Duck, Duck, Goose

Muscovy ducks are ugly.

There’s simply no getting around it. Perhaps some find them in the category of, “So ugly, they’re cute,” the befuddling phrase used to describe certain regrettable-looking breeds of dog with what seems to be a permanent, long drip of slime on their maws. I don’t see it, in either the dog or the duck.

Muscovy are also an invasive species here in west-central Florida, driving out our adorable and good-natured native ducks. Thus, they are unwelcome both in, and by, appearance.

During an Emmaus retreat at the Franciscan Center in Tampa, I was able to observe a female Muscovy along the river last weekend. She was waddling along, looking into the river on her right and then to the ground on her left, seeking food. She was followed closely by one, then two, then four, large, ugly and showy Muscovy males. She seemed oblivious. They were posturing: just short of chest-bumping one another, fluffing up their feathers, strutting in circles and then, realizing she had waddled on further ahead, scuttling up closer to the object of their desire before devolving into posturing observed only by one another, and me.

Ms. Muscovy did not feel obliged to wear shorter feathers in her nether region or walk on her webbed toes to gain their attention, and indeed, it was apparently unnecessary. She had the power of her femininity, and that was sufficient. God knows how large the flock of males out-strutting each other got before she made her selection; the bells rang and I hurried off to join my fellow retreatants for Morning Prayer.

Flash back to the 1980s, when wearing brassieres over one’s clothing, instead of under, was all the rage for a few unfortunate years. During a lunch conversation, a male colleague (middle-aged, recently divorced and apparently adjusting with difficulty) mentioned his amazement at seeing this while out in a nightclub. A few of the females opined we would never do such a thing. If we weren’t married, he said, and had to be out there, competing for male attention…whoa, whoa, WHOA. A man, I said, for whom I was to “compete” by wearing my underwear over my clothes would not be the man for me. My female cohorts agreed. Divorced-dude was amazed.

Alas, times have, apparently, changed. Somehow the power to vote, own property, and be paid the same for the same work (let’s not go to where we compare part-time clerical staff with chemical engineers and whine about salary differences, okay?) seems cast aside for the “power” to wear vagina-hats in public, insist that tights are business trousers, and gain fame by posting indecent pictures of oneself to (anti)social media.

In our little yard, I cannot, from a respectful distance, tell Mrs. Bunny from Mr. Bunny, but apparently they can, and so things work just fine. Mrs. Cardinal is subtle compared to her (to human eyes) flashy husband, but trust me, when the six or seven species of birds – almost all larger – are sharing the seeds I have flung onto the front yard, it’s little, softly hued Mrs. Cardinal who commands attention and sets the rules. Mr. Cardinal does not seem to have any objections about being partnered up with his gently-toned, energetic little mate. Likewise the pair of black snakes, the ever-expanding clan of blue jays, or our resident crows, Poe and Annabelle Lee, and their hapless but fun-to-watch adolescent offspring: all seem content without the females doing strange and torturous things in a craven attempt for male attention.

Why are humans so singularly dysfunctional when it comes to male-female relationships? Can we blame it simply on the Fall and the impact of a long history of bad choices that have turned us slowly away from what we could have, and might still be, towards this strange situation in which much of our culture finds itself?

For almost three decades now, mental health professionals have dealt with body-image and sexuality issues created by a pornographic culture so pervasive that too many young women believe they should engage in sexual activity whether they feel like it or not, and many young males have incurred physical damage on themselves due to excessive masturbation with porn as the stimulant. Conditioned to images on electronic devices, a normal, living female is just not as attractive and too much trouble. We’ve all, no doubt, heard of the teen magazine that explained sodomy in how-to terms. In my work, this isn’t some abstract issue; I listen to young women wrestle with their discomfort and shame over what they feel obliged to do and the fear that their hesitancy to engage in impersonal sexual acts means there is something “wrong” with them. I help couples whose relationship has been torn apart by the husband’s pornography addiction and disengagement from his wife.

I used to pity my male college students, assuming the heterosexuals had their ability to focus on psychology (endlessly interesting to me but, I realize, not to all) cruelly challenged because, for a healthy straight young male, the proximity of female peers would normally be distracting. Now the female peers are often dressed in revealing clothing. I assumed (naively) that this placed an unfair, even uncharitable, if you will, burden on the males. Now I wonder. I wonder if, drowned since childhood in a flood of hypersexualized images, the presence in the next seat of a young woman with her breasts pushed up to her collar bone is…nothing. Now I feel sad about that; they are both missing something about the joy of being human: they have lost the capacity to appreciate one another.

He may be sentenced, until he works to change it, to a life of seeking ever-more extreme forms of sexual stimulation, and she will be reduced to claiming that her power comes from the right to have sex indiscriminately and wear unflattering pink hats in parades.

Meanwhile, Ms. Muscovy is enjoying the riverbank and may eventually pick some posturing, squawking, ugly drake from among her admirers.

The ducks have it figured out. Guess who gets to be the silly, sad goose?

 

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2017

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.

Plan B

I am very, very hopeful that, when I leave the office this evening and get into my Ford Fiesta, it will start when I first turn the key and that all four tires will be inflated. It gets regular maintenance and I expect it to start. My plans, including the amount of time I schedule for various commutes, revolve around the expectation (Plan A, as it were) that the little car will be ready to roll.

Sometimes, she is NOT ready to roll. She might have a flat tire, or a dead battery (Florida heat is rough on batteries). So, just in case of various emergencies, I have a jack, spare tire, some tools, a can of tire-inflator, a quart of oil, some water, jumper cables, a fire extinguisher, an owner’s manual and my AAA card. I also have a Bible and Rosaries for other sorts of emergencies. I would vastly prefer not to resort to any of these Plan B’s alone in a parking lot at night, but every so often I have been happy to have them readily available.

On a much more critical scale, military and police personnel have to have plan B at the ready in case of a worst-case scenario. Let’s say you are a special operator and you and your comrades are supposed to slip in silently, extract an American hostage or two, and slip out with the same seamless, silent efficiency. That would be Plan A: no one on your side gets hurt and maybe not even too many of the enemy. If enemies have to be hurt, they cooperate by succumbing very, very quietly. Plan B, entailing air support and extra personnel and a whole lot of messiness, is far from optimal. Plan A is effective if nothing goes wrong. If anything goes wrong, then you need Plan Bs. Plan Bs have a higher likelihood of success in the case of an uh-oh situation than Plan A, but are far less desirable.

Most of us don’t have to worry about extracting hostages or inflicting deserved mayhem on an enemy. We have to muddle through, discerning our purpose and doing our best to live rightly. Do we, who don’t have any expectation of being caught in a gunfight, need a Plan B? It’s become quite popular, especially in the business school world, to assert that a Plan B is an excuse to let Plan A fail.

I would argue that Plan B is part of the backbone of successful planning. Consider, for example:

You have promised your small children that, if everyone cleans up their bedroom by 9 AM Saturday, you will all go to the zoo! Yay! You had better have a Plan B already presented to them, too, in case of rain (as in, if it rains, we will postpone the zoo and have lots of fun doing “X” at home). You do not have control over whether or not it rains on your zoo day, but you have control over creating alternatives that account for circumstances beyond your control. Would you rather have Plan A – a sunny, fun day at the zoo? Absolutely; but if it’s wet, cold and dreary, kids who are able to be disappointed but know that all is not lost are easier to deal with than children who are whining because “you promised we could go to the zoo,” and claim they care not that it is raining and all the animals will be hiding inside, out of the weather. You promised.

There are thousands of possible examples: the college application that is Plan B if the desired, and worked-for, scholarship at your Plan A school doesn’t materialize; the back-up work plan if it takes longer to get a job in your field than you’d expected; the gift you will get for your child if the most popular toy that holiday season is out of stock. Would you rather get a full scholarship to an Ivy League school, a great job that starts exactly two weeks after graduation and be able to score Tickle Me Elmo, the latest Transformer AND the talking pony? Yup, yup and giddy-yup…but those are not all within your control.

The business school model against Plan A, very interestingly researched by Doctors Shin and Milkman, focuses on short-term goals with brief time periods. One test, for example, was that some participants were asked to consider a Plan B if they failed at the brief task while doing the brief task. If you have 10 minutes to unscramble sentences, and the reward for success is a free snack and some are warned up front that, hey, you might want to think about where else on campus you can score some free food in case this doesn’t work out for you, those participants might be a bit distracted from the task at hand. You have given them two tasks. That doesn’t mean they were not motivated for Plan A (the free snack) but rather they had to do two tasks at once: the task for the free snack and figure out where to get free food if the buzzer went off before they finished the first task. This is one of several experiments in their research. Other business writers have emphasized the belief that asking people on a project to have a plan B is like giving them permission to fail at plan A.

This is an interesting perspective and very narrow in its focus. There are risks in over-generalizing the findings of any particular piece of research, something Doctors Shin and Milkman know. Unfortunately, readers who see a non-academic’s cheerful, “Hey, if you develop a plan B you plan to fail,” misstated summary of Doctors’ Shin and Milkman’s work might leap to the conclusion that Plan B means Bad Plan. That is not what the researchers concluded.

I would propose that there are a few common reasons for a bias against adequately thinking through a Plan B when preparing to execute Plan A. These are by no means comprehensive –

  1. “I have done everything that success requires and so I am entitled to success.” Ah, the entitlement myth, in which a benign and biased-towards-you universe bestows what you have earned even though there is far less of whatever you want available than there are hard-working and deserving candidates. Hundreds of people might apply for that scholarship, and all of them have great GPAs, hours of non-mandated community service and glowing endorsements from their local Mother Teresa. Yet the committee (and its computer program) can only give the scholarship to one applicant. Scholarship, job, internship…failing to achieve that one, ideal Plan A doesn’t mean you personally failed. It means that you didn’t get Plan A, probably for many reasons outside of your control.
  2. “I am terrified of not meeting the expectations of those close to me (parents, often) and so most pour everything into Plan A. Anything less than absolute success means I have failed them – and myself.” This speaks to the narcissistic parent (“I am a perfect parent and you, my ought-to-be-perfect child, are the Exhibit A in proof of my perfection”) projecting the need for boundless success and admiration onto the child. Spouses can do this to one another, and children might fall victim to Pygmalion coaches or teachers.
  3. “If I have a Plan B, it will surreptitiously make me turn into a lazy slug who will fail to put in the effort required for Plan A.” This is the, I can’t trust my own strength of character theorem, and one can only say in response to this, “Know thyself.” However, lack of a Plan B is not going to singlehandedly turn an unmotivated sloth into a laser-focused, goal-oriented powerhouse. If you know you need to work on your intrinsic motivation strength, now would be a good time to start.
  4. “Plan A is my heart’s desire and I cannot bear to consider life without it…so I will just not consider the fact that Plan B might be necessary.” This is idealistic and romantic, and if you are not a good-hearted male under age 21, you probably need to accept a teaspoon of reality. If you are a good-hearted male under age 21, I will cut you some slack. That is the healthy age range for passionate idealism with a dose of immortality myth. The rest of us have to deal with the reality that life changes constantly. Your robust good health, your vision and hearing, the career you love, your neighborhood…will all change. If there is not a Plan B, you will have the alternative of crushing despair on top of the burden of grief, time after time after time.

I began this essay, spurred by a friend’s report of an adult daughter who, failing to get the job she’d applied for after college, is moving back home without any particular plan. Apparently, there was no Plan B. This led to curiosity about the “Plan B” issue in general, and discovering Shin and Milkman’s research. Not long after I began this essay, the book Option B, by Sheryl Sandberg and Adam Grant was released. I am looking forward to reading Option B and have no idea of its contents other than it was born within the heartbreak of unexpected grief and the part of the grieving process that requires that we shift to an alternative vision of our future.

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2017

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.

The Big Screen

Therapists spend a lot of time in various trainings, and sometimes the speakers enthusiastically exhort us to try techniques for ourselves. This was one such day. “I can’t do this mindfulness thing,” my colleague said in an aside to me, “I can’t keep my mind empty.”

Unlike assertiveness, this was one area where I have something possibly useful to offer.

The point of mindfulness in mental health is not to be empty-minded. It’s to select, moment by moment, what will (versus what will not) be the center of our attention.

Imagine a giant movie screen. That’s your conscious awareness, overflowing with all sorts of activity. The thoughts that inspire strong negative emotions are, necessarily, quite compelling. We were designed that way. Otherwise, a lion would have devoured our ancestors, who failed to notice the threat as they contemplated a butterfly. This would have led to us, their progeny, not being here to discuss mindfulness or anything else.

Just so, we are prone to direct our attention to whatever thoughts pop up with negative emotions attached: fear, anxiety, anger, sorrow. They feel more urgent than happy thoughts, the way a lion feels more urgent than a butterfly.

Mindfulness practices simply coach us (over and over and over again) in the gentle practice of noticing the negatively charged thought, acknowledging it, and redirecting our attention to our preferred focus.

If you were watching a huge movie screen, for example, you might be tempted to watch the Antarctic explorer dangling in grave danger over a precipice…or, if that were too intense, you could redirect your gaze to the penguins frolicking in another corner of the screen. It’s your choice. It might have to be made over and over and over, but with practice people are able to do it relatively smoothly, having distracting or upsetting thoughts pop up at undesired times and merely refocusing on the matter at hand. If you are like most people, you are adept at doing this at least sometimes. You have merely to strengthen this skill, and learn to generalize it.

Of course, there is so much more to mindfulness than this: it is a science as well as an art, and grounded in psychology and other health sciences in more than two decades of research that includes brain imaging and not just subjective and scientifically flimsy self-reports. For a lot of people, though, it sounds impossible, implausible and suspiciously more like religion than science.

The best place to seek more information would be to look up the sizable work and research of Dr. Jon Kabat-Zinn, and from there the many practical applications and helpful resources.

 

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2017

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.

“Speak up! (Easier said than done)”

“The same thing happens again and again,” complained my friend. “I can’t get a word in edgewise at meetings and when I try, I just get talked over – like I’m not even there.” We commiserated about being talked over in meetings, and I offered all the usual well-intentioned platitudes about being assertive. The conversation nagged at me. How many clients, students, colleagues and friends have I urged to “be more assertive,” as if speaking up were ineluctably both a) easy and b) unfailingly effective. Obviously, neither is the case; I ought to know.

Some relevant personal disclosures: I am radically introverted. I detest unnecessary conflict. Many experiences have shown me the wisdom of saying very little when I feel attacked and while this is, at times, incredibly useful, at other times it just makes things worse. The “worse” that results from speaking up tends to come right away: schoolyard bullies, for example, delight in prey that “fight back,” like cats playing with still-living mice. The “worse” that grows from silence usually comes later, which makes it hard to know when to retreat into silence and wait it out, and when it is worth taking something to the mats.

Some months ago, at a meeting with colleagues, I attempted several times (in vain) to make a point about a problem in the plans for a mutual project. The particulars aren’t relevant here; what matters is that I was trying to point out that if A, B, C are to be combined into D, and the current volume of A, B and C are 2D…well, we need to plan for 2D and not just D. The person in charge of the meeting plowed cheerfully over my objections. Alas, I continued to have concerns about the arithmetic and this was treated as some sort of mutiny and personal betrayal (it wasn’t). No explanation that it was merely a math problem was helpful. I spoke up, I tried again to speak up, and it was, clearly, not effective. Despite efforts to move forward as if all were fine, the relationship appears to be irretrievably damaged. (We did turn out to need 2D – and I did not reference the disagreement; it seemed inappropriate.)

A few months later, my unassertiveness floundered in the personal realm. Details are not necessary; suffice it to say that one person (call this person ‘Bob’) misrepresented a conversation to another (call this person ‘Sam’). Sam approached me with great distress as if I were somehow behind a plan that would involve many people descending upon Sam’s home (there was no plan and had there been, I would have been against it). Fortunately, there was at least some history here of the same type of thing happening in the past with Bob…Bob known to be of the temperament to leap to unexamined conclusions.

A few weeks later, my reluctance to engage in repeated attempts at being assertive ending up costing me two friendships. Back to word problems we go. Friend A said something interpreted to mean something entirely different than A intended by friends B and C. I was (as is regrettably often the case) lost in thought and didn’t hear precisely how the point was (mis)made, or mistaken. B and C elected not to confront A at the time. I, having heard A make this particular point very clearly many times, knew it was not meant as interpreted. When B and C were angry, I felt blindsided. It smacked of the recent colleague problem and social near miss. It is a poor excuse, but it seemed as if, after one attempt, it was useless to be more “assertive.” I felt, as it was with my colleague, that there was apparently no making things clear. I gave up – I dropped my end of the rope – have lost friends B and C, have a strained relationship with a valued colleague, and must face the fact I am the common denominator.

I don’t believe I am the only one at fault. Dismissing legitimate concerns, running off with rumors, closing off explanations: there are plenty of missteps to go around…but there, in the middle of it, am I, retreating into watchful silence when speech seems futile. Determining what is and is not futile obviously takes wisdom, which I lack.

I will still encourage clients to be assertive when it is the appropriate thing to do…we’ll just have to explore whether, and when, it is the appropriate choice.

 

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2017

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.

When Media Lies Hurt: The Destructive Impact of Sloppy Journalism on Real People

(Originally published in USA Today Magazine, July 2016. A few updates were made for reposting to this blog)

It’s safe to say that most people have long since given up on the idea of unquestioning trust for the media. Walter Cronkite died in 2009. Despite vague mistrust, people are vulnerable to the effect that repeatedly hearing things has. Hearing something over and over engrains it in our brains, even if it’s not true. The repeated lie tends to rise to the top when a related topic comes up. This is one reason so many people believe that, for example, violent crime is up all over the country (it’s not) or that we know for sure exactly what schizophrenia is, or what it’s caused by (we don’t).

As a psychotherapist, I see the pain that sloppy journalism creates for real people on a regular basis. I don’t mean transient worry; I mean the possibility of a lifetime of unnecessary anguish inflicted upon people who believe that the information hurled at them by media must be based in truth.

Three examples will suffice to illustrate; you can no doubt generate plenty of examples of your own.

Media Misrepresentation: People considering suicide always give clues about their intention, and thus friends and family have an opportunity to see it coming and intervene.

According to A. Dadoly in the Harvard Health Newsletter (2011), professional estimates are that 30-80% of suicides are impulsive acts, with little or no planning beyond the immediacy of the moment. That means family members could usually not have read the signs, and could not possibly have intervened. Yet, most people believe, because they’ve been told repeatedly, that warning signs are just about always there and thus are tormented with guilt and self-reproach for failing to see something that was, tragically, probably not there.

Media Misrepresentation: Depression is a medical illness that is a lifelong condition. You’ll be on medication forever because there is something wrong with your brain.

The truth is, depression, or “major depressive disorder,” as it is currently labeled, is a construct. It is diagnosed off a checklist of symptoms. Meet enough of the symptoms for a two-week period of time and, bingo, you can be diagnosed, whether that sadness, poor sleep, lack of energy, poor concentration, etc., is due to grief because someone you love has died, or to some other life circumstance…or, perhaps, something medical. Some research indicates that most cases of depression will improve within 7 weeks whether you do anything to treat it or not. Plenty of evidence shows that lifestyle changes such as proper sleep, diet and exercise, plus social supports and a bit of emotional support via therapy, will create improvement in less time and leave you more resilient the next time life throws you a challenge (which, of course, it will). You can find a wealth of scientific research as well as specific steps to apply that research to real life in Stephen Ilardi, MD, Ph.D.’s wonderful 2009 book, The Depression Cure. There’s plenty of other research out there, of course, but for busy readers, Dr. Ilardi has done a masterful job of tying together many researchers’ work and working out a useful process.

Yet millions of people have been sold the lie that their symptoms are evidence of a brain disorder that requires lifelong medication. The medications change the brain, cause all sorts of unpleasant side effects, such as weight gain, loss of sexual interest and/or function, and general apathy towards others, and often cause terrible withdrawal symptoms. They also carry a risk for impulsive acts of self-harm, including suicide, and violence against others. Almost every adolescent and young adult mass killer in the US in the past couple of decades, with the exception of avowed Islamist terrorists, has been on one or more psychiatric drugs, including many antidepressants.

Do these medications help some people? Apparently so, according to them and their doctors. That does not, however, prove that everyone who is sad for more than two weeks has an incurable but manageable brain disease and is “mentally ill.”

Media Misrepresentation: Your gay son or daughter is going to burn in hell just because he/she is LGBT.

This lie is a criticism of many religions, and recently has been part of the background of a television show called “The Real O’Neals.” One part of the plot involves a gay young man whose supposedly Catholic mother is consumed with despair because “her religion teaches her that her son is going to burn in hell because he is gay.” That’s a paraphrase from interviews I’ve read with a star of the show. I have seen many families suffer under this belief. Parents are alienated from their children; children believe that their parents are condemning them; parents and children alike reject their faith. I will address this from my Catholic perspective; you can do the homework on your faith.

The Catholic Church has an international apostolate (a fancy term for an approved special ministry) called Courage, focused entirely on providing spiritual, emotional and social support for LGBT Catholics. Its intention is not to “make them straight,” but to help them live Catholic lives with the orientation they experience. The official Catechism of the Catholic Church isn’t exactly politically correct: like the psychiatrists of just one generation ago, it considers homosexual behavior disordered – but you could say Catholicism (and all orthodox Christianity) says about the same about any sexual activity outside of marriage.

However, the Catechism of the Catholic Church also says: (paragraph 2358):

The number of men and women who have deep-seated homosexual tendencies is not negligible…They must be accepted with respect, compassion and sensitivity. Every sign of unjust discrimination in their regard should be avoided. These persons are called to fulfill God’s will in their lives and, if they are Christians, to unite to the sacrifice of the Lord’s Cross the difficulties they may encounter… (that “uniting to the sacrifice of the Lord’s Cross, is of course, what all Catholics do when, faced with challenges, we talk about “offering it up” – this is not a unique imposition upon GLBT persons).

Paragraph 2359 ends with, “They can and should gradually and resolutely approach Christian perfection.” Hmmm. No ineluctable path to hell and damnation there.

One can, however, imagine the pain of a parent who imagines their child is immediately rejected by God. One wishes they were bold enough to seek right guidance.

Our Responsibility

It’s easy, of course, to blame the media. Journalists go to college and seem to take pride in getting the “real story,” or whatever they imagine they’re doing. So why don’t they do their homework? Why present the easy, available tale? Psychologically, they appear to indulge in confirmation bias: the tendency to seek out and focus on things that verify what they already “know.” We consumers of media need to check the facts.

Bad information creates pain and suffering. Don’t assume what you read is the whole truth. Do your research, and turn to people who might have access to information you don’t have. Someone’s peace of mind may be at stake.

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2016

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.

Wrestling with OCD

If you have suffered with Obsessive Compulsive Disorder (OCD), or know someone who has, you are probably familiar with those distressing, intrusive thoughts that create so much anxiety. Traditional psychoanalysis used to focus on the content of those thoughts and seek to uncover the deep, buried wounds and wishes that led to these strange, seemingly alien notions. Thus the woman who was obsessed with the fear that her child would get hurt walking to school might be analyzed and advised that she seems to have a deep resentment against the child and all the responsibilities of motherhood and the worry is really an expression of an unconscious wish to be rid of the child. Talk about a guilt trip…!

Modern research and practice in treating OCD tends more towards the notion that everyone’s brain generates random and sometimes pretty crazy-sounding thoughts. Thus, the treatment is much less about wrestling with the particular content of the OCD thoughts and more about learning to compassionately notice that thought happening among all the other thoughts firing off like popcorn in the typical brain, use strategies to calm down the anxious physical reaction to the thought and refocus, gently and purposefully, on what one would rather think about at that moment in time. It stops becoming “Don’t think about X,” (try that: right now, I forbid you to think about pizza. Ha – how long did it take to imagine a pizza?). Instead, it becomes, “Yup, there’s that thought about X…and now I will take a deep breath and refocus on what I was doing/what’s going on right here and now.”

This is what mindfulness, stress management and cognitive-behavioral therapy can do, together, to help with OCD. The brain changes in response to choosing these behaviors, and the degree of physical distress decreases throughout the whole body.

If you are suffering with OCD, this kind of very well-researched approach may be what you need. Please contact a professional in your area if you think this might be helpful for you.

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2016

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.

Cut Them Some Slack

Doing unto others as we would have done for ourselves…well, there is one thing that most people tend to do for themselves that they are often slow, reluctant and resistant to do for others: cut them some slack. Consider the historical narrative on this:

Jesus of Nazareth: “Why do you notice the splinter in your brother’s eye but not perceive the wooden beam in your own?” (Luke, 6:41, NAB)

Soren Kierkegaard: “Most people are subjective towards themselves and objective towards others, frightfully objective sometimes – but the task is precisely to be objective towards oneself and subjective towards all others.” (Works of Love)

CS Lewis: “…It is no good passing this over with some vague, general admission such as, ‘of course, I know I have my faults.’ It is important to realize that there is some really fatal flaw in you: something which gives the others just that same feeling of despair which their flaws give you. And it is almost certainly something you don’t know about…” (Essay: The Trouble with “X”, from God in the Dock)

Psychologically, of course, it makes sense: we, after all, know what we intend to do/say; we have deep awareness of all the people and events that obstruct our good intentions. Meanwhile, we have no clue – or concertedly avoid taking notice of clues we trip over – about whatever obstacles and heartaches might underlie others’ disappointing and often frustrating behaviors. We cannot know what it is like to have the particular limitations that someone else has –anymore than they can understand the particular limitations we tote around with us.

Sometimes someone will say to me in the context of therapy how badly they feel that they are struggling with some particular issue – anxiety, or depression, for example – when (from their perspective) other people all seem to be going around, carefree and without this sort of anguish. In a country in which 20% of women and 10% of men are prescribed antidepressant medications each year, and who knows how many various prescriptions for anxiety, it hardly seems fair, to oneself or others, to assume that everyone is skipping along as carefree as they often very deliberately attempt to appear. Then there are physical pains and illnesses; the sufferings of loved ones; the anxiety for a loved one in a danger zone; grief; loneliness. These are so often invisible except for the side effects of passing crankiness or thoughtlessness or scatterbrained-ness that annoy other people who are, to quote Kierkegaard, being “objective” about others.

For the person who is suffering and, unable to see evidence of suffering in others, believes s/he is alone, it is disheartening. To be so alone in suffering…! But no one is alone in their suffering.

Not all the objective/subjective dichotomy concerns suffering. Sometimes it is about unseen limitations or differences. No doubt you have something you are not naturally good at doing. Perhaps it’s spelling, or “being handy,” or math. If you are a grownup who is doing well in life, you may have turned this into a kind of joke, or perhaps you use this as exhibit A, the evidence that you know you’re not perfect: “Oh, I know I’m far from perfect…you should see the disaster my checkbook is,” but in fact you have a certain secret pride that you do not have to bother with this, or that your flaw is so small and even borders on not being a real defect at all…and, after all, at least you are not “stupid/lazy/arrogant/whatever you perceive in someone else.” Yet unless you are in that experience, you cannot understand the frustration of someone with a brain injury who on the one hand knows that a certain skill set used to come naturally but is now a fuzzy memory and source of perpetual struggle. You cannot know what it is really like for someone with an IQ thirty points below yours to struggle through a complex and fast-paced world, when their processing speeds are so much slower, and you likewise cannot know what it might be like for someone with an IQ thirty points higher than yours to bear patiently with you.

Part of good psychotherapy, like good spiritual growth, is becoming aware of one’s flaws – not for the purpose of self-recrimination and useless shame, but as opportunities for growth of oneself as well as a growth in compassion for other people. The process, once begun, is the work of a lifetime.

 

Dr. Lori Puterbaugh, LMHC, LMFT, NCC

© 2016

Posts are for information and entertainment purposes only and should not be construed to be therapeutic advice. If you are in need of mental health assistance, please contact a licensed professional in your area.