Impotence Basics

male sexual problems

I thought we'd start with the basics, especially since there are so many misconceptions about impotency aka erectile dysfuction.

Myths about impotence

  • Impotence is uncommon. This is untrue - most men simply don't talk about it. There are probably 20 million impotent men in the USA, and 2-3 million in the UK. A survey sponsored by the drug company Pharmacia & Upjohn found that more than 1 in 4 of the UK male population over the age of 16 have experienced erectile disorder to some degree. Of these, over half experienced the problem as one-off incidents and a quarter suffer erectile disorder most or all of the time.
  • Impotence is usually psychological. This is an old-fashioned view: impotence is most commonly due to a physical cause.
  • Testosterone injections / patches are a good cure for impotence. Testosterone is of use only in the uncommon situation where there is a proven shortage of testosterone.
  • Viagra works for everyone.Viagra is successful in only 50-80% of those with impotence problems.

Smoking and impotence

  • Smokers are much more likely to develop impotence than non-smokers. This is because if you are a smoker your arteries are likely to become clogged (atherosclerosis). During an erection the penis swells because it fills with blood. If your arteries are clogged, the blood cannot flow in efficiently and your erection will not be as good.
  • A study of 4462 Vietnam war veterans, aged between 31 and 49, showed that smokers had a 50-80% increase in the risk of impotence compared with non-smokers. Another study has shown that for every year you smoke 20 a day, you increase your risk of impotence by 2-3%.
  • According to a British Medical Association report, about 120,000 men in the UK in their 30s and 40s are impotent as a result of smoking.

Drugs that can cause impotence (erectile failure)

  • Cimetidine (for duodenal ulcer)
  • Some drugs for hypertension (for example, thiazide diuretics, methyldopa, beta-blockers, some ACE inhibitors)
  • Finasteride (for prostate enlargement or baldness)
  • Phenothiazines (for some psychiatric conditions)
  • Alcohol, marijuana
  • Drugs used for prostate cancer (for example, some GnRH analogues and anti-androgens)
  • Antidepressants (read this)

 


additional medications that cause impotence info

NOTE: DO NOT DISCONTINUE use of prescription drugs without first verifying with your doctor.

Tests usually carried out

  • Blood or urine glucose, to check for diabetes.
  • Blood testosterone (male hormone) level can be measured. However, it is unusual for impotence to be caused by a low testosterone level, so the result is usually normal. The exception is when there has been a reduced sex drive for some time before any problem with erections; in this situation a testosterone test is worthwhile.
  • Blood prolactin level is sometimes measured if erectile failure was preceded by a reduced sex drive; a high level of this hormone is extremely rare but may be associated with impotence, and can be an indicator of other diseases.

Conditions that can cause erectile failure (impotence)

  • Diabetes
  • Hypertension (high blood pressure)
  • Vascular disease (clogged arteries) - linked with smoking
  • Severe liver disease
  • Thyroid disease
  • Neurological conditions (for example, spinal injury, multiple sclerosis)
  • Depression
  • Peyronie's disease (Bent Penis)
  • After some prostate operations (especially radical prostatectomy)
  • Renal failure

Read more here.

Finding Treatment For Impotence

The best way to find an impotence specialist is to look for a board certified Urologist with an interest or additional training in impotence. Usually, after identifying a Urologist in your area, a call to the office will help you decide if the physician has the interest and compassion to treat the problem.

It is important that you feel comfortable and trust your Urologist, so don't be intimidated to ask to speak to the doctor to see if the "fit" is right. Always ask about credentials and if the physician regularly attends conferences to keep up on the changes. Usually, a physician who is involved in clinical research is on the cutting edge. Here are a couple of resources:

  • Impotence Anonymous and I-ANON. Call 1-800-669-1603 for information on local support groups.
  • Call 1-800-867-7042 for names of physicians in your area who have a special interest in treating impotence.
  • In general, the local hospital or clinic will have a listing of the support groups that can best provide the right sources to help the individual suffering from impotence.

Here are the available treatments for impotence. And find out why, even if you get your erection back, you may still have problems.

next: Male Impotency

APA Reference
Staff, H. (2008, December 7). Impotence Basics, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/sex/psychology-of-sex/impotence-basics

Last Updated: April 9, 2016

Embracing the Spirit

Chapter Four of BirthQuake

"The real crisis of midlife, then, seems to be a crisis of identity and meaning, and creativity resolves this crises." - Joannne F. Vickers and Barbara L. Thomas

Early adulthood is typically a frenetically busy time when much of our energy is geared towards exploring intimate relationships, acquiring essentials, obtaining degrees and training, establishing ourselves in careers, and for many of us - caring for growing children. There's relatively little time or energy for most of us to engage in the deep introspection of our adolescence. It's often not until middle adulthood that we find ourselves returning to such questions as, "What's the meaning of my life?" "What do I really want?" These questions can trigger a variety of responses and feelings, from disappointment and anxiety, to excitement and anticipation. For some, this period of uncertainty can lead to a sad and disconcerting twilight time. For others - the questions can herald in a period of possibility and exploration, particularly in spiritual matters.

I was sitting in the dentist's office last winter, fumbling through magazines and anxiously anticipating the drill, when I came across an article that addressed the seemingly growing wave of fascination the general public is exhibiting for matters of the Spirit. The magazine cited the emergence of popular television shows, best selling books, and music with a spiritual focus. I thought about my husband's recent habit of reading the Bible at night before going to sleep (this is a man who has no interest in going to church and little more in reading), of our couples groups' heated and energetic discussion of the best seller, "The Celistine Prophesy", of my client's comment that morning about her favorite television program, "Touched by an Angel"; and my entry into my waiting room that afternoon to glimpse some woman on television sitting with Oprah Winphry discussing her bestseller, "Embraced by the Light." My client sat leaning forward, eyes focused intently on the little black and white screen, reluctant to pull herself away and enter my office. It seemed as though such otherworldly matters were being addressed all around me!


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IN SEARCH OF THE SACRED

"Any journalist worth his or her salt knows the real story today is to define what it means to be spiritual. This is the biggest story - not only of the decade but of the century." This quote by Bill Moyers begins Sam Keen's informative ant thought provoking book, "Hymns to an Unknown God." Keen, a graduate of Harvard Divinity School, shares his lifelong journey and struggle to create for himself a sustainable sense of spirituality and personal meaning. On his pilgrimage he covers a tremendous amount of ground from secular religion to the sacredness available during the simplest of moments in every day life. Keen's observations and experiences resonated with me, calling forth a number of memories and increasing the volume of my own generally silenced longings.

I grew up in the shadow of two very powerful men. One, my great- grandfather on my mother's side, a strict Baptist; and the other, my paternal grandfather, a devout Jehovah Witness. I feared for my soul from a very young age, torn between two dramatically different theologies. If I followed the path of one and the other turned out to be correct, I could find myself burning in the fires of hell. If, on the other hand, I chose the other faith and missed the mark, I could die a terrible death in Armageddon. In search first for the true religion, and then later having given up and turning my energies in the direction of career and family, along the way I lost or never found my own spirituality.

For years I functioned well without attending to matters of the spirit. The emptiness within was seldom apparent. It generally troubled me only when, as a therapist, I was confronted with a client's existential crisis or a terrible tragedy. One such tragedy was the death of a woman's beloved son, a crisis which called for answers to questions that I had long ago stopped asking, let alone formulate answers to. I reassured myself by assuming the position that matters of the spirit had no particular place in the realm of the psychotherapist. And yet, in retrospect, it was within this realm that these issues were brought home to me. I began to witness miracles from time to time. At first I was shaken, although the child in me rejoiced that I could once again believe in magic. The adult, however, soon turned her attention elsewhere, dismissing the particular event, as my thoughts were once again directed towards more practical matters. Still, from time to time, the growing number of experiences would whisper their significance to me.

"What is now proved was once only imagined" - William Blake

WHO WAS THAT MAN?

One of the first such experiences involves an extraordinary woman who I will call Sue. Sue was referred to me after her beautiful daughter was killed in a fire. Sue had spent most of her adult life as a single parent, devoting her time and energy to caring for her two daughters. When her youngest child died, she was thrust understandably into the all-consuming vortex of grief. I met with her on Mondays. Each Monday for weeks, and then months, I would witness the depths of her pain and despair. I had no words that could truly offer comfort or explanations to assist her in creating some sort of meaning for her misery, in hopes of providing sustenance. Instead, I offered her caring, concern, consistency, and Prozac.

I began to develop headaches on Mondays. I eventually recognized that my headaches were related to my dread and feelings of inadequacy in dealing with Sue's pain. One day while driving in the car, I heard a song about the death of a young lover who was reaching out from the grave to offer comfort to the girl he left behind. I began to weep as I recognized that I, too, had begun to grieve for this golden-haired girl whom I had never met. In Sue's rage and agony, I began catching glimpses of my own.


 

S-l-o-w-l-y over time Sue began to heal. I recognized the small yet significant signs with gratitude and relief for both of us. I grew increasingly more certain that once again Sue would experience at least some small pleasures in life. Finally, the gifts of living would reconnect her to the delicate guide ropes that hold us all in some way. Then one morning on a Saturday, a call came. It was Sue, although I hardly recognized her. She had taken an overdose of Prozac and, to her disappointment, had survived the night. First of all, the fact that she had made an attempt on her life stunned and terrified me. Sue had remained determined that she would never, ever attempt suicide. While she had wished for death, she was clear that she would not risk the possibility that if she took her own life, the consequences might be that she may never have an opportunity to be with her daughter again. She had also vowed that she would not be the cause of further devastation to her remaining son and family. What could possibly have happened to push her to this desperate act after all she had suffered? Her explanation triggered the greatest sense of inadequacy I had yet felt in working with her.

She had recently moved out of the home she had shared with her children in an attempt to begin a new life. In the process of unpacking, she discovered that a family member had thrown out the pictures of her deceased daughter during the move. They had been placed in a box that had evidently been mistaken for trash and taken to the dump. Her remaining physical link to her child had been taken without warning, just as her child had been. She was sobbing as she spoke again and again of two items in particular; a picture that had been taken of her daughter when she was two years old; and some dried flowers that had been significant (I cannot remember why now). This final loss had been too great for her to bear. I was supposed to have already left to pick up my daughter in Bangor. There was no way to contact my parents, who had already begun the three- hour drive to deliver her to our designated meeting place, to warn them of my delay. I felt trapped and helpless. We discussed the possibility of Sue going to the dump in order to attempt to recover them. She informed me that this was useless, as she was certain they had already been buried in the land fill since they had been thrown there days ago. Her pain and fury were overwhelming to her and to me. She was furious with the family member, herself, the world, and God. I couldn't blame her. When we ended our conversation, it was understood that she would not make another attempt to harm herself, and that she would call me over the weekend if she needed to talk to me before our appointment on Monday. We both hung up feeling miserable. I thought about her throughout the weekend and wondered how she was managing. Once again I was struck by my powerlessness to do little more than stand by her (for slightly over 50 minutes a week). The irony was not lost on me.


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I braced myself for our next meeting. She greeted me in the waiting room with a sense of calm that I had never before witnessed in her. She smiled at me. I asked her what had happened over the weekend, as she was clearly in a different place than she had been when I last spoke with her. She informed me that later on Saturday an aunt had stopped by and convinced her to go to the dump to inquire about the pictures. She went and spoke with the dump manager explaining her situation and asking for assistance. The manager was polite but appeared relatively disinterested. He frankly informed her that it was highly unlikely that the pictures would be recovered. She requested that he please keep an eye out for them, and he agreed to do so. Sue left the dump once again feeling heavy-hearted.

The next day she was lying on her couch when she heard the motor of a car. Ordinarily, she would have ignored this as there were cars often pulling into the convenience store parking lot next door. Instead, she got up and walked to her door. Standing before her was a man dressed in white whom she'd never seen before. He handed her a box and told her that he understood that she had been searching for its contents. She opened the box, and directly on top two items immediately caught her eye. One was the picture of her daughter when she was two years old, and the other was the dried flowers. Both were perfectly preserved, as were all of the other mementos in the box. Sue was stunned! When she was finally able to speak, she offered to reward him. He informed her that her happiness was reward enough and he left. Sue contacted the dump later and was told that the manager had no idea as to the identity of this man and had not spoken to him or seen him. No one else whom she asked in her small town knew who he was either. His identity and how he came in possession of Barbara's keepsakes, as well as how he knew how to find her, remains a mystery. No reward had been publicly offered. Few people, with the exception of a limited number of family members and friends, the overseer at the dump, and me, were even aware of her loss. What is not a mystery is the impact of this strange encounter. Sue, an extremely practical and level headed woman, was convinced that this had been some kind of divine intervention and has experienced immense comfort from this knowledge since then.

A MESSAGE FROM THE "OTHER SIDE"?

On another occasion, my partner, Kathy Amsden, was working with a young girl whose father had died. The young girl was extremely depressed and had remained unreachable for some time. Kathy was greatly concerned about her. She was also frustrated that her attempts to assist this wounded child were beginning to feel increasingly more futile. We considered possible alternative interventions, and Kathy decided to have her young client write a letter to her father.

Several days following our consultation regarding Kathy's young client, I was in my office working with Andy. Andy had been referred to me by the Department of Human Services for abusing his six -year- old daughter. Andy was extremely indignant, adamant that he had not been abusive, and resentful for being forced to come see me. On many occasions our encounters led to me firmly confronting him, with Andy defending himself more and more furiously. Even my gentlest of suggestions were often rejected by him or in the very least, met with distrust. Needless to say, our visits were very unpleasant for both of us. On this particular day, after a heated discussion, we somehow shifted gears and started to simply converse. He began sharing his frustrations and dreams with me.


At one point during our conversation, to my amazement and then horror, he began singing an old hymn to me. I have never heard a voice more beautiful, more powerful or more compelling. He sang so loudly it was as if he were singing to some unknown audience, transforming his voice into an instrument that would travel the farthest of distances. I sat frozen and dumbstruck. No one had ever sung in my office before! I was particularly concerned about the obvious disruption this must be causing my partner Kathy, as at the time our offices were directly adjoining. I knew I should stop him, and yet how could I reject the one and only gift he had ever sent my way without destroying our already precarious relationship? I opted with great anxiety to allow him to finish his song, knowing full well that Kathy would be unable to continue her session until he stopped singing. When the song was over, I breathed a sigh of relief and then genuinely expressed my admiration of his powerful voice. I then inquired as to what had moved him to begin singing. He offered me no explanation. He, himself, did not know why.

When I bumped into Kathy later, I immediately apologized for disrupting her session. She gave me a meaningful smile and replied, "believe me, it was meant to be." I wondered what she could have meant by that, and whole-heartedly agreed with her when I discovered the significance of her response.

While I was meeting with Andy, Kathy was working with the bereaved child. Kathy asked her to read the letter that she had requested the young girl write to her father. The child had agreed to do so, after informing Kathy that she did not see what good it would do because her father could not answer her. Prompted by Kathy, she began reading the letter aloud in a voice that held no emotion. It was as if she were simply performing yet another meaningless task. From the other side of the wall, an unseen voice abruptly entered the room. It was so loud that she was forced to quit reading and she and Kathy decided to simply wait the interruption out. The words were very clear in the silence of the office, and left with nothing else to do, they listened. To Kathy's astonishment, the voice sang on about keeping faith and about going forward in spite of difficulty and pain. Kathy recognized it as a hymn that she had always loved, and as it continued to communicate in as powerful a way as she had ever heard it delivered, she looked at the young girl who gazed back at her in wonder, and said softly, "I think you have your answer." The song ended with the following refrain filling the room, "You'll never walk alone." The girl nodded her head in agreement. She fully accepted this song as a message from the father she couldn't see, hear, or feel, delivered by an unseen and untouchable voice which reached out to her from the other side (of the wall).


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UNCONSCIOUS COMMUNICATION

The final two experiences that I wish to share involve the invisible connections that link many of us to important people in our lives. My own experiences with this remarkable communication system are many, and while I do not understand exactly how it comes to be, I am as certain of its existence as I am of the pond that I see when I look out my living room window.

A few years before leaving Maine, my husband and I went to South Carolina on vacation. We had a wonderful time, and I was able to relax and not worry for the most part about my clients. The one thing that was somewhat strange, however, was a song that kept running through my head over and over. It was a song I had not heard, I suspected, since I was 13 or 14 years old. The tune was by Bobby Sherman entitled, simply, "July 17." It left me slightly uneasy, although I could not imagine why.

Upon returning from vacation, I met with a young woman to whom I had grown very close. She had struggled for years with depression and anxiety and was often fighting thoughts of suicide. She shared with me that she hadn't planned to see me again after our last visit. She'd determined a date upon which she'd finally surrender to her suicidal impulses. I found myself experiencing hot flashes, and waves of dizziness swept over me as she spoke. The date she had decided to end her life was July 17th.

The date had passed, and I breathed a sigh of relief as she explained that she had made a major decision as the date approached. She decided that she would not surrender her life because of the abuse she had suffered as a child. She would be a survivor. She also resolved that she would never again consider suicide an option. "I've decided to be a survivor and to live no matter what" she promised. While her pain at times is still excruciating, she has remained exactly that, a survivor.

When I was in graduate school, I was going through a very difficult time in my life. One night I was unable to sleep. I had a particularly stressful day before me, and I became increasingly anxious as the early hours of the morning approached. My anxiety eventually gave way to desperation and a feeling akin to terror. I decided to take a shower, sobbing uncontrollably by then. As the water washed over me, I felt my control slipping further away. I began to fear that perhaps I was sliding into some terrible place I would never be able to come out of. Once I was out of the shower, I began to write a letter to my family and husband (who was away on a business trip). While I have no memory of considering taking my life, I recall that what I was writing was a good-bye letter. Once the letter was completed, I began to shake violently. Just then the phone rang. I glanced at the clock. It was 5:30 a.m. Now I was absolutely terrified. I answered it with an overpowering sense of dread. It was my mother calling from over 200 miles away. "Tam?" she said. "Ma, why are you calling? It's 5:30 in the morning," I blurted. Her response was simply, "Tam, I heard you cry."

I began weeping, only this time it was in recognition of some tremendous magic. It was as if I had fallen only to be caught by some mysterious grace, my mother's grace... My mother explained that she'd been sound asleep when she was awakened to hear me sobbing. She knew something was terribly wrong and got up and immediately dialed my number. She soothed me and spoke gently as if I was a small child. I began to feel calmer and safe once again. My mother had never before nor since called me at an unusual hour in response to an intuition that I was in trouble. Also, at no other time in my life have I experienced anything similar to what I experienced that long and lonely winter night. While I'm not sure what led me to such a frightening and desperate state, I do know that my mother heard my cry from over 200 miles away, and that we are eternally joined in some profound way. It is as if I had uttered a plea to the heavens, and my mother answered my prayer.

There are many more stories I have considered relating. However, I trust that I have made my point. It feels tremendously risky to share these experiences, and I'm not certain I would find them entirely believable had I not been a direct participant. I can rest assured at the very least however that those who have shared them with me are as convinced as I of their validity, though we might differ as to how we interpret them.


SYNCHRONICITY

"Faith is to believe what we do not see; the reward of this faith is to see what we believe." Saint Augustine

Our lives are filled with strange and amazing stories of coincidence. They're recounted by people whom we know and often trust, discussed on television shows, and written about by entertainers and scholars alike.

M. Scott Peck, in "The Road Less Traveled," recalls a dream he had one night that consisted of a series of seven images. He later learned that a friend who had been sleeping at his house two nights previously, had also had a dream in which the same seven images appeared following the same sequence as in Peck's dream. Neither Peck nor his friend could figure out why they had experienced such strikingly similar dreams. Peck attributes this and other such experiences to the principle of synchronicity. Synchronicity refers to "those highly improbable events which occur in our lives to which no cause can be determined within the framework of established natural law." The principle of synchronicity states that unlikely conjunctions of events in time occur more often than would be caused by mere chance. While it doesn't explain miracles Peck points out, it does make clear that miracles appear to be a matter of timing and circumstances and are remarkably common. Each of us has experienced the miraculous. We may however, fail all too often to recognize it.

Further, Peck notes that Webster's Dictionary defines Serendipity as, "the gift of finding valuable or agreeable things not sought for." According to Peck, this definition defines serendipity as a gift, and thus implies that some people receive it while others don't. Peck maintains that this gift (which he refers to as grace) is available to everyone. The difference is only that some take advantage of it, while others fail to. A primary reason for one's failure to take full advantage of this gift, says Peck, is that he or she is not fully aware of its presence.


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There's an often-told story that I believe effectively illustrates both serendipity and synchronicity. The famous psychiatrist Carl Jung had been working with a woman whose highly rational and pragmatic style was increasingly difficult for him to relate to. One dayshe was recounting a dream she had in which a scarab (golden beetle) had appeared. Jung was aware that these beetles were symbols of rebirth according to the ancient Egyptians. As the woman continued to describe her dream, Jung noticed a tapping at the window behind him. He opened the window and in flew a beetle. Jung presented the woman with her "scarab." From this point on, the work of Jung and his client reached a far greater depth as the result of their wondrous experience.

According to David Peat, author of "Synchronicity: The Bridge Between Matter and Mind," synchronistic occurrences are often more common for people who are going through periods of transition such as deaths, births, a change of profession, marriage, divorce, etc. My husband and I certainly experienced this. In retrospect, a synchronistic event served to usher in our own period of transformation, and many other synchronistic events continued to occur during our period of transition. For example, during the time we were both unemployed, we were often tempted to compromise our joint vision in order to regain a sense of financial security. One day while driving in the car, we began to reminisce about a job opportunity we had turned down several months before. All of the sudden the job seemed very attractive to us. While it did not meet our ultimate needs, it would have offered us an opportunity to contribute to the welfare of others, while at the same time providing us with a paycheck and medical benefits. Oh, well, the opportunity was long past we wistfully acknowledged. The following day, we came home to discover a message on our answering machine. It was from a representative of this particular organization asking us if we were interested in taking another look at the job we had previously turned down, as the position had unexpectedly just reopened!

An enormous amount of evidence exists which supports the phenomenon of synchronicity. Peat points to facts that mirror earlier fiction as one form of evidence, such as Morgan Robertson's 1898 novel about an ocean liner named the Titan. The Titan was the largest liner ever built, considered unsinkable, and sailed the Atlantic with rich and famous passengers on board. Like the real life Titanic, the Titan also sailed under the British flag, began it's maiden voyage in April, had a top speed of 24 knots, and hit an iceberg on the starboard side. And because it too was equipped with an insufficient number of lifeboats, many lives were lost. Thus a work of fiction told a story amazingly close to what would occur in real life fourteen years later.

Peat also directs our attention to the simultaneous discoveries of such scientists as Darwin and Lyell, Newton and Leibnitz, etc. who were not in contact with one another and yet whose work produced remarkably similar results.

Peat associated Jung's belief in the collective unconscious (the notion that we are each unconsciously linked with all of humanity) with synchronicity, pointing to the uncanny occurrence of such images as the hero, the twin brothers, the underground journey, etc. which are found in cultures all over the world.

THE SUPER MIND

"When I observe the marvelous human intellect, I know it was designed for something much greater than mere survival." Abraham Twerski

Dennis Willard, computer genius, described his creative process to D. Scott Rogo in "New Techniques of Healing: Conversations with Contemporary Masters of Alternative Healing," as one in which he reaches out to the "Super Mind" via meditation. Willard suggests that we think of our brains as receivers for a giant computer and that the neuron chains in our brains and spine are part of the giant computer's tuning system. This giant computer system possesses infinite wisdom and intelligence. Willard suggests that in tapping into this Super Mind, we are able to tap into a vast intelligence source.

How did Willard arrive at this belief? One day while discussing the workings of the brain with a neurosurgeon, Willard wondered about the process behind thought itself. He and the neurosurgeon then began calculating the number of neurons in the brain. Neurons are cells that comprise the basic unit of the nervous system. They typically collect signals from various sources, integrate the information, transform and encode it into output signals, and then distribute the signals to other cells. Once Willard and his companion had arrived at a total number of neurons, they then subtracted the number of neurons required to regulate the body. They were not surprised to find that the brain did not possess enough neurons to encode and explain memory; however, they were shocked to discover that there were not even enough neurons in the brain left over to allow for the fundamental process of thinking! This experience, in addition to other lessons, led Willard to eventually conclude that the mind is different from the brain, and that there exists a guiding intelligence that we are able to communicate with unconsciously. He cites the occurrence of two people independently inventing the same product from different locations as an example of how the Super Mind operates.


GRATITUDE

"The most difficult thing in the world is to appreciate what we have - until we loose it." Anonymous

How many blessings in our lives go unnoticed? It seems somehow to be the natural order of things to accentuate the bad and take the good for granted. Several years ago my friend Amy and I went off for an overnight in New Hampshire, leaving our daughters' care in our husbands' capable hands. That night Amy called home to check up on her twosome. Her husband Neil, one of the most loving and committed fathers that I have ever known, reported that they had had a "Celia" day. They played games, read stories and went for a walk, then off to the Ground Round for lunch; next, to Toy's R Us where Celia picked out a toy. They settled in back at home to watch a popular and newly released Disney video. When Celia came to the phone, and Amy asked her how her day had been, her reply was, "Mommy, Daddy didn't get me any black licorice." And so it begins...

I've learned the value of being mindful of the good things that come my way and often utilize my journal in this practice. An example of its use in this practice can be demonstrated in an entry made in March of 1994, which reads:

3-4-94

"I sit at my makeshift window-seat staring up at the snowfall swirling down, allowing myself to be mesmerized and growing dizzy from focusing on the tiny, soft points of snow. My head turns upward, stretches toward the treetops. My arm reaches up every now and then to tip my tea cup and I absent - mindedly sip warm and tangy lemon tea. I feel contentment, gratitude, and a sense of optimism that for so long was an extraordinarily rare thing.

"I watch Jacob, still a puppy, dash after a squirrel, admire his sleek and magnificent young body as it plows through the dense white field. The squirrel, though, is quicker, and as if performing a perfectly choreographed dance, swings from tree branch to tree branch high above our heads. I resist the temptation to give into a silent wish for this time to halt exactly here and now and instead resume my meditation.


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"Eventually, my focus shifts to the plowman who has entered the yard. I quickly rise, pull on my heavy winter jacket and boots, search out my purse and then trudge outside with a crumpled $10.00 bill. He seems shy as he peers out his window at me and hesitantly accepts his fee. I have heard that he recently lost his job, and I study for a moment the lines now permanently engraved on his dark face. I note that he seems more relaxed these days, his eyes look more hopeful and I smile at him. I then turn and trudge toward my own truck to move it out of the way. I watch him clear a wide path and wave when he finishes. Such small details capture this last hour. It is filled with uneventful moments, never boring, simply wonderfully undemanding in a life that has often become complicated in its ongoing quest. I am thankful for the snow, the tea, the plowman, for Jacob, the warmth of my wood fire, the scent of apples wafting from my potpourri pot, and for so much more today."

I often request at the end of a session that my client share with me what they are grateful for this day. I ask for small details, I suggest that they think back and remember the little things. I also encourage them to utilize their journals a couple times a week practicing appreciation of all gifts (both great and small) that come their way.

AWAKENING THE SACRED

"Don't think: LOOK!" Wittgenstein

How many days in your life have you been cooped up inside only to hear from someone else what a beautiful day it has been? How many children have you observed shrieking in glee while you can not even remember the last time you were moved to scream out your joy? When, if ever, have you experienced throughout your entire body a deep connection to all living beings in the universe? When was the last time you closed your eyes in tremendous love and gratitude to give thanks? It is with regret that Sam Keen observes that for so many Americans, our spirits are alienated from bodies that are deadened from deprivation and neglect. He urges us to engage in acts that might bring forth their resurrection. Such activities as spending time in nature, making contact with our fellow creatures, experiencing our sensuality, connecting with our bodies, engaging in meaningful work and participating in rituals for living provide us with opportunities to experience the sacred in everyday life. Anyone who yearns to experience such sacredness needs only to open his/her heart and pay attention.

One of my favorite authors, Rachel Naomi Remen, wrote about attending a workshop where Joseph Campbell was showing participants images of the sacred. One symbol was a bronze statue of the God Shiva dancing within a circle of flames. Shiva had one foot in the air, and the other was resting on the back of a little man. The man was squatting in the dust and carefully examining something he was holding in his hands. Ramen asked Campbell what the little man was doing down there. Campbell responded, "That's a little man who's so caught up in the material world that he doesn't realize that the living God is dancing on his back."

CALLING FORTH THE SOUL

"In the last decade of the twentieth century, perhaps in response to the magnitude of our global crisis, spirituality has been coming down to Earth..." (Ronald Miller)

Thomas Moore, best-selling author, philosopher, and psychotherapist, laments that the great malady of the twentieth century has been the loss of soul. Yet his book, "Care Of The Soul: A Guide To Cultivating Depth And Sacredness In Everyday Life," quickly rose to the bestseller list, indicating that while he might be right about the loss of soul, many twentieth century inhabitants are eagerly endeavoring to relocate it.


Moore maintains that when the soul is neglected, rather than simply fading away, it demonstrates its woundedness symptomatically in addictions, obsessions, the loss of meaning, and violence. Most therapists attempt to isolate or eradicate these symptoms, failing to understand that their roots lie in our lost wisdom about the soul.

Moore's understanding of psychotherapy, evolving over more than 15 years of practice and study, has come to involve bringing imagination (which he perceives to be the instrument of the soul) to areas that are devoid of it. It is Moore's belief that it is the expression of this void that is manifested by our symptoms.

Further, he notes that in our modern world, we have separated religion and psychology, spiritual practice and therapy. In his view, spirituality and psychology need to be seen as one. This shift would be manifested in a number of ways, one of them being a commitment to the process of ongoing care of the soul rather than engaging in efforts to cure it.

According to Moore, caring for the soul begins with an observance of how the soul manifests itself and operates, and then respecting what the soul presents. This involves not moving to root out that which the soul expresses and is seen as symptomatic, but to, instead, demonstrate its necessity and value. Moore invites us to regard the soul with an open mind in order to discover the messages that can be found in pain and the necessary changes that are requested by such symptoms as depression and anxiety.

One effective technique Moore shares in caring for the soul is to look with particular attention and receptivity at what the individual is rejecting, and then to speak favorably about that rejected element. For instance, one might point out to a client that in her frantic activity day in and day out, her headaches are the only thing that seems to allow her to pause and rest.


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Moore also cautions against splitting experiences into good and bad, maintaining that much soul can be lost in such splitting, and that the soul can be aided in its recovery by reclaiming much of what has been split off. In elaborating on this, Moore turns to a version of the work of Jung's theory of shadows. Jung believed that there were two kinds of shadows: one consisting of the possibilities in life that are rejected because of certain choices that we have made (for example, the person we chose not to be), which is the compensatory shadow, and the other, darker, absolute shadow. The absolute shadow represents the evil existing in the world and within the human heart. Jung believed, and Moore concurs, that the soul can benefit from coming to terms with both kinds of shadow and learning to appreciate even the quirks and perversities of the soul. He adds that sometimes deviation from the usual offers its own special revelation of truth.

"When normality explodes into or breaks out into craziness or shadow, we might look closely, before running for cover and before attempting to restore familiar order, at the potential meaningfulness of the event"

Moore distinguishes between cure and care by pointing out that cure implies the end of trouble, while care offers a sense of ongoing attention. He believes that our work in psychology would dramatically change if we thought about it as ongoing care rather than a quest for cure, reminding us that problems and obstacles offer an opportunity for reflection that might otherwise be overlooked.

Moore is far from a solitary voice in the wilderness (so to speak) in regards to the value he places on honoring all aspects of the self, including our painful regions. David K. Reynolds, in his book, "A Thousand Waves: A Sensible Life Style for Sensitive People," lends his own voice to the reverberations of so many others. He proposes that traditional Western psychotherapy fails to adequately acknowledge the importance of our need to be unified with all natural aspects of ourselves. Reynolds advocates a more Eastern approach, which aims at helping us to honor our natural selves more fully, more specifically - to help us to become more natural again. He points to the nature of water and suggests we become more like this precious liquid stating that when the weather is warm, water becomes warm, and when it is cold outside, the water too turns cold. Reynolds observes that water doesn't wish that it was a different temperature, nor does it pretend to be other than it is. It merely accepts its present state and continues to flow. Unlike water, laments Reynolds, people deny reality. They also struggle with their feelings and hamper themselves by focusing on the way things should be or might have been. Water doesn't fight obstacles, says Reynolds; it simply flows around them, thus not getting distracted as people so often do by their feelings. Water is flexible and adapts to the particular circumstances it is in. Water flows at a natural pace, notes Reynolds. People on the other hand appear to be dashing around attempting to manipulate their lives or feelings into fitting into their particular notion of how things ought to be or how they wish them to be. Reynolds reminds us that feelings are neither good nor bad, they simply are. The best way to deal with painful feelings according to Reynolds is to simply recognize them, accept them, and then carry on. Because feelings keep changing, he recommends that an appropriate goal for both therapy and every day life is to, "...notice and accept these changes in feelings while keeping steadily on about doing the things that will get us where we want to go. Like water does."

Nietzshe made a decision at some point in his life to love his fate. From that point on, he responded to whatever happened to him by saying to himself, "this is what I need." While I fully believe in the tremendous value of Nietzshe's courageous approach, I'm a long ways from being able to adopt it. I question too much, and still carry too much fear. What I have been able to embrace is James Hillman's recommendation that what ever your experience, "You ask yourself: How does this event bear on soul making."


PRAYER

"If the only prayer you say in your whole life is 'thank you,' that would suffice." Meister Eckhart

I stopped praying when I was still a child. I felt betrayed, and sadly became convinced that my prayers vanished into the indifferent air of my little room, unheard and discarded. For over 20 years I refused to pray, and when I occasionally experimented with prayer, I did so tentatively and with more than a little embarrassment.

I recall listening to a book-tape about a very brave and wonderful man who was struggling with cancer. He was an agnostic and refused to allow his fear to manipulate him into turning to a God in whom he no longer believed. One night while experiencing a significant amount of pain, he began to (pray?) saying with great feeling something to the effect that, "don't think that just because I'm scared and hurting that I'm going to come running to you for protection or count on you to rescue me!" Then it occurred to him that, "Who did I think I was talking to anyway?" The very being whose existence he adamantly denied he was now speaking to in earnest. I smiled in recognition. In many of us who at some point deny the existence of God, there exists a small seed of hope that perhaps we are wrong after all.

I am reminded here too, of my own old daughter's crisis of faith. She had learned at school to her devastation that there was no Santa Claus. She cried for days. Just before Christmas I took her to church, and about halfway through the service she turned to me and said, "I want to get out of here. God and Angels are just like the tooth fairy and Santa Claus. They aren't real!" She was angry and refused to discuss the matter further. Instead she withdrew into herself and wept bitter tears. On Christmas Eve, just before going to bed, she came to me and said, "Mom, I know there isn't a Santa Claus, but can we leave some carrots out for the reindeer, just in case?"


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Whether or not one has abandoned his or her belief in God, I have found that prayer can be a great comfort and suggest it to my clients often. Joan Borysenko, in her book, "Fire In the Soul: A New Psychology of Spiritual Optimism," points out that there is a significant amount of research demonstrating the power of prayer. I highly recommend the information she provides be explored, particularly the findings of "Spindrift", an organization devoted to the study of the efficacy of prayer.

Janiger and Goldberg, in "A Different Kind Of Healing," a book that focuses on why more and more physicians are embracing alternative forms of healing, includes the story of a Pennsylvania physician who prays for and sometimes with his patients. This physician shared with the authors that he was not a particularly religious person when he began his training to be a doctor. However, after witnessing many seemingly miraculous instances of recovery, he began to re-evaluate his personal beliefs. As his spiritual beliefs shifted, so did the way he viewed his role as a physician sharing that he now knows that healing involves more then medical treatment and consequently, he tries to minimize medication and utilizes education and changes in lifestyle instead.

Janiger and Goldberg cite several incidents reported by physicians around the country regarding extraordinary healings that appeared to have occurred as the result of spiritual interventions rather than medical maneuvers. Many of the physicians who came forward stressed the role of their patients' spiritual convictions in healing, suggesting that those who possessed such convictions fared significantly better than those who lacked spiritual faith. The authors conclude their eighth chapter by stating that while both actual facts as well as common sense must moderate beliefs, at the same time, we must not ignore the spiritual factors which clearly play a critical role in both the etiology and cure of disease. They also observe that almost everyone involved in medicine can affirm that there is significant power in strongly held beliefs adding that:

"Prayer and faith have long been known to relieve pain and suffering, and even, in certain remarkable instances, to bring about full recovery..."

In graduate school I commuted the first year with three fellow students, one of whom was a social worker for a hospice in the area. During one of our long rides to Bangor, she told me that she used to completely ignore spiritual matters, classifying them within the realm of myth and fairy tales, until she witnessed over and over the profoundly spiritual experiences of more than one dying patient. Today, she is a true believer who feels her life has been dramatically transformed as the result of the many lessons she learned from the dying.

Over 20 years after I abandoned prayer, I returned to it. I pray now in a way that I've come to believe is the most healing and effective means for me. I don't pray for a desired outcome. Instead, I have come to rely on what Dr. Larry Dossey, who published many of the results of Spindrift's findings in his book, "Recovering the Soul," describes as the "thy will be done" approach. In doing so, I do not ask for a particular outcome. "Thy will be done" means exactly what it says. "May your will (with your infinite wisdom), not my own, be done. In approaching prayer with this attitude, I've found a greater sense of peace. I've also come to know that my prayers do, indeed, make a difference as they invariably offer me comfort and hope.


JOINING FORCES

"Kinship is healing; we are physicians to each other." Unknown

We all need to feel connected to others, and in forging these links, we attain tremendous benefits. I've witnessed the power of groups again and again in my professional life, as well as experienced their gifts in my personal life. While living in Maine, my husband and I joined forces with two other couples on a monthly basis to discuss issues related to relationships. We six were very different in many respects, with varying life styles, beliefs, personalities, etc. and yet we created a loving and intimate community providing support, understanding, shared wisdom, and so much more. I grew to genuinely love each of the participants, and whole- heartedly acknowledge that my experiences with them became one of the most valued aspects of my life.

During one Maine Winter, I found myself stranded at a Burger King in a snowstorm from nine at night until the early hours of the following morning. I arrived at Burger King anxious and angry. My daughter was at home with a young baby-sitter without electricity, and my husband was out of town on business. I sat at a table by myself, head down, nose buried in a book, feeling exhausted, and worried about my daughter. There were others who were stranded all around me. I ignored them. From time to time someone would attempt to engage me in a conversation. My responses were polite but short. As the hours passed, I began to really listen to the conversations of others and found myself eventually participating. Soon we all moved in closer together forming a tight and increasingly more intimate group. As the night wandered into dawn, I found myself engaged in one of the most satisfying conversations I have ever had with any group, let alone complete strangers who had little more in common (so I thought) then our present captivity. We began to share our frustrations, our triumphs, our fears, and our dreams. One man, a trucker, spoke of the many out- of- body adventures that had been occurring to him since childhood. Another, a psychologist from Pennsylvania traveling to Eastern Maine to check out a potential college for his son, shared his own out- of- body experience that had occurred after a car accident. Each person shared (or confessed) their own amazing story. I, who could not wait to leave, found myself reluctantly getting up to attempt once again to return home around dawn. Two of my new friends were standing by their vehicle preparing to spend the little that remained of the night bedded down in their wagon. I slowed my truck down, and yelled out my open window, "I'll miss you." The young man looked up with a smile and replied, "We love you." Feeling very warm and extraordinarily happy in the cold stormy darkness, I glanced at the Burger King while driving to the exit. There in the window stood the rest of my special companions gathered to wave good-bye. I blew them a kiss and headed toward home.


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Ken Wilbur once defined depression as, "Having no where to put your love." It's not just that most of us simply want to be connected - we need to be connected. I remember reading somewhere about a town that had an extraordinarily low heart attack rate. When researchers investigated, they found that what made the town exceptional was that families had remained living there generation after generation. Later, when the economy made it necessary for people to leave home in order to locate jobs, the heart attack rate rose. Why? Because the support system was no longer as intact with people leaving.

There's been a substantial amount of research indicating the ill effects of loneliness and isolation on health and well being. A study conducted by sociologist James House found that the adverse effects of social isolation on health are equal to the health effects of smoking, high-blood pressure, and obesity. Psychologist Janice Keicolt-Glasser, found that those of us who suffer from loneliness are also more likely to have problems with immune system functioning than those who possess a sufficient support system. Numerous physical complaints and societal ills (including criminal behavior) have been connected to social isolation according to the American Psychological Association's publication, the APA Monitor.

The late Mother Theresa sadly observed that the United States suffered poverty far greater than that of India and that our poverty is called loneliness. According to Cecile Andrews, author of The Circle of Simplicity: Return to the Good Life, there are a number of reasons that it's so difficult to establish healthy communities here in the United States including:

  • We're a competitive society
  • We're a highly status conscious society
  • We're preoccupied with work
  • We're not a particularly trusting society
  • We're consumer oriented
  • We're a mobile society
  • The design of our living spaces discourages community (air conditioners keep people inside, suburbs have few places to gather with the exception of shopping malls, we have fewer front porches, and poor public transportation.)
  • We're an affluent society often isolated by television, computers, automobiles, and a lack of interdependence.

Andrews lives in a neighborhood in Seattle that has made enormous strides in terms of building a sense of community. Residents enjoy frequent potluck dinners, watch videos together, combine their resources to jointly purchase useful equipment and appliances that are then shared among neighbors and they garden together. There's also an active neighborhood center near by that offers classes, a "well-home" program where people can borrow tools, a child-care center, book discussion groups, and programs designed to foster increased connections among residents and provide mutual support and assistance. Andrews also converted her large house into apartments, thus allowing her still greater access to community while at the same time reducing the family's cost of living. In addition to her involvement locally, she's also joined a local bartering association, become active in her church, and facilitates Simplicity Circles. A Simplicity Circle is a small group of individuals that come together on a regular basis in order to support one another's efforts to live lives offering high levels of satisfaction and low levels of environmental impact. The popularity of these study circles has grown to the point where they are now occurring in both large cities and small towns around the country. One of the questions explored by individuals participating in Simplicity Circles is, When in your life have you experienced community? What is the core of that experience?"


I've received numerous blessings as a result of my participation in community. When my husband was in the navy and we were far from home, it was the small group of fellow sailors and their families that offered us friendship and support. As a student in graduate school, I commuted with a group of students from central Maine to the University of Connecticut's Northern New England branch located in Concord, New Hampshire. We traveled in a van that we affectionately called, "The magic Bus." While we were graced with a number of fine instructors, it was the five hours on the bus to and from campus that I received my greatest education. We talked non-stop. We talked about our clients, about our successes and our failures, about what we were being taught from our instructors and what we were learning from our clients. We argued; we shared insights, wisdom's, and confessions; we complained; we celebrated, and we supported one another. One of my most cherished possessions remains a picture of us grouped together taken shortly before we graduated, once strangers, now family. Herman Hesse once wrote, "Each man's life represents a road toward himself." The road I traveled with my companions on a bus that indeed came to contain magic brought me closer to myself than I could have possibly imagined.

My parents recently moved to a small retirement community in Florida. The first thing I saw upon arriving was a group of older men working diligently as they attempted to prevent an area of their modular home park from flooding. What struck me as I watched them was that in spite of how hot the sun was and how dirty and tired they looked, it was also very clear that they were having a splendid time together. My sister and I had been terribly concerned about my parents being away for the first time in their lives from family and friends. We were amazed and delighted the first day of our visit by how quickly they had become part of a small and close knit community. They had been offered the use of their neighbors tools as they were moving in, brought hot coffee and home made goodies, and received invitations to go bike riding, swimming, golfing, and to participate in a number of other activities. Our parents were thriving here, surrounded by a small group who watched out for one another, played together, and for the most part, shared the joys and sorrows of one another's lives.


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When I was a young girl I attended an AA meeting with my uncle. The level of honesty and support that existed within the room touched me. People shared stories filled with shame, loss, and redemption. Over the years, I watched a sullen and withdrawn man open like a morning glory as he was accepted and embraced by this powerful community.

The word community was derived from the Latin words, "munus" (gift) and "cum" (together). Thus the literal meaning of the term community can be interpreted as the sharing of gifts together. Participating in a community of individuals whom we can count on and share our joys and concerns with offers a multitude of gifts, precious gifts.

"I am part and parcel of the whole, and I cannot find God apart from the rest of humanity." Mahatma Gandhi

Joan Borysenko, in her very special book, A Woman's Book of Life, demonstrates the interconnection of all of life, by explaining the implications of Bell's Theorem.

"Once 2 atoms have been part of a molecule and then separated, no matter how far distant they are from one another, each atom acts as if it is still in communication with the other. Since the atoms that make up molecules are forever trading places, it is quite possible that right now you may have atoms in your body that once belonged to mother Theresa, Adolph Hitler. . . Furthermore, these atoms remain interconnected with all other atoms that they have been related to. These kinds of phenomena led Albert Einstein to observe that the perception that we are separate from one another is an optical delusion of consciousness, about as clear of a statement of interdependence as can be made."

"We are shifting from part-centered consciousness to whole- centered consciousness." Catherine Burton

Michael Ventura in, We've Had a Hundred Years of Psychotherapy, described an experiment conducted in the early 1960's by Charles Tart in the following excerpt:

" Person A is put into a sensory deprivation room and wired for brain waves, skin resistance, heart rate, muscular activity, and respiratory changes. Person B is put into another such room, also wired, and is electrically shocked at random intervals. Person A is then told to guess exactly when Person B is being shocked.

The results were as follows: Person A's conscious guesses 'showed no relation to the actual events.' But person A's 'polygraph reading indicated significant physiological changes at those instances when Person B was randomly shocked.' The conclusion: 'We may say the event did not register on the subject's conscious mind. But obviously he was

conscious of the event - on a fundamental biological level. The subject's body apparently knew of these happenings that his roof-brain did not know of.'"

Tart's experiment is only one of many that indicates the profound level at which we're all connected. While me might not consciously understand or experience this connection, some piece of us is all too aware of this union, and does not escape the fear, the exploitation, and the suffering of all of which we are a part. It calls out to us in our dreams and nightmares, in the inexplicable sadness that we each feel from time to time, and in our own pain.

While connection can sometimes hurt, it can also heal. I urge everyone to participate on a regular basis in the tremendous healing and growth available to each of us when we honor our connection on a regular basis. We honor it when we reach out to help, when we share meals with friends, family, and neighbors, when we attend support groups, citizen activist meetings, PTA's, and other gatherings both formal and informal.


DOUG'S DISCOVERY

"The man among you who is the most educated who can carry the joys and sorrows of life" Rousseau

Leslie died on a February morning, leaving Doug feeling colder inside than the frigid arctic air outside their bedroom window. For months after her death, he functioned mechanically in a world that seemed meaningless and empty.

They had been married for twenty-seven years. She had been beautiful when he first met her with big, dark, dancing eyes and curly auburn hair. She reminded him of a young thoroughbred. She had been energetic and playful and yet graceful and unconsciously elegant at the same time. He, at twenty- six, felt like a man of the world in the company of this vibrant girl-woman. They married within a year after meeting and moved to a New England city where the rewards of his promising career as an engineer began to materialize as planned. They purchased a stately Victorian complete with a victory garden and had a son within their first two years together. Their life proceeded in a normal and satisfactory fashion. She was involved in community projects, as well as in the lives of her family and friends. He was engaged in the earnest pursuit of financial security and social respectability and was reasonably content.

Doug can't describe his inner life before Leslie's death without sounding vague and hazy. "Leslie was the one with the inner life. She had so many interests and felt great passion about people and ideas. I just sort of moved through my life calmly and methodically. My life had an order and (in retrospect) a sterility to it. She was by far much more interesting. She was the messy one. Everyone loved her."

Doug came to eventually recognize after Leslie's death how insulated his life had been. He had acquaintances with whom he worked, socialized, and played golf, and yet not a single person other than Leslie had ever truly known him. He had been somewhat numb for the first few months after the funeral, but then was confronted with a loneliness that threatened to overwhelm him. "Leslie was my best friend --the only person in the world I had ever allowed myself to need, and she was gone. I truly felt that I had nothing to live for. I'd heard that it's common for someone to die within a year after his or her spouse; well, I was ready, and yet, damn, I was too young. We were supposed to grow old together, and I hadn't even reached retirement age. I felt so heavy from my grief; I could barely move my body. I was walking around like an old man."


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Doug suffered profoundly and in silence. One day Marty, a co-worker who had for years been trying to talk Doug into attending a men's group with him, finally succeeded. "I was really uncomfortable at first, but as I listened to these men talk, I began to see myself. This one guy was expressing his frustration with his wife's failure to be organized. My eyes filled with tears. The words he had confronted his wife with were the very same words with which I had admonished Leslie. Marty noticed I was having a hard time, and he reached over and started to rub my shoulder. I hadn't been touched in a really long time, and I couldn't remember ever being physically comforted by a man. It felt awkward and yet good." Doug returned to the men's group and soon found he looked forward to the meetings. He became increasingly aware of how difficult it is in our culture for men to connect with one another. He began to look at how he had distanced himself from his son, in particular, and resolved to attempt to repair his relationship with his offspring. He began reading about men's issues and even attending workshops conducted by experts in the field. At the age of 56 he found himself attending graduate school part-time taking courses in psychology. At 59 he was co-facilitating men's groups and writing poetry. At 61 he was living in a house with eight other non-related adults committed to community living. Doug recently shared with me that:

"A major transformation occurred for me after attending a weekend retreat which focused on spiritual living. I went at the request of my son. I had no personal interest but felt as though it might afford me the opportunity to do some father/son bonding. It did that but more importantly, I was able to bond with an inner source that had been available to me all along. I was just never aware of it before. I am more than just satisfied with my life now. I find it exciting! I have intimate relationships, adventures to look forward to, and a deeply rewarding spiritual life finally."

THE SEARCH FOR MEANING:

"You should live so that when you die, God is in your debt." Bernard Shaw

Carl Jung proposed that the origin of neurosis was the suffering of an individual who had not yet discovered the meaning of his or her life. He went on to say that in all of his patients who were 35 or older, none were truly healed who didn't in the end possess a spiritual or religious outlook. Thus, developing a spiritual foundation is not only desirable according to Jung, but also necessary for mental health. Such an orientation offers comfort and meaning in an uncertain world. Jung reflected,

"I therefore consider the religious teaching of a life hereafter consonant with the standpoint of psychic hygiene. When I live in a house which I know will fall about my head within the next two weeks, all my vital functions will be impaired by this thought; but if on the contrary I feel myself to be safe, I can dwell there in a normal and comfortable way. From the standpoint of psychotherapy it would therefore be desirable to think of death as only a transition --one part of a life-process whose extent and duration escape our knowledge.


Keith Harary, Ph.D., research director of the institute for Advanced Psychology in San Francisco, reports that he is uncomfortable with words such as religious and spiritual, because of the various issues and interpretations such words tend to bring up for many people. Instead of labeling certain significant experiences as spiritual, Harary often describes them as experiences that imply "that there is more to life than meets the 'I'." The more I learn of those aspects of life that far surpass my tiny little 'I', the more meaningful my own life becomes. I see myself as a small and yet significant link in an immense web that encompasses the universe and beyond. I am part of something that I can't quite fathom, and yet I know that it is magnificent.

What is my soul? What is the name of the being that initially created it? I can't answer those questions with certainty. What I do know is that I'm responsible for how my soul turns out. Will I nourish it with acts of kindness, with love, and a devotion to growth and learning? Or will I starve it by focusing on material gain and the accumulation of money, power, etc. Trees are provided to humankind however they don't automatically become houses or canoes simply because we desire them to be. Our souls are also provided to us at birth, and require attention and care in order for them to develop into all that they can become. I've decided that at this time in my life I wish to finally direct a significant amount of my energy into nourishing and maintaining my soul.

In "The Search For Meaning," Williman, Williman, and Naylor point out that it's not only within our means to bestow meaning to our lives, but our responsibility. They add that our soul is the sum of all that we do, feel, think and experience and that: "Throughout our entire life, our soul is continuously in the process of becoming..."


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For yearsI pondered the meaning of my life. Was it to give to others? To learn as much as I possibly could? To have adventures? To find God? I could think of some pretty good reasons to live and could imagine more then one purpose to which I could consider devoting my life. But the true meaning of my life ultimately remained a mystery. Then one day it occurred to me that perhaps I had got it backwards. Rather then continue to direct my energies towards a search for the meaning of my life - instead, perhaps I should focus on making my life more meaningful. I now explore ways that I can make my life more meaningful. This exploration has led me to shape my day- to-day life in a manner that reflects my personal values and more closely honors my own individual needs and interests. Sarte maintains that we're each responsible for our actions and that life must have meaning. But, he adds, it's we ourselves who must create this meaning in our lives, "To exist is to create your own life."

I'll always be a seeker to a certain extent. Some things just never change. Still, I'm repeatedly amazed when I stumble onto a truth that I've searched high and low for, when it was there in front of me all the time. How I've longed for wisdom, working into the wee hours of the morning in order to get a little closer still to my coveted prize. And then one day while lying in my hammock, caressed by the sun and the gentle breeze, I read, "This is wisdom, to love life." I look up through the canopy of trees, up towards the wide blue sky and sigh. . . Then I close my eyes, allowing myself to be rocked like a small child. I listen to the birds and feel myself growing drowsy. "To love life," a quiet part of myself repeats. The greatest and sweetest challenge, to love life, and just maybe the simplest and yet most complete answer. . .

IN SEARCH OF THE ONE TRUE GOD

"If you want me to believe in God, you must make me touch him." Denis Diderot

I could not love the God of my childhood. I could only fear 'him'. I was aware that 'he' was the creatorbut more importantly, I knew that 'he' was the destroyer. 'He' destroyed what was bad- and to an eight-year-old girl, that included naughty children. I was charmed by stories of God's love but struck by the knowledge of what it meant to displease 'him.' While God was good, what 'he' most represented to me were rules to be followed and punishment to be suffered for failure to obey. Being religious became being righteous and being righteous meant being safe from the wrath of God. But then came my next major crisis in dealing with God - Which God? The God of the Baptists wanted me to celebrate Christmas and Easter, the God of the Jehovah Witnesses scorned these celebrations as pagan. Being religious became a test of wits as well as of character. Pick the right religion and follow the rules and you win (you get to go to heaven or paradise). Choose the wrong religion and you loose (you go to hell or die in Armageddon.)

I had a pretty good idea of where God was; 'he' was in some far away mystical place. But which God? The God of the Catholics? The Baptists? The Jehovah Witnesses? The Mormons? How about the Hindus? The Islam's? Then, little by little, I stopped yearning for the one true God. I had searched high and low to no avail. One day after many years of pain, of soul searching, of reading, of reflecting - I reached up and brought God down from 'his' heaven and I took "him" home with me. And In bringing God down to earth, I needed to search no further. God was in the eyes of my loved ones, in the flowers, the birds, the darkness and the light. My God surrounded, permeated and enveloped me. And as my vision of God began to change, I too began to be transformed. As I traveled further away from the God of my childhood, I began to move beyond my shame and fear and towards appreciation and wonder.


I'd confused religious and spiritual for years and consequently had avoided matters pertaining to either. As a child I interpreted Religion to be about the Power of God and the need for me to surrender to 'his' will. Today I look towards spirituality as a means of assisting me to experience my own power as well as the wonder and the grace of a God that exists in all living things.

The search for the one true God has divided many of us, and yet, while we vary significantly in our religious and spiritual styles, there also exist a number of themes that unite us. Wade Clark Roof, in his book, "A Generation of Seekers," identified the following trends that exist today in our culture:

  • The religious preference of an individual is respected today. In fact, many boomers can be found attending the services of more then one denomination.
  • Many boomers interpret faith, or the pursuit of faith, as a process that has been significantly impacted by an individual's emotional and psychological development.
  • There is an emphasis on the importance of the spiritual versus the religious experience.
  • Attending to spiritual matters does not exclude addressing psychological issues, as well as dealing with such feelings as shame, guilt, depression, anger, anxiety, etc.
  • Life in its entirety is now increasingly endowed with religious and spiritual meaning as our quest for wholeness continues to expand.
  • Individuals are increasingly called upon to take active responsibility for their own spiritual development.
  • There are widespread apocalyptic visions of the future in which our world is in the last stages of disintegration before a new error dawns.
  • There is increasing reliance on small groups, versus the larger organizations, for meeting spiritual needs.

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Torn as a child by opposing religious theologies, I eventually became disheartened. Confronted with the numerous, varied, and conflicting 'truths' of those religions, I froze. Today, I'm far less concerned with what separates spiritual seekers, as I am with what we share. It's when standing on this common ground that I feel most secure, for it's that which unites us that provides the strongest foundation on which we can all build.

I remember reading a Hasidic tale once and while I've forgotten many of the details, I recall that a wise man asked a group of scholars who were dining with him, "Where does God live?" The scholars laughed and responded that the world was full of God's presence. The wise man replied, "God lives, where he is let in."

METAPHORS FOR OUR TIME

"This earth is precious to God, and to harm the Earth is to heap contempt on its Creator." Chief Seattle

In a paper delivered to the Harvard Seminar on Environmental Values in 1996, Catholic environmentalist, Thomas Berry, spoke about the mighty Titanic. The Titanic was thought to be unsinkable, a technological wonder and triumph. What happened to this magnificent and unsinkable ship, according to Berry, serves as a Parable for our time. While there were several warnings issued regarding the potential danger of icebergs, the Titanic continued speeding along in the frigid waters. The captain trusted his ship, and the passengers entrusted their captain with their lives. When the ship sunk, it was the poor who suffered the greatest fatalities, although a great number of the wealthy perished along with the "underclass."

Today we sail along on our giant spaceship, the planet earth. It too has been thought to be metaphorically speaking, "unsinkable." And while we've received countless warnings regarding the perils she confronts, we continue to entrust our governments with the power and responsibility to successfully navigate around them. The technology that made the Titanic possible and yet could not prevent her destruction, is the very same that we collectively count on to save us now. And like the poor, who were confined within the bottom decks of the Titanic, our own poor receive the least of our ship's bounty, and suffer the greatest. Any yet in the end, no degree of wealth or status guaranteed salvation for the passengers of the Titanic, nor will it ultimately prevail on our own magnificent and yet vulnerable ship.

Just as the passengers of the Titanic remained for the most part oblivious to the dangers confronting their vessel, our own civilization fails to recognize that the destruction we wreak upon "spaceship earth," not only places our outer world in peril, but also ravages our inner life. As Berry points out:

"The devastation of the forests, the extinction of species, the poisoning of the waters, the pollution of the air, the blocking out of our vision of the stars; we could not understand that this was something more than damage to our physical being; it was also a soul-damage, a ruin within, a degrading of our imagination, our emotional life, even diminishing our intellectual life for all these phases of our inner life needed to be activated by our experiences of the outer world."


The Titanic broke records in design and engineering, and in an attempt to break yet another record, she perished. Collectively, we've repeatedly broken records, many of which foster significant pride. We've demonstrated our brilliance in countless ways and with the best of intentions - to improve the quality of life for our children and ourselves. And yet what of the ominous record broken by little more than a single generation? One which according to Timothy C. Wieskel, director of the Harvard Seminar of environmental values at Harvard Divinity School, has led to the fact that:

"...life as we know it is undergoing massive extinction. More precisely, geologists, evolutionary biologists, and paleontologists are now reporting evidence in their professional journals that we are currently in the midst of a global "extinction event" which exceeds in scale those catastrophic episodes in the geological record that marked the extinction of the dinosaurs and numerous other species."

There's hardly an American alive who hasn't heard of the great and terrible flood which covered the earth, and of faithful Noah who managed to save two of each species by bringing them on board his ark. Noah, who followed the directives of his God, is the hero of this story. And it's the wrath of the creator, manifested by the fury of the flood, which wreaked unimaginable destruction. Good Christians believe themselves to be created in God's image, and how interesting it is that we ourselves have been likened to the great and terrible flood by author and speaker, Andrew Bard Schmookler, who observed:

"We, the creatures with the freedom to invent, may yet prove a boon to the struggle of life against death. But for now, we are not filling the ark. It is we who are the flood. Spilling out of our channels, sweeping tropical forests away, extinguishing the precious flame of countless species, washing off the topsoil of the abundant American prairies. And if we choose to play the flood, who is there to play Noah?"


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What aspect of God are we currently manifesting? Sadly, I believe that we've come to represent the wrath of God far more than reflecting the wonder and beauty inherent in a loving creator.

In The Sacred Whole: An Ecumenical Protestant Approach, Jay McDaniel, associate professor of Religion at Hendrix College in Arkansas, asserts that the dominant religion today on our planet is the religion of "'economism" observing, "its God is endless economic growth, its priests are economists, its missionaries are advertisers, and its church is the mall. In this religion, virtue is called 'competition' and sin is called "inefficiency.' Salvation comes through shopping alone."

McDaniel goes on to claim that our addiction to growth is related to the current trends of overconsumption and overpopulation, placing the entire planet in peril. He urges us to become the kinds of people who possess attitudes and values that honor our ecology, and make community-based economies possible. In order to develop this level of character on a collective basis, the support of religious institutions is required. Our religious communities profoundly shape our culture's character.

"...Through their creeds, codes and cults, they provide images of the Good Life and offer people ways of finding that life. If conversion from the god of growth to the spirit of life is to occur, it must occur with their help and in the context of people who take them seriously."

If we are to create sustainable and life affirming communities, then according to McDaniel, we also require a new image of the good life. While the vision of the good life fostered by the religion of "economism" calls for constantly increasing consumption, the message of the world religions is one of commitment to such values as love, justice, peace, the sanctity of life, and spiritual growth.

Albert J. Fritsh, Jesuit priest and environmental ethicist, provides us with a Catholic perspective of the Good Life which includes:

  • An awareness that our resources are limited and are not currently equally shared;
  • A commitment to use resources moderately and to control our appetites;
  • An awareness that when we use our talents appropriately or share our resources, we not only contribute to the health and well being of others, but also increase our own.
  • A willingness to celebrate with all of creation
  • A commitment to deepening spirituality and honoring the spirituality of others, including honoring our diversity.

THE GREAT DIVIDE

"The church can say to its people, in a way that no one else can, with a sense of authority that no one else in the world has, that this moment and this day in our lives are not all that matters in our lives. That we as Christians have responsibility far beyond the next paycheck, the next meal. We have a responsibility to our children, and to this earth that God has given us." James M. Cubie


When looking over his own life, Thomas Berry sadly admits that he's unable to explain those acts committed during his life-time that have led to massive devastation of the earth's systems. His best guess is that his generation has been autistic, so preoccupied with itself that it lost its' connection with the natural world. Berry laments, "My generation could not get outside itself and the outer world could not get in. There was a total barrier between the human and non-human." This barrier between humanity and nature which is based on the absurd premise that we're separate from, rather than a part of nature, I've come to think of as the Great Divide. For how long will a belief system which has left us alienated from the rest of the earth's communities, and led to such mass destruction, continue to be allowed to contaminate our home?

What has amazed Berry (as well as several other environmentalists) is the inability of our educational and religious institutions confronted with biocide (the killing of the earth systems,) and geocide (the destruction of the earth itself) to offer sufficient ethical guidance and judgement.

In The Lost Gospel of the Earth, Senator Tom Hayden eloquently writes:

"Long ago, the sacred was believed to reside in the earth. Then came an era when God and the Sacred were projected from the earth to a glorious cloud, stranding humanity in a waiting line below. Next, according to Christianity, the divine was reincarnated briefly on earth to redeem the human. Many await a second coming to lift up the faithful from the earth. . . But I believe the earth has suffered from the perception that the sacred is no longer resident in its depths. . . We need a sacred presence that is more than an absentee landlord before the whole earth becomes a polluted slum. Only when we believe the sacred is present in the living earth will we revere our world again."

But how do we recapture our lost sense of the sacred that resides within the living earth? How best can we serve her? Hayden advises:


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"Finally what I believe is needed is the kind of passionate engagement in the environmental cause that the clergy of America gave to the civil rights in the 1960's, . . . Unfortunately what we are seeing today instead is the religious Right vigorously condemning environmentalists as pagans while defending the property rights of polluters as somehow protected by the mandates of Genesis. Meanwhile the mainstream religious institutions have been largely silent and little engaged in the environmental debate of the past twenty-five years. The religious community has not defined the actions of corporate and government polluters as a mortal sin against God's creation, nor have the clerics defended the earth as sacred in the they have vigorously defended the poor and victims of discrimination as God's children. Religious institutions are the source of guidance and teaching on questions of morality and justice, and their relative silence on the fate of the earth robs the environmental movement of the moral legitimacy it needs to change our behavior."

In For The Common Good, economist Herman Daly and theologian John Cobb maintained that in order for us to muster a sustained willingness to change our destructive patterns, we must recapture:

" . . . ¦a love of the earth that human beings once felt strongly, but then has been thinned and demeaned as the land was commodified. . . there is a religious depth in myriads of people that can find expression in lives lived appropriately to reality. That depth must be touched and tapped . . . If that is done, there is hope . . . Our point is that the changes that are now needed in society are at a level that stirs religious passions. The debate will be a religious one whether that is made explicit or not."

It's been reported in Mother Jones that 96 percent of Americans believe in a universal power, and that 67 percent of Americans belong to a church or synagogue. Furthermore, two out of five US citizens report that their religious beliefs heavily influence how they vote. Clearly our spiritual communities not only contribute to the saving of souls, but can also contribute enormously to efforts to save the earth.

Dr. Donald Conroy, president and founder of the North American Coalition on Religion and Ecology, points out that if it is true that we only have a decade to change the lifestyles of the Industrial World, then we desperately need a paradigm shift which might unites theologians, ethicists, and philosophers in cooperation with environmentalist and economists. But how can we accomplish this? Conroy asserts that first we must overcome such biases as patriarchy, (a system which gives males a disproportionately large share of power), and what Conroy calls, "exceptionalism," (the presumption made by individuals and groups that they are or will be the exception.)

Perhaps slowly but surely the paradigm shift that Conroy calls for is beginning to evolve as more and more religious leaders begin to speak out.

A MORE PERFECT UNION

"The environment is not just another issue but an inescapable challenge to what it means to be religious" Dean James P. Morton

While it's true that the religious community hasn't been as active in the past as it could have been, there's hope that it's lack of consistent involvement in the environmental protection movement is changing. Recently we've been given assurances of commitment to the preservation of the earth from a number of national as well as international religious organizations including, the U.S. Catholic Conference, The World Council of Churches, the Interfaith Council of the United Nations, and the United Church of Christ.


In November of 1989, the Earthcare Interfaith network submitted, Foundations for a Sustainable Common Future: On Participating in the Design of a Sustainable World As if People, the Earth and the Spirit Really Mattered, to the Global Tomorrow Coalition. The proposal called for a holistic approach to the global crisis and maintained that people of various spiritual traditions needed to join their efforts with others on a local, regional, national, and global basis. It also stressed the importance of the establishment of a United Nations Earth Stewardship council. The rationale for their proposal follows:

"The nature of the recommendations presented here are broad, and the opportunities for their implementation are many. While there is value in developing an approach that coordinates the implementation of the recommendations, in many respects it is at least as important that they are implemented in many different contexts and forms by individuals within their own faith communities. Further, the synergy that can emerge from networking is most evident when it is based on bringing together many independent sources of energy and activity.

There are growing indications of an awakening within the faith communities of a concern with our relationship with nature. For example, in 1986, the Declarations of Assisi, from Buddhists, Christians, Jews, Moslems, and Sikhs emerged from a conference convened by the World Wildlife Fund. The Environmental Sabbath has been established through the United Nations Environment Programme as a time for faith communities to observe a day of rest for the earth. And there are many individuals who have long harbored within themselves a deep sense of the importance of the spiritual dimension of our relationship with the earth.

The emergence of a "movement" based on a recognition of that importance is providing -- for many of these individuals -- empowering opportunities to express that inner sense beyond a few close friends, and to discover many other who share their perspective on the natural world.


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This renewed sense of legitimacy for the spiritual dimension of our relationship with the earth is being juxtaposed with the sharply increasing focus on the need to address environment and development issues. This juxtaposition means that a sensitivity that had generally been considered otherworldly is being seen by more and more people as containing within it vital keys to coming to terms with the very concrete question of how we can develop the basis for sustainable life of earth."

In January of 1991, the late Carl Sagan organized 32 Nobel Laureate in addition to other respected scientists in order to write, An Open Letter to the Religious Community. The following message was presented at the Moscow meeting ofthe Global Forum of Spiritual and Parliamentary Leaders:

"The Earth is the birthplace of our species and, as far as we know, our only home. When our numbers were small and our technology feeble, we were powerless to influence the environment of our world. But today, suddenly, almost without anyone's noticing, our numbers have become immense and our technology has achieved vast, even awesome, powers. Intentionally or inadvertently, we are now able to make devastating changes in the global environment an environment to which we and all other beings with which we share the Earth are meticulously and exquisitely adapted.

We are now threatened by self-inflicted, swiftly moving environmental alterations about whose long-term biological and ecological consequences we are still painfully ignorant: depletion of the protective ozone layer; a global warming unprecedented in the last 150 millennia; the obliteration of an acre of forest every second; the rapid-fire extinction of species; and the prospect of a global nuclear war which would put at risk most of the population of the Earth. There may well be other such dangers of which we are still unaware. Individually and cumulatively, they represent a trap being set for the human species, a trap we are setting for ourselves. However principled and lofty (or naive and shortsighted) the justifications may have been for the activities that brought forth these dangers, separately and taken together they now imperil our species and many others. We are close to committing many would argue we are already committing what in religious language is sometimes called Crimes against Creation.

By their very nature these assaults on the environment were not caused by any one political group or any one generation. Intrinsically, they are transnational, transgenerational and transideological. So are all conceivable solutions. To escape these traps requires a perspective that embraces the peoples of the planet and all the generations yet to come.

Problems of such magnitude, and solutions demanding so broad a perspective, must be recognized from the outset as having a religious as well as a scientific dimension. Mindful of our common responsibility, we scientists many of us long engaged in combating the environmental crisis urgently appeal to the world religious community to commit, in word and deed, and as boldly as is required, to preserve the environment of the Earth.



Some of the short-term mitigations of these dangers such as greater energy efficiency, rapid banning of chlorofluorocarbons or modest reductions in nuclear arsenals are comparatively easy and at some level are already underway. But other, more far-reaching, long-term, and effective approaches will encounter widespread inertia, denial and resistance. In this category are conversion from fossil fuels to a nonpolluting energy economy, a continuing swift reversal of the nuclear arms race, and a voluntary halt to world population growth without which many other approaches to preserve the environment will be nullified.

As with issues of peace, human rights and social justice, religious institutions can be a strong force here, too, in encouraging national and international initiatives in both the private and public sectors, and in the diverse worlds of commerce, education, culture and mass communications.

The environmental crisis requires radical changes not only in public policy, but also in individual behavior. The historical record makes clear that religious teaching, example and leadership are able to influence personal conduct and commitment powerfully.

As scientists, many of us have had profound experiences of awe and reverence before the universe. We understand that what is regarded as sacred is more likely to be treated with care and respect. Our planetary home should be so regarded. Efforts to safeguard and cherish the environment need to be infused with a vision of the sacred. At the same time, a much wider and deeper understanding of science and technology is needed. If we do not understand the problem, it is unlikely we will be able to fix it. Thus, there is a vital role for both religion and science.

We know that the well-being of our planetary environment is already a source of profound concern in your councils and congregations. We hope this appeal will encourage a spirit of common cause and joint action to help preserve the Earth."


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In response to the scientists plea, several religious leaders met during 1991 and 1992. After significant collaboration, they offered the following reply:

"We members of the religious community have received from a distinguished group of scientists the document 'Preserving and Cherishing the Earth: An Appeal for Joint Commitment in Religion and Science.'

We are moved by the Appeal's spirit and challenged by its substance. We share its sense of urgency. This invitation to collaboration marks a unique moment and opportunity in the relationship of science and religion.

Many in the religious community have followed, with growing alarm, reports of threats to the well-being of our planet's environment such as those set forth in the Appeal. The scientific community has done humankind a great service by bringing forth evidence of these perils. We encourage continued scrupulous investigation and must take account of its results in all our deliberations and declarations regarding the human condition.

We believe the environmental crisis is intrinsically religious. All faith traditions and teachings firmly instruct us to revere and care for the natural world. Yet sacred Creation is being violated and is in ultimate jeopardy as a result of long-standing human behavior. A religious response is essential to reverse such long-standing patterns of neglect and exploitation.

For these reasons, we welcome the scientists' Appeal and are eager to explore as soon as possible concrete, specific forms of collaboration and action."

271 spiritual leaders including; 93 from the Soviet Union, 116 from North America, 35 from Africa, 27 from Europe, and 35 from Latin America, India, Africa, and the Far East added their signatures to the document. The groups of signatories were comprised of lamas, chief rabbis, mullahs, cardinals, professors of theology, and archbishops.

On May 12, 1992, religious leaders and scientists united in order to present a JOINT APPEAL BY RELIGION AND SCIENCE FOR THE ENVIRONMENT in Washington D.C. The declaration stated:

"We are people of faith and of science who, for centuries, often have traveled different roads. In a time of environmental crisis, we find these roads converging. As this meeting symbolizes, our two ancient, sometimes antagonistic, traditions now reach out to one another in a common endeavor to preserve the home we share.


We humans are endowed with self-awareness, intelligence and compassion. At our best, we cherish and seek to protect all life and the treasures of the natural world. But we are now tampering with the climate. We are thinning the ozone layer and creating holes in it. We are poisoning the air, the land and the water. We are destroying the forests, grasslands and other ecosystems. We are causing the extinction of species at a pace not seen since the end of the age of the dinosaurs. As a result, many scientific projections suggest a legacy for our children and grandchildren of compromised immune systems, increased infectious disease and cancer rates, destroyed plants and consequent disruption of the food chain, agriculture damaged from drought and ultraviolet light, accelerated destruction of forests and species, and vastly increased numbers of environmental refugees. Many perils may be still undiscovered. The burdens, as usual, will fall most cruelly upon the shoulders of the poorest among us, especially upon children. But no one will be unaffected. At the same time, the human community grows by a quarter of a million people every day, mostly in the poorest nations and communities. That this crisis was brought about in part through inadvertence does not excuse us. Many nations are responsible. The magnitude of this crisis means that it cannot be resolved unless many nations work together. We must now join forces to that end.

Our own country is the leading polluter on Earth, generating more greenhouse gases, especially CO2, than any other country. Not by word alone but by binding action, our nation has an inescapable moral duty to lead the way to genuinely effective solutions. We signers of this declaration --- leaders in religion and science --- call upon our government to change national policy so that the United States will begin to ease, not continue to increase, the burdens on our biosphere and their effect upon the planet's people.


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We believe that science and religion, working together, have an essential contribution to make toward any significant mitigation and resolution of the world environmental crisis. What good are the most fervent moral imperatives if we do not understand the dangers and how to avoid them? What good is all the data in the world without a steadfast moral compass? Many of the consequences of our present assault on the environment, even if halted today, will take decades and centuries to play themselves out. How will our children and grandchildren judge our stewardship of the Earth? What will they think of us? Do we not have a solemn obligation to leave them a better world and to insure the integrity of nature itself? Insofar as our peril arises from a neglect of moral values, human pride, arrogance, inattention, greed, improvidence, and a penchant for the short-term over the long, religion has an essential role to play. Insofar as our peril arises from our ignorance of the intricate interconnectedness of nature, science has an essential role to play.

Differences of perspective remain among us. We do not have to agree on how the natural world was made to be willing to work together to preserve it. On that paramount objective we affirm a deep sense of common cause.

Commitment to environmental integrity and justice, across a broad spectrum and at the highest level of leadership, continues to grow in the United States religious community as an issue of utmost priority --- significantly as a result of fruitful conversations with the scientific community. We believe that the dimensions of this crisis are still not sufficiently taken to heart by our leaders, institutions and industries. We accept our responsibility to help make known to the millions we serve and teach the nature and consequences of the environmental crisis, and what is required to overcome it. We believe that our current economic behavior and policies emphasize short-term individual material goals at the expense of the common good and of future generations. When we consider the long-term as well as the short-term costs, it seems clear that addressing this problem now rather than later makes economic as well as moral sense. We impoverish our own children and grandchildren by insisting that they deal with dangers that we could have averted at far less cost in resources and human suffering.

We reaffirm here, in the strongest possible terms, the indivisibility of social justice and the preservation of the environment. We also affirm and support the indigenous peoples in the protection and integrity of their cultures and lands. We believe the wealthy nations of the North, which have historically exploited the natural and human resources of the Southern nations, have a moral obligation to make available additional financial resources and appropriate technology to strengthen their capacity for their own development. We believe the poor and vulnerable workers in our own land should not be asked to bear disproportionate burdens. And we must end the dumping of toxic waste materials disproportionately in communities of low income and of people of color. We recognize that there is a vital connection between peacemaking and protecting our environment. Collectively, the nations of the world spend one trillion dollars a year on military programs. If even a modest portion of this money were spent on environmental programs and sustainable economic development we could take a major step toward environmental security.

We commit ourselves to work together for a United States that will lead the world in the efficient use of fossil fuels, in devising and utilizing renewable sources of energy, in phasing out all significant ozone-depleting chemicals, in halting deforestation and slowing the decline in species diversity, in planting forests and restoring other habitats, and in realizing worldwide social justice. We believe there is a need for concerted efforts to stabilize world population by humane, responsible and voluntary means consistent with our differing values. For these, and other reasons, we believe that special attention must be paid to education and to enhancing the roles and the status of women.


Despite the seriousness of this crisis, we are hopeful. We humans, in spite of our faults, can be intelligent, resourceful, compassionate, prudent and imaginative. We have access to great reservoirs of moral and spiritual courage. Deep within us stirs a commitment to the health, safety and future of our children. Understanding that the world does not belong to any one nation or generation, and sharing a spirit of utmost urgency, we dedicate ourselves to undertake bold action to cherish and protect the environment of our planetary home."

Thus a mighty force was born. In 1993, the National Religious Partnership for the Environment, a broad-based interdenominational alliance was established.

FAITH

"If you want faith, you have to work for it." Flannery O'Connor

Leanord Byram, my grandfather, died at home at the age of 93, on April 30th, 1995. He was surrounded by family members who maintained a 24- hour-vigil over him for weeks. His life will never be chronicled in a history book. His was an ordinary life, lived by an extraordinary man. He resided in the same small town for over 60 years. He worked as a logger and woodsman on the rivers and streams of New Brunswick and Maine. Later, he became an auto mechanic, then a carpenter, and eventually purchased property and farmed his land. He lived in a small, modest three-bedroom ranch during the years that I knew him. Still nestled into the corner of the living room sits the desk that he spent hours at every day.

In retrospect, he was perhaps my greatest role model. He was deeply involved in the pursuit of "the truth", with devotion few have ever surpassed. For more years than I have been alive, he studied the Bible and other religious works with vigor, and frequently corresponded with others on spiritual matters. His life, while not easy, was rich and abundant - filled with family, fellow seekers, and above all - faith. Each day carried for him the promise of an opportunity to grow closer to his God. And though I know he experienced confusion and frustration regarding earthly matters, once he found his faith, there was not a day in his life that he walked without it.


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While my grandfather placed absolute trust in a God who resided outside of him, I am still learning to trust the inherent wisdom that exists within me. He sought the heavenly spirit, while my search became earth-bound. He found what he was seeking; I'm still looking. Still, while I seek, I too have found. I've learned to trust my body's instinctual way of knowing what it needs to most effectively house my spirit. I'm also learning to trust that I'm connected in some inextricable way to the vast wisdom of the universe. The more my awareness grows of this connection, the more in touch I become with the meaning and purpose of my own life.

I'm learning to trust that while life is unpredictable and can hurt very deeply; I am no more alone in the darkness of my despair than I am in the light of my joy. While I've suffered and will continue to suffer, I have healed and will heal again.

It was easy to believe in Santa Claus and the tooth fairy as a child; mine was a simple faith evolving from a trusting heart. I never saw the North Pole, but I believed. As I grow older and have lost much of my ability to believe in what I cannot see, my life experiences have served to renew my faith. I can not conceive that the absolute beauty I have enjoyed in the natural world is little more than an act of random. I can't grasp that the intricate and enormously complex web of life is ultimately coincidental. I'm able to speak from my heart when I tell a companion who is despairing to hold on; that the pain will surely fade. I know this through my own experiences. I have seen, and thus I believe. The agony that has tampered with my faith has ultimately led me to trust in deliverance. I hurt and I heal. I'm a natural being participating in an ongoing and natural cycle. Day follows night; the warmth of summer returns each year once the winter has claimed its season, and I will surely always find my way to a new beginning. Endings and beginnings are always intermingled.

While dealing with the after-shocks of my quake, I have come finally to understand the meaning of faith. It does not require faith to acknowledge that which we can see and touch and measure. Faith is born of mystery, of promise, of hope. The guarantee for which it stands is not written or legally binding. It exists only within the human heart and is seldom easily acquired beyond childhood. And like so much which follows this precious age, it requires care. At this time in my life, I'm in the process of planting and weeding, as I strive towards the cultivation of faith.

Chapter One - The Quake

Chapter Two - The Haunted

Chapter Three - Myth and Meaning

Chapter Four - Embracing the Spirit

Chapter Eight - The Journey

next: THE JOURNEY Chapter Eight

APA Reference
Staff, H. (2008, December 7). Embracing the Spirit, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/alternative-mental-health/sageplace/embracing-the-spirit

Last Updated: July 21, 2014

Viagra and Men: Relationships Still Count

No doubt about it! , Cialis (tadalafil) and have made a difference for millions of men and their partners. When the FDA approved Viagra, the first oral medication for the treatment of erectile dysfunction in March, 1998, it opened a new world of possibilities to restore men to healthy sexual functioning. For many of these men, the capacity to have reliable erections has brought them and their partners much sexual satisfaction and a general sense of well being. The return to sexual potency greatly enriched the overall relationship satisfaction.

Thanks to the benefits of Viagra, many men found that they enjoyed sex more, and some had sex more frequently. While Viagra is not an aphrodisiac, men have reported an increase in sexual desire and arousal. Some even say that their orgasms felt more intense and enjoyable. Rather than being directly related to Viagra, these reports are most likely due to an increase in a man's general interest in sexual activity, which is brought on by their Viagra-assisted reliable erections.

It must be pointed out that even with the sexual success that having a good erection allows, there are many psychological and relationship components that are involved in a couple's sexual functioning. The ongoing quality of a couple's sex life will still continue to be based on past, present and future relationship issues.

For example, what effect did the erectile difficulty have on the man and his partner? What were his emotional and behavioral reactions to his erectile difficulties? What was the partner's response? How did the erectile difficulty affect the relationship and how did they cope? Was the partner upset or indifferent about not having sex?

What changes occurred in the relationship when, thanks to Viagra, erectile problems were no longer an issue? One couple may enjoy renewed sexual activity, while another might feel that sex will now be required on demand! This can place pressure on either partner to perform!

If the erectile difficulty was due to problems between the partners, have those matters been addressed? It is not unusual for men to think that everything is fine once modern medicine has helped to restore his erections. To avoid future problems, issues involving intimacy and communication about sexual matters may still need attention.


 


Even with the restoration of a man's erections, the same sexual turn-offs and difficulties surrounding sex, such as timing, frequency, life-style issues, sexual practices and techniques can still be a large factor in determining sexual satisfaction. In another example, did the female partner previously experience her own sexual difficulties? Did she have problems with sexual desire, arousal or orgasm? If so, to what extent did these difficulties contribute to the man's erectile problems? His erections may be fine now, but do her difficulties still exist?

In other words, once Viagra-assisted sexual potency is restored, the man and his partner may still find themselves with the same problems about sex which are similar to those couples where the man never had problem with erections. Does this mean that "successful sex" may not always be "satisfying sex?" For some men and their partners this is the case.

What can be done? The answer varies according to the man and his circumstances. We have said that many men, and their partners, have enjoyed the positive and enormous benefits by using Viagra. For them, taking Viagra may have been all they needed. Other men are reminded that the benefits of restored erectile functioning still occurs within the individual and his relationships. The relationship may need extra attention in order to make "successful sex" become "satisfying sex" for both partners. Sexual health is well worth the effort.Sexual Male

Read also:

Julian Slowinski, Psy.D. coauthor ofThe Sexual Male: Problems and Solutions(W.W.Norton), a comprehensive guide for men and their partners. He is in practice at Pennsylvania Hospital in Philadelphia, and a faculty member at the University of Pennsylvania Medical School.

next: Ejaculatory Disorders

APA Reference
Staff, H. (2008, December 7). Viagra and Men: Relationships Still Count, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/sex/male-sexual-dysfunction/viagra-and-men-relationships-still-count

Last Updated: April 7, 2016

Eating Disorders: Overeating Self-Talk

Sharona, 17, is standing in front of the fridge at midnight, looking for something....

Hello refrigerator, you good friend. You are there for me, all right. Yeah, who else can I turn to at 11:45 PM on a school night, when I'm bored and I'm all alone? Who else has something to make me feel good? Okay, some turkey, some nice white meat turkey, that's not too fattening, but hey let's whip up a little Russian dressing and how about some chips on the sandwich and on the side? Hey, that's good. That's really good. I like that crunch. How about another half?

Refrigerator, you understand I need something to fill me up, something to make me feel like I'm not going to fly off of the earth alone, meaning nothing.

Now I need soothing. My skin is all broken out and I look disgusting, really disgusting. How could anybody stand to be with me if they had to look at my face? I am so ugly. Hot chocolate, you're making me feel better. You're warming me up, all over, inside of me. I don't care if you make me break out. You're making me feel warm inside, warm all over.

Therapist's Comments on Eating Disorders (I)

Teenage girls growing up today are bombarded about weight, diets, body image, and how they look from a very young age. The messages are constant, contradictory and confusing. On the one hand we are constantly being told : " you can't be too thin," " don't eat too much," " watch the fat," "exercise."

Hey, why not a cake? Betty Crocker you are a sister. Let's see what we have here, the magic of the microwave, chocolate cake in 10 minutes! All right we should be feeling pretty good --- Oh no, footsteps! Stop the microwave dial.

Oh no, Mom, just a little snack. Yeah, I'm on my way to bed.

Yeah, I know I have to get up early. Sure. See you.

Yeah, I know I have to get up and flunk some more tests and hear Mr. Hedgecock say, uh, yes, Ms. Moore, do you think you could honor us with your attention?

All I want to do is eat, eat, eat, fill up this huge gaping hole inside of me.

Hello Betty, hello. The cake isn't ready but it's almost cooked, not 100 percent, so it's not really solid, but what's the matter with some hot cake batter? Wow, I could start a new trend, cake batter, just drink it raw, yummy going down soothing and sweet.

Therapist's Comments on Eating Disorders (II)

This is a classic example of a conversation between Mother and daughter who want to connect, yet lack the skills to communicate. The Mother is clearly concerned about her daughter's well being. She is attempting to convey the message that she cares. The daughter, on her part, is expressing her anger, yet at the same time indicating a need for the Mother's approval.

Now I'm getting hungry, I need some cereal. Ahh frosted flakes, and I don't even need to add sugar, and what' s to go with it? Some Diet Coke, emergency Diet Coke right here and...

STOP ENOUGH STOP STOP

God, why did I eat so much? What's the matter with me? I'm sick. I'm so full. I'm full....

Oh, hi, Dad. Yeah, I'm just doing these few dishes, oh yeah, Dad, cleaning up the kitchen, and yeah, I'm going right to bed....

And, oh God, I'm in bed and I am so full so disgustingly full...

Add up the calories. I am probably 5 pounds fatter. And my jeans won't close tomorrow.

I'll have to wear those overalls, those ugly overalls. Why can't I be like Jenna with her little hips? I'm sure she never pigs out like this.

Oh God! I can't even look at myself. I can't get undressed. I don't want to see this body-- This gross, gross body. Please let me go to sleep and wake up Skinny skinny skinny-

Somebody else.

next: Eating Disorder Victim's Right-to-Die Closer
~ eating disorders library
~ all articles on eating disorders

APA Reference
Staff, H. (2008, December 7). Eating Disorders: Overeating Self-Talk, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/eating-disorders/articles/eating-disorders-overeating-self-talk

Last Updated: January 14, 2014

Making ADD-Friendly Career Choices

For adults with ADHD, when it comes to choosing a career, it's not one size fits all.

  • What are the best careers for an adult with Attention Deficit Disorder?
  • What are the best careers for an adult with blue eyes?

What are the best careers for an adult with ADHD, Attention Deficit Disorder? It's difficult to say.We are living in an era of speed. We expect faster computers, instant answers to our questions, and simple, across-the- board, guaranteed results. Amazingly, we are rewarded for our high expectations by a generally positive outcome. Most of the time we get what we're after! The danger comes when we expect the same all of the time.

We need to make certain generalizations in order to communicate large ideas. When we speak of adults with Attention Deficit Disorder (ADD) we list common symptoms associated with this challenge, per the DSM IV definition. We outline a stereotypic "profile" that describes what we often see in that person. However, when we are asked to work with an individual with ADD in identifying good career options, we cannot use the same profile outline. Not all adults with ADD are creative, as may be the norm. Not all adults with ADD work best in an entrepreneurial endeavor. For some, a highly creative, autonomous career is a terrible match. It is as hard to generalize a good career match for a person with ADD as it is to ask what careers work best for an adult with blue eyes! We need to start with the plusses of person, and add the challenges later!

How then, can we go about assisting those with ADD in finding suitable work environments? How can we help them maximize the probability of success and minimize the possibility of failure? Is isn't by an instant, quick, simple fix of stereotypic generalizations. We need to start with all of the strengths, and in so doing, ask the following 20 questions:

  1. What are the passions...those interests that really "light up" the person?
  2. What have been the accomplishments of this individual thus far?
  3. What personality factors contribute to ease of handling life?
  4. What are the specifics that feel as natural and automatic as "writing with one's dominant hand?
  5. What are the priority values that must be considered to feel good about oneself?
  6. What are the aptitude levels that maximize success?
  7. What is the person's energy pattern throughout the day, week, month?
  8. What are the dreams of the individual and how do they relate to the real world of work?
  9. What are the pieces of jobs that always attracted the individual and and how can those pieces be threaded together?
  10. How realistic are the related options in terms of today's job market needs?
  11. How much does the individual know about the related options?
  12. How can the options be tested out, rather than tried with the possibility of failure?
  13. What special challenges does the individual have?
  14. How do the challenges impact on the individual?
  15. How might the challenges impact on the work option?
  16. How might the challenges be overcome by appropriate strategies and interventions?
  17. How great is the degree of match between the option and the individual?
  18. Can we "test out" the degree of match before pursuing the field?
  19. How does one enter and sustain the work environment chosen?

What supports can be in place to ensure long-term success?

If we help individuals collect this relevant data (which admittedly takes more time than a one-liner answer would require) then we have an excellent chance of directing the individual with ADD. We cannot accomplish the same results with the "cook book" method, which is trial and error at best. As with many difficult decisions, a trained professional who understands about individuality within the diagnosis of ADD can provide the framework in which to collect data, test out the options and provide appropriate support for the "journey."

What are the best careers for an adult with Attention Deficit Disorder? What are the best careers for an adult with blue eyes? Perhaps the better question is, what are the best career options for a wonderfully unique individual with special challenges? Let's help them take the time to really get the job done and find what works best for them!

About the author: Wilma R. Fellman, M.Ed., has been a Licensed Professional Counselor for over 23 years. She specializes in working with adolescents and adults with attention deficit disorder, learning disabilities, and other challenges, with respect to career issues. Her latest book is Finding a Career That Works for You.



next: When ADHD Runs in Families
~ adhd library articles
~ all add/adhd articles

APA Reference
Staff, H. (2008, December 7). Making ADD-Friendly Career Choices, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/adhd/articles/making-add-friendly-career-choices

Last Updated: February 12, 2016

When Someone You Love Has A Mental Illness

Why people resist accepting they are mentally ill and resist taking medication, handling your ill relative's anger and your feeling guilty.Learn why people deny their mental illness and how to handle your mentally ill relative's anger and your feelings of guilt associated with the mental illness.

Why people resist accepting they are mentally ill and resist taking psychiatric medications

People resist accepting that they have a mental illness because:

  1. They are experiencing denial---a common first reaction to shocking or bad news such as a death or the diagnosis of a seriously disabling illness.

  2. They are in pain due to the social stigma associated with mental illness. The implications for the future are also painful and involve:
    • grieving the loss of some of their dreams and the ability to have normal lives
    • lowering their expectations for what they will have in their lives
    • accepting the need for long-term treatment
  3. They are experiencing a symptom of the illness, in one of several ways: 

    • continued, massive denial of problems a primitive defense mechanism to preserve the fragile sense of self-esteem that ill people have
    • delusional thinking, poor judgment, or poor reality testing

People resist taking psychiatric medication because:

  1. The side effects can be upsetting and unpleasant.
  2. It may mean admitting that they have a mental illness.
  3. It may feel like they are being controlled by an outside force. It can trigger issues people have about loss of power and control in their lives.
  4. Reducing symptoms, and thus seeing the limitations of their lives, can be more painful than being lost in psychosis. Many people in manic episodes prefer that high-energy state to the lower-energy one they feel on medication.

Handling your mentally ill relative's anger

If you are both angry and fear losing control, it is best to separate, protecting everyone from injury. If your relative is angry and you are not:

  1. Remain as calm as you can; talk slowly and clearly.
  2. Stay in control. Either hide your fear, as it may cause the situation to escalate, or tell the person directly his or her anger is frightening you.
  3. Do not approach or touch the person without his or her request or permission to do so.
  4. Allow the person on avenue of escape.
  5. Do not give in to all demands; keep limits and consequences clear.
  6. Try to determine whether the anger is completely irrational and thus a symptom of the illness, or if there is a real cause that you can validate.
  7. Do not argue irrational ideas.
  8. Acknowledge the person's feelings and express your willingness to try to understand what the person is experiencing.
  9. Help your relative figure out what to do next.
  10. Protect yourself and others from injury; some outbursts cannot be prevented or stopped.

If angry outbursts are a recurring problem, wait until everyone is calm and then brainstorm acceptable ways in which the person can handle angry feelings and remain in control. These might include:

  1. being clear and direct at the time of minor annoyances; so the anger doesn't get bottled up and explode
  2. venting some energy via exercise, hitting something safe (a pillow), or yelling in a secluded
  3. leaving the situation or taking some time out to write in a journal or count to oneself
  4. taking an additional dose of medication, if prescribed

Guilt

Nearly all relatives of people with mental illness feel guilty, at some point, about their relative's or their own situation. Although it may never completely disappear, the feeling can be significantly reduced.

Causes of Guilt:

  1. blaming yourself or regretting your feelings (especially anger), thoughts, or actions regarding your ill relative
  2. feeling bad about having a better life than your relative does (survivor guilt)
  3. society's ostracism of families who have a relative with a mental illness

Effects of guilt:

  1. depression; lack of energy for the present
  2. dwelling on the post
  3. diminished self-confidence and self-worth
  4. less effectiveness in solving problems and achieving goals
  5. acting like a martyr, in an effort to make up for past sins
  6. being overprotective, which leads to your relative's feeling more helpless and dependent
  7. diminished quality of your life

Deal with guilt by developing more rational and less painful ways of thinking about the situation.

  1. Acknowledge and express your guilt with an understanding listener.
  2. Examine the beliefs underlying your guilt. (For example: "I should have done things differently when he was a child"; "I should have noticed the signs sooner and done something to prevent it"; "I should never have said that to her."
  3. Counteract these false beliefs, using the information you have learned about the causes and course of mental illness.
  4. Try not to dwell on the past.
  5. Focus on how you may improve the present and the future for yourself and your ill relative.
  6. Remind yourself that you deserve a good life even if your relative may not be fortunate enough to have one.

Click to buy: When Someone You Love Has a Mental Illness: A Handbook for Family, Friends, and CaregiversRebecca Woolis is author of When Someone You Love Has a Mental Illness: A Handbook for Family, Friends, and Caregivers featuring 50 proven Quick Reference guides--for the millions of parents, siblings, and friends of people with mental illness, as well as professionals in the field. On the Amazon.com website, one reader wrote: "This book contains what so many mental health books lack: advice." Another reader called it an "essential guide. This book is a step-by-step guide to more successful interpersonal relationships between family and patients. No doctor or therapist will ever give you these essential tools, because therapists needn't live a life with your loved one - and may not even know what that life entails in a real and daily way.

next: Helping Yourself and Others Deal With Death
~ depression library articles
~ all articles on depression

APA Reference
Staff, H. (2008, December 7). When Someone You Love Has A Mental Illness, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/depression/articles/when-someone-you-love-has-a-mental-illness

Last Updated: June 24, 2016

Black Undergraduate And White Undergraduate Eating Disorders And Related Attitudes

Racial Differences in Eating Disorders and Body Attitudes

The author reviews the most recent literature on the differences between white and black females in regard to eating disorders, dieting, and physical self-confidence. The racial differences and similarities from a questionnaire given to almost 400 female undergraduates are then discussed in terms of: their eating disorders, satisfaction with weight, dieting, pressure to lose weight, and receiving therapy treatment for anorexia. The connections between these women's behaviors, their parents, marital status, and the quality of their relationships with parents, roommates and boyfriends are also discussed.

When it comes to eating disorders and attitudes about their weight, black females in the United States are in many ways more fortunate than white females. In part this is because black males and females have less restrictive, less narrow definitions of what makes a woman beautiful - especially when it comes to how much a woman weighs. That is, black Americans are more likely than white Americans to appreciate the beauty of a woman's naturally full body. Unlike most whites, most blacks do not consider extremely skinny, underweight women to be more beautiful and more desirable than women who are of average or slightly above average weight. Consequently, most black females are less obsessed than most white females are about how much they weigh and about dieting. Knowing that most black males do not find excessively thin or anorexic looking women attractive, black women are usually more satisfied and more self-confident than white women when it comes to their weight. This isn't to say that black women and girls do not care how they look or that they do not judge and get judged on the basis of appearance. Regardless of race, people who are considered attractive generally have more self-confidence, are more popular socially, and receive better treatment at school and at work in terms of such things as being given a teacher's or supervisor's help, being promoted faster, or being given the benefit of the doubt in grading or evaluations (Bordo. 1993; Friday. 1996; Halprin. 1995; Wolf. 1992). Still, black females are judged less often than whites on the basis of how much they weigh and more often on the basis of factors such as skin shade, the "right" kind of nose or lips, and "good" hair (Abrams, Allen, & Gray. 1993; Akan & Greilo. 1995; Allan, Mayo, & Michel. 1993; Boyd. 1995; Dacosta & Wilson. 1999; Erdman. 1995; Greenberg & Laporte. 1996; Grogan. 1999; Halprin. 1995; Harris. 1994; Heywood. 1996; Kumanyika, Wilson, & Guilford. 1993; LeGrange, Telch, & Agras. 1997; Maine. 1993; Molloy & Herzberger. 1998; Parker & and others. 1995; Powell & Kahn. 1995; Randolph. 1996; Root. 1990; Rosen & others. 1991; Rucker & Cash. 1992; Silverstein & Perlick. 1995; Thone. 1998; Villarosa. 1995; Wade. 1991; Walsh & Devlin. 1998; Wilfley & others. 1996; Wolf. 1992).

When it comes to eating disorders and attitudes about their weight, black females in the United States are in many ways more fortunate than white females. Read why.Sadly though, a growing number of black females seem to be adopting many whites' unhealthy attitudes about being too thin, are becoming more dissatisfied with their bodies, and are developing more eating disorders. What seems to be happening is that the more a black female identifies with or interacts with white upper class culture, the more likely she is to adopt whites' attitudes about being extremely thin and dieting excessively. As a result, these black females may end up as dissatisfied with their weight and as obsessed with dieting and being thin as their white counterparts. Worse yet, more black females may be becoming anorexic. For example, among many upwardly mobile black Americans, a woman with a heavy body and large hips is considered more "lower class" looking than a skinny woman (Edut & Walker. 1998). And lower income black women may also becoming more concerned with losing weight and looking thinner (Moore & others. 1995; Wilfley & others. 1996) But as one black college graduate pointed out, she only began dieting and obsessing about thinness after she transferred from a predominantly black, urban high school to a private school in a rich, white suburb (Mahmoodzedegan. 1996). It's worth noting too that white standards of beauty increasingly became focused on a woman's thinness only after white women were granted the right to vote, started working outside the home in large numbers, and became equal to white men in terms of college graduation rates - a fact which might indicate that when a woman becomes well educated and enters male dominated professions, she is encouraged to look wafer thin, child-like, and as non-sexual as possible (Silverstein & Perlick. 1995; Wolf. 1992). In any event, the point is that college educated black females might be more likely than less educated black women to develop eating disorders, to diet excessively, and to feel bad about their weight partly because they have more exposure to upper middle class white attitudes and judgments (Abrams, Allen, & Gray. 1993; Akan & Greilo. 1995; Bowen, Tomoyasu, & Cauce. 1991; Cunningham & Roberts. 1995; Dacosta & Wilson. 1999; Edut & Walker. 1998; Grogan. 1999; Harris. 1994; Iancu & others. 1990; LeGrange, Telch, & Agras. 1997; Mahmoodzedegan. 1996; Rosen & others. 1991; Moore & others. 1995; Wilfley & others. 1996).

Still, most of the females who diet excessively and who become anorexic are white. Although anorexia only affects 1%-3% of all women in the United States, as many as 20% of college women might have eating disorders. Moreover, nearly 150,000 women in the U.S. die from anorexia every year (Lask & Waugh. 1999; MacSween. 1996). Although both black and white females usually do the most damage to themselves physically by gaining too much weight which causes such problems as high blood pressure, diabetes, heart attacks, and strokes, white women are more likely than black women to damage their bones, muscles, teeth, kidneys, heart, mental functions, and reproductive systems by eating far too little. Unlike most black females, most white females have been or still are on a diet. And those well-educated white women from upper middle and wealthy families tend to diet and to become anorexic far more often than less well educated, lower income white women (Bordo. 1993; Epling & Pierce. 1996; Grogan. 1999; Heilbrun. 1997; Hesse-Biber. 1996; Heywood. 1996; Iancu & others. 1990; Lask & Waugh. 1999; MacSween. 1996; Malson. 1998; Orenstein. 1994; Ryan. 1995; Walsh & Devlin. 1998).

Ironically, while more white and more black women than ever are damaging themselves by excessive dieting, being too thin, or becoming anorexic, in many ways our society seems to be becoming more hostile and more prejudiced against overweight people. First we often assume that overweight people are undisciplined, lazy, and unmotivated in all aspects of their lives (Hirschmann & Munter. 1995; Kano. 1995; Thone. 1998). Second, obese people are less likely to be hired, promoted, and given other advantages at work and at school than those who are thin (Bordo. 1993; Friday. 1996; Halprin. 1995; Poulton. 1997; Silverstein & Perlick. 1995; Thone. 1998). Third, no matter what their race, women are socialized to continually try to make themselves look better and to be dissatisfied with some aspect of their appearance. Indeed, industries make billions of dollars by selling services and products to women to improve their appearance - often focusing on weight loss and abnormal thinness. Likewise, most advertisers hire wafer thin female models to promote their products, thus encouraging the belief that: "if you are as skinny as I am, you too can eventually get the good things in life like this beautiful car I'm advertising and this handsome, rich man I'm with in this ad". No matter how thin or how beautiful a woman is, and no matter what her skin color, the advertising industry still continuously bombards her with the message that she must continue spending money in her never ending quest to improve her appearance - above all, the quest to be thin (Bordo. 1993; Cooke. 1996; Davis. 1998; Davis. 1994; Erdman. 1995; Foster. 1994; Friday. 1996; Freedman. 1995; Grogan. 1999; Halprin. 1995; Hirschmann & Munter. 1995; Lambert. 1995; Poulton. 1997; Steams. 1997; Thone. 1998; Wolf. 1992).


Reasons for Racial Differences

But why is it that compared to black females, white females are generally so much more obsessed and dissatisfied with their weight, less self confident about their appearance, and more prone to become anorexic? While the reasons still aren't altogether clear, factors other than the different ways in which blacks and whites define female beauty are certainly involved.

Mother's Attitudes About Weight, Sexuality and Intimacy

To begin with, regardless of her race, a daughter's behavior is influenced by her mother's attitudes about weight, sex, and emotional intimacy with a man. The girl whose mother is comfortable with her own sexuality and with her own weight is less likely to develop unhealthy attitudes about her own sexuality and appearance. Likewise, when a daughter grows up seeing that her own mother is enjoying an emotionally and sexually intimate relationship with a man, she is more apt to be comfortable with her own sexuality, body and emotional intimacy with males. In contrast, as one anorexic daughter put it: "I didn't want a life like my mom's, so I didn't want a body like hers either" (Maine, 1993, p. 118) In other words, seeing that her own mother is uncomfortable With sexuality and is not emotionally intimate with a man, the daughter is more likely to develop negative attitudes about her own body, sexuality, and emotional intimacy - attitudes which can contribute to eating disorders (Bassoff. 1994; Bingham. 1995; Brown & Gilligan. 1992; Caplan. 1990; Caron. 1995a; Debold, Wilson, & Malave. 1992; Flaake. 1993; Gilligan, Rogers, & Tolman. 1991; Glickman. 1993; Hesse-Biber. 1996; Hirschmann & Munter. 1995; Marone. 1998a; Mens-Verhulst, Schreurs, & Woertman. 1993; Moskowitz. 1995; Ms. Foundation. 1998; Phillips. 1996; Pipher. 1994; Ganong, Coleman, & Grant. 1990; Tolman. 1994).

Interestingly, the mother's race and economic background may influence the kinds of messages she sends her daughter about sexuality and about growing up. As one white, young adult daughter put it:" I wish my mom would get the feeling that sexuality is a big part of life. It's not just sex; it's how we feel and relate to other people on levels of physical and emotional intimacy" (Gottlieb, 1995, p. 156). It may be that one of the reasons why black daughters might feel more comfortable with their own sexuality and with the natural weight of a womanly body is that their mothers and other black women are comfortable with their own sexuality and body size. Compared to black daughters or to white daughters from blue collar families, more well to do white daughters may be the least likely to see sexual desire and passion as vital parts of their own mothers' lives. Likewise, a higher income white mother often seems to have the hardest time letting go of her daughter emotionally so that she can become comfortable with her own sexuality and develop emotional and sexual intimacy with a man (Bassoff. 1994; Bell-Scott. 1991; Bingham. 1995; Brown. 1998; Brown & Gilligan. 1992; Caron. 1995a; Debold, Wilson, & Malave. 1992; Flaake. 1993; Gilligan, Rogers, & Tolman. 1991; Glickman. 1993; Mens-Verhulst, Schreurs, & Woertman. 1993; Miller. 1994; Minuchin & Nichols. 1994; Pipher. 1994; Scarf. 1995; Tolman. 1994).

Daughter's Relationships With Other Women

Another reason why black daughters might have healthier attitudes about their sexuality and their weight is that they are more likely to have close relationships with women other than their mother. Among black families it is more acceptable for children to have close relationships with women other than their mother. In contrast white middle and upper class culture tends to encourage more possessive, jealous, restrictive attitudes about mothering rather than acting as if "it takes a whole village to raise one child." As a result, too many well-educated, white mothers tend to be overly possessive and extremely threatened when it comes to their child's having a close relationship with other women. Of course a woman's attitudes about motherhood are influenced by factors other than her race and income. And of course there are overly possessive mothers in every race and income group. But the fact remains that many white mothers from upper and middle class backgrounds - especially those who have not worked full time outside the home while their children were growing up and those who are single parents - are the most possessive and most unsupportive when it comes to allowing their children to have close relationships with other women. Given this, many experts advise well-educated, white mothers to behave more like black mothers in these respects (Ahrons. 1994; Bell-Scott. 1991; Brown & Gilligan. 1992; Crosbie-Burnett & Lewis. 1993; Debold, Wilson, & Malave. 1992; Glickman. 1993; Hays. 1996; Marone. 1998a; Ms. Foundation. 1998; Orenstein. 1994; Pipher. 1994; Reddy, Roth, & Sheldon. 1994).

This isn't to say that it's necessarily harmful for a daughter to grow up without a close relationship with any woman other than her own mother. But if the mother isn't able to help her daughter develop healthy attitudes about weight, sexuality, or emotional intimacy with men, then the daughter can certainly benefit from having a close relationship with another woman. For example, white stepmothers are sometimes the best models for their stepdaughters when it comes to being comfortable with sexuality and establishing emotionally intimacy with a man, especially if the biological mother has not remarried (Berman. 1992; Brown & Gilligan. 1992; Edelman. 1994; Maglin & Schneidewind. 1989; Nielsen. 1993; Nielsen. 1999a; Nielsen. 1999b; Norwood. 1999). But even when the mother is an excellent role model, her daughter generally still benefits from having close relationships with other adult women (Echevaria. 1998; Marone. 1998a; Rimm. 1999; Wolf. 1997).

Mother's Self-Reliance and Assertiveness

The ways in which a mother interacts with her children also influences certain aspects of her daughter's life that can be related to eating disorders. Here too it seems that the mother's race often comes into play. Compared to black mothers and to blue collar white mothers, upper middle class white mothers are more likely to interact with their children in ways that can lead to problems such as depression, social immaturity, and anxiety disorders - all of which are associated with eating disorders. This is especially true if the mother does not have a full time job outside the home while her children are growing up. Sadly, many of these white daughters see their mother as a downtrodden, weak, and fragile person - someone they must take care of. As a result, the daughter is more likely to become depressed, to feel uncomfortable with her own sexuality, and to have an especially hard time becoming self-reliant and leaving home - all of which have been linked to eating disorders (Debold, Wilson, & Malave. 1992; Harder. 1992; Lambert. 1995; Malson. 1998; MacSween. 1996; Karen. 1994; Main. 1993; Miller. 1994; Minuchin & Nichols. 1994; Pianta, Egeland, & Stroufe. 1990; Scarf. 1995; Silverstein & Rashbaum. 1994; Tolman. 1994).

Then too, white, middle and upper class mothers often seem to have the hardest time teaching their daughters to be assertive and outspoken, to express their anger, and to take charge of creating their own happiness. As one renown team of researchers puts it, too many well-educated, white mothers do not give their daughters "voice lessons" - to voice anger and disappointment in very direct ways to other people and to voice what they want and need for their own well-being, whether their need is for food, sexual pleasure, or other "selfish" pleasures (Brown. 1998; Brown & Gilligan. 1992; Gilligan, Rogers, & Tolman. 1991). Unfortunately daughters who acquire these passive, helpless, "voiceless" attitudes are the most likely to develop problems such as depression and eating disorders (Bassoff. 1994; Bell-Scott. 1991; Bingham. 1995; Bordo. 1993; Brown. 1998; Gilligan, Rogers, & Tolman. 1991; Glickman. 1993; Hesse-Biber. 1996; Hirschmann & Munter. 1995; Holland & Eisenhart. 1991; Marone. 1998a; Mens-Verhulst, Schreurs, & Woertman. 1993; Orenstein. 1994; Pipher. 1994; Reddy, Roth, & Sheldon. 1994; Tolman. 1994).


Mother's Mental Health and Marital Status

Regardless of her race, a mother's own happiness and mental health can also have an indirect impact on the chances of her daughter's developing an eating disorder. Researchers have known for some time that girls who are clinically depressed are the most likely to develop eating disorders (Fisher. 1991; Hesse-Biber. 1996; Gilligan, Rogers, & Tolman. 1991; Harrington. 1994; Lask & Waugh. 1999; Orenstein. 1994; Pipher. 1994; Walsh & Devlin. 1998). Unfortunately, most depressed daughters also have a mother who is depressed or chronically unhappy and profoundly dissatisfied with her own life (Bassoff. 1994; Blain & Crocker. 1993; Blechman. 1990; Buchanan & Seligman. 1994; Dadds. 1994; Downey & Coyne. 1990; Gottlieb. 1995; Harrington. 1994; Miller. 1994; Parke & Ladd. 1992; Radke-Yarrow. 1991; Scarf. 1995; Seligman. 1991; Tannenbaum & Forehand. 1994).

Along these lines, if the mother is a divorced, single parent, she is more likely to be depressed and to relate to her children in ways that interfere with their social, sexual, and psychological well-being. In contrast, when a divorced mother has happily re-married, her children are less likely to develop problems such as depression, an intense fear of growing up, extreme anxiety about sexuality, or an inability to be emotionally intimate with people their age - the kinds of problems that seem to increase a daughter's chance of developing an eating disorder (Ahrons. 1994; Ambert. 1996; Berman. 1992; Block. 1996; Brooks-Gunn. 1994; Buchanan, Maccoby, & Dornbusch. 1997; Caron. 1995b; Chapman, Price, & Serovich. 1995; Emery. 1994; Furstenberg & Cherlin. 1991; Garvin, Kalter, & Hansell. 1993; Gottlieb. 1995; Guttman. 1993; Handel & Whitchurch. 1994; Hetherington. 1991; Lansdale, Cherlin, & Kiernan. 1995; McLanahan & Sandefur. 1994; Mo-yee. 1995; Scarf. 1995; Nielsen. 1993; Nielsen. 1999a; Silverstein & Rashbaum. 1994; Wallerstein. 1991; Warshak. 1992; Weiss. 1994).

The Father-Daughter Relationship

The kind of relationship the daughter has with her father also seems to have an impact on her feelings about her own weight, her dieting, and her likelihood of developing an eating disorder. Among whites, the daughter who has a close relationship with her father is generally less likely to develop an eating disorder than the girl who has a very distant or no relationship at all with her father. Similarly, the daughter whose father lets her know that he disapproves of women being extremely thin and approves of her becoming a sexual person is also the least likely to develop an eating disorder or to diet excessively. In contrast, if the daughter gets the sense that her father wants her to act like a non-sexual, dependent, childish little girl, she may develop an eating disorder partly in an attempt to keep the body of a child and to postpone her sexual development. And if she feels her father only finds extremely thin women attractive, she herself may diet excessively or become anorexic as a way of winning his approval (Clothier. 1997; Goulter & Minninger. 1993; Maine. 1993; Marone. 1998b; Popenoe. 1996; Secunda. 1992).

Racial Attitudes Towards Therapy

Finally we should note that when black females have emotional or psychological problems, they may be less likely than white females to seek help from professional therapists or physicians. In part this might be because black females are more apt to be raised with the believe that women have to take care of everyone else rather than than seeking help for themselves. It might also be that black Americans are more likely to believe that everyone ought to handle their emotional or psychological problems within the family or through the church instead of seeking help from psychologists or psychiatrists - especially since most professional therapists are white. But for whatever reasons, if black girls and women are more reluctant to seek help, then they run a greater risk than whites do of getting professional help for serious disorders such as depression or anorexia. (Boyd. 1998; Danquah. 1999; Mitchell & Croom. 1998).

Rationale For The Present Study

Given the many variables that might influence a young woman's attitudes about her weight and the chances of her being anorexic, we gathered various kinds of information from black and from white college women. First, given the possibility that a daughter's relationship with her parents and family factors such as divorce might be influential, we asked each student whether her parents were still married to each other and how good a relationship she had with each parent. Second, to explore the impact of society's attitudes, we asked how much pressure each felt to be thin, how much her relatives had ever criticized their weight, and whether her parents had ever discussed anything about eating disorders. Third, in exploring the possible impact of self-esteem and the quality of their relationships with roommates and boyfriends, we asked how much self esteem these women felt they had and how good a relationship they had with their boyfriend and roommates. Fourth, we asked how satisfied they were with their present weight, how often they dieted, how afraid they were of gaining weight, and whether they or anyone they knew had ever had an eating disorder. We also asked how many people they knew with eating disorders and whether they had ever said anything to those people about their disorders. For those who themselves had eating disorders, we asked if they had ever been in therapy and at what ages they had their disorder. Finally, we examined how race and age were related to these young women's attitudes and behavior which was especially important on this particular campus because the school is predominantly white and upper middle class - a situation that is the most likely to promote excessive dieting and anorexic behavior and attitudes.

Sample and Methods

A sample of 56 black females and 353 white females was randomly selected from the undergraduate population in a small, southern, coeducational, predominantly white, private university. The sample represented almost one third of the university's 170 black female undergraduates and 21% of the 1680 white female undergraduates. The surveys were administered in the spring of 1999 to an equal number of first, second, third and fourth year students.


Results

Prevalence of Eating disorders

As expected, far more white than black women had eating disorders, had been in therapy for their disorder, and knew other anorexic women.. Nearly 25% of the white women presently or formerly had an eating disorder, compared to only 9% of the black women. In other words, 88 white students but only 4 black students had ever had an eating disorder. Only one black woman and only 4 white women said they no longer had an eating disorder. The remaining 97% still described themselves as having the disorder and almost all had become anorexic as young teenagers. On average their eating disorders had started when they were 15 years old. There were no significant differences between the youngest or the oldest students in terms of the frequency of eating disorders. In short, these results reconfirm that eating disorders are far more common in college women than in the general population - and that white students fare far worse than black students.

Whether students had eating disorders or not, most white and black women knew someone who had an eating disorder. Nearly 92% of the white women and 77% of the black women without eating disorders had known someone who was anorexic. Among those who were themselves anorexic, only half of the black women but 98% of the white women knew another anorexic. But regardless of whether or not they themselves had an eating disorder, most white students knew five anorexics, while the black students knew only two.

Therapy and Parents' Comments

As earlier research suggested might be true, these young black women were far less like than the white women to get professional help for their disorder. Not one of the four black women with anorexia had received professional help, yet nearly half of the white anorexics had been or still were in therapy. Likewise, the black daughters were worse off when it came to how much their parents had ever discussed eating disorders with them. For daughters who have never had an eating disorder, 52% of the white parents but only 25% of the black parents had ever discussed anything with them about eating disorders. For daughters with eating disorders, 65% of the white parents but only 50% of the black parents had ever mentioned or discussed anorexia. This isn't to say that black parents are less concerned about their daughters' well-being. It's more likely that most black parents simply don't realize yet that anorexia and bulimia can affect their daughters - especially when their daughter is a college-bound teenager who is frequently surrounded by white attitudes about women and thinness. It may also be that black daughters are less likely than white daughters to seek professional help or to let their parents know about their problem because they feel they ought to be able to handle such problems on their own.

When it comes to saying something to other girls who have eating disorders, there were also racial differences. Of those who had eating disorders, only 50% of the black women but 75% of the white women had said something to another anorexic about the other person's disorder. In contrast, 95% of the black females but only 50% of the white females who had never had an eating disorder had ever said something about anorexia to someone who had an eating disorder. In other words, the black women were the most likely to say something about eating disorders to someone who was anorexic, but the least likely to say anything if they themselves were anorexic. Again, what might be happening is that black females are more hesitant than whites to discuss their own eating disorders, therefore they won't talk to another anorexic about her eating disorder.

Dieting and Self Satisfaction

Not surprisingly, white women who had never had eating disorders were still much more likely than the black women to have been on a diet and to be dissatisfied with their weight. More than 90% of the black women were "very satisfied" with their weight, compared to only 45% of the white women. Likewise, only 5% of the black women said they were "extremely unhappy" with their weight, compared to 27% of the white women. When asked if they would rather be a "little under weight" or a "little over weight", 60% of the black students but only 15% of the white students chose "a little over weight". Not surprisingly then, over 33% of the black but only 12% of the white women had never been on a diet. Another 25% of the black women but only 10% of the white women had only dieted "once for a brief period of time". At the other extreme, 12% of the white women but only .5% of the black women said that they were "always" on diet.

Of course, the black and the white women with eating disorders had dieted the most, were the unhappiest with their weight, and were the most afraid of gaining weight. Only 40% of these women were satisfied with their weight and nearly 45% were "extremely unhappy". More than 95% had been on diets and 86% said they were "extremely" afraid of gaining weight.

Social Pressure and Family Criticism

Fortunately, only 20% of the women without eating disorders said they had ever felt pressure to lose weight and only 8% said they had ever been criticized by anyone in their family for being too fat. On the other hand, since very few of these young women are over weight, it may be that the reason they didn't feel pressured or criticized is that they were already so thin. In contrast, more than 85% of the white and the black women with eating disorders said they felt a lot of pressure to be thin, even though only 15% said a family member had ever criticized them for being too fat.


Self Esteem and Relationships

Contrary to what we might assume, the students with eating disorders rated themselves only slightly lower on self esteem than students without disorders. When asked to rate their self-esteem on a 1 to 10 point scale, the students with eating disorders generally gave themselves a 7, while the other students generally gave themselves an 8. Likewise, having an eating disorder was not related to the quality of relationships that these students had with their roommates. More than 85% said they had a very good relationship with their roommate. On the other hand, when it comes to boyfriends, there were striking differences. Only 25% of the women with eating disorders had a boyfriend, compared to 75% of the other women.

The good news is that the anorexic daughters said they got along very well with both their mothers and their fathers. Indeed, the students who said their relationships with their parents were terrible were the daughters who had never had an eating disorder. Nearly 82% of the white daughters with eating disorders said their relationship with both parents was excellent. Only one of the daughters with an eating disorder said her relationship with her mother was terrible and only one said the same of her father. In contrast, 10% of the white daughters who had never had an eating disorder said their relationship with their father was either terrible or very poor, and 2% said the same about their mother.

Divorce

In stark contrast to most people their age nationwide, only 15% of the white students and only 25% of the black students in this study had parents who were divorced. Not only was divorce not connected to the daughter having an eating disorder, just the opposite seemed to be the case. That is, only 3% of the white parents whose daughters had eating disorders were divorced compared to 14% whose daughters never had an eating disorder. Likewise, 85% of the black daughters whose parents were divorced had never had an eating disorder. If anything, these results suggest that her parent's divorce has almost nothing to do with whether or not a daughter develops an eating disorder. In fact, on the basis of these results we might actually wonder: Are some couples who stay married even though they aren't happy together creating situations in the family that increase the odds of their daughter developing an eating disorder? For example, even though the parents aren't divorced, one or both of them might be sending negative messages to the daughter about sexuality, about male-female relationships, or about growing up and leaving the "poor, unhappy" parent behind. Or even though they aren't divorced, either parent can be discouraging their daughter from developing an assertive "voice" of her own and from taking charge of creating a life separate from them - all of which have been linked to eating disorders. Given this, other researchers exploring eating disorders might gain much more useful information not by asking whether the parents are divorced, but by having them use a 1-10 rating scale for such questions as: How happy do you think each of your parent's is? How much have your parents encouraged you to express your anger openly and directly to them? How comfortable do you think each of your parents is about your growing up and leaving home?

Implications for College Personnel

So what are the practical implications of this study for people who teach or work with college students? First, a large percentage of both black and white college women need help combating eating disorders. Clearly the problem is prevalent enough and begins so early that high school teachers as well as parents need to be particularly vigilant of teenage girls' eating habits and attitudes about body weight. Second, we must stop acting as if eating disorders only affect white females. Although white females are still the most at risk, black teenage girls also need to be carefully attended to in terms of educating them about eating disorders and paying careful attention when they seem to be developing habits or attitudes that can lead to anorexia or bulimia. This may be especially true for college-bound black teenagers since they are the most likely to be exposed to unhealthy white attitudes about women's weight and dieting. Third, black females may be the most reluctant to seek professional help when they have eating disorders or other types of problems that might lead to anorexia or bulimia. Knowing this, teachers, counselors, and parents could make more effort to discuss the importance of getting professional help for any type of ongoing emotional or physical problem. Given the influence of the church in many black families' lives - especially black women's lives - campus and community ministers could also speak more about the wisdom of seeking professional help for personal problems. In so doing, women and their daughters might be less likely to feel that getting the help of a therapist is somehow a sign of weakness or a matter of "having too little faith". With such efforts, more black girls might grow into adulthood seeing that being "strong" or "religious" does not mean avoiding professional help for ongoing or life threatening problems such as anorexia and depression.

Fourth, since so few of these anorexic college women had boyfriends, perhaps working with them on issues related to sexuality and emotional intimacy with men might indirectly have a positive impact. That is, one of the reasons why so many of these young women don't have boyfriends may be that they feel too uncomfortable with their own sexuality. As mentioned earlier, young anorexic women may not have received enough positive messages or seen enough healthy examples of adults who are comfortable with sexuality and who have an emotionally intimate relationship with one another. These young women might also be so worried that a boyfriend would discover their eating disorder that they will not risk emotional or sexual intimacy. On the other hand, these girls may want a boyfriend but lack the skills and attitudes of other girls their age that would enable them to form a close relationship with a man. Unfortunately by not having a boyfriend, the young woman might be depriving herself of someone who can reassure her that her gaining weight is sexy and desirable - someone who actively encourages her to change her dangerous eating habits. In any event, college personnel could devote more time helping anorexic students develop more emotionally intimate relationships and become more comfortable with their own sexuality.

Finally, on college campuses we must continue to educate young men and woman about the dangers of eating disorders, intensive dieting, and our pervasive obsession with thinness. Our efforts must also be directed just as much at young men as at young women. For example, brochures about eating disorders should be disseminated to male students and should be designed in ways that help men understand the nature, extent and seriousness of the problem. Moreover, we should be giving all college men very specific advice about what to do if they suspect a female friend or a girlfriend of having an eating disorder. Without being critical or demeaning, we should also explain to college men the ways in which their comments or their behavior might inadvertently be contributing to eating disorders. For example, we might help them understand that their "jokes" or casual comments about "fat" girls or a woman's "big thighs" can contribute to the insecurity and self-loathing that their own sisters, girlfriends, and female friends feel about their weight. Materials or presentations should be shared especially with those groups of men who often have the most influence on campus - fraternity members and athletes - as well as with all first year students during orientation. University counseling and health centers should also see to it that all faculty members receive this information and specific advice so that they know what to do when they suspect that a student is suffering from or might be developing an eating disorder. Along the same lines, whenever possible, faculty should be encouraged to incorporate information about eating disorders, our society's obsession with thinness, and intensive dieting into their course materials, their tests, their class discussion and their assignments. Aside from the obvious courses in psychology, sociology, and biological sciences, the information could also be incorporated into education, history, mass communications, and art courses where topics such as female beauty, the impact of advertising, and cultural differences are all relevant. With more concerted efforts such as these in high schools and on college campuses, we will hopefully see a decrease in eating disorders, excessive dieting, and our widespread obsession with female thinness.

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APA Reference
Staff, H. (2008, December 7). Black Undergraduate And White Undergraduate Eating Disorders And Related Attitudes, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/eating-disorders/articles/black-undergraduate-and-white-undergraduate-eating-disorders-and-related-attitudes

Last Updated: January 14, 2014

Good Mood: The New Psychology of Overcoming Depression Chapter 5

The Hand of the Past In Depression

Appendix for Good Mood: The New Psychology of Overcoming Depression. Additional technical issues of self-comparison analysis.Skip this chapter about the effect of your history upon your depressive tendencies if you are impatient to get on to practical methods for overcoming your sadness. But come back later if you do skip now; this material should help you understand yourself better, and therefore help you deal with yourself better.

Childhood experiences are the colors with which the adult draws pictures of life. A typical case: M.'s father gave M. the impression that he never expected much of M. So M. spent the years until age 50 so hungry for achievement that he kept learning new occupations, and giving chunks of himself to the needy, while at the same time deriding all his achievements as those of an "overachiever".

The child builds patterns of behavior on her experiences as she lives them, even if the childhood experiences are not relevant to adult life. In the lingo of scientific research, the adult sees her latest experience as one observation in her lifetime sample of experiences.

A single traumatic childhood experience can leave a lasting imprint and predispose a person to adult depression. Or, none of the experiences may be traumatic yet their effect may be cumulative.

The early experiences may influence the adult's perceptions and interpretations of the adult's actual situation. Or they may work directly upon the self-comparison mechanism. They may also affect the adult's sense of being competent or helpless to improve her life situation.

Non-traumatic experiences which gain their force by accumulation can be repeated punishments, or parental directions about which self-comparisons the child should make, or which companions to associate with, or--perhaps most deeply rooted in the adult--goals and values implanted in the young child by the parent or other persons, or by his own reactions to people and environment. These matters will now be discussed one by one.

Childhood Experiences

Death or Loss of a Parent

The classical Freudian explanation of depression is the death or disappearance of a parent, or the lack of parental love. Though it is probably incorrect that such an event has occurred to all depressives, it is likely that children who have suffered the loss of a parent are especially predisposed to depression.1

There are several ways that loss of a parent can cause depression. Children whose parents die often believe that they themselves caused the parents to die by some bad behavior or failure. Therefore, bad behavior or failure as an adult brings back the depressing feelings associated with great loss.

A child who loses a parent to death or divorce may re- experience the pain and sadness whenever, as an adult, the person suffers a loss in the widest sense--loss of job, loss of a lover, and so on.

Still another way in which loss of a parent may predispose a person toward depression is by simply making the person sad for a prolonged time after the event. That is, the child continually makes a negative comparison between (a) his present parentless situation, and (b) his former situation when the parent was alive (or to the situation of other children who still have parents.) In this way the child develops a pattern of making neg-comps, and being depressed from time to time, which may simply continue into adulthood.

Another theory of why early separation can cause depression is that attachment to the mother is biologically programmed just as are mating behavior and parenting behavior in animals. If the bond is absent, pain is caused, says this theory.(2)

What at important for us is that if the attachment is broken by separation, temporary depression may occur immediately, and the chance of adult depression goes up.

Punishment for Failure as a Child

Some parents punish their children severely for actions inside or outside the home which the parents do not approve. The punishment may be straightforward, such as spanking or loss of rights; or the punishment may be more subtle, such as withdrawal of the parent's love. Many children who are severely punished by their parents learn to punish themselves for lack of achievement, and they continue to do so in adulthood. This self-punishment increases the pain suffered from a negative self-comparison, and hence it intensifies a depression. This was my case until I realized what was happening and decided to change: When I was a child my mother would say to me, no matter how well I did in school or other test situations: "That's fine, but you can do better." I then felt (rightly or wrongly) that I was being reprimanded for not doing well enough. And as an adult, I cursed myself for each minor fault, feeling painful sadness at my perennial failure to reach perfection.

It was this pattern which -- after a precipitating event -- kept me in constant depression for thirteen years. One day I realized that there was no good reason why I should punish myself on my mother's behalf, no reason why I should speak her reprimands to myself. This was a major breakthrough in lifting my thirteen-year depression.


Though my sense of well-being came in a sudden rush, there had been hard work going on for weeks and months, along the lines of the program described in this book. And there is nothing miraculous about my continuing to stay free of depression, however; that is a matter of diligent effort which is sometimes so demanding that it seems too much to be worthwhile. I have trained myself to say, whenever the impulse to do so arises, "Don't criticize." And whenever I catch myself saying to myself "You idiot!", I have trained myself to smile at the nuttiness of the abuse that I heap on myself for the silliest reasons. So even though I am a depressive with a propensity to sadness which I must constantly fight in this and other ways to be described below, I live a life that is free of prolonged sadness and which includes joy and contentment, as described at length in the Epilogue.

My story also points up the importance of building new habits to counter the habits of self-criticism and low self- esteem that have been worn their ways into one's thinking over the years since childhood, the way wheels wear ruts into soft roads.

Childhood punishment for failure may also make you fear failure so much that the threat of failure panics you to the point that you do not think clearly. This may cause you to reach wrong conclusions because you misinterpret relevant information, which can lead to neg-comps and sadness. As one salesman put it, "Every time I was a minute late for an appointment I'd be scared that the customer would think I am irresponsible and lazy, which would make me so nervous that I couldn't sell effectively. And I also immediately reminded myself that I never manage to do anything right."(3) This was a fellow whose mother set very high standards of reliability for him even as a four-year-old child, and chided him when he failed to meet those standards.

Childhood-Formed Expectations About Adult Accomplishment

Experiences in childhood and adolescence influence your expectations about professional and personal accomplishments.

Each violinist in any [symphony orchestra's] second chair started out as a prodigy in velvet knickers who expected one day to solo exquisitely amid flowers flung by dazzled devotees. The 45-year-old violinist with spectacles on his nose and a bald spot in the middle of his hair is the most disappointed man on earth.(4)

Sometimes changes in one's capacities trigger the depression. A thirty-nine-year-old amateur athlete's present expectations were formed both by his relative excellence as a youth and by his absolute excellence as an adult. And when age curbed his performance and he compared his performance with those expectations, he began to feel sad and depressed.

The "normal" person revises his expectations so that they fit his possible accomplishment reasonably well. The middle-aged violinist may reassess his abilities and arrive at a more realistic assessment of the future. The aging athlete chooses to play in an over-forty tennis league. But some adults do not respond to a gap between expectations and performance by revising their expectations. This may result from heavy parental emphasis on certain expectations such as "Of course you'll win a Nobel prize if you work hard." Such a person carries expectations beyond actual possibilities, and depression ensues.

An interesting but troublesome set of expectations that many of us form as children concerns "happiness." As young people we get the idea that we can hope for (and even expect) a life of care-free ecstatic bliss, a perennial walking on air, as seen in movies and magazine articles about celebrities. Then, when in our youth or young adulthood we do not attain golden bliss--and at the same time we think that other people have attained it--we feel let-down and suffer depression. We must learn that continued bliss is not an attainable goal for anyone, and instead aim at the best that one can realistically expect from life as a human being.

Persistent Criticism by Parents

If your parents continually tell you that your acts are clumsy, foolish, or naughty, you are likely to draw the general conclusion that you are clumsy, foolish, or naughty. Hence as an adult you may have the habit of making negative self- comparisons. For example, a social act that may or may not be clumsy immediately evokes the inner response, "I'm an idiot," or "I'm a klutz." This habit acts like a prejudiced judge who always finds the person guilty, and hence produces frequent negative self-comparisons and consequent prevailing sadness.

Childhood punishment for failure may also make you fear failure so much that the threat of failure panics you to the point that you do not think clearly. This may cause you to reach wrong conclusions because you misinterpret relevant information, which can lead to neg-comps and sadness. As one salesman put it, "Every time I was a minute late for an appointment I'd be scared that the customer would think I am irresponsible and lazy, which would make me so nervous that I couldn't sell effectively. And I also immediately reminded myself that I never manage to do anything right."(3) This was a fellow whose mother set very high standards of reliability for him even as a four-year-old child, and chided him when he failed to meet those standards.

Childhood-Formed Expectations About Adult Accomplishment

Experiences in childhood and adolescence influence your expectations about professional and personal accomplishments.

Each violinist in any [symphony orchestra's] second chair started out as a prodigy in velvet knickers who expected one day to solo exquisitely amid flowers flung by dazzled devotees. The 45-year-old violinist with spectacles on his nose and a bald spot in the middle of his hair is the most disappointed man on earth.(4)

Sometimes changes in one's capacities trigger the depression. A thirty-nine-year-old amateur athlete's present expectations were formed both by his relative excellence as a youth and by his absolute excellence as an adult. And when age curbed his performance and he compared his performance with those expectations, he began to feel sad and depressed.


The "normal" person revises his expectations so that they fit his possible accomplishment reasonably well. The middle-aged violinist may reassess his abilities and arrive at a more realistic assessment of the future. The aging athlete chooses to play in an over-forty tennis league. But some adults do not respond to a gap between expectations and performance by revising their expectations. This may result from heavy parental emphasis on certain expectations such as "Of course you'll win a Nobel prize if you work hard." Such a person carries expectations beyond actual possibilities, and depression ensues.

An interesting but troublesome set of expectations that many of us form as children concerns "happiness." As young people we get the idea that we can hope for (and even expect) a life of care-free ecstatic bliss, a perennial walking on air, as seen in movies and magazine articles about celebrities. Then, when in our youth or young adulthood we do not attain golden bliss--and at the same time we think that other people have attained it--we feel let-down and suffer depression. We must learn that continued bliss is not an attainable goal for anyone, and instead aim at the best that one can realistically expect from life as a human being.

Persistent Criticism by Parents

If your parents continually tell you that your acts are clumsy, foolish, or naughty, you are likely to draw the general conclusion that you are clumsy, foolish, or naughty. Hence as an adult you may have the habit of making negative self- comparisons. For example, a social act that may or may not be clumsy immediately evokes the inner response, "I'm an idiot," or "I'm a klutz." This habit acts like a prejudiced judge who always finds the person guilty, and hence produces frequent negative self-comparisons and consequent prevailing sadness.

Childhood punishment for failure may also make you fear failure so much that the threat of failure panics you to the point that you do not think clearly. This may cause you to reach wrong conclusions because you misinterpret relevant information, which can lead to neg-comps and sadness. As one salesman put it, "Every time I was a minute late for an appointment I'd be scared that the customer would think I am irresponsible and lazy, which would make me so nervous that I couldn't sell effectively. And I also immediately reminded myself that I never manage to do anything right."(3) This was a fellow whose mother set very high standards of reliability for him even as a four-year-old child, and chided him when he failed to meet those standards.

Childhood-Formed Expectations About Adult Accomplishment

Experiences in childhood and adolescence influence your expectations about professional and personal accomplishments.

Each violinist in any [symphony orchestra's] second chair started out as a prodigy in velvet knickers who expected one day to solo exquisitely amid flowers flung by dazzled devotees. The 45-year-old violinist with spectacles on his nose and a bald spot in the middle of his hair is the most disappointed man on earth.(4)

Sometimes changes in one's capacities trigger the depression. A thirty-nine-year-old amateur athlete's present expectations were formed both by his relative excellence as a youth and by his absolute excellence as an adult. And when age curbed his performance and he compared his performance with those expectations, he began to feel sad and depressed.

The "normal" person revises his expectations so that they fit his possible accomplishment reasonably well. The middle-aged violinist may reassess his abilities and arrive at a more realistic assessment of the future. The aging athlete chooses to play in an over-forty tennis league. But some adults do not respond to a gap between expectations and performance by revising their expectations. This may result from heavy parental emphasis on certain expectations such as "Of course you'll win a Nobel prize if you work hard." Such a person carries expectations beyond actual possibilities, and depression ensues.

An interesting but troublesome set of expectations that many of us form as children concerns "happiness." As young people we get the idea that we can hope for (and even expect) a life of care-free ecstatic bliss, a perennial walking on air, as seen in movies and magazine articles about celebrities. Then, when in our youth or young adulthood we do not attain golden bliss--and at the same time we think that other people have attained it--we feel let-down and suffer depression. We must learn that continued bliss is not an attainable goal for anyone, and instead aim at the best that one can realistically expect from life as a human being.

Persistent Criticism by Parents

If your parents continually tell you that your acts are clumsy, foolish, or naughty, you are likely to draw the general conclusion that you are clumsy, foolish, or naughty. Hence as an adult you may have the habit of making negative self- comparisons. For example, a social act that may or may not be clumsy immediately evokes the inner response, "I'm an idiot," or "I'm a klutz." This habit acts like a prejudiced judge who always finds the person guilty, and hence produces frequent negative self-comparisons and consequent prevailing sadness.

The habit of comparing oneself negatively and thinking "I'm a klutz" arises from some combination of experiences in early childhood and throughout the rest of one's life. Each event in one's adult past is probably less important the longer ago it occurred, so that it is not only the sum of such experiences but also their recent timing which matters; if one has recently been down-and-out and unsuccessful, this probably matters more than being down-and-out for a similar length of time ten years earlier. In contrast, childhood experiences may have relatively heavy weight because the events involved interpretation by the parent. That is, if every time a child does poorly in school the parent says, "See, you'll never be smart like your big brother," the effect is likely to be greater than a school failure after the child has left the house.

Furthermore, the habit of comparing oneself negatively is strengthened by each additional negative self-comparison the person makes.

In addition to directly biasing the person's self- comparisons, this habit of self-criticism may act cumulatively to produce the sort of "bio-chemical scar" mentioned in Chapter 4. Or, such a biochemical scar may result from the feedback effect of negative self-comparisons and the sadness itself upon the nervous system.


The Child As A Failure

If a child strives unsuccessfully, and hence develops a record of failure to achieve encouragement and affection, this record is likely to leave a heavy mark on the adult. A special case is the infant or young child who had no parent to respond to the child's strivings. One can view the lack of a parent as a separation or deprivation which by itself predisposes the adult to depression. Alternately, one may see this as the child not being able to successfully induce its environment to respond positively to its efforts to obtain the gratifications it seeks, leading to a sense of being helpless.

Such unsuccessful striving evokes the emotion of sadness. It also may produce the general conclusion about one's life that there is a negative balance between what one seeks and what one gets. It is reasonable that this leads to the disposition to evaluate oneself negatively relative to one's aspirations, hopes, and obligations.

Rigid Goal-Setting in Childhood

By 'goal,' I mean an aim that is broad and deep. For example, it is a goal to be the greatest tennis player in the world or to win a Nobel prize. And a goal often is abstract - for example, to make a contribution to humanity or to contribute something important to culture. Goals can be fixed rigidly in childhood in at least three ways: 1) Parents may stress that the child can and must make great achievements, and the parents may suggest to the child that the parents' love depends upon the child accepting those goals. 2) Children who lack love during their childhood may conclude that by achieving great successes as adults they can win the admiration and love from the world that they do not receive as children. (3) Children may decide on their own that they must achieve greatly or else they are worthless.
Goals and goal-setting are very complex. If your goals are too high, you will fail to reach them; negative self-comparisons and sadness will ensue. But if your goals are not high enough, you may not stretch your capacities to the fullest and thereby deny yourself full and satisfying self-realization. But you cannot know in advance which goals are reasonable and which are not. Furthermore, your goals are interwoven with your values and beliefs, which -- if they are really values and beliefs-- are not chosen simply on the basis of what will be most comfortable for you. We can be sure, however, that parents who press high goals on their children, and condition their love on the achievement of those goals--thereby creating a situation in which the adult cannot alter his goals to fit his capacities--may predispose the child both to adult depression and to significant accomplishment. That's complex! One more complication: Some people will, as adults, more frequently be in the coping-evaluating mode than will others because of more competitiveness and pressure applied to them as children.

Values, which are closely related to goals, get special treatment in the following chapter.

Summary

This chapter discusses the relationship of earlier learning and experiences, and especially those in childhood, upon the propensity to be depressed. Understanding the various mechanisms can sometimes throw light upon one's present makeup in a manner that can help one alter one's self-comparisons to overcome depression.

next: Good Mood: The New Psychology of Overcoming Depression Chapter 6
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APA Reference
Staff, H. (2008, December 6). Good Mood: The New Psychology of Overcoming Depression Chapter 5, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/depression/articles/good-mood-the-new-psychology-of-overcoming-depression-chapter-5

Last Updated: June 18, 2016

Good Mood: The New Psychology of Overcoming Depression Chapter 3

Negative Self-Comparisons, Combined With A Helpless Feeling, Are The Proximate Cause of Depression

Appendix for Good Mood: The New Psychology of Overcoming Depression. Additional technical issues of self-comparison analysis.Roadmap Note: The book is organized so that you can go directly from the overall summary in Chapter 1 to the get-to-work self-help procedures in Part III (Chapters 10 to 20), without pausing to read further about the nature of depression and its elements in Part II (Chapters 3 to 9). But if you have the patience to study a bit more before moving on the self-help procedures, it will be worth your while to first read through Part II, which expands greatly on Chapter 1. Or, you can come back and read the rest of Part II later. ***

When you are depressed you feel sad; this is the basic fact about the condition called "depression." The feeling of sadness is accompanied by the thought "I'm worthless." An attitude of "I'm helpless" is a precursor of the sadness, and the belief "I ought to be different than I am" usually helps keep the person locked into sadness. Our first task, then, is to understand sadness--to learn what causes sadness, what relieves sadness, and what prevents sadness.

The Importance of Negative Self-Comparisons

Attempts to distinguish `normal' from `abnormal' sadness have not proven useful. Apparently there is but a single sort of sad feeling; the pain is the same whether it follows upon the loss of a friend (a "normal" event) or, say, the keenly-felt loss of an honor which it was not reasonable for you to expect but which you had nevertheless set your heart on. This makes sense when we notice that one does not distinguish between the pain from a finger that got cut in an accident, and the pain of a self-inflicted cut on the finger. The contexts are very different, however, in the cases of the two sorts of loss mentioned above, and it is those contexts that distinguish between the depressed person and the person who suffers from a "normal" sadness.

We must know, then: Why does one person respond to a particular negative event in his/her life with short-lived sadness after which normal cheerful life reappears, whereas another responds to a similar event with persistent depression? And why does a trivial or almost nonexistent blemish in life trigger sadness in some people and not in others?

The answer in brief is as follows: Some people acquire from their personal histories: 1) a tendency to make frequent negative self-comparisons, and therefore a tendency to have a Rotten Mood Ratio; 2) a tendency to think one is helpless to change the events that enter into the Rotten Ratio; and 3) a tendency to insist that one's life should be better than it is.

Concerning the first of these elements, the tendency to make frequent negative self-comparisons: This does not mean quite the same as "thinking poorly of yourself" or "having low self- esteem." The differences will be explained later.

There are many possible interacting elements in the development of a propensity to make neg-comps (negative self- comparisons), conceivably including a genetic element, and the elements differ from person to person. Understanding this mechanism is a necessary forerunner to designing the appropriate cure as discussed in Part III. The neg-comp is the last link in the causal chain leading to sadness and depression, the "common pathway", in medical parlance. If we can remove or alter this link, we can relieve depression.

To repeat, the central element in your sadness and depression, and the key to your cure, is as follows: You feel sad when a) you compare your actual situation with some "benchmark" hypothetical situation, and the comparison appears negative; and b) you think you are helpless to do anything about it. This analysis may seem obvious to you after you reflect on it, and many great philosophers have touched on it. But this key idea has had little place in the psychological literature on depression, though the negative self-comparison is the key to understanding and treating depression.

The element of "negative thoughts" has been mentioned by just about every writer on depression through the ages, as has been the more specific set of negative thoughts that make up low self-evaluation. And controlled laboratory experiments have recently shown that depressed people remember fewer instances of being rewarded for successful performance than do non-depressed subjects, and remember more instances of being punished for unsuccessful performance. Depressed subjects also reward themselves less frequently when told to decide which responses were successful and which were not1.

Negative thoughts have not, however, been previously discussed in a systematic fashion as comprising comparison, as every evaluation is by nature a comparison. Nor has the interaction between the neg-comps and the sense of helplessness, which converts neg-comps into sadness and depression, been described elsewhere as it is here. It is the conceptualization of the negative thoughts as negative self-comparisons which opens up the wide variety of theoretical and curative approaches discussed here.

After you grasp this idea, you see its traces in many places. For example, notice the casual mention of self- comparisons in these remarks of Beck that "the repeated recognition of a gap between what a person expects and what he receives from an important interpersonal relationship, from his career, or from other activities, may topple him into a depression"2, and "The tendency to compare oneself with others further lowers self-esteem"3. But Beck does not center his analysis on the self-comparisons. It is the systematic development of this idea which provides the new thrust in Self- comparisons Analysis as offered here.


The State of Your Life As You Perceive It To Be

Your "actual" state is what you perceive it to be, of course, rather than what it "really" is. If you think you have failed an examination, even though you will later learn you passed it, then your perceived actual state is that you have failed the test. Of course there are many facets of your actual life that you can choose to focus upon, and the choice is very important. The accuracy of your assessment is important, too. But the actual state of your life usually is not the controlling element in depression. How you perceive your is not completely dictated by the actual state of affairs. Rather, you have considerable discretion as to how to perceive and assess the state of your life.

The Benchmark To Which You Compare Yourself

The "benchmark" situation to which you compare your actual situation may be of many sorts:

  1. The benchmark situation may be one that you were accustomed to and liked, but which no longer exists. This is the case, for example, after the death of a loved one; the consequent grief-sadness arises from comparing the situation of bereavement with the benchmark situation of the loved one being alive.
  2. The benchmark situation may be something that you expected to happen but that did not materialize, for example, a pregnancy you expected to yield a child but which ends in miscarriage, or the children you expected to raise but never were able to have.
  3. The benchmark may be a hoped-for event, a hoped-for son after three daughters that turns out to be another daughter, or an essay that you hope will affect many people's lives for the good but that languishes unread in your bottom drawer.
  4. The benchmark may be something you feel you are obligated to do but are not doing, for example, supporting your aged parents.
  5. The benchmark may also be the achievement of a goal you aspired to and aimed at but failed to reach, for example, quitting smoking, or teaching a retarded child to read.

The expectations or demands of others may also enter into the benchmark situation with which you negatively compare your actual situation. And, of course, the benchmark state may contain more than one of these overlapping elements.

The best proof that sadness is caused by the unfavorable comparison of actual and benchmark situations is self-inspection of your thoughts. If you observe in your thinking, when you are sad, such a negative self-comparison along with a sense of helplessness about changing the situation, -- whether the sadness is part of a general depression or not--this should convince you of the key role of negative self-comparisons in causing depression.

The Role of Negative Self-Comparisons

Only the concept of negative self-comparisons makes sense of a person being bereft of life's good things yet happy anyway, or having everything a person could want but being miserable nevertheless.

The author of Ecclesiastes -- traditionally considered to be King Solomon -- tells us how useless and helpless he felt despite all his riches:

So I hated life, because the work that is wrought under the sun was grievous unto me; for all is [in vain] and a striving after wind (2-17, my language in brackets).

The sense of loss--which is often associated with the onset of depression--is a negative comparison between the way things were and the way they are now. The American poet John Greenleaf Whittier (in Maud Muller) caught the nature of loss as a comparison in these lines: "For of all sad words of tongue or pen, the saddest are these: It might have been!" Whittier makes it clear that sadness arises not just because of what actually happened, but also because of the counterfactual benchmark which "might have been."

Notice how, when we suffer from what we call "regret," we harp on the counterfactual benchmark--how an inch more to the side would have won the game which would have put the team into the playoffs which would have led to a championship, how but for one horse's nail the war was lost, how--if not for the slaughter by the Germans in World War II, or the Turks in World War I--the Jews and Armenians would be so much more numerous and their cultures would be strengthened, and so on.

The basis for understanding and dealing with depression, then, is the negative comparison between your actual and hypothetical benchmark situations that produces a bad mood, together with the conditions that lead you to make such comparisons frequently and acutely, and combined with the helpless feeling that makes the bad mood into a sad rather than angry mood; this is the set of circumstances constituting the deep and continued sadness that we call depression.


Why Do Negative Self-Comparisons Cause A Bad Mood?

But why do negative self-comparisons and a Rotten Ratio produce a bad mood?

There is a biological connection between negative self- comparisons and physically-induced pain. Psychological trauma such as a loss of a loved one induces some of the same bodily changes as does the pain from a migraine headache, say. When people refer to the death of a loved one as "painful", they are speaking about a biological reality and not just a metaphor. It is reasonable that more ordinary "losses" -- of status, income, career, and of a mother's attention or smile in the case of a child -- have the same sorts of effects, even if milder. And children learn that they lose love when they are bad, unsuccessful, and clumsy, as compared to when they are good, successful, and graceful. Hence negative self-comparisons indicating that one is "bad" in some way are likely to be coupled to the biological connections to loss and pain. It also makes sense that the human's need for love is connected to the infant's need for food and being nursed and held by its mother, the loss of which must be felt in the body.(4)

Indeed, research cited later shows a statistical link between the death of a parent and the propensity to be depressed, in both animals and humans. And much careful laboratory work shows that separation of adults and their young produces the signs of depression in dogs and monkeys(5). Hence lack of love hurts and makes one sad, just as lack of food makes one hungry.

Research shows chemical differences between depressed and undepressed persons. Similar chemical effects are found in animals which have learned that they are helpless to avoid painful shocks6. Taken as a whole, then, the evidence suggests that negative self-comparisons, together with a sense of helplessness, produce chemical effects linked to painful bodily sensations, all of which results in a sad mood.

A physically-caused pain may seem more "objective" than a negative self-comparison because the jab of a pin, say, is an absolute objective fact, and does not depend upon a relative comparison for you to have a painful perception of it. The bridge is that neg-comps are connected to pain through learning during your entire lifetime. You learn to be sad about a lost job or an examination failure; a person who has never seen an exam or a modern occupational society could not be made sad by those events. Learned knowledge of this sort always is relative, a matter of comparisons, rather than involving only one absolute physical stimulus.

All this represents therapeutic opportunity: It is because the causes of sadness and depression are largely learned that we can hope to remove the pain of depression by managing our minds properly. This is why we can conquer psychologically-induced pain with mental management more easily than we can banish the sensation of pain from arthritis or from freezing feet. With respect to a stimulus that we have learned to experience as painful--lack of professional success, for example--we can relearn a new meaning for it. That is, we can change the frame of reference, for example, by altering the comparison states that we choose as benchmarks. But it is impossible (except perhaps for a yogi) to change the frame of reference for physical pain so as to remove the pain, though one can certainly reduce the pain by quieting the mind with breathing techniques and other relaxation devices, and by teaching ourselves to take a detached view of the discomfort and pain.

To put the matter in different words: Pain and sadness which are associated with mental events can be prevented because the meaning of the mental events was originally learned; relearning can remove the pain. But the impact of physically- caused painful events depends much less on learning, and hence re-learning has less capacity to reduce or remove the pain.

The Nature of Comparisons

Comparison and evaluation of the present state of affairs relative to other states of affairs is fundamental in all planning and businesslike thinking. The relevant cost in a business decision is the "opportunity cost"-- that is, the cost of what else you might do rather instead of the opportunity being considered. Comparison is also part of judgments in all other endeavors. As the book's front note says: "Life is hard". But compared to what?

Indeed, comparison-making is central to all our information processing, scientific as well as personal:

Basic to scientific evidence (and to all knowledge-diagnostic processes including the retina of the eye) is the process of comparison of recording differences, or of contrast. Any appearance of absolute knowledge, or intrinsic knowledge about singular isolated objects, is found to be illusory upon analysis. Securing scientific evidence involves making at least one comparison.8

A classic remark illuminates the centrality of comparisons in understanding the world: A fish would be the last to discover the nature of water.

Just about every evaluation you make boils down to a comparison. "I'm tall" must be with reference to some group of people; a Japanese who would say "I'm tall" in Japan might not say that in the U. S. If you say "I'm good at tennis", the hearer will ask, "Whom do you play with, and whom do you beat?" in order to understand what you mean. Similarly, "I never do anything right" , or "I'm a terrible mother" is hardly meaningful without some standard of comparison.


The psychologist Helson put it this way: "[All judgments (not only judgments of magnitude) are relative." Without a standard of comparison, you cannot make judgments.8.1 [Harry Helson, Adaptation-Level Theory (New York: Harper and Row, 1964), p. 126]

An example of how one cannot communicate factual knowledge without making comparisons is my attempt in the Epilogue to describe to you the depth of my depression. It is only by comparing it to something else that you might understand from your own experience--time in jail, or having a tooth pulled--that I can give you any reasonable idea of how my depression felt. And communicating factual knowledge to oneself is not basically different from communicating with others; without comparisons you cannot communicate to yourself the information (true or false) that leads to sadness and eventually to depression.

The Old and New Views of Depression

Now the difference between this view of depression and that of traditional Freudian psychotherapy is clear: Traditional psychotherapists, from Freud on, believe that negative self- comparisons (or rather, what they call "low self-esteem") and sadness both are symptoms of the underlying causes, rather than the negative self-comparisons causing the sadness; their view is shown in Figure 1. Therefore, traditional psychotherapists believe that one cannot affect depression by directly altering the kinds of thoughts that are in one's consciousness, that is, by removing negative self-comparisons. Additionally, they believe that you are not likely to cure yourself or ameliorate your depression in any simple direct way by altering the contents of your thoughts and ways of thinking, because they believe that unconscious mental elements influence behavior. Rather, they believe that you can only remove the depression by reworking the events and memories in your early life that led you to have a propensity to be depressed.

Figure 1

In direct contrast is the cognitive viewpoint of this book as shown in Figure 2. Negative self-comparisons operate between the underlying causes and the pain, which (in the presence of a sense of being helpless) cause sadness. Therefore, if one can remove or reduce the negative self-comparisons, one can then cure or reduce the depression.

Note: The rest of this chapter is rather technical, and intended mainly for professionals. Laypersons may well skip to the next chapter. Professionals will find additional technical discussion in the Postscript for the Professional Reader at the end of the book.

Freud pointed in the right direction when he talked about people avoiding pain and seeking pleasure. Nor was this purely a tautology in which what people chose to do is simply called pleasurable; painful events can be connected to chemical events within the body, as discussed in Chapter 2. This idea is helpful here because it helps us understand the relationship of a variety of mental illnesses to negative self-comparisons and the pain they cause.

Some of the possible responses to neg-comps and the consequent pain are as follows:

1) One can sometimes avoid pain by changing the real circumstances involved in the neg-comp; this is what the "normal", active, undepressed person does, and what the normal rat does who has not previously been subjected to shocks that it cannot escape(9). The absence of such purposive activity with respect to neg-comps because of a sense of helplessness to improve the situation is a crucial characteristic of sufferers from depression.

2) One can deal with the pain by getting angry, which tends to make you forget about the pain -- until after the rage subsides. Anger can also be useful in changing the circumstances. Anger arises in a situation where the person has not lost hope but feels frustrated in attempting to remove the source of the pain.

3) You can lie to yourself about the existing circumstances. Distortion of reality can avoid the pain of a neg-comp. But this can lead toward schizophrenia and paranoia.(10) A schizophrenic may fantasize that his actual state is different than it really is, and while believing that the fantasy is true the painful neg- comp is not in the person's mind. The irony of such distortion of reality to avoid the pain of a neg-comp is that the neg-comp itself may contain a distortion of reality; making the neg-comp more realistic would avoid the need for schizophrenic distortion of reality.(11)

4) Still another possible outcome is that the person assumes that he or she is helpless to do anything about it, and this produces sadness and eventually depression.

Other states of mind which are reactions to the psychological pain of neg-comps fit well with this view of depression.(12)

1) The person suffering from anxiety compares an anticipated and feared outcome with a benchmark counterfactual; anxiety differs from depression in its uncertainty about the outcome, and perhaps also about the extent to which the person feels helpless to control the outcome.(13) People who are mainly depressed often suffer from anxiety, too, just as people who suffer from anxiety also have symptoms of depression from time to time(14). This is explained by the fact that a person who is "down" reflects on a variety of neg-comps, some of which focus on the past and present whereas others focus on the future; those neg-comps pertaining to the future are not only uncertain, but may sometimes be altered, which accounts for the state of arousal that characterizes anxiety, in contrast to the sadness that characterizes depression.


Beck(15) differentiates the two conditions by saying that "In depression the patient takes his interpretation and predictions as facts. In anxiety they are simply possibilities". I add that in depression an interpretation or prediction -- the negative self-comparison -- may be taken as fact, whereas in anxiety it is not assured but is only a possibility, because of the depressed person's feeling of helplessness to change the situation.

2) Mania is the state in which the comparison between actual and benchmark states seems to be very large and positive, and often it is a state in which the person believes that she or he is able to control the situation. It is especially exciting because the person is not accustomed to positive comparisons. Mania is like the wildly-excited reaction of a poor kid who has never before been to a professional basketball game. In the face of an anticipated or actual positive comparison, a person who is not accustomed to making positive comparisons about his life tends to exaggerate its size and be more emotional about it than people who are accustomed to comparing themselves positively.

3) Dread refers to future events just as does anxiety, but in a state of dread the event is expected for sure, rather than being uncertain as in anxiety. One is anxious about whether one will miss the plane, but one dreads the moment when one finally gets there and has to perform an unpleasant task.

4) Apathy occurs when the person responds to the pain of neg-comps by giving up goals, so that there is no longer a neg- comp. But when this happens the joy and the spice go out of life. This may still be thought of as depression, and if so, it is a circumstance when depression occurs without sadness -- the only such circumstance that I know of.

The English psychiatrist John Bowlby observed a pattern in children aged 15 to 30 months of age who were separated from their mothers that fits with the relationships between types of responses to neg-comps outlined here. Bowlby labels the phases "Protest, Despair, and Detachment".

First the child "seeks to recapture [his mother] by the full exercise of his limited resources. He will often cry loudly, shake his cot, throw himself about...All his behavior suggests strong expectation that she will return."(16)

Then, "During the phase of despair...his behaviour suggests increasing hopelessness. The active physical movements diminish or come to an end...He is withdrawn and inactive, makes no demands on people in the environment, and appears to be in a state of deep mourning."(17)

Last, in the phase of detachment", there is a striking absence of the behaviour characteristic of the strong attachment normal at this age...he may seem hardly to know [his mother]...he may remain remote and apathetic...He seems to have lost all interest in her"(18) So the child eventually removes the painful neg-comps by removing the source of the pain from his thought.

5) Various positive feelings arise when the person is hopeful about improving the situation--changing the neg-comp into a more positive comparison -- and is actively striving to do so.

People we call "normal" find ways to deal with losses and the consequent neg-comps and pain in ways that keep them from prolonged sadness. Anger is a frequent response, and can be useful, partly because the anger-caused adrenaline produces a rush of good feeling. Perhaps any person will eventually be depressed if subjected to many very painful experiences, even if the person does not have a special propensity for depression; consider Job. And paraplegic accident victims judge themselves to be less happy than do normal uninjured people.(19) On the other hand, consider this exchange reported between Walter Mondale, who ran for president of the United States in 1984, and George McGovern, who ran in 1972: Mondale: " George, when does it stop hurting?" McGovern, "When it does, I'll let you know." But despite their painful experiences, neither McGovern nor Mondale seems to have fallen into prolonged depression because of the loss. And Beck asserts that survivors of painful experiences such as concentration camps are no more subject to later depression than are other persons.(20)

This book confines itself to depression, leaving these other topics for treatment elsewhere.

Let's close this chapter on an upbeat topic, love. Requited youthful romantic love fits nicely into this framework. A youth in love constantly has in mind two deliciously positive elements -- that he or she "possesses" the wonderful beloved (just the opposite of loss, which often figures in depression) and that messages from the beloved say that in the eyes of the beloved he or she is wonderful, the most desired person in the world. In the unromantic terms of the mood ratio this translates into numerators of the perceived actual self being very positive relative to a range of benchmark denominators that the youth compares him/herself to at that moment. And the love being returned -- indeed the greatest of successes -- makes the youth feel full of competence and power because the most desirable of all states -- having the love of the beloved -- is not only possible but is actually being realized. So there is a Rosy Ratio and just the opposite of helplessness and hopeless. No wonder it feels so good!

And of course it makes sense that unrequited love feels so bad. The youth is then in the position of not having the most desirable state of affairs one can imagine, and believing her/himself incapable of bringing about that state of affairs. And when one is rejected by the lover, one loses that most desirable state of affairs which the lover formerly had. The comparison is between the actuality of being without the beloved's love and the former state of having it. No wonder it is so painful to believe that it really is over and nothing one can do can bring back the love.

Summary

The basis for understanding and dealing with depressing the negative comparison between your actual and hypothetical benchmark situations that produces a bad mood, together with the conditions that lead you to make such comparisons frequently and acutely, and combined with the helpless feeling that makes the bad mood into a sad rather than angry mood; this is the set of circumstances constituting the deep and continued sadness that we call depression.

Negative self-comparisons and a Rotten Ratio produce a bad mood because there is a biological connection between negative self-comparisons and physically-induced pain. Psychological trauma such as a loss of a loved one induces some of the same bodily changes as does the pain from a migraine headache, say. When people refer to the death of a loved one as "painful", they are speaking about a biological reality and not just a metaphor. It is reasonable that more ordinary "losses" -- of status, income, career, and of a mother's attention or smile in the case of a child -- have the same sorts of effects, even if milder. And children learn that they lose love when they are bad, unsuccessful, and clumsy, as compared to when they are good, successful, and graceful. Hence negative self-comparisons indicating that one is "bad" in some way are likely to be coupled to the biological connections to loss and pain.

Because the causes of sadness and depression are largely learned, we can remove the pain of depression by managing our minds properly. With respect to a stimulus that we have learned to experience as painful--lack of professional success, for example--we can relearn a new meaning for it. That is, we can change the frame of reference, for example, by altering the comparison states that we choose as benchmarks.

Traditional psychotherapists, from Freud on, believe that negative self-comparisons (or rather, what they call "low self- esteem") and sadness both are symptoms of the underlying causes, rather than the negative self-comparisons causing the sadness. Therefore, traditional psychotherapists believe that one cannot affect depression by directly altering the kinds of thoughts that are in one's consciousness, that is, by removing negative self- comparisons. Additionally, they believe that you are not likely to cure yourself or ameliorate your depression in any simple direct way by altering the contents of your thoughts and ways of thinking, because they believe that unconscious mental elements influence behavior. Rather, they believe that you can only remove the depression by reworking the events and memories in your early life that led you to have a propensity to be depressed.

In direct contrast is the cognitive viewpoint. Negative self-comparisons operate between the underlying causes and the pain, which (in the presence of a sense of being helpless) cause sadness. Therefore, if one can remove or reduce the negative self-comparisons, one can then cure or reduce the depression.

next: Good Mood: The New Psychology of Overcoming Depression Chapter 4
~ back to Good Mood homepage
~ depression library articles
~ all articles on depression

APA Reference
Staff, H. (2008, December 6). Good Mood: The New Psychology of Overcoming Depression Chapter 3, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/depression/articles/good-mood-the-new-psychology-of-overcoming-depression-chapter-3

Last Updated: June 18, 2016

Suicide and Bipolar Disorder - Part II

A Primer on Depression and Bipolar Disorder

There are other complicating factors.

Suicide and bipolar disorder. Why do people suicide? Why do they want to die?. Many studies of this question have been made through interviews of people who have attempted suicide, but failed (or were rescued), and people who intended to commit suicide, but found a compelling reason not to.(a) Physical illness: Sometimes suicide is the response to a terminal illness or a chronic condition that is very painful. I have lost a couple of good friends this way. From those limited data I can't help but believe that depression is implicated too, and that if the depression these individuals experienced because of their illness had been treated, they would have been able to go on, at least for a while longer.

A particularly tragic case touched our self-help group in 1992. One of our members was afflicted with both epilepsy and severe depression. The medication for his depression made the epilepsy worse; the medication for the epilepsy made his depression worse. He was caught, and the doctors weren't helping; worse, he couldn't afford to see a doctor anyway. He lived alone on Social Security, and had no family or friends.

One evening he described his situation and, in essence, gave positive answers to the questions listed above. If we had known then the significance of what he was telling us, we would have gotten him to a hospital. But we didn't. He killed himself the following week. We all felt bad, guilty, and responsible for a while. Then we resolved that we would inform ourselves so that the same tragedy would not occur again. We are ready.

(b) Old age: Age is a definite factor in suicide resulting from depression. A young or middle-aged person may be willing to tough it out even untreated because they figure the odds of recovery are on their side, and that they will have plenty of life after recovery (they always assume that the depression will go away completely). But an older person, again untreated, may feel that it's all over, that there's nothing worth living for at that point. Or he/she may have been through the depression mill one or more times earlier in their life, and can't face the prospect of going through it again (this was the case with the brilliant author Virginia Woolf).

(c) Young people: The suicide rate is also high during the late teens and early twenties. Many studies have been made to determine why the rate is so high in this group, and many books have been written on this subject. One fact that emerges is that the victims very frequently are caught up in crises resulting from adjustment problems related to romance, sex, pregnancy, conflicts with parents, and so on. However, there may well be a serious underlying biological depression as well, which, while not as obvious as the emotional conflicts, is nevertheless quite capable of being deadly. Thus for young people, both biological and psychological causative agents may be present, and both require expert care. In many cases this treatment can be very effective.

People considering suicide often examine their life in agonizingly minute detail. In doing so, they will recall many sides of their life long forgotten. Unfortunately, because they are in a very negative frame of mind because of acute depression, they will almost invariably discount what is "good'', and attach special importance to what is "bad''. Skilled psychiatric intervention can often play a beneficial role in by helping the victim to gain a more balanced, favorable, picture, and reminding him/her constantly of the bias induced by the biochemical imbalance in his/her brain. But sometimes none of this works, and the victim moves on a smaller and smaller orbit around the black hole called suicide. At some point he/she may become defensive about the desire to die, well before it reaches an actual decision to die.

There may result a "Mexican standoff'' with the victim resisting efforts to help him/her. A very succinct indication of the situation is provided when he/she asks (directly or implicitly) `` whose life is it, anyway?!'' The implication is that it is "my'' life to dispose of, so ``I'' can/will ``dispose of'' it as I please.

This is by any standard a deep question. It can be debated on many levels using many disciplines. At one point I engaged in this internal debate myself; fortunately I found a convincing answer to the question. The story I will tell below is true, but obviously it is only my answer to this very hard question.

As described in the Introduction, in early January 1986, I went home one afternoon to pull the trigger. But my wife had already removed the gun from the house, so my plan was thwarted. Being incapacitated to the point I could not immediately come up with another plan, I was stuck and I simply stumbled forward. Somewhere at the end of January or early February, my wife and I had lunch near campus, and in walking back to our offices we parted company on Springfield Avenue.

It was snowing moderately. I went along for a few steps, and on impulse turned around to look at her going away. As she moved further along her path, I watched her slowly disappear into the falling snow: first her white knit stocking cap, then then her light-colored trousers, and finally her dark parka; then ... gone! In an instant I felt a tremendous pang of loneliness, a tremendous sense of loss and emptiness as I found myself asking "What would happen to me if she were suddenly gone tomorrow? How could I stand it? How would I survive?'' I was stunned. And I stood there in the falling snow, not moving, attracting attention from passers-by for several moments. Then suddenly I heard the question in my mind "What would happen to her if you were suddenly gone tomorrow?" Suddenly I understood that same those terrible questions would be hers if I were to kill myself. I felt like I had been hit with both barrels of a shotgun, and I had to stand there a while figuring it out.

What I finally understood is that my life isn't really "mine''. It belongs to me, sure, but in the context of all the other lives it touches. And that when all the chips are down on the table, I don't have the moral/ethical right to destroy my life because of the impact that would have on all the people who know and love me. Some part of "their'' life is "attached to'', "dwells within'', mine. Killing myself would imply killing part of them! I could understand very clearly that I did not want any of the people I love killing themselves. By reciprocity I realized that they would say the same of me. And at that moment I decided I had to hang on as long as I absolutely could. It was the only acceptable path forward, despite the pain it would bring. Today, needless to say, I am very glad I came to that decision.

This is a story. It is not meant for the logician or the philosopher; it is meant for the heart more than the mind. I know it is not the only conclusion that could one could reach, and that many other things might be said. Nevertheless, it has had a very strong influence on how I have run my affairs ever since.

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APA Reference
Staff, H. (2008, December 6). Suicide and Bipolar Disorder - Part II, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/bipolar-disorder/articles/bipolar-and-suicide-2

Last Updated: March 28, 2017