Tuesday, April 24, 2012

what LSD and 12-step programs have in common (it might not be what you think)

It's my observation that one of the greatest sources of pain for humans is a feeling of isolation and alone-ness.  I remember in my early 20s, living in Washington, D.C., and trying to begin to find my way as an adult, I felt very strongly that we all might as well face the harsh reality that, "you come into this world alone and you die alone."  Don't forget to cue the dramatic music when you say things like this.

As an almost forty year old woman, I feel very differently.  I've observed many, many people over my 13 years as a social worker.  People from vastly different socio-economic backgrounds, religious traditions (or lack thereof), ethnic variation, etc.  I've read many books, listened to CDs, and taken classes from many wise people.  I've come to believe that our sense of isolation is a selfish kind of illusion.  Kind of like a bad hair day in junior high school, when you think, 'God, everyone is probably looking at me and wondering how she can let herself out of the house with that ugly hair.'  The truth, as we get older is that no one cares about our hair as much as we do.   When we feel oh-so-alone we get a sick kind of pleasure out of it - 'no one understands me!'  I don't think we allow ourselves to see things as they really are - that in many important ways we are connected with one another and, at the risk of sounding hyperbolic, with we are connected with everything.

Two pieces of media in the past week were illuminating to me along these lines.  First, an interview on Talk of the Nation last Thursday:  http://www.npr.org/2012/04/19/150974004/crack-addict-aspires-to-ninety-days-of-sobriety
with Bill Clegg, who wrote Portrait of an Addict as a Young Man, a book about his experience as an alcoholic and drug addict, and his sobriety.  He talks about the 12-step community and wishing that every un-addicted person could experience the same sense of community that people in recovery do. His 12-step community provides him a place to check in with other people who remind him that he is not alone in his struggles.  His community keeps him humble as he faces addiction.

Kind of ironically, I found another great article that talked about experiencing a spiritual sense of community/communion as part of cutting edge palliative care for people dealing with life-threatening illness or actually facing the end of life. In very controlled, clinical settings, psilocybin, the active ingredient in 'magic mushrooms' is being used to assist people with facing their fears surrounding their own end of life.  The article is from the New York Times Magazine on Sunday, http://www.nytimes.com/2012/04/22/magazine/how-psychedelic-drugs-can-help-patients-face-death.html?ref=magazine
This is research that I've been reading about for several years and it looks good - that the controlled use of this substance in a clinical setting can profoundly and positively reduce anxiety and fear related to facing end of life.  I like what Dr. John Halpern says (he is head of the Laboratory for Integrative Psychiatry at McLean Hospital in Belmont, MA), "you have an experience in which you feel there is something you are a part of, something else is out there that's bigger than you, that there is a dazzling unity you belong to, that love is possible and all these realizations are imbued with deep meaning."  This is a transcendent experience.  Many very spiritual people (yogis, contemplative nuns/monks) experience this without using substances...but to me, this speaks to the mystery and the draw to unnameable sense that many of us have,  "I don't know what it is, but there is something very good, and bigger than anything I can possibly understand."


In the end, we must allow for  paradox.  We are comforted in being unique and we are comforted in feeling and knowing that we are interconnected.  Do we need magic mushrooms to get there?  Do we need support groups?  I don't know.  I just encourage you to look at the world around you, listen to all different kinds of people.  Your compassion will increase, your sense of connectedness - with yourself and with others.  The world will be less scary and far, far less painful.

Thursday, April 12, 2012

it's just a movie

"Life is a comedy for those who think, and a tragedy for those who feel."  - Horace Walpole

In college I went with my roommate to see the movie, "Awakenings" with Robert De Niro and Robin Williams.  It was about Dr. Oliver Sacks, who worked with institutionalized adults who awoke, briefly, from persistent, nearly vegetative existence.  I bawled my eyes out. As the lights rose and people began to exit the theater, my dear roommate, Krissie, looked at me very matter of factly and with near disdain  and said,  "It's just a movie."

You know, life changes you.  Experience shaped me from being a feeler to a thinker (that thinker was probably in there all along, but that's another part of the story).

Mary Pipher is a psychotherapist and author, who I admire a great deal.  She wrote Reviving Ophelia and Letters to Young Therapist, among other books.  In Letters to a Young Therapist, she conveyed that people have three functions:  THINK, FEEL, and DO (ACTION).  Most of us are out of balance toward one of these things.

Now, as I said, I am a thinker.  Sometimes I imagine that my brain is my main sensory organ, with fingers of thought that reach out and experience the world.  Whether it's a first impression or a gradual understanding, I am very aware of my thoughts.  For me, it's probably easiest for me to "do", next.  I think that's something I enjoyed about working in hospice, where an emergency or unpredictable situation could come up at any moment - it's not hard for me to think, then act.  I guess, something akin to people who work in an ER.

So at this moment in my life, my biggest challenge, the place I most have to pay attention, is my feelings.   I am so busy thinking and doing, that I don't always take the time to feel.  I notice this particularly under stress - at my worst, I can turn into kind of automaton, a la Mr. Spock from Star Trek.  I don't think this comes across to people on the outside, but I've realized that this is what can happen inside. 

But, as always, it seems like what we all need is:  First,  AWARENESS/INSIGHT and Then, BALANCE.  Poetry has become an important way for me to pay attention to, and feel my feelings.  Journaling is something else that helps me.  Listening to music, going to movies, taking time for silence and meditation, these are ways for me to not turn off my feelings (or trick myself into thinking they're turned off).

Maybe your wife is a feeler and you're a thinker.  Maybe you're a feeler and your boss is a do-er.  You can see where these differences can sometimes be wonderful and complementary and other times lead to conflict!  I've found that it's worth  considering whether we tend to be thinkers, do-ers, or feelers.  Not only can it help us begin  to get a better sense of balance, a steadier place to come from, it can help us understand where we might be having differences with people we love.

Thursday, April 5, 2012

walking a mile in another man's shoes

In 9th grade English class, we read To Kill a Mockingbird, and in addition to the paper that we had to write on the theme "conscience", I most remember our bubbly little teacher, Mrs. Campbell, repeating Atticus Finch's words "you can never really know a man until you walk a mile in his shoes."  (Atticus is such an awesome dad).

So, this week I tried that out, in a more specific way.  In theory, I'm forever walking a mile in another man's shoes, or at least trying to, because as a therapist, empathy is one of my more important tools.  But this week, I found myself considering empathy in amore  personal way - an issue came up with someone in my life - and in many ways, I felt I couldn't understand where that person was coming from.

I'm a big advocate of journaling - so I was journaling about this issue and suddenly the idea came to me about walking a mile in another man's shoes.  I decided to write a letter to myself as if I were that other person, a letter that had me addressing the conflict to ME, but from THAT person's point of view entirely.

It really helped.  For me, it didn't help because suddenly I understood something about the 'other side' that I didn't understand before.  I could have told you all the facts before I wrote the letter.  What it helped me do was feel the other person's feelings. And when I felt those feelings, my heart opened up a little.  The whole situation feels a little looser to me now, the conflict doesn't feel like a conflict. 

Tuesday, March 27, 2012

you are already whole

A lot of us like to armchair diagnose ourselves - "I'm so OCD."  "I think I have generalized anxiety disorder."  "Depression runs in my family and I have the gene."

And if you look at, listen to, read our popular media, much of it plays into our inkling that we are deficient, flawed, or less than.  I've had many clients want affirmation from me when they says things like, "Aren't I sick?" or "I'm really f'ed up, aren't I?"

I want to say, no, no, no.  Don't say that to yourself.  This lens of sickness and diagnosis, these words that put you in a definition, are most often self-created prisons that prevent us from experiencing the reality of our lives.

What would be like if we all would take time to imagine that we might already be whole and healthy.  That there is a healthy "you" just waiting to be discovered and allowed to interact with the world.  I really believe that mostly, the whole person, the whole spirit, the healthy version of us already exists within us.  We do possess the inner wisdom of who that person is - that's why it feels so uncomfortable when that version of ourselves isn't able to engage in life.  What we most need is courage to let that healthy version of ourselves emerge.  Our healthy selves can make others around us feel judged or threatened, because they aren't ready to be healthy yet.  We must overcome our need to sacrifice ourselves to make other people feel comfortable.  We can be our healthy selves in loving ways in the world and it can give other people courage to do the same.

Thursday, March 22, 2012

after red flags...heroic questions and why I care

I wrote the other week about the Invisible Children/Kony 2012 video and I wasn't the only one.  I've been interested to see how it's played out in the media, what others have made of it - positive and negative.  It continued to ripple with me in several ways:

I intended Red Flags as a  a cautionary piece about who and what we trust as sources of information and inspiration.  Who do we make our heroes?  What is heroic about them? 

Being a public person or putting yourself out there as a potentially public persona is a responsibility and one in our culture that pretty much all of us should think about in some way - with FB, Twitter, blogging, etc, almost everyone has some version of a public face.  I think we must constantly ask ourselves why we do what we do, say what we say, choose to be public with certain aspects of ourselves. 

Why do I write this blog?  Is it for ego? Is it to feel important or worthy? I must always be honest with myself, even if the answers are unflattering.

I used to feel critical of blogging...I thought it was kind of narcissistic and representative of a culture of reflection, i.e., "I exist because you see me existing.  I am important because you (the viewer/reader) tell me I'm important."  Yuck.  Here is how I changed:  I worked in hospice and I began writing.  I feel a sheer pleasure from writing and attempting to have my thoughts organize themselves in a cohesive form.  I also realize (this is the tricky, ego part), that my work in hospice gave me a unique perspective on life, mental health, and spirituality - my experiences shaped my thoughts and my thoughts shaped how and what I wrote about.  I found that I had things I wanted to say and I felt it was okay to publicly claim that my voice and perspective might be helpful, might be worthy of being heard.  I must check this voice constantly to make sure I am responsible with it, that I am true to myself as best I know myself at the moment I am writing.

My sister sent me a link http://www.theatlantic.com/international/archive/2012/03/the-white-savior-industrial-complex/254843/?single_page=true to this piece from The Atlantic; also a ripple from the Kony business.  I try to be careful with my words and tone, but that doesn't mean I don't experience rage at times.  I've found that rage is a step and sometimes a necessary one on a path.  Some things are worthy of rage.  I felt the rage from Mr. Cole's piece, particularly his tweets, and I understood it.  I don't think he ends in rage, and I know I can't stay there either.  Rage is it's own kind of enthusiasm (something Mr. Cole is quite critical of) and it's an emotion that we should treat with respect and caution. 

I admire Mr. Cole's truth, his nuanced exploration of his response to the "White Savior Industrial Complex."  I like that he raises more questions than he has answers.  This is the type of thinking that is heroic to me. 

Also for me, I must ask myself- what does this have to do with mental health?  Emotional well-being?  Here is one part of an answer:  our media is a great part of how we experience this world we live in.  It shapes our thoughts, feelings, actions.  It is powerful in our lives.  The more I write, the more I feel that media and politics are vehicles to explore what kind of people we are, and what kind of world we want to help create. That sense of being active participants and creators - not just receivers of information- is integral to our healthy and whole experience of our lives.  That's what I'm thinking today.

Thursday, March 8, 2012

red flags

As a therapist, some of what I do is help people learn to recognize red flags.  What makes another person trustworthy or not trustworthy.  If you grew up in an emotionally or physically violent family, it's possible that the cues aren't clear for you, because danger and love are mixed up together. 

So, sometimes, I try to help people slow down before they put their trust in someone.  To listen to, rather than ignore their intuition.  To ask themselves, does something about this other person or situation make you uncomfortable?  Before we proceed with that relationship, let's just sit with the uncomfortable feeling and try to figure out where it comes from.

So I found myself employing this technique with myself as I watched this viral video from Invisible Children last night.  Many of you may have already seen it - I'm linking to the NPR story which will also take you to the viral video: http://www.npr.org/blogs/thetwo-way/2012/03/07/148146240/ugandan-warlord-joseph-kony-under-spotlight-thanks-to-viral-video

As I slowed myself down and sat with my feelings of discomfort (it's a great cause - why was I getting that skeptical, yeah right, feeling!?!?), here is what I came up with:

1) This is propaganda.  Propaganda, even for a good cause, is emotionally manipulative.  I want to ask the maker of the film, "why don't you trust me to act based on simply the presentation of facts, which are horrific enough?"  Political propaganda has been used in many terrible ways in human history.  Even if you're on "my side," I am uncomfortable with this technique.

2)  Near the beginning of the video the voiceover says something like, technology has made it a new world.  The older generation is afraid of it/us.  That is a rough paraphrase and the voiceover is coupled with footage of some kind of congressional hearing.  I don't like pitting one group of people against another.  The implication is that the older generation is somehow dumb/useless/out of it/in need of a swift kick in the ass.  This is a slippery slope and the type of meaning and language that I find dangerous.

3)  The use of your young child for emotional impact in your propaganda video.  This is a red flag to me about lack of sound judgment.  I was uncomfortable with the film maker's child in the video.

4) Using the slogan, "Make Kony Famous."  I know this is shorthand, but it's sloppy.  Again, there's a slipperiness to fame and it raises questions in my mind about mature judgment and clarity of purpose.

So, support Invisible Children or this other guy, http://visiblechildren.tumblr.com/''; that's not for me to say. As best I can, I will lend my voice to causes that will work to make children safe. 

I just wanted to point out that the red flags of this propaganda piece raised red flags for me.  In personal relationships as well as community/sociopolitical relationships, I think it's wise to go slow and proceed with open, clear eyes and ears.

Wednesday, March 7, 2012

why our election process might be bad for our mental health

Here is what I LONG to hear a candidate for President of the United States say:  "I've got some good ideas for what I think will make this country strong, prosperous, and healthy.  My opponent has some ideas, too.  They're fine ideas, but I happen to disagree with some of them.  The American people are smart people - listen to my ideas and listen to my opponent's...whichever ideas you think are better - vote for that candidate."

The way candidates typically speak to us in the election process in particular is not healthy for us as a country.  It assumes that we are either too dumb or too angry to make an informed choice based on facts.  It's demoralizing to be spoken to this way and it corrupts the democratic process.  It incites fear, when fear is rarely a helpful response.

I've come to think that one of the greatest assets to our emotional well-being is to know and feel that we have a choice.  In theories of job satisfaction, autonomy/a sense of having freedom of choice in your workplace procedure,s is one of the top indicators of satisfaction.  Or in love - don't we feel more satisfied in our relationships when we feel we choose to be with someone or do something for our loved one, rather than that we're forced or obligated to?  What about when we get up in the morning...if we pay attention, we know that we can choose our approach to the day - positive or negative - and it makes a difference.  Even the language that we use.  I chose to start this blog writing about what I would like  rather than simply complaining about what I don't.

I wonder what campaign speeches and debates were like in the 'old days' - did Abraham Lincoln call his opponent names or insult his religious background or personality?  I somehow doubt it.  As a nation, we will be better served to try to ignore candidates who appeal to our snarky and angry side.  Just like in 'real life', paying a lot of attention to this type of person gives him or her more power than we really want to give them.  We should also not forget our freedom to speak and ask for what we want - and I want a candidate who speaks the truth, which is: Almost always,  ideas are just ideas - they are not inherently good or bad.  I want to be spoken to as the emotionally mature person that I am.  I want to make a choice to vote for or against ideas without being made to feel angry or afraid of the other guy or the other side.