Poetree

This weekend I drove north a few hours and enjoyed a retreat at a hot springs in the redwoods. Perhaps I’ll write about my experiences tomorrow, but for now I’m posting several short, unedited poems written up there. Just for fun…

FiltraceThe mind is a filter
That strains the life out of experience
Punch some hole in it
Wait until it empties
Only then will you understand
How much it contains

800px-Bonneville_Salt_FlatsIt did not start raining
Until the sky cleared
The fire didn’t ignite
Before the match was blown out
We think we know the way
But there is none
Just a broad, featureless plain
Shining in all directions

Millstones_at_North_Leverton_windmill_-_geograph.org.uk_-_500881We are seeds
Crushed on the millstone
Gathered into flour
And baked into bread
Let us reverse the wheel
Rise up from the threshing basket
And spread the wings
We never lost

Cleisostoma_simondii_Orchid_Flowers_Up_close-1
The dot of nectar
In an orchid’s well
Becomes an ocean
When we’ve grown small enough
To swim in bliss


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The Shocking Truth of Suicide?

784px-Leonardo_AlenzaYou publish something online about feeling suicidal, and you quickly realize the topic upsets people. After the last essay, I received many kind emails and comments, which was sweet and gratifying. But I also heard some expressions of alarm.

Since suicidal depression has haunted my life since my mother died in a psychiatric hospital when I was six, it hardly shocks me. But the average person doesn’t share my lifelong relationship with oppressive sorrow and the insistent urge for relief, and so feels uncomfortable with the topic. On the other hand, the sentiments expressed in many of the responses show that some readers of WillSpirit suffer with similar darkness.

Although I do feel a bit exposed after the last essay, it’s hard for me to feel shame about suicidal thoughts. Partly because they feel familiar, and partly because they seem predictable. Who wouldn’t feel suicidal after an upbringing like mine?

Who indeed? The Adverse Childhood Experience (ACE) Study demonstrated that the risk of suicide attempts is strongly linked with formative adversity. Compared to a person with an ACE Score of zero, a person with a score of seven or higher is 31 times more likely to attempt suicide as an adult. What this means, in practical terms, is that 35% of adults with very high ACE Scores have already attempted to end their own lives. Since my own score is at least seven, I see no reason to apologize for my despair.

(The ACE Score, by the way, is a rough instrument. It counts the number of categories of adversity without regard for severity or repetition of incidents, and certain kinds of trauma may be missed completely. For instance, loss of a parent to suicide or murder counts the same as loss to divorce, but few of us would view those situations as equivalent. Thus a low score doesn’t mean that childhood was easy or without damaging effects. There is also doubtless an interplay between individual susceptibility and trauma severity. This brings up the issue of “dandelion” versus “orchid” children, which is worth reading about–see David Dobbs’s 2009 article in The Atlantic.)

What about the 65% of adults with ACE scores in the seven-or-above range who haven’t (yet) attempted suicide? Are they thriving? Stable and well-adjusted? Sadly, I doubt it. Take the example of my sister. She certainly had an adverse upbringing, but she never once mentioned feeling suicidal. She suffered from depression but seemed disinclined to actively take her life. And yet she died at age 58 of alcoholism. She killed herself without ever voicing a desire for self-elimination. In fact, even as death approached she insisted she would keep on living; she never faced the reality of declining health. Despite her life-affirming proclamations, she drank right up to the end.

Adversity in early years spurs a variety of coping mechanisms, most of which are unhealthy when continued over the long run. Substance abuse, suicidality, cutting, over-eating, sexual promiscuity, overwork, and many others all can damage one’s body, one’s mind, and one’s relationships. But although they look isolating, life-denying, and/or nonsensical to uninformed observers, seen through the lens of intense emotional pain they make perfect sense. In a 2010 article, Vincent Felitti and colleagues explained that seemingly self destructive behaviors represent “unconsciously attempted solutions to problems dating back to the earliest years but hidden by time, by shame, by secrecy, and by social taboos against exploring certain areas of life experience.

When I describe suicidal thoughts on this blog, I’m attempting to serve both personal and collective purposes. First, I’m exploring my own life experience and working to resolve my difficulties. Second, I’m doing my tiny part to break down the social taboos that keep us trapped in an unhealed past. That’s what I tell myself anyway.

My goal isn’t to shock or alarm. It isn’t to garner support, either, though I do appreciate all the loving concern. Instead, I want to stare my demons down and understand how they operate, while challenging our culture to acknowledge both the prevalence of despair and the reality that mistreated children often grow into tormented adults. Rather than compounding low self-esteem by accusing those who came from difficult backgrounds of weakness, perhaps we should honor them for doing the best they can in a competitive society after an unsupportive upbringing.

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Dying to Stay Alive

599px-The_Blue_MarbleStanding in the morgue, looking down at the chill steel slab, I see my own face. It looks exactly like me, the way my sister’s looked exactly like her when I viewed her body eighteen months ago. Exactly the same, but utterly foreign too. Not her, not me at all.

Lest anyone believe me fully healed, beyond the reach of misery, know that a week ago I felt closer to suicide than at anytime in the past three years. Thoughts of ending my life pass through my mind often, but on this occasion they felt compelling, insistent. That’s when I flashed forward and saw myself as my own murder victim.

The sorrow I felt was crushing. “Will is dead!” Oh God. Tears raining down my face. And this is what surprised me. How much grief I felt at my own passing. Not the relief I expected.

How did I sink so low? I can’t say. My doctors would call it bipolar disorder. I don’t dispute that, but it felt more like demonic possession. All color trickled out of the world, leaving only a gray, sticky cloud of complaints. I felt haunted by every mistake and trapped by every circumstance. I felt driven to escape, and there was only one door.

The new element in this mood crisis, as opposed to all the others that currently afflict me on a biweekly basis, was a sense of urgency. Death no longer beckoned like a distant siren; I felt propelled toward it, bayonet at my back.

Because of my periodic depressions, my psychiatrist had suggested I try taking one of my old antidepressants on an as-needed basis. I certainly don’t need one all the time, because most of the time I feel fine. So I had started the pills as my mood began its familiar forty-eight hour collapse. I believe, but can’t be sure, that it was the medication that dialed up the volume of suicide’s call.

I felt held to the earth only by my ties to my wife, by my knowledge of how much my death would upset her. It was hard staying grounded with so few tethers. And as I watched myself withdraw ever further into darkness, further from connection and marriage, I began to wonder if maybe she wouldn’t be better off…

I know the sequence. First suicide is a whisper, then a shout. Then a decision to act is made, and the howling inside quiets. Relief reigns. From then on one’s actions play out as in a dream. Not quite a nightmare, but not reverie, either. Like sleep-walking while awake. Like a zombie. I was a good ways through this process before ending up in the psychiatric ward back in 2000, shortly after the end of my surgical career.

Luckily, during this recent episode I held on without harming myself or needing institutionalization. The next morning I called around to get help, and I tried to keep active. I met with a close friend, my therapist, and my psychiatrist. I attended two meditation groups, leading one of them. I taught a yoga class at a homeless shelter.

I learned that my connections to Earth are more robust than I usually think. My friend told me how hard my death would hit him. My therapist said the same, with different language. Even my psychiatrist, whose training promotes a more objective posture, told me she truly cares. Other friends who heard the story chimed in too. And I caught glimpses of myself making a difference in the yoga and meditation settings.

This post isn’t the place to detail the historical reasons for my trouble feeling connected with others. Let’s just stipulate that it’s hard, nearly impossible, for me to believe in my heart that anyone cares about me. I can feel it with my dogs, and I see evidence for it in my wife’s behavior, but the idea that I might actually matter to others is hard to grasp. It feels presumptuous. Preposterous and undeserved.

And terrifying. To feel loved is to feel so very vulnerable.

But the irony is that to exclude love from one’s consciousness leaves one feeling vulnerable too. Only now it’s combined with loneliness and isolation.

Life has ever been hard for me. Perhaps that comes across here? But it’s also been electrifying, fascinating, remarkable. And I’ve tried really, really hard to make it work for me.

Now that the crisis is past, I can see how the hardship opened me to new understanding, as always. I can see how more love surrounds me than I admitted before. I can see how much effort I’ve put into resolving my many psychiatric quirks, and how in spite of occasional embarrassing meltdowns, I’m more solid than before. The fact that I’ve made some progress might even count as a major accomplishment.

It’s a difficult world, and the human mind presents a varied and hazardous landscape. At least mine does: sickening gorges of depression, vertiginous peaks of ecstasy, boring salt flats spreading to the horizon, lush jungles, and meadows ringing with wildflowers and bees. And here I am, stumbling like a drunkard from nation to nation, only dimly aware that it’s all one country, one globe. The divisions, the changes, are but marks of nature’s artistry. It can all feel so blessed, and so dammed.

More and more, between brief bouts of agony, I can see this vast panorama spreading before me, behind me, above and below. It surrounds us all, embraces us all, sweeps us into the future, pulsing with ruin and promise. It’s this vision of creation as a seamless, roiling whole, that motivates me to delay, as long as naturally possible, the moment I meet myself in death.

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