Behavioral Health Quotes

Our society tends to regard as a sickness any mode of thought or behavior that is inconvenient for the system and this is plausible because when an individual doesn't fit into the system it causes pain to the individual as well as problems for the system. Thus the manipulation of an individual to adjust him to the system is seen as a cure for a sickness and therefore as good.

When you can cultivate a sense of self-awareness that extends beyond your own subjective experience, you have the opportunity to study your behaviors from an objective vantage point.

Sometimes people will hear you and be able to change their behavior, but often their behavior has more to do with their own need for approval than with your need for support. No matter what their response, you need to be firm and hold your ground. At the end of the day, your health is your responsibility.

By overcoming biases - be it through a closer and more honest examination of ourselves, deeper self-knowledge, an understanding of the patterns of thoughts and behaviors we experience, or any other method - we can undo these mental blocks and reignite a passion for honest, genuine, and will-intentioned discourse.

Self-discipline is the ability to organize your behavior over time in the service of specific goals.

I mean, okay, let's say we're all going to get better. Let's just pretend we will. Fine. Where are we going to go after we get better? What are we going to do with all of our newfound healthy behaviors? Back out into the world that screwed us up and screwed us over. This does not sound promising.

Hit the bottom and get back up; or hit the bottle and stay down.

you want to nudge people into socially desirable behavior, do not, by any means, let them know that their current actions are better than the social norm.

Labels bias our perceptions, thinking, and behavior. A label or story can either separate us from, or connect us to, nature. For our health and happiness, we must critically evaluate our labels and stories by their effects.

The damage and invisible scars of emotional abuse are very difficult to heal, because memories are imprinted on our minds and hearts and it takes time to be restored. Imprints of past traumas do not mean a person cannot change their future beliefs and behaviors. as people, we do not easily forget. However, as we heal, grieve, and let go, we become clear-minded and focused to live restore and emotionally healthy.

How many mental health problems, from drug addiction to self-injurious behavior, start as attempts to cope with the unbearable physical pain of our emotions? If Darwin was right, the solution requires finding ways to help people alter the inner sensory landscape of their bodies. Until recently, this bidirectional communication between body and mind was largely ignored by Western science, even as it had long been central to traditional healing practices in many other parts of the world, notably in India and China. Today it is transforming our understanding of trauma and recovery.

In response to threat and injury, animals, including humans, execute biologically based, non-conscious action patterns that prepare them to meet the threat and defend themselves. The very structure of trauma, including activation, dissociation and freezing are based on the evolution of survival behaviors. When threatened or injured, all animals draw from a "library" of possible responses. We orient, dodge, duck, stiffen, brace, retract, fight, flee, freeze, collapse, etc. All of these coordinated responses are somatically based- they are things that the body does to protect and defend itself. It is when these orienting and defending responses are overwhelmed that we see trauma. The bodies of traumatized people portray "snapshots" of their unsuccessful attempts to defend themselves in the face of threat and injury. Trauma is a highly activated incomplete biological response to threat, frozen in time. For example, when we prepare to fight or to flee, muscles throughout our entire body are tensed in specific patterns of high energy readiness. When we are unable to complete the appropriate actions, we fail to discharge the tremendous energy generated by our survival preparations. This energy becomes fixed in specific patterns of neuromuscular readiness. The person then stays in a state of acute and then chronic arousal and dysfunction in the central nervous system. Traumatized people are not suffering from a disease in the normal sense of the word- they have become stuck in an aroused state. It is difficult if not impossible to function normally under these circumstances.

A nudge, as we will use the term, is any aspect of the choice architecture that alters people’s behavior in a predictable way without forbidding any options or significantly changing their economic incentives.

A lot of people believe that mental illness does not affect our children within the school system. But the truth is that a lot of bullying stems from untreated or poorly treated mental and behavioral health problems.

When emotions are expressed...all systems are united and made whole. When emotions are repressed, denied, not allowed to be whatever they may be, our network pathways get blocked, stopping the flow of the vital feel-good, unifying chemicals that run both our biology and our behavior.

If parents don’t label their own behavior as abusive, their child won’t label it that way either. Even as adults, many people have no idea that what happened to them in childhood was abusive. As a result, they may not recognize abusive behavior in their adult relationships.

The concept of disease is fast replacing the concept of responsibility. With increasing zeal Americans use and interpret the assertion "I am sick" as equivalent to the assertion "I am not responsible": Smokers say they are not responsible for smoking, drinkers that they are not responsible for drinking, gamblers that they are not responsible for gambling, and mothers who murder their infants that they are not responsible for killing. To prove their point — and to capitalize on their self-destructive and destructive behavior — smokers, drinkers, gamblers, and insanity acquitees are suing tobacco companies, liquor companies, gambling casinos, and physicians.

Bhramari Om Chanting or Humming Om chanting sends positive messages to the brain and the cells in our body and can actually reprogram our health and behavior.

In times of stress and danger such as come about as the result of an epidemic, many tragic and cruel phases of human nature are brought out, as well as many brave and unselfish ones.

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.

Someone who is trying to be sober is often trying to work out deeper emotional issues and is attempting to undo years of habitual behavior. When you reduce recovery to just abstinence, it simplifies what is really a much more complex issue.

To be healthy in modern society, you must adopt the behaviors of an astronaut!

Now, as I’ve suggested before, what is adaptive for children living in chaotic, violent, trauma-permeated environments becomes maladaptive in other environments-especially school. The hypervigilance of the Alert state is mistaken for ADHD; the resistance and defiance of Alarm and Fear get labeled as oppositional defiant disorder; flight behavior gets them suspended from school; fight behavior gets them charged with assault. The pervasive misunderstanding of trauma-related behavior has a profound effect on our educational, mental health, and juvenile justice systems.

the fundamental attribution error is the tendency of human beings to attribute the negative or frustrating behaviors of their colleagues to their intentions and personalities, while attributing their own negative or frustrating behaviors to environmental factors.

In the 1890s, when Freud was in the dawn of his career, he was struck by how many of his female patients were revealing childhood incest victimization to him. Freud concluded that child sexual abuse was one of the major causes of emotional disturbances in adult women and wrote a brilliant and humane paper called “The Aetiology of Hysteria.” However, rather than receiving acclaim from his colleagues for his ground-breaking insights, Freud met with scorn. He was ridiculed for believing that men of excellent reputation (most of his patients came from upstanding homes) could be perpetrators of incest. Within a few years, Freud buckled under this heavy pressure and recanted his conclusions. In their place he proposed the “Oedipus complex,” which became the foundation of modern psychology. According to this theory any young girl actually desires sexual contact with her father, because she wants to compete with her mother to be the most special person in his life. Freud used this construct to conclude that the episodes of incestuous abuse his clients had revealed to him had never taken place; they were simply fantasies of events the women had wished for when they were children and that the women had come to believe were real. This construct started a hundred-year history in the mental health field of blaming victims for the abuse perpetrated on them and outright discrediting of women’s and children’s reports of mistreatment by men. Once abuse was denied in this way, the stage was set for some psychologists to take the view that any violent or sexually exploitative behaviors that couldn’t be denied—because they were simply too obvious—should be considered mutually caused. Psychological literature is thus full of descriptions of young children who “seduce” adults into sexual encounters and of women whose “provocative” behavior causes men to become violent or sexually assaultive toward them. I wish I could say that these theories have long since lost their influence, but I can’t. A psychologist who is currently one of the most influential professionals nationally in the field of custody disputes writes that women provoke men’s violence by “resisting their control” or by “attempting to leave.” She promotes the Oedipus complex theory, including the claim that girls wish for sexual contact with their fathers. In her writing she makes the observation that young girls are often involved in “mutually seductive” relationships with their violent fathers, and it is on the basis of such “research” that some courts have set their protocols. The Freudian legacy thus remains strong.

Research shows that 75 to 98 percent of mental, physical, and behavioral illness comes from one’s thought life.

People who seek psychotherapy for psychological, behavioral or relationship problems tend to experience a wide range of bodily complaints...The body can express emotional issues a person may have difficulty processing consciously...I believe that the vast majority of people don't recognize what their bodies are really telling them. The way I see it, our emotions are music and our bodies are instruments that play the discordant tunes. But if we don't know how to read music, we just think the instrument is defective.

Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.

Viscosity occurs on a cellular level. And so does velocity.In contrast to viscosity's cellular coma, velocity endows every platelet and muscle fiber with a mind of its own, a means of knowing and commenting on its own behavior. There is too much perception, and beyond the plethora of perceptions, a plethora of thoughts about the perceptions and about the fact of having perceptions. Digestion could kill you! What I mean is the unceasing awareness of the processes of digestion could exhaust you to death. And digestion is just an involuntary sideline to thinking, which is where the real trouble begins

In Donald Trump, we have a frightening Venn diagram consisting of three circles: the first is extreme present hedonism; the second, narcissism; and the third, bullying behavior. These three circles overlap in the middle to create an impulsive, immature, incompetent person who, when in the position of ultimate power, easily slides into the role of tyrant, complete with family members sitting at his proverbial “ruling table.” Like a fledgling dictator, he plants psychological seeds of treachery in sections of our population that reinforce already negative attitudes.

Eating disorders are insidious and subtly manipulative. The behaviors that initially feel like relief are the same ones that will eventually ruin you.

Children with multiple ACEs are more likely to struggle with anxiety and depression, to suffer from heart disease and obesity, and to contract certain types of cancers. They’re also more likely to underperform in school and suffer from relationship instability as adults. Even excessive shouting can damage a kid’s sense of security and contribute to mental health and behavioral issues down the road. Harvard

He told us that it was important to eat right, exercise, and treat your body as a temple. But he didn't tell us how to get health care services that people with no money could afford. He didn't tell us how we could quickly obtain birth control and other reproductive health services. He didn't recommend any solutions for behavioral or psychiatric care, and for sure some of those broads needed it. He didn't say what options there might be for people who had struggled with substance abuse, sometimes for decades, when they were confronted by old demons on the outside.

Between 1990 and 2005, a new prison opened in the United States every ten days. Prison growth and the resulting “prison-industrial complex”—the business interests that capitalize on prison construction—made imprisonment so profitable that millions of dollars were spent lobbying state legislators to keep expanding the use of incarceration to respond to just about any problem. Incarceration became the answer to everything—health care problems like drug addiction, poverty that had led someone to write a bad check, child behavioral disorders, managing the mentally disabled poor, even immigration issues generated responses from legislators that involved sending people to prison. Never before had so much lobbying money been spent to expand America’s prison population, block sentencing reforms, create new crime categories, and sustain the fear and anger that fuel mass incarceration than during the last twenty-five years in the United States.

If in doubt, keep quiet. Play safe, talk less, and observe.

Also, it's offensive and demeaning to be written off as crazy. Especially given the stigma of mental health. And maybe the real issue here is that some men can't confront their emotions. Instead of taking responsibility for your own behavior, it's easier to screw us, write us off as loons, and forget about us.

The priest invents and encourages every kind of suffering and distress so that man may not have the opportunity to become scientific, which requires a considerable degree of free time, health, and an outlook of confident positivism. Thus, the religious authorities work hard to make and keep people feeling sinful, unworthy, and unhappy.

People who help others on a regular basis are ten times more likely to be healthy than people who do not.

Perhaps the only way out of our poor physical state, created by our culture of convenience, is a return to the behaviors of our ancestors.

Our nonverbal behavior (including posture) gives away our inner personality and reflects our inner attitude.

People with OCD including myself, realize that their seemingly uncontrollable behavior is irrational, but they feel unable to stop it.

To heal our past, we must first become aware of how Darkness works. Shining a light on it is the first step. And then forgiving ourselves and being unconditionally loving—and also changing our behavior, if necessary—is the next step to clean up the legacy for good.

James Coan says, "In truth, because so many neural structures are involved in one way or another in attachment behavior, it is possible to think of the entire human brain as a neural attachment system.

The reason we have such a difficult time losing weight permanently is not because we are making bad choices, but because we are not stopping our automatic subconscious programmed behaviors in their tracks.

Gardens are simultaneously a material and a spiritual undertaking. That’s hard for scientists, so fully brainwashed by Cartesian dualism, to grasp. “Well, how would you know it’s love and not just good soil?” she asks. “Where’s the evidence? What are the key elements for detecting loving behavior?” That’s easy. No one would doubt that I love my children, and even a quantitative social psychologist would find no fault with my list of loving behaviors: nurturing health and well-being protection from harm encouraging individual growth and development desire to be together generous sharing of resources working together for a common goal celebration of shared values interdependence sacrifice by one for the other creation of beauty If we observed these behaviors between humans, we would say, “She loves that person.” You might also observe these actions between a person and a bit of carefully tended ground and say, “She loves that garden.” Why then, seeing this list, would you not make the leap to say that the garden loves her back?

The measure of (mental) health is flexibility (not comparison to some ‘norm’), the freedom to learn from experience … to be influenced by reasonable arguments … and the appeal to the emotions … and especially the freedom to cease when sated. The essence of illness is the freezing of behavior into unalterable and insatiable patterns. Lawrence Kubie

The reckoning what to do or abstain from in particular circumstances will constantly include a reference, implicit or explicit, to generalities. […] Because of it human conduct is not left to be distinguished from the behavior of other animals by the fact that in it calculation is used by which to ascertain the means to perfectly particular ends. The human wants things like health and happiness and science and fair repute and virtue and prosperity, he does not simply want, e.g., that such-and-such a thing should be in such-and-such a place at such-and-such a time.

The Tomorrow Man theory. It’s pretty basic. Today, right here, you are who you are. Tomorrow, you will be who you will be. Each and every night, we lie down to die, and each morning we arise, reborn. Now, those who are in good spirits, with strong mental health, they look out for their Tomorrow Man. They eat right today, they drink right today, they go to sleep early today–all so that Tomorrow Man, when he awakes in his bed reborn as Today Man, thanks Yesterday Man. He looks upon him fondly as a child might a good parent. He knows that someone–himself–was looking out for him. He feels cared for, and respected. Loved, in a word. And now he has a legacy to pass on to his subsequent selves…. But those who are in a bad way, with poor mental health, they constantly leave these messes for Tomorrow Man to clean up. They eat whatever the hell they want, drink like the night will never end, and then fall asleep to forget. They don’t respect Tomorrow Man because they don’t think through the fact that Tomorrow Man will be them. So then they wake up, new Today Man, groaning at the disrespect Yesterday Man showed them. Wondering why does that guy–myself–keep punishing me? But they never learn and instead come to settle for that behavior, eventually learning to ask and expect nothing of themselves. They pass along these same bad habits tomorrow and tomorrow and tomorrow, and it becomes psychologically genetic, like a curse. Looking at you now, Maven, I can see exactly where you fall on this spectrum. You are a man constantly trying to fix today what Yesterday Man did to you. You make up your bed, you clean those dirty dishes from the night before, and pledge not to start drinking until six, thinking that’s the way to keep an even keel. But in reality you’re always playing catch-up. I know this because I’ve been there. The thing is–you can’t fix the mistakes of Yesterday. Yesterday Man is dead, he’s gone forever, and blame and atonement aren’t worth a damn. What you can do is help yourself today. Eat a vegetable. Read a book. Cut that hair of yours. Leave Tomorrow Man something more than a headache and a jam-packed colon. Do for Tomorrow Man what you would have wanted Yesterday Man to do for you.

Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.

T.J. seemed older than seventeen. Reserved almost. Maybe facing serious health problems eliminated some of the immature behavior that presented itself when you had nothing more to worry about than getting your driver's license, cutting class, or breaking curfew.

While fear is often associated with safety and caution, they are not the same.

Children learn bullying behavior from adults, but no one talks about this transfer of destructive behavior.

Our emotions are indicators, not dictators, which means we do not let our emotions govern our behavior.

Somehow the disorder hooks into all kinds of fears and insecurities in many clinicians. The flamboyance of the multiple, her intelligence and ability to conceptualize the disorder, coupled with suicidal impulses of various orders of seriousness, all seem to mask for many therapists the underlying pain, dependency, and need that are very much part of the process. In many ways, a professional dealing with a multiple in crisis is in the same position as a parent dealing with a two-year-old or with an adolescent's acting-out behavior. (236)

It was Freud's ambition to discover the cause of hysteria, the archetypal female neurosis of his time. In his early investigations, he gained the trust and confidence of many women, who revealed their troubles to him.Time after time, Freud's patients, women from prosperous, conventional families, unburdened painful memories of childhood sexual encounters with men they had trusted: family friends, relatives, and fathers. Freud initially believed his patients and recognized the significance of their confessions. In 1896, with the publication of two works, The Aetiology of Hysteria and Studies on Hysteria, he announced that he had solved the mystery of the female neurosis. At the origin of every case of hysteria, Freud asserted, was a childhood sexual trauma. But Freud was never comfortable with this discovery, because of what it implied about the behavior of respectable family men. If his patients' reports were true, incest was not a rare abuse, confined to the poor and the mentally defective, but was endemic to the patriarchal family. Recognizing the implicit challenge to patriarchal values, Freud refused to identify fathers publicly as sexual aggressors. Though in his private correspondence he cited "seduction by the father" as the "essential point" in hysteria, he was never able to bring himself to make this statement in public. Scrupulously honest and courageous in other respects, Freud falsified his incest cases. In The Aetiology of Hysteria, Freud implausibly identified governessss, nurses, maids, and children of both sexes as the offenders. In Studies in Hysteria, he managed to name an uncle as the seducer in two cases. Many years later, Freud acknowledged that the "uncles" who had molested Rosaslia and Katharina were in fact their fathers. Though he had shown little reluctance to shock prudish sensibilities in other matters, Freud claimed that "discretion" had led him to suppress this essential information. Even though Freud had gone to such lengths to avoid publicly inculpating fathers, he remained so distressed by his seduction theory that within a year he repudiated it entirely. He concluded that his patients' numerous reports of sexual abuse were untrue. This conclusion was based not on any new evidence from patients, but rather on Freud's own growing unwillingness to believe that licentious behavior on the part of fathers could be so widespread. His correspondence of the period revealed that he was particularly troubled by awareness of his own incestuous wishes toward his daughter, and by suspicions of his father, who had died recently. p9-10

So when you encounter problem people, realize that there’s a reason they’re behaving the way they do. It may be a new problem: a health scare, money problems, or job pressures. It may be a long-term problem: anxiety about not being good enough for a job, anger at not being respected, fear that you don’t find them attractive or intelligent. And, yes: It may be that they’re actually just jerks (but they’re usually not). Open your own mind and look for the reasons behind the behavior, and you’ll take the first step toward breaking down barriers and communicating with an “impossible” person.

The pressure to reduce health care costs is aimed only at the treatment of real diseases. There is no pressure to reduce the costs of treating fictitious diseases. On the contrary, there is pressure to define ever more types of undesirable behaviors as mental disorders or addictions and to spend ever more tax dollars on developing new psychiatric diagnoses and facilities for storing and treating the victims of such diseases, whose members now include alcoholics, drug abusers, smokers, overeaters, self-starvers, gamblers, etc.

The role of dominance and submission in human sexuality cannot be overstated. Our survey suggests that the majority (over 50%) of humans are very aroused by either acting out or witnessing dominance or submission. But it gets crazier than that: While 45% of women taking our survey said they found the naked male form to be very arousing and 48% said they found the sight of a penis to very arousing, a heftier 53% said they found their partner acting dominant in a sexual context to be very arousing. Dominance is literally more likely to be very arousing to the average female than naked men or penises. To say: “Dominance and submission are tied to human arousal patterns” is more of an understatement than saying: “Penises are tied to human arousal patterns.” We have a delectable theory about what is going on here: If you look at all the emotional states that frequently get tied to arousal pathways, the vast majority of them seem to be proxies for behaviors that would have been associated with our pre-human ancestors’ and early humans’ dominance and submission displays. For example, things like humiliation, being taken advantage of, chains, being used, being useful, being constrained, a lack of freedom, being prey, and a lack of free will may all have been concepts and emotions important in early human submission displays. We posit that most of the time when a human is turned on by a strange emotional concept—being bound for instance—their brain is just using that concept as a proxy for a pre-human submission display and lighting up the neural pathways associated with it, creating a situation in which it looks like a large number of random emotional states are turning humans on, when in reality they all boil down to just a fuzzy outline of dominance and submission. Heck, speaking of binding as a submission display, there were similar ritualized submission displays in the early middle ages, in which a vassal would present their hands clasped in front of their lord and allow the lord to hold their clasped hands in a way that rendered them unable to unclasp them (this submission display to one’s lord is where the symbolism of the Christian kneeling and hands together during prayer ritual comes from). We suspect the concept of binding and defenselessness have played important roles in human submission displays well into pre-history. Should all this be the case, why on earth have our brains been hardwired to bind (hehe) our recognition of dominance and submission displays to our sexual arousal systems?!?

Of all the dangerous ideas that health officials could have embraced while trying to understand why we get fat, they would have been hard-pressed to find one ultimately more damaging than calories-in/calories-out. That it reinforces what appears to be so obvious - obesity as the penalty for gluttony and sloth - is what makes it so alluring. But it's misleading and misconceived on so many levels that it's hard to imagine how it survived unscathed and virtually unchallenged for the last fifty years. It has done incalculable harm. Not only is this thinking at least partly responsible for the ever-growing numbers of obese and overweight in the world - while directing attention away from the real reasons we get fat - but it has served to reinforce the perception that those who get fat have no one to blame but themselves. That eating less invariably fails as a cure for obesity is rarely perceived as the single most important reason to make us question our assumptions, as Hilde Bruch suggested half a century ago. Rather, it is taken as still more evidence that the overweight and obese are incapable of following a diet and eating in moderation. And it put the blame for their physical condition squarely on their behavior, which couldn't be further from the truth.

Research from the Life and Health Sciences Research Institute in Portugal suggests a possible explanation: sustained stress causes us to fall back on familiar routines. The part of our brain associated with decision-making and goal-directed behaviors shrinks and the brain regions associated with habit formation grow when we’re under chronic stress.

The next time you drive into a Walmart parking lot, pause for a second to note that this Walmart—like the more than five thousand other Walmarts across the country—costs taxpayers about $1 million in direct subsidies to the employees who don’t earn enough money to pay for an apartment, buy food, or get even the most basic health care for their children. In total, Walmart benefits from more than $7 billion in subsidies each year from taxpayers like you. Those “low, low prices” are made possible by low, low wages—and by the taxes you pay to keep those workers alive on their low, low pay. As I said earlier, I don’t think that anyone who works full-time should live in poverty. I also don’t think that bazillion-dollar companies like Walmart ought to funnel profits to shareholders while paying such low wages that taxpayers must pick up the ticket for their employees’ food, shelter, and medical care. I listen to right-wing loudmouths sound off about what an outrage welfare is and I think, “Yeah, it stinks that Walmart has been sucking up so much government assistance for so long.” But somehow I suspect that these guys aren’t talking about Walmart the Welfare Queen. Walmart isn’t alone. Every year, employers like retailers and fast-food outlets pay wages that are so low that the rest of America ponies up a collective $153 billion to subsidize their workers. That’s $153 billion every year. Anyone want to guess what we could do with that mountain of money? We could make every public college tuition-free and pay for preschool for every child—and still have tens of billions left over. We could almost double the amount we spend on services for veterans, such as disability, long-term care, and ending homelessness. We could double all federal research and development—everything: medical, scientific, engineering, climate science, behavioral health, chemistry, brain mapping, drug addiction, even defense research. Or we could more than double federal spending on transportation and water infrastructure—roads, bridges, airports, mass transit, dams and levees, water treatment plants, safe new water pipes. Yeah, the point I’m making is blindingly obvious. America could do a lot with the money taxpayers spend to keep afloat people who are working full-time but whose employers don’t pay a living wage. Of course, giant corporations know they have a sweet deal—and they plan to keep it, thank you very much. They have deployed armies of lobbyists and lawyers to fight off any efforts to give workers a chance to organize or fight for a higher wage. Giant corporations have used their mouthpiece, the national Chamber of Commerce, to oppose any increase in the minimum wage, calling it a “distraction” and a “cynical effort” to increase union membership. Lobbyists grow rich making sure that people like Gina don’t get paid more. The

Convincing people to examine their energy use is like trying to get them to quit smoking or eat more healthfully: they already know that they should do it, but there is a billion-dollar industry working round-the-clock, inventing new ways to make sure they don't.

Until very recently, most mental-health practitioners believed that personality disorders were incurable because unlike mood disorders, such as depression and anxiety, personality disorders consist of long-standing, pervasive patterns of behavior that are very much a part of one’s personality. In other words, personality disorders are ego-syntonic, which means the behaviors seem in sync with the person’s self-concept; as a result, people with these disorders believe that others are creating the problems in their lives. Mood disorders, on the other hand, are ego-dystonic, which means the people suffering from them find them distressing. They don’t like being depressed or anxious or needing to flick the lights on and off ten times before leaving the house. They know something’s off with them.

The way that led from the acute mental tension of the last days in camp (from the war of nerves to mental peace) was certainly not free from obstacles. It would be an error to think that a liberated prisoner was not in need of spiritual care any more. We have to consider that a man who has been under such enormous mental pressure for such a long time is naturally in some danger after his liberation, especially since the pressure was released quite suddenly. This danger (in the sense of psychological hygiene) is the psychological counterpart of the bends. Just as the physical health of the caisson worker would be endangered if he left his diver's chamber suddenly (where he is under enormous atmospheric pressure), so the man who has suddenly been liberated from mental pressure can suffer damage to his moral and spiritual health. During this psychological phase one observed that people with natures of a more primitive kind could not escape the influences of the brutality which had surrounded them in camp life. Now, being free, they thought they could use their freedom licentiously and ruthlessly. The only thing that had changed for them was that they were now the oppressors instead of the oppressed. They became instigators, not objects, of willful force and injustice. They justified their behavior by their own terrible experiences.

How Do I Deal with My Toddler’s Behavior? Do what most parents do and drown your frustrations in doughnuts and beer come bedtime. Personal trainers and fitness nuts will tell you that eating before bed is bad for your health and waistline. What these idiots don’t understand is that you need to snack so that you don’t abandon your family in the night. When it comes down to it, isn’t it preferable to inhale a bag of Doritos and be forty or fifty pounds overweight than to leave your toddler without a parent? You’re doing the right thing by eating your emotions. Living with a toddler isn’t the time for you to be worried about having a thigh gap. Fun fact: You can actually create a thigh gap no matter what you weigh just by standing with your legs apart. See? Gap. (But, remember, thigh gaps are dangerous because toddlers can use them to climb back into your uterus.)

A review of the psychological literature suggests that mindfulness in particular fosters many components of physical and mental health: It improves immune function, blood pressure, and cortisol levels; it reduces anxiety, depression, neuroticism, and emotional reactivity. It also leads to greater behavioral regulation and has shown promise in the treatment of addiction and eating disorders. Unsurprisingly, the practice is associated with increased subjective well-being.13

Our essential connection with animals is ancient, and it runs deep. It extends from body to behavior, from psychology to society—forming the basis of our daily journey of survival. This calls for physicians and patients to think beyond the human bedside to barnyards, jungles, oceans, and skies. Because the fate of our world’s health doesn’t depend solely on how we humans fare. Rather it will be determined by how all the patients on the planet live, grow, get sick, and heal.

...his condition in Roanoke is a strong testament that lassitude, indifference and the peculiarities of his thought were primarily the consequences of his illness and not of the early attempts to treat it. The popular view that anti-psychotics were chemical straight jackets that suppressed clear thinking and voluntary activity seems not to be borne out in Nash's case. If anything, the only periods when he was relatively free of hallucinations, delusions and the erosion of will were the periods following either insulin treatment or the use of anti psychotics. In other words, rather than reducing Nash to a zombie, medication seemed to reduce zombie like behavior.

Many „pathogens“ (both chemical and behavioral) can influence how you turn out; these include substance abuse by a mother during pregnancy, maternal stress, and low birth weight. As a child grows, neglect, physical abuse, and head injury can cause problems in mental development. Once the child is grown, substance abuse and exposure to a variety of toxins can damage the brain, modifying intelligence, aggression, and decision-making abilities. The major public health movement to remove lead-based paint grew out of an understanding that even low levels of lead can cause brain damage that makes children less inteligent and, in some cases, more impulsive and aggressive. How you turn out depends on where you´ve been. So when it comes to thinking about blameworthiness, the first difficulty to consider is that people do not choose their own developmental path. It´s problematic to imagine yourself in the shoes of a criminal and conclude, „Well, I wouldn´t have done that“ – because if you weren´t exposed to in utero cocaine, lead poisoning, or physical abuse, and he was, then you and he are not directly comparable.

to have poor shame tolerance. They learned in childhood to manage feelings of inadequacy by adopting unhealthy coping mechanisms to forestall or avoid shaming experiences. Poor shame tolerance causes behaviors associated with the just-mentioned DSM disorders, including vindictive anger, lack of insight and accountability, dishonesty, impulsivity, entitlement, paranoia, lack of remorse and empathy, self-importance, and attention-seeking. Trump is an extreme example, but “subclinical” versions of this behavior exist in millions of people, including domestic abusers.

People may be constrained in two basic ways: physically, by confining them in jails, mental hospitals, and so forth; and symbolically, by confining them in occupations, social roles, and so forth. Actually, confinement of the second type is more common and pervasive in the day-to-day conduct of society’s business; as a rule, only when the symbolic, or socially informal, confinement of conduct fails or proves inadequate, is recourse taken to physical, or socially formal, confinement…. When people perform their social roles properly – in other words, when social expectations are adequately met – their behavior is considered normal. Though obvious, this deserves emphasis: a waiter must wait on tables; a secretary must type; a father must earn a living; a mother must cook and sew and take care of her children. Classic systems of psychiatric nosology had nothing to say about these people, so long as they remained neatly imprisoned in their respective social cells; or, as we say about the Negroes, so long as they “knew their place.” But when such persons broke out of “jail” and asserted their liberty, they became of interest to the psychiatrist.

Psychotropic drugs have also been organized according to structure (e.g., tricyclic), mechanism (e.g., monoamine, oxidase inhibitor [MAOI]), history (first generation, traditional), uniqueness (e.g., atypical), or indication (e.g., antidepressant). A further problem is that many drugs used to treat medical and neurological conditions are routinely used to treat psychiatric disorders.

If people's night fears of sorcery - which negatively influences their decision to use mosquito nets - fail to impress the outsider, the brute everyday reality remains; in a number of rural African villages it is still much too common for very real hyenas to snatch people, especially children, out of their own homes as they lie sleeping at night, because of the lack of a good front door.

Healing is an ongoing process, and it’s never done. From a motivational or an attitudinal standpoint, you come at yourself a lot differently if you’re trying to heal than if you’re wanting to fix. To the extent that you are applying more grace and more empathy and more love to yourself as you are navigating behavioral patterns in your life, you are healing more than fixing. Healing is acceptance—radical acceptance. It’s being patient with yourself and not berating yourself up over unmet expectations, either yours or other people’s, and not basing your worth on external validation.

First the child attempts to keep up with other children. When these efforts fail, for whatever reason, discouragement sets in. The child stops trying as hard as the children who meet with success and encouragement. The next phase is acting out, making disruptive noises or pranks to attract attention. Every child needs attention, even if it is negative. The disruptions can be aggressive, but eventually the child realizes that nothing good is happening. Acting out leads to disapproval and punishment. So he enters the final phase, which is sullen silence. He makes no more effort to keep up in class. Other children mark him as slow or stupid, an outsider. School has turned into a stifling prison rather than an enriching place. It’s not hard to see how this cycle of behavior affects the brain.

In science, however, “God did it” is not a testable hypothesis. Inquiring minds want to know how God did it and what forces or mechanisms were at work. “God works in mysterious ways” will not pass peer review. Even such explanations as “belief in God” or “religiosity” must be broken down into their component parts to find possible causal mechanisms for the links between belief and behavior that lead to health, well-being, and longevity.

Even you, the professional helper, often mistaken for the enlightened Guru or Staretz, can become lost in your thoughts that you must be competent without fault. You may become enthralled with your identity as a professional, even the pressures of the culture of mastery that expects you to heal your clients without fail. Never mind all of the variables over which you have no control, it is up to you, according to the canons of mastery, to control the health and well-being of those for whom you provide professional care. This potentiates a furthering alienation between you and your clients. You are at risk to become, if you have not already, the one who does to your clients; to be the one the active subject acting upon the passive and receptive objects, your clients; to be the one in possession of special knowledge, technique and mastery. All of this conspires to coax or coerce you into treating your client as reduced, a mere case. Unawareness to these influences gives you little chance to consider their influence on your practice in the clinical setting, much less give attentive efforts to resist or change them.

DID may be underdiagnosed. The image derived from classic textbooks of a florid, dramatic disorder with overt switching characterizes about 5% of the DID clinical population. The more typical presentation is of a covert disorder with dissociative symptoms embedded among affective, anxiety, pseudo-psychotic, dyscontrol, and self-destructive symptoms, and others (Loewenstein, 1991). The typical DID patient averages 6 to 12 years in the mental health system, receiving an average of 3 to 4 prior diagnoses. DID is often found in cases that were labeled as "treatment failures" because the patient did not respond to typical treatments for mood, anxiety, psychotic, somatoform, substance abuse, and eating disorders, among others. Rapid mood shifts (within minutes or hours), impulsivity, self-destructiveness, and/or apparent hallucinations lead to misdiagnosis of cyclic mood disorders (e.g., bipolar disorder) or psychotic disorders (e.g., schizophrenia).

This person is (pick one): 1. on a perilous journey from which we can learn much when he or she returns; 2. possessed by (pick one) a) the gods, b) God (that is, a prophet), c) some bad spirits, demons, or devils, d) the Devil, 3. a witch 4. bewitched (variant of 2); 5. bad, and must be isolated and punished, 6. ill, and must be isolated and treated by (pick one): a) purging and leeches, b) removing the uterus if the person has one, c) electric shock to the brain, d) cold sheets wrapped tight around the body, e) Thorazine or Stelazine; 7. ill, and must spend the next seven years talking about it; 8. a victim of society's low tolerance of deviant behavior; 9. sane in an insane world; 10. on a perilous journey from which he or she may never return.

Solomon had good days and he had bad days, but the good had far outnumbered the bad since Lisa and Clark had started coming around. Sometimes, though, they'd show up and he's look completely exhausted, drained of all his charm and moving in slow motion. They could do that to him—the attacks. Something about the physical response to panic can drain all the energy out of a person, and it doesn't matter what causes it or how long it lasts. What Solomon had was unforgiving and sneaky and as smart as any other illness. It was like a virus or cancer that would hide just long enough to fool him into thinking it was gone. And because it showed up when it damn well pleased, he'd learned to be honest about it, knowing that embarrassment only made it worse.

Well over 1,000 studies point overwhelmingly to a causal connection between media violence and aggressive behavior in some children. The conclusion of the public health community, based on over 30 years of research, is that viewing entertainment violence can lead to increases in aggressive attitudes, values and behavior, particularly in children. Its effects are measurable and long-lasting. Moreover, prolonged viewing of media violence can lead to emotional desensitization toward violence in real life.

I deeply respect doctors, but I want to be very clear on something: at every hospital in the United States, many doctors are doing the wrong things, pushing pills and interventions when an ultra-aggressive stance on diet and behavior would do far more for the patient in front of them. Suicide and burnout rates are astronomical in health care, with approximately four hundred doctors per year killing themselves. (That’s equivalent to about four medical school graduating classes just dropping dead every year by their own hand.) Doctors have twice the rate of suicide as the general population. Based on my own experience with depression as a young surgeon, I think a contributor to this phenomenon is an insidious spiritual crisis about the efficacy of our work and a sense of being trapped in a system

Poor health was not just the result of random acts, bad luck, bad behavior or unfortunate genetics. Deliberate public policy decision about housing, education, parks and streets were the key drivers of racial differences in mortality. Crime kept people off the streets and limited their ability to exercise. The lack of grocery stores limited dietary choices. The lack of primary care doctors and specialists in these communities made chronic disease care more difficult. The degradation and loss of hospital services in these communities affected hospital-based outcomes. … The chronic underfunding of critical health services at Cook County Hospital and other safety-net providers contributed to these poor outcomes as well. The deleterious impact of social structures such as urban poverty and racism on health has been called 'structural violence.

You are not a hot mess or hopeless cause just because you're scared or out of sorts. We cannot hang up on the call for courage that speed dials us every day. If facing the simultaneous brokenness and possibility of living were easy, we wouldn't need therapists, besties, teachers, scientists, coaches, healers, artists, and comedians nudging us to critically think, take agency, be more self-compassionate, see our humanity, and stop taking ourselves and our so-called "failures" so seriously. "Failure" is how we learn and grow. Community and solidarity are how we heal.

Follow your doctor’s orders. For me that means antidepressants and behavioral therapy. Exercise thirty minutes a day, six days a week. Get sunlight, or if you can’t, use light therapy. Do not overuse your light therapy lamp even though you want to. Treat yourself like you would your favorite pet. Plenty of fresh water, lots of rest, snuggles as needed, allow yourself naps. Avoid negativity. That means the news, people, movies. It will all be there when you’re healthy again. The world will get on without your seeing it. Forgive yourself. For being broken. For being you. For thinking those are things that you need forgiveness for. Those terrible things you tell yourself? Can you imagine if the person you love most were telling themselves those things? You’d think they were crazy. And wrong. They think the same about you. Those negative things you are thinking are not rational. Remember that depression lies and that your brain is not always trustworthy. Give yourself permission to recover. I’m lucky that I can work odd hours and take mental health days but I still feel shitty for taking them. Realize that sometimes these slow days are necessary and healthy and utterly responsible. Watch Doctor Who. Love on an animal. Go adopt a rescue, or if you can’t, go to the shelter and just snuggle a kitten. Then realize that that same little kitten that you’re cradling isn’t going to accomplish shit but is still wonderful and lovely and so important. You are that kitten. Get up. Go brush your teeth. Go take a hot shower. If you do nothing else today just change into a new pair of pajamas. It helps. Remember that you are not alone. There are crisis lines filled with people who want to help. There are people who love you more than you know. There are people who can’t wait to meet you because you will teach them how unalone they are. You are so worthy of happiness and it will come.

and soon were surprised to see how well off they were. One discovered that money couldn’t keep shame and sorrow out of rich people’s houses, another that, though she was poor, she was a great deal happier, with her youth, health, and good spirits, than a certain fretful, feeble old lady who couldn’t enjoy her comforts, a third that, disagreeable as it was to help get dinner, it was harder still to go begging for it and the fourth, that even carnelian rings were not so valuable as good behavior. So they agreed to stop complaining, to enjoy the blessings already possessed, and try to deserve them, lest they should be taken away entirely, instead of increased,

short term always leaves us in a place worse off than when we started. — To properly heal from addiction, we need a holistic approach. We need to create a life we don’t need to escape. We need to address the root causes that made us turn outside ourselves in the first place. This means getting our physical health back, finding a good therapist, ending or leaving abusive relationships, learning to reinhabit our bodies, changing our negative thought patterns, building support networks, finding meaning and connecting to something greater than ourselves, and so on. To break the cycle of addiction, we need to learn to deal with cravings, break old habits, and create new ones. To address all of this is an overwhelming task, but there is a sane, empowering, and balanced approach. But before we discuss how to implement solutions to the Two-Part Problem, we need to address one of the bigger issues that women and other historically oppressed folks need to consider, which is how patriarchal structures affect the root causes of addiction, how they dominate the recovery landscape, and what that means for how we experience recovery. If we are sick from sexism, homophobia, racism, classism, microaggressions, misogyny, ableism, American capitalism, and so on—and we are—then we need to understand how recovery frameworks that were never built with us in mind can actually work against us, further pathologizing characteristics, attributes, and behaviors that have been used to keep us out of our power for millennia. We need to examine what it means for us individually and collectively when a structure built by and for upper-class white men in the early twentieth century dominates the treatment landscape.

CONSENSUS PROPOSED CRITERIA FOR DEVELOPMENTAL TRAUMA DISORDER A. Exposure. The child or adolescent has experienced or witnessed multiple or prolonged adverse events over a period of at least one year beginning in childhood or early adolescence, including: A. 1. Direct experience or witnessing of repeated and severe episodes of interpersonal violence; and A. 2. Significant disruptions of protective caregiving as the result of repeated changes in primary caregiver; repeated separation from the primary caregiver; or exposure to severe and persistent emotional abuse B. Affective and Physiological Dysregulation. The child exhibits impaired normative developmental competencies related to arousal regulation, including at least two of the following: B. 1. Inability to modulate, tolerate, or recover from extreme affect states (e.g., fear, anger, shame), including prolonged and extreme tantrums, or immobilization B. 2. Disturbances in regulation in bodily functions (e.g. persistent disturbances in sleeping, eating, and elimination; over-reactivity or under-reactivity to touch and sounds; disorganization during routine transitions) B. 3. Diminished awareness/dissociation of sensations, emotions and bodily states B. 4. Impaired capacity to describe emotions or bodily states C. Attentional and Behavioral Dysregulation: The child exhibits impaired normative developmental competencies related to sustained attention, learning, or coping with stress, including at least three of the following: C. 1. Preoccupation with threat, or impaired capacity to perceive threat, including misreading of safety and danger cues C. 2. Impaired capacity for self-protection, including extreme risk-taking or thrill-seeking C. 3. Maladaptive attempts at self-soothing (e.g., rocking and other rhythmical movements, compulsive masturbation) C. 4. Habitual (intentional or automatic) or reactive self-harm C. 5. Inability to initiate or sustain goal-directed behavior D. Self and Relational Dysregulation. The child exhibits impaired normative developmental competencies in their sense of personal identity and involvement in relationships, including at least three of the following: D. 1. Intense preoccupation with safety of the caregiver or other loved ones (including precocious caregiving) or difficulty tolerating reunion with them after separation D. 2. Persistent negative sense of self, including self-loathing, helplessness, worthlessness, ineffectiveness, or defectiveness D. 3. Extreme and persistent distrust, defiance or lack of reciprocal behavior in close relationships with adults or peers D. 4. Reactive physical or verbal aggression toward peers, caregivers, or other adults D. 5. Inappropriate (excessive or promiscuous) attempts to get intimate contact (including but not limited to sexual or physical intimacy) or excessive reliance on peers or adults for safety and reassurance D. 6. Impaired capacity to regulate empathic arousal as evidenced by lack of empathy for, or intolerance of, expressions of distress of others, or excessive responsiveness to the distress of others E. Posttraumatic Spectrum Symptoms. The child exhibits at least one symptom in at least two of the three PTSD symptom clusters B, C, & D. F. Duration of disturbance (symptoms in DTD Criteria B, C, D, and E) at least 6 months. G. Functional Impairment. The disturbance causes clinically significant distress or impairment in at least two of the following areas of functioning: Scholastic Familial Peer Group Legal Health Vocational (for youth involved in, seeking or referred for employment, volunteer work or job training)

Bonnie persuaded me to focus on the good, just for today: tomorrow I can call back and we will wallow in the total awfulness of Amy’s behavior, which will surely lead to permanent estrangement and dead bodies. Just for today, I was supposed to try to remember three things: The baby is not falling off the earth, or headed to Afghanistan. So many things are going well: Everyone has good health. Jax is perfect. Even though I have acid and sewage and grippage in my stomach, which I have had many times before and will have many times again, I can build faith muscles by bearing my feelings of misery and powerlessness—a kind of Nautilus. Rumi said that through love, all pain would turn to medicine. But he never met my family. Or me.

In 1944-1945, Dr Ancel Keys, a specialist in nutrition and the inventor of the K-ration, led a carefully controlled yearlong study of starvation at the University of Minnesota Laboratory of Physiological Hygiene. It was hoped that the results would help relief workers in rehabilitating war refugees and concentration camp victims. The study participants were thirty-two conscientious objectors eager to contribute humanely to the war effort. By the experiment's end, much of their enthusiasm had vanished. Over a six-month semi-starvation period, they were required to lose an average of twenty-five percent of their body weight." [...] p193 p193-194 "...the men exhibited physical symptoms...their movements slowed, they felt weak and cold, their skin was dry, their hair fell out, they had edema. And the psychological changes were dramatic. "[...] p194 "The men became apathetic and depressed, and frustrated with their inability to concentrate or perform tasks in their usual manner. Six of the thirty-two were eventually diagnosed with severe "character neurosis," two of them bordering on psychosis. Socially, they ceased to care much about others; they grew intensely selfish and self-absorbed. Personal grooming and hygiene deteriorated, and the men were moody and irritable with one another. The lively and cooperative group spirit that had developed in the three-month control phase of the experiment evaporated. Most participants lost interest in group activities or decisions, saying it was too much trouble to deal with the others; some men became scapegoats or targets of aggression for the rest of the group. Food - one's own food - became the only thing that mattered. When the men did talk to one another, it was almost always about eating, hunger, weight loss, foods they dreamt of eating. They grew more obsessed with the subject of food, collecting recipes, studying cookbooks, drawing up menus. As time went on, they stretched their meals out longer and longer, sometimes taking two hours to eat small dinners. Keys's research has often been cited often in recent years for this reason: The behavioral changes in the men mirror the actions of present-day dieters, especially of anorexics.

But the history of Hopkins Hospital certainly isn’t pristine when it comes to black patients. In 1969, a Hopkins researcher used blood samples from more than 7,000 neighborhood children—most of them from poor black families—to look for a genetic predisposition to criminal behavior. The researcher didn’t get consent. The American Civil Liberties Union filed suit claiming the study violated the boys’ civil rights and breached confidentiality of doctor-patient relationships by releasing results to state and juvenile courts. The study was halted, then resumed a few months later using consent forms. And in the late nineties, two women sued Hopkins, claiming that its researchers had knowingly exposed their children to lead, and hadn’t promptly informed them when blood tests revealed that their children had elevated lead levels—even when one developed lead poisoning. The research was part of a study examining lead abatement methods, and all families involved were black. The researchers had treated several homes to varying degrees, then encouraged landlords to rent those homes to families with children so they could then monitor the children’s lead levels. Initially, the case was dismissed. On appeal, one judge compared the study to Southam’s HeLa injections, the Tuskegee study, and Nazi research, and the case eventually settled out of court. The Department of Health and Human Services launched an investigation and concluded that the study’s consent forms “failed to provide an adequate description” of the different levels of lead abatement in the homes.

A good marketer can sell practically anything to anyone. Tobacco is literally dried, decaying vegetable matter that you light on fire and inhale, breathing horrid-tasting, toxic fumes into your lungs.121 At one point marketers promoted smoking as a status symbol and claimed it had health benefits. Once you give it a try, the addictive nature of the drug kicks in, and the agency’s job becomes much easier. If they can get you hooked, the product will sell itself. Since the product is actually poison, advertisers need to overcome your instinctual aversion. That’s a big hill for alcohol advertisements to climb, which is why the absolute best marketing firms on the globe, firms with psychologists and human behavior specialists on staff, are hired to create the ads. These marketers know that the most effective sale is an emotional sale, one that plays on your deepest fears, your ultimate concerns. Alcohol advertisements sell an end to loneliness, claiming that drinking provides friendship and romance. They appeal to your need for freedom by saying drinking will make you unique, brave, bold, or courageous. They promise fulfillment, satisfaction, and happiness. All these messages speak to your conscious and unconscious minds.

At a higher level of abstraction, the behavioral correlates of life history strategies can be framed within the five-factor model of personality. Among the Big Five, agreeableness and conscientiousness show the most consistent pattern of associations with slow traits such as restricted sociosexuality, long-term mating orientation, couple stability, secure attachment to parents in infancy and romantic partners in adulthood, reduced sex drive, low impulsivity, and risk aversion across domains. Conscientiousness and (to a smaller extent) agreeableness are also the most reliable personality predictors of physical health and longevity; the contribution of neuroticism is mixed and may depend on the specific facets considered. The life history correlates of neuroticism are much less straightforward; for example, high neuroticism tends to predict increased short-term mating in women but reduced short-term mating in men, with much cross-cultural variation. There is also evidence that slow life history–related traits can be associated with social anxiety and insecurity, which is consistent with a general profile of risk aversion and behavioral inhibition. As a first approximation, then, metatrait alpha can be treated as a broadband correlate of slow strategies, with the caveat that neuroticism may be elevated at both ends of the continuum.

We have no obligation to endure or enable certain types of certain toxic relationships. The Christian ethic muddies these waters because we attach the concept of long-suffering to these damaging connections. We prioritize proximity over health, neglecting good boundaries and adopting a Savior role for which we are ill-equipped. Who else we'll deal with her?, we say. Meanwhile, neither of you moves towards spiritual growth. She continues toxic patterns and you spiral in frustration, resentment and fatigue. Come near, dear one, and listen. You are not responsible for the spiritual health of everyone around you. Nor must you weather the recalcitrant behavior of others. It is neither kind nor gracious to enable. We do no favors for an unhealthy friend by silently enduring forever. Watching someone create chaos without accountability is not noble. You won't answer for the destructive habits of an unsafe person. You have a limited amount of time and energy and must steward it well. There is a time to stay the course and a time to walk away. There's a tipping point when the effort becomes useless, exhausting beyond measure. You can't pour antidote into poison forever and expect it to transform into something safe, something healthy. In some cases, poison is poison and the only sane response is to quit drinking it. This requires honest self evaluation, wise counselors, the close leadership of the Holy Spirit, and a sober assessment of reality. Ask, is the juice worth the squeeze here. And, sometimes, it is. You might discover signs of possibility through the efforts, or there may be necessary work left and it's too soon to assess. But when an endless amount of blood, sweat and tears leaves a relationship unhealthy, when there is virtually no redemption, when red flags are frantically waved for too long, sometimes the healthiest response is to walk away. When we are locked in a toxic relationship, spiritual pollution can murder everything tender and Christ-like in us. And a watching world doesn't always witness those private kill shots. Unhealthy relationships can destroy our hope, optimism, gentleness. We can lose our heart and lose our way while pouring endless energy into an abyss that has no bottom. There is a time to put redemption in the hands of God and walk away before destroying your spirit with futile diligence.

I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk." "Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist. "Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself." Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him. "Bob, I'm afraid our time's up," Smith said in a matter-of-fact style. "Time's up?" I exclaimed. "I just got here." "No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?" "I remember everything. I was just telling you that these sessions don't seem to be working for me." Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?" "No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..." "No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you." "You're kidding?" "No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then." Robert This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood. Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it? To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem." The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.

Freedom to Suspend Contact Ideally, you’d probably like to have the freedom to be yourself yet protect yourself while continuing to relate to your parent. Still, you might find it necessary at times to protect your emotional health by suspending contact for a while. Although this can stir up tremendous guilt and self-doubt, consider the possibility that you may have good reasons for keeping your distance. For example, your parent may be emotionally hurtful or disrespect your boundaries—an intrusive way of relating that impinges upon your right to your own identity. You may want to take a break from dealing with a parent who behaves in this way. Some parents are so unreflective that, despite repeated explanations, they simply don’t accept that their behavior is problematic. In addition, some sadistic parents truly are malevolent toward their children, and enjoy the pain and frustration they cause. Children of these sorts of parents may decide that suspending contact is the best solution. Just because a person is your biological parent doesn’t mean you have to keep an emotional or social tie to that person. Fortunately, you don’t need to have an active relationship with your parents to free yourself from their influence. If this weren’t so, people wouldn’t be able to emotionally separate from parents who live far away or have died. True freedom from unhealthy roles and relationships starts within each of us, not in our interactions and confrontations with others. Aisha’s

It is well-known that a big percentage of all marriages in the United States end in divorce or separation (about 39 percent, according to the latest data).[30] But staying together is not what really counts. Analysis of the Harvard Study data shows that marriage per se accounts for only 2 percent of subjective well-being later in life.[31] The important thing for health and well-being is relationship satisfaction. Popular culture would have you believe the secret to this satisfaction is romantic passion, but that is wrong. On the contrary, a lot of unhappiness can attend the early stages of romance. For example, researchers find that it is often accompanied by rumination, jealousy, and “surveillance behaviors”—not what we typically associate with happiness. Furthermore, “destiny beliefs” about soul mates or love being meant to be can predict low forgiveness when paired with attachment anxiety.[32] Romance often hijacks our brains in a way that can cause the highs of elation or the depths of despair.[33] You might accurately say that falling in love is the start-up cost for happiness—an exhilarating but stressful stage we have to endure to get to the relationships that actually fulfill us. The secret to happiness isn’t falling in love; it’s staying in love, which depends on what psychologists call “companionate love”—love based less on passionate highs and lows and more on stable affection, mutual understanding, and commitment.[34] You might think “companionate love” sounds a little, well, disappointing. I certainly did the first time I heard it, on the heels of great efforts to win my future wife’s love. But over the past thirty years, it turns out that we don’t just love each other; we like each other, too. Once and always my romantic love, she is also my best friend.

The most important form of selfishness involves spending time on your fitness, eating right, pursuing your career, and still spending quality time with your family and friends. If you neglect your health or your career, you slip into the second category—stupid—which is a short slide to becoming a burden on society. I blame society for the sad state of adult fitness in the Western world. We’re raised to believe that giving of ourselves is noble and good. If you’re religious, you might have twice as much pressure to be unselfish. All our lives we are told it’s better to give than to receive. We’re programmed for unselfish behavior by society, our parents, and even our genes to some extent. The problem is that our obsession with generosity causes people to think in the short term. We skip exercise to spend an extra hour helping at home. We buy fast food to save time to help a coworker with a problem. At every turn, we cheat our own future to appear generous today. So how can you make the right long-term choices for yourself, thus being a benefit to others in the long run, without looking like a selfish turd in your daily choices? There’s no instant cure, but a step in the right direction involves the power of permission. I’m giving you permission to take care of yourself first, so you can do a better job of being generous in the long run. What? You might be wondering how a cartoonist’s permission to be selfish can help in any way. The surprising answer is that it can, in my opinion. If you’ve read this far, we have a relationship of sorts. It’s an author-reader relationship, but that’s good enough.

Once upon a time, there were four girls, who had enough to eat and drink and wear, a good many comforts and pleasures, kind friends and parents who loved them dearly, and yet they were not contented." (Here the listeners stole sly looks at one another, and began to sew diligently.) "These girls were anxious to be good and made many excellent resolutions, but they did not keep them very well, and were constantly saying, 'If only we had this,' or 'If we could only do that,' quite forgetting how much they already had, and how many things they actually could do. So they asked an old woman what spell they could use to make them happy, and she said, 'When you feel discontented, think over your blessings, and be grateful.'" (Here Jo looked up quickly, as if about to speak, but changed her mind, seeing that the story was not done yet.) "Being sensible girls, they decided to try her advice, and soon were surprised to see how well off they were. One discovered that money couldn't keep shame and sorrow out of rich people's houses, another that, though she was poor, she was a great deal happier, with her youth, health, and good spirits, than a certain fretful, feeble old lady who couldn't enjoy her comforts, a third that, disagreeable as it was to help get dinner, it was harder still to go begging for it and the fourth, that even carnelian rings were not so valuable as good behavior. So they agreed to stop complaining, to enjoy the blessings already possessed, and try to deserve them, lest they should be taken away entirely, instead of increased, and I believe they were never disappointed or sorry that they took the old woman's advice.

I began to see that the stronger a therapy emphasized feelings, self-esteem, and self-confidence, the more dependent the therapist was upon his providing for the patient ongoing, unconditional, positive regard. The more self-esteem was the end, the more the means, in the form of the patient’s efforts, had to appear blameless in the face of failure. In this paradigm, accuracy and comparison must continually be sacrificed to acceptance and compassion; which often results in the escalation of bizarre behavior and bizarre diagnoses. The bizarre behavior results from us taking credit for everything that is positive and assigning blame elsewhere for anything negative. Because of this skewed positive-feedback loop between our judged actions and our beliefs, we systematically become more and more adapted to ourselves, our feelings, and our inaccurate solitary thinking; and less and less adapted to the environment that we share with our fellows. The resultant behavior, such as crying, depression, displays of temper, high-risk behavior, or romantic ventures, or abandonment of personal responsibilities, which seem either compulsory, necessary, or intelligent to us, will begin to appear more and more irrational to others. The bizarre diagnoses occur because, in some cases, if a ‘cause disease’ (excuse from blame) does not exist, it has to be 'discovered’ (invented). Psychiatry has expanded its diagnoses of mental disease every year to include 'illnesses’ like kleptomania and frotteurism [now frotteuristic disorder in the DSM-V]. (Do you know what frotteurism is? It is a mental disorder that causes people, usually men, to surreptitiously fondle women’s breasts or genitals in crowded situations such as elevators and subways.) The problem with the escalation of these kinds of diagnoses is that either we can become so adapted to our thinking and feelings instead of our environment that we will become dissociated from the whole idea that we have a problem at all; or at least, the more we become blameless, the more we become helpless in the face of our problems, thinking our problems need to be 'fixed’ by outside help before we can move forward on our own. For 2,000 years of Western culture our problems existed in the human power struggle constantly being waged between our principles and our primal impulses. In the last fifty years we have unprincipled ourselves and become what I call 'psychologized.’ Now the power struggle is between the 'expert’ and the 'disorder.’ Since the rise of psychiatry and psychology as the moral compass, we don’t talk about moral imperatives anymore, we talk about coping mechanisms. We are not living our lives by principles so much as we are living our lives by mental health diagnoses. This is not working because it very subtly undermines our solid sense of self.