WillSpirit!


∞ Where Mental Skills Heal Mental Ills ∞

A former physician writes about mental health and recovery using insights from life, science, and spiritual practice.








  • Red_Exclamation_DotDisclaimer
    • Dear Visitors:
      Although I trained and practiced as a physician, my background does not include formal instruction in psychiatry beyond basic medical education. This journal presents ideas about treatment philosophy, but must not be considered therapeutic advice. Abrupt changes in one's psychiatric medications can trigger profound cognitive, emotional, and physical symptoms, including suicidal thoughts and actions. Consequently, pharmaceutical agents should not be increased or decreased without supervision by a mental health clinician.

    • ON THE OTHER HAND, your brain belongs to you, and your opinion counts. If you decide that changing your medication regimen will serve your best interest, then I believe your providers have an obligation to help you try to achieve your goals. I want everyone to be educated about their options, and do what will be most helpful for themselves. No one should feel pushed around by dogmatic and/or limited viewpoints, whether those of psychiatrists, anti-psychiatry advocates, or myself.


A Burning Desire

Every journey starts somewhere. Although this blog was launched only three years ago, WillSpirit probably began way back in 2000, right after my brain exploded.

Well, my head did not literally blow up, but back then explosion seemed the only word sufficient to convey the eruptive onset of a visionary state of mind that far exceeded any previous meditative (or even psychedelic) experience. That psychiatrists pronounced it a manic psychosis did not in the least undermine my conviction about the profundity of what was happening.

Along with the visions came a burgeoning sense of being called to connect my education in physics, biology, and medicine with spiritual Truths that suddenly seemed self-evident. In a grandiose state of mind, I imagined myself one of God’s chosen prophets. The gravity of my new mission felt irresistible and overpowering.

But it weakened. Maybe the medications calmed me and helped me see my limitations and lack of realism; or maybe they derailed me from my proper path. All I know is that before long the idea of connecting my scientific training with my mystical experience seemed terribly impractical. I went to graduate school in bioinformatics instead.

That was the first of many aborted career plans that followed the end of my profession as a surgeon. Readers know my latest flop was the acupuncture business. Time and again I’ve compromised my true interests and passions while aiming for something more likely to lead to worldly success. I now recognize this as a doomed strategy.

During a recent dinner with good friends, I watched my inward sense of vitality and outward appearance of animation build as I spoke about connections between Science and Spirit. For the first time in quite awhile I recognized how powerfully these parallels attract me.

I never was a scientist in the truest sense of the word. Although a devoted student of scientific subjects, I always felt bored and limited when working in a lab or doing field study. My interest is in drawing analogies, making intuitive leaps, and painting a global picture of reality that is consistent with science but closer in tenor to poetry. My deepest heart wants others to open their eyes to the sweeping vista of reality as it appears to me.

In all honesty, allowing my passion free reign feels more important than writing this blog, though WillSpirit remains quite dear to my heart. I recognize that penning my uneven essays here helps me and helps others; it is a small but important project that must continue. But something grander is begging to be born from this cracked shell of a person. Most likely, the resulting neonate will appear lovable to me and me only. But it needs to burst forth into this world and cry out its Love of Life.

No longer will it suffice for me to harass my friends and family with my intricate ideas about the Cosmos. Nor is it enough for me to write boring philosophical posts about the Universe and Humanity’s place in it. I need to complete the vital task laid before me twelve years ago. And at last I understand the form my message needs to take.

It isn’t a question of proving that a realm exists beyond the Newtonian worldview accepted by conventional science. Any honest assessment of available studies will show that reality is richer than the desiccated landscape painted by technocrats. True, only a few anomalous phenomena have been convincingly demonstrated, and little is understood about the nature or limits of this strange arena in which people know about the world in ways that contradict customary reality. But scientific evidence is not what I feel drawn to provide.

Skeptics will never be persuaded, and most of us seeking deeper answers to life’s dilemma need no further proof of mystery. What I think is within my power to offer is a poetic distillation of the creation story as told by science, beginning with the moment of the universe’s first explosion into space, and ending with the present day. I can speak to those who feel lost and yet hopeful that Life makes sense. Many must yearn to square transcendent and intuitive experiences with a scientific worldview that has proven its utility but has yet to demonstrate its humanity.

So here at WillSpirit I’ll keep writing about my fluctuating moods, my changing fortunes, and my ongoing efforts to keep myself sane. But in the background, and probably linked to this site, I want to start a new project. A life’s work, if you will.

And by Life’s Work I mean to highlight my sense of calling but also to describe the project itself. I will work to bring my notion of the sacred to bear on my notion of Life. Not because physics and biology haven’t been written about from spiritual stances before; many quality tomes about such topics line bookstore shelves. Not because anything I say will be unique or especially inspiring. This drive to write something worthy of the countless hours I’ve spent thinking about these subjects is fueled by a deep-seated need. A yearning to describe biology and physics in spiritual and poetic terms has gripped my soul since the first shattering awakenings so many years ago. WillSpirit served well as an initial step, but the time has come to go further. And at last my goal isn’t success, it’s expression.

Only by doing something that feels momentous will I cease feeling pointless and defeated. Only by undertaking a truly impractical task can I free myself from the bonds of mediocrity and repeated failure. If I’m going to try once again to produce, then I want to at least be listening to my heart this time. Better to incinerate my dreams in one massive volcanic caldera than let them once again sputter out like wet fuses.

Only when I speak or write about Life in all its complex glory, and Spirit in all its confusing paradox, do I feel truly inspired. Perhaps this is yet another false start. Maybe I’m overestimating my reach or (heaven forbid) feeling grandiose. But I’m beginning to see that fulfillment can only be found by concentrating on what most fulfills me.

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Angels Rush in Where Fools Fear to Tread

Who am I fooling?

Myself, mostly. The last piece did the usual intellectual thing and talked about an approach without talking about approaching. What matters is getting close to life, not describing getting close. And right now I feel very far away.

Enough posts lately have catalogued my recent misfortunes; I won’t list them again. Besides, although I’m sure the hardships play into my feelings, they aren’t playing through my thoughts. So what’s causing this sense of detachment and sorrow?

Pain, first of all. Physical discomfort in my neck, left arm, and abdomen. Although I consider myself skilled at using meditation (and not medication) to manage my pain, there are limits. I’ve reached them.

Hopelessness, second of all. With the demise of the acupuncture practice came a great reduction in stress but also the loss of a meaningful project. Sure, I’m slowly preparing a WillSpirit upgrade, which gives me a new focus, but it doesn’t feel as rich and exciting as clinical work.

Acupuncture connected me in a person-to-person way with others. Now my only helping activity is right here on this inconspicuous blog. Although writing gives me some sense of making a difference, we are talking about action at a distance. There is none of the sweetness of treating patients hands-on. I miss that and realize such experience has probably passed from my life forever.

Then comes the fear. With no way of making a living, I’m at the mercy of my disability company and the greater economic system, both of which have proven horribly untrustworthy. This isn’t a new reality, but I can no longer imagine breaking free of it. I feel trapped as the future and old age bear down on me.

And loneliness. I do a poor job of maintaining social contacts. A promising friendship got nipped in the bud when the person in question moved to the opposite coast. Another friendship ended during my manic episode. I value my small social circle, but there’s no denying its narrow circumference. I’ll keep reaching out, but in this mood it’s difficult and it isn’t like I’m much fun to be around.

The mood will lighten eventually, of course, but for now the darkness is deepening. Based on past experience, I know the bleak emotions may get a lot worse before they dissipate. I no longer feel compelled to fix the situation with pills or rash action, but I still feel oppressed.

So for all my talk of behaviorism and acting rather than obsessing about thoughts and feelings (as in the last post), I feel pretty stuck. Yes, I’ll go through all the necessary motions today: an AA meeting, swimming, some errands, a doctor’s appointment. I’ll write this blog post. I’ll walk the dogs. I won’t just lie in bed and feel sad.

But curling up under blankets sounds tempting. I find myself asking how much longer life will last. Like a kid in the back seat of a car, I look forward to the end of this journey. That’s not a happy way to live, and I try to keep from focusing too much on that question, but it’s in the air. My air.

Ever since starting this blog I’ve tried to remain honest. Often it seems like my hard work has paid off and I feel a sense of mastery over my mental state; on those days I write accordingly. But today I feel lost and confused. I wonder if anything substantive has actually changed. Have I just been fooling myself?

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Where Do We Want to Live Our Lives?

On a comment left at Storied Mind, a great blog and depression resource created by John Folk-Williams, I mused about whether or not depression is an illness.  (A recent post on this site covered the same question from a different angle.) What follows connects my reply to John’s essay with Acceptance and Commitment Therapy (ACT), which WillSpirit readers have heard me discuss many times before.

John focuses on ACT in his essay and only mentions the illness question in passing. The issue comes up because the ACT view of mental symptoms contradicts the biological disease paradigm of conventional psychiatry.

ACT is based on behaviorism, a philosophy that dominated psychological study in America for much of the early and mid-twentieth century. By the 1980′s behaviorism had been supplanted by cognitive science, a movement that was driven by neurobiology’s computational model of the brain. Behaviorism suffered intense criticism after falling from grace.

The backlash was so thorough and effective that when I first learned that ACT is a behaviorist approach, I assumed it succeeded despite that heritage and not because of it. Behaviorism has a reputation for being overly mechanistic and dehumanizing. The common caricature is that it rejects the importance of mental life and views people as automatons who don’t choose their actions but only react to environmental contingencies.

In his 1974 book, About Behaviorism, B.F. Skinner (the most prominent leader of the movement) defended his views. The text more often assumes than establishes the basic foundations of its philosophy; it insists that  inner life is a consequence rather than a cause of a person’s interaction with his or her environment but doesn’t provide much supportive evidence (although subsequent research has bolstered such assertion). So the book isn’t terribly effective as a counterattack. But it does demonstrate that Skinner looked at human behavior with an admirably practical eye.

In managing depression and other psychiatric symptoms, it is this practicality that makes a behaviorist approach effective. CBT (Cognitive Behavioral Therapy) has trained many of us to challenge negativity. But thoughts arise rapidly and seldom cooperate with attempts at control. Positive thinking is a great concept, but every uplifting thought is dogged by its counterargument. The affirmation, “I’m a good person” seldom can escape whispering rebuttals like, “but remember the time you…”

I don’t deny the helpfulness of monitoring thoughts to weed out inaccuracies and unfair self-criticism. But CBT assumes that feeling is a result of thinking, and that we can feel better if we think better; both these premises are questionable. Thinking and feeling are internal processes that mutually interact and respond to environmental input; thinking isn’t the sole determinant of how we feel. And we all know from experience that positive thinking by itself never resolves a deeply entrenched depression.

But the real problem with CBT, and most other therapies, is precisely that they teach us to focus on thoughts and feelings as we battle mental difficulty. If we are stuck in a deep funk and spending our days in bed, we are taught that if we adjust how we view our childhood, or how we think about our current situation, we will soon feel better. Having established a sunnier inner landscape, we’ll want to get up and live our lives again. Sadly, most of the time the sun simply refuses to shine no matter how much we rethink our past or challenge our negativity.

Skinner would reply that our staying in bed results from learning, not from thinking or feeling. Something in our environment has taught us that lying down pays off. Maybe we get sympathy. Maybe we avoid facing stress. There is a reward that sustains the behavior despite the fact that it undermines our progress in life.

The answer to depression isn’t to wait for our inner state to improve while we do little to alter externals. Rather, we should act on the outer world, which will provide new consequences and teach us better behavior. If I attend a community picnic when depressed, two benefits accrue: I interact with others and so increase my social connections, and I spend some time outdoors. These positive outcomes, especially if repeated a few times, will teach me to adopt similar outgoing behavior in the future. Waiting for the depression to lift before attending such an event would win me neither more friends nor contact with nature. My future behavior would be unlikely to change.

Which finally brings me to the substance of my comment on Storied Mind and the question of whether depression is an illness. Here is an excerpt:

…whether depression is an illness or not [is] a semantic question, and it can have different answers depending on one’s stage in dealing with the problem. If ‘illness’ means a condition that feels unpleasant and limits life, then yes, depression can be (and usually starts out as) an illness. But if it means a definable brain disease that can be treated with specific medications, one can only say that at this point there is little evidence to support that view. I’ve followed this research for years and have yet to see any findings that solidly (or even plausibly) demonstrate organic pathology. For every suggestive piece of evidence one can find powerful refuting arguments.

Although the disease concept helps relieve us of shame and so can be helpful early on, eventually we want more than escape from blame. We want better living. ACT offers an approach to achieving that…  what works is living life with purpose without so much emphasis on how [we] feel or what [we] think…

I no longer react reflexively out of fear, anxiety, insecurity, or negative self-talk. As I’ve begun to live a richer life despite my frequent feelings of sadness, regret, and fear, I’ve started to see that the ‘illness’ concept no longer serves me as it did earlier…

I would add, in light of the behaviorist perspective, that if the answer to depression lies in interacting differently with the environment, then it seems unlikely that the problem resides in the brain. Instead the difficulty is, and has always been, a consequence of the world around us and how it’s taught us to respond to circumstances. This is a radical concept when compared with the traditional view on mental distress. It takes the problem out of the realm of thoughts and feelings and places it in the real world. And isn’t that where we want to live our lives?

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Proud to Fail

A comment left by Elaina, the author of the PTSD Is Normal blog, started me thinking about the meaning of failure.

Those of us with histories of difficult upbringings and unstable adult lives often find that success eludes us. We fail to see projects through, or we choose directions that demand skills we lack, or we trust people who undermine our progress, or we collapse emotionally when facing intensified stress, or we turn away from opportunities out of fear. Achievement, at least as it is usually defined, gets impeded by our poor coping skills and high reactivity.

And yet, a common gambit to compensate for low self-esteem is to become an overachiever. I started out like that. You don’t go to major universities, earn stellar grades, get advanced degrees, and train as a sub-specialty surgeon unless you feel pretty driven to succeed. My attainments in younger years helped me feel better about myself, but they never penetrated to the inner core of my personality that was corrupted by the virus of self-hatred. I looked good on paper and never hesitated to let people know about my high-status profession, but it was all in service of counteracting deep feelings of worthlessness.

When neck disease made my overloaded operating schedule too demanding to continue, I rather precipitously abandoned my career. This rash decision came during a manic episode back before I knew myself capable of losing control in that way. So I didn’t recognize the warning signs. Rather than working patiently to solve the mismatch between my workload and spinal vulnerability (for instance by reducing to half-time), I just gave up on a career that had required ten years of medical training beyond college and graduate school. That decision led to many negative consequences, some of which continue to plague me.

In many ways, the recent acupuncture fiasco showed history repeating itself. I chose a career path that was obviously going to be very difficult for me. I listened to advice rather than my own heart. I trusted people who proved untrustworthy. My physical health deteriorated under stress. And I even made the decision to abandon the project while in a fit of mania (though now that the dust has settled I have no doubt about the correctness of that choice).

On the one hand, I could mine the acupuncture saga for tips on how to choose my goals more wisely. Or I could reassure my ego by seeing that in some ways the project was successful despite its failure in the business sense. For instance, many of my patients felt dramatically better after I’d treated them. And educating myself and setting up a practice taught me a great deal about healing, Chinese medicine, and Eastern philosophy, not to mention business realities and my own temperament.

But the most valuable outcome was my realizing that external circumstances are more or less irrelevant to internal progress. I do not need to prove my worth to the world at large; I only need to find value in myself. The highest goal in life, as I now see it, is to learn to feel satisfied and enriched by living no matter what happens. Failure, illness, pain, and grief are just as valuable to a soul as their opposites. A diet of only disappointment would certainly get tiresome, but the Self could be sustained by it if properly schooled. If it teaches us these attitudes, failure proves itself as valuable as success, and possibly more so.

The Buddha saw this truth long ago in speaking of the eight worldly winds: Praise/Blame, Gain/Loss, Fame/Shame, and Happiness/Despair. He saw that a person can rise beyond these dialectics and find peace of mind no matter the vagaries of Fate’s gales.

The edifying value of failure is perhaps a needed lesson in today’s success-obsessed world. Certainly, I feel much happier knowing that my life does not need validation from conventional sources. It can be experienced as meaningful even when it looks unfortunate from the outside. Knowing this, and seeing how my career catastrophes have taught me an invaluable lesson, I feel proud to have failed.

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Sadness Is No Illness

Sadness. Regret. Grief.

In the old days, I’d have called this state of mind depression. But that word refers to a mental illness, and this doesn’t feel pathological. Rather, it seems utterly normal to feel down after everything that’s happened.

As March draws to a close, I look back on a six month run of painful events that started with my sister’s death from alcoholism on October first. The last three months of 2011 were shadowed by that loss. My first holiday season with no one else alive from my family of origin felt especially mournful. As the days shortened and darkened around my bereavement, I continued to face one disappointment after another on the acupuncture front. And just as my hopes of once again earning an income began to flicker out, the company that pays me disability insurance threatened to cut me off on false pretenses.

With all that stress, perhaps it’s no surprise that in mid-January I suffered my ruptured aneurysm and two hospitalizations. This bodily malfunction caused pain of greater severity for longer periods than I’d ever endured before, not to mention tsunamis of nausea and a twelve hour stint of nearly non-stop vomiting. Because of intestinal obstruction, I was fed intravenously for several weeks after seven days of flat-out starvation. Today, despite six weeks of normal eating and living, I still feel sorely depleted.

Not long after the internal hemorrhage, a friendship that has been important to me for years ended in a big, angry blowup that appears final. Also, during the past few months my spinal problems worsened, and now my left arm is afflicted by nerve root compression that causes stabbing pain. As a result, I can’t use that hand to carry anything much heavier than a glass of water. And the abdominal discomfort that’s plagued me for a year (and that we now know was caused by the same vascular insufficiency that created the aneurysm) is bothering me more than ever.

And of course there’s the letdown after the major manic episode that swelled, crested, and broke as my world seemed to be falling to pieces. Inevitably, it seems, energetic and euphoric states are followed by their opposites.

At the tail end of all this chaos, my cousin came to town and we held an informal ceremony for my sister at the western edge of San Francisco, where the city meets the Pacific Ocean. My wife and I owned a beautiful vintage house near that beach until December 1999. My sister visited us often there, and she loved to walk along the shore and collect sand dollars.

The memorial at Ocean Beach felt painful. First and foremost, of course, there was my grief about my sister’s passing, which I’ve had trouble facing before now: the pain has seemed too overwhelming.

But that neighborhood often makes me uneasy just by itself, because it brings to mind difficult memories. For instance, very near the spot where we spread a few teaspoonfuls of Janice’s cremains, in 1996 my wife and I watched in horror as an enormous Akita grabbed our beloved three-pound Pomeranian, biting hard and killing her almost instantly. The resulting emotional devastation ruined our weekly walks along the beach and probably fed into my hastiness in abandoning the area a few years later (see below).

Going to that beachside neighborhood feels especially poignant because before Mickey’s death I was enjoying some of the most satisfying years of my life. We lived in a wonderful city just a few blocks from the surf. I was a respected surgeon who drove to work every day along one of the most beautiful routes in California. My avocation as a figurative sculptor kept me occupied during my free time. I felt happy and proud of myself.

So much has changed since then. My neck disease ended both my surgical career and my sculpting. My mental health collapsed. We left San Francisco after I sold our beach house with little forethought during the rising phase of an extremely intense manic episode. As years passed, I tried many new careers but wasn’t able to sustain any of them. Our financial situation gradually deteriorated. And now I’m faced with many new losses that seem to echo all that escaped my grasp twelve years ago. My sister’s memorial on the sand wove my unraveled dreams into a tapestry of regret.

But change and eventual decay are what life promises, yes? Earlier tonight I was looking at a book we bought long ago, back when we lived in that unique house near the beach. It shows photos of the neighborhood and coastline dating from the mid 1800′s through the 1950′s. In one 1936 aerial photo of the amusement park that used to line the shore you can even see the house we once owned; it would have been eleven years old at that time.

What struck me in looking at those photos was how the people looked so ordinary in their happiness. Gazing out from those images were romantic couples strolling along the esplanade, boisterous families gawking at the amusements, and robust men racing out of the surf. One photograph showed a group of young women wearing swimsuits that looked like today’s scuba diving outfits; the hand-pencilled caption read: Bathing Beauties. Most of these young people were posing self-consciously for the cameras, but they all looked excited to be spending a day at the beach. We can only imagine what happened as they grew older. What joys, adventures, and successes did they find in life? What disappointments, illnesses, and tragedies did they eventually suffer? Could they have guessed that their innocent pleasure would be captured in a souvenir book and viewed a century later, long after their death? Did they ever think they would be reduced to anonymous images, historically interesting but otherwise nearly forgotten?

This is the nature of life. It buds, blossoms, fruits, and falls. As I survey the wreckage of the past six months it seems like nothing more than ordinary human history. I don’t feel sorry for myself. It would be isolating and self-pitying to call my natural sadness a mental illness. Loss and grief connect me with the global family of humankind. They pull me into the passion play that repeats itself generation after generation. The actors and scenery change, but hope, fear, joy, and grief cycle forever through their seasons, as humanity lives and loves.

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Death and Rebirth, on an Absurdly Small Scale

Our acupuncture office has closed, officially and permanently. As we acceded to the inevitable, fortune smiled on us, in that another physician acupuncturist liked the space and assumed the lease. He also purchased some of the furnishings and equipment, which was helpful financially but also saved us the trouble of moving and storing heavy items.

Breaking down the office my wife and I worked so hard to set up made me sad, but at least there wasn’t much doubt about the decision. The business had been struggling from the get-go, and the many problems had stressed us both. After hospitalization I was left with a new source of pain (in my abdomen), worsened neck problems, limited use of my left arm due to nerve compression, and heightened psychiatric instability. Continuing to practice with so many impairments would have been impossible and also unethical, so finding someone to take over the space felt like a Godsend.

Oddly, it hurt even more when I revised my acupuncture website (this link will eventually be deactivated, but it’s good for now) to announce the practice closure. I’d invested a great deal of time in building up the site’s design and content. Posting an announcement to kill the project left me a bit shaken. But I see a positive aspect to this response: it shows how much I enjoy fussing with websites and how much creative energy such work absorbs.

It’s part of the reason I’m planning a big reorganization and upgrade to this blog’s format. The initial template that I chose in 2009 has long since been abandoned by its developers. I’ve been adjusting and altering it for years, and I’ve managed to keep it functioning, but there are many glitches and I lack the expertise to fix them. So WillSpirit will be moving to a new and more robust template soon.

The updated appearance will be less quirky and more pedestrian; it will look like a typical website. I’ll miss the old format, but change cannot be avoided, especially in technological realms.

I am currently organizing the archived posts into categories. The old Tag Cloud system is also being revised and is currently disabled. I apologize for that inconvenience, by the way, though I’ve never believed tags all that helpful for finding pieces of relevance. My goal is to make the new site a place where people can more easily find articles pertaining to their needs and goals.

So, in summary, a treasured but difficult and failing project has ended. This frees up time for me to further develop WillSpirit, which requires attention anyway. One endeavor ending, another reviving. Life moves forward.

On balance, I feel better about all this than expected. The acupuncture practice was supposed to improve our financial situation, but it actually ended up costing a great deal and did not appear destined to become very profitable. The answer to our budget issues appears to be ever-increasing frugality, especially as prices continue to rise. But one gains a spiritual boon in learning to get by with less, so I’m OK with tightening the purse strings.

I’m OK with everything these days: the new pains, the new sorrows, the ongoing uncertainty, the new directions. Through all this uproar my sensitive soul keeps learning. For instance, it’s nice to finally feel convinced that life doesn’t need to be comfortable to be valuable. I embrace it all, come what may.

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The God Within

What do we want? I mean, what do we truly hope for in life?

More than anything, I suspect it is to be understood. When a child falls and skins her knee, she would like the pain to ease, but mainly she wants her parents to hold her and honor the hurting. Minimizing the problem or telling her not to cry does not help; only a sweet embrace and a tender wiping of tears comforts the weal of suffering.

We remain like that child, despite our adult defenses. We don’t want people to tell us we exaggerate our ordeals, or that we should “just move on,” or that we should count our blessings. We yearn to be heard. We hope others will see how hard we try, how deeply we despair, how difficult life is for us. Reminders that most people suffer may help us feel less persecuted, but offers of compassion heal us more.

I’ve been writing about the Watcher and have even equated it with the mind of God. This may seem like hyperbole, but it is not so far off the mark. Because more than anything, the Watcher within knows our pain. It sees our struggle. It tries to help and is motivated by love. Aren’t these the qualities people attribute to God?

Perhaps the Watcher is nothing more than an echo of our infantile comfort in our mother’s arms. Or perhaps it truly is Divine awareness manifesting from the depths of our nervous systems. Or maybe it’s simply another reentrant loop of neural fibers in the thalamocortical circuit. But whatever its source, it exists as surely as consciousness itself.

Only rarely do we receive sufficient love and comfort from those around us. First of all, no matter how intimately we share or how closely our companions observe, no one else truly knows how we feel inside. So they can’t possess enough perspective on our suffering to fully assure us of their comprehension. Second, most people are dealing with serious problems of their own, and we can’t expect much more than brief reassurance and temporary smiles, as nice as these are to receive. Finally, every person has sensitivities and fears, so that truly confronting another’s distress brings them perilously close to their own. Defenses very often snap into place automatically, creating a distance that love can only partially bridge. People are only human, after all.

But the Watcher, that inner Grace and knowing Self, observes us intimately, shares our problems, and puts up no defense. It comforts almost as completely as the welcoming arms and nurturing breasts that saved us when we first fell into this world terrorized by glare and holler.

There may not be much serenity in human civilization, but there is tranquility in the human heart. We lose sight of it; often we even run from it, but it is there. We can regain this center. We can become acquainted with our innate loving nature and our personal share of divinity.

How? By stilling thought. By paying attention to the present moment. By looking around and seeing all that connects us with the world and other people. By recognizing our own smallness in the face of the vast universe, and our own largeness in the space of our souls.

Enlisting the Watcher does not require painful effort. In fact, we merely need to abandon striving and embrace our tiny but majestic human lives, just as they are: right here and right now.

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God’s URL

The last essay, like one written long ago, emphasized the Watcher stance. In reading and responding to comments, I soon realized that my casually equating the Watcher with conscience muddied the waters. Conscience sits perilously close to its darker partner: shame. And while the Watcher is the guardian of conscience, it is much larger. So large, in fact, that it can nearly be equated with God itself.

You see me going out on the proverbial limb here. Only rarely (these days) do I offer suggestions about metaphysical reality because all such statements are partial, provisional, and controversial. But every once in awhile it makes sense to define terms, and for all my ‘devout agnosticism’ (as I’ve called it) I do bandy the “G” word quite a bit. So what do I really mean by it?

Let me start by saying that the biggest problem I see with religions is how they limit our outlook, when reality is too vast and mysterious for any doctrine to encompass. Of all the faiths I’ve investigated, Hinduism does the best job of keeping a broad perspective, but even it has its blind spots. As a consequence of religious myopia, I’ve never been able to wholeheartedly plunge into any faith. Yes, I consider myself a Quaker first and foremost, but even that group has some philosophical shortcomings.

What I’ve always wanted is insight into how the world works on its most fundamental and mystical level, and by picking and choosing among the opinions and metaphors of various sects (while informed by a fairly extensive education in the sciences), I believe that goal has been more or less reached. Of course, I don’t know the source or destiny of Creation, but I have found an edifying comprehension of why and how the cosmos manages to be both harsh and healing simultaneously.

Which brings me to the God concept. As I’ve said many times: during states of transcendence, awareness of the Unity, Rightness, and Love pervading the universe always resonates deeply within my heart. Sometimes one aspect dominates, but this trinity is always present. I’ve also read it described as Truth, Justice, and Beauty. Or why not use the Christian terminology of Father (Rightness), Son (Love), and Holy Spirit (Unity)? The words don’t matter, but the feelings do.

So where does the Watcher fit in all this? The Watcher comprehends this tripartite harmony of things. It understands that if we are all united, every act we perform affects the entire evolution of consciousness. If the universe is essentially ‘right,’ then there is little reason to fret and worry: everything that happens somehow serves Cosmic progression. And if Love is the fundamental quality of the universe, we need only choose to serve Love better. Life becomes very simple, and the Watcher embodies this wisdom.

Note that Rightness means that the universe is unfolding as it must; there is nothing wrong with its structure or development. Yes, humanity is a work-in-progress, and we have a long way to go before we can call ourselves morally evolved. But no child is born with adult maturity, and no self-aware species can make it to full realization without stumbling along the way.

Rightness is not meant to prompt us to judge ourselves, or berate ourselves, or hate ourselves. Love is the steadying force here, and it tells us that we are beautiful beings even as we struggle and fail. Whether we behave like saints or collapse and harm others, we are loved. This is a potent fact to keep in mind when we look at our shortcomings.

How can we manifest loveliness even when we harm others? Unity answers that question. Because every act is collective (at a minimum in historical development and subsequent effects), when we hurt others we harm ourselves; when we support others we uplift ourselves. There is no true hatred in such a world, only a vast, terrible confusion that leads us to (self) destruction.

The Watcher sees all these interconnections, even if it doesn’t articulate them outright. It operates from a place of ancient and unshakable insight. It is, in my opinion, our collective consciousness and (as Jung would have it) the collective unconscious. For all practical purposes, the Watcher is the mind of God.

I have written before about how this might work scientifically. For now, I just want us to recognize that God is best sought within our hearts. It is not an external force that we need to summon from afar; it is a loving, cohesive, and wise spirit that we all possess. We merely need to acknowledge its presence and power. Most importantly, we do best as we learn to accede to its guidance.

As a consequence of adopting the Watcher as my guide, I now understand the truth stated in one of my recent replies to a commentator: there is no “right” way for life to unfold. Perhaps I’d been moving toward this realization for a long time, but my sister’s death last October pushed me the final distance. To my regret, I had gotten in the habit of seeing her personality (which was highly volatile) as damaged and her life (she was a terminal alcoholic) as tragic. Yet even though only five people who knew her well attended her funeral, I could see how she had deeply affected all of us. Janice suffered, but I no longer believe she lost out in life. Yes, she missed some nice aspects of human existence: stability, prosperity, a family of her own. But she valued the dangerous, the marginal, and the iconoclastic. Those offbeat realms attracted her, and she pursued them with inspiring zest.

Throughout our lives, we are told a story about successful living. These days, with so much media and advertising, it has gone beyond mere suggestion and risen to the level of legend: we are successful only when we are energetic, attractive (and especially youthful), affluent, influential, popular, joyous, and fun loving. That story has haunted me much of my life, ever more so as I saw myself “failing” by its criteria. Ruined careers, no children, and for many years no joy. But from the Watcher’s perspective, all human lives are equal. This is not to suggest that we aren’t encouraged to improve, but I no longer think that success in the opinion of humankind corresponds in any significant way with valuable living in the cosmic sense.

So life can be, as I have found it to be, enriching even in the midst of dreadful pain, frightening illness, business failure, and injustice. Who says that sorrow and pain aren’t just as enriching as happiness and pleasure? Only our preference for the one over the other, but certainly not any cosmic value system. Don’t we feel moved by the sick and bereaved? Why not feel that same loving empathy when we witness illness and grief in ourselves? Why not direct toward our own ailing souls the compassion we feel toward others who suffer? (Here is where Love and Unity are useful principles to remember.)

To be alive is to be living rightly. Yes, there are those who hurt and exploit others, and we are all charged with the task of educating them (at best) or incarcerating them (at worst) so that the innocent are protected. But even such destructive individuals may be playing an essential role in the cosmic drama. Who are we to say the universe is badly made? Rightness is beyond our limited understanding.

If we look at pain and suffering as somehow “wrong” we end up rejecting a big portion of life’s journey, which includes such difficulties as surely as it includes their opposites. I prefer to think that Creation knows what it’s doing, even if we don’t. This Watcher wisdom may be nothing but opinion, not established fact, but it has made my life seem much richer and more rewarding than it did when I judged my progress by society’s narrow standards.

Christ’s life is meant, I believe, to give us exactly this perspective. The betrayal, torment, and humiliating death he endured were not mistakes. They were not signs of a life gone off-track. They became beautiful symbols of what’s possible if we look for the deeper purposes in suffering and embrace even misery and injustice with loving hearts.

The Universe is calling us to choose a path for ourselves. All of us are up to the call and to the task. This doesn’t mean we won’t continue to grieve, regret, and suffer, but we will be living exactly as we are meant to even as we stumble into the next stage of our pilgrimage.

At least, this is how I now see my own life, and if I can view my trajectory this way after all that’s happened, I believe anyone can. I do not regret the past anymore; I do not fear the future. I try to keep learning, try to keep helping, try to keep uniting. This feels so much better than struggling to succeed in worldly terms. It feels like I am finally on track. Adopting the Watcher stance has brought me to this point, and the same spirit of Unity, Rightness, and Love is beckoning us all.

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Watching with Wonder

When a stretch of ocean rises with the passing of a wave, we all foresee what happens next: it falls. The sun rises, and we know it will set. Summer heats the land, then winter cools it.

When mania grips the mind, driving thoughts, speech, and movement at high speed, the inevitable sequela is depression. But as a concept, to be depressed no longer means much to me. Yes, sadness envelops me like the wet fog that often blankets San Francisco. Yes, my heart beats drearily, worn out by the burst of energy and all the problems that came before. Yes, my mood feels down.

In the old days, say four or five years ago, I would have found it tough to get things done in this condition. The soft, lonely mattress upstairs would sing its siren song. My body might curl into the fetal position under layers of blankets, with the shades darkening the room and the door keeping out my wife and dogs. Back then, depression was a force that knocked me down as surely as a tornado flattens houses.

Nowadays, on the other hand, I embrace emotion’s gales. Rather than futilely trying to hold my own against their pressure, like a mobile home on the prairie, I ride them like a sail before the wind. Sure, I feel tattered and sometimes even shredded, but at least there is movement and the scenery changes. I don’t stare woefully at the ceiling for hours on end. This freedom to surf moods rather than resist them served me well during my recent manic crisis.

What happened to my brain weeks ago? Why did my mind wind into a state of mania so severe that I lost friends, frightened my wife, and learned once again that my mental state can become terribly unbalanced? We could point to the many stressors: a major illness, heightened pain, an insurance battle, a failed business. We could blame the medication prescribed to settle my moods that paradoxically accelerated them. No doubt these factors contributed to igniting my brain with frenetic and sometimes euphoric mental fire, but what was going on under the hood?

I just don’t know. One thing that’s become clear as I’ve watched myself get tossed around by psychiatric chaos over the years is that the causes are both manifold and obscure. I listed stimuli in the last paragraph, but these aren’t explanations. Neuroscientists could suggest areas of my brain that might have been overactive and neurotransmitters that might have been secreted in unusual amounts. But they could no more describe the details of my mania than I can explain the behavior of my dogs. If it rains, I know they will be less enthusiastic about their daily walk on the trails. But does that reflect nonverbal analysis, pure emotion, or simple instinct? Impossible to say. A brain scan and chemical assay might provide some interesting information, but they wouldn’t answer these questions. Nor could such studies truly explain why my brain lit up like the Burning Man.

What I do know is that through all the psychic chaos, a part of me stood outside the fray and simply observed inner and outer events. It watched my body get sick. It noticed anger toward the insurance company. It recognized disarray as my mind lost its moorings. It honored grief as we removed the decorations from our acupuncture office. But it didn’t get fully swept up in any of this. The watcher managed to avoid getting pulled into the whirlpool of problems.

You know how we sometimes get lost in scary movies and scream when the knife plunges into a character we favor? It’s almost as if we see a loved one under attack rather than an actor with a packet of fake blood under her blouse. I dislike that sort of film, but if one ends up playing in front of me, I try to picture the cameraman, the director, the makeup artists, the reflecting screens, the props, and all the activity that doesn’t show up in the frame. I pull back from the story and imagine the context that created it. This lessens my emotional distress.

Watching myself these past eight weeks has felt just like that. I’ve stepped back from the turmoil time and again, and looked at historical antecedents. I’ve watched my moods range up and down with the knowledge that this has happened quite a few times before. I’ve endured physical pain as a slightly dispassionate observer who understands the difference between the body that feels and the consciousness that watches.

Many of us have experience with drugs of abuse. Alcohol can make us unrecognizable to loved ones; so can psychedelics, stimulants, and sedatives. But even in the midst of intoxication, there usually remains a particle of conscience. Alcohol makes it easy to bypass our better instincts, but it doesn’t completely remove them from the picture. At almost all times, a kinder, healthier, wiser Self watches our actions. Just as we can observe the pains and trauma that befall us, we can also pay attention to our behavior. This is true when we are under the influence of drugs, and it is true when we are affected by mental disorder.

I’ve removed from this blog some early posts that discussed all the pain caused by prescribed drugs in the area of my sexuality. Because of how my stepmother intruded on me as a young adolescent and mocked my developing body, when the treatments for my mental health and spinal issues started affecting my reproductive system I felt deeply humiliated and even suicidal. Fortunately, most of the physiological damage has reversed now that I’ve tapered off the drugs, and I may soon restore for public view that painful series of essays so that others might benefit.

I mention that difficult time of my life because during the recovery process the doctors were treating me with fairly high doses of testosterone gel, which I applied to my skin daily. To take that drug was a lesson in the malleability of mind. Before long my libido became as intense as it had been in my twenties. It seemed as if a horny radar system tracked every female within a hundred yard radius. I felt lustful from dawn to dusk. It was not always pleasant, and it certainly wasn’t appreciated by my wife. It isn’t typical for a man of fifty to feel anxious for intercourse daily or even multiple times a day, and there are few women past menopause who would welcome such hunger from their mate.

Luckily, I am tapering off the hormone treatment, and it appears that before long I may be able to stop it entirely. I am content with my more modest sex drive, and I am relieved to feel less distracted by the young women on the street who no doubt have enough men salivating after them already.

I bring this up to show how a single chemical can radically change a person’s state of brain and mind. Unlike drugs of abuse, hormonal treatments alter people’s internal state for weeks and months. I contended with excess sexual charge for a couple of years. I know some men would welcome the transformation; they would accept the elevated cancer risk and all the other hazards of steroid therapy. They wouldn’t mind feeling irritable and easily angered. The dangers would seem trivial compared to renewal of youthful libidinous drive. The current onslaught of testosterone (“low T”) advertising will encourage many to demand the gel from their doctors.

And that is their right. My point here is only that if our personalities can be so affected by specific chemicals, imagine what life events can do. Or even food. What changes in brain chemistry follow a chocolate bar?

But let me stress again that we can choose to watch these changes and not get swept away by them. I never lost sight of the source of my heightened libido during the testosterone madness. If I had, perhaps I’d now be divorced and struggling to satisfy a much younger woman. Maybe I’d be living a whole new life, having broken the heart of the spouse who stood by me through so many difficult illnesses and losses.

So much better, in my opinion, to remain mindful and observant. To see the many surges of emotion, desire, fantasy, and thought, while retaining the ability to choose actions that serve the greatest good.

There is a difference between brain, mind, and Self (as in the last post, I emphasize the capital ‘S’). The brain can (and will) undergo all manner of changes in chemistry; the mind will follow with gyrations in mood, thought, and appetite. But the Self can remain selective. It can watch; it can choose.

Yes, I admit that during my manic peak my behavior became quite difficult to control. But even then, I was able to explain to others that my brain and mind were compromised. At my most lucid moments, I asked them to understand how much effort I was expending trying to hold on. I called out for help while trapped in boiling currents, and I attempted to rectify damage even as my mental apparatus created it.

It was a good exercise, because now that my nervous system is less fired up, I see improvement in my ability to monitor my psychological state and wisely select my actions regardless of inner distractions. Functioning under duress heightened my ability to ride the waves without dissolving in them.

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Burnin’ Love

The prologue last time mentioned a tiny psychiatric crisis that intruded upon my life. Later, in the body of the essay, I wrote:

One nice thing about complete mental breakdown is that it erases all delusions of inner solidity. This can feel alarming, but it can also awaken us to the power and hopefulness of fragmentation.

In the aftermath of my recent physical illness, a mammoth struggle with my disability company, and the dawning realization of my inability to continue as an acupuncturist, my mind became unpinned from its ordinary constraints. Like a hot air balloon released from tethers, it rose skyward. The loss of mooring led to large-scale mental disorganization, which due to meditative work, assistance from many healers, and luck, resolved within a relatively short time. I remain a bit more energized than usual, but my mental velocity is now compatible with normal life.

Readers have often observed my attempts to find lessons in hardship. My primary strategy for negotiating life’s trials is to use them as sources of insight. This doesn’t mean I believe the universe (God?) inflicts pain as education. But no matter how or why disaster arises, we are all forced to deal with it. For me, the surest way to live through my problems is to discover some meaning in them.

Here is some of the difficulty and instruction served up by 2012 (so far): A major abdominal disease process initially suggestive of pancreatic cancer taught me to value life more deeply. Severe pain and nonstop vomiting showed me that even as my body writhed in agony, my mind could find peace. The hassle with the insurance company forced me to abandon passivity and take a more proactive stance. The looming closure of my acupuncture practice helped me understand that I’d gained much from the project even if it failed in its stated goal of permanently establishing me in a new career as a healer.

So how did a full-blown manic crisis enlighten me? Was it merely a lesson in “the power and hopefulness of fragmentation?” Not at all. More importantly, it highlighted the differences between brain, mind, and Self (with a capital ‘S’). Before explaining how flying off the rails taught me so much, I’ll describe the evolution and resolution of my mania.

As is often the case with psychiatric spinouts, in the early stages nothing seemed terribly unusual. I had been released from the first hospitalization (for internal bleeding) and felt poorly. In short order I alienated a close friend, but he had treated me shoddily on several occasions and I felt justified in slamming him. That should have been a clue to my deteriorating mental state, but in typical human fashion I made excuses and blamed the other party. Besides, it seemed that pain and fear were sufficient to explain my irritability and impulsiveness.

The day after my discharge from the second hospitalization, my disability company called and declared me capable of full-time, high-paying work in a corporate/medical environment. This pronouncement immediately escalated my agitation and anxiety to dangerous levels, but that is more clear in retrospect than it was at the time. To burn off some of my raging frustration, I stomped up and down the hills around my house. My insides boiled with explosive terror and fury, even as I felt utterly depleted by my recent illness and the starvation I’d suffered during it. Waves of intense psychic energy propelled me forward despite my depleted physical reserves.

Late one afternoon, on my second hike of the day, I watched myself wound someone in pain. Walking with a friend, I tried to help this man cope with personal problems by (in effect) yelling at him. This is not at all my normal way of relating to people in distress, and before long I recognized my behavior as hurtful and counterproductive. I tried to smooth the situation by apologizing and blaming my poor health, but damage had been done. Another friendship succumbed (at least temporarily) to my evolving mania.

Because the disability company claimed (falsely, it turns out) that my psychiatrist had deemed me free of psychological impairment, I called the good doctor in an angry panic. I accused her of misrepresenting my case. After several days of unabating inner chaos, I acquiesced to “mood-stabilizing” medication to take the edge of the jagged mental state that afflicted me. The drug given then had the paradoxical effect of escalating a so-called hypomania into a surging manic state. Before long all ability to sleep or meditate was lost, emotional tsunamis swept through me unpredictably, and my language became erratic and alarming.

A few days later, my therapist likened watching me to seeing someone respond to the effects of LSD. In the course of our session I alternated between tears, laughter, attempts to calm down, and rapid flights of speech. Over the next twenty-four hours, my inner energies continued to burgeon until I could no longer sit down. I paced constantly and became unable to connect my high velocity thoughts with the snail’s pace of ordinary speaking. My language became stilted and bizarre as I tried to express myself through a swirling storm of neural chaos.

Despite the accumulating havoc, the experience had some positive aspects. At times during this maelstrom of mania, I entered spacious realms of divine wisdom. I understood in my deepest heart the exquisite tenderness and determined durability of life. I felt the densely woven webs of consciousness and ecology that unite us all. I recognized value in every wound I’ve ever suffered, and I lost all doubt that brokenness plays an essential role in creation. Insights that cannot be expressed in words flooded my soul with peace. Love became a palpable presence, as pervasive as air. But these moments came and went unpredictably, alternating with irritable torrents of spoken words and inappropriate expressions of boundless affection toward those nearby.

Whew…

Luckily my psychiatrist answered her phone personally at 6:30 pm, or I’d have ended up in the emergency room. There’s a good chance the next stop would have been a mental hospital. Instead, I was instructed to discontinue the putative mood stabilizer. My doctor called in a prescription for Valium to help me finally get some sleep. After pacing the pharmacy and putting the staff on edge while the bottle was prepared, I was able to snooze fitfully for a few hours.

Over the next couple of days I noticed a little slowing. I often couldn’t sit down for as long as a minute, but whenever I wasn’t speaking my mind seemed less on fire. Any use of language ramped up the energy, but by remaining nonverbal I was able to find moments of calm. Over the following week I augmented the soothing effects of sleep and Valium with acupuncture, massage, swimming, saunas, and soaks in the spa at the YMCA. I meditated whenever it seemed possible.

Today, nearly six weeks since this all started (and after about ten days of straight-up mania), I feel nearly normal again. I’m especially happy to report that despite all this spinning and bucking mental activity, throughout this episode I retained connection to a sane particle of consciousness in the center of it all. As a result, there remained a hint of helpless but patient curiosity even as I watched myself behave in an overcharged and inappropriate manner.

Well, this essay was supposed to describe the lessons gleaned from mental fragmentation, but it already exceeds twelve hundred words (i.e., fifty percent more than my preferred maximum). So I’ll put off until next time discussion of what this episode teaches. For now, let’s all mark the end of this essay with a few slow, deep, healing breaths…

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