assertiveness

December 27, 2020

The Things Unsaid

Wise words come from many places. Whether the pictured quote is Arabic, Chinese, or Mongolian in origin, Ted Chiang rephrased it this way:

Four things do not come back: the spoken word, the sped arrow, the past life, and the neglected opportunity.*

Since I’m not an archer or a time-traveler, I’ll take a crack at the first of these, the words we say or leave unsaid. Some prove necessary or useful when uttered. Others fall flat, pass unnoticed, or enlarge misunderstandings. Still more cause injury.

In contrast, thoughts upspoken might best remain inside oneself, the better to fade like a penciled note long exposed to the light.

Should at least a few of your unexpressed expressions be released from their internal exile? Could they build you into a person who must be taken into account instead of one whose desires remain unknown or dismissed?

What to do? I offer some less than perfect guidance. Anyone who says he always knows when to speak and when to keep silent is a wiser soul than I.

Become assertive enough to say what is essential.

If you endure persistent fear of harming another, you will converse little or turn expert in conversational trivialities alone. Many who dread causing injury doubt the worth of their opinions and their way with words, expecting rejection of the message or themselves.

Most of us have our own default settings, a baked-in tendency either to say things or keep silent on delicate subjects. Developing the capacity for direct speech shouldn’t be sidestepped in a world of voices ready to cut you off and talk over you. The courage to speak when others hesitate offers the opportunity to develop a commanding presence.

Unless you wish to invite anonymity, you must say to some segment of the world, “Here I am, deal with me.” By doing so, you claim a sense of yourself.

The ability to convey sensitive words face-to-face will, at least, give you a choice of whether and when to verbalize, rather than leaving you capable of silence alone.

Expect to fail.

No one engages in successful communication at every opportunity. Conversations falter more often than we’d like.

Within the past year, a friend told me I was the single person in his life who expressed difficult truths he needed to hear. When I asked his permission to comment on sensitive matters, he encouraged me. A complaint about himself from his work supervisor caused him to ask for my opinion.

The gentle fellow didn’t believe anyone in his group of family, friends, or parishioners would provide a frank answer to the workplace accusation involving his personal hygiene. He wanted to know whether I detected the problem. No one else could be trusted, he said.

“No,” was my response, “I notice nothing offensive.”

I do not doubt either his decency or the gratitude he offered on multiple occasions. Months later, however, I expressed an unrequested piece of advice, mild, I believed, concerning Coronavirus precautions. He became angry, not because of political differences. The relationship fractured though I did not trade barbs, no matter his earlier thanks.

I’m not suggesting on which side right or wrong fell in this formula for unhappiness. My point is these are complex matters, the results of which aren’t always predictable or desirable. Yet humans still must speak.

The danger of holding things in.

The weight of unexpressed emotion grows as our anger, sadness, and injury accumulate, piling up and piercing us like broken slabs of sidewalk. For those who continue to bear this distress, psychological collapse becomes a risk. Costly methods of coping take the pained individual in a destructive direction. These include substance abuse, endless self-distraction, and flight from much potential social contact.

In the worst cases, the silent suffering spills into depression or momentary but outsized rage. Small things tip the balance. Witnesses won’t know about the unmentioned insults leading to explosive dyscontrol.

Ironically, the one who quietly bore the painful injuries gets labeled as “the one with the problem.” When asked why they didn’t speak earlier, such patients told me they “couldn’t find the words” to convince the offending party of his error and injustice. Too many described them as too sensitive.


There are no guarantees with words. No alchemist or sorcerer provides aromatic potions of syllables capable of filling the air with just the right inflection, volume, rhythm, and order of nouns, verbs, and adjectives.

Nor can we buy the perfect facial expression with which to deliver those sounds, the ideal amount of eye contact, an untrembling voice, and steadfast self-assurance. Stores sell no commodities to ease our most important and intimate communications, not even mask and costume shops.

One of the finest spontaneous public speakers I ever knew never mastered the art of saying the difficult things I’m describing. Occasional private verbal explosions resulted. Then his words lost the measure and eloquence his formal audiences heard.

Though none of us are at our best when internal passions bubble over, the need to recognize and reduce inappropriate anger is essential.

Self-expression can be more important than achieving understanding.

Some things need disclosure despite unlikely comprehension by the listener. You must stand up for yourself. The most dramatic examples from my practice came when newly decisive and brave abuse survivors confronted their abusers. Their triumph was in overcoming their fear. Whatever the words, their essence was this:

You won’t admit what you did, but you will never do that to me again. I won’t let you.

Conclusion.

Those of us who have forgiving friends or lovers are lucky. We receive acceptance and affection despite our less than stellar moments — the rash “spoken words” that “will not come back” among them. The survival of our relationships depends on our display of the consideration these kind hearts offer, recreating ourselves to become as forgiving as they are.

We live in a season of unusual sadness. Disease statistics tell us future opportunities to communicate with dear ones are not ensured. Endearments must not be postponed. The moment commends us to reach out to the estranged, including some of those we have injured or who have injured us.

Our intimacy and contentment depend on it.

—————

The last two images are the work of Laura Hedien, with her generous permission: https://twitter.com/lhedien

The first is of the Narrows at Zion National Park in December 2020. The second 2020 photo displays a Sunset in New Mexico.

* From The Merchant and the Alchemist’s Gate by Ted Chiang. Thanks to Phil Zawa for his introduction to this dazzling short story.

July 19, 2020

When Someone Says, “Others Have It Worse!”

People say you make more of your problem than you should. You know their names.

They use a variety of expressions:

  • Get over it!
  • Man up!
  • Don’t be a baby!
  • It’s not so bad!
  • Buck up!
  • Others have it worse!
  • Be a man!
  • You need to tap your will power!
  • I’ve gotten over worse myself!

Your critic implies pain is a competition. If you gain the gold or silver medal, your hurt is justifiable to them. The rest of humanity, you included, ought to recover. Soon.

There are always those who score higher on the calamity scale, but their misfortune is irrelevant to your condition.

You are not a rubber ball, ready for a quick rebound. Even spheroids deflate or lose elasticity.

Many of those who utter such phrases claim they mean to be encouraging. Maybe they also throw in the expression, “You are feeling sorry for yourself.”

Self-care requires self-soothing. Grant your afflicted soul sympathy, not censure.

The friends who judge can be impatient. They suggest you’ve been down too long. A stopwatch does not enable recovery. Slip-ups and relapses happen. A hostile world can grind away, predicaments pile up and add to one’s adversity.

As Hamlet’s Uncle said to his wife,

When sorrows come, they come not single spies, but in battalions.

It isn’t unusual for the other to offer examples of those who found a way to thrive after a catastrophe. All praise to such extraordinary people, I say. Yet comparisons like these are a bit like standing you next to Michael Jordan and demanding you play basketball on his level.

Oh yeah, sorry, I forget you are 5’2″ and 45 years old. My mistake.

Sometimes the man indicting you points to an incredible story of bravery or loss, someone who survived mass murder or genocide. In effect, he tells you, “If he cleared the hurdles, why can’t you?”

Such an acquaintance neglects to mention all those who didn’t survive or triumph, the ones whose stories we never read or hear, many of them dead.

The fellow’s implication is that you are unnecessarily weak when you should be tough and resilient. Perhaps he thinks you bear the stamp of moral failure, a lack of character. The bloke shadows you with shame.

Whatever his motive, he provides nothing of value with words like this and much for which he might deserve blame.

—

I’m assuming you are making an effort. I hope you recognize your shortcomings.

It is in your interest to make the changes you need. If you are 600 lbs. and you believe a diet of soft drinks and pizza are the royal road to weight loss, the other might be alert to an issue you would be wise to address.

Frustration comes with the job of observing somebody you care about fall short. The fellow pointing his finger may be well-intentioned and clumsy with language. Recall whatever kindnesses he offers you or contributed previously.

Your task awaits: heal. Time passes, challenges persist, try again. Give yourself patience and love. Find the proper remedy with professional help.

Ecclesiastes 9:11 of the Hebrew Bible recognizes not all hardship is deserved:

Yet another thing I observed under the sun is that races aren’t won by the swift or battles by the strong, and food doesn’t go to the wise or wealth to the intelligent or favor to the experts; rather, time and chance rule them all.

Uncontrollable events may befall you, but no law compels you to be still and wait for them. Our human race is capable of creation and accomplishment. Search for a fruitful path to your own agency.

The adventure of existence continues with or without your participation. The old baseball cliche reminds us: sometimes you win, sometimes you lose, and sometimes the games are rained out.

For quite a few people, just surviving in the period of a pandemic is a heroic achievement. Give yourself credit.

—

Dissent and criticism, judgment, and shame are everpresent. Listening to disapproval remains a choice.

Walk away if possible, dismiss accusers if conditions permit, assert your worth if this is in you. Not every accusation requires a rebuttal. Again, counseling can provide assistance.

Action awaits, even if you are not now ready. Prepare as you can. Please remember what Chicago’s legendary Studs Terkel used to say:

“Take it easy but take it.”

———————–

The first image is a Frown of Disapproval authored by Me. The second is the Frown photo of Rebecca Partington. Both are sourced from Wikimedia Commons.

April 6, 2019

Thirty-six Righteous People

If you are looking for meaning in life, you could do worse than to consider three dozen people who don’t even know who they are.

The Lamedvavniks are 36 righteous souls whose role in Jewish tradition is to redeem mankind in the eyes of God: by their decency, to compensate for the imperfections of humanity. Their identities are unknown to each other, unknown even to themselves.

Should a Lamedvavnik realize his true purpose and value, he soon dies and his function is taken by another, innocent of the special place he now occupies in the fabric of existence. But for the presence of such precious beings, the Almighty would destroy every human on the globe, as he came close to doing during the Great Flood and at Sodom and Gomorrah.

Each anonymous member of this select group, we are told, is otherwise ordinary. Humility prevents them from any awareness of their uncommon position.

Some religious scholars think the idea of a handful of essential men comes from Genesis, Chapter XVIII:

“And the Lord said, ‘If I find in Sodom fifty righteous within the city, then I will spare all the place for their sakes.'”

Whether one believes in the literal truth of this part of our ancient inheritance, perhaps these stories offer guidance. The question thus becomes, where does the example of the Lamedvavniks take us?

Though I’m no theologian or moral philosopher, this tale suggests to me that each of us holds responsibility for the condition of the world and our fellow-man. Rather than saying, “They should do something!” perhaps we should ask, “What can I do?”

The humble Lamedvavniks are doers.

Act or stand aside. Do right. Repair the world of men and women or let others take it where they wish. Is the planet so peachy a place we are guaranteed to survive nicely without any effort on our part?

All I can say is, if you believe that, please pass whatever you’re drinking this way.

—–

The paintings are both by Paul Klee. The first is called, Two Gods. The title of the second is, The Saint of Inner Light.

May 6, 2018

The Conflict and Triumph of Living in a Family

Most think of a family as a place of safety. Think again. Not always.

At its best, surely it is a place of love. Yet humans interact there, with their potential for a fractious collision of moving parts. Conflict is always possible and sometimes essential, as in all groups.

Even within the nest, the big and little birds are looking for something from the other: dominance, protection, recognition, support, encouragement, gratitude, and guidance. Let’s take this apart a bit, focusing on the issue of dominance and transcendence. By transcendence I mean the individual’s desire to test himself in the peopled world: flourish, make something of himself, strive to “overcome” and take pride in his overcoming. No one wants to be last in line.

Ego and self-assertion are essential for all of us. Without a sense of our “self,” we amount to nothing, get rolled over and pushed around.

Start with the mom and dad. Cooperation is necessary between the parents, but 100% agreement isn’t possible. Definitions of fairness and equity are found in the eye of the beholder. Sexual stereotypes regarding a man or woman’s role interfere. People change over the course of a long marriage. Some of the alteration is a matter of aging, some learning, some of finding oneself. The marriage contract must be revised to accommodate transformation of even one of the mates.

I always asked a new marital therapy couple what drew them together. The answer became predictable: “He/she was hot and we had a lot of fun.” Of course, in twenty-years-time the instant heat has usually diminished a bit and the fun always has, otherwise the team would not be in for a tune-up.

We seek ourselves through others. They reflect our image back to us in work, friendship, and affection. In conflict, too. How we negotiate disagreement in a marriage leads to many possible outcomes: mutual growth, increased or diminished intimacy, and more or less security. Our well-being is affected. Does the couple triumph together, apart, or not at all?

The children, too, are impacted. A first-born can be recognized, loved, and lauded simply for his existence. He needs to test himself, nonetheless. Such challenges come first in getting the parents’ attention and care. Later, the same people will play the role of obstacle on the long road to his self-rule. Siblings (who threaten to take his spot on center stage) represent another hurdle. Outside the home, he seeks the kind of image he wants in the world of strangers.

The child (as he grows) doesn’t need approval for everything, but encouragement in his striving. He must find a place for himself without becoming a doormat at the foot of the staircase of life: someone invisible who may crave self-effacement in a misguided search for safety. Self-aware or not, he requires respect and freedom, striving to create an impact on at least a sliver of humanity, rather than existing as a mistreated and passive instrument for the fulfillment of ambitions in those around him; tossed aside when the user has no more use of him.

If the parents can manage the task, the battles within the family lead to learning and growth. Everyone wins, though bruises are inevitable. For the child to learn to bounce back, he must have someone to bounce off of. Everyone in a well-functioning home gets enough of what they need to take on the world with growing confidence. Toxic parents might enable some children to thrive, while others — those who serve as family punching bags — don’t receive adequate tools to achieve satisfaction and a measure of triumph outside of it: a victory characterized by making a mark worthy of an admiring look and respect; and the confidence to become a productive member of the human community: secure enough, happy enough most of the time, sufficiently persistent and resilient to manage the challenges that come to us all.

Looking at your family, both family of origin and the one you made, helps you to be grateful for what you did get, know what you yet must find, and recognize your part in raising your children to ensure their rising.

We are never free of the need to strive for something — to experience the sense of producing a positive effect in the world of man and nature. All goals will not be achieved by anyone, but we are so arranged that not everything one wishes for is required to make a satisfying life.

—–

The top image is The Painter’s Family by Grigorio de Cherico. The second is The Appearance of the Artist’s Family by Marc Chagall. Both are sourced from Wikiart.org/

April 14, 2018

How Much Intensity? How Much Danger is Wise?

Are we too preoccupied with safety? I’m not a man perched on the razor’s edge, but sometimes I wonder about the question.

Truth is, Britain’s playgrounds are being made less safe – intentionally. The aim is to promote resilience in children. They hope to overcome the oversight of “helicopter parents” and grow some hardiness in the little ones.

After all, if we want them to become farmers or auto mechanics, they need contact with dirt; if surgeons, there will be blood.

I understand the educators’ concern about an antiseptic upbringing. The suburban life of children where I live is doubtless more protected than the one I found within Chicago long ago.

Concrete-paved alleys and empty lots were my playground, not nicely mowed and supervised school yards. Broken glass might be present from garage windows exploding upon impact with a hard-hit ball. The flat-roofed garages voiced a siren song enchantment, leading us to shinny up their drain pipes for balls lofted on top by accident. Telephone polls were part of the narrow field of play, stones pleaded to be thrown, and an occasional garage abutment was an immovable obstacle. One such clobbered me as I tried to escape being tagged in a game of touch football. Much earlier I’d lost part of a front tooth when I tripped and kissed the ground mouth-first. Might have been my first kiss, but not my best one.

Risk is unavoidable short of a straight-jacketed life. Homes and virtual friends are more sanitized than the peopled world of sex and struggle. One finds a dispenser of hand cleanser everywhere one travels, it seems. We watch our heroes, real or imaginary, taking chances on screens and in stadiums. Us? Not so much.

The ones Nietzsche characterized as the future Übermenschen (supermen) would be the bold ones, the strivers and tightrope walkers. They would stretch themselves in a search for fulfillment of all they could be. Danger was an invitation to living, transcendence of self, (and suffering, yes). Play requires this. The fenced in “herd” might be safer, with fewer challenges, but no life survived their enclosure – no dreams and little joy – only obligation, restriction, and cringing. Too much self-consciousness, for sure.

Some of us find safety in well-worn ideas, the ideas shared by our peers. Learning too can be dangerous; thinking for yourself, as well. So we cling to religious orthodoxy or the received wisdom of the tribe. For myself, I’ve grown tired of hearing the same thoughts over again, unless they offer some poetry of expression. I’d rather be stretched to see if I can think in a new way about new matters. Or reject the ideas because they are only “different,” not “better.”

I try to be an honest man for lots of reasons, aware of this cost: “The life of the honest man must be an apostasy and a perpetual desertion.” So said Charles Péguy, who thereby warned us that our honesty would often be displeasing. Frankness is dangerous enough for me most of the time.

For many, making a phone call is a challenge, raising your hand is a risk, asking for something a set-up for disappointment. Therapy, too, represents “the undiscovered country.” Perhaps you don’t want to visit. Where is danger absent? True, the wax wings Icarus wore melted when he got close to the sun, but he did have quite a ride. I guess security can found in a suit of armor, unless the metal gets rusty. Doesn’t all of our psychic armor get rusty?

The perpetual dawn we want is asking the impossible, but searching for it beats a lifetime in a cave. A part of us wants to breathe the air of another place, another planet.

What to do? First know yourself. How much intensity can you take? If you suffer from anxiety, distress will not disappear except by stretching of the rubber band of your soul; albeit little by little.

Some live for the dance, lose themselves in the music of life, and allow tomorrow to come when it comes. Yes, grief is a possibility, but, as Nick Romano (John Derek) says in the movie Knock On Any Door, you then “live fast, die young, and have a good-looking corpse.” Sounds reckless, but we do need something to enliven us, avoid the slow-death of routine and saying a perpetual “no” to opportunity and adventure. In my estimation, many of us, much of the time, live in an emotional safe zone than permits personal and societal growth. Still, don’t be Nick Romano. Perhaps a recommendation from the stoic philosopher Seneca will appeal more than Nick’s words:

It is truly said … by Curius Dentatus, that he would rather be a dead man than a live one dead; it is the worst of evils to depart from the world of the living before you die.

Intensity can be too much. It doesn’t take long to ruin your life (or your sleep) and good judgement is a precious quality not found at the store. But don’t assume maturity always means being careful. There is wisdom, too, in finding out what you are missing before you miss it.

April 7, 2018

Can You Be Too Good? Therapy as Self-Creation

“Being good” is a much misunderstood thing. The question for today is whether goodness requires the acceptance of a place near the end of any line worth standing in … and perhaps too much reflexive obedience to authority.

Leaders often equate morality with rule following: accepting the limitations offered by those who “know better.” Such guidance comes couched in terms of superior external direction designed “for your own good.”

Beware.

The words “for your own good” have been delivered both as loving concern and an excuse to keep powerless others, especially children, in their place. Then the recipe for “goodness” creates and reinforces insecurity, hesitation, and self-doubt. Praise is cold comfort for those broken under the weight of their obligation to comply.

The counseling profession would be much smaller but for the many survivors of parental indifference, neglect, or mistreatment. The cadre of crushed lives is on high alert for signs of disapproval. Soldiers in this “battalion of the lost” ask for little. Their hopes reside in the belief their superiors will properly weigh their talents and give them what they’ve earned. They stand at attention and wait. Perhaps some think raising a hand is unnecessary in order to achieve quietly coveted recognition. Others are afraid their uplifted arm will be deemed insubordinate.

The multitudes indeed sometimes receive the desired reward. Fairness is served. But random events can disrupt their plan, as can attention paid to the more assertive. Do the meek rely too much on Jesus’s confident assertion, “Blessed are the meek, for they shall inherit the earth”? Even though his promise was a heavenly reward, one must ask how much deference and disappointment is required in this life.

Friedrich Nietzsche, the often misunderstood 19th century German philosopher, warned that conventional morality was an inducement to timidity. He recognized it as a method of control in the hands of both church and state, a kind of spiritual tranquilizer. Nietszche believed such a morality stifled creative powers in the best of men. Instead, obedience, guilt, and servility were encouraged. Other byproducts might include loss of ambition, confidence, and pride. The “herd” humans (Nietzsche’s term) would thus hesitate to assert themselves, be vulnerable to judgement from outside and inside, and abandon their dreams and desires as too self-centered; if they even recognized they had any.

Simone de Beavoir, author of The Second Sex, put the need for self-realization this way:

Every individual concerned with justifying his existence experiences his existence as an infinite need to transcend himself. This means that in focusing on the individual’s possibilities, we will define these possibilities not in terms of happiness but in terms of freedom.

We are left to ask how much docility is necessary within a competitive society? How much vulnerability to shame is too much? How much deference to your fellow-man is required to be good? Must you routinely ask permission when no one blocks you from opportunities? Must we always give reasons for what we do? Who says the world expects them? Apology is a virtuous and necessary step toward righting wrong, but what of those occasions when no one is injured and you automatically beg forgiveness anyway?

“Wanting,” and “taking” are qualities in need of some limits, lest our lives become a free-for-all. Nietzsche would admonish you, however, not to “throw out the baby” of a fully realized life “with the bath water” of a march-step set to an alien rhythm, ignoring the drummer inside you. The human race survived because it wanted many things, including mates and the ability to defend itself. And, the philosopher would argue, to manifest a “will to power” in the most talented among us.

Thus, the question is transformed from “How much acceptance, obedience, and subordination are required?” to “What will I make of myself?”

Will you grasp the world in your hands, not hope it will come to you ready made? Therapy, within such a model, is not only injury repair, but an invitation to self-creation.

Society clearly requires rules, enforcement of the law, and punishment of those who flaunt it. How then are we to reconcile our moral and civil responsibility to “be good” with our urge to fulfill ambition and desire? Surely virtue does not demand insecurity, and a damning up of that which strains for accomplishment, recognition, and joy.

Perhaps ancient ethical guidance offers us something after all. Rabbi Hillel, the Babylonian Jewish religious leader of the pre-Christian era (a teacher who would have been admired by Jesus) is famous for two lines of thought. The first, according to Wikipedia, is authorship of The Golden Rule:

That which is hateful to you, do not do to your fellow.

But Hillel also said something else:

If I am not for myself who is for me? And being for my own self, what am I? And if not now, when?

No good person wants to cause suffering. Should he not be encouraged to avoid the unhappiness of a self-diminished, inauthentic life?

Can you walk the tightrope connecting Hillel’s ideas? To find yourself and reach your potential while fulfilling The Golden Rule?

To be an advocate for yourself, secure in your right to do so, and at the same honor and defend the rights of others — your responsibility to the community of man?

To avoid choosing self-martyrdom and passivity, passed over and passed by in the hurly-burly of each day?

To seek joy as a decent, responsive, concerned citizen of the world?

Life challenges us to do no less.

—

The Angel Emoji was created as part of the Noto Project and sourced from Wikimedia Commons. The Good and Evil Angels is the work of William Blake, sourced from Wikiarts.org

February 12, 2017

What You Can Do When Trauma Reminders Intrude

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Victims are easy to identify — or so we think. We see them on TV each day. We are inundated with injury. Too many terrified people, mistreated people, and survivors of war zones and privation carrying their children and belongings. The images arrive from displaced persons camps, airports, and highways.

Look in the shadows, however, and you will find even more. Those are the second-hand souls, the past sufferers, the ones reinjured at a distance.

The men and women to whom I refer are recovering from Post Traumatic Stress Disorder. Some of them are rebroken by watching or reading about the latest victims and the menacing public statements of elected officials. They shudder at the unpredictability in the air. According to the conservative columnist David Brooks, we are witnessing  “a rising tide of enmity” in the USA. Indeed, swastikas have appeared in the public library men’s room of my own suburban Chicago community.

Yesterday’s unfortunates are reminded of their imperfect healing by the incivility and xenophobia around them. Their bodies respond by saying “fight or flee.” A sense of being flooded, overwhelmed — even to the point of collapse — sometimes is not escaped for minutes or days.

Retraumatization of this kind can leave the individual disoriented and dissociated. He may undergo flashbacks of his past: a psychic reexperiencing of the event. At the extreme, there is the loss of awareness of where you are, in what circumstances you are, what age you are. You time-travel to a place you escaped, reinstalled into a mental chamber of prior misfortune. Perspiration, nausea, tearfulness, and intense fear are only a few of the possible sensations and emotions.

You are alone, even if others are nearby. The triggered individual is often unable to describe his internal world. He is awash in a fetid river of word-preventing feelings. The proper vocalizations do not come.

What is one to do?

Here is an example of a young man who dealt with a mild version of the problem, but still enough to put him in treatment. He was in his early teens. A bike accident — he was struck by a car — left him with a painful recovery. Even after the physical injuries healed, the newspaper account of the collision — one which blamed him — still felt like an attack. Moreover, the intersection where he had been hurt remained dangerous. He felt both unfairly targeted and helpless to do anything either to vindicate himself or prevent harm to others. He continued to avoid the location, but traffic reports of pedestrian injuries (regardless of where they occurred) darkened his mood and made for painful and repeated revisiting of his experience.

One aspect of his treatment was a turning point. We talked about what he might do to get a sense of control and counter the wrong and wronging newspaper account. This thoughtful adolescent wrote a letter to the reporter who covered the event. Two things followed: 1. His comments were published in the newspaper. 2. The reporter researched the statistics pertaining to accidents at the place of injury and wrote another article detailing the danger. The city council then investigated the matter and made the intersection safer.

Where does that leave you?

You can, of course, hold your hands over your eyes and plug your ears. The avoidance of TV and radio is a close equivalent, as is holding to an agoraphobia-like self-protective self-confinement. Though understandable, these strategies must eventually be set aside lest you continue to remain terror-prone.

Another patient of mine, long after her father died and mother denied (in my presence) that any sexual abuse happened, chose to return to her childhood home. This was the site where years of sexual abuse by dad occurred with mom’s knowledge. She traveled 500 miles to get there. As it happened, the house was being redecorated and the new owner permitted her to look around. My client left the spot with a sense of palpable triumph. She had faced-down the ghost of her demon in the place of his iniquity.

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If you are pained by news accounts in the aftermath of the President’s Executive Order of January 27, other actions commend themselves to your attention. The American Psychological Association offered a concerned Response to this Directive on February 1, 2017. It reads, in part:

‘Refugees, particularly those displaced from war zones, experience stress, trauma and other serious mental health problems,’ said APA President Antonio E. Puente, PhD. ‘Denying them entry to the United States, particularly those who have already been vetted, is inhumane and likely to worsen their suffering. This conclusion is based on extensive research and clinical experience … .’

Such policies can lead to a perception of reduced freedom, safety and social connection for those directly affected, as well as for society at large (my italics) … .

Research has documented serious mental health consequences for immigrant children and/or their parents who have been forced to leave the United States, which may magnify earlier trauma experienced in or upon fleeing their country of origin. Sudden and unexpected family separation is associated with negative outcomes on child well-being that can last well into adulthood.

If you have been retraumatized by the human consequences of your country’s immigration policy, your decision concerning any response may be more personal than most. Others, perhaps less impacted in this way, have marched, attended town hall meetings, written public letters to news organizations; and visited, called, or emailed their elected representatives.

In the end, those without trauma histories would be wise to refrain from judging whatever action you choose or do not choose. The world presents many chances to reinvent ourselves and repair the injuries it inflicted.

Remember, however, that you and your therapist aim to help you distinguish the present from the past, both intellectually and emotionally: to realize you can act today in an effective way not possible before. And to keep the past from recurring in any form by your self-affirming assertive actions.

—

The top photo is a Syrian Refugee and Her Newborn in Ramtha, Jordan taken by Russell Watkins for the UK Department of International Development. The second image is a World War I propaganda poster called Every Girl Pulling for Victory by Edward Penfield, created in 1917. Both are sourced from Wikimedia Commons.

December 13, 2015

The Five Biggest Regrets and Why They Might Not Apply to You

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My mother used to say, “Regret is a painkiller for fools.” Her early life was tragic and her words were — I think — a way to justify her decision never to look back. But mom’s aphorism does raise a question: how much attention must one pay to those who tell us about their poor life choices as they reflect on their past? Are we smart to use their experience — what they wish they did or didn’t do — to change our plans?

Not necessarily.

Here is an example of the kind of “wisdom” I’m talking about. A palliative care nurse, Bronnie Ware, wrote, The Top Five Regrets of the Dying.* Her list comes from her work with those near death:

  1. I wish I’d had the courage to live a life true to myself, not the life others expected of me.
  2. I wish I hadn’t worked so hard.
  3. I wish I’d had the courage to express my feelings.
  4. I wish I had stayed in touch with my friends.
  5. I wish that I had let myself be happier.

Let’s look at these and see if we agree.

I’ll combine regrets 1, 3, and 5. The courage to take risks is the link among them. Indeed, the word courage appears in two of the three regrets I’m talking about.

Ware heard patients lament giving-in to others, doing what was expected, and failing to push back when pushed around. In order to be true to yourself you must take charge of your life and disappoint or anger some others. True, “the courage to express (our) feelings” is dangerous, since most of us find disapproval unpleasant, and vulnerability an invitation to attack. The reward, however, can be great. As to letting yourself “be happier,” Ware observed that many of her patients — only too late — recognized the need to break out of safe routines and travel outside of their zone of comfort. This, they believed, was the road not taken: the path to happiness.

Oscar Wilde’s witticism encapsulates much of the last paragraph: “Be yourself; everyone else is already taken.”

I applaud Ware’s odd-numbered reminders to lead a courageous, assertive life. I’m less sure, however, about regret #2: “I wish I hadn’t worked so hard.”

Here is what she wrote:

This (regret) came from every male patient that I nursed. They missed their children’s youth and their partner’s companionship. Women also spoke of this regret, but as most were from an older generation, many of the female patients had not been breadwinners. All of the men I nursed deeply regretted spending so much of their lives on the treadmill of a work existence.”

One important consideration eludes nurse Ware: regrets can also pertain to a less work-driven life: “Gee, I should have accomplished more. I ought to have been a better provider for my family. I might have made a name for myself.”

Marlon Brando said something similar in the 1954 movie On the Waterfront, playing a washed-up boxer:

I could’a had class. I could have been a contender. I could have been somebody — instead of a bum — which is what I am.

Rational or not, men, in particular, live with the genetic drive to make their way in the world. Many do regret having worked too much, too hard, too long — regret the loss of time with spouse and children. A different life, however, might have caused them not only end-of-life regrets, but disappointment in themselves for most of the preceding years.

Ware’s last item describes the elderly who told her, “I wish I had stayed in touch with my friends.”

Philosophers as far back as Aristotle would say Ware hit the target here, and are supported by psychological research on what brings life satisfaction. Nonetheless, maintaining friends is a time-consuming task: making phone calls, writing email, traveling to those chums who don’t live nearby, remembering work buddies when you leave the job, and sending birthday cards. Your vocation, as well as the spouse, children, and laundry contend for the hours available on the clock. We are never permitted more than the usual 24.

A couple of additional considerations: Bronnie Ware’s dying patients were living in a different body with a different agenda than their younger selves. The seniors looked back and judged from a once-in-a-lifetime perspective — literally. When they weighed their life experience on the equivalent of a bathroom scale, did they get an accurate result?

Here is what Nobel Prize winning psychologist Daniel Kahneman wrote on how we think about past experiences when we reflect on our memories of those experiences: “Confusing experience with the memory of it is a compelling cognitive illusion … The remembering self is sometimes wrong, but it is the one that keeps score and governs what we learn from living … ”

Kahneman gives an illustration of this phenomenon:

(A man) told (me) of listening raptly to a long symphony on a disc that was (damaged) near the end, producing a shocking sound, and he reported that the bad ending ‘ruined the whole experience.’ But the experience was not actually ruined, only the memory of it. The experiencing self had had an experience that was almost entirely good, and the bad end could not undo it, because it had already happened. My questioner had assigned the entire episode a failing grade because it had ended badly, but that grade effectively ignored 40 minutes of musical bliss. Does the actual experience count for nothing?

Which self should count? The self who lived the experience or the one who recalls the events through the imperfect, sometimes warped lens of time?

You can answer Kahneman’s question for yourself. To me, the notion of 25-year-olds being subjected to the “wisdom” of 75-year-olds cannot always result in proper guidance for the young. The same caution applies if the 25-year-old and the 75-year-old are different versions of one person. Your 75-year-old judgment cannot do justice to your 25-year-old’s life choices any more than your 25-year-old self can anticipate the manner in which he will judge his life at 75. If you are in life’s first half, then you must live by what counts as wisdom for the body you inhabit, the instincts you have, the great ideas you’ve read about, and the thoughtfulness only someone in your life-situation can possess.

Among the most perceptive observations about the human experience comes from the Stoic philosopher Seneca in his treatise, On the Shortness of Life:

Small is the part of life that we really live. All that remains of our existence is not actually life but merely time.

If Seneca is right then the best advice is easy: live.

—

*Thanks to my wise buddy John Kain for calling Bronnie Ware’s work to my attention. The top photo is called Mood Disorder, by Specialtoyoutoyou. It is sourced from Wikimedia Commons.

September 20, 2015

The Therapist’s Office as a Refuge

Therapy sessions have changed. Or perhaps I should say, they are the same as always, but the world isn’t. The consulting room remains a quiet place for quiet conversation. Everywhere else is noisier and more crowded, with fewer spaces of refuge and much distraction. Almost nowhere are you (and you alone) the sole concern of someone who is not your small child.

You are worse for this, but something can be done. More on taking action later.

First, let’s look back before the advent of cell phones. I’m speaking of the days prior to elevator music (unless you brought a violinist with you), TV, and radio. In other words, less than one hundred years ago.

If you don’t live a rural life or reside away from flight paths and railroads, you probably don’t know what has been lost.

Where else, other than in therapy, do you obtain the undistracted concentration of another? Not over dinner if the TV is on or music is playing. Not if your phone is on. Not if you or your partner are reading or looking out the window.

I recall a single-cell cartoon showing a middle-aged couple over coffee. He is reading the newspaper and his partner is talking.

“I’m sorry dear, I wasn’t paying attention. Can you repeat everything you’ve said since we married?”

The draw of the personal phone is powerful. According to a 2013 survey, “At least 9 percent (of those surveyed) admitted to grabbing the phone while having sexual relations. Among those 18 to 34 years-old, the number climbs to 20 percent.”

This finding gives new meaning to the word “threesome” and the phrase ménage à trois.

Some patients might benefit from a public address announcement requesting them to turn off electronic devices. Would they want their surgeon to take calls while operating on their brain? For much of my career I made sure I couldn’t be summoned instantaneously. Patients understood I checked messages a few times a day. The ER was available if they needed urgent care. Nobody died.

Many of us complain of lacking intimacy, but the little bugger in our pocket mocks those complaints. Should you wish someone’s full attention, start by giving it.

Why must the TV be on during dinner, creating a hurdle to conversation? How many TVs do you own? The husband of a friend installed a television in every room of their home, including the bathrooms. He was neither a patient nor a patient man, by the way. I recall a famous therapist who carried two cell phones. I once saw him holding conversations on both simultaneously.

I’d guess, for some of you at least, the unconscious draw of counseling is not only your therapist’s help, but that the time is yours, yours alone, without disturbance: a refuge.

I realize a few of you need noise — the hum of things — to distract you: the radio or TV chatter makes you feel secure and reduces your loneliness.

However, if you don’t fear the stillness, and want greater relationship intensity and intimacy, here is some guidance: an antidote for the monstrous, electronically hectored life you live.

First, acknowledge that your life is partly of your making.

Then, take control. Make the days what you wish them to be, don’t simply endure them.

You need not tolerate people who invite their phone to dinner with you. You can say, “I thought this was for the two of us alone,” nodding in the direction of the inanimate third-party on the table. Smile sweetly when you do.

Sell or junk all but one or two TVs. Exclude electronics from dinner at home.

The family will not cheer this: “Mom! Dad! This is the 21st century! Everyone else does this. Why are you punishing me?”

Turn off the music. Sound proof your room. Get ear plugs. Go to quiet restaurants. Spend time in the country. Alert companions that you are no longer a slave to your phone, the Twitter account, and the latest update on their visit to the w/c.

If you struggle to do these things, perhaps you need to talk with a therapist about self-assertion.

Whose life is it? Who’s the boss, applesauce?

Have a nice day!

No. Make a nice day.

Rant over.

August 21, 2014

Signs of Insecurity: Behavior That Reveals a Lack of Confidence

Here is a post many people have found useful. This version has been updated since its publication in 2010:

Dr. Gerald Stein

https://drgeraldstein.files.wordpress.com/2010/07/insecurity.jpg?w=225

Insecure people often reveal their self-doubt without being aware of it. Indeed, a wise observer can “read” another individual. For example, members of the Chicago Symphony Orchestra have told me they can tell whether a new conductor is competent and talented within 10 minutes of the beginning of their first rehearsal with him.

What follows is a short list of behaviors that suggest insecurity:

  • 1. Are you able to give a compliment? Even more important, can you graciously accept one? The latter behavior tends to be difficult for someone who is unsure of himself. He might blush or become flustered. Alternatively, he is prone to dismiss the validity of the praise, instead telling you why it isn’t true. What should one do if complimented? Smile and say “Thank you.” Nothing more.
  • 2. An inability to maintain eye contact is hard for many individuals who lack confidence. They will turn away…

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