Category Archives: Miscellaney

Defining Mental Illness

Another well-put concept, written by David Markham himself.

As therapists know, psychiatry is not an exact science. In fact, it is mostly descriptive. The DSM IV, (Diagnostic and Statistical Manual, 4th edition) published by the American Psychiatric Association, describes various “mental illnesses” which are defined as a certain set of symptoms. Making a psychiatric diagnosis is kind of like astronomy, one gazes at the various symptoms as if at stars, and as various constellations emerge in some pattern, we give it a name.

He continues by describing the trend of state legislatures attempting to define mental illness, and links to an article in the Psychiatric Services Journal that provides in-depth consideration.

Good Humor

I have posted about the following piece elsewhere, before, but it’s a classic in my book. Besides, it makes me laugh heartily when I read it. And laughter is a tonic for well-being. So take a moment and read about Hank’s Cat Audit. Even if you aren’t a “cat person,” you’ll probably smile.

Remembering to Be

I went for a hike yesterday at a local park. Although situated within the city of Austin, the trail winds through land that feels remote. The path is shady, and it winds over a creek in numerous places. The occasional breeze ruffled my hair as I wandered over sun-dappled ground. Because it’s located near water, the trail featured a variety of vegatation, including moss, ferns, and water-loving Cedar Elms and Sycamores. There were also Texas Mountain Laurels, Twisted Yucca and Agarita.

While hiking, I became absorbed in the task of locomotion and would forget to see my surroundings. Now and again I would remember to bring myself back to the world, to pause and notice the colors, textures, and smells around me. At one point there was a pool of trickling water nestled by the hill. Dozens of yellow-jackets were convened on rock by the water’s edge. It was fascinating to watch them. I could only assume they were attracted to the water; I’d not seen a convention of bees before!

Even in Texas, there’s a scent in the air that suggests autumn. Although the temperatures continue to climb into the upper 80s, the light is softer, the glare less intense. The scent of autumn lingers — clearer air, a whiff of spice and musk that exudes from decaying leaves. The other night as I took a walk around the block in my neighborhood, I heard and owl. I was delighted. I stood still, with my ear cocked skyward, and every few minutes I was rewarded with a melancholy “Who-who-WHO.” Living in suburbia, one does not encounter much wildlife, and there was something redeeming about hearing this owl, knowing that it chose to rest (perhaps live) in a tree in someone’s back yard. Perhaps we have not crowded out all other creatures.

It is these experiences for which I live. It is the simple pleasure of experiencing life, discovering the grand beauty in the small and ordinary, of learning to see magnificence in the details as well as the expanse — learning to pay attention more often to what’s outside my head.

What Winter Means

In one month, on October 26, daylight savings time ends. Yet here it is, shortly after 8 p.m. in September, and my woozy, sleepy brain struggles to summon an interesting thought. My eyes are tired and don’t want to stay open. I’ve always been mystified by this. Every year, as the days shorten, I feel pulled to the depths — of sleepiness, of the subconscious, of that which is at rest and prepares for a long period of rejuvenation.

I am reminded of the Greek myth of Demeter and her daughter, Persephone. At one point Hades kidnapped Persephone and took her to the underworld. Demeter was distraught and outraged, and the whole world plunged into winter. Zeus, the father of Persephone, became worried about the state of the earth and intervened. Eventually, Persephone was permitted to reunite with her mother, for since she had eaten some pomengranate seeds while in captivity, she was obligated to return to Hades for part of every year. Hence, the story of winter.

This myth is also seen as a metaphor for psychotherapy:

An archetype of healing. Like our own wounded inner child, Persephone, had been abducted into the dark Hades of her unconscious patterns and process. She was lovingly searched for and assisted by Demeter, her mentoring mother. Their annual reunion, depicted here, was celebrated by the Greeks as the Rite of Spring. Illumined by the torch of insight, Persephone has returned to the upper world; Demeter blesses her with a sheaf of grain symbolizing nurture and renewal.This image offers a powerful metaphor for the psychotherapeutic process.

All of life slows down as we enter winter. Holiday time will increase our frenetic activity, but then we will experience the post New Year’s anticlimactic plunge. It need not be negative. Rest and quiet are healing, if we choose to use the opportunities when they arise.

No Relief Yet

I just heard on NPR, and have confirmed via Computerworld, that the telemarketing calls won’t be stopping as anticipated on October 1. I’m dismayed, to say the least.

U.S. court blocks do-not-call list
Story by Andy Sullivan

SEPTEMBER 24, 2003 (REUTERS)

A federal court in Oklahoma has blocked a national do-not-call list, which would allow consumers to stop most unwanted telephone sales calls, just one week before it was due to take effect.

The U.S. District Court in Oklahoma City said the Federal Trade Commission overstepped its authority when it set up the popular antitelemarketing measure, according to a court decision filed late yesterday.

When I Grow Up

I don’t often write from a personal point of view on this blog, although it is my hope that my personality seeps through my words.

However, tonight I was reminiscing about my youth, so I pulled out old journals and paged through them. There were two in high school (1978 & 1980) and two post-high school (1982 & 1983). I read the passages and remembered the struggle to create my identity, develop independence from my parents, create a meaningful faith, and deal with depression. My entries vary — one might be highly analytical and critical of myself, and another might state how joyous the day is.

It took me many years to become a therapist. This is due, in part, because during high school, I was directed away from my desire to study psychology, teaching, and writing. I tried to please the authority in my life. I acquiesced to staying home, going to a community college, and studying secretarial/business subjects. I was unhappy, but I continued to wend my way toward this profession. It took 16 years to complete my bachelor and master’s degrees (working full-time most of the time). Looking back, I see that this has been an education in itself — the process of awakening to one’s passion and faithfully pursuing its expression despite obstacles.

I had to chuckle ruefully when I read the following passage in my journal, dated February 16, 1982 (I was 19).

Another fact that I tend to complain about is my lack of obvious talent. I am not gifted musically, artistically, athletically, or academically. I have no talent in acting, dancing, or designing artistic pieces. I am afraid to tap whatever hidden resources I have, and have never sought to try. There are three things I know I do well: 1) writing essays; 2) speaking (my voice has a mellow, well-modulated tone); and 3) listening. What can I do with these talents (if they are talents)?

One thing I know: if anyone had told me that these are talents, and showed me the path I could take, I probably wouldn’t have believed them. This was due, in part, because I didn’t have any money for college, and my family’s funds were limited. This lack of money translated in my thinking into lack of opportunity; I was bewildered and afraid to dream. My father was unsupportive of my getting a degree in liberal arts, because I would not be employable, he feared. I moved out on my own and began working at a university library. My father’s perspective was deeply engraved in me, and I was in my mid-20s when I finally decided that yes, I would be a good therapist. And that I could make it happen. That I wasn’t “too emotional” to handle it.

The path wound many corners before I actually entered graduate school in my mid-30s. Would it be nice if I hadn’t had to struggle so hard to get here? Probably. However, I know that my achievement is all the more personal and real, because I pursued it against many odds. I would be a very different kind of person and therapist, probably, if I had not surmounted the crags and crevasses. Is this just self-consolation, rationalizing why it took so long? Maybe. But there’s no use in wishing it had been otherwise, because it’s past. So I prefer to think some good, some purpose came of it.

I am astonished, sometimes, that I am 40 years old. I feel that my life is just beginning. I wonder if I’ll feel this way at 60 and 80?

Dealing With Afternoon Sleepies

From an article, The Afternoon Apathy Syndrome, by Simran Bhargava:

Yawn. Your body is feeling leaden, your thoughts are sluggish. Strange glazed circles are forming before your eyes. You literally have to pry your eyelids open to keep awake. All around the office, colleagues are in a similar state of passing away.

Guess what time it is?

ItÂ’s most likely to be three in the afternoon, better known as the post-lunch slump. For the next hour-and-a-half, welcome to the zone of the living dead. The body is present, but the brain is asleep. This afternoon apathy syndrome is very common among office workers and can leave you feeling less alert, less energetic and more apt to make mistakes. Researchers in the UK found that productivity goes down so much during this period, it can have serious financial implications.

Trainers call it the graveyard session and have to fill it with activities to keep participants interested. Seminars typically have the lowest attendance during this time. Meetings held immediately after lunch are full of dead bodies on a caffeine drip. Even daytime accidents are most likely to be caused by lapses in attention which peak mid-afternoon, especially in drivers over age 45.

What is it about 3 pm?

Well, around this time several body cycles clash, sending office workers — not everyone, mind you — into a deep slump. For one, all the bodyÂ’s resources are suddenly diverted into digesting a heavy meal, an act, which according to nutritionists, requires more energy than either running or swimming. Second, a heavy meal causes gastric distension in the stomach leading to a reduced flow of oxygen and energy. Third, by mid-afternoon, a natural sleep-cycle builds up which sends you crashing into a valley. And fourth, at just about this time, the body is also slipping into a boredom cycle: the morning spurt of enthusiasm is over and now, itÂ’s just dull routine work.

The author advises that you can wait it out (it will pass in about 90 minutes), or:

  1. Identify your peak energy times (usually mid-to late morning) and use them for your most thought-intense work (planning, writing, editing, creative thinking); in the afternoon, use the time for “busy work” like returning phone calls, sorting papers, reading email.
  2. Avoid carbohydrates at lunchtime and eat more protein. Protein releases dopamine and norepinephrine into the brain, which increases alertness, while carbs release serotonin, a natural sedative.
  3. Skip the cup of coffee, and take a little nap — no longer than 30 minutes. You don’t have to even sleep; just kick back somewhere quiet, close your eyes, and rest your brain.

Following your body’s rhythms and giving what it needs can greatly improve your productivity and attention, allowing you to reclaim the day.

Deep Discount Prescription Services Shut Down

Rx Depot, a company that provides mail-order prescription service from Canadian pharmacies to U.S. residents, will be forced to cease doing business on September 11.

Rx Depot ordered to close stores
By THERESA AGOVINO
The Associated Press

MIAMI – The Justice Department has ordered Rx Depot to close up shop, as the Bush administration is seeking to close stores that help consumers buy cheaper drugs from Canada.

In a letter Tuesday to Rx Depot’s president, Carl Moore, the Justice Department said it will sue Moore unless he agrees by Thursday to shut down the company’s 85 stores.

Read more here. A copy of the FDA warning letter is available here.

Now really, what are the uninsured and elderly on Medicare supposed to do in order to obtain medication when costs continue to spiral out of control?

Howl at the Moon

I took a walk tonight. The nearly full moon looked like a cool mint candy, tantalizingly close, seeming to follow me as I walked. (Do you remember believing as a child that the moon followed you when, for instance, you sat in the back seat of your parents’ car coming home from someplace?)

The moon is a muse for poetry and stories, and it plays a role in our natural cycles (e.g., the ocean tides). However, as much as we might wish, studies indicate that the full moon effect on people’s behavior is minimal. For every study that finds a correlation between the full moon and an increase in dog bites, for example, another study finds no correlation. And one tenet we were taught in graduate school is… say it all together now… “Correlation does not imply causation.”

Nonetheless, anecdotes do make more interesting conversations, which is probably why full moon tales abound despite no evidence to support them. The tequila maker Jose Cuervo sponsored a psychiatrist to study the relationship between the full moon and odd behavior in literature. The psychiatrist’s conclusion is one that most logically explains (to me at least) why such lore is popular:

The psychiatrist, Glenn Wilson, found that the full moon has been portrayed in folklore and legends for centuries as cause for celebration, particularly in the times before modern lighting.

“There is good reason to believe that people’s personalities do change around the time of the full moon, not because of any astronomical force, but because it creates the optimum lighting conditions for feeling carefree and mischievous,” Wilson told the paper.

Regardless of whether the moon really has the power to incite strange behavior, it is a joy to behold. Tomorrow it will be full; be sure to step outside and spend a little time looking heavenward. If you really look, you might just see the man in the moon. *wink*

Changes

You may notice that this blog is new. It was, in fact, born just recently. I want you to know that I’ll be working to improve the format and user-friendliness while also finding and creating good content. It may rev up slowly, but stop in occasionally to see what’s changed. I look forward to your visits!