desired to get promoted, and then, to get a new job that didn’t require a long commute. Janet desired to pass her test and have a healthy baby.

When we perceive that something is getting in the way of achieving our desire, at first we feel frustrated, and then we quickly begin to assess the frustration to see what can be done to overcome it. Sometimes the assessment can lead to one or more other emotional experiences, though not always.

Rob, in our example, while driving home and suddenly finding himself in a traffic jam, experiences frustration. Upon assessing the situation, he sees this will be a mere five minute delay, and the frustration passes away.

However, in the Shanice example, she mostly experiences frustration when she can’t come up with a supper idea. However, upon questioning, she realizes that as she was assessing what to do about this, her mind fell on the thought that her family might lose respect for her if she keeps making the same old, same old. With that thought, she experienced some anxiety. It was rather mild, and she was able to put off addressing her concern for a few minutes so she could respond to her phone call. After the phone call, at one point her concern memory warned her that she still had not adequately addressed her concern.

In the Fred example, he becomes frustrated when he finds out that his desire to be promoted is not going to be achieved, and instead he is fired. As he assesses this, at some point the frustration begins to include periods of grief and anxiety. The concerns that lead to these emotions are pretty major, and he finds that at times he is having difficulty shifting his attention away from his concerns.

In the Janet example, she becomes frustrated when she realizes that her desire to advance her mental health counseling career requires that she take an expensive and very hard to pass test. She also desires to have a healthy baby, and experiences frustration when ideas come to her that she could have a miscarriage or give birth to a baby with serious medical problems. These frustrating thoughts almost instantly shift to anxiety.

Now, when we have frustration along with grieving experiences or anxiety, many of us begin to insult ourselves. We might say, things like, “Why am I acting like a baby,” “I’m acting crazy,” “What an idiot I am,” “I’m mentally ill,” “I’m hopeless and helpless,” “This is a horrible experience, and it’s all my fault,” “I hate myself,” “I deserve to die,” etc.  Those who go to war with themselves in this manner, add a whole additional serious concern to what they are already facing because people have an inherent desire to respect themselves. Creating the impression with these insulting attitudes that they are not worthy of respect frustrates this desire.

So, here we see two alternative experiences, one in which frustration and grieving gets mixed together with insulting, and one in which frustration and anxiety gets mixed together with insulting. When we experience frustration and grieving, and are also insulting ourselves, we might want to refer to this as depression.

Because depression is often used in too vague a manner, when that word comes up, I seek to explore what meaning is intended, looking specifically to see if the person using the word depression means frustration, grieving, and insulting oneself, or some other experience.

For a similar reason, when someone uses the word anxiety, I like to see if the experience being referred to includes personal insults.

As I pointed out in my post titled, “Depression and Melancholy,”  melancholy offers us a third alternative.

Consider how musician and song writer Joni Mitchell described melancholy in her beautiful song, “Hijira.”

There is comfort in melancholy where there is no need to explain, it’s just as natural as the weather in this moody sky today.

In melancholy, the person practices self-compassion and views the experiences of frustration, grieving, and anxiety as a natural helpful process we all must go through from time to time. Melancholy provides a richer, and more powerful approach for addressing our concerns, even the most challenging ones. It doesn’t waste time with all of the insults, though, because of old habits, some may still leap into consciousness. When they do, individuals in a melancholy state of being can observe them without believing they are true. Rather, they recognize them as old unhelpful habits, allow themselves to experience the physical sensations that come with them, and then, when those sensations pass in their own good time, they move on to other work that needs to be done.

For those individuals who haven’t been utilizing the melancholy experience, this is perfectly understandable. In our society, it is so common to observe family members, friends, and acquaintances frequently insulting others when a mistake is made. TV shows, movies, and politics portray people constantly blaming others in a hateful manner for all the problems that they see in the world. So, this style of dealing even with our own concerns is something that we pick up like mud on our shoes after strolling through an unpaved path after a storm.

To just read a post such as this can help a few people begin the process of transforming their war against themselves to a more melancholy approach without any additional assistance from anyone else. Most people, however, having learned the habit over many years of dealing with the situations that bring on grief and anxiety by insulting themselves will require entering into a process lasting for several months in a more systematic, guided manner.

One way to participate in such a process, and won’t cost any money, is to start reading my blog, beginning with the first post (see HERE). This can be paced depending on one’s comfort level, but I think that putting aside at least fifteen minutes on this process each week is the minimal necessary commitment to expect real positive change.

Additionally, my three novels provide an entertaining way to learn to develop self respect (see HERE). There is a modest cost to purchasing them, but the ebook versions are very inexpensive.

Though most personal counselors are stuck in the medical model that pathologizes the experiences we discussed today, more and more are turning to an alternative approach that values enhancing self-compassion. Naturally my two favorites of these are my son, Jack Star Rubin, and his talented wife, Emily Whyte Rubin. You can learn about their services, which are available online, by clicking HERE. They rely on a variety of wisdom traditions that have demonstrated research support, and they listen deeply and compassionately as their clients express concerns. In this way, with the help of modeling, their clients come to adopt this way of listening deeply and compassionately as they, themselves, deal with their own concerns even when their counselor is not present.

Well, that’s my post for today. I hope you found some nourishing food for thought. Stay safe out there, and please join us again right here at From Insults to Respect.

———————————-

Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional and social intelligence.  To begin at the very first post you can click HERE.

Categories
conflict resolution Depression melancholy

The Nature of Depression and Melancholy

Welcome to From Insults to Respect. Today we take an interesting look at two states of being, depression and melancholy. A central difference between the two has to do with throwing insults at ourselves; when we are depressed we spend a great deal of time doing that, in melancholy, not so much. To better understand what I mean by this, and to clarify the natural function of depression and melancholy, it will be worthwhile to first take a brief look at another state of being, sleep.

Six Similar Characteristics of Sleep, Depression, and Melancholy

As a result of our special familiarity with sleep–we experience it pretty much every single day–when I point out six of its characteristics, everyone will readily know what I’m talking about. It will then be easier to see that similar characteristics occur with the less familiar depression and melancholy experiences.

Six Characteristics of Sleep

Before we go to sleep, we experience a warning that sleep is heading our way. We refer to this warning as “feeling sleepy.”

When we get this warning, there are a few things we can do to exercise some control over when we actually fall asleep. For example, when we are sleepy while eating breakfast but have to go to work, typically we can muster our determination to put off sleep until later.

At some point, like it or not, and even with the greatest determination to stay awake, sleep will come.

Feeling sleepy can range from being a little sleepy, all the way to the point where we can barely keep our eyes open. This range of sleepiness is dependent on a special memory that stores how sleepy you are. This memory can be visualized as a bucket. If you are a little sleepy in the morning, the bucket is viewed as only slightly filled. If you manage to divert your attention from the sleepiness so you can go to work, by the time you get back home, your sleepiness memory hasn’t forgotten that the bucket was slightly filled earlier, and now that several more hours have gone by without getting some sleep, the bucket has filled up beyond the height than it was in the morning. This becomes noticeable by more frequent waves of sleepiness, and each wave feels more heavy or intense. If you divert your attention from how sleepy you are so you can have dinner and watch a few of your favorite TV shows, you will find that none of your earlier sleepiness has been completely forgotten for long, and on top of that, even more sleepiness has been added. By the time you are watching the opening monologue of the Tonight Show, your bucket may now be filled up, and sleep will come even if you try to resist.

Just like there is natural variation in the various characteristics of us humans, like how tall we are or the color of our hair, different people have various size sleepiness memory buckets. Most have average size buckets, and after about sixteen hours without sleep their bucket becomes pretty filled up and they will typically sleep for about eight hours. Other people can go with less sleep; others require more sleep.

Finally, some people, desiring to avoid having their bucket getting filled up too early, will carve out some time in their day to take a nap or two. Each nap lowers the level in their bucket, and they therefore remain more alert during the day after a few minutes of grogginess passes.

Summarizing the six sleep characteristics I want to  bring to your attention, 1. sleep has a warning sign, 2. we can delay sleep for a limited period of time, 3. despite our efforts at putting off sleep, at a certain point sleep will come, 4. we have a special memory that remembers how sleepy we are, 5. people vary on how much sleep they need, and 6. we can decrease the duration of our major sleep event by doing something we call a nap.

The Six Characteristics Of the State of Being that is Often Referred to As Depression

As Katrina is on her way to work, a concern arises within. “My job is not really right for me,” she says to herself. “It’s getting more and more boring, and the pay is barely enough to make ends meet. I have to make a change.”

Now she has arrived. She pauses and says to herself, “I’m going to put off dealing with this job concern ’cause I have to focus on my work responsibilities.”

Katrina finds that throughout her work hours, for the most part, she is able to put off thinking about this concern, though from time to time, she does notice a wave going through her reminding her of it. Each time this happens, she finds that she can cut it off quickly so she can focus on her job responsibilities.

So far in this scenario, we begin to see some similarities between sleep and the buildup of concerns that might lead to depression. That is, each wave of sleepiness is a warning sign that a person will need to get some sleep soon, and each wave of concern that Katrina is experiencing is a warning sign that she will soon have to address her job concern. We also see, in this Katrina scenario, that she can exercise some control over when she addresses her concern, putting off dealing with it until a more convenient time. Notice that this is similar to sleep in that when we feel sleepy, we still can put off going to sleep for a while.

Now, let’s continue with Katrina’s story.

After work, she meets her mother at a nice restaurant to have dinner. There, her mother reveals that she has discovered a lump in her breast.

Upon arriving home, Katrina puts on the TV to see some shows she likes. While watching, she finds that her concerns intrude into her consciousness more frequently and in a more intense manner than previous recent days. In the medical model of thinking about this, these intrusions would be viewed as symptoms of a possible mental disorder. As I view them, they are as natural as a sunrise.

Later in the week, Katrina finds out that her mother’s lump has been diagnosed as cancerous. Then the guy that Katrina has been dating and is really crazy about, calls. In as pleasant a manner as he can muster, he ends his relationship with Katrina explaining he has met someone new. Despite Katrina’s effort to stay positive, she finds she can no longer put off experiencing feelings of disappointment, despair, anguish, sadness and tears.

Like the sleep memory that we visualized as a sleepiness bucket, we can visualize the concern memory also as a bucket. As time passes for Katrina, her memory bucket remembers all of her previous unresolved concerns, and as new concerns come her way, her bucket begins to fill up more and more. As it does so, she experiences more frequent reminders of needing to deal with all of her concerns, and these reminders begin to feel heavier or more intense. Eventually, her concern memory bucket becomes filled to the top and, therefore, putting off dealing with her concerns can no longer be done.

As it did for sleep, this visual metaphor of a bucket works well for depression in two other ways. First, when we look at the various characteristics of depression, we find variation in people’s ability to put off until a more convenient time addressing their concerns. We can visualize this as having either a large, average, or small concern memory bucket. Second, like the sleep memory bucket which we can decrease its contents prior to our main sleep experience by taking naps, there are ways we can decrease the contents in our concern memory bucket before entering into a full blown episode of depression. For example, by meditating once or twice a day, this provides an opportunity to spend time addressing concerns with little distractions.

Meditation is supremely useful for this because the practice involves going to a quiet place and then closing your eyes. Although during meditation you may spend some time focussing on your mantra, this mantra task is so simple that ample time and mental space is available for your concerns to bubble up to the surface where they can be addressed while you are in a relatively calm state.

Taking a walk, or watching a sporting event like baseball also provide a lot of down time to mull over our concerns, and therefore, are examples of other ways we can work though our concerns in a manner that allows us some control over when we have to deal with a full blown depression experience. In today’s world, because there are so many opportunities to distract us from addressing our concerns, from entertaining TV shows, movies, the ease of calling friends, and engaging on social media platforms, methods that free us from so many distractions for periods of time can be enormously helpful.

A Difference Between Sleep and Depression

We have just looked at six characteristics of depression that are somewhat similar to the six characteristics of sleep that we discussed earlier in this essay. There are, of course, some differences between sleep and depression. The difference I want to point out here is that the passing of time is the main factor that leads to needing to go into a period of sleep. The longer you are awake, the sleepier you are likely to become.

When it comes to depression, time is still a factor because the more time passes, the more concerns can develop in a person’s life. Nevertheless, a much bigger factor that influences when someone enters a state of depression has to do with the nature of each concern. Some concerns are relatively easy to address, others are harder. Moreover, concerns vary with regards to how threatening they are to one’s goals.

Easy to resolve concerns are taken out of the bucket after a brief period of reflection, while difficult to resolve conflicts take up space in the bucket sometimes for years. Highly threatening concerns take up far more room in the bucket than low threatening concerns. If they are highly threatening and hard to resolve, much of one’s bucket can be almost filled to the brim for years. When this happens, for years each warning about the need to address concerns will be more intense, and it will take much less additional concerns to fill up the bucket. Thus, people who experience traumatic events are more likely to experience depression more often.

The Difference Between Depression and Melancholy

The six characteristics that apply to depression apply to melancholy as well. The chief difference between the two, as I mentioned earlier, is when people experience depression they insult themselves, whereas when people experience melancholy, not so much.

As the bucket begins to fill up, those who are prone to throw personal insults at themselves, typically choose ones that have to do with feeling guilty about becoming depressed, past mistakes, being crazy, and being worthless. The psychiatric model has them thinking they have bad genes, a lifelong pathological condition, as well as having a condition that is stigmatizing. All of this leads to the person experiencing self-loathing. The insults people attack themselves with add to the concerns in their bucket, leading to it becoming fuller more quickly than if they did not do this, and the insults are distracting, so that the real work of addressing the real concerns are less efficiently addressed.

In contrast, consider how musician and song writer Joni Mitchell described melancholy in her beautiful song, “Hijira.”

There is comfort in melancholy where there is no need to explain, it’s just as natural as the weather in this moody sky today.

In melancholy, the person practices self-compassion and views the experience as a natural helpful process.

David Whyte

David Whyte is one of the finest writers to capture the essence of the melancholy state. We get a sense of this by reading the following from his fine book, Consolations: The Solace, Nourishment, and Underlying Meaning of Everyday Words:

Disappointment is inescapable but necessary; a misunderstood mercy and when approached properly, an agency for transformation and the hidden, underground, engine of trust and generosity in a human life. The attempt to create a life devoid of disappointment is the attempt to avoid the vulnerabilities that make the conversations of life real, moving, and life-like; it is the attempt to avoid our own necessary and merciful heartbreak. To be disappointed is to reassess ourself and our inner world, and to be called to the larger foundational reality that lies beyond any false self we had only projected upon the outer world….

Despair takes us in when we have no where else to go; when we feel the heart cannot break anymore, when our world or our loved ones disappear, when we feel we cannot be loved or do not deserve to be loved, when our God disappoints, or when our body is carrying profound pain in a way that does not go away.

Despair is a haven with its own temporary form of beauty; of self-compassion, it is the invitation we accept when we want to remove ourselves from hurt. Despair is a last protection. To disappear through despair is to seek a temporary but necessary illusion, a place where we hope nothing can ever find us in the same way again.

Despair is a necessary and seasonal state of repair, a temporary healing absence, an internal physiological and psychological winter when our previous forms of participation in the world take a rest; it is a loss of horizon, it is the place we go when we do not want to be found in the same way anymore. We give up hope and certain particular wishes are no longer able to come true and despair is the time in which we both endure and heal, even when we have not yet found the new form of hope.

Melancholy provides a richer, and more powerful approach for addressing our concerns, even the most challenging ones. It doesn’t waste time with all of the insults, though, because of old habits, some may still leap into consciousness. When they do, those in melancholy can observe them without believing they are true. Rather, they recognize them as old unhelpful habits, allow themselves to experience the physical sensations that come with them, and then, when those sensations pass in their own good time, they move on to other work that needs to be done.

Transforming Depression To Melancholy

In our society, many of us learn to address our concerns using the depression pattern. How can they change that pattern so, when the bucket is full they experience, instead, melancholy?

One way that can be helpful, and won’t cost any money, is to start reading my blog, beginning with the first post (see HERE). Additionally, my three novels provide an entertaining way to learn to develop self respect (see HERE). There is a modest cost to purchasing them, but the ebook versions are very inexpensive.

Though most personal counselors are stuck in the medical model that pathologizes the experiences we discussed today, more and more are turning to an alternative approach that values enhancing self-compassion. Naturally my two favorites of these are my son, Jack Star Rubin, and his talented wife, Emily Whyte Rubin. You can learn about their services, which are available online, by clicking HERE. They rely on a variety of wisdom traditions that have demonstrated research support, and they listen deeply and compassionately as their clients’ express concerns. In this way, with the help of modeling, their clients come to adopt this way of listening deeply and compassionately as they, themselves, deal with their own concerns even when their counselor is not present.

Well, that’s my post for today. I hope you found some nourishing food for thought. Stay safe out there, and please join us again right here at From Insults to Respect.

———————————-

Some people will enjoy reading this blog by beginning with the first post and then moving forward to the next more recent one; then to the next one; and so on.  This permits readers to catch up on some ideas that were presented earlier and to move through all of the ideas in a systematic fashion to develop their emotional and social intelligence.  To begin at the very first post you can click HERE.