Disarming Your Negative Thoughts: How Meditation Helps

We expect too much of language. People use it to console, laugh, and express love. Phrases manage our relationships and help us make a living. We grab them to persuade and to injure.

Regrettably, our words also damage us. I refer to the private internal self-torture we alone can hear.

One remedy for this problem does not involve the pitiless expressions themselves. Instead, the method helps get us away from the typed black and white creatures inhabiting dictionaries, the ones we utter within our inner sanctum.

Allow me to explain the background first.

In cases of depression and anxiety, the voice inside our head is leaden, crushing. The word contraption called the brain pumps out endless discouragement, self-doubt, potential catastrophe, regret, and self-blame. All in letters of the alphabet, all caps in a giant font.

Some of this is caused by our genetic wiring, some learned. Homo sapiens survived because ancestors could anticipate problems and plan for defense. Communication helped. Thinking ahead and in our head was vital, allowing reflection on the past and learning from personal history, too. We take in criticism as they did, especially when young, to better adapt to conditions, meet inescapable demands, and achieve acceptance by the community.

For the troubled among us in particular, when nothing else occupies our attention, invading armies of words sometimes describe an unfortunate back story, accuse one of inadequacy, and generate fear of the future. The space between the ears is filled with emotionally charged, unsettling sentences. We try to avoid or escape them by occupying our time in productive and joyous activities, embracing love, and engaging in hobbies.

Some use the radio or TV to drown out their self-loathing. Books might distract, video games entertain. Others imbibe alcohol or take drugs. The lucky sleep self-recrimination away, fortunate unless slumber is all they can do.

When work and play are done — often late at night or when we are by ourselves — the loquacious intercranial attack picks up. Try as we do to kick the phrases away, they rebound in our direction. The more our ideas are repeated internally, the more they boomerang, as if connected to a rubber band we can only stretch so far before a snapping return to the original shape, shooting the trouble back at us.

The harsh routine at its worst implies, “Sorry, your lifetime allotment of happiness is used up.”The task for winning the battle for our distressed brain’s attention is to drain the words of their power. Cognitive Behavior Therapy (CBT) can do some of that, increasing our ability to talk back to irrational cognitions.

Traditional dynamic psychotherapy, in addition, aims to relieve us of our sense of unworthiness based on mistreatment by parents and other misfortunes. Grief-work is necessary.

As for the rest, all of us benefit from being calmed and relieved of the tendency to give too much desperate meaning to the reflexive thoughts that seem to think themselves into us and against us.

Mindfulness meditation can address this. The usual instruction is to concentrate on your breathing. If you are like me, a few seconds into early meditation sessions a distraction will pull you away from a focus on the breath. Many of the intrusions are benign and random. This is typical and not a bad thing.

Once you recognize what happened you are informed how your mind works. Even more so, if the topic taking your attention off breathing is challenging and you notice this. Maybe it’s anxiety or worry about what is before you, perhaps downing yourself over a comment you made or sadness and anger about what a neighbor said about you.

The new meditator’s job is observing the unpleasantness and then returning attention to his inhalation and exhalation. You don’t flee the interruption, indeed you recognize it without judgment. Meditation experts tell us our value judgments (good/bad, right wrong, pleasant/unpleasant, positive/negative, wise/foolish) make such disruptive notions and feelings more painful than would otherwise be the case.

When everything goes as planned, a practice of daily meditation allows you to accept these thoughts for what they are (just thoughts). Life gets a bit easier. One’s intelligence is pulled away from self-disparagement, concentration improves, and you become calmer. Your head is emptied of incessant involuntary terminology and its tag-along emotions. Words separate from their previous emotional resonance and residue.

In one sense you have grown more observant of your cognitive and affective private life while more distant from it: less trapped and victimized by the historically fraught words. Their grip on you is loosened. A state of liberation follows, along with an experiential realization the punisher inside is not your master any longer: not essential to who you are.

A personal example: I once went to the Emergency Room with unendurable, hours-long pain from a kidney stone. I’d encountered a few such hard but injurious objects before, but never so lasting and punishing. I was given morphine, a narcotic.

Once medicated my body reminded me the affliction was yet there, but I was distanced and detached from the hurt: more accepting of it. I no longer cared. My feelings about the discomfort dissolved. For a meditator who is far enough along, the concepts once capable of hijacking your well-being lose the authority to harm you, though you still sometimes note the same terms in your head. You stop giving them importance, thus robbing them of their “truth” and impact.

Instead, you deem the terms as arguable statements, not indictments of your worth. They rest easier, not allowed to be a part of you, not taken to heart. These perceptions and notions have detached from your identity. The experience is like reading a book or watching a movie about someone else, not you. Separation from such things permits you to see the world and yourself in a more objective fashion.

In effect, the meaningful labels you attached to many of these internal communications lose their sticking ability, as if the “glue” adhering to your self-image dried up. The stickers fall off. The readiness to judge falls away. Room for beauty and fascination take up space once occupied by darkness.

Nor is your decision-making as likely to be influenced by the hyper-emotional thought-generation machine. The enemy within the language has been disarmed. Life can be more in your control, free of the ever-growing clutter of self-inflicted emotions and concepts you’ve been living with. The reprogrammed cerebral cortex is more settled. Moments of serenity are possible.

Do not minimize the amount of work involved in the process. Most people I’ve known who try meditation give up early. They believe they are “bad at it,” bored, or report the assault of troublesome beliefs and worries entering their attempt to quiet the mind makes them worse than before. Others only begin when their suffering is already at a peak rather than when depression or anxiety is not so present. Some find the needed time and discipline of a once-a-day devotion to the endeavor more than they can do.

I can only say that persistence, dedication, and the capacity to wait for delayed gratification are useful in meditation and much else in life. Combined with CBT (including any needed grief-work), the world may open to you in a new and better way.

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The first photo is of Cadillac Mountain in Arcadia National Park. Next comes Composition VII by Kandinsky, followed by 72 Seconds Before Actual Sunrise, Southern California, USA by Jessie Eastland from Wikimedia Commons. Finally, The Rayleigh Effect, Seconds Before Sunrise in New Zealand by Moriori, also from Wikimedia Commons.

The Truth About Sex Frequency and How We Know It

Depending on who you consult, people are either having lots of sex (more than you, by the way) or a significant amount less than they report. Which “truth” shall we believe?

A June 11, 2019 Cosmopolitan story tells us Millennials are blessed in this department — “killing it in the bedroom,” reports Julie Vadnal. There are reasons to hesitate before accepting the conclusions in her article, however.

What people say they do and what they do in reality can be different. Furthermore, her definition of sex covers considerable ground, including “non-penetrative sex, vibrators, porn,” etc.

Is masturbation (solo variety) sex?

Seth Stephens-Davidowitz’s (S-D) 2017 book, Everybody Lies, offers an alternative perspective. His inquiry suggests people lie about many things, and physical intimacy is high on the deception list. Moreover, this research analyst mistrusts surveys, the usual authority on what we know about private acts.

A phone voice or in-person interviewer might not elicit secrets you’d shrink from telling your best friend. A promise of anonymity makes little difference in his view, even online.

Instead, S-D mines information drawn from Google search results. He concludes that the respondents to surveys say they are having more romance than they are.

An example illustrates the point:

Based on 2016 data from straight women who took part in the General Social Survey,* the average female adult has sex 55 times a year. Sixteen percent of the time condoms are worn.

Do the math and you get 1.1 billion rubbers put to the rub per annum.

Before you believe those numbers, consider the following.

Figures from heterosexual males reveal 1.6 billion episodes of latex-type prophylactic employment, about 145% more than the ladies who are their partners!

More doubt about the findings comes from Nielsen, a giant tracker of consumer behavior. Fewer than 600 million condoms are purchased each year. Unless the men and women are making their own contraceptive devices in the basement, both are exaggerating the frequency with which they “do it.”

The General Social Survey used by S-D was repeated last year. Suffice to say, even the GSS indicates the passionate part of many of our lives is on a downhill course. To take one illustration, 51% of 18 to 29-year-olds reported having sex once a week or more in 1996. In 2018 the number was 39%.

Commentators speculate as to the reasons for the decline. Causes might include the reduction in the portion of young adults with live-in lovers and a similar diminution of those with a steady romantic companion.

A smaller percentage of young men with a reliable source of income must also be factored in. The lack of career prospects is presumed to reduce a male’s chances of amorous success.

The overall GSS results are also tipped in the “diminishing copulation” direction by an increase in the proportion of those 60 and older in the population, from 18% in 1996 to 26% in 2018. Though seniors often have a satisfying sex life, Viagra doesn’t transform them into the rabbits of their youth.

Take U.S. adults as a whole and nearly one in four were celibate in the year covered by the last study. Let me repeat: no sex at all for almost 25%.

Stephens-Davidowitz states that grown-up Americans are (surprise!) not happy about the situation.

On Google, “The top complaint about a marriage is not having sex. Searches for ‘sexless marriage’ are three and a half times more common than ‘loveless marriage.'”

Stephens-Davidowitz continues, “Even unmarried couples complain somewhat frequently about not having sex. Searches for ‘sexless relationship’ are second only to ‘abusive relationship.'”

The findings, according to Everybody Lies, suggest more anxiety about love-making than many admit. Our body parts and their size, both too much and too little, haunt us. Other troubling matters unsettle us, as well, not least performance.

From my angle, the preoccupations, inhibitions, and prohibitions likely come from several places. Centuries of religious teaching, fear of disease, and a personal history of self-doubt and rejection can interfere with intimacy.

Add emotional attachment or its absence, the chance and import of pregnancy, and comparisons with movie personalities, models, and X-rated stars. All this and more ratchets up the stakes of getting naked.

Surely the unprecedented level of stress found by the American Psychological Association, greatest among Millennials, enhances no one’s sex life. Life complications and frustrations enter the bedroom on tip-toe, unseen and not discussed. If past events join present and future worries, little space for joy remains.

No therapist can alter the backdrop of our fraught social, work, and political life. Climate change troubles those with lots of time ahead, who should be lustful, more than anyone else. But is the separate worry over muscle tone, shapeliness, execution, and ego justified?

Stephens-Davidowitz comments on this question in passing. The researcher believes there is more forgiveness about the short-falls of bodies, shapes, and sizes than people think. Being in love makes us more forgiving creatures.

Yes, sex is in the air, but love tends to bring out our best selves. For a guy who writes about Big Data and impersonal numbers, Seth Stephens-Davidowitz turns out to be a bit of a sweetie-pie.

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The first image is Self-Portrait with White Gown by Egon Schiele. Second comes A Portrait of Madame Sohn by the same painter. The photograph following is Egon Schiele by Josef Anton Trčka.

*”The General Social Survey (GSS) is a project of the independent research organization NORC at the University of Chicago, with principal funding from the National Science Foundation.”

You might also want to look at other sources for this essay, including Stress in America — Charted/, Record High in Americans Not Having Sex/, and The Millennial Sex Recession is Bullsh*t/

The Curse of Being Average and How to Flourish Anyway

FIRST, THE BAD NEWS: you are not permitted to be average. There is a rule. Surely you know this, even if the requirement is not written. It just “is.”

We think of the rule as a “curse,” one of life’s biggest problems, even if not much discussed. We therefore try to disguise our “averageness,” overcome it, hide it under a sofa.

When it doesn’t fit we get cosmetic surgery, tutoring, and take courses to improve our college entrance exam scores. Or lift weights, get tattoos, use makeup, wear fine clothing, comb-over a receding hairline, and rent the right apartment in the tony neighborhood. We even cheat on tests.

Have you ever met a person who prefers mediocrity? Who shoots for a pedestrian education at a run-of-the-mill school; or wishes he’d come from lackluster parents? “My dad is more average than your dad!” is not heard on the playground. We don’t want an undistinguished job at an average salary in an unremarkable town.

Why do so many worry about this? A few reasons:

  • There are no more small ponds. That is, you can’t easily be a “big fish in a small pond,” a standout in a village. TV, the internet, and the global economy make comparisons with the best people worldwide inescapable.
  • Many others are trying to “pretend” they are not forgettable. We often compare ourselves – knowing our personal deficits all too well – to the surfaces and self-reported glory of those who aren’t always honest in portraying themselves.
  • Life isn’t fair. The Theory of General Relativity had already been invented when you were born. Doing it a second time gets you no points on your score sheet. Nor can you split the atom or invent the steam engine.
  • We tend to compare “up.” We might remind ourselves that we aren’t at the bottom of the scale, but are more inclined to make comparisons with those we believe are “better off” and more worthy.
  • Much of the First World encourages the lie “you can be anything you want with enough effort.” Tell that to the guy who can’t tie his shoes but expects to compete in professional basketball or the lady who fails high school algebra and still wants to win a Nobel Prize in Physics. The media singles out the one person who triumphed over astonishing odds as an example of what is possible, not the tens of thousands who did not. We believe the media.
  • All of us have been transformed by evolution. Our ancestors succeeded in producing offspring who survived. Being above average tended to help in finding healthy mates and outmaneuvering bad guys. We instinctively aim for the same goals.
  • There is no escaping the bell-shaped curve. Think about intelligence. Assume all people fit into the bell-shape below. As one moves to the right of the tall vertical line marked 100, you find those higher in IQ (intelligence quotient). Moving from 100 to the left, the IQ scores get lower. Fifty-percent of all people fall below the arithmetic average of 100. Yikes!

THE GOOD NEWS: Being average doesn’t consign you to life’s landfill. If you don’t believe me, read The Invoice.

You have not only the inherent worth of your humanity, but whatever contributions you can make to society, friends, and family, even if those acts are not recorded in the history books. By the way, my contributions won’t be there either.

Be the best you can be, which in some areas may be above average, in others not. Giving maximum effort is within your power, even if sometimes you will only get a mediocre result. Such is life, no matter what you are told.

Be defiant in the face not just of worldly injustice, but nature’s random assignment of physical and intellectual gifts. Rip your life from Mother Nature’s hands and remake the internal qualities still in your control.

I have watched some of those gifted in the unequal genetic lottery – people of towering intellectual firepower – sink under the weight of a self-imposed desire to be “great” in the judgment of the world. They are like the mythological Icarus, who thought he could (and should) fly close to the sun, not remembering his wings were made of wax and would melt. Icarus fell to earth.

Some journeys are just too dangerous and difficult for all but a tiny few. Some journeys are not necessary unless your make them so. You can enjoy most other trips as long as a rarely achieved destination is not one of your requirements.

Near the end of our days most of us keep our own score – or no score at all. “Not everything that can be counted counts, and not everything that counts can be counted,” as William Bruce Cameron wrote.

If you are preoccupied by the placement of your face on the totem pole of life, the higher the better, you may be missing some things: the appreciation of experiences good and bad, what you can learn from failure and the different lessons taught by success; the value of friendship and love, the taste of food you prepared even if you followed a recipe, the wind in the trees, the smile between you and a stranger, a good novel, laughter …

You cannot make yourself grow six more inches, but you can change your character, make yourself proud of yourself because of your virtue and acts of kindness or fairness, emotional generosity or courage. We must accept some of our limitations. Socrates, still discussed over 2400 years since he died, was said to be a homely, penniless man. He was not concerned. He also married a woman who wouldn’t stop criticizing him. He wasn’t much concerned about this either. Be like Socrates but marry better.

If you stop condemning yourself for “not measuring up,” then you will have more time to enrich your humanity. The loftiness of your character is in your power. If you become an honorable person who demands basic decency of himself, not just others, you will have accomplished something beyond price or rating.

As Queen Elizabeth II said, “the upward course of a nation’s history is due in the long run to the soundness of heart of its average men and women.”

The top image is called Daruma by Soen Kogaku. It is sourced from Wikiart.org/ The Bell-Shaped Curve comes from IQ Test Labs.

Dying to be Seen, but Afraid to be Seen: Where Insecurity and Invisibility Meet

The quiet ones envy those who are sociable. Not always, but often. They wish for an ease of contact which is not theirs. Too many hunger for understanding, for a kind person to recognize them, accept them; even love them. They are dying to be seen, but afraid to be seen.

Anonymity is the preferred choice. Many escape to the shadows, at least if they can.

Don’t raise your hand, says Mr. Anxiety, even if you have the right answer. Too risky. Your voice might quiver, your hand might shake, and there could be a follow-up question which leaves you speechless.

The insecure ones make a trade. They take the apparent safety of invisibility at the price of being ignored, misunderstood, or quickly forgotten. They leave no mark on the world, hoping to avoid criticism and ostracism. Better to take yourself out of the competition for attention than be told to go away. Of course, you wind up alone, but you persuade yourself this is better than rejection.

Instead of belittlement you opt for the shrubbery, hiding behind the bushes. True, sometimes you get wet when the lawn sprinklers go on. Occasionally a kid throws a ball that hits you or a dog sprays you, but you get used to it.

Group conversations are the worst. When might I jump in? My face will flush. They’ll think I’m an idiot, too boring. I’ll just sit tight or stand and nurse my drink.

Who would have thought a man could dive into his glass, hide behind its opacity? Or imbibe enough to shed his disguise and turn into a more outgoing, confident version of himself?

Once you sober up, you will still be like a person with a fire inside who is afraid of venting a smoke signal. The result? You are consumed from within and your glorious flame is unnoticed.

Mark Twain said, “The man who does not read has no advantage over the man who cannot read.” Change two words and the sentence becomes: the man who does not speak has no advantage over the man who cannot speak. Will you be thought of as the latter? Are you already?

Or have you become someone who is told what he thinks, afraid of challenging a rude or wrong idea? You will be outdone by those with half your intellect. They, the half-brained, are kings and queens in the land of the mute.

You remain unknown, even if others think they’ve sized you up. Many believe you are stuck-up because you avoid them. Some say you are kind, several imagine you lack “personality,” others reckon you stupid, a few timid: an easy mark to be pushed around. Most strangers form no opinion. Not one of them will be completely right, know the whole package. You won’t even be seen in full by yourself.

Your attempt to vanish is exhausting. The task is like running a race, trying to escape the eyes of others, but distancing yourself from yourself. If all escape routes close you will grab your throat and squeeze, stifle your emotions and ideas so as not to offend anyone.

Do you wish asphyxiation by your own hands?

I hear you gagging.

Do I know you? Not completely. But I’ve seen you and I might have been you a long time ago.

It wasn’t fun.

It’s not as if everyone else is completely visible. No one is. One might display an eyebrow or an ankle, even a heart: that most precious portion of ourselves when offered as a present. Such a one is trying, practicing, gathering momentum.

A gradual path toward self revelation can grow on you.

In the end, however, if you are seen but unseen, dying to be seen but afraid to be seen, you should realize something: you cannot be both.

You must choose or remain in torment.

The therapist’s door is waiting, but even there you can try to be invisible.

A pity.

Counselors, you understand, don’t do their best work blindfolded.

The top image is a photo of the cover of The Invisible Man by H.G. Wells. The cover was illustrated by Ludvik Strimpl and the photo taken by Gallica/Sudoc. The image was sourced from Wikimedia Commons.

A Different Form of Bravery

Most of us don’t think of ourselves as brave. We are not the kinds of heroes found in movies, wartime, or a burning building rescue. Yet one must become the hero of his own story. The reason is simple: there is no one else to do the job. If you are a supporting actor in the movie of your life, audition for a better part.

The clock never stops and opportunities, inevitably, diminish with age. Time still offers chances to change, to try, to dare, but we are captured by long-standing routines. One might say we have traveled the same rut for too long, the furrow deepening with each step. To get out we must climb a wall of earth with strength thought lost.

By 65, the age of my friend Keith Miller, some are already retired. But Keith had at least one more hurdle, one waiting for him over 40 years. Such youthful aspirations are patient, sitting quietly in the back of life’s class, hoping for attention, never raising a hand.

Long ago Keith attended a conservatory and took classes in conducting. He even conducted a chamber group a bit back then, more recently a stint leading a community band, no strings. Keith can’t be called a professional musician, though he has taught piano. The insurance company at which he works as a top-tier technical support analyst is not a wellspring of conductors.

Nevertheless, he had the nerve to apply to the International Masterclasses Berlin, where he would reside for six days in March; and, if he survived, lead the Berlin Sinfonietta in one movement of a romantic masterpiece. Keith was one of 11 students from Belgium, Germany, Italy, Spain, the Netherlands, Japan, South Korea, Taiwan, Argentina and the USA;  some working conductors with their own ensembles. Almost all were at least 30 years younger than my friend.

But, this is Keith’s story and he needs to tell it:

Packing my luggage for Berlin, I carried expectations, too. Not only from years of listening, but by studying the scores in the months before the masterclass: three symphonies by Brahms, Schubert and Schumann.

This was, after all, my inauguration into the world of orchestral conducting. Sleep medication was the only way to calm my bedtime energy. Most of the anticipation came from the unknown, all that is not in the musical score:

How might the maestro react to my lack of experience? How would I fit, being the oldest student? What of the orchestra’s cooperation and opinion? Would I make good music?

The first rehearsal generated the natural nervousness, heart-palpitations too, but also an internal reminder, “I can do this.” Maestro Shambadal’s steely eyes focused on me. The maestro, Principal Conductor of the Berlin Symphony, was born in Israel and studied with many “greats” including Giulini, Markevitch and Celibidache.

After a few deep breaths I began Schumann’s 4th Symphony. Quickly came a loud clap. The orchestra stopped. Maestro yelled from the back of the room, “It begins on the 3rd beat!” I made the correction and got through ¾ of the first movement before my time was up. A few other stoppages occurred for matters of technique and interpretation. I reminded myself I’d come for just such instruction.

I realized I needed to improve. My desire for the maestro’s approval quickened. The ensemble’s response to my leadership lacked enthusiasm and I knew it.

Three more rehearsals followed and group evaluations, as well, before the concert at which we would all perform. We reviewed videos of the 11 conductors, mine included.

Ugh! My posture was terrible. I looked like a bent old man. Maestro alluded to the same thing. I worked on straightening up, without which I couldn’t communicate command and authority. Here, perhaps, was the explanation for my initial failure to elicit what I wanted from the musicians.

I was selected to conduct the second movement of Schubert’s 8th Symphony at the concert. I marked the top of every page of my score with three words:

POSTURE. TEMPO. RELAX.

Keith worked with an experienced orchestra, many of the musicians retired members of the Berlin Philharmonic, Berlin Radio Symphony and regional orchestras, along with younger instrumentalists.

Hundreds of years of accumulated experience face a newbie. Some such ensembles take pride in being able to size up a conductor in minutes, and tear him down in less time. Or ignore him and give “their” version of the piece. Still, each player has a job to do: taking the conductor’s vision as achieved in rehearsal, and making the black notes on white paper sing. Keith learned the conductor’s job, too:

His score holds all the notes, every instrumental line on the same page: dizzying to see, much less read while everything is happening in front of him. There is no opportunity to search the lines, the musicians’ faces, and be the director, too. Without an instrument, armed only with certainty, the knowledge of everyone’s role, and his ability to persuade and inspire, he must make something old into something new.

Concert time at last.

Striding up to the podium I was confident and enthusiastic. I brought along a week’s education.

I led with warmth, lyricism, and the dark drama there in the score. The players were spot on: tempo, dynamics and music-making.

What was experience like? The most exhilarating of my life.

I turned and bowed to the audience. Smiles all around. When I asked the orchestra to stand, I saw many smiles among them, as well. I shook the first violinist’s hand and received one word enthusiastically delivered: “Bravo!” The first cellist gave me a hearty thumbs-up.

My mind was captured by one idea.

“I want to do this again and again!”

The previous conductor and I gave each other a big hug. Later, an audience member said the maestro was watching me with full attention and nodding (not nodding off!), as if to say “very good!” After the concert, he congratulated everyone.

Returning to my hotel after a celebratory dinner, I sat at the edge of the bed and cried. All of the emotion and memories, the anticipation and fulfillment, overtook me. Once composed, I began to pack for the trip home.

Courage takes many forms. Sometimes it is simply making the music that is in you, waiting to be made. Taking a risk, not asking permission.

As Oliver Wendell Holmes said:

Alas for those that never sing,
But die with all their music in them.

Here is a man who made his music:


Treating Insecurity and Anxiety: Eight Roads to a Solution

512px-Anxiety_cloudImagine you are considering therapy for the first time. Or perhaps your treatment isn’t working. You stand at a crossroads, like the hub of a wheel where eight spokes beckon for attention. How should you choose among them?

Not all are good and you may even realize that as you decide. Here is a guide to thinking about what to do (and what not to do) with the weighty package of insecurities velcroed to your life. Click the link for a comprehensive list of the signs of insecurity.

ALCOHOL AND DRUGS. The issue of substance dependency should not be ignored. Recall the old Chinese proverb, “First the man takes the drink, then the drink takes the man.” Alcohol’s comforting relief and buoyancy is commonly replaced by longer term emotional darkness. Marijuana (cannabis) might mellow the smoker out but leaves underlying insecurity and anxiety untouched when sober. If you are attempting psychotherapy, best to tell the counselor the extent of your substance use straight away. The deepest wounds are slippery things. Grasping them is harder (if not impossible) when alcohol or drugs add to the excess lubrication.

WILLPOWER AND SELF-ANALYSIS. The old saying tells us, “When the going gets tough, the tough get going.” Yes, some few people manage their own psychotherapeutic project. Indeed, Freud analyzed himself. What is required? Although I know of no research on this, I suspect one needs a strong capacity for self-reflection, high intelligence, some degree of emotional openness, the courage to look in the mirror, tenacity, and knowledge gained through reading about treatment. Willpower is necessary because the self-analyst must inevitably get out of his head and leap the wall of fear to master behaviors blocked by insecurity: good eye contact, self-assertion, saying no, asking for things, making uncomfortable phone calls, inviting someone on a date, public speaking, etc.

THE SEARCH FOR A STRONGMAN. Some rely on a mate to perform avoided tasks. The significant other becomes a caretaker or body-guard, an individual who is sought to do the jobs the hesitant one believes he cannot: return a product to a store, accompany him to events otherwise avoided, and so forth. This is no solution to anxiety or insecurity, but a human crutch to sidestep the need to change. Another danger: too often the protector becomes an overlord, pushing you around or worse; the mister turned monster you hoped he would protect you against.

PSYCHOTROPIC MEDICATION. Medications, like other drugs, carry possible side-effects. Antidepressants can impair sexual performance, anti-anxiety tablets often have addictive properties. While a good psychiatrist will carefully watch for these, pharmaceuticals do not create a sense of security and confidence beyond the time you use them. Moreover, to the extent that the psychotropics help you feel better, your motivation to tackle underlying reasons for your symptoms may be reduced. That said, sometimes susceptibility to anxiety and depression is inherited and biologically-based, making the booster of drugs a necessary and permanent mode of treatment.

Girl_suffering_from_anxiety

AVOIDANCE AND THE INTERNET. Anticipation of discomfort, humiliation, or failure translates to turning down invitations — limiting chances for growth, accomplishment, and joy. The troubled soul is assaulted by hatchet-bearing ideas that have become permanent, non-rent-paying residents in the head. The data set of the insecure is based on an unfortunate history. The job of recovery translates to writing over your old history by gradually taking on social challenges and accumulating successes reinforcing your effort.

Beware the false god of the internet! The more time you worship at its alter and “let your fingers do the walking” on the keyboard, the less you have for direct human contact (involving actual walking out of the apartment). For all its marvels, this deux ex machina can become a screen behind which to hide the human face, trading yours for a virtual one. Yes, social media can be a stepping stone to a life beyond the keypad. For many, however, it’s another form of concealment and self-distraction. You can identify too fervent online social network disciples by the pain they will suffer for their god: a malady called text neck, the product of bending over their smartphone.

PSYCHODYNAMIC PSYCHOTHERAPY. Psychodynamic treatment, the traditional talking cure, can be a foundational part of counseling. It helps one clear the life-history undergrowth undermining a healthy self-image, planting  seeds of sturdiness to deflect the inevitable defeats we all encounter. Such counseling also lifts the weight of self-blame by recognizing the fingerprints of others on one’s problematic background story. It cannot stop there, of course. Grief and grieving demand attention.

Beyond relieving submerged pain, one must eventually take psychoanalytic insight for a test-drive: try new behaviors just as one would a new car before purchase. However much a “depth psychology” approach is needed, empirically based (research supported) interventions provide the practical impetus for emotional availability, symptom reduction, and behavioral change.

COGNITIVE-BEHAVIORAL THERAPY (CBT). Many of the well-researched and effective treatments just referred to fall into the category of CBT. Obsessive-Compulsive Disorder (OCD), for example, is among those problems amenable to this set of tools. Indeed, attempting a solution for OCD psychodynamically is, in contrast, a therapeutic cul-de-sac. CBT can often, however, be combined with more traditional talking therapy to join the best of both worlds.

ACT (ACCEPTANCE AND COMMITMENT THERAPY). ACT is described in the following way on its website: “Developed within a coherent theoretical and philosophical framework, Acceptance and Commitment Therapy (ACT) is a unique empirically based psychological intervention that uses acceptance and mindfulness strategies, together with commitment and behavior change strategies, to increase psychological flexibility. Psychological flexibility means contacting the present moment fully as a conscious human being, and based on what the situation affords, changing or persisting in behavior in the service of chosen values.”

Plowing through this technical language, ACT deals with the losses most patients have sustained, traveling from a grieving process toward acceptance of those life circumstances that can’t be changed, reduced avoidance, learning to live in the moment via meditation, deciding what is most important to you, and choosing behavior consistent with your stated values.

WE ALL TAKE TURNS at life’s crossroads. Sometimes the best advice is to make no movement, patiently waiting for the traffic to clear. Do remember, however, not choosing is also a choice. The clock is always ticking, even if, in the digital age, we must strain to hear it.

The top image by John Hain is called Anxiety Cloud sourced from Wikipedia Commons. The photo beneath it is Girl Suffering from Anxiety by Bablekahn at Kurdish Wikipedia.

How Well Do You Fit in? The Therapeutic Dilemma of the Introvert in an Extroverted World

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In my therapy practice I encountered many people who didn’t quite fit into the world. Sometimes it was because the world valued beauty and they were not beautiful, sometimes because they had no interest in sports where others cheered for a team, and sometimes because their skin color and religion were out of place. More often they believed their internal life didn’t match up with those around them: too sensitive or unlikeable or too serious; peculiar, different, odd. Quiet in a loud world, thoughtful in an impulsive world, gun shy in a world where many shoot first and don’t even ask questions later. Most importantly, they lacked a niche, a social group, a family or family substitute in which they felt safe and cared for — a place of solidarity and belonging — or an institution (like a small community church) offering something bigger than the commonplace mission of “getting and spending” and personal success at any cost.

To provide therapy for such people one must acknowledge that, indeed, some of us fit better into a different time and place. I’d like to look at the therapeutic model from which the counseling field grew and ask the question: does it still offer the best possible assistance to a person who is isolated, perhaps by his nature and temperament, perhaps by a society prone to discounting his human qualities, perhaps by a world transformed from being too closed to too open; perhaps by all of these.

Psychoanalysis, Freud’s method, developed in a Victorian Era, tailored to the values, customs, and morals of the time: a repressive society in which a woman who showed her ankle in public could cause a small scandal. Polite social gatherings didn’t permit discussions of sex. Revelation of personal problems betrayed weakness and breached decorum. One suffered silently. Not surprisingly, Freud offered a treatment designed to open those topics not disclosed elsewhere, fashioning the counseling apparatus to lift the gurney of a disapproving society off patients who had been crushed by it. In other words, psychoanalysis was a therapeutic approach tailored to a different social world than we live in today, at least for those of us in the West.

There was, however, a positive side to the era. Values identified in bold letters were supported by strong institutions. The family and church might crush you, but they also provided decisive direction and unconditional, although superficial, acceptance, at least if you followed the rules. You  weren’t on your own, adrift, and uncertain about how to lead your life. The restricted set of permitted choices made the day less complicated and overwhelming. The life map presented by family and social institutions, government and military, offered easy-to-follow steps.

If Freud were alive today would he have used a different model for treatment after his world vanished?

I suspect so. He could not fail to notice how the closed, restrictive, prescriptive social order has been replaced by one more permissive and open. A society requiring unquestioning acceptance of your parents’ religion, vocational advice, and veto power over a potential spouse has been set aside.

Now, for example, you are considered free to determine not just your faith, but whether you want a religion at all. Yes, parental direction and disapproval are still present, but they have lost a good part of their grip. A federal government that once ordered you to perform military service, today leaves the defense of the country to volunteers. Sex is everywhere (as are exposed ankles and more). There is no place to hide. Loud voices predominate. Extroversion trumps introversion. Freedom to make personal choices comes with the expectation you will make good ones instead of being overwhelmed by the array of possibilities. Few behavioral menu options are forbidden and most are public.

We live in a garden of delights or a world of confusion that would have seemed dreamlike, disorienting, and scandalous in the time of Freud’s early work. We cannot escape a Kardashianized existence of energetic, fast-talking, self-promoting performers who are role models no introvert recognizes in himself. Meanwhile, he has the vague sense of missing someone he has never met.

What components should therefore be added to the traditional “talking cure” in the second decade of the 21st century?

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I’d begin with recognition that the social world of today is tipped to the advantage of extroverts. At least one-third of us, however, are not so classified. Methods of self-enhancement and personal validation for introverted clients must go beyond an effort to make them into fake extroverts. Temperament is more or less fixed by biological inheritance and very early experience. An introverted and insecure patient can become more self-confident with the help of therapy, but his preferences for privacy, quiet time alone to recharge his energy, and one-to-one contact over an affinity for large groups are likely to persist.

The introvert is not true to himself if he tries to become a chattering machine: the “Bigger Than Life” of the party. Treatment must value his qualities as an introvert and support him in his effort to find a useful niche within the work and social worlds that makes the best of his unique skills. His temperamental strengths include an ability to listen, reflective thought as opposed to impulsive action, seriousness of purpose, persistence, and a good eye for risks. Susan Cain’s book Quiet: The Power of Introverts in a World That Can’t Stop Talking offers a place to start.

A second component consists of helping clients find or create socially supportive, cohesive institutions and groups where they can attach to something less isolative, more fulfilling, and bigger than hollow self-interest. As noted by Sebastian Junger in his short, but powerful new book, Tribe: On Homecoming and Belonging, our ancestors in prehistory lived in small groups (50 or fewer) whose survival depended upon pulling together. The tiny society was largely “classless and egalitarian.” Sharing was essential and little personal property existed. Loyalty was prized. Status, to the extent it was present, came from providing for the group and defending it in war. It was a place where quietly doing your part was enough for acceptance and approval, membership and the availability of a mate. Everyone fit.

Contrast such a living situation to the endless, senseless, heart-deadening contemporary competition to be as good or better than your peers and survive on your own or, if you are lucky, in a family including only a spouse and children. Our ancestors were bound together by a mutual necessity and support now replaced simply by sharing an address: living in apartment buildings and neighborhoods of nameless strangers. Isolation is the inevitable result of having little intimacy, as well as sham closeness dependent only upon the accident of sharing a cubicle or the ties of occasional after-hours good times that do not bind.

The therapeutic project of the urban, anonymous 21st century must recognize the present historical moment as especially challenging for the introvert. More than most others, he wants relationships of depth. The therapist’s transfigured and transfiguring task is to creatively enable his client to locate some way to connect, belong, and find meaning instead of settling for alienation — the extent of which few are permitted to know.

Treatment is a serious job for this serious person, it is true. What could be more fitting?

The first image is called Alone by PiConsti. Look closely for the tiny creature in the picture. The photo beneath it is Isolation Lake (5) in Chelan County, WA by Bala. Both are sourced from Wikimedia Commons.