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.


Self Importance?

Look closely. See the tiny hominids in the snow?

This afternoon my wife and I went canoeing on a reservoir here in the Sierra Foothills. Manmade lakes aren’t our first choice for boating, but today’s scenery was surprisingly lovely. The weather was warm, very nearly hot, but on the water the temperature was pleasant. The sage colored hills shone around us, covered as they were by scrub brush and scattered digger pines. A light breeze helped stir the air, and we saw more jumping fish and waterfowl than expected. A nice day.

But of course I’m not blogging about this trip just because it was fun. This same body of water is one we drive past frequently. Viewing it while cruising by at sixty miles per hour, it never struck me as a very big lake. How different it seemed on a canoe! It took ages to get across a narrow point in the reservoir, and the journey felt a bit nerve-wracking, since we ordinarily stay close to shore in our tippy watercraft. Half-way across I realized with slight apprehension that we were all alone on this vast body of water, and would not be noticed if we capsized.

The surrounding foothills rolling away from us on all sides emphasized how small we were relative to the landscape. This is a good lesson for the ego. It is bracing to look around once in awhile and get a feeling for the body’s scale relative to the earth’s. Ecological crises, networked communications, and global financial markets have persuaded us we live on a small planet, and this is indeed an important truth. But any one human remains ridiculously tiny compared to a mountain, not to mention a continent, the globe, or a galaxy.

In our immature phases, we think about our selves excessively. How am I doing relative to others? Am I attractive enough? Successful enough? Wealthy enough? Popular enough? With so much thought about ME, it is easy to get fooled into thinking my self important.

But let’s consider our actual situation. Imagine looking down from a jetliner at cruising altitude. Get a sense of the human scale against the backdrop of the planetary. This perspective makes it harder to feel as necessary as we do in our most narcissistic moments.

I’m fond of pointing out that to say the name of every person on earth, at the rate of one per second, would take two hundred years. A similar dwarfing occurs if we look at the length of a human life relative to the age of the earth. If the earth’s age were compressed to a single year, our lives would be lived entirely in the final half-second.

We are tiny beings of no great consequence beyond the small number of others who happen to have bonded with us. I say this not in a negative way, however, but to encourage us all to look at what matters more, what truly endures. Aside from life itself, the human family has lasted long enough to count even in this vast universe. And as members of it, we count too. Not as individuals, but as components of the larger whole.

So if our importance comes from association with the entire collective of people on earth, we should give thought to how we can benefit the human family. We should focus on the common good, and not our insistent but unimportant hungers. This is the path to sanity and even more, to realization. Yes, this is the path to Grace.

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On Escaping Vanity

Vanity is the ocean trench
That enfolds our hope
Of making a difference
Of finding perfect mates
Of being remembered

Vanity is the broad gray sky
That we reach toward
That we measure ourselves against
That we find to be an unreachable bar

Vanity is the mountain
In which we hoard our jewels
In which we cache our triumphs
In which we bury our failures

Vanity is the fantasy
The illusion importance
The illusion of identity
The illusion of safety

Vanity is a shipwreck
It is sinking in the sea that drowns the trench
It is soaking in the rain that gives up the sky
It is eroding like a mountain

Vanity is vanishing like a dream
Vanishing like an iceberg drifting toward the equator
Vanishing like a cloud in a summer sky
Vanishing like the mountain after fifty million years

In its place there are only naked beings
Holding on before something like God
Dying and living anonymously

In the end
There is nothing
But immortal and impersonal love

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Blogging to Fruition

Why do I keep writing on a site that few read? This is a question worth asking these days.

Lately I’ve been going through an exciting period of growth. This progress has prompted me to write a bit more, resulting in the increased frequency of posts.

Because the topics have fit the theme of my other blog (GuidePosts to Happiness at the PsychCentral website), I’ve been posting versions of the same essays in two places. People visiting from the other site may have been disappointed to find more or less the same pieces here as there. The older WS! posts differ from those on GTH, but not the new ones.

Because this site feels like home, it’s important to me to keep it at least a little distinct from the more public, but less personal, venue. So today’s essay is only for WillSpirit!

To get back to where I started this post, now seems like a good time to briefly evaluate my experience with blogging. My foray into this over-crowded field began in May of 2009, back when I thought writing and speaking might be viable career options. I’d tried a number of other directions, none of which panned out. Although the possibility of making a living by writing seemed remote, to say the least, I could think of few other possibilities. Besides, I’d always thought of myself as a writer. It seemed time to give it a determined try.

Pretty soon I saw that the difficulty exceeded my expectations. Not that I ever anticipated easy success, but I quickly realized that my writing does not stand out. There are just too many good blogs and books out there covering the same topics (mental health, spirituality, recovery). At first this felt discouraging, but before long it felt liberating.

I learned that the pleasure of blogging does not come from having high visit numbers. It comes from the comments. There have never been that many, but some sound so very heartfelt that early on I realized this writing project connects me with others in a unique way. My very personal story of hardship and transcendence seems to resonate with a small number of readers. This recognition changes my little misery into something larger; it connects me with the global suffering of humanity. As soon as I released my dreams of glory, I began to appreciate the profound gratification of both the connection and the expansion this project grants me.

I don’t know how many people read my posts. Depending on what site gives me the stats, there are between 25 and 250 unique visitors per day. Judging by the low volume of comments, I’m inclined to suspect that the actual readership is very small, and although there seems to be a bit more traffic when I post regularly, I doubt even two dozen people are reading my essays. It doesn’t matter. I’m perfectly happy with my unknown site and its tiny audience. This comfort with obscurity shows what I’ve really gained in the last two years: humility that counts.

With less helpful kinds of humility, we accept our smallness out of necessity. We abandon our grand dreams reluctantly and only because they collapsed. We take disappointment like bitter medicine, and try to feel comfortable with our fate. Most of us are forced to grow into this kind of humility at times, but it doesn’t feel like a gift. To be humbled in this way may be a necessary step toward maturity, but it is not an endpoint.

True humility is the loving embrace of present reality. It means seeing very clearly who we are and who we are not, and feeling good about what we see. True humility is a gate into the garden of grace. I suspect it would be as valuable to the famous as it is to the obscure. To be contented with who, what, and where we are is to be fully alive and in tune with creation.

Some dear people read this site and leave deeply meaningful comments. For that reason, plus the clarity I derive from putting feelings into words, I’m getting a lot out of blogging. I wouldn’t exchange my current situation for anything grander. Who knows what the future holds, and who cares? Right now, this very day, I am happy being me. I feel no need to be more, nor do I have any sense of being less. In the words of Lao Tzu: “He who knows he has enough is rich.”

Humility and clarity, not fame and fortune, have been the fruit of WillSpirit! What could be more valuable?

Thank you to those who’ve shared any part of this journey with me.

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Perspective Value

Is middle age meant to be a series of humbling experiences? Or is that just my reality? So many episodes have occurred to highlight my limitations, that it seems like my primary task in mid-life has been the learning of my own scale relative to others and the world at large.

Growing up, my stepmother repeatedly and ferociously insisted I was worthless, ugly, dimwitted, and unlovable. On the other hand, my narcissistic father basked in his so-called ‘brilliance’, and seldom hesitated to brag about his accomplishments and intelligence.

For whatever reason, I never completely believed my stepmother. My only alternative, it seemed at the time, was to emulate my father. If he was brilliant, I’d prove the same true of me. If he was accomplished, I would be too.

The school system nudged me in this direction also. If I wasn’t getting attention by causing trouble, I was getting it with my ability to score well on tests. After several arrests and my girlfriend’s expulsion from our high school (because of something we did as a team), I finally understood that the attention garnered by good grades had value, but the attention attracted by rebellion seldom payed off. After the two of us started living together in Berkeley, I buckled down and became a fully committed student.

The effort bore fruit. Not instantly, but over the next seventeen years as I worked through college, grad school, med school, internship, residency, and two fellowships, I built up a solid CV and gathered the skills needed to make a nice living at a prestigious job.

If anyone looked closely, they could see that my performance was not steady. Long stretches of great accomplishment were marred by spells of mediocrity. Although most terms I earned only A or A+ grades, periodically a bad spell would hit and my marks would plummet; my first term in graduate school I took ‘incompletes’ in most of my classes. Most interviewers overlooked this inconstancy, but some commented on it. Either way, I kept succeeding, and kept getting accepted to the programs and jobs I wanted.

It was clear to me that my moods and performance were unstable, but it wasn’t a big problem. Puffed up by success, I internally exaggerated my power and intelligence. Rather than examining my many hesitancies and weaknesses, I focused on my achievements. I bolstered a dismal core self-esteem by developing an image of myself as brilliant and highly accomplished. Without understanding the dangers, I emulated my father’s hubris as much as his success. It’s not that I ever looked down on others; I truly didn’t. But I did think of myself as more or less invulnerable.

Then I hit my wall. In short order I not only lost my surgical career (because neck disease made it impossible for me to continue operating), but my instability exploded into full-blown mood crises. In the ten years since, I’ve repeatedly found out how limited I truly am. The old arrogance, and the sense of being super smart and capable of attaining almost any goal, are completely gone.

I don’t miss those attributes. Not one bit. But it hasn’t been easy getting to a point of acceptance and humility. In order for me to integrate my losses and my limits, and in order to build a balanced and healthy personality, I’ve had to develop a sense of self that doesn’t rely on external validation. This was a real challenge for someone whose unhappy parents fought bitterly from his earliest memory and divorced when he was four, whose mother killed herself when he was six, and who was then on raised by a sociopathic, sadistic stepmother and an alcoholic, narcissistic father. After spending early adulthood intensely focused on external goals, I now see that learning to love myself probably represents my most difficult accomplishment.

The paradox is that in order to gain affection for myself, I had to recognize my insignificance. I had to understand that neither my failures nor my successes matter. I needed to learn that my skills and intelligence do not stand out that much, and that nothing about me makes me exceptional. Yes, I’m unique, as we all are. But I am not special.

This comes as a great relief. I once felt that my so-called gifts conferred on me the burden to prove myself. Now I see that my only responsibility is to help out to the extent I am able. It doesn’t have to be earth-changing, it doesn’t have to be dramatic. To settle my debts, I only need to do a little to ease the widespread pain on this earth.

The problem with feeling special is that ‘specialness’ cuts both ways. It always seemed to me that if I didn’t demonstrate myself to be equal to my father, then my stepmother would have been proven right. Only very recently did I recognize that the alternative to great success appeared, in my mind, to be utter worthlessness. My childhood set me up for that false dichotomy.

At long last, I understand that the alternative to being special is to be human. Apparently I needed a long series of humbling setbacks to attain this knowledge. Life provides the lessons we require for wisdom. Our task is to learn from them.

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The Certitude of a Mountain

ClarkRange

Blessed be the dust mote,
For it is humble.
Blessed be the mountain range,
For it is arrogant and large.
Blessed be the castle of sand and the flake of granite.

I am as fragile as stone but I bless them anyway.

Blessed be ice and rain and sun,
For wearing down everything.
Blessed be the gravity of Mother Earth,
Which pulls all things down.

I am as ignorant as a rose but I bless them anyway.

Blessed be the unhappy mother,
For singing the lullabies of fear.
Blessed be the insatiable infant,
For he will inherit her lament.

I am as broken as the moon but I bless them anyway.

I bless all broken things,
And all children who navigate blindfolded,
And all that is lost or crumbling,
And every mountain reduced to dust.

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Humility gets no respect.

In order to avoid too many days without a post, here is a piece I wrote yesterday for somebody else’s (much better known) site. It may or may not end up being used, so I’ll enter it here for now. Obviously, I’m having a hard time getting motivated to blog. I apologize for this rather pedantic essay, which is out of character from what I normally aim for here. It’s the best I can do right now, whether for my site or anyone else’s. I admit it’s essentially filler. Hopefully, I’ll get past my funk and feel like writing something more heartfelt before too long.

DalaiLama

Humility too often sounds like a dirty word in our culture. It goes against the dominant values of competition, self-promotion, and egotism. Prominent figures seldom exhibit anything like it. Sometimes we see weak attempts at false modesty, but only rare and special leaders are truly humble. The Dalai Lama comes to mind, but not many others.

This is unfortunate. Humility not only fosters cooperation within society, it promotes mental health. Alcoholics Anonymous has figured this out, and of course most spiritual systems advocate against excessive pride. But as a general principle of psychiatric wellness, we seldom hear of it.

The problem is that people misunderstand the word. We hear talk about the importance of self-esteem, and we suspect humility implies lack of belief in oneself. But the truth is we can’t be genuinely humble without first being confident of our worth. We all understand that the people who talk themselves up the most are often the ones who feel the most insecure. The converse, also true, is less well known. Those who feel more love and respect for themselves have less concern about proving themselves to society.

My dictionary defines humility as “a modest or low view of one’s importance.” It is easy to get caught up in the phrase ‘modest or low view’ and miss the fact that it refers to downsizing our opinion of our importance; not our opinion of our selves.

How important is any human? As hard as it is to grasp, millions and billions of years will eventually pass, and sooner or later we will all be forgotten. In fact, few people are remembered after five generations. Many of us inherit photographs from parents and grandparents. Isn’t it the case that you don’t have any idea who most of those people were? Even the few humans who achieve ‘greatness’ become mere names and ideas with the passage of time.

Seeking importance does not lead to contentment. To begin with, status is not really a question of achievement, but of acclaim. And since society’s attention is always shifting, those who seem important today may well be overlooked tomorrow. This is as true in families as it is in global politics. The result: craving importance is a recipe for chronic anxiety. Such uneasiness is increased, of course, by the hostility and resentment self-inflation provokes in others. What’s more, status-hunger and attention seeking discourage the exercise of higher qualities. By fighting for our importance, whether at work or at home, we feed pride at the expense of anti-competitive qualities such as helpfulness and empathy. Humane traits may well remain rudimentary.

Humility and great accomplishment can, and often do coexist. In fact, contributing to society’s advancement can be a profoundly humble act, provided it is done for love of others rather than promotion of self. What’s more, striving to help is the surest route to achieve meaningful success, the honest affection of others, and stable self-esteem. When you have all that, who needs to feel important?

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