Conversion Disorder Quotes

There is nothing more entertaining then leaving someone speechless. Yet, there is nothing sadder than realizing that person was incapable of retaining half of what you said, and will repeat the story all wrong to someone else.

In her presence, I was reminded again of why I was an anoretic: fear. Of my needs, for food, for sleep, for touch, for simple conversation, for human contact, for love. I was an anoretic because I was afraid of being human. Implicit in human contact is the exposure of the self, the interaction of the selves. The self I'd had, once upon a time, was too much. Now there was no self at all. I was a blank.

The mentally ill frighten and embarrass us. And so we marginalize the people who most need our acceptance. What mental health needs is more sunlight, more candor, more unashamed conversation.

Accepting a psychiatric diagnosis is like a religious conversion. It's an adjustment in cosmology, with all its accompanying high priests, sacred texts, and stories of religion. And I am, for better or worse, an instant convert.

That nervousness that makes your palms sweat and your heart race before you get up and make a speech in front of an audience? That's what I feel in a normal conversation at the dinner table. Or just thinking about having a conversation at the dinner table.

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.

It’s so annoying, eating-disorder brain. Anytime I’m having a conversation with someone over a meal, there’s another conversation happening internally—judgments and criticisms and self-loathing that press on me with such severity. They’re a brutal distraction. I can never be present with whoever I’m with. My focus is always more on the food than the person.

People who are contented and serene sleep well. They fall asleep easily, stay asleep, and wake refreshed. Conversely, people who are anxious, stressed, or depressed do not sleep well, and chronic insomnia is strongly associated with mood disorders. These are clear correlations, but what is cause and what is effect is not clear. Most experts agree that sleep and mood are closely related, that healthy sleep can enhance emotional well-being, while insufficient quantity or quality of sleep can adversely affect it.

Another way to view it: the iatrogenics is in the patient, not in the treatment. If the patient is close to death, all speculative treatments should be encouraged—no holds barred. Conversely, if the patient is near healthy, then Mother Nature should be the doctor.

As a therapist, I have many avenues in which to learn about DID, but I hear exactly the opposite from clients and others who are struggling to understand their own existence. When I talk to them about the need to let supportive people into their lives, I always get a variation of the same answer. "It is not safe. They won't understand." My goal here is to provide a small piece of that gigantic puzzle of understanding. If this book helps someone with DID start a conversation with a supportive friend or family member, understanding will be increased.

His self-involvement, defensiveness, demeaning treatment of others, need to dominate the conversation, and sense of entitlement—basically, his being an asshole—all fall under the diagnostic criteria for narcissistic personality disorder.

Cruelty, whether physical or emotional, isn't normal. It may signal what psychologists call the dark triad of psychopathic, narcissistic and Machiavellian personality disorders. One out of about every 25 individuals has an antisocial personality disorder. Their prognosis for recovery is zero, their potential for hurting you about 100 percent. So don't assume that a vicious person just had a difficult childhood or a terrible day; most people with awful childhoods end up being empathetic, and most people, even on their worst days, don't seek satisfaction by inflicting pain. When you witness evil, if only the tawdry evil of a conversational stiletto twist, use your ninjutsu, wait for a distraction, then disappear.

A lot of people assume I’m comically exaggerating this point, but the only people who really think that are the people who don’t have an anxiety disorder. The rest of you are nodding your head in agreement because you, too, have been stricken by this rather shitty disorder that makes an e-mail conversation (which should take only minutes) stretch on for hours of rewrites.

There may not be any romance to mental illness but who needs romance when the preferable route is agency? The prevailing conversation around mental health issues is agency and the lack thereof on the part of the mentally ill. But what do you do if you’re a paid-up member of the mentally ill populace in question? Do you curl up into a ball and give up? No, you look for solutions. Ultimately, it’s about keeping despair at bay and sometimes simple things like running, taking up a hobby, doing charity work, painting or, in my case, writing can be a galvanizing part of the recovery process. Keeping the brain and the body active can give life a semblance of pleasure and hope. This is what writing has done for me. I took every traumatic element of my condition and channelled it into something useful.

At the behest of the criterion of authenticity, much that was once thought to make up the very fabric of culture has come to seem of little account, mere fantasy or ritual, or downright falsification. Conversely, much that culture traditionally condemned and sought to exclude is accorded a considerable moral authority by reason of the authenticity claimed for it, for example, disorder, violence, unreason.

the more interesting their conversation, the more cultured they are, the more they will be trapped into thinking that they are effective at what they are doing in real business (something psychologists call the halo effect, the mistake of thinking that skills in, say, skiing translate unfailingly into skills in managing a pottery workshop or a bank department, or that a good chess player would be a good strategist in real life).

While shame is highly correlated with addiction, violence, aggression, depression, eating disorders, and bullying, guilt is negatively correlated with these outcomes. Empathy and values live in the contours of guilt, which is why it’s a powerful and socially adaptive emotion. When we apologize for something we’ve done, make amends, or change a behavior that doesn’t align with our values, guilt—not shame—is most often the driving force.

I had a chat with May and I had a sweet talk with April but the lovely conversation that left me to ponder was the long talk I had with June. Mathematics came to tell me that May is 3, June is 4 and April is 5. ‘ This should have been the counting order’ Mathematics said to me, and added, if you add 3 and 5 you shall surely get 8 and if you find the mid of 8 you will get 4 which is June. Ask June why the disorder! So I quickly called June and asked, why have you change the order? June said, ‘my brother, in this era, you should least give men things which are in order. Let them ponder and put things in order and they will learn something better’. I had to ponder and wonder. Then June added, those who will ponder to know why I have change the order to be at the mid of the other shall get to the mid of the other and wonder why they are at the mid of the other and end the other in wonder but, those who would never see why they must ponder when they get to the mid of the other to know why I am there shall end the other in disorder. They shall end the other and wander in the end! I was quick to ask June, which other? June calmly said, the twelve disciples of the year. Disciples’? I asked. June quickly said, I mean months! In your journey of life, take a break as you journey and ponder over the journey; June concluded!

I suggested, further, that the following might be sculpted: a large box filled with sixty moonshine jugs--piled high, toppling over, corks popping, liquor flowing. Disorder to match the clutter and chaos of our marvelous language. Words upon words, piled high, toppling over, thoughts popping, correspondence and conversation overflowing.

All the qualifications in the world dont mean a thing if you can't hold a conversation.

which is why many people experience seasonal depressive disorder. Vitamin D regulates the conversion of tryptophan into serotonin.

encephalitis, especially from vaccination, can give rise to an allergic state, while conversely the existence of an allergic state predisposes to the development of encephalitis after vaccination.

Her sensations on the discovery made her perfectly speechless. She could not even thank him. She could only hang over little Charles, with most disordered feelings. His kindness in stepping forward to her relief – the manner— the silence in which it had passed – the little particulars of the circumstance – with the conviction soon forced on her by the noise he was studiously making with the child, that he meant to avoid hearing her thanks, and rather sought to testify that her conversation was the last of his wants, produced such a confusion of varying, but very painful agitation, as she could not recover from, till enabled by the entrance of Mary and the Miss Musgroves to make over her little patience to their cares, and leave the room. She could not stay. It might have been an opportunity of watching the loves and jealousies of the four; they were now all together, but she could stay for none of it. It was evident that Charles Hayter was not well inclined towards Captain Wentworth. She had a strong impression of his having said, in a vext tone of voice, after Captain Wentworth’s interference, ‘You ought to have minded me, Walter; I told you not to teaze your aunt;’ and could comprehend his regretting that Captain Wentworth should do what he ought to have done himself. But neither Charles Hayter’s feelings, nor any body’s feelings, could interest her, till she had a little better arranged her own. She was ashamed of herself, quite ashamed of being so nervous, so overcome by such a trifle; but so it was; and it required a long application of solitude and reflection to recover her.

In the United States, more than a quarter of people over eighteen reported that they engaged in binge drinking during the previous month. This pattern is even more prevalent among college students, nearly 40 percent of whom reported binge drinking in the previous month. Whether cause or effect, about half of these students (20 percent) meet the criteria for an alcohol use disorder, and 25 percent report academic consequences from drinking. Binge drinking is risky for anyone, but particularly for those whose brains are still developing. The impact of high alcohol concentrations during this “plastic” period leads to lasting alterations in brain structure and function and is more likely to result in an alcohol use disorder. The converse is also true: one of the most effective ways to curtail the risk of addiction is to avoid intoxication during periods of rapid brain development.

the iatrogenics is in the patient, not in the treatment. If the patient is close to death, all speculative treatments should be encouraged—no holds barred. Conversely, if the patient is near healthy, then Mother Nature should be the doctor.

The sense of growing panic, the feeling that gibberish is being passed off as coherent conversation, the fear that the world is engaged in meaningless discourse masquerading as meaningful exchange—these are the blurry states individuals with ADD negotiate each day.

We can simplify the relationships between fragility, errors, and antifragility as follows. When you are fragile, you depend on things following the exact planned course, with as little deviation as possible—for deviations are more harmful than helpful. This is why the fragile needs to be very predictive in its approach, and, conversely, predictive systems cause fragility. When you want deviations, and you don’t care about the possible dispersion of outcomes that the future can bring, since most will be helpful, you are antifragile.

Pierre Janet, a French professor of psychology who became prominent in the early twentieth century, attempted to fully chronicle late- Victorian hysteria in his landmark work The Major Symptoms of Hysteria. His catalogue of symptoms was staggering, and included somnambulism (not sleepwalking as we think of it today, but a sort of amnesiac condition in which the patient functioned in a trance state, or "second state," and later remembered nothing); trances or fits of sleep that could last for days, and in which the patient sometimes appeared to be dead; contractures or other disturbances in the motor functions of the limbs; paralysis of various parts of the body; unexplained loss of the use of a sense such as sight or hearing; loss of speech; and disruptions in eating that could entail eventual refusal of food altogether. Janet's profile was sufficiently descriptive of Mollie Fancher that he mentioned her by name as someone who "seems to have had all possible hysterical accidents and attacks." In the face of such strange and often intractable "attacks," many doctors who treated cases of hysteria in the 1800s developed an ill-concealed exasperation.

Perhaps the idea behind capitalism is an inverse-iatrogenic effect, the unintended-but-not-so-unintended consequences: the system facilitates the conversion of selfish aims (or, to be correct, not necessarily benevolent ones) at the individual level into beneficial results for the collective.

Conversely, some people with BPD may cope with feeling out of control by giving up their own power; for example, they may choose a lifestyle where all choices are made for them, such as the military or a cult, or they may align themselves with abusive people who try to control them through fear.

The hypervigilance of a boy living with domestic violence scanning his home for any sign of threat is very adaptive; in a classroom, this can prevent the child from paying attention to the teacher and result in the child being labeled with attention deficit disorder (ADHD), which is maladaptive.

Let’s incorporate behavior. If someone has extensive frontocortical damage, how predictable is it that you’d note something odd about them, behaviorally, after a five-minute conversation? Something like 75 percent. Now let’s consider a broader range of behaviors. How predictable is it that this person with the frontal damage will do something horrifically violent at some point? Or that someone who was abused repeatedly as a child will become an abusive adult? That a soldier who went through a battle that killed his buddies will develop PTSD? That a person with the “montane vole” polygamous version of the vasopressin receptor gene promoter will have numerous failed marriages? That a person with a particular array of glutamate receptor subtypes throughout their cortex and hippocampus will have an IQ above 140? That someone raised with extensive childhood adversity and loss will have a major depressive disorder? All under 50 percent, often way under.

As he noted in The Daily Signal, children from fatherless homes are likelier to drop out of high school, die by suicide, have behavioral disorders, join gangs, commit crimes, and end up in prison. They are also more likely to live in poverty-stricken households. Conversely, nuclear families—whether black or white—are richer in all ways.

It's just that I know exactly how that conversation would have gone," I say. "I would've told her I'm too afraid to enter. She would've asked what I'm afraid of. I would've had to bring up the whole social anxiety thing, and she would've either encouraged me to enter anyway, completely disregarding my terror, or she would've nodded and excused herself

When David and I went to visit my mom, she treated me well and seemed interested in our lives, focusing less on what she needed from me or how I should be taking care of her. Mom saved those conversations for our daily phone calls because she thought David wouldn't find out about this other side other. But he could see the changes in me when I talked to my mom.

The Brits call this sort of thing Functional Neurological Symptoms, or FNS, the psychiatrists call it conversion disorder, and almost everyone else just calls it hysteria. There are three generally acknowledged, albeit uncodified, strategies for dealing with it. The Irish strategy is the most emphatic, and is epitomized by Matt O’Keefe, with whom I rounded a few years back on a stint in Ireland. “What are you going to do?” I asked him about a young woman with pseudoseizures. “What am I going to do?” he said. “I’ll tell you what I’m goin’ to do. I’m going to get her, and her family, and her husband, and the children, and even the feckin’ dog in a room, and tell ’em that they’re wasting my feckin’ time. I want ’em all to hear it so that there is enough feckin’ shame and guilt there that it’ll keep her the feck away from me. It might not cure her, but so what? As long as I get rid of them.” This approach has its adherents even on these shores. It is an approach that Elliott aspires to, as he often tells me, but can never quite marshal the umbrage, the nerve, or a sufficiently convincing accent, to pull off. The English strategy is less caustic, and can best be summarized by a popular slogan of World War II vintage currently enjoying a revival: “Keep Calm and Carry On.” It is dry, not overly explanatory, not psychological, and does not blame the patient: “Yes, you have something,” it says. “This is what it is [insert technical term here], but we will not be expending our time or a psychiatrist’s time on it. You will have to deal with it.” Predictably, the American strategy holds no one accountable, involves a brain-centered euphemistic explanation coupled with some touchy-feely stuff, and ends with a recommendation for a therapeutic program that, very often, the patient will ignore. In its abdication of responsibility, motivated by the fear of a lawsuit, it closely mirrors the beginning of the end of a doomed relationship: “It’s not you, it’s … no wait, it’s not me, either. It just is what it is.” Not surprisingly, estimates of recurrence of symptoms range from a half to two-thirds of all cases, making this one of the most common conditions that a neurologist will face, again and again.

When preparing for Book One, I talked to a couple of psychiatrists about psychosomatic phenomena, neuroses and dissociative conditions, for example the so—called hysterical blindness suffered by many who saw the Killing Fields in Pol Pot’s Cambodia: their eyes objectively see, but they are not aware of it and are blind because they believe they can’t see. One specialist told me that among modern Western people, ’metaphorical’ symptoms such as Fredy or those Cambodians evince are much rarer now than earlier in the twentieth century or before. Nowadays most people are better equipped by education to verbalise their neuroses, and have lots of jargon in which to do so. For most of the dissociative dimension, I could draw on things I knew from within myself.

Wilson imagined a conversation among European leaders as they realized they had been wrong, and Wilson right, about the war. “Do you not think it likely that the world will some time turn to America and say, ‘You were right, and we were wrong. You kept your heads when we lost ours . . . Now, in your self-possession, in your coolness, in your strength, may we not turn to you for counsel and for assistance?’ ”23

Mindfulness is intentionally focusing in the present moment and accepting what is in that moment without evaluating it as good or bad (Germer 2004). We can be in a mindful state for a few moments, for most of a day, or for days, weeks, or years at a time. We can be mindful while undertaking all kinds of activities, from putting out a forest fire to eating a popsicle, from carrying on a conversation to having sex.

000-x02 Dissociative reaction This reaction represents a type of gross personality disorganization, the basis of which is a neurotic disturbance, although the diffuse dissociation seen in some casts may occasionally appear psychotic. The personality disorganization may result in aimless running or "freezing." The repressed impulse giving rise to the anxiety may be discharged by, or deflected into, various symptomatic expressions, such as depersonalization, dissociated personality, stupor, fugue, amnesia, dream state, somnambulism, etc. The diagnosis will specify symptomatic manifestations. These reactions must be differentiated from schizoid personality, from schizophrenic reaction, and from analogous symptoms in some other types of neurotic reactions. Formerly, this reaction has been classified as a type of "conversion hysteria.

Some of the social skill difficulties leave adults with ADD sometimes hesitant to participate in important situations at work and in their social life. These often lead to anxiety and withdrawal since you don’t know if today will be a good or bad brain day. You may not be able to think of a single thing to say during small talk or be able to answer a direct question. You may simply go blank, unable to retrieve information you know. You may not be able to tell a story in a linear way and people may start to stare at you several minutes into the story and you know they aren’t following you. You may find yourself interrupting, wanting to get to the bottom line, and finishing people’s sentences for them (because you know what they are going to say!). You may mentally wander off in conversations, not following what is being said, which is especially difficult in groups.

For a long time being female was treated by science and medicine as being akin to having a serious psychological disorder. Women were routinely prescribed hysterectomies or anxiolytics like valium to treat the symptoms of hysteria which is a syndrome with symptoms that are suspiciously similar to the symptoms of being of human female who has to deal with stupid sexist bullshit. Although scions and medicine has come a long way since these sorts of practices were common place every woman i know has had an experience of being treated as less rational version of a man. Sometimes even by our own doctors simply by virtue of our gender. There belief that women are irrational and therefore underserving of the same rights as men is something that has lingered in the public consciousness in a huge way. And women are very aware of this. We have to listen to a lot of people say a lot of dumb shit about our hormones and about whether we deserve the right to control our own fertility. These types of claims particularly when combined with sciences and medicine mishandling of women for so long have made it very difficult for anyone, even female scientists, to have thoughtful conversations about things like women's hormones and fertility regulation. These topics unaddressed by science are often met with suspicion by anyone who has ever owned a pair of ovaries or is an ovarian sympatist.

Worse, Roger erupted into outbursts of uncontrollable rage, without apparent cause. In time I learned that this was one symptom of what therapists formerly described as a manic-depressive personality. Now they call the condition bipolar disorder. Roger sometimes telephoned and began the conversation, “You better listen to me, Dad, or you are one dead man.” Then, half an hour later, “Dad, can we go to the Yankee game tonight?” Bipolar disorder is terrifying, perhaps most of all for the person suffering from it.

Under the seeming disorder of the old city, wherever the old city is working successfully, is a marvelous order for maintaining the safety of the streets and the freedom of the city. It is a complex order. Its essence is intricacy of sidewalk use, bringing with it a constant succession of eyes. This order is all composed of movement and change, and although it is life, not art, we may fancifully call it the art form of the city and liken it to the dance — not to a simple-minded precision dance with everyone kicking up at the same time, twirling in unison and bowing off en masse, but to an intricate ballet in which the individual dancers and ensembles all have distinctive parts which miraculously reinforce each other and compose an orderly whole. The ballet of the good city sidewalk never repeats itself from place to place, and in any once place is always replete with new improvisations. The stretch of Hudson Street where I live is each day the scene of an intricate sidewalk ballet. I make my own first entrance into it a little after eight when I put out my garbage gcan, surely a prosaic occupation, but I enjoy my part, my little clang, as the junior droves of junior high school students walk by the center of the stage dropping candy wrapper. (How do they eat so much candy so early in the morning?) While I sweep up the wrappers I watch the other rituals of the morning: Mr Halpert unlocking the laundry's handcart from its mooring to a cellar door, Joe Cornacchia's son-in-law stacking out the empty crates from the delicatessen, the barber bringing out his sidewalk folding chair, Mr. Goldstein arranging the coils of wire which proclaim the hardware store is open, the wife of the tenement's super intendent depositing her chunky three-year-old with a toy mandolin on the stoop, the vantage point from which he is learning English his mother cannot speak. Now the primary childrren, heading for St. Luke's, dribble through the south; the children from St. Veronica\s cross, heading to the west, and the children from P.S 41, heading toward the east. Two new entrances are made from the wings: well-dressed and even elegant women and men with brief cases emerge from doorways and side streets. Most of these are heading for the bus and subways, but some hover on the curbs, stopping taxis which have miraculously appeared at the right moment, for the taxis are part of a wider morning ritual: having dropped passengers from midtown in the downtown financial district, they are now bringing downtowners up tow midtown. Simultaneously, numbers of women in housedresses have emerged and as they crisscross with one another they pause for quick conversations that sound with laughter or joint indignation, never, it seems, anything in between. It is time for me to hurry to work too, and I exchange my ritual farewell with Mr. Lofaro, the short, thick bodied, white-aproned fruit man who stands outside his doorway a little up the street, his arms folded, his feet planted, looking solid as the earth itself. We nod; we each glance quickly up and down the street, then look back at eachother and smile. We have done this many a morning for more than ten years, and we both know what it means: all is well. The heart of the day ballet I seldom see, because part off the nature of it is that working people who live there, like me, are mostly gone, filling the roles of strangers on other sidewalks. But from days off, I know enough to know that it becomes more and more intricate. Longshoremen who are not working that day gather at the White Horse or the Ideal or the International for beer and conversation. The executives and business lunchers from the industries just to the west throng the Dorgene restaurant and the Lion's Head coffee house; meat market workers and communication scientists fill the bakery lunchroom.

In a conversation, he once discussed the concepts of chaos and order as complementary rather than contrary. ‘People assume that a jungle means disorder and a garden spells order,’ he said. ‘I use the word “jungle” to mean a very superior, highly sophisticated order. You don’t see any straight lines, but still everything is in place. The order of the jungle is not logically correct. For a gardener, a jungle may look chaotic. But no, there is a very deep order in this chaos. A forest will live for millions of years, while a garden may not even last a month without maintenance.

Simply put, within AS, there is a wide range of function. In truth, many AS people will never receive a diagnosis. They will continue to live with other labels or no label at all. At their best, they will be the eccentrics who wow us with their unusual habits and stream-of-consciousness creativity, the inventors who give us wonderfully unique gadgets that whiz and whirl and make our life surprisingly more manageable, the geniuses who discover new mathematical equations, the great musicians and writers and artists who enliven our lives. At their most neutral, they will be the loners who never now quite how to greet us, the aloof who aren't sure they want to greet us, the collectors who know everyone at the flea market by name and date of birth, the non-conformists who cover their cars in bumper stickers, a few of the professors everyone has in college. At their most noticeable, they will be the lost souls who invade our personal space, the regulars at every diner who carry on complete conversations with the group ten tables away, the people who sound suspiciously like robots, the characters who insist they wear the same socks and eat the same breakfast day in and day out, the people who never quite find their way but never quite lose it either.

Women with AD/HD also sometimes have difficulty with their relationships when invited to parties or family gatherings. Quite often they feel bombarded by too much stimulation, especially women without hyperactivity, and therefore withdraw, sometimes offending people without intending to as we discussed in earlier Chapter 9. They feel overloaded and exhausted, and they can’t keep up. They might have difficulty carrying on a good conversation, trying to think of what to say in the middle of so much activity. Many women with AD/HD mysteriously retreat to another room, become quiet, upset or withdrawn, or just don’t show up for these kinds of events. All these responses may give the message to others that you don’t care about them. They don’t know that you’re having a hard time or why.

Entrepreneurs are selected to be just doers, not thinkers, and doers do, they don’t talk, and it would be unfair, wrong, and downright insulting to measure them in the talk department. The same with artisans: the quality lies in their product, not their conversation—in fact they can easily have false beliefs that, as a side effect (inverse iatrogenics), lead them to make better products, so what? Bureaucrats, on the other hand, because of the lack of an objective metric of success and the absence of market forces, are selected on the “halo effects” of shallow looks and elegance. The side effect is to make them better at conversation. I am quite certain a dinner with a United Nations employee would cover more interesting subjects than one with some of Fat Tony’s cousins or a computer entrepreneur obsessed with circuits.

In 2011, actor Johnny Depp told the November issue of Vanity Fair that he felt participating in a photoshoot was akin to rape. "Well, you just feel like you're being raped somehow. Raped . . . It feels like a kind of weird - just weird, man. But whenever you have a photo shoot or something like that, it's like - you just feel dumb. It's just so stupid," he said. Likening instances of being flustered or uneasy to the often life-shattering experience of rape has become a far too common comparison in modern lexicon. The phrase "Facebook rape" is perhaps the most widely used, which implies one person has posted on another person's Facebook account - usually something intended to embarrass the person. But the casual, flippant use of the term "rape" in instances that do not involve sexual violence is highly problematic in that it trivialises one of the most despicable invasions of a human being. Desensitising the masses to the term "rape" is just another way the conversation surrounding sexual assault is derailed or diluted in society. Rape is, and should be considered universally, as a serious societal sickness that occurs within the "toxic silence" that surrounds sexual assault as Tara Moss put so elegantly in her recent Q&A appearance. Further to that, the use of the term can be a trigger for rape survivors in that it may jolt terrifying memories of their own experience. According to the Australian Institute of Family Studies, up to 57 per cent of rape survivors suffer post-traumatic stress disorder in their lifetime, with "triggers" including inflammatory words like rape causing deeply traumatic recollections. Beware desensitising the term "rape", Newcastle Herald, June 6, 2014

When I got home, I thought about the fact that Einstein supposedly used to stock his wardrobe with the same suits and shoes so he’d never have to think about what he was going to wear. I lack the intellect it takes to solve problems that way. I’ve advanced nothing in the field of psychology, and my paper on PTSD was given little attention; I wrote that psychological disorders with a genetic link, such as borderline personality disorder, might seem impossible to treat, while PTSD, which is based in trauma that has been experienced, seems easy to tackle, at least to the layperson. The opposite is true. It can be difficult to find the right medication for genetic disorders, but they can be sufficiently treated. Conversely, PTSD never goes away. One might think that our genes are so elementary that we cannot escape them, but our experiences have the ability to do far greater damage.

As a powerful deterrent to natural play, fear of liability ranks right behind the bogeyman. One goal in the fourth frontier should be a nationwide review of laws governing private land and recreation, especially involving children. This review process should be public; it should invite parents, children, experts on child’s play, and others to offer testimonials. And it should be done with the goal of protecting both the child’s safety and the child’s right to natural play. It should focus on reducing the anxiety of parents and children—and the fear of lawyers that, even if only subconsciously, adds to modern barriers separating children from natural play. As part of this conversation, community associations should review their covenants to decide where they stand on the criminalization of nature play. Public governments should do the same. This issue is not only a question of the letter of the law, but also the spirit.

Some tasks that require good systemizing, such as tracking animals or inventing a new tool, take a long time. They might take days, months, or years. Many such tasks benefit from a lack of distraction and lots of hard concentration, preferably in solitude. So it might be that even if you were good at systemizing you might never accomplish anything great if you were also good at empathizing, since you might then have an equally strong drive to socialize. But supposing you were low on empathizing. You might then be content to lock yourself away for days without much conversation, to focus long and deep on the system that was your current project. In pre-industrial societies this could involve fixing old axe-heads, or perhaps a four-day trek into the forest in search of food for your family (this might be the ancestral equivalent of the modern day pilot). The pay-off from not needing people as much as others do could be great

with friends at a local coffee shop Posting comments on discussion boards rather than communicating face to face in social settings Conversing via e-mails and text messages rather than phone conversations Being a part of anonymous online support groups rather than attending local support group meetings Cybersnooping friends' profiles rather than getting to know them personally Of course, some of these ways of "techno-relating" are fun and beneficial. The social components of the Web appeal to many people because they offer easier, safer, and quicker ways to connect to others. No one really knows to what extent isolation from overuse of technological ways of relating to other people contributes to the development of BPD or other emotional problems. However, technology can prevent the in-person contact you need to build relationships and trust. To get better, people with BPD need real relationships, real social support, and real feedback about their behavior.

My hypothesis is mimetic: because humans imitate one another more than animals, they have had to find a means of dealing with contagious similarity, which could lead to the pure and simple disappearance of their society. The mechanism that reintroduces difference into a situation in which everyone has come to resemble everyone else is sacrifice. Humanity results from sacrifice; we are thus the children of religion. What I call after Freud the founding murder, in other words, the immolation of a sacrificial victim that is both guilty of disorder and able to restore order, is constantly re-enacted in the rituals at the origin of our institutions. Since the dawn of humanity, millions of innocent victims have been killed in this way in order to enable their fellow humans to live together, or at least not to destroy one another. This is the implacable logic of the sacred, which myths dissimulate less and less as humans become increasingly self-aware. The decisive point in this evolution is Christian revelation, a kind of divine expiation in which God through his Son could be seen as asking for forgiveness from humans for having revealed the mechanisms of their violence so late. Rituals had slowly educated them; from then on, humans had to do without. Christianity demystifies religion. Demystification, which is good in the absolute, has proven bad in the relative, for we were not prepared to shoulder its consequences. We are not Christian enough. The paradox can be put a different way. Christianity is the only religion that has foreseen its own failure. This prescience is known as the apocalypse. Indeed, it is in the apocalyptic texts that the word of God is most forceful, repudiating mistakes that are entirely the fault of humans, who are less and less inclined to acknowledge the mechanisms of their violence. The longer we persist in our error, the stronger God’s voice will emerge from the devastation. […] The Passion unveiled the sacrificial origin of humanity once and for all. It dismantled the sacred and revealed its violence. […] By accepting crucifixion, Christ brought to light what had been ‘hidden since the foundation of the world,’ in other words, the foundation itself, the unanimous murder that appeared in broad daylight for the first time on the cross. In order to function, archaic religions need to hide their founding murder, which was being repeated continually in ritual sacrifices, thereby protecting human societies from their own violence. By revealing the founding murder, Christianity destroyed the ignorance and superstition that are indispensable to such religions. It thus made possible an advance in knowledge that was until then unimaginable. […] A scapegoat remains effective as long as we believe in its guilt. Having a scapegoat means not knowing that we have one. Learning that we have a scapegoat is to lose it forever and to expose ourselves to mimetic conflicts with no possible resolution. This is the implacable law of the escalation to extremes. The protective system of scapegoats is finally destroyed by the Crucifixion narratives as they reveal Jesus’ innocence, and, little by little, that of all analogous victims. The process of education away from violent sacrifice is thus underway, but it is going very slowly, making advances that are almost always unconscious. […] Mimetic theory does not seek to demonstrate that myth is null, but to shed light on the fundamental discontinuity and continuity between the passion and archaic religion. Christ’s divinity which precedes the Crucifixion introduces a radical rupture with the archaic, but Christ’s resurrection is in complete continuity with all forms of religion that preceded it. The way out of archaic religion comes at this price. A good theory about humanity must be based on a good theory about God. […] We can all participate in the divinity of Christ so long as we renounce our own violence.

Why do people feel guilty about TV? What is wrong with it? Just this-- that it shuts out all the wonderful things of which the mind is capable, leaving it drugged in a state of thoughtless stupor. For the same reason, a mediocre school or teacher is a bad school or teacher. Last week it was announced in the papers that a large convention concerned with violence and disorder in our schools came to the unanimous conclusion (students and teachers alike) that the main cause of the mischief was boredom. Underperformance, the job that does not challenge you, can make you sick: work that puts repetition and routine in the place of real work begets a sense of guilt; merely doodling and noodling in committees can give you ulcers, skin rashes, and heart trouble. God is not pleased with us for merely sitting in meetings: "How vain and trifling have been our spirits, our conferences, councils, our meetings, our private as well as public conversations," wrote the Prophet Joseph from Liberty Jail, "too low, too mean, too vulgar, too condescending for the dignified characters of the called and chosen of God.

A child, with parents who are unable or unwilling to provide safe enough attachment, has no one to whom she can bring her whole developing self. No one is there for reflection, validation and guidance. No one is safe enough to go to for comfort or help in times of trouble. There is no one to cry to, to protest unfairness to, and to seek compassion from for hurts, mistakes, accidents, and betrayals. No one is safe enough to shine with, to do “show and tell” with, and to be reflected as a subject of pride. There is no one to even practice the all-important intimacy-building skills of conversation. In the paraphrased words of more than one of my clients: “Talking to Mom was like giving ammunition to the enemy. Anything I said could and would be used against me. No wonder, people always tell me that I don’t seem to have much to say for myself.” Those with Cptsd-spawned attachment disorders never learn the communication skills that engender closeness and a sense of belonging. When it comes to relating, they are often plagued by debilitating social anxiety - and social phobia when they are at the severe end of the continuum of Cptsd.

As Mollie said to Dailey in the 1890s: "I am told that there are five other Mollie Fanchers, who together, make the whole of the one Mollie Fancher, known to the world; who they are and what they are I cannot tell or explain, I can only conjecture." Dailey described five distinct Mollies, each with a different name, each of whom he met (as did Aunt Susan and a family friend, George Sargent). According to Susan Crosby, the first additional personality appeared some three years after the after the nine-year trance, or around 1878. The dominant Mollie, the one who functioned most of the time and was known to everyone as Mollie Fancher, was designated Sunbeam (the names were devised by Sargent, as he met each of the personalities). The four other personalities came out only at night, after eleven, when Mollie would have her usual spasm and trance. The first to appear was always Idol, who shared Sunbeam's memories of childhood and adolescence but had no memory of the horsecar accident. Idol was very jealous of Sunbeam's accomplishments, and would sometimes unravel her embroidery or hide her work. Idol and Sunbeam wrote with different handwriting, and at times penned letters to each other. The next personality Sargent named Rosebud: "It was the sweetest little child's face," he described, "the voice and accent that of a little child." Rosebud said she was seven years old, and had Mollie's memories of early childhood: her first teacher's name, the streets on which she had lived, children's songs. She wrote with a child's handwriting, upper- and lowercase letters mixed. When Dailey questioned Rosebud about her mother, she answered that she was sick and had gone away, and that she did not know when she would be coming back. As to where she lived, she answered "Fulton Street," where the Fanchers had lived before moving to Gates Avenue. Pearl, the fourth personality, was evidently in her late teens. Sargent described her as very spiritual, sweet in expression, cultured and agreeable: "She remembers Professor West [principal of Brooklyn Heights Seminary], and her school days and friends up to about the sixteenth year in the life of Mollie Fancher. She pronounces her words with an accent peculiar to young ladies of about 1865." Ruby, the last Mollie, was vivacious, humorous, bright, witty. "She does everything with a dash," said Sargent. "What mystifies me about 'Ruby,' and distinguishes her from the others, is that she does not, in her conversations with me, go much into the life of Mollie Fancher. She has the air of knowing a good deal more than she tells.

Once she did contrive to push him away, but the boy had the greater pleasure in getting upon her back again directly. "Walter," said she, "get down this moment. You are extremely troublesome. I am very angry with you." "Walter," cried Charles Hayter, "why do you not do as you are bid? Do not you hear your aunt speak? Come to me, Walter, come to cousin Charles." But not a bit did Walter stir. In another moment, however, she found herself in the state of being released from him; some one was taking him from her, though he had bent down her head so much, that his little sturdy hands were unfastened from around her neck, and he was resolutely borne away, before she knew that Captain Wentworth had done it." Her sensations on the discovery made her perfectly speechless. She could not even thank him. She could only hang over little Charles, with most disordered feelings. His kindness in stepping forward to her relief -- the manner -- the silence in which it had passed -- the little particulars of the circumstance -- with the conviction soon forced on her by the noise he was studiously making with the child, that he meant to avoid hearing her thanks, and rather sought to testify that her conversation was the last of his wants, produced such a confusion of varying, but very painful agitation, as she could not recover from, till enabled by the entrance of Mary and the Miss Musgroves to make over her little patient to their cares, and leave the room. She could not stay.

In a physician's office in Kearny Street three men sat about a table, drinking punch and smoking. It was late in the evening, almost midnight, indeed, and there had been no lack of punch. The gravest of the three, Dr. Helberson, was the host—it was in his rooms they sat. He was about thirty years of age; the others were even younger; all were physicians. "The superstitious awe with which the living regard the dead," said Dr. Helberson, "is hereditary and incurable. One needs no more be ashamed of it than of the fact that he inherits, for example, an incapacity for mathematics, or a tendency to lie." The others laughed. "Oughtn't a man to be ashamed to lie?" asked the youngest of the three, who was in fact a medical student not yet graduated. "My dear Harper, I said nothing about that. The tendency to lie is one thing; lying is another." "But do you think," said the third man, "that this superstitious feeling, this fear of the dead, reasonless as we know it to be, is universal? I am myself not conscious of it." "Oh, but it is 'in your system' for all that," replied Helberson; "it needs only the right conditions—what Shakespeare calls the 'confederate season'—to manifest itself in some very disagreeable way that will open your eyes. Physicians and soldiers are of course more nearly free from it than others." "Physicians and soldiers!—why don't you add hangmen and headsmen? Let us have in all the assassin classes." "No, my dear Mancher; the juries will not let the public executioners acquire sufficient familiarity with death to be altogether unmoved by it." Young Harper, who had been helping himself to a fresh cigar at the sideboard, resumed his seat. "What would you consider conditions under which any man of woman born would become insupportably conscious of his share of our common weakness in this regard?" he asked, rather verbosely. "Well, I should say that if a man were locked up all night with a corpse—alone—in a dark room—of a vacant house—with no bed covers to pull over his head—and lived through it without going altogether mad, he might justly boast himself not of woman born, nor yet, like Macduff, a product of Cæsarean section." "I thought you never would finish piling up conditions," said Harper, "but I know a man who is neither a physician nor a soldier who will accept them all, for any stake you like to name." "Who is he?" "His name is Jarette—a stranger here; comes from my town in New York. I have no money to back him, but he will back himself with loads of it." "How do you know that?" "He would rather bet than eat. As for fear—I dare say he thinks it some cutaneous disorder, or possibly a particular kind of religious heresy." "What does he look like?" Helberson was evidently becoming interested. "Like Mancher, here—might be his twin brother." "I accept the challenge," said Helberson, promptly. "Awfully obliged to you for the compliment, I'm sure," drawled Mancher, who was growing sleepy. "Can't I get into this?" "Not against me," Helberson said. "I don't want your money." "All right," said Mancher; "I'll be the corpse." The others laughed. The outcome of this crazy conversation we have seen.

The physical shape of Mollies paralyses and contortions fit the pattern of late-nineteenth-century hysteria as well — in particular the phases of "grand hysteria" described by Jean-Martin Charcot, a French physician who became world-famous in the 1870s and 1880s for his studies of hysterics..." "The hooplike spasm Mollie experienced sounds uncannily like what Charcot considered the ultimate grand movement, the arc de de cercle (also called arc-en-ciel), in which the patient arched her back, balancing on her heels and the top of her head..." "One of his star patients, known to her audiences only as Louise, was a specialist in the arc de cercle — and had a background and hysterical manifestations quite similar to Mollie's. A small-town girl who made her way to Paris in her teens, Louise had had a disrupted childhood, replete with abandonment and sexual abuse. She entered Salpetriere in 1875, where while under Charcot's care she experienced partial paralysis and complete loss of sensation over the right side of her body, as well as a decrease in hearing, smell, taste, and vision. She had frequent violent, dramatic hysterical fits, alternating with hallucinations and trancelike phases during which she would "see" her mother and other people she knew standing before her (this symptom would manifest itself in Mollie). Although critics, at the time and since, have decried the sometime circus atmosphere of Charcot's lectures, and claimed that he, inadvertently or not, trained his patients how to be hysterical, he remains a key figure in understanding nineteenth-century hysteria.

Depression” is a problematic word. We all believe we know what it means because we toss it off so easily: “Oh, I’m depressed; I got a run in my stocking.” At the same time, when we are describing severe psychopathology, we presume that because the word is descriptive, it offers a definition as well. We move to the next step and presume that because we can take a picture of the brain and “see” depression, it therefore is real. It has been occurring to me more and more, not just from these conversations, but also from my work, that when the brain is in clearly different states—and the Diagnostic and Statistical Manual of Mental Disorders80 says they are the same pathology—maybe our definition of the psychopathology is too broad. We need to redefine the nature of suffering to understand how it may be a condition more like dukkha, instead of a disease with a physiological cause as specific as something like a brain lesion. That is not to deny that true psychopathology exists, or that the patients I take care of do not suffer from a brain disease. I believe very strongly that they do. But I also see patients who, with focused attention and by acquiring new skill sets, can bring themselves out of it in the same way that William James did when he decided to focus his attention from inside to outside. The ability to focus attention means your brain is in a different state. Maybe we ought to understand those as different definitions of illness. What I’ve learned from all of you is that maybe we have to start making those distinctions more strongly. That will allow us to focus attention on how to handle ourselves in a world with natural levels of suffering, and help us not stigmatize people who don’t have the brain capacity to even start. Those are two separate items.

One thing is needful.—To "give style" to one’s character— a great and rare art! It is practiced by those who survey all the strengths and weaknesses of their nature and then fit them into an artistic plan until every one of them appears as art and reason and even weaknesses delight the eye. Here a large mass of second nature has been added; there a piece of original nature has been removed —both times through long practice and daily work at it. Here the ugly that could not be removed is concealed; there it has been reinterpreted and made sublime. Much that is vague and resisted shaping has been saved and exploited for distant views; it is meant to beckon toward the far and immeasurable. In the end, when the work is finished, it becomes evident how the constraint of a single taste governed and formed everything large and small. Whether this taste was good or bad is less important than one might suppose, if only it was a single taste! It will be the strong and domineering natures that enjoy their finest gaiety in such constraint and perfection under a law of their own; the passion of their tremendous will relaxes in the face of all stylized nature, of all conquered and serving nature. Even when they have to build palaces and design gardens they demur at giving nature freedom. Conversely, it is the weak characters without power over themselves that hate the constraint of style. They feel that if this bitter and evil constraint were imposed upon them they would be demeaned; they become slaves as soon as they serve; they hate to serve. Such spirits—and they may be of the first rank—are always out to shape and interpret their environment as free nature: wild, arbitrary, fantastic, disorderly, and surprising. And they are well advised because it is only in this way that they can give pleasure to themselves. For one thing is needful: that a human being should attain satisfaction with himself, whether it be by means of this or that poetry or art; only then is a human being at all tolerable to behold. Whoever is dissatisfied with himself is continually ready for revenge, and we others will be his victims, if only by having to endure his ugly sight. For the sight of what is ugly makes one bad and gloomy.

As the result of some observations I have made in recent years, I propose to add two new and previously undescribed varieties to the various forms of insanity with fixed ideas, whose underlying phenomenology is essentially phobic. The two new terms I would like to put forth, following the nomenclature currently accepted by leading clinicians, are dysmorphophobia and taphephobia. The first condition consists of the sudden appearance and fixation in the consciousness of the idea of one’s own deformity; the individual fears that he has become deformed (dysmorphos) or might become deformed, and experiences at this thought a feeling of an inexpressible disaster… The ideas of being ugly are not, in themselves, morbid; in fact, they occur to many people in perfect mental health, awakening however only the emotions normally felt when this possibility is contemplated. But, when one of these ideas occupies someone’s attention repeatedly on the same day, and aggressively and persistently returns to monopolise his attention, refusing to remit by any conscious effort; and when in particular the emotion accompanying it becomes one of fear, distress, anxiety, and anguish, compelling the individual to modify his behaviour and to act in a pre-determined and fixed way, then the psychological phenomena has gone beyond the bounds of normal, and may validly be considered to have entered the realm of psychopathology. The dysmorphophobic, indeed, is a veritably unhappy individual, who in the midst of his daily affairs, in conversations, while reading, at table, in fact anywhere and at any hour of the day, is suddenly overcome by the fear of some deformity that might have developed in his body without his noticing it. He fears having or developing a compressed, flattened forehead, a ridiculous nose, crooked legs, etc., so that he constantly peers in the mirror, feels his forehead, measures the length of his nose, examines the tiniest defects in his skin, or measures the proportions of his trunk and the straightness of his limbs, and only after a certain period of time, having convinced himself that this has not happened, is able to free himself from the state of pain and anguish the attack put him in. But should no mirror be at hand, or should he be prevented from quieting his doubts in some way or other with rituals or movements of the most outlandish kinds, the way a rhypophobic who cannot get water to wash himself might, the attack does not end very quickly, but may reach a very painful intensity, even to the point of weeping and desperation.

I was getting my knife sharpened at the cutlery shop in the mall,” he said. It was where he originally bought the knife. The store had a policy of keeping your purchase razor sharp, so he occasionally brought it back in for a free sharpening. “Anyway, it was that day that I met this Asian male. He was alone and really nice looking, so I struck up a conversation with him. Well, I offered him fifty bucks to come home with me and let me take some photos. I told him that there was liquor at my place and indicated that I was sexually attracted to him. He was eager and cooperative so we took the bus to my apartment. Once there, I gave him some money and he posed for several photos. I offered him the rum and Coke Halcion-laced solution and he drank it down quickly. We continued to drink until he passed out, and then I made love to him for the rest of the afternoon and early evening. I must have fallen asleep, because when I woke up it was late. I checked on the guy. He was out cold, still breathing heavily from the Halcion. I was out of beer and walked around the corner for another six-pack but after I got to the tavern, I started drinking and before I knew it, it was closing time. I grabbed my six-pack and began walking home. As I neared my apartment, I noted a lot of commotion, people milling about, police officers, and a fire engine. I decided to see what was going on, so I came closer. I was surprised to see they were all standing around the Asian guy from my apartment. He was standing there naked, speaking in some kind of Asian dialect. At first, I panicked and kept walking, but I could see that he was so messed up on the Halcion and booze that he didn’t know who or where he was. “I don’t really know why, Pat, but I strode into the middle of everyone and announced he was my lover. I said that we lived together at Oxford and had been drinking heavily all day, and added that this was not the first time he left the apartment naked while intoxicated. I explained that I had gone out to buy some more beer and showed them the six-pack. I asked them to give him a break and let me take him back home. The firemen seemed to buy the story and drove off, but the police began to ask more questions and insisted that I take them to my apartment to discuss the matter further. I was nervous but felt confident; besides, I had no other choice. One cop took him by the arm and he followed, almost zombie-like. “I led them to my apartment and once inside, I showed them the photos I had taken, and his clothes neatly folded on the arm of my couch. The cops kept trying to question the guy but he was still talking gibberish and could not answer any of their questions, so I told them his name was Chuck Moung and gave them a phony date of birth. I handed them my identification and they wrote everything down in their little notebooks. They seemed perturbed and talked about writing us some tickets for disorderly conduct or something. One of them said they should take us both in for all the trouble we had given them. “As they were discussing what to do, another call came over their radio. It must have been important because they decided to give us a warning and advised me to keep my drunken partner inside. I was relieved. I had fooled the authorities and it gave me a tremendous feeling. I felt powerful, in control, almost invincible. After the officers left, I gave the guy another Halcion-filled drink and he soon passed out. I was still nervous about the narrow escape with the cops, so I strangled him and disposed of his body.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

Thanks to subsequent years of conversations with evolutionists, especially Williams, and with medical school residents and faculty, he has found that an evolutionary perspective on patients’ disorders has become steadily more natural and useful.

There are special neurological hazards, “disorders of skill,” that may affect professional musicians. The normal association of intellectual and emotional may break down in some circumstances, so that one may perceive music accurately, but remain indifferent and unmoved by it or, conversely, be passionately moved, despite being unable to make any “sense” of what one is hearing.

The carrying voice of Alec Guthrie said unexpectedly, ‘But as Sir Graham has already pointed out, every practising Christian must serve two masters.’ ‘My God … I know it,’ said Lymond. ‘My nerves are on edge like a Dublin butcher over the conversation as it is. The situation is that Sir Graham’s other Master and I are in perfect accord; whereas, being human, I am not convinced that Sir Graham and I should necessarily be.

Instead the attitude of the medical profession has been that miracle cures are nonexistent, that the disease of which a person was cured did not exist in the first place, either because it was an imaginary disorder, such as a hysterical conversion reaction, or else because it was a misdiagnosis. Fortunately, however, a few serious scientists, physicians and religious truth-seekers are currently in the process of beginning to examine the nature of such phenomena as spontaneous remissions in cancer patients and apparently successful examples of psychic healing. Fifteen

In this chapter I restrict myself to exploring the nature of the amnesia which is reported between personality states in most people who are diagnosed with DID. Note that this is not an explicit diagnostic criterion, although such amnesia features strongly in the public view of DID, particularly in the form of the fugue-like conditions depicted in films of the condition, such as The Three Faces of Eve (1957). Typically, when one personality state, or ‘alter’, takes over from another, they have no idea what happened just before. They report having lost time, and often will have no idea where they are or how they got there. However, this is not a universal feature of DID. It happens that with certain individuals with DID, one personality state can retrieve what happened when another was in control. In other cases we have what is described as ‘co-consciousness’ where one personality state can apparently monitor what is happening when another personality state is in control and, in certain circumstances, can take over the conversation.

How do you see, then, the future – or, in apocalyptic terms, the ‘remaining time’ – under this view? It is going to be more of the same increasing complexity, but there will be dialectical turns so astonishing that they are going to take everybody by surprise. There must be things in store. That’s why for me it is important to go back to Scripture and to the early Christian texts, because they are so revealing about the nature of the present time. Paul says: ‘I resolved to know nothing while I was with you except Jesus Christ and him crucified’ (1 Corinthians 2.2). Scholars think this is an anti-intellectual statement, but it is not at all. It means that the Cross is the source of all knowledge of God – which theologians believe – and of man as well – which they do not necessarily understand. Paul understands this. And the idea of Satan overcome by the Cross is an essential one that unfortunately, in Western Christianity, has been suspected of being magical, irrational, and is dismissed as a result. The Cross destroys the power of Satan as ‘king of this world’, meaning the power to unleash violence through the scapegoat mechanism. Satan is still with us but only as a source of disorder. Indirectly, therefore, because of our inability to live without scapegoats, Christianity is a source of disruption in our world. Christianity constantly suggests that our scapegoats are nothing but innocent victims. Christianity shows that the guilty ones are the murderers of scapegoats, and those who approve of their murderers. Let me conclude by repeating what I have already said. This compassion for the victim is the deeper meaning of Christianity. We will always be mimetic, but we do not have to engage automatically in mimetic rivalries. We do not have to accuse our neighbour; we can learn to forgive him instead.

Both Jesus and Satan prompt imitation. Imitation is the road to our freedom, because we are free to imitate Christ in his incomparable wisdom in a benevolent and obedient way, or, on the contrary, to imitate Satan, meaning to imitate God in a spirit of rivalry. Skandalon becomes the inability to walk away from mimetic rivalry, an inability that turns rivalry into an addiction, servitude, because we kneel in front of those who are important for us, without seeing what is at stake. The proliferation of scandals, meaning of mimetic rivalry, is what produces disorder and instability in society, but this instability is put to an end by the scapegoat resolution, which produces order. Satan casts out Satan, meaning that the scapegoat mechanism produces a false transcendence that stabilizes society, through a satanic principle, and the order cannot but be only temporary, and it is bound to revert, sooner or later, into the disorder of scandals.

MT: That's Régis Debray's thesis: the incarnation of Christ and the defeat of the iconoclasts gave the West mastery of images and thus of innovation. Here's a question that may be absurd: does a phrase like “if someone hits you on one cheek, turn the other” have anything to do with imitation? RG: Of course it does, since it's directed against “adversarial” imitation, and is one and the same thing as the imitation of Christ. In the Gospels, everything is imitation, since Christ himself seeks to imitate and be imitated. Unlike the modern gurus who claim to be imitating nobody, but who want to be imitated on that basis, Christ says: “Imitate me as I imitate the Father.” The rules of the Kingdom of God are not at all utopian: if you want to put an end to mimetic rivalry, give way completely to your rival. You nip rivalry in the bud. We're not talking about a political program, this is a lot simpler and more fundamental. If someone is making excessive demands on you, he's already involved in mimetic rivalry, he expects you to participate in the escalation. So, to put a stop to it, the only means is to do the opposite of what escalation calls for: meet the excessive demand twice over. If you've been told to walk a mile, walk two; if you've been hit on the left cheek, offer up the right. The Kingdom of God is nothing but this, but that doesn't mean it's easily accessible. There is also a pretty strong unwritten tradition that states that “Satan is the ape of God.” Satan is extremely paradoxical in the Gospels. First he is mimetic disorder, but he is also order because he is the prince of this world. When the Pharisees accuse him of freeing the possessed from their demons by the power of “Beelzebub,” Jesus replies: “Now if Satan drives out Satan, he is divided against himself; so how can his kingdom last? […] But if it is through the Spirit of God that I drive out devils, then be sure that the kingdom of God has caught you unawares.” This means that Satan's order is the order of the scapegoat. Satan is the whole mimetic system in the Gospels. That Satan is temptation, that Satan is rivalry that turns against itself—all the traditions see this; succumbing to temptation always means tempting others. What the Gospel adds, and what is unique to it, I think, is that Satan is order. The order of this world is not divine, it's sacrificial, it's satanic in a certain sense. That doesn't mean that religions are satanic, it means that the mimetic system, in its eternal return, enslaves humanity. Satan's transcendence is precisely that violence temporarily masters itself in the scapegoat phenomenon: Satan never expels himself once and for all—only the Spirit of God can do that—but he more or less “chains himself” by means of the sacrificial order. All medieval legends tell you: the devil asks for but one victim, but as for that victim, he can't do without it. If you don't obey the rules of the Kingdom of God, you are necessarily dependent on Satan. Satan means “the Accuser.” And the Spirit of God is called Paraclete, that is to say “the Defender of Victims,” it's all there. The defender of victims reveals the inanity of Satan by showing that his accusations are untruthful. Oedipus's parricide and incest, which give the plague to a whole community—they're a joke, a very bad joke that helps cause quite a bit of damage among us when we take it seriously, as, in the final analysis, is the case with…the psychoanalysts: they take the lie of the Accuser seriously. Our whole culture is dominated by mythical accusation to the extent that it does not denounce it. Psychoanalysis endorses the accusation.

The feelings of the person with BPD may not make sense to you, but they do make sense to them. Here are some guidelines for how to address them: Don’t judge the person’s feelings, deny them, trivialize them, or discuss whether or not you think they are “justified.” Restate the person with BPD’s feelings; dig a bit beneath the surface for feelings that may not be as obvious. Ask the other person if your perceptions are correct. Show the person with BPD you are hearing what they are saying. Avoid sounding patronizing or condescending, or the person with BPD may get enraged because you don’t sound like you are taking his or her concerns seriously. If you want the conversation to facilitate change, you must validate your loved one’s emotions.

Don’t even think about it, Mimi. You are not coming out with me if you have garlic breath.”   “But I haven’t eaten anything since breakfast. I could brush my teeth twice,” I offered.   “No. We don’t have time. You haven’t even finished your costume yet. We’re in and out, OK? Maybe Rachel’ll put some in the fridge for you.”   “You’re heartless.”   “Like that’s news to anyone. Stop whining.”   Rachel poked her head out of the kitchen, a baguette in her hand. She pointed it at Jack. Pointing is a Luci-family thing. Beatrice does it too, only she’s usually holding a sharp dental instrument, so it’s considerably scarier.   “Are you bullying Mio again?” Rachel demanded. The warm light from the kitchen made her pale brown skin glow, and her long, toffee-coloured hair – the same colour as Jack’s before she bleached it – gleam. Jack and Rachel’s grandmother was from Barbados, which means they both have an amazing all-year-round golden tan. Unlike me. According to the manga I read, if I lived in Japan, my naturally pale skin would be totally sexy. Shame it only counts as pasty in the UK.   “No,” Jack said.   “Yes.” I did my pitiful expression. “She won’t let me have any dinner.”   Behind trendy square glasses, Rachel narrowed her eyes at her sister. “If you’re thinking of developing an eating disorder, you’d better know right now that I will intervention your ass off, Jacqueline.” Rachel is a graduate psychology student. She likes to work that into the conversation as often as she can.   “Oh, save it,” Jack said, yawning for effect. “We’re just in a rush, that’s all. We’ve got a party to go to.

So Amira Kashyap, what’s your story?” he asked as he set the big display stopwatch to a designated period of 59 minutes and 59 seconds. The perfectly tranquil way in which he asked me the question made me slightly nervous, even though I had spent the last few years of my life having imaginary conversations with an imaginary therapist. There were a lot of things I wished to tell him. From wanting to tell him about my first triggers to the very thought of me standing in front of a mirror haunting the living daylights out of me.These were just a couple out of the many thoughts in the archives of my brain. However, my mind went completely blank. I stammered and hesitated and managed to utter a total of seven words.“I don’t know where to start.” “Just say the first thing that crosses your mind,” he said. “I’m scared of food,” I blurted.

We cannot approach God like romantics taking a stroll, seeking nice emotions in an English garden. . . . God demands that we be purified of all the disorderly states that weigh down our heart and darken our soul.

Lady Hardcastle was untidy. She moved about the world surrounded by an invisible cloud of disorder and disarray. She could walk into a room, have a conversation with someone, and then leave without apparently having touched anything.

She moved about the world surrounded by an invisible cloud of disorder and disarray. She could walk into a room, have a conversation with someone, and then leave without apparently having touched anything. Once she was gone, the room would be in a state of chaos, as though a storm had passed through.

When stating what you want or need, don’t let your voice rise at the end as if you were asking a question. This is called “uptalk,” and it undermines what you are saying. Responding to Attacks and Manipulation Sometimes the responses discussed in the previous section are not appropriate because the BP is “snipping” at you rather than initiating an honest conversation about something you said or did that bothered them.

In his book-length review of the executive functions, Dr. Russell Barkley (2012) explored the reasons that these skills evolved in humans in the first place. He makes the compelling case that it was the selection pressures associated with humans living in larger groups of genetically unrelated individuals, which made it selectively advantageous to have good self-regulation skills. That is, these abilities became more important to survival as humans became more interdependent with and reliant on dealings with people who were not family. Attention-Deficit/Hyperactivity Disorder (ADHD) and executive dysfunction continue to have effects on the myriad relationships and social interactions in daily life. These connections include romantic and committed relationships/marriage, relationships with parents, siblings, children, and other relatives, friendships, and interactions with employers, coworkers, and customers. The executive functions in relationships also figure in the capacity for empathy and tracking social debt, that is, the balance of favors you owe others and favors owed to you. The ability to effectively organize behavior across time in goal-directed activities gains you “social collateral.” That is, the more you deliver on promises and projects, the more that you will be sought out by others and maintain bonds with them. Some of the common manifestations of ADHD and executive dysfunction that may create problems in relationships include: • Distractibility during conversations • Forgetfulness about matters relevant to another person • Verbal impulsivity—talking over someone else • Verbal impulsivity—saying the “wrong thing” • Breaking promises (acts of commission, e.g., making an expensive purchase despite agreeing to stay within a household budget) • Poor follow-through on promises (acts of omission, e.g., forget to pick up dry cleaning) • Disregarding the effects of one’s behavior on others (e.g., building up excessive debt on a shared credit card account) • Poor frustration tolerance, anger (e.g., overreacting to children’s behavior) • Lying to cover up mistakes • Impulsive behaviors that reduce trust (e.g., romantic infidelity)

This kind of work in psychoanalysis, little by little, begins to chart a path, developing a rhythm that gives the treatment a definitive shape—what Freud would call its architecture. For anyone who has witnessed this slow transformation—the force of this work to create the subtlest yet most radical shifts—there isn’t room for a lot of doubt, except perhaps concerning how to find the way to break into this space with every patient.

It’s strange to realize that, despite having an innate ability for it, I am actually terrible at being crazy. How can one be so bad at something one is meant to be? Bipolar disorder is, after all, some combination of genes and their expression. Maybe she’s born with it. Maybe it’s dopamine.

Its not that people want to get hurt again. Its that they want to master a situation where they felt helpless. "Repetition compulsion" Maybe this time, the unconscious imagines, I can go back and heal that wound from long ago, by engaging with somebody familiar- but new. The truth is that they reopen the wounds and feel even more inadequate and unlovable." "He may be resistant to acknowledging it now, but I welcome his resistance because resistance is a clue to where the crux of the work lies; it signals what a therapist needs to pay attention to." "Conversion disorder: this is a condition in which a person's anxiety is "converted" into a neurologic conditions such as paralysis, balance issues, incontinence, deafness, tremors, or seizures." "People with conversion disorder aren't faking it- that’s called factitious disorder. People with factitious disorder have a need to be thought of as sick and intentionally go to great lengths to appear ill." "Interestingly, conversion disorder tends to be more prevalent in cultures with strict rules and few opportunities for emotional expression." "Ultracrepidarianism, which means "the habit of giving opinions and advice on matters outside of one's knowledge or competence" "Every decision they make is based on two things: fear and love. Therapy strives to teach you how to tell the two apart." "if you are talking that much, you cant be listening" and its variant, you have two ears and one mouth; there's a reason for that ratio)" "To feel better now, anytime, anywhere, within seconds" Why are we essentially outsourcing the thing that defines uses people? Was it that people couldn’t tolerate being alone or that they couldn’t tolerate being with other people?" "The four ultimate concerns are death, isolation, freedom, and meaningless" "Flooded: meaning one person is in overdrive, and when people feel flooded is best to wait a beat. The person needs a few minutes for his nervous system to reset before he can take anything in." "Developmental stage models: Freud, Jung, Erikson, Piaget and Maslow

We cannot approach God like romantics taking a stroll, seeking nice emotions in an English garden. . . . God demands that we be purified of all the disorderly states that weigh down our heart and darken our soul. The

The classic psychoanalytical interpretation of la belle indifférence is that it is evidence that an intrapsychic conflict has been converted and kept from its unacceptable conscious expression by the production of a physical symptom – so-called primary gain. Freud was the first to admit that this process of conversion was not always complete.

The fading relevance of the nature–nurture argument has recently been revived by the rise of evolutionary psychology. A more sophisticated understanding of Darwinian evolution (survival of the fittest) has led to theories about the possible evolutionary value of some psychiatric disorders. A simplistic view would predict that all mental illnesses with a genetic component should lower survival and ought to die out. ‘Inclusive fitness’, however, assesses the evolutionary value of a characteristic not simply on whether it helps that individual to survive but whether it makes it more likely that their offspring will survive. Richard Dawkins’s 1976 book The Selfish Gene gives convincing explanations of the evolutionary advantages of group support and altruism when individuals sacrifice themselves for others. A range of speculative hypotheses have since been proposed for the evolutionary advantage of various behaviour differences and mental illnesses. Many of these draw on ethological games-theory (i.e. the benefits of any behaviour can only be understood in the context of the behaviour of other members of the group). So depression might be seen as a safe response to ‘defeat’ in a hierarchical group because it makes the individual withdraw from conflict while they recover. Mania, conversely, with its expansiveness and increased sexual activity, is proposed as a response to success in a hierarchical tussle promoting the propagation of that individual’s genes. Changes in behaviour that look like depression and hypomania can be clearly seen in primates as they move up and down the pecking order that dominates their lives. The habitual isolation and limited need for social contact of individuals with schizophrenia has been rather imaginatively proposed as adaptive to remote habitats with low food supplies (and also a protection against the risk of infectious diseases and epidemics). Evolutionary psychology will undoubtedly increasingly influence psychiatric thinking – many of our disorders fit poorly into a classical ‘medical model’. Already it has helped establish a less either–or approach to the discussion. It is, however, a highly controversial area – not so much around mental disorders but in relation to social behaviour and particularly to gender specific behaviour. Here it is often interpreted as excusing a very male-orientated, exploitative worldview. Luckily that is someone else’s battle.

I always feel as if describing how I feel and think about myself is too complicated—it’s as if I can hear the whole conversation in advance, and I know all of the twists and turns it will take before they happen, so why bother? The effort just isn’t worth it.

Antisocial personality disorder does not equate to psychopathy. Although most individuals with psychopathy would qualify for an antisocial personality disorder diagnosis, the converse is not true. Many more individuals qualify for an antisocial personality disorder diagnosis than have psychopathy.

Belinda said that women often come to the center with behavioral disorders like a quick temper or the inability to hold a job—the kinds of things that can come from being raised in a traumatic environment. When she starts teaching them about trauma, she says they begin to understand that their struggles with emotions and acting out are connected to “what happened to them.” That realization in itself can be life-changing when you’ve labeled yourself as bad or stupid and believed that was your fate.

Hence, Bruch, like Bateman and Fonagy, stressed the necessity of tailoring interventions to the patients’ way of psychological functioning (Skårderud and Fonagy 2012). In her posthumously published book Conversations with Anorexics (1988: 8), she writes: The therapeutic task is to help the anorexic patient in her search for autonomy and self-directed identity by evoking awareness of impulses, feelings, and needs that originate within herself. The therapeutic focus needs to be on her failure in self-experience, on her defective tools and concepts for organizing and expressing needs, and on her bewilderment when dealing with others. Therapy represents an attempt to repair the conceptual defects and distortions, the deep-seated sense of dissatisfaction and helplessness, and the conviction that her own self is empty and incomplete and that therefore she is condemned to compliance out of helplessness. Again, she called this a naïve stance.

It was remarkable that Raskolnikov had almost no friends while he was at the university, kept aloof from everyone, visited no one, and had difficulty receiving visitors. . . . General gatherings, conversations, merrymaking - he somehow did not participate in any of it. He was a zealous student . . . and was respected for it, but no one loved him. He was very poor and somehow haughtily proud and unsociable, as though he were keeping something to himself. It seemed to some of his friends that he looked upon them all as children, from above, as though he were ahead of them all in development, in knowledge, and in convictions, and that he regarded their convictions and interests as something inferior.

the more interesting their conversation, the more cultured they are, the more they will be trapped into thinking that they are effective at what they are doing in real business (something psychologists call the halo effect, the mistake of thinking that skills in, say, skiing translate unfailingly into skills in managing a pottery workshop or a bank department, or that a good chess player would be a good strategist in real life)

Despite the previously mentioned strategies, you may still find yourself having difficulties getting started on tasks. The sorts of tasks on which you continue to procrastinate are likely those for which you view even these small steps as being somewhat boring or painful, such as various chores, academic tasks (e.g., reading textbooks, writing assignments), or administrative tasks of adult life (e.g., dealing with taxes, finances). These and other tasks trigger negative thoughts and feelings for you that also interfere with follow-through, even on initial steps. A way to get started on these tasks is to define in strict, behavioral steps the smallest behaviors that are required to start the task. These initial behaviors may not involve actually completing the task, but they are necessary steps and help you to “touch” a task rather than keeping it at arm’s length. This approach is meant to help you break down tasks into their strict behavioral steps, akin to a recipe for cooking. You may say, “I do not know how to cook” or “I cannot do it.” However, once you follow the specific steps, including “get saucepan out of cupboard,” “fill with water,” etc., you are now engaged in the task rather than being cognitively, emotionally, and behaviorally removed from it. It is an interesting exercise to see how other tasks that are typically avoided can be broken down into steps, such as a phone call (“pick up phone receiver, enter the nine-digit phone number, wait for answer, converse in my native language . . .”) or going to the gym (“stand up, go to room and find workout clothes, put in gym bag, . . .”).

But here’s a one-in-four statistic that’s way less appealing: about one in four black Americans will experience an anxiety disorder at some point in their life. Researchers say black people that experience chronic racism can develop something called racial battle fatigue, a state that includes, among other symptoms, anxiety, worry, hypervigilance, headaches, and increased heart rate and blood pressure.

Yes, I am a thirty-five-year-old woman, and yet I can only find comfort in having imaginary conversations with stuffed animals.

he located the source of most human suffering in the absence of reliable, emotionally attuned others and/or in the presence of emotionally misattuned others, which results in the failure to find sustained, attuned selfobject experiences with others. The absence of empathically attuned others results in the failure in the development of an adequately vital, coherent, and continuous sense of self. This lack of necessary responsiveness, in concert with the child’s inherent vulnerabilities, sets the stage for psychological, emotional, and/or behavioral disorders. Selfobject failure in the formative years that is either protracted or traumatic results in rigidified structures of self and other, emotional scar tissue that manifests itself in specific character formations and personality disorders. Conversely, psychological and emotional healing is possible when the opportunity for a reliable selfobject experience is restored with an emotionally responsive and empathic other.

I looked outside the window, and in my mind's eye, I began to rove into the landscape, recalling my overnight conversation with Dr. Maillotte. I saw her at fifteen, in September 1944, sitting on a rampart in the Brussels sun, delirious with happiness at the invaders' retreat. I saw Junichiro Saito on the same day, aged thirty-one or thirty-two, unhappy, in internment, in an arid room in a fenced compound in Idaho, far away from his books. Out there on that day, also, were all four of my own grandparents: The Nigerians, the Germans. Three were by now gone, for sure. But what of the fourth, my oma? I saw them all, even the ones I had never seen in real life, saw all of them in the middle of that day in September sixty-two years ago, with their eyes open as if shut, mercifully seeing nothing of the brutal half century ahead and , better yet, hardly anything at all of all that was happening in their world, the corpse-filled cities, camps, beaches, and fields, the unspeakable worldwide disorder of that very moment.

Grace Relieves But Does Not Always Cure Depression But isn’t following Jesus supposed to change all of this? Isn’t Jesus supposed to heal our diseases? Many of us feel that if we were more true to Jesus we wouldn’t struggle this way. Others actually tell us earnestly that our salvation in Jesus is threatened and put into question. But just as a man with asthma or a woman born mute will likely remain this way even though they love Jesus, so our mental disorders and melancholy inclinations often remain with us too. Conversion to Jesus isn’t heaven, but its foretaste. This side of heaven, grace secures us but doesn’t cure us. “There are lines of weakness in the creature which even grace does not efface.”22 Though substantial healing can come, Charles reminds us that often it waits till heaven to complete its full work.

What remained intact from his childhood were his work habits. Keynes was one of the most efficient working machines ever created. Thus he imposed his own order on a disorderly world. It enabled him to lead as many lives as he did, and to show zest for each one. Every nook and cranny of the day was packed with multifarious activities and projects. He got through all his business with astonishing expedition. He had an amazing capacity to switch from one thing to another; and despite all he did he seemed unhurried, with plenty of time for friendship, conversation, and hobbies.