What are the Limits of Telling Your Patients Something Uncomfortable?

I wrote an October post offering suggestions to make oneself more interesting: Are You Boring? Words You Should and Shouldn’t Say.

Today I’ll take this another step: what should a counselor do if the patient complains of inexplicable, endless rejection and the healer believes the explanation is that the solitary creature is boring?

Not the kind of training we get in graduate school.

Most counselors first establish the therapeutic relationship, of course. They sidestep the dullness problem. But, when the uncomfortable complication remains untouched and the individual continues to experience exclusion, what then?

The “Are You Boring” article offers both dos and don’ts. Some of those remain unmentioned in the course of a routine psychological consultation.

A UK therapist, Emma Cameron, tweeted this in response to the notion of raising the issue:

But to me this seems like a recipe for increasing social anxiety, self-judgement and shame, which many therapy clients already struggle with…

I answered,

As noted within the essay, this is a risk. On the other hand, some might benefit from recognizing and improving their interpersonal skills, of which speech is a part.

Ms. Cameron is wise, but where do her point and my counterpoint leave us?

My approach in treatment was to engage in a Socratic dialogue: use questions to lead my fellow man into the light of self-knowledge. People skills, anxiety, depression, and self-image issues were addressed, as necessary. I’d evaluate whether my patient’s present relational distress caused him to offer only the safest conversation; as if he were “hiding his light under a bushel basket.”

Indirect suggestions of routes out of his tediousness might be offered. Something like, “Have you ever thought of reading this, or studying that; visiting museum X or watching movie Y? Perhaps you might enjoy trying something new.”

But what if the forlorn fellow doesn’t have much wit or wisdom worth sharing in a relationship, yet I believe him capable of striking sparks with some guidance?

Counselors and advisors ask themselves how much information is enough, how much too great? Whether the other is open to unsettling opinion and what will happen if the fraught communication is attempted? The cause of Ms. Cameron’s hesitation is to be found here.

No challenging tidings should be offered for the sake of the truth alone. Daily choices about what to say and how to say it are made by everyone.

We are now in the domain of the unmentioned and the unmentionable. Who will tell the other he has bad breath or a failed deodorant? Does your new female acquaintance mention your comb-over looks preposterous or you bore her to desperation? No, she just takes flight.

I’ve not met a single soul who needs to know everything about himself. One minute of complete self-awareness is a scorching, lazer-like invasion of insight. Inflicting pain in honesty’s name is cruelty disguised as moral superiority. The Hippocratic oath reminds us, “First do no harm.”

Let me put this another way. What does a psychologist give you and what does he take away? Therapy involves a transaction or exchange, as in all well-functioning relationships. What do you present or withhold and at what cost? How far do you go providing anyone painful knowledge?

One must not to take something useful away (including the foundation of self-esteem) without inserting a superior substitute. Mental and emotional defenses cannot be deconstructed without peril. They serve, perhaps imperfectly, but they do serve.

Some kind and decent people gain more by learning to deal with inevitable rejection than by heightened awareness of their lack of incandescence. Not a few profit from ways of enriching their lives without the degree of friendship or intimacy desired.

Do you see the problem with what I just said? The counselor who is swift to conclude his client unable to triumph over his limitations could sell him short.

Perhaps to protect the comforter from discomfort in delivering a harrowing message, he refrains from nudging the sufferer to exceed himself and improve his life.

A therapist is like a magical juggler. Before he walks off stage, he must do his best to provide as much or little of what the patient requires to stay aloft.

And understand how much weight the client’s reinforced wings can now bear.

Thanks to Emma Cameron for allowing me to quote her tweet.

The top photo is a Security Guard Sleeping on Duty, posted by Brad & Sabrina. The second image is Prince Florimund Finds Sleeping Beauty from Child’s Favorites and Fairy Stories. Both come from Wikimedia Commons.

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.

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.

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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Signs of Insecurity: Behavior That Reveals a Lack of Confidence

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. The ability to maintain eye contact is hard for many individuals who lack confidence. They will turn away or look down, but rarely hold the gaze of the other by looking into his or her eyes.
  • 3. The self-doubting person tends to apologize when no apology is necessary. It is as if she expects to be reproached or is afraid to give offense; so, she prophylactically tries to excuse any possible mistake to avoid such a response.
  • 4. Answering a question with an upward inflection of the voice has been done by everyone. The person being questioned doesn’t have certainty about his answer, so he replies with a tone betraying his insecurity. Since I originally wrote this piece, a name has been given to the practice: upspeak.
  • 5. Men and women who are uncomfortable with sharing personal information for fear of being judged will oft-times turn the conversation to a different topic, away from anything that might make them vulnerable or reveal too much. This is also called “changing the subject.”
  • 6. One way of inoculating yourself against criticism is to joke at your own expense. Do this often and others may conclude you believe you are flawed.
  • 7. Do you have trouble making a decision? The comedy team “Cheech and Chong” (I’m not sure which one) said: “Taking responsibility is a lot of responsibility.” If you automatically let others choose the restaurant, movie, and other activity, you are either easy-going and good-natured or don’t want to be held accountable for making the wrong choice.
  • 8. Do you state strong opinions? Those who avoid doing so might maintain the peace — often a good thing — but some fear drawing fire and unwanted attention.

Before I give you nine more signs of insecurity, I’ll say what might cause the condition. Many possibilities. Critical or neglectful parents, poor academic skills, frequent moves making you “the new kid” (especially if you are introverted by nature), learning disabilities and ADHD, being “different” in some fashion (size, shape, color, religion), thinking of yourself as the “poor” kid in a community of the affluent, sensing you are the average child in a school filled with bright youngsters, feeling ashamed of your parents or residence, frequent rejections, getting fired (whether deserved or not), clumsiness, a history of abuse or bullying; physical unattractiveness, deformity, or injury, etc. For a more thorough discussion of these causes, click here: The Causes of Insecurity. Now back to the list of signs of insecurity:

  • 9. Do you laugh nervously in social situations? It is another behavior betraying self-consciousness.
  • 10. People will appraise you harshly if they see you bite your nails or they appear bitten.
  • 11. Are you self-effacing, placing yourself at a disadvantage — letting others go first, speak first — reluctant to raise your hand? Do you hesitate to take your turn? Do you sacrifice your interests as a matter of course? Insecurity can make you wait until the opportunity before you is lost. Excessive deference displays little regard for yourself, even if some amount can be a sign of good breeding and consideration.
  • 12. Are you nervous eating in front of others? Do you fear dropping something, displaying poor table manners, or making a mess? You probably won’t, at least not more than the rest of us.
  • 13. Can you make phone calls without trepidation; especially those in which you need to introduce yourself, correct a problem, or speak to an authority? Too much discomfort in anticipation of these actions can reveal your sense of uncertainty.
  • 14. Might you make too many excuses? Those who are unsure give explanations where none are required. Imagine you order an entrée at an elegant restaurant and the waiter asks whether you want an appetizer to start. You explain why you don’t. Some folks offer multiple excuses for what they do, anticipating criticism. If you must give a reason, limit yourself to one. The more you give, the more uncertain (or dishonest) you sound. For  example, “I can’t come to the party because I have a stomach ache and my car broke and I need to study.” One reason will be more convincing. You needn’t explain yourself as often as you think.
  • 15. Insecurity can be suggested by hesitation to ask for a favor or an inability to say “no.” Anticipation of rejection or disapproval is the motivator for both of these problems with self-assertion. By contrast, a self-assured person will not believe the relationship (or his own value) is dependent upon going along with someone else’s wishes or fulfilling the desires of others as a matter of routine.
  • 16. Do you make frequent requests for reassurance? A few examples: “Does that make sense?” “What do you think?” “What would you do?” “Do you think that is a good idea?” “Do I look OK?” Must you have sex to prove your partner remains interested in you? If you are self-assured, you won’t implore your lover to calm your doubts and remind you, over and over, in words and deeds, of your desirability or intelligence.
  • 17. Last one. Here insecurity takes a different form. This person wants the spotlight at all times, the better to be told “You are the fairest of them all!” She or he pushes for recognition, strutting about the stage we call life; checking to see where he stands and what others think of him. Bragging and display become a full-time job. Perhaps he was the class clown in grade school, but now he drops names to prove his importance and get your attention. His inner emptiness must be filled and refilled, like a bucket with a hole in it. Such people are plagued by narcissism as well as insecurity, a troublesome combination. There is hell to pay for those who expose the pretender’s flaws: lacerating attacks against any critics. If you are this variety of insecure person, I doubt you will admit it even to yourself. If you meet such an individual, run!

I suspect you get the idea. Please add an item if you like. You can use the list in one of two ways: to consider whether you are insecure or evaluate the confidence of those around you. Of course, you are the only one whose self-confidence you can change.

You may find the following related post of interest: Signs of Self Consciousness: When the Mirror Isn’t Your Friend. Also, you might want to read  The Upside of Insecurity or, this very recent post: Insecurity and Our Preoccupation with Appearances/

The image above is Insecurity by Lacey Lewis: http://www.lacey-lewis.com/ With permission.

The African Dip: Thoughts on Passive-Aggressiveness, Powerlessness, and Acceptance

The  Flying Turns

My dad occasionally took me to a legendary Chicago amusement park called Riverview when I was a little boy. I was dazzled by the roller coasters, the “Waterbug” ride, and something called the “Rotor.” The latter required you to enter a circular room which spun on a central axis until the velocity and centrifugal force were sufficient to pin you against the wall, just as the floor dropped away.

But, as small as I was, it is a sideshow called The Dip that I remember most vividly. Today I’d like to use this politically incorrect carnival attraction as a spring-board to a few thoughts on the expression of indirect anger that sometimes is called “passive-aggressive,” as well as a therapeutic approach to setting aside the temporary upsets that are a part of any life.

Black men in cages. That is what “The Dip” involved.

Unbelievable, perhaps, as we think about it in 2010. Each man sat on a stool inside the cage. In front of the cage, off to the side a bit,  stood a small circular metal target that was attached in some fashion to the stool, perhaps electronically, but more likely mechanically.

For less than a dollar, you could purchase three balls to throw at the target, one at a time. If you struck the target solidly, the stool on which the man sat collapsed, and he dropped into a pool of water underneath the cage. You might have seen similar “dunk tanks” at various fund-raising events, often giving students the chance to dunk their teachers.

Harmless fun? Not so in the case of a black man doing the sitting and a white man trying to knock him off his seat.

This sideshow was once reportedly called, “Dunk the N****r,” later “The African Dip,” and finally “The Dip.” It was eventually shut down by a combination of Negro outrage and the increasing disgust of white people to the offensiveness of its implicit racism.

The black men were in a relatively powerless situation — almost literally, “sitting ducks.” But, they did what the situation allowed them to do so as to unsettle, tease, and otherwise disrupt the white pitcher’s aim. The Negroes were careful not to say anything too frankly insulting, lest they stir up the racism (and potential for less veiled violence) that was at the heart of the event.

But they would and could get away with belittling their adversaries athletic skill or throwing ability in a way that was amusing. If their comments distracted the opposition at all — got them to laugh (or the crowd to laugh at them) — or caused a break in the hurler’s concentration, the chance of staying on the seat improved a bit.

According to Chuck Wlodarczyk in his book Riverview: Gone But Not Forgotten, the caged men’s banter could include comments about one’s appearance: “If you were heavy, they’d call you ‘meatball.’ If you were thin, they might have called you ‘toothpick.’ If you were with a girl, they might have said ‘Hey fella, that ain’t the same girl you were with yesterday!'”

You don’t have to be a black man in a cage to have some experience of expressing anger indirectly. We’ve all done it. It takes many forms: talking behind someone’s back and mocking that person, being sarcastic, complaining to a co-worker’s superior rather than to the offender’s face, neglecting tasks you have been assigned unfairly, and procrastinating. These passive-aggressive words or acts are rarely very satisfying. The anger doesn’t dissipate; the grudging discontent usually continues; nothing positive happens.

The sense of powerlessness and lack of control that the passive-aggressive individual experiences can come to dominate that person’s emotional life, rather than allowing him to put effort into changing the power dynamic or to remove himself from a position of weakness.

Unfortunately, for some of those who feel powerless and injured, even a passive-aggressive action seems impossible. Consequently, they take a more uniformly passive role. They defer to others, try to avoid giving offense, act meekly, and position themselves under the radar. All that does, however, is give them second class status, just as it informs bullies that they are easy targets.

Someone in this situation, who repeatedly feels mistreated but isn’t able to take on those who inflict the injuries directly, needs to ask himself a few questions. Why do I put up with it? What am I afraid of? Am I really as powerless as I feel? Am I perhaps overreacting? What would happen if I were more direct? Is there any way to get out of the situation I am in?

Cognitive Behavior Therapy (CBT), which aims to quell and counter irrational thoughts, is often helpful in dealing with a lack of self-assertion and the fear that is usually associated with it. Equally, it gives you practice (sometimes using role-playing within the therapy session) in a gradually ascending hierarchy of challenging situations that require an assertive response.

Some CBT therapists, much like ancient Stoic philosophers, employ an “acceptance-based” psychotherapy and integrate this Zen-like element into their treatment. Why, they might ask you, do you so value the minor indignities of daily life and of opinions and behavior of boorish persons? Is it really a good idea to spend the limited time of your life being upset over rudeness from a tardy repairman or a fender-bender accident you didn’t cause — things that will be of no significance in a week, a month, a year?

Put differently, there will always be injustice, and some of it must simply be accepted as the nature of life and of living. Not every fight is worth fighting about, not every slight is intended. If your skin is so thin that you are regularly being upset by people, perhaps you are valuing the approval and opinions of others too much.

For those who ask “Why me?” those same therapists might say, “Why not you — you are alive, aren’t you, so you are subject to all the same things that can affect any other person.” And, as the Stoic philosophers and Zen practitioners would tell us, if we can accept this vulnerability as part and parcel of living, thereby assigning it less meaning and taking it less personally, our lives will be more satisfying — less fraught with anguish, anger, and hurt.

This is not to say society should have tolerated the indignity and racism of “The Dip.” There are times when the indirect, but pointed wit of the caged men is the best course of action; and, many occasions when the force of your personality must be brought to bear by confronting injustice. But some combination of directness in taking on unfairness and forbearance in accepting things — in allowing oneself not to sweat the small stuff — tends to produce as good a result as life will allow.

Of course, you have to figure out what the small stuff is and what other things really do matter to you.

Meditation is usually a part of the treatment enabling you to stay in the moment, and let go of your attachment to passing feelings and thoughts, worries and regrets, and anticipations and fears. To be preoccupied with just such temporary upsets causes you not to be able to fully experience what is going on in the present and determine what is really of importance in your life.

By encouraging and training you in meditation, the counselor  is attempting to give you a method to achieve a state of psychological enlightenment that (without using words) helps you to distinguish the transitory aggravations, disappointments, worries and anxieties of life from whatever matters the most to you, so you can put your effort into the things of greatest value in your life.

Some final questions:

  1. Do you often find yourself fighting over things others consider to be small?
  2. Do you frequently feel put-upon but are capable only of a passive-aggressive response?
  3. Do you (too easily and too often) assume a fetal position with others (metaphorically speaking), who come to think of you as an easy target and treat you badly (in part) because they know you will not stand up for yourself?

If you have answered any of these questions in the affirmative, you might benefit from asking a couple of other questions:

  1. What does this mode of living cost me?
  2. Am I willing to do the work necessary to change?

If the cost is substantial and you are eager to change, then a therapist can be of assistance. Only then will you be ready to get out of the cage, real or not, in which you find yourself.

The image above is the Flying Turns, a toboggan-style ride that was one of the many attractions that made Riverview Park famous.