Archive for the ‘Psychology in Daily Life’ Category

Cognitive behavioral therapy, or CBT, is a fairly effective treatment for some mental health concerns, especially depression, anxiety, and substance abuse disorders.  Focus is on increasing awareness of our thinking patterns, then working to replace unproductive/negative/inaccurate thoughts with more useful patterns.

There is a huge list of “cognitive distortions“, or thinking errors, that we talk about in treatment.  One of my personal favorites to focus on when dealing with depression (and, often, criminal thinking) is selective perception – seeing only what we want to see, putting outsized focus on certain events while discounting contradicting evidence, putting too much importance on small happenings.  It’s the reason people discard things that don’t fit with their previous beliefs.  If I believe I’m a terrible person and everything sucks, I’m more likely to focus on the things in life that are hard and that fit with that belief.

The best song I’ve found lately to represent this is an oldie (but a goodie!) by Say Anything, called The Futile, seen below (lyrics here).

Great example of selective perception!  We’ll be back next week with more of music and psychology!

***If you have a concept you’d like to know more about, or a song you’d like featured, send me a message!***

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It’s that time again, the time that we’re bombarded with people talking about making new years’ resolutions, by those beautiful, misguided, semi-well-intentioned people, who think a simple date is going to be enough to effect behavioral change.

I love goals and lists, and resolutions are no exception.  Each year, I read article after article about how to keep your resolution, or better resolutions, or better things to focus on.  A few kick ass body positive feminists made a point of changing “resolutions” to “revolutions,” which was very appealing, but I don’t know if it fully captures the spirit and means to make these goals stick.

In yoga practice, the concept of intention is fairly central; the idea that instead of a goal, you set an intention, which allows you to be present in the moment of practice.  Goals are great, but they’re finite, and set you up for always being dissatisfied; you’re not enjoying the present, because you’re waiting to feel good at some point in the future, or kicking yourself for messing up in the past.

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…but not because of what you think.

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In our endless election cycle, the one that seems increasingly like a joke, every GOP candidate keeps talking about how this country has lost it’s way, it’s greatness, because of being “politically correct.”  In their understanding, speech has to be limited because somebody might be offended, and that’s NOT FAIR, damn it.

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It seems every blog, newspaper, magazine and morning TV time waster is very concerned about the holiday blues, the magical time of year when people get depressed when surrounded by lights, bells, Christmas carols, family, friends, and food.

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How Depressing!

 

Christmas is less a religious holiday than a cultural holiday in the states.  Although we’re a country founded on freedom of religion, our government offices close for this holiday.  We hear Christmas carols, but not Seder songs or the call to prayer during Ramadan.  I know many folks, like myself, who are not practicing (or believing) Christians who celebrate Christmas regardless.  And much of our celebration has a non-religious focus; Santa Claus, presents, reindeer?  Not mentioned in any Christian texts I’m familiar with.

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Luke 50:10: And so he arm wrestled the Claus for gift wrap greatness.

 

Depression is a loaded word, one frequently misunderstood.  Feeling “depressed” and suffering from clinical depression are basically third cousins – they talk sometimes, but don’t remember each other’s middle names.  When folks talk about the holiday blues, they are likely NOT talking about clinical depression, but rather dysthymia, feeling slightly down, slightly less energy, but still able to function.

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America is a place where your job determines your worth.  It is shorthand for your personality, your motivation, your education, your skills.  What you do equals your values, your interests, and your plans.  In America, you are what you do.

We are one of the only places on earth where “what do you do” comes up in the first 30 seconds of almost any conversation.

Part of my passion is rehabilitation of people with disabilities.  Jobs are an extraordinarily helpful part of recovery from mental health concerns.  Working decreases hospital stays, increases medication compliance, increases community inclusion, and increases self-esteem while reducing acute mental health symptoms.

Working saves all of us money – it’s less people on disability, welfare and food stamps.  It’s less people in the emergency room.  It’s fewer police calls to deal with suicidal behavior.  It’s fewer beds in the psych ward because people didn’t take their medication.  Working is the key.

Working is super important.  If you’re not working, you don’t have a purpose, don’t have a strong self-concept.  You’re not contributing anything, you have little to do on a daily basis.  Is it any wonder that retirees maintain their mental and physical health better if they’re doing some sort of work, even volunteer work?  It is fundamental to our functioning as human beings.

People with disabilities have it especially tough, for three major reasons that all go together.  We’ll list them, then discuss how they interact.

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It wasn’t until the later part of my graduate school career that we started to talk seriously about altruism, it’s effects in society, and how little we actually understand the impulse to do good.

Most psychologists are of the mind that no act is purely altruistic.  When we act altruistically, there is generally a hidden benefit to the giver; altruism acts as a strengthener of the social network, the common thread between us in society, ensuring that we get what we give – what goes around comes around.  Some people act for religion; some, to offset (or continue to do) harm.  Our biology can encourage us to perpetuate our genes, even at our own expense.

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shame

I’ve talked at length about shame and its impact on behavioral change; namely, that when we’re feeling shame, we’re about as far from changing our own behavior as we can be.  When we’re feeling shame, the self is so threatened our only reaction is defensive, and defense is not a great place to begin looking at our own behavior and where we need to improve.

Lately, it’s getting more and more important for people in positions of privilege to acknowledge their own shortcomings.*  I read this as an enormously positive indicator that traditionally oppressed groups are beginning to make their voices heard and push for social change.  However, that means (of course) that people who aren’t so used to actively confronting contentious issues are being asked to react in thoughtful, nuanced ways, and are woefully unprepared to do so.

*We need to understand “privilege” as not necessarily individual, but rather being part of a traditionally valued part of our social system.  You as an individual might not be doing better than any other individual, but as a part of a general group, you have historically benefitted from some aspect of your identity.

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It’s been fifty four years since Stanley Milgram made history with his experiment on obedience to authority.  His results are in every psychology course, political science theory, and argument about war.  I, myself, have taught the experiment’s hypothesis and results for years.

It turns out, there is an essential piece most of us are missing when we talk about this study.

In 1961, Stanley Milgram chose hundreds people to ostensibly be participants in an experiment on learning techniques.  In reality, he was searching for information on obedience.  After World War II, social psychologists were hellbent on figuring out how ordinary citizens participated in the mass killings of Jews; Milgram believed part of this phenomenon was as a result of being given orders by an authority figure, allowing people to rationalize their behavior and continue to kill their fellow citizens.  Milgram asked ‘teachers’ to administer shocks to ‘students’ (who were confederates not being shocked), with scientists in the room prodding them to continue if they wavered.

In Milgram’s most famous instance of this study, almost 65% of people continued shocking a subject past lethal levels, past screams of pain, past no response, as a scientist stood at their shoulder and reminded them the experiment required they continue.

Scary, right?

It totally is, but not for the reason you think.*

I’ve always understood this study to be an exercise in taking orders.  Milgram had four scripted responses for his ‘scientists’ to use to prod subjects into continuing to shock learners:

  1. Please continue.
  2. The experiment requires you continue.
  3. It is absolutely essential you continue.
  4. You have no choice but to continue; you must go on.

The first three are suggestions; strong prods, very persuasive, but not an order, not “you have to do this.”  When scientists used the fourth prod, people stopped administering shocks.

Turns out, we’re not really great at following orders.  People who heard the fourth prod started disobeying, stating they absolutely do have a choice, and it’s not to keep doing this, dammit!

Those of you knowledgeable with how psychology works, or close to a difficult teenager, will not be surprised by this finding.  We are not fond of feeling we’re not in charge of our own lives; the instinct can be to do the opposite of whatever you’re told.  Therefore, giving orders becomes more effective when they are strong suggestions; processes like denial of responsibility, confirmation bias, and rationalization can all start whirring away to make people believe following orders is their own choice.

If this sounds familiar, dear reader, it’s because it’s the same principle underlying one of the most effective psychological treatments ever practiced – motivational interviewing, which was codified in 1991, is based on the idea that confrontation is not helpful in changing behavior.  On the contrary – when people are confronted and they’re not ready to change, they tend to dig in their heels and negative behaviors become more entrenched.

The takeaway is not that we’re mindless automatons, waiting for our masters to tell us what to do; the truth is far more insidious.  We are suggestible.  If we can make ourselves believe we’re doing bad things for a good reason, or a reason that’s consistent with our own self-concept,  or if we can push the responsibility for our actions on someone or something outside of ourselves, we can be persuaded to continue.

And that should terrify every contrarian.

*(Radiolab just did a segment on this, which can be heard here)