Tuesday 31 July 2018

OCD and Showering

When my son Dan was in the throes of severe obsessive-compulsive disorder in 2008, he would sit in his “safe chair” for eight hours at a time. He was literally “stuck.” While I didn’t realize it at the time, getting stuck, or more accurately, becoming a slave to OCD’s demands, is part of what severe OCD is all about. Never-ending compulsions take over your life as you try to achieve certainty that all is well.

I’ve always found it particularly heartbreaking when OCD latches on to our most basic needs such as loving relationships, eating, and physically caring for ourselves. One of the more common compulsions that is often used as an “example of OCD” is hand washing, which can indeed be so severe that scarring, bleeding, or infections occur. The person with OCD cannot stop washing until their doubt and anxiety subside.

What perhaps is less known to people who are not directly affected by OCD is that showering is also a common compulsion. While those with obsessive-compulsive disorder might believe they are just trying to get clean, showering as a compulsion serves the same purpose as all compulsions — to reduce anxiety and uncertainty. Some people will insist on using scalding hot water, while others will have rituals that need to be done in a certain manner. If something is done “incorrectly,” the person with OCD feels the need to start all over again. At the very least it is tiring and draining, and in the worst-case scenarios it is completely debilitating. I personally know of a young woman who got “stuck” in the shower for ten hours and had to be physically removed. As I said — heartbreaking. A basic activity of daily living turned into a nightmare.

What leads to this nightmare? How and why do things get that bad? Well, as with all types of OCD, it starts with an obsession. In those with shower compulsions, obsessions typically include contamination fears or germ phobias, but that isn’t always the case. OCD has an impressive imagination and can latch on to anything. For example, someone with OCD might fear harm coming to someone they love if they don’t wash each body part ten times in the shower. While the person with OCD typically realizes this makes no sense, there is always that doubt, and the compulsions are then carried out. Unfortunately, that’s never the end of it. The reassurance that compulsions provide is addictive and just as with drugs, tolerance rises and more and more compulsions are needed to feel that sense of relief. Before you know it, you’re in the shower, unable to get yourself out.

I know that even with this explanation, it is hard for those of us without obsessive-compulsive disorder to understand. Why can’t our loved ones just get out of the shower? Shut the water and get out!? It is difficult for us to comprehend the level of fear and anxiety they are dealing with.

But there truly is good news. Obsessive-compulsive disorder, no matter how severe, is treatable. The frontline psychological therapy for the treatment of the disorder is exposure and response prevention (ERP) therapy, and it works. Remember the young woman who was stuck in the shower for ten hours? After two months of intensive ERP therapy, she now easily takes fifteen-minute showers. She is in charge of her showers, and her life, now. Not OCD.



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What Do I Do When My Boyfriend’s Son Competes with Me for His Attention?

My boyfriend has 2 children, daughter is 8 and son is 12. Daughter is independent and comfortably attached to her father. The son however, is extremely needy! Daughter adores me and son likes me and we all have fun but he does NOT like seeing me with his father. Every time my boyfriend and I talk his son will interrupt the conversation with ANYHING rediculous, with any random question, saying its important. He needs it answered now! or will do anything to interrupt!

he will follow me if I go anywhere near my boyfriend. If my boyfriend and I go out of his son’s view he will come knocking, even if we close the door! I can count the seconds! He even follows his father to the bathroom! He still wants to sleep next to his dad, even when I am in the bed, when I sit next to my boyfriend he has to sit in between, when I hold his hand, his son wants to hold his hand. His son makes comments that he knows will hurt my feelings. Such as “I know we are going away for a few days, Ill let you his hand since you wont see him” knowing I am sad about it.

I don’t know what to do, I am so respectful, supportive, giving and everything in between for these kids but the son just won’t except it. The son is not close to his mother and wishes to be around his father 24/. before I came around, these children were spoiled and his father is now cracking the whip on boundaries but it doesn’t seem to be working. His son still will not budge on understanding boundaries.

I cannot stand it at this point! Something has got to give! I keep my mouth shut to his son but express misy feelings to my boyfriend, in which he understands me and is supportive about the situation. We need help in doing this suttle but with authority since his son is not getting the hint. I am exhausted and emotional about this. His son is causing my boyfriend and I to have discussions we do not need to have. My boyfriend and I do NOT argue, this is the only problem we have.

How can we get the child to get off his fathers nipple (so to speak!) Thank you in advance!

I’m sure this is very frustrating to you all. Thank you for writing.

Here are some thoughts that occurred to me as I read your letter: I don’t think the boy is “competing” with you. I think he is dealing with a number of developmental issues. He may not understand his parents’ divorce and may be afraid that his father will “divorce” him, just as he did the boy’s mother. He may think the change in his father’s behavior toward him (not spoiling him) is a sign that his father doesn’t love him any more. It may be that since there is tension between the boy and his mother, he clings to his father so, in his mind, his father can’t leave him too.

In addition, the boy is at an age when a kid becomes aware of sex and the reality that the adults in the house are being sexually intimate. The idea may be making him anxious. His solution is to do all he can to prevent you and his dad from being alone together.

Please don’t think about this as rational. It is quite unconscious. My take on the boy is that he is highly anxious about the changes in his family and his behaviors are a crude and unconscious way to try to get things back to his “normal”.

That’s my best guess about what may be going on. But an analysis doesn’t help you know what to do. Ideally, you and your boyfriend will seek out a family therapist who can delve further into what’s happening and who can give you practical suggestions about how to manage the situation.

I wish you well,
Dr. Marie



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When You Feel Guilty Being a Working Mom

“Why bother having children if you don’t spend time with them?”

Playwright and author Sarah Ruhl distinctly remembers her mother saying this about moms who worked full-time. After Ruhl had her own children, her mom’s words continued to haunt her, she writes in her excellent book 100 Essays I Don’t Have Time to Write: On Umbrellas and Sword Fights, Parades and Dogs, Fire Alarms, Children, and Theater.

For many working moms, these words haunt us, too. Maybe you work from home, and wonder if you should be able to get your work done in the margins of your day—before your child wakes up, during naptime, after bedtime. Maybe you barely make enough to cover your childcare (and wonder if it’s fair for your spouse to foot the bill since you’re the one who chooses to work). Maybe you’re just starting a start-up, and your salary is lower than low. Maybe you have a time-consuming career and a long commute, which means your child spends most of their weekdays in daycare. Maybe you’re working full-time and going to school.

Guilt is tough because it’s a signal that you’re doing something wrong. So when you feel guilty, you become convinced that you’re taking some terrible action.

But sometimes guilt is a false alarm. And it, unfortunately, tends to ring especially loudly for mothers.

“Mothers have a unique type of guilt that shows up in a variety of ways, and working mom guilt is a particularly difficult brand of maternal guilt,” said Stephanie Sprenger, a writer who pens the blog Mommy, for Real and co-edited The HerStories Project‘s essay collection: So Glad They Told Me: Women Get Real About Motherhood.

She encouraged moms to open up about their guilt, whether it’s talking to a therapist, mentioning it in a moms’ group, or writing about it inside your journal. “Talking about it may seem scary, but it actually makes our guilt less of a powerful force.”

Below, you’ll find additional tips on navigating your guilt—and making it less powerful and persuasive.

Identify the source of your guilt. Kate Rope, author of Strong as a Mother: How to Stay Healthy, Happy, and (Most Importantly) Sane from Pregnancy to Parenthood, stressed the importance of identifying why you’re feeling guilty: “Is it because you really think something should change and you are not doing what you believe is the best thing for you and your family? Or is it because you’ve internalized ideas from other people in your life or society in general and feel like you are not living up to those ideas?”

If the former is true for you, she suggested rethinking how you’re structuring your life so it better aligns with your wants and values (if that’s possible). Maybe that means asking your boss if you could work from home a few days a week to cut down on your commute, and spend that time with your child. Maybe that means changing jobs, so you have a less demanding position or a more flexible arrangement. Maybe it means going part time, and having your kids attend daycare three days a week. Maybe it means doing a split-shift, where you work until 2 p.m., spend time with your kids, and then work for several hours after their bedtime. Or maybe it means leaving the workforce all together. (Either way, there are so many ways to design your life with kids—as the comments illustrate in this post on Laura Vanderkam’s site.)

If the latter is true for you, that your guilt is coming from messages outside of yourself, tune into—and keep tuning into—your beliefs and what’s best for you and your family, Rope said. (More on that below.)

Don’t put guilt in the driver’s seat. One of Sprenger’s favorite books is Feel the Fear . . . And Do It Anyway! Her personal motto is: “Feel the guilt . . .and do it anyway!” That is, acknowledge how you’re feeling and explore it—but if your guilt isn’t pointing to some deeper truth, keep doing what you’re doing.

And don’t change a thing. As Sprenger said, keep working at a job that fulfills you, skip bedtime to take a yoga class, or pay a sitter so you can get a massage. “The guilt may or may not go away, but that doesn’t mean you have to let it take the wheel and guide your decisions.” 

See the value in your work. When Rope interviewed Lauren Smith Brody, the author of The Fifth Trimester: The Working Mom’s Guide to Style, Sanity and Success after Baby, for her book, she shared this tip: Make a list of what you get from your job (a paycheck totally counts!), and what you bring to your job. “Both of these will help you see the value of your work for yourself and for a larger community—your organization,” Rope said.

See caregivers in a different light. Think of your kids’ caregivers as growing their community, introducing them to different perspectives and helping them develop skills that might not be in your wheelhouse, Rope said. For instance, Rope has had several sitters, including her mother-in-law, who are great artists and have helped her daughters nurture their interest and abilities in art.

“My mom always told me, ‘the more people who love your child, the better,’ and I really believe that. We were intended to raise human beings as a community, and children benefit and learn from a wider community.”

Consider the lessons. Your children can learn a lot from your work. For instance, according to Rope: They can learn from you providing for them, and they can learn from the kind of work you do. If your work feeds your soul, they can learn the importance of caring for yourself, and if your work serves others, they can learn the importance of caring for people beyond your loved ones, she said. 

Realize that you’re not failing. Moms often feel like failures because we can’t keep up: We’re expected to be on top of work—and on top of the latest parenting information and advice, to “be all things at all times to our kids,” Rope said. However, there’s very little support for these massive expectations, including inadequate maternity leave and inflexible workplace policies, she said.

“There is no such thing as daddy guilt, which demonstrates the incredible burden we put on moms to be the primary, all-knowing caregiver.” And yet “it takes a village to raise a child.”

When Ruhl recently asked her mom to clarify what she meant by saying, “Why bother having children if you don’t spend time with them?” after taking a moment to think, her mom replied: “Probably I was just jealous of the mothers who worked full-time.”

Guilt is a tricky emotion. Sometimes, it really does reveal an underlying desire—which might mean making a big change. And other times it’s a false alarm (no matter how roaring its ring). The key is to dig deep and identify which one it is for you. And whatever you choose, know that there’s value and worth in all of it.



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11 Reasons Not to Classify Perpetrators of Abuse as ‘Monsters’

For the purposes of ease of language I will be referring to perpetrators with male gendered pronouns, and victims/survivors with female gendered pronouns. This is not to deny the fact that not all abusers are male and that not all victims and survivors are female. But, simply to make things flow semantically.

As a therapist working with trauma, I sit across from clients every week who are straining to make sense of abuse. One of their most complicated questions is, “Was the abuse intentional, and what does this mean about the perpetrator of that abuse?” They tell me about positive traits he possesses. He is an activist, a good friend, he has a great sense of humor, goes out of his way for others, he has some really great qualities. Which side of him is real? What box should he be put in and how should the relationship be categorized? Society says he must be a monster, and her friends tell her to, “Forget about that asshole.” But is this narrow view actually helpful to victims?

It perpetuates denial about abusers.

As long as we continue to dehumanize abusers, we continue to be in denial. When we pretend that only a monster could do those things, we ignore the reality that a person perpetrated abuse. When we relegate abuse to the realm of monsters and demons, we begin to falsely believe that no one we care for could ever be abusive. We ignore red flags as we fall for someone or deny that our family member is abusive because, well, only monsters perpetrate abuse. We ignore allegations as our imaginations fail to see the person we think we know and love carrying out violence.

We categorize abuse as something not done by kind, thoughtful, charming, well-liked, curious, and confident people. Something much more ambiguous is true. The truth is that people who perpetrate abuse can also have a multitude of positive traits, and they often have a genuine loving side. It does us no favors to ignore this conflicting truth. Do not meet someone and assume they must be safe because they are smart, well liked, and charming. Do not dismiss allegations of abuse because you see someone’s good side.

It takes away our space to grieve.

After an abusive relationship ends, survivors feel the same things that people do after the end of a non-violent relationship. She misses him, she worries if it was the right choice, she grieves the future they will never have together, and she wishes it could have been different. Victims of abuse feel these things whether they are invited to talk about it or not.

Many clients tell me that they have no space, besides in the therapy room, where they can discuss these complicated feelings. Their family and friends would never understand. Their family and friends might say, “How could you miss someone who did that to you? He’s a monster. Forget about him.” But, that is not how the human heart works. We need space to grieve relationships, even those that are abusive and toxic.

In fact, we may need more space for healing from toxic relationships. When we fail to heal from these relationships we continue repeating unhealthy patterns. It is important to acknowledge when we’ve been in an abusive relationship and to make sense of it. We can’t do that if we are only given a narrow space to talk about it.

It creates shame.

When society categorizes someone as a monster it makes admitting you loved them or are in grief over the end of the relationship pretty difficult. When a survivor of a violent relationship does find herself feeling mournful over the relationship, she often has the very thoughts about herself that others have been mirroring back to her: she wonders what is wrong with her, why she didn’t see it sooner, and if she did something to invite it in some way. She suppresses her sadness and grief because of the shame over these feelings.

If we did less victim blaming, had more conversations about the tactics perpetrators of abuse use at the beginning of a relationship to hide their violent tendencies, and even if we humanized these people more, then survivors might not have as much of the added damage of shame and guilt. Falling in love with someone who turns out to be abusive says nothing about her. The thoughts of, “Why me? Is it something about me that made him pick me?” are shame-based thoughts. Those thoughts say, “There is something wrong with me.” There isn’t anything wrong with survivors. There is something wrong with how we discuss intimate partner violence and the lack of support we offer victims.

It gives us misinformation.

Perpetrators of abuse can be charming, fun, and interesting. The beginning of these relationships can be intense and exciting. They do not always start out as overtly controlling and manipulative. The control and manipulation is often insidious and is easily hidden by our culture’s mislabeling of what is considered romantic.

Showing up at someone’s work unannounced, making huge declarations of love and commitment early on, being intensely jealous, and pushing big, unreturnable favors onto someone are not romantic gestures. They are red-flags in the beginning of toxic relationships. Culturally though, we tend to see these things as a sign that the relationship is off to a good start. He seems like a really nice guy. He does favors for her, he is romantic, and he loves her so much that he can’t even stand the thought of someone else looking at her.

This narrative opposes the one we have about abusers. That narrative says they are bad people who punch their wives, who nobody likes, and who are constant rage-aholics. These are not two different people. These narratives are two sides of one person. He can be sweet and thoughtful, but also pushes boundaries and uses romance as a cover up for his control tactics. It does not make them evil, but it is important to know what that looks like. We need to be able to imagine it.

It falsely correlates abuser with psychopath/narcissist.

Not every perpetrator of abuse is a sociopath. Some are. Some aren’t. Some have personality disorders, co-occurring mental health disorders, or substance abuse problems. These things do not make them abusers. And, while treating any of these co-occurring issues may go a long way in improving their lives, relationships, and behaviors, it will not automatically change them from an abuser to a non-abuser. The only thing that will do that is if they take responsibility for their behavior and for changing it.

It leads us to believe people are just born that way — removing society’s responsibility for raising well-adjusted individuals.

Abuse is, at least partly, a learned behavior. Some people may be genetically or neuropathologically leaning towards more violent tendencies. But it is abuse that will turn that on in someone.

The example of James Fallon highlights this concept. He is a neuroscientist who was conducting a study on the correlation between brain scans and sociopathic behavior. He happened to use his own brain scan as a control, and found out that his brain scan actually more closely matched those of the sociopaths in his study than of the neurotypical brain scans. But he is not a violent person. He admits to being hyper competitive and “kind of an asshole,” but he is not violent or abusive. His brain scan looks like those of convicted murderers, so how is he a functioning member of society? He attributes his lack of violence (as do I) to his abuse-free upbringing.

At the end of the day, abuse is the fault of the abuser, not their childhood. But I recognize that if we teach children to manage their emotions through violence and controlling others, then they are going to rely on those maladaptive coping mechanisms as adults.

It gives the abuser an excuse.

Calling someone a monster assumes that they can only behave one way. I do believe that abusive people can change. Of course, they have to want to change and put in a lot of tedious work. It has to be difficult to admit they’ve been hurting their partners and children. To own up to the behavior and commit to making changes in the direction of more equal relationships is quite an undertaking. But, people can make those changes.

When we simply write a person off as a monster, we allow them to stay the same and never demand that they change.

It leads us to write them off as a lost cause.

People are people, not monsters. I don’t like this term because I think that every time we dehumanize someone, we add to the lower level collective unconscious. That is the kind of consciousness that breeds hate and abuse. There is a way to reject someone’s behavior without rejecting them as inhuman or beyond all intervention. I’m not making a case that any of us have to personally make friends with perpetrators of abuse, but I do believe that healing this problem takes a more dynamic viewpoint.

We believe that abuse is uncommon.

We talk about perpetrators of abuse like we talk about serial killers. We see this person as an almost mythical being. Abuse is not uncommon. The National Coalition Against Domestic Violence states that, “1 in 3 women have been victims of some form of physical violence by an intimate partner at some time in their lives” and that more than 20,000 calls to domestic violence helplines are placed daily in the United States. In fact, most violence against women is perpetrated by an intimate partner.

It happens every single day, in every neighborhood, and if you haven’t been a victim of abuse yourself, you know several people who have. Abuse is not inflicted by the rare, horrible person. Abuse is inflicted by men that you would never suspect unless you were his partner.

Abuse is rampant in our society. That is why it is important to acknowledge it and stop pretending like it is rare. We can’t pretend we don’t know who these “monsters” are. Perpetrators of abuse are our fathers, brothers, and partners.

This shift in how we discuss perpetrators goes a long way to demystify the prevalence and dynamic of intimate partner violence.

It erases queer people’s experiences.

Woman on woman abuse and man on man abuse is just as common as man on woman. Again, the statistic remains the same when the people being polled are part of the LGBT community. One out of 3 people have experienced intimate partner violence. This, of course, includes trans people.

Members of the LGBT community have added stressors when it comes to intimate partner violence like being outed, less legal protection, and internalized homophobia or shame about their sexuality or gender identity. Every victim faces the fear and the reality of not being believed, but for women in lesbian relationships, they face the societal stereotypes that women cannot be violent. Male victims of male partners face the normalization of violence between males and the threat that their abuse will be labeled as “mutual” (which is never true).

The way we talk about perpetrators of abuse only acknowledges a very small population of perpetrators. When we fail to acknowledge perpetrators from other backgrounds we fail to recognize their victims.

 

Resources:

Why Does He Do That? (2002) by Lundy Bancroft

“Love is respect heart org.” Last accessed July 17, 2018. http://www.loveisrespect.org/

“The National Domestic Violence Hotline.” Last accessed July 17, 2018. http://www.thehotline.org/

World Health Organization. Last accessed July 17, 2018. http://www.who.int/news-room/fact-sheets/detail/violence-against-women

Stromberg, Joseph. “The Neuroscientist Who Discovered He Was a Psychopath.” November 22,



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    The Emotion Associated With High Verbal IQ

    High verbal IQ is also linked to superior critical thinking, problem-solving and abstract reasoning.

    → Enjoying these psych studies? Support PsyBlog for just $4 per month (includes ad-free experience and more articles).

    → Explore PsyBlog's ebooks, all written by Dr Jeremy Dean:



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    How Hot Weather Affects Thinking Skills (S)

    The study compared people living with and without air conditioning in a heat wave.

    → Enjoying these psych studies? Support PsyBlog for just $4 per month (includes ad-free experience and more articles).

    → Explore PsyBlog's ebooks, all written by Dr Jeremy Dean:



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    Confused on My Sexual Tendencies and Feelings

    I know for a fact that I am sexually attracted to women and in no way attracted to men. That being said I often have strong sexual thoughts about wanting to physically be a woman and being lesbian. I have struggled with depression for 4 years now which is beside the point. The reason I bring this up is because recently I have had increasing urges to dress in women’s clothing, especially when aroused. During these times I’m happier than I normally am and I enjoy how I feel in women’s clothes and imagining I have female attributes. This is very confusing for me because before recently I had never had such strong images and desires to be more feminine. What does this mean for me? Is this something that I should explore more or is it just some kind of kink or phase of a sort? I’m having trouble determining for myself.

    This is something worth exploring and is best done through finding an expert in sexuality to guide you through it. The fact that the desire to cross-dress concerns you is enough to go have a chat with someone who specializes. This will give you the opportunity to ask questions and get answers that can help you understand more about these urges. Check the Find Help tab at the top of this page.

    Wishing you patience and peace,
    Dr. Dan
    Proof Positive Blog @ PsychCentral



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    Best of Our Blogs: July 31, 2018

    The word, “wellness,” is everywhere these days. But what does it really mean to be well? Is it just another trend or can wellness be something we can realistically attain in our own life?

    Is wellness about physicality and specific physical goals? Is it about the ability to manage your emotions in a healthy way? Is it both?

    This MindBodyGreen post shares what the word means to various professionals in the wellness field. As you can see, wellness means different things to different people.

    If you were to create a definition of wellness, what would it look like?

    For me, wellness would be a feeling of wholeness, centeredness, and feeling grounded.

    Speaking of questions, check out one of the most personal questions you can ask someone and how it can actually improve your relationships.

    The Most Personal Question You Can Ask Someone
    (Childhood Emotional Neglect) – It’s more personal than asking someone their weight or finances. Learn what question can provoke a deeper relationship with others and yourself.

    10 Things Mental Health Therapists Wish Divorce Attorneys Understood
    (The Exhausted Woman) – It’s a definite must-read for divorce attorneys, but it also is helpful for anyone wanting to understand the emotional impact of divorce.

    15 Signs You Have Toxic Parents
    (Happily Imperfect) – Want to know if your parents are really toxic? These signs will clue you in.

    What is Narcissistic Projection ?: A Blame-Shifting Tactic of the Extreme Narcissist
    (The Savvy Shrink) – You’ve been blamed, manipulated and confused by a narcissist. This post demonstrates what happened and why you should consider leaving the relationship.

    Healthy Ways to React to Common Toxic and Manipulative Words
    (Psychology of Self) – How you do you handle the hurtful words a narcissist or other toxic person has thrown at you? Here’s how to not get too overwhelmed.



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    Are things getting better or worse?

    In a recent New Yorker article Joshua Rothman discusses debate over assessing the state of the world, with major emphasis on Pinker book "Enlightenment Now", which was the subject of a series of MindBlog posts March 1 - March 12 of this year. Things like "Progressophobia" on the part of intellectuals, people seeing the past through rose colored glasses, and media emphasizing momentary crises over long term trends lead most people to think that the world is getting worse rather than better, which, Pinker says, is "wrong wrong, flat-earth wrong."

    Rothman's brief reviews of a number of other books debating progress and optimism versus pessimism about the future make his article well worth reading. I'll pass on the end of the article (note especially the last paragraph), which points to a book by Hans Rosling:
    In “Factfulness: Ten Reasons We’re Wrong About the World—and Why Things Are Better Than You Think,” the Swedish global-health statistician Hans Rosling, who wrote the book with his son and daughter-in-law, tries to find such a picture. Most depictions of the world, Rosling thinks, are either too optimistic or too pessimistic; if they don’t succumb to despair, they seem to look too quickly away from suffering. Rosling adopts a mantra—“Bad and better”—to avoid these extremes. “Think of the world as a premature baby in an incubator,” he suggests:
    The baby’s health status is extremely bad, and her breathing, heart rate, and other important signs are tracked constantly so that changes for better or worse can quickly be seen. After a week, she is getting a lot better. On all the main measures, she is improving, but she still has to stay in the incubator because her health is still critical. Does it make sense to say that the infant’s situation is improving? Yes. Absolutely. Does it make sense to say it is bad? Yes, absolutely. Does saying “things are improving” imply that everything is fine, and we should all relax and not worry? No, not at all. Is it helpful to have to choose between bad and improving? Definitely not. It’s both. It’s both bad and better. Better, and bad, at the same time. . . . That is how we must think about the current state of the world.
    Rosling’s image captures many of the perplexities of our collective situation. We desperately want the baby to survive. We also know that survival doesn’t guarantee happiness. The baby is struggling, and suffering, and will continue to do so; as a result, we’re more likely to be happy for her than she is to be happy for herself. (Pinker, similarly, is happier for us than we are.) It’s possible, moreover, that she’ll be saved only temporarily. No one is ever truly out of the woods.
    In the meantime, the baby’s survival depends on the act of diagnosis. Until her ailments are identified, they can’t be cured. Problems and progress are inextricable, and the history of improvement is also the history of problem-discovery. Diagnosis, of course, is an art in itself; it’s possible to misunderstand problems, or to overstate them, and, in doing so, to make them worse. But a world in which no one complained—in which we only celebrated how good we have it—would be a world that never improved. The spirit of progress is also the spirit of discontent.


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    Monday 30 July 2018

    New Research May Support the Existence of Empaths

    Do empaths exist? Many people who claim to be highly sensitive or intuitive to the emotions of others and even to feel what others feel would respond with an enthusiastic “yes.”

    The scientific studies that are often used to demonstrate that empaths exist, however, provide indirect evidence.

    This includes research showing the existence of mirror neurons in the brain, which are said to enable us to read and understand each other’s emotions by filtering them through our own (Iacobani, 2008). Other studies used to explain empaths include the concept of emotional contagion, which is the idea that when people synchronize their attitudes, behaviors and speech, they also synchronize their emotions both consciously and unconsciously (Hatfield, Cacioppo & Rapson, 1994).

    These studies explain the existence of empathy in general. They do not explain why some people — empaths — have more of it than others. As a result, some scientists have been skeptical about whether empaths do exist and at the very least have argued that there is no evidence to support their existence beyond anecdotal descriptions of what it feels like to be one.

    It appears, however, that research to support the existence of empaths does potentially exist. Neuroscientist and psychologist Abigail Marsh describes in her book The Fear Factor (2017) how she found evidence that there is a difference in the brains of people who are highly empathetic to others. She calls them “altruists.”

    Marsh was motivated, based on her personal experiences, to learn what causes people to engage in selfless acts even when there is no benefit to themselves or when there is a cost involved. She recruited people for her studies who had engaged in the most extreme selfless act that fit into this category she could think of: donating kidneys to complete strangers, often anonymously.

    To learn how they responded to the emotions of others, she measured their brain activity while showing them pictures of faces with varying emotional expressions. Compared with a control group (those who had not donated a kidney), they were especially sensitive to fearful facial expressions. When they recognized fear, there was heightened activity in the amygdalae in their brains. The amygdalae were also eight percent larger than those belonging to members of the control group.

    Although she never refers to the altruists as empaths, I believe there are good reasons for applying the label “empaths” to this group of people in her research. First, there are different types of altruism, including kin-based, reciprocity-based, and care-based (Marsh, 2016). Her research appears to support care-based altruism, where no reward or genetic reward to the self is expected. The motivation for this type of altruism is thought to be possible solely because of concern for the well-being of others, or empathy (Batson, 1991). This appears to suggest that the group of individuals for whom she found measurable differences in the brains were not only highly altruistic, they were also highly empathetic — or “empaths.”

    Second, empaths and psychopaths have often been noted anecdotally as being polar opposites (Dodgson, 2018), but Marsh actually refers to the altruists in her study as “anti-psychopaths” because of what her findings showed. She also examined brains of psychopaths and found the exact opposite of what she had found for the altruists. The psychopaths were less able to recognize fear on the faces of others and less responsive to it when they did. The psychopaths also had amygdalae that were about eighteen percent smaller than normal.

    In other words, both the altruists and the psychopaths had abnormal brains when it came to responses to the fear of others — but in opposite directions. This appears to support the idea that they are on opposite ends of the spectrum when it comes to empathy: psychopaths cannot feel and react to the fear of others (unless they have another motive) while altruists, or empaths, feel and are moved to respond to the fear of others as if it were their own.

    Now that we know who they are, what do empaths look like beyond their altruistic behavior? 

    Empaths are popularly characterized as being exceptionally sensitive to their environments, absorbing the feelings of others easily, and then quickly becoming drained. General descriptions of what it’s like to be one range from having a higher degree of compassion and caring for others than average, to being strongly in tune with the emotions of others, to having a compelling desire to heal, assist and give others the benefit of the doubt even to the detriment of themselves.

    Marsh was mostly interested in their acts of altruism and what motivated them, so there is little in her research to give us a clue about what their lives are like beyond their acts of altruism.

    There was one interesting commonality, however. Her research indicates that, temperamentally, they appear to have more humility than average, and it is this humility that appears to enable them to treat strangers with such selflessness. She writes, “Although they are clearly more sensitive than average to others’ distress, their capacity for compassion and generosity reflects the same neural mechanisms that lie latent in most of humankind. Indeed, it is in part the fact that altruists recognize that they are not fundamentally different from anyone else that moves them to act.”

    Now that we can potentially identify who they are, further research can tell us more about how being an empath affects their lives and, perhaps more importantly, how empaths can protect their strengths from exploitation given that this research indicates that they tend to view everyone as equally deserving of their assistance.

     

    Sources Cited:

    Batson, C. D. (1991). The altruism question. Hillsdale, NJ: Erlbaum.

    Dodgson, L. 2018. The opposite of a psychopath is an ‘empath’—here are the signs you could be one. Business Insider. Retrieved July 22, 2018. https://ift.tt/2NXKPVk

    Hatfield, E., Cacioppo, J. T. and Rapson, R. L. (1994). Emotional contagion. Cambridge: Cambridge University Press.

    Iacobani, M. (2008). Mirroring people: the science of empathy and how we connect with others. New York: Farrar, Straus, and Giroux.

    Marsh, A. (2017). The fear factor: how one emotion connects altruists, psychopaths & everyone in between. New York: Basic Books.

    Marsh, A. (2016). Neural, cognitive, and evolutionary foundations of human altruism. Wiley Interdisciplinary Reviews: Cognitive Science, 7(1), 59-71.



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    What Is a Coping Mechanism?

    From the U.S.: I am trying to understand Coping Mechanisms. Is it possible for a Bias to be a Coping Mechanism, specifically Normalcy-Bias?

    A “coping mechanism” is simply a tactic that an individual uses to cope with life’s challenges. Sometimes it is so automatic that the person doesn’t even realize that he or she is using such a tool. An example might be calling a friend to talk when you are upset. The conversation is a way you might cope with something difficult. Other coping mechanisms are more deliberate. An example might be consciously taking slow breaths or meditating to calm down.

    Sure, the “normalcy bias” can be a tool for coping — although it is also potentially not helpful. The normalcy bias is an automatic response to disaster or tragedy where the person minimizes the effect of the situation and lets him or herself believe that everything will go back to normal. Sometimes it is a helpful form of denial that gets people through.

    But sometimes the result is that the individual doesn’t take steps to deal with a problem. A good example of when the normalcy bias is not helpful is some people’s response to, say, a wildfire that is bearing down on their area. If they convince themselves that it isn’t happening (that things are “normal”) and tell themselves, “These fires always happen this time of year. They never get to my neighborhood”, they might not evacuate in time.

    I wish you well.
    Dr. Marie



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    Book Review: The Insight Cure: Change Your Story, Transform Your Life

    Insight is that epiphany that puts the pieces together, allows us to make sense of what we could not before, and ultimately paves the way for self-awareness.

    “When you are living in the glow of insight,” writes John Sharp, M.D., “your brain’s architecture will change accordingly.”

    In his new book, The Insight Cure: Change Your Story, Transform Your Life, John Sharp, a board certified psychiatrist and author of the Emotional Calendar, shows us how even the smallest insights can lead to a cascade of revelations that fundamentally change the way we live our lives and, in the process, eradicate the “false truths” that lie at the heart of emotional pain.

    Sharp asks readers, “If you were one of my patients and I asked you, ‘What misconception from childhood is still defining you now, as an adult?’, would you be able to come up with an answer?”

    The question, Sharp tells us, reveals just how important our interpretation of events in our lives — not the events themselves — is.

    What we think and say to ourselves about what has happened to us in childhood then becomes the false truths which lead to self-sabotaging behaviors as adults. Sharp gives the example of Daria, whose parents met her physical and safety needs while neglecting her social needs. “Her false truth was something like, ‘People always let me down,’” writes Sharp.

    Drawing on Maslow’s hierarchy of needs, Sharp tells us that gaining insight is like a progression that starts with the most basic insights and moves toward deeper levels of self-awareness. Looking at the pyramid can often give insight into just where we might be stuck.

    Getting stuck, however, is the human condition. Sharp writes, “Change is hard because we fear the unknown. A familiar but unhappy world is still known and therefore hard to abandon. Familiarity breeds complacency. Over a lifetime of thinking and behaving a certain way, people grow so accustomed to suffering that it feels normal, healthy, and ‘right’.”

    Yet “right” is often wrong, and what makes the difference is insight.

    One tool that Sharp offers to help us become aware of what is really motivating our behavior and actions is a motivation matrix where we list internal and external influences, deciphering the positive and healthy from the negative and unhealthy.

    Revealing our false truth also exposes our unconscious patterns, which, Sharp tells us, often repeat themselves. He writes, “Insight comes when you convert unconscious to conscious. By making more of your mind known to yourself, you can break bad habits and change while still feeling safe and supported.”

    Childhood experiences can feel traumatic and incite unsettling feelings that we must cope with — often by making unconscious adjustments in our thoughts and behavior. “Although the adjustment made you feel better at the time by giving you a sense of safety and control, in the long run it twisted your sense of self and your place in your family and the world,” writes Sharp.

    One example Sharp gives is the child whose mother is anxious and overly protective, and as a result learns that independence is dangerous.

    And while most people can’t hear their own thoughts, one tool Sharp offers to learn to listen to the unconscious is to record ourselves completing sentence prompts – such as “I always” – until we come up blank.

    Always, never, can and can’t are very powerful words. They create dangerous generalizations about who you are. Sweeping generalizations cause prejudice about racial and religious groups. And you might realize how profoundly you are forming prejudices about yourself,” writes Sharp.

    Prejudices can then lead to assumptions we make about ourselves, life, and other people. These assumptions — also known as anticipatory ideas — then becomes our reality.

    Sharp writes, “If you assume the world is indifferent and hostile, you are probably bitter and defeated. If you assume the world is caring and basically good, you are probably happy and optimistic, and walk through life with confidence, your arms open to receive and give love.”

    Although we often gravitate toward experiences that reinforce our worldview, we can ask questions, pinpoint moments or events, and reveal underlying emotions and thoughts, all of which offer insight.

    “You can create a new set of expectations that guarantee positive outcomes,” writes Sharp.

    The process is not without fear, intimidation, or anticipatory dread, but by learning to sit with our reflections, forgive ourselves, and ultimately working hard to be the person we want to be, we can stop the cycle of negative self-narratives and self-fulfilling prophecies and become the hero of our own lives.

    We will find ourselves in the center of our own existence — our authentic truth — where, as Sharp tells us, our inner light can shine, we can see the world with new eyes, and we can build a new narrative full of strength, confidence, and happiness.

    Filled with timeless wisdom, powerful stories, and practical exercises, The Insight Cure is a book that should be read by anyone looking to shift their personal narrative to a more positive, empowering, and fulfilling one, as well as by the clinicians who help guide them.

    The Insight Cure: Change Your Story, Transform Your Life
    Hay House, February 2018
    Hardcover, 272 Pages



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    Writing Like This Makes You Appear Smarter

    The type of writing that makes you look smarter. 

    → Enjoying these psych studies? Support PsyBlog for just $4 per month (includes ad-free experience and more articles).

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    The Emotion That Impresses At A Job Interview (S)

    In one study 300 employees of a US company were shown videos of excited, calm or neutral job applicants.

    → Enjoying these psych studies? Support PsyBlog for just $4 per month (includes ad-free experience and more articles).

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    5 Tips Toward More Generous Listening

    “The degree to which I can create relationships, which facilitate the growth of others as separate persons, is a measure of the growth I have achieved in myself.”   – Carl Rogers

    We all want to be heard, but how well do we listen? Cultivating the art of listening can go a long way toward creating deeper, more fulfilling relationships. Here are some ways to ratchet up your listening — and thereby deepening connections in your important relationships.

    Caring

    If someone asked you if you care about your partner and friends, you would probably answer without hesitation, “Yes, of course.” But this raises the question, what does it really mean to care about someone?

    It’s comforting to have the self-image of being a caring person — and maybe we are. But true caring is more than just an abstraction. It’s more than wishing a person well. It requires a mature capacity to move beyond ourselves and see the life of another apart from ours. They have their own set of feelings, hopes, and fears. Caring means we’re concerned about their growth and their relationship with their life, not just with ours. As Milton Mayeroff, professor of philosophy, wrote in his classic book, On Caring:

    “To care for another person, I must be able to understand him and his world as if I were inside it… I must be able to be with him in his world, ‘going’ into his world in order to see from ‘inside’ what life is like for him.”

    Being Interested

    Caring goes hand in hand with being interested in a person. Rather than making an effort to be interesting, we keep our focus on being interested. Of course, reciprocity is important too, and it’s important to be heard. But generously extending genuine interest can get the ball rolling toward a fulfilling mutual exchange.

    We can learn a lot by being interested in people. We each have a wealth of experience, especially as we get older. We can learn and be stimulated by each other’s experience. But it might not occur to someone to open up to you unless you convey that you’re interested. Showing interest by listening in an open, non-judging way can help a person feel safer with you, which thickens the delicate strands of trust between you.

    Stay in Your Body

    We can listen more deeply as we stay connected to our body. When people share feelings or experiences that are important to them, I try to remember to breath as a way to stay connected to myself. I try to listen not just with my mind but also with my heart. We don’t have to do this perfectly. I certainly don’t. We all get distracted sometimes. Similar to “good enough mothering,” “good enough” listening conveys the overriding sense that we care.

    People can often sense when we extend heartfelt listening. Feeling accepted rather than judged, they then feel safer to be vulnerable with us and share what’s in their heart without being paralyzed by shame or fear.

    Somatic approaches to therapy, such as Focusing, Somatic Experiencing, and Hakomi can help us learn to be more connected to the feelings that live in our body. Learning to be gentle and friendly toward our own feelings creates a platform  for attending to others’ feelings in a sensitive, attuned way.

    Monitor Your Defensiveness and Reactivity

    It’s easy to get triggered when people are expressing their feelings. To the extent that we’re comfortable with our own emotions, we can listen without getting overwhelmed. People can usually sense when we’re uncomfortable with the feelings they’re sharing, especially if their feelings are a response to something we’ve done or said.

    Monitoring our defensiveness means noticing when we’re shutting down or becoming reactive or defensive. Being mindful of these reactions can allow us to pause, take a breath, and notice that what’s happening inside us. We might realize, for example, that we feel angry if our partner is upset by our lack of affection or being late. We might feel some shame for having broken an agreement or not being so loving lately.

    Shame is often a trigger for attacking or withdrawing. Instead of reacting in a defensive fight-flight mode, we can notice the shame that triggered us. We can take a step back and express the shame and take responsibility for our actions, perhaps saying something like “I can appreciate how you feel that way. You’re right, I’ve been distant lately. I appreciate your telling me. I feel badly that I haven’t been very present or responsive lately.”

    Our non-defensive listening can help our partner feel respected, seen, and heard, which is a step toward repairing broken trust and rebuilding connection.

    The art of listening involves engaging with a person in an authentic way. It means being interested in a person’s growth and wanting to support that growth. Just as plants needs ample water and sunshine to grow, people need the nutrient of our generous listening in order to grow and thrive.

    If you like my article, please consider viewing my Facebook page and books below.



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    Good Self-Care for Therapists

    Many who take up careers in clinical psychotherapy have a deep personal commitment — some might say calling — to help others on their journey toward better mental health. Some, like post traumatic stress expert Dr. Bessel van der Kolk (whose father was a Nazi concentration camp survivor), found powerful motivation to improve mental illness treatment, after bearing witness to the deep impact of trauma on a loved one.

    By nature, the work of a clinical psychotherapist can carry a high risk of burnout because so much of the therapist’s job is to listen deeply to toxic effects of trauma every day.

    Helping people recover mental health can be very rewarding. Yet, client success alone is not enough to keep us safe from the risk of burnout – or to keep us as effective with all patients as we can be.

    As practicing clinicians, we need self-care strategies of our own to sustain our energies, develop our skills, and maintain our best work as therapists. Good self-care, specific to our therapeutic work, is essential to remaining effective and healthy as clinicians.

    What is Good Self Care for Therapists?

    Self-care is not a haphazard set of distractions in between office hours.

    It means having a personal answer to the question: What are you going to do to ensure that you are present with your patients and at peace within yourself? How are you informed with new knowledge that can make you most effective?

    Professional self-care shows in the habits and routines you use to keep a healthy separation between your personal life and your work. Here are some examples:

    • Being able to set and honor clear boundaries with your time – “These are the hours I work. These are the hours I’m available.”
    • Having restorative activities in your life other than work – You can take the time you need at day’s end to transition from work to home life. You can enjoy your personal time and close relationships without feeling intrusions from work.
    • Giving yourself access to consultation with colleagues – You have other clinicians to collaborate with; you can reach out to someone about professional challenges.
    • Making sure that you are well educated – You remain updated with approaches and skills to respond effectively during client interactions. You can rely on a full range of therapeutic tools and techniques that come to you naturally during sessions with clients, and you are nurturing your strengths.

    Creating Self-Caring Rituals and Restorative Separation Time

    Higher education programs for clinical psychotherapy have progressed to help therapists promote their own mental health. However, many therapists never truly learn in the classroom how to go from being present 100 percent for patients, to resting from that work when they go home.

    Having rituals and separation time are important self-care routines I needed, and which I developed for myself. These are vital to prevent having one area of life spill over into the other. For example:

    • I make sure I eat breakfast.
    • I get to the office at least a half an hour or 45 minutes before my first client.
    • I do whatever I need to do to get myself organized.
    • I make sure I take a lunch break during the day.

    In the morning I have the time I need, so that the angst that I might have over terrible traffic does not spill into my time with patients. I can get settled into my space to really be present with them. My lunch break is the time to take care of myself and make sure that I eat and nourish myself.

    And then at the end of the day, because I have a commute, that’s my separation time. My car ride home is when I make the shift between my work life and my home life. These are the 30 or so minutes I have when I am actively leaving work behind before I walk in the door at home.

    Good Self Care Is Essential, Not a Luxury

    I believe self-care is something we all need to protect with healthy boundaries as therapists. A lot of therapists tend to work through lunch. It’s important to nourish yourself and tend to what you need. You may tell yourself you’re fine with the extra work. But if the quality of client care (or your personal care) is impacted, these work habits may not be in your best interest.

    Sometimes you may find that between work life and home life, one is intruding into the other. This may indicate it’s time to re-think self-care. Specific examples:

    • You’re spending time working (returning client calls, for example), when you were planning to be at home in your personal life
    • You’ve spent your evening thinking about client X
    • You dwell on less-than-optimal interactions, thinking “I wish I had done A instead of B”
    • When you get to work you’re still thinking about that guy who cut you off in traffic
    • You are in session and your stomach is growling

    Hitting “Reset”

    Enjoying weekends and time out isn’t just a matter of personal preference. It’s important to rest, connect, and recreate to restore our own emotional balance and effectiveness.

    I know for me, that I have to laugh over the weekend because, at work, the energy and emotions we face as therapists can be so heavy. I need to focus in on some of the lighter and enjoyable sides of life with family, friends, and my choice of activities.  Laughing is so re-energizing!

    What if your life outside of work is not so fulfilling? One of our professional challenges is to be able to be fully present in the present, feel enjoyment, and ensure we get that relaxation we need.

    This is why some form of support from colleagues and consultation with colleagues is very important. All therapists are required to have done their own therapeutic work on their own issues. I believe that to be effective, each of us has to sit in that client chair to know what it feels like — and to know we can keep getting the support we need.

    Provide for Your Education and Professional Support

    Beyond our formal education, it is important to have resources that support you professionally and personally, and enable you to address key issues for you.

    Making sure you feel well educated and well supported is part of good self-care. This (feeling) gives you confidence with new ideas to bring to treatment.

    Clinical consultation is so important because every professional (I can think of no exceptions) needs this support on a regular basis:

    • To run ideas past another professional
    • To learn something new
    • To have a safe place to work on issues triggered for the therapist (countertransference)

    Good clinical consultation (discussed in its own article) is a combination of suggestions (“Here are some approaches to think about with your clients”), and access to support around countertransference issues.

    The Outcome of Good Self-Care Strategies for Clinicians

    When it comes to strategies for self-care, each clinician will find a balance of activities that works for them. Some activities will be part of each day’s routine. Some will be weekly, some monthly. For example, now in my 20+ year of clinical work, I still gift myself clinical consultations a few times a month, or just when I need it!

    I believe that every therapist needs a deliberate program of self-care. Not only does it guard against burnout, it enables us to work at our best, to continue to improve our skills and see better patient outcomes, and ultimately enjoy this challenging and deeply rewarding work to the fullest.

    More Resources

    Bessel Van der Kolk speaks about his career and book The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma (video):https://youtu.be/53RX2ESIqsM?t=10m47s:

    The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma (book) by Bessel van der Kolk MD

    Continuing Education

    Institute for Advanced Psychotherapy Training and Education, Inc.

    Workshops by Janina Fisher and colleagues: http://www.janinafisher.com/workshops.php

    Sidran Institute<, resources for traumatic stress education and advocacy

    Self-Care

    Health Journeys

    Healthy Boundaries: When You Need Them, How to Create Them and How to Make Them Work for You (article) by Robyn Brickel

    Mindsight: The New Science of Personal Transformation (book) by Daniel Siegel

    Self-Compassion (website) by Dr. Kristin Neff

    Tara Brach: Meditation, Emotional Healing, and Spiritual Awakening (website)

    What Is Good Self-Care, and Why You Deserve It (article) by Robyn Brickel



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    I Have Never Been Diagnosed But I Believe I Am Suffering from Borderline Personality Disorder & General Anxiety Disorder

    I suspect these issues have directly been impacting my quality of life and personal relationships for some time now. I need a diagnosis, I need help, but I am afraid to seek help.

    There’s nothing to be afraid of with regard to mental health treatment. Treatment is meant to help you, not hurt you. Therapists specialize in helping people who have the types of problems you have described. It’s their desire to help people. That is why they decided to enter this field. They make every effort to help their clients feel safe and comfortable. Therapists know how to help you.

    If you had a broken leg, I highly doubt that you would be frightened of going to the doctor. You would probably go without hesitation. You should take that same approach to counseling.

    The easiest way to find a good therapist is to ask for a referral. You can do this by asking your primary care physician, your insurance company or even a good friend or a family member. Once you meet with the counselor, they will ask you questions about yourself, your life history, and so forth. When they have more information about you, they will then design a treatment plan specifically to meet your needs. They will continually assess whether or not the treatment plan is working and change it if necessary.

    Once you try it, your fears will likely dissipate. The best way to extinguish fears are to face them. Give it a try and see for yourself. Please take care.

    Dr. Kristina Randle



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    VIDEO – The Secret of Becoming Mentally Strong

    Therapist Amy Morin discusses how we can become mentally strong and highlights 3 negative habits that may be holding us back.

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    Ep 20: Is Mental Illness an Excuse for Poor Behavior?

    Living with mental illness often means you make many mistakes, especially when it comes to how you treat the people around you. Some people believe that, because they were symptomatic, no apology is needed. But is that actually true? Is not taking responsibility for the negative aspects of our disorders empowering. . . or not? Listen in!

     

    SUBSCRIBE & REVIEW

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    “If we do something wrong because of a symptom of mental illness, do we have to apologize?”
    – Gabe Howard

    Highlights From ‘Mental Illness is NOT an Excuse’ Episode

    [1:30] Our first ever listener project!

    [3:00] Is mental illness an excuse?

    [4:25] Gabe’s story of apologizing after being diagnosed with bipolar.

    [7:15] Michelle’s story of flippin’ out when she was off her schizophrenia meds.

    [8:00] Are people who don’t take responsibility for their mental illness empowered?

    [11:45] Does our illness control us?

    [15:00] If we do something wrong because of a symptom of mental illness, do we have to apologize?

     

    Meet Your Bipolar and Schizophrenic Hosts

    GABE HOWARD was formally diagnosed with bipolar and anxiety disorders after being committed to a psychiatric hospital in 2003. Now in recovery, Gabe is a prominent mental health activist and host of the award-winning Psych Central Show podcast. He is also an award-winning writer and speaker, traveling nationally to share the humorous, yet educational, story of his bipolar life. To work with Gabe, visit gabehoward.com.

     

    MICHELLE HAMMER was officially diagnosed with schizophrenia at age 22, but incorrectly diagnosed with bipolar disorder at 18. Michelle is an award-winning mental health advocate who has been featured in press all over the world. In May 2015, Michelle founded the company Schizophrenic.NYC, a mental health clothing line, with the mission of reducing stigma by starting conversations about mental health. She is a firm believer that confidence can get you anywhere. To work with Michelle, visit Schizophrenic.NYC.



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    Piano training enhances speech perception.

    Fascinating work from an international collaboration of Desimone at M.I.T., Nan at Beijing Normal Univ., and others:

    Significance
    Musical training is beneficial to speech processing, but this transfer’s underlying brain mechanisms are unclear. Using pseudorandomized group assignments with 74 4- to 5-year-old Mandarin-speaking children, we showed that, relative to an active control group which underwent reading training and a no-contact control group, piano training uniquely enhanced cortical responses to pitch changes in music and speech (as lexical tones). These neural enhancements further generalized to early literacy skills: Compared with the controls, the piano-training group also improved behaviorally in auditory word discrimination, which was correlated with their enhanced neural sensitivities to musical pitch changes. Piano training thus improves children’s common sound processing, facilitating certain aspects of language development as much as, if not more than, reading instruction.
    Abstract
    Musical training confers advantages in speech-sound processing, which could play an important role in early childhood education. To understand the mechanisms of this effect, we used event-related potential and behavioral measures in a longitudinal design. Seventy-four Mandarin-speaking children aged 4–5 y old were pseudorandomly assigned to piano training, reading training, or a no-contact control group. Six months of piano training improved behavioral auditory word discrimination in general as well as word discrimination based on vowels compared with the controls. The reading group yielded similar trends. However, the piano group demonstrated unique advantages over the reading and control groups in consonant-based word discrimination and in enhanced positive mismatch responses (pMMRs) to lexical tone and musical pitch changes. The improved word discrimination based on consonants correlated with the enhancements in musical pitch pMMRs among the children in the piano group. In contrast, all three groups improved equally on general cognitive measures, including tests of IQ, working memory, and attention. The results suggest strengthened common sound processing across domains as an important mechanism underlying the benefits of musical training on language processing. In addition, although we failed to find far-transfer effects of musical training to general cognition, the near-transfer effects to speech perception establish the potential for musical training to help children improve their language skills. Piano training was not inferior to reading training on direct tests of language function, and it even seemed superior to reading training in enhancing consonant discrimination.


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    Sunday 29 July 2018

    How to Combat the Pitfalls of Workplace Stress

    Workplace stress is unavoidable, of course, but for many Americans it’s become a chronic issue. According to the APA’s studies on Stress in the Workplace, 65 percent of U.S. employees cite work as a significant source of stress with many complaining of constant stress at work.

    “More than one third of U.S. workers feel chronically stressed out during the day,” said David Ballard, Psy.D, director of APA’s Center for Organizational Excellence, and an in-house expert on work-related issues.

    One would think that with all the knowledge and tools at hand, psychologists and their practices would avoid most of the obvious pitfalls for workplace stress. That is not always the case, however.

    “There are some unique aspects for psychologists when it comes to workplace stress,” said Ballard, “and there are overarching work stress issues common to all professions as well.”

    Common Issues

    Constant changes to the health care system and sinking reimbursement rates can be a major source of aggravation, he added, noting that, in many cases, therapists can spend more time dealing with administrative tasks than with the mental health care they were trained to do.

    Plus, because of the higher level of emotional engagement required by therapists, the levels of burnout in the profession can be higher.

    Burnout can disguise itself in devious ways, Ballard explained, and it is important to recognize the signs.

    “Start out with a good sense of self-awareness of your own stress levels,” Ballard said. “Understanding what stresses you out and identifying your symptoms is key.

    Some people may have headaches or a lack of energy, while others may find themselves getting into interpersonal conflicts or having difficulty making decisions.”

    How one deals with stress is the main issue. Beyond basic self-care of exercise, good diet, and sleep, what else can a therapist do?

    Coping Mechanisms

    It can take constant diligence and stepping back to look at the big picture to keep both one’s own schedule under control and to make sure that the entire practice adheres to low stress guidelines.

    “I think it’s been important for me to remember to always practice what I preach,” said John Agee, Ph.D, clinical psychologist and owner of The Gardiner Center for Stress Management in Gardiner, Me.

    “We are always telling our clients that they need to be mindful throughout each day, even at a traffic light, and we need to do those things, too.”

    The bigger picture view helps keep things running more smoothly, Agee said.

    “For me, I went into private practice so I could have a flexible schedule, take a walk in the sunshine so to speak,” he said. “It is so important to keep remembering to use that flexibility and to encourage my staff and colleagues to do the same.”

    Outsource administrative tasks and avoid booking clients one after another, he said, to reduce emotional exhaustion at the end of the day.

    Keep “play time” as part of your life: going for a run, taking a yoga class, heading out to a wine tasting or a movie, or even curling up with a good book.

    And then there is the elephant in the room… or rather the small handheld computer … that we all know brings more stress into our lives but is very difficult to put down.

    The cell phone that we carry with us may seem like a life saver but it has raised stress levels over the past two decades.

    “There is an increased expectation to be available at all times,” said Agee.

    Taking a technology break during meals or a long walk works wonders with reducing stress. It may be counter-productive to do it for too long since catching up on missed calls and emails can bring on more stress, but short, definitive breaks added to each day allow the brain a chance to disconnect and regenerate a bit.

    With staff, make sure to have a supportive environment where employees feel they are being heard, paid fairly, and able to enjoy their own lives outside of the office.

    Hire for “good fit,” Ballard said, be sure to offer training opportunities, provide both guidance and autonomy and ensure proper mental health support for staff.

    Perhaps the biggest tool for creating a low-stress workplace environment, of course, is reducing stress at the top.

    A crazed, erratic boss raises the stress level for everyone else. So, when taking time off to “walk in the sunshine” seems like a waste of time, think of it as an investment in the overall health and well-being of your practice.

     



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