Saturday, May 31, 2008

Enlightened Living: Understanding Constancy in Relationship


Sigmund Freud had a nephew named Ernst with whom he would play peek-a-boo. Freud would hold a teddy bear at the edge of Ernst's crib and then drop it out of sight. Ever the scientist, Freud noticed that, at a young age, Ernst would immediately lose interest when he could not see the bear. When the bear came back, so did Ernst, so to speak. As Ernst got older Freud noticed that, when the bear was out of view, Ernst would reach over the edge of the crib to find the bear.

From this experience Freud developed a theory of cognitive development that would later come to be called ‘object constancy'. Basically, object constancy suggests that, at some point in our early development, humans express the capacity to understand that ‘out of sight' doesn't mean ‘gone'. This is a very important idea, as it is one of the core elements of interpersonal relationship and informs everything from romantic love to jealousy to Borderline Personality Disorder.

read more ...

Wednesday, May 28, 2008

Myvesta UK: Spending Sprees Plunge Mental Health Patients Into Chronic Debt

By Myvesta UK

Excessive Spending - A Common Symptom and A Terrible Curse


Average household debt reached £9,216 (excluding mortgages) in May, according to the charity Credit Action. One in four people with mental health problems is in debt, which means that a staggering 2.5 million people are estimated to be struggling with debts while dealing with illness.

People with mental health problems are three times more likely to be debt-ridden than the general population as personal borrowing reaches record levels in the UK.

The number is likely to be even higher among those with bipolar disorder as over-spending is often part of the condition, according to experts. They warn that financial troubles result in mental health problems such as anxiety, depression and even suicide, and urge lenders, debt collectors and health professionals to be alert as the credit crunch worsens. They advise that
“When you are well, consider putting some safeguards on your money so that you cannot
over spend it when you become high.”

Gail Porter has it. Stephen Fry made a documentary about it. Sophie Anderton, Adam Ant, Russell Brand, Richard Dreyfuss, Kerry Katona and Tony Slattery are all sufferers. And now Britney Spears, too, has bipolar disorder, at least according to the media, in whose unforgiving
glare she has undergone her very public meltdown.

At times, it seems as though bipolar illness is the latest celebrity fad – like wheat intolerance, perhaps. But the apparent spike in celebrity sufferers points to something else: that awareness amongst both clinicians and the public is growing and some of the stigma attached to admitting to mental health problems has begun to diminish.

It has been suggested that having a celebrity's ultra-outgoing personality might dispose someone to bipolar illness. My heart goes out to anyone in the public eye who does have bipolar. It is an
unforgiving illness that makes you behave, both when manic and depressed, in ways that can leave you deeply ashamed when you're in a fit state to reflect on your behaviour.

Bipolar expert, Dr Ronald R Fieve, describes bipolar excessive spending in his book Moodswing like this:
“the lifestyle of the manic depressive who is in a high tends to be a glorious scattering of money”.
This "glorious scattering of money" can take many forms:
  • It may be wild shopping sprees with a self-medicating overtone.
  • It may be crazy investments when our bipolar grandiosity is telling us we can do no wrong.
  • It may be extravagant gifts to family, friends or charity - again arising from manic grandiosity.
  • Or in some very distressing scenarios, it may be spending a fortune on travel, hotels, pornography, prostitution, champagne and lingerie in an extra-marital affair, cybersex, or whatever outlet manic hypersexuality can find.
  • Gambling more than one can afford, for example on horse racing.
It is not always about a spending spree - Patty Duke, Oscar winning actress, did her share of bipolar excessive spending, which she describes candidly in her autobiography - but the best example of how bipolar ruined her relationship with money was Patty asking two strangers she literally met in a car park to become her business managers (no prizes for guessing how that worked out!)

Comedian and writer Stephen Fry, who has bipolar disorder, has called for better understanding about the links between debt and manic depression. He said: "My own bipolar condition has caused me to go on plenty of giddy spending sprees.

"Because so much stigma still surrounds mental health, many people can't get a job, are on the poverty line, and can't get credit from anyone but doorstep lenders charging up to 400 per cent interest."

Negative attitudes towards people with mental distress may be manifested by physical and verbal abuse, problems in the workplace or discrimination by providers of goods and services. Negative attitudes are sometimes evident in the development of government policies on
mental health.

About 1 in 100 people develop this condition at some point in their lives. The majority of these are ordinary, everyday people. It can start at any time during or after the teenage years, and can affect children and the elderly. It affects as many men as women. The rapid cycling form of the illness occurs in about 1 in 6 cases. Bipolar disorder is often not recognised as an illness, and people may suffer for years before it is properly diagnosed and treated. Like diabetes or heart disease, bipolar disorder is a long-term illness that must be carefully managed throughout a person’s life.

During a manic or high phase, shopping sprees are common. During a low phase, a person may feel so depressed they are unable to leave the house or even answer the phone. Unopened bills pile up. Juggling creditors while trying to recover from an acute phase of bipolar disorder can leave them vulnerable to relapse.

It is not your fault; it is not a character disorder. Neither mania nor depression is a sign of weakness, nor that someone has just given in. It is not something that people are able to just pull themselves out of it.

Chris Fitch, of the Royal College of Psychiatrists, says financial problems are the result of more than overspending. "People with mental health problems are often on low incomes, experience high unemployment rates, and are reliant on benefits. Borrowing money or not paying the bills can often feel like the only options," he said.

Lenders must tread a fine line between not discriminating against people with mental health problems and protecting vulnerable customers whose spending is out of control as a result of illness. But many people in debt report unhelpful, aggressive responses from lenders, resulting in greater anxiety, stress and more debt.

Joanna Elson of the Money Advice Trust said: "The stress of unmanageable debt has a direct impact on an individual's physical and mental well being.

"The guidelines are voluntary but they are designed to encourage good practice by creditors, debt collection agencies and money advisers working with people with debt and mental health problems."

According to Mind's chief executive, Paul Farmer: "Living with bipolar disorder greatly increases the likelihood of falling into debt. In many cases, people are using credit they cannot afford to repay, which means they become trapped in a spiral of debt that further compounds their mental health problems.

"Banks and other lenders should not be encouraging their customers with bipolar disorder to take out more loans when they are already in lots of debt."

Rachael Watson, 34, a PhD student from Blackburn, has bipolar disorder, and over the past few years has racked debts of £35,000. She bought a £14,000 car, using a credit card, days before she was admitted to hospital for mania. While depressed she shopped for unnecessary clothes and food, in the hope it would make her feel more in control. Unable to face the world when she is depressed, phone calls and letters from the bank go unanswered.

Every time she got into debt, her bank encouraged her to release equity from her home to pay back what she owed. As soon as her debts were cleared, they offered her more credit. She is now being pursued by the bank, which has made her so anxious she has been prescribed extra
medication. The bank phones her up to 10 times a day and sends letters demanding payments she simply cannot afford.

Recovery from bipolar disorder can be hampered by the additional stress and practical problems presented by financial difficulties. Whether it is repairing the damage caused by excessive spending during episodes of 'mania', dealing with loss of earnings as a result of illness or taking steps to prevent future problems, financial health can be as important a factor in returning to wellness as other forms of help, treatment and support.

As well as being a consequence of mental ill health, financial problems can increase the stress of day-to-day life and become a 'trigger' for illness.

Healthy Sense of Humor = Mental Health?

From Missouri Western State University:


DAWN M. MILLER
DEPARTMENT OF PSYCHOLOGY
Missouri Western State University
Sponsored by BRIAN CRONK(cronk@missouriwestern.edu)

ABSTRACT
Recent studies have determined that having a sense of humor leads to a relationship with a person’s overall mental health. The purpose of this study is to determine if there is a correlation between the two variables. Two questionnaires were distributed to students on the campus of Missouri Western State College and the results were scored. The data were analyzed and a significant correlation was found between sense of humor and mental health. As scores on the Multidimensional Sense of Humor Scale increased (showing a high sense of humor), scores on the mental health survey decreased (showing great mental health). Further implications are discussed in the paper.

INTRODUCTION
When people hear the word, “psychology”, they most likely associate it with mental disorders. Psychologists have studied the field of mental illness and disorders for many years; however, there is a new area to research. Positive psychology turned the focus from the negative aspects of psychology to the more optimistic aspects, such as happiness, courage, and sense of humor.

Although the concept of positive psychology is rather new, the idea of sense of humor dates back to biblical times (Martin, 2001). Also, in the 13th century, physicians and philosophers described laughter and its health benefits. Sense of humor is a universal, multifaceted concept and thus has many definitions. Martin (2001) describes sense of humor as “habitual individual differences in all sorts of behaviors, experiences, affects, attitudes, and abilities relating to amusement, laughter, jocularity, and so on”. Because humor is so extensive, it can be labeled as a personality trait, a stimulus variable, an emotional response, a mental process, and a therapeutic intervention.

Despite the fact that humor is universal, the content of the humor differs across cultures and genders. Every culture has a set of rules, norms, and values that decide what kind of humor is appropriate. For instance, Americans prefer jokes that consist of sexual or aggressive content, whereas Chinese humor is rather restrained and concealed (Nevo, Nevo, & Yin, 2001). Gender is another issue that causes difference in humor and content. Women prefer jokes with less aggressive and less sexual content than do men. However, both men and women favor to have women as the target of jokes. When it came to creating and appreciating humor, men scored higher on creation and women scored higher on appreciation (Nevo, Nevo, & Yin, 2001).

Many theories have been created that explain the concept of humor; though three main theories help us to understand. First, incongruity theories concentrate on perceiving humor and the cognitive processes involved in it. Second, relief theories state the belief that laughter is a release of energy that has been suppressed. Finally, superiority theories describe that humor comes from a person’s aspiration to feel better than the other (Graham, 1995).

Having a sense of humor includes many benefits. Individuals with a greater sense of humor are more motivated, cheerful, trustworthy, and have a higher self-esteem. They are also more likely to develop close, social relationships (Kelly, 2002). One of the greatest benefits of having a sense of humor is the influence it has on health. First, humor can be interceded by social relationships, which may create health-enhancing effects. Second, humor has an indirect effect on stress levels. By having a humorous outlook on life, stressful experiences are often minimized. Third, physiological processes are influenced by humor. For example, laughing may reduce muscle tension, increase the flow of oxygen to the blood, exercise the cardiovascular region, and produce endorphins. Finally, humor corresponds with positive emotional states (Martin, 2001) and is known to be an indicator of mental health.

Mental health, or psychological well-being, is another multifaceted concept with many definitions. It is the ability to overcome psychological distress, develop psychologically and emotionally, become aware of others, and maintain social relationships (Zeman, 2003). Statistical definitions compare individuals who are on the outer ends of the bell-shaped curve to “normal” individuals who fall in the middle. Moral/spiritual definitions are used in traditional cultures and focuses on the characteristics that provide evidence of mental health. Finally, subjective definitions approach how disorders are either present or absent (Qualls, 2002). Mental health can be characterized by six essential factors: self-acceptance, personal growth, autonomy, environmental mastery, personality integration, and an accurate perception of reality (Compton, 2001).

People with great mental health have a high self-esteem, strong sociable encouragement, and are members of warm, compassionate families (Zeman, 2003). Maintaining mental health over time is extremely important; however, risk factors exist for mental illnesses. Preserving mental health can be accomplished by three characteristics. First, having a low risk of disease or disability; second, functioning well, both mentally and physically; and finally, being fully engaged with life (Qualls, 2002). There are three main categories of risk factors for mental illness. Genetics can influence mental health by delaying development, causing physical illness, or producing a low IQ, which may result in problems in communication and academic failure. Another risk factor is the family and close relationships. Parental conflict, inconsistent discipline, abuse, loss of friendships, and parental mental illness are all factors that may lead to mental illness. External factors that may cause mental illness include socioeconomic status, discrimination, and poor education (Zeman, 2003).

Many mental health theories of structure exist to help in the understanding of the concept. Compton, Smith, Cornish, and Qualls (1996) believe mental health is divided into three areas: personal growth, subjective well-being, and the stress-resistant personality. Personal growth refers to the development of a person’s psychological qualities and potentials. The most well-known theory on the idea of personal growth is Maslow’s self-actualizing person theory. Subjective well-being refers to positive emotions and the outlook one has on life. Stress-resistant personality refers to the factors that increase physical health outcomes. Compton (2001) also adds the area of religiosity to mental health.

Not much research has been conducted on sense of humor and mental health. The purpose of this study is to determine a correlation between the two concepts. I am expecting to find a positive correlation.

read more ...



NYT: Mindfulness Meditation, Based on Buddha’s Teachings, Gains Ground With Therapists

From NYTimes.com:

Lotus Therapy


Published: May 27, 2008

The patient sat with his eyes closed, submerged in the rhythm of his own breathing, and after a while noticed that he was thinking about his troubled relationship with his father.


“I was able to be there, present for the pain,” he said, when the meditation session ended. “To just let it be what it was, without thinking it through.”

The therapist nodded.“Acceptance is what it was,” he continued. “Just letting it be. Not trying to change anything.”“That’s it,” the therapist said. “That’s it, and that’s big.”

This exercise in focused awareness and mental catch-and-release of emotions has become perhaps the most popular new psychotherapy technique of the past decade. Mindfulness meditation, as it is called, is rooted in the teachings of a fifth-century B.C. Indian prince,
Siddhartha Gautama, later known as the Buddha. It is catching the attention of talk therapists of all stripes, including academic researchers, Freudian analysts in private practice and skeptics who see all the hallmarks of another fad.

Read more ...


Monday, May 26, 2008

NYT: A Stroke Leads a Brain Scientist to a New Spirituality


From NYTimes.com:

A Superhighway to Bliss

By LESLIE KAUFMAN

JILL BOLTE TAYLOR was a neuroscientist working at Harvard’s brain research center when she experienced nirvana.

But she did it by having a stroke.

On Dec. 10, 1996, Dr. Taylor, then 37, woke up in her apartment near Boston with a piercing pain behind her eye. A blood vessel in her brain had popped. Within minutes, her left lobe — the source of ego, analysis, judgment and context — began to fail her. Oddly, it felt great.

The incessant chatter that normally filled her mind disappeared. Her everyday worries — about a brother with schizophrenia and her high-powered job — untethered themselves from her and slid away.

Her perceptions changed, too. She could see that the atoms and molecules making up her body blended with the space around her; the whole world and the creatures in it were all part of the same magnificent field of shimmering energy.

“My perception of physical boundaries was no longer limited to where my skin met air,” she has written in her memoir, “My Stroke of Insight,” which was just published by Viking.

After experiencing intense pain, she said, her body disconnected from her mind. “I felt like a genie liberated from its bottle,” she wrote in her book. “The energy of my spirit seemed to flow like a great whale gliding through a sea of silent euphoria.”

While her spirit soared, her body struggled to live. She had a clot the size of a golf ball in her head, and without the use of her left hemisphere she lost basic analytical functions like her ability to speak, to understand numbers or letters, and even, at first, to recognize her mother. A friend took her to the hospital. Surgery and eight years of recovery followed.

Her desire to teach others about nirvana, Dr. Taylor said, strongly motivated her to squeeze her spirit back into her body and to get well.

Read more ....

Friday, May 23, 2008

NARSAD Researchers Showcase New Treatment Options For Severe Depression; Provide New Clues About Treating Clinical Anxiety And Schizophrenia


Medical News Today:

New findings from research supported by NARSAD, the world's leading charity dedicated to mental health research, and conducted by scientists at Washington University's School of Medicine (WUSM) now point to new options for treating preschool-aged children with significant clinical depression as well as those severely depressed adults who don't respond to standard treatments, such as antidepressants and psychotherapy.

Presented at NARSAD's 5th annual St. Louis Mental Health Research Symposium on May 18th at Washington University, the studies, conducted by four leading St. Louis-based researchers, shed new light on what happens in the brains of children and adults who are affected by clinical depression, anxiety disorders and schizophrenia. Coming at a time when more than 57 million Americans suffer from a diagnosable mental disorder, the new findings have immediate relevance in terms of new treatment options and different strategies for designing more targeted therapies for the future.

Read more ....

The Earth Times: Public Service Campaign Takes on Attitudes Trivializing Depression

The Earth Times: Public Service Campaign Takes on Attitudes Trivializing Depression


WASHINGTON, May 21 /PRNewswire-USNewswire/ -- In its latest effort to help Americans understand the seriousness of depression and the importance of seeking treatment, the Depression Is Real Coalition today distributed a groundbreaking series of PSAs titled, "It Is Depression" to media outlets nationwide. Spoken from the perspective of experts on the front lines of depression treatment, the PSAs urge the public to recognize that depression is a biological disease that can be as debilitating as other major illnesses like cancer, diabetes and heart disease.


One print advertisement from the campaign poses a provocative question that illustrates popular misconceptions about depression: "You'd never say, 'It's just cancer, get over it.' So why do some say that about depression?" The words appear to be written in chalk on a school blackboard."What people may not understand is that depression is not just a matter of being in a bad mood, or something that's in a person's mind. It's just like any other biologically-based disease. It has symptoms. It can be disabling, and even fatal," said David Shern, PhD, President and CEO of Coalition member organization Mental Health America. "In fact, depression is a condition that commonly co-occurs with chronic diseases like diabetes and heart disease."


Twitter Delicious Facebook Digg Stumbleupon Favorites More

 
Design by Free WordPress Themes | Bloggerized by Lasantha - Premium Blogger Themes | cna certification