WillSpirit!

Where Will meets Spirit
∞ Love, Clarity, Balance, Peace, & Bliss ∞

A science, mental health and spirituality blog written by a physician.








  • 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.


Escaping the Whirlpool of Words

Even though I like to think of myself as a writer, my relationship with words feels conflicted. On the one hand, they’re fun to work with and they communicate ideas, but on the other they lead to big conflicts in society, relationships, and the human mind.

One problem is that language is unconstrained; you can say or think almost anything, whether it is helpful or not. Furthermore, a single object or event can be described in a multitude of ways, which invites disagreement. This leads to intense discord because we are programmed (either by evolution, society, or both) to take words very seriously. As people we attack our neighbors for saying ‘forbidden’ things, and we attack ourselves for thinking them.

Two essays back we discussed silence, which is key to resolving this language dilemma. The topic grew out of a quote a relative sent me, but it also tapped into concepts that I read recently in Acceptance and Commitment Therapy (2011) by Steven Hayes, Kirk Strosahl and Kelly Wilson. My understanding of that book, in turn, was aided by an older text about language evolution called The Symbolic Species by Terrence W. Deacon. And no doubt the influence of Eastern meditative traditions on the ‘Silence’ essay is obvious.

Citing these sources is my way of emphasizing that none of what I wrote was particularly original. In fact, it is quite likely that almost anything anyone writes about mental life has been presented before but with different phrasing. Go to any bookstore and in the self-help/psychology section you’ll find vast numbers of tomes that cover more or less the same material.

Granted, neuroscience reveals new mechanisms in the brain almost every day. But despite all the impressive research into brain physiology, we know little more about how to thrive as a thinking organism than was understood in the Buddha’s day. As I’ve argued in an earlier essay, when it comes to coping with the felt experience of being human, the sophisticated models of modern neuropsychology seldom improve on ancient wisdom. Acceptance and Commitment Therapy, as articulated by Hayes, Strosahl, and Wilson, basically retools the timeless truth that the best way to grow as a person is to gain the skill of silencing, or at least doubting, the verbal mind.

On the other hand, it can be very fruitful to look at established wisdom in novel ways. Doing so solidifies knowledge as information gets reinforced by repetition and nuanced by the alternate viewpoints offered by different authors. Acceptance and Commitment Therapy, or ACT (pronounced as one word) elaborates a clinical method that guides people to the realm beyond words, where we can find greater stability and less ambiguity. The endpoint may be the same as the Buddha’s, but the path has been modernized.

My post about silence outlined the three consecutive benefits that I believe accrue as one works to achieve mental quiet. The ultimate goal for many meditators is the spacious emptiness that consciousness finds within stillness. But although this is certainly a powerful incentive for learning to dampen thought, the earlier stages offer important insight into the inadequacies of language.

Both ACT and Eastern philosophies teach that words are arbitrary and unsubstantial. Meditation can make this truth experientially obvious, but in fact it is easy to demonstrate with examples.

Imagine you’re at a party and you inform someone that you’ve had a headache for a couple of days. Your companion looks at you with brows furrowed and says, “that’s just what my sister said before they found the brain tumor!” If you’re a neurologist and fairly confident, this statement won’t trouble you much; you know that most headaches are not ominous. But if you tend to worry and your knowledge of medicine comes from online reading about the myriad illnesses that can kill, the string of words ending in “brain tumor” might spark a panicked obsession. And yet, even a hypochondriac could brush off the remark if the person speaking was known to be a habitual and mean-spirited liar. However, if a close friend confirmed that the liar’s sister actually did die of brain cancer, the potent sentence could propel you into your local clinic with demands for an MR scan.

See how the sentence shifts in meaning and import depending on who hears it, who utters it, what others say about the speaker, and so on? Context is decisive.

As another example consider this sentence: “Your dog looks dead.” If it’s spoken after your beloved pet gets struck by a minivan, the remark will sound devastating. If you hear it while your sweet, elderly dog rests on the hearth rug, you will likely feel annoyed. And if the comment follows your dropping a hot dog into the sand at a beach picnic, you’ll probably laugh. Yet even in these situations the speaker’s status will affect your interpretation. If a child pronounces your dog dead after the car accident you’ll be somewhat less alarmed than if a veterinarian does. And if your elderly neighbor with Alzheimer’s insults your pet sleeping by the fireplace, you’ll be more forgiving than if your sharp-tongued brother says the same words.

Today in a support group one of the members explained why she was feeling out of sorts. She spoke quite insightfully about how a painful situation affected her. Afterwards, she asked, “did that make any sense?” My reply was that yes, what she said sounded very reasonable. But I also added that she could have spoken in very different terms about the same situation, and she might still have sounded articulate and convincing.

Words are like this. Contradicting verbal statements can sound equally true in isolation. Meanings shift and change depending on context, speaker, listener, mood, history, prejudice, motivation, etc. Word strings cannot be relied upon as fixed determinants of reality (and yet they often are!). Two people can describe a single conversation in completely different ways, especially if they were arguing while it played out. What’s more, today’s “hell” can become tomorrow’s “heaven.” In fact, it happens all the time.

If language is this unconstrained and arbitrary during conversation, imagine how unreliable it is during mental self-talk, when words are generated continuously without any feedback or objective evaluation by others. No wonder we can drive ourselves insane.

Earlier, this essay highlighted the benefit of using different words to say the same thing. But I’ll end it by emphasizing the even greater value of not employing words at all. Just as re-phrasing helps learning, de-phrasing promotes wisdom.

That was the point of writing about silence. As long as we remain submerged in the murky swimming hole of words, we miss the fact that human life is meant to be lived on dry land. While lost in our fascinating but confining verbal turbulence, we miss the warm sunshine, the birds in the trees, and the children playing on the shore. We mistake both the medium and the message for reality. Most of all, we remain baffled by the unstable meaning, ominous implications, and contradictory concepts that come from words.

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The Triple Powers of Silence

At some point in every human life, pain threatens to unravel everything that matters. For some of us the day comes in childhood. We may suffer the death of a parent, unspeakable trauma, or simple grinding neglect. For others life feels fairly comfortable until adulthood, but sooner or later fate steers us off our desired road into threatening territory. Perhaps a child gets sick, or a marriage ends, or a career fails. Maybe illness strikes and the end of life comes into view. Grief, failure, and injury shatter our peace, so we begin to seek answers.

At first, we search in all the usual places. We ask our close friends and trusted relatives for advice. Some of us consult therapists or psychiatrists who guide us back into our past or write us prescriptions. Some of us enter houses of worship or meditation in hope of enlisting the help of profound mystical or mental forces. We pray and meditate, desperate for answers.

Even with all this exploration, solutions seldom come. All too often, life deals ever more hardship as we scramble to find a lifeline that will help us endure the escalating pain. We may begin to waver in our resolve to continue; we begin to question whether life offers enough enrichment to make its difficulties worthwhile. We wonder why, as we try so hard to solve our dilemma, we feel no better.

These despairing moments are fertile. They mark the ego’s looming defeat and the foundational collapse that allows deep wisdom to develop organically. Because the problem is exactly that we are trying so hard to find answers, but we do not need answers.

What we need is to break free from all seeking, all efforts to understand, and all analysis. What we need is to quell the mind’s ceaseless efforts to make sense of life, its endless construction of models, and its doomed dream of figuring out how to extinguish the inevitable pain of existence.

What we need is silence.

The first layer of silence is a respite from constant mental toil. We enjoy a break from churning our complicated facts, important memories, and worrisome predictions. We open to peace of mind. This is the introductory gift of learning to quiet the mind’s chatter: a chance to rest. In a spacious moment of stillness, we begin to appreciate how struggling to solve life never leads to solutions, only to confusion and exhaustion. A boundless relief comes with abandoning, even for a moment, all our strenuous, futile striving.

The second layer of silence is the recognition that verbal reasoning is only a shadow of life, not life itself. Before we get to this stage, we believe the stories we tell ourselves. For instance if we think, “I can’t continue in the face of such pain,” we believe our mind’s dire prediction and become paralyzed. As we wait for the sorrow to lift, or the fear to abate, the stasis that results simply worsens our mental anguish. But as we learn the value of quieting inner dialogue, we begin to see that these strings of words have no solidity. They are tokens of interpretations of models of our lives. Neither the tokens, nor the interpretations, nor the models are life itself. As we begin to quiet the inner verbiage, we recognize it to be arbitrary and unhelpful. Instead of thinking about what’s going on, we experience life as it is in this moment. Nearly always, life as it is entails far less pain than life as we think it is.

The third layer of silence is beyond description. It is simple and unalloyed bliss. This essay I’m now writing was inspired by a quote my aunt sent, taken from Listening to Your Life, by Frederick Buechner. The theologian provides a good description of this final gift of inner quiet:

I have been conscious but not conscious of anything, not even of myself. I have been surrounded by the whiteness of snow. I have heard a stillness that encloses all sounds stilled the way whiteness encloses all colors stilled, the way wordlessness encloses all words stilled. I have sensed the presence of a presence. I have felt a promise promised.

Buechner’s words come as close as words can to capturing the ultimate fruit of stilling the inner dialogue.

It is important to recognize that quieting the mind’s verbal stream yields benefits at every stage. Early on, we are granted rest. A little later, we gain insight into the emptiness of words. And finally, we discover what we were hoping for all along: an unshakeable foundation for peace of mind.


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No News Is Good News

Democracy depends on the public staying in tune with current events. However, the volume of news is now so great that no one can remain truly informed about every matter of importance. So although I acknowledge an ethical responsibility to educate myself about our society’s affairs, there will always be limits to my scope of knowledge. It has recently occurred to me that I should therefore be selective in my reading and viewing. I’ve decided to seek out and absorb only stories of my own choosing, and to concentrate on issues that are within my power to affect. The alternative is to consume news haphazardly, so that what I hear is largely determined by news-reporting organizations.

The latter path is easy and popular. Turn on the television and watch the lead stories. Open the paper (or its website) and read what makes it into print, or what makes it to the front page. The problem with this tactic is that reporting agencies concentrate and perseverate on the most catastrophic news, all of which lies completely outside my control. Over and over the reporters describe an economy in terrible shape. Over and over videos display the oil blight in the Gulf of Mexico. Day after day the media report on our nation’s ruinous, futile wars and our corrupt, precarious stock market. Does it help me, or society, when I absorb this bad news every day?

My peace of mind is enhanced when I focus instead on the many positive developments in the world, and especially those I can see in my local community. For instance, more and more people are turning to meditation and discovering that satisfaction is not dependent on external conditions. People are becoming creative about surviving within our failing economy. Neighbors who once held high-powered finance or advertising jobs have turned to more humble but arguably more useful work.

Given that I can’t learn everything about current events, and given the negative bias of the media, I’ve made the decision to avoid formal news outlets as much as possible: no newspapers, no news magazines, no internet news services, no television news. As a result, I don’t spend time dwelling on awful events I can’t change, or feeling angry at politicians who facilitate calamity, or nursing resentments about corporate leaders who profit from destruction. (The one time I slipped up recently and read about the oil spill, I ended up writing a blog post that upset one of my readers and left me ashamed.) It should be no surprise that since I don’t read about the scary state of our world on a daily basis, I feel much less anxious than before.

The bumper sticker, “Think Globally, Act Locally,” could be revised. How about, “Think Locally, Act Locally?” The nature of complex systems and the property of emergence mean that when individuals do nothing but pursue their regional best action, without central control, the larger system often functions with impressive organization and efficiency. I lack the power to clean up the Gulf, or end the wars, or fix the economy. Why should I read about these problems every day? On the other hand, I can write about meditation and its benefits for emotional wellness. I can speak about the power of acceptance. I can learn to use acupuncture to treat people suffering from anxiety or depression. I can do my own good works locally. If everybody followed this path, the world’s problems might solve themselves.

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Three Points

Trident

On this coming Saturday, the 27th of February, I am slated to give my first presentation about mental health. The talk will only last fifteen minutes, so it’s not a big deal, but the location and timing are unusual. The venue will be a hospital about an hour’s drive from my home, and it happens to also be the institution that confined me when I suffered a manic psychosis almost exactly a decade ago. In fact, my last full day at the medical center where I performed oculoplastic surgery was the 27th of February 2000. (It was the loss of my career—due to severe arthritis in my neck—that led to my psychiatric breakdown.) I wonder if there is a bit of serendipity in the fact that this first chance to speak publicly about my new domain of interest falls on the ten-year anniversary of my prior career’s collapse.

Off and on throughout my life synchronicity has seemed to play a role in the major turning points. In my more open-minded states I wonder if there exist complicated cause and effect relationships that result in such remarkably timed opportunities; some events seem to ‘fit’ too perfectly to be explained by happenstance completely unconnected to my trajectory through life. At this moment, I’m uncertain and feel more inclined to dismiss the possibility of ‘cosmic’ meaning. Maybe it’s because my luck has been dismal for so long that this oddly timed opening doesn’t stimulate a feeling of: “Wow! How perfect!” Instead, my thoughts are more along the lines of: “It’s about time something went right!”

Either way, my task now is to clarify my message. Visitors to this blog have seen my philosophy evolve over many months. At one time I started to argue the thesis that neither science nor logic rule out the possibility of a Universal Consciousness permeating the cosmos. (I had planned to cite the frequent occurrence of serendipitous events as one support for this assertion.) The several posts I wrote on that topic primed me for a profound ‘breakthrough’ experience in January, which made completing the argument unnecessary. The ‘awakening’ also had the effect of sharply reducing my psychological distress; worry and depression faded to a mere fraction of their former intensity. So one point I want to make in this upcoming talk is that there exists a state of consciousness that greatly reduces psychic suffering.

This enlightened condition has been described many times, both by individuals and investigators such as William James. I mentioned the book Quantum Change in my last post; William Miller and Janet C’de Baca demonstrate that people can attain this elevated consciousness swiftly, and sometimes almost instantaneously. Contrary to the western mental health model wherein years of strenuous psychotherapy are intended to promote slow and gradual improvement, Miller and C’de Baca show that change can occur as a more-or-less sudden event. That will be my second point in this upcoming talk: elevated mind-states can develop abruptly.

The third point will revolve around ways we can make such sudden elevations of consciousness more likely to occur. In fact, there is already a well-known mental health treatment system designed to do just that; since the 1930’s Alcoholics Anonymous (AA) has been guiding people to spiritual awakening. The DSM (a manual used by mental health professionals to classify psychiatric conditions) lists substance abuse disorders as mental illnesses, so it is appropriate to consider AA as a mental health program. However, the 12 steps of AA are not directly applicable to pervasive psychiatric issues like depression and anxiety. They have a number of phrasing problems that make them inappropriate for that purpose. In my talk, I hope to point out ways that the 12 step system could be streamlined and modified to make it work for emotional distress.

In coming days I may elaborate on each of the three points just presented. Not only will discussing them here further spread the message (a little), it will help me prepare for my brief talk. This would be a great time for me to receive comments, since I could incorporate suggestions into my upcoming presentation.

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