Coping Up Quotes

We make up horrors to help us cope with the real ones.

This is the biggest mistake I could think would save me. I wanted to give up the idea that I had any control. Shake things up. To be saved by chaos. To see if I could cope, I wanted to force myself to grow again. To explode my comfort zone.

Denial is a critical part of the human coping mechanism. Without it, we would all wake up terrified every morning about all the ways we could die. Instead, our minds block out our existential fears by focusing on stresses we can handle—like getting to work on time or paying our taxes.

It's funny: I always imagined when I was a kid that adults had some kind of inner toolbox full of shiny tools: the saw of discernment, the hammer of wisdom, the sandpaper of patience. But then when I grew up I found that life handed you these rusty bent old tools - friendships, prayer, conscience, honesty - and said 'do the best you can with these, they will have to do'. And mostly, against all odds, they do.

If you are faced with a mountain, you have several options. You can climb it and cross to the other side. You can go around it. You can dig under it. You can fly over it. You can blow it up. You can ignore it and pretend it’s not there. You can turn around and go back the way you came. Or you can stay on the mountain and make it your home.

Friendship is less simple. It is long and hard to obtain but when one has it there's no getting rid of it; one simply has to cope with it. Don't think for a minute that your friends will telephone you every evening, as they ought to, in order to find out if this doesn't happen to be the evening when you are deciding to commit suicide, or simply whether you don't need company, whether you are not in the mood to go out. No, don't worry, they'll ring up the evening you are not alone, when life is beautiful. As for suicide, they would be more likely to push you to it, by virtue of what you owe to yourself, according to them. May heaven protect us, cher Monsieur, from being set upon a pedestal by our friends!

Although I contemplated suicide many times, and developed concrete plans once or twice, I never gave up. Rather than take the emergency exit, I searched relentlessly for remedies and coping mechanisms. Although often feeling worn down and deeply discouraged, I persisted in hoping better times might come.

A Short Alternative Medical Dictionary Definitions courtesy of Dr Lemuel Pillmeister (also known as Lemmy) Addiction - When you can give up something any time, as long as it's next Tuesday. Cocaine - Peruvian Marching Powder. A stimulant that has the extraordinary effect that the more you do, the more you laugh out of context. Depression - When everything you laugh at is miserable and you can't seem to stop. Heroin - A drug that helps you to escape reality, while making it much harder to cope when you are recaptured. Psychosis - When everybody turns into tiny dolls and they have needles in their mouths and they hate you and you don't care because you have THE KNIFE! AHAHAHAHAHAHA!

Hallucinations are bad enough. But after awhile you learn to cope with things like seeing your dead grandmother crawling up your leg with a knife in her teeth. Most acid fanciers can handle this sort of thing. But nobody can handle that other trip-the possibility that any freak with $1.98 can walk into the Circus-Circus and suddenly appear in the sky over downtown Las Vegas twelve times the size of God, howling anything that comes into his head. No, this is not a good town for psychedelic drugs.

I wonder what kind of upbringing is worse for a human. The kind where you’re sheltered and loved to the point that you aren’t aware of how cruel the world can be until it’s too late to acquire the necessary coping skills, or the kind of household I grew up in. The ugliest version of a family, where coping is the only thing you learn.

On some dimension or other, every event in life can be causing only one of two things: either it is good for you, or it is bringing up what you need to look at in order to create good for you. Evolution is win-win…life is self-correcting.

People who’ve never read fairy tales, the professor said, have a harder time coping in life than the people who have. They don’t have access to all the lessons that can be learned from the journeys through the dark woods and the kindness of strangers treated decently, the knowledge that can be gained from the company and example of Donkeyskins and cats wearing boots and steadfast tin soldiers. I’m not talking about in-your-face lessons, but more subtle ones. The kind that seep up from your sub¬conscious and give you moral and humane structures for your life. That teach you how to prevail, and trust. And maybe even love.

You survived by seizing every tiny drop of love you could find anywhere, and milking it, relishing it, for all it was worth. And as you grew up, you sought love, anywhere you could find it, whether it was a teacher or a coach or a friend or a friend's parents. You sought those tiny droplets of love, basking in them when you found them. They sustained you. For all these years, you've lived under the illusion that somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That is what has gotten you by.

He leans in, resting his weathered hand on the bed. "Treat all the bad things like dreams, Kenzie. That way, no matter how scary or dark they get, you just have to survive until you wake up.

I don't think people realize, when they're just getting started on an eating disorder or even when they're in the grip of one, that it is not something that you just "get over." For the vast majority of eating-disordered people, it is something that will haunt you for the rest of your life. You may change your behavior, change your beliefs about yourself and your body, give up that particular way of coping in the world. You may learn, as I have, that you would rather be a human than a human's thin shell. You may get well. But you never forget.

My heart has made its mind up And I’m afraid it’s you. Whatever you’ve got lined up, My heart has made its mind up And if you can’t be signed up This year, next year will do. My heart has made its mind up And I’m afraid it’s you.

You can’t selectively numb your anger, any more than you can turn off all lights in a room, and still expect to see the light.

The nature of the enemy's warfare in your life is to cause you to become discouraged and to cast away your confidence. Not that you would necessarily discard your salvation, but you could give up your hope of God's deliverance. The enemy wants to numb you into a coping kind of Christianity that has given up hope of seeing God's resurrection power.

Females with ASDs often develop ‘coping mechanisms’ that can cover up the intrinsic difficulties they experience. They may mimic their peers, watch from the sidelines, use their intellect to figure out the best ways to remain undetected, and they will study, practice, and learn appropriate approaches to social situations. Sounds easy enough, but in fact these strategies take a lot of work and can more often than not lead to exhaustion, withdrawal, anxiety, selective mutism, and depression. -Dr. Shana Nichols

I’m not a child. Don’t talk to me like I am. (Kiara) No, you’re worse. You’re an adult who still thinks the world is a beautiful place, filled with people who will help you just for the sake of being nice. Wake up and smell the bloodbath and humility the rest of us have to cope with. (Syn)

I am a sailor, you're my first mate We signed on together, we coupled our fate Hauled up our anchor, determined not to fail For the heart's treasure, together we set sail With no maps to guide us, we steered our own course Rode out the storms when the winds were gale force Sat out the doldrums in patience and hope Working together, we learned how to cope. Life is an ocean and love it a boat In troubled waters it keeps us afloat When we started the voyage there was just me and you Now gathered round us we have our own crew Together we're in this relationship We built it with care to last the whole trip Our true destination's not marked on any chart We're navigating the shores of the heart

But after a while you learn to cope with things like seeing your dead grandmother crawling up your leg with a knife in her teeth. Most acid fanciers can handle this sort of thing.

I only have two kinds of dreams: the bad and the terrible. Bad dreams I can cope with. They're just nightmares, and they end eventually. I wake up. The terrible dreams are the good dreams. In my terrible dreams, everything is fine. I am still with the company. I still look like me. None of the last five years ever happened. Sometimes I'm married. Once I even had kids. I even knew their names. Everything's wonderful and normal and fine. And then I wake up, and I'm still me. And I'm still here. And that is truly terrible.

When we lose that sense of the possible we lose it fast. One day we are absorbed by dressing well, following the news, keeping up, coping, what we might call staying alive; the next day we are not.

The contrast with the scans of the eighteen chronic PTSD patients with severe early-life trauma was startling. There was almost no activation of any of the self-sensing areas of the brain: The MPFC, the anterior cingulate, the parietal cortex, and the insula did not light up at all; the only area that showed a slight activation was the posterior cingulate, which is responsible for basic orientation in space. There could be only one explanation for such results: In response to the trauma itself, and in coping with the dread that persisted long afterward, these patients had learned to shut down the brain areas that transmit the visceral feelings and emotions that accompany and define terror. Yet in everyday life, those same brain areas are responsible for registering the entire range of emotions and sensations that form the foundation of our self-awareness, our sense of who we are. What we witnessed here was a tragic adaptation: In an effort to shut off terrifying sensations, they also deadened their capacity to feel fully alive.

For all these years, you’ve lived under the illusion that, somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That’s what has gotten you by

One of the major problems encountered in time travel is not that of becoming your own father or mother. There is no problem in becoming your own father or mother that a broad-minded and well-adjusted family can't cope with. There is no problem with changing the course of history—the course of history does not change because it all fits together like a jigsaw. All the important changes have happened before the things they were supposed to change and it all sorts itself out in the end. The major problem is simply one of grammar, and the main work to consult in this matter is Dr. Dan Streetmentioner's Time Traveler's Handbook of 1001 Tense Formations. It will tell you, for instance, how to describe something that was about to happen to you in the past before you avoided it by time-jumping forward two days in order to avoid it. The event will be descibed differently according to whether you are talking about it from the standpoint of your own natural time, from a time in the further future, or a time in the further past and is futher complicated by the possibility of conducting conversations while you are actually traveling from one time to another with the intention of becoming your own mother or father. Most readers get as far as the Future Semiconditionally Modified Subinverted Plagal Past Subjunctive Intentional before giving up; and in fact in later aditions of the book all pages beyond this point have been left blank to save on printing costs. The Hitchhiker's Guide to the Galaxy skips lightly over this tangle of academic abstraction, pausing only to note that the term "Future Perfect" has been abandoned since it was discovered not to be.

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it’s worthwhile to face it occasionally. The further we push aloneness away, the less are we able to cope with it, and the more terrifying it gets.

And tomorrow we'll do the same again. And again. Until one day you get up and find out that whatever it was didn't kill you after all.

Perhaps you, too, have children, in which case you'll know that you're frightened the whole time, frightened of not knowing everything and of not having the energy to do everything and of not coping with everything. In the end we actually get so used to the feeling of failure that every time we *don't* disappoint our children it leaves us feeling secretly shocked. It's possible that some children realize this. So every so often they do tiny, tiny things at the most peculiar times, to buoy us up a little. Just enough to stop us from drowning.

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

(Riley:)...I just wasn't up to coping with the whims and foibles of men right now. Chocolate, coffee and ice cream were far more reliable when it came to providing a good time, and at least they> would never disappoint me.

Children of the mentally ill learn early on how not to be a bother, especially if they grew up with neglect. As my sister insisted once, when she was in severe pain after injuring her ankle, 'This isn't me! This is not who I am!

I’ve got some work to do.” He looked at Blue. “Give me a hug before I go, sweetheart.” She got up. Compliant for the first time since he’d met her. Riley’s appearance had put a crimp in his plan to deal with her lie about April but only temporarily. He moved to the center of the caravan so he didn’t bump his head. She wrapped his arms around his waist. He considered coping a feel, but she must have read his mind because she pinched him hard through his t-shirt. “Ouch.” She smiled up at his as she pulled away. “Miss me, dreamboat.” He glared at her, rubbed his side, and left the caravan.

Love never fails, Mila. That's what your parents believed. And because of you, it's what I believe now, too. You stuck by me and loved me when I didn't deserve it. All I want is a chance to prove that I can be worthy of it. Your parents were sort of fucked up in their own way, like me, and they never got the help that they needed. But I will. I promise. I will put the work in. I will learn how to cope with painful things and I will never leave you again. Just tell me that you'll stay with me.

Understand: your mind is weaker than your emotions. But you become aware of this weakness only in moments of adversity--precisely the time when you need strength. What best equips you to cope with tthe heat of battle is neither more knowledge nor more intellect. What makes your mind stronger, and more able to control your emotions, is internal discipline and toughness.No one can teach you this skill; you cannot learn it by reading about it. Like any discipline, it can come only through practice, experience, even a little suffering. The first step in building up presence of mind is to see the need for ii -- to want it badly enough to be willing to work for it.

Denial is a critical part of the human coping mechanism. Without it, we would all wake up terrified every morning about all the ways we could die. Instead, our minds block out our existential fears by focusing on stresses we can handle—like getting to work on time or paying our taxes. If we have wider, existential fears, we jettison them very quickly, refocusing on simple tasks and daily trivialities.

There are very few things in the mind which eat up as much energy as worry. It is one of the most difficult things not to worry about anything. Worry is experienced when things go wrong, but in relation to past happenings it is idle merely to wish that they might have been otherwise. The frozen past is what it is, and no amount of worrying is going to make it other than what it has been. But the limited ego-mind identifies itself with its past, gets entangled with it and keeps alive the pangs of frustrated desires. Thus worry continues to grow into the mental life of man until the ego-mind is burdened by the past. Worry is also experienced in relation to the future when this future is expected to be disagreeable in some way. In this case it seeks to justify itself as a necessary part of the attempt to prepare for coping with the anticipated situations. But, things can never be helped merely by worrying. Besides, many of the things which are anticipated never turn up, or if they do occur, they turn out to be much more acceptable than they were expected to be. Worry is the product of feverish imagination working under the stimulus of desires. It is a living through of sufferings which are mostly our own creation. Worry has never done anyone any good, and it is very much worse than mere dissipation of psychic energy, for it substantially curtails the joy and fullness of life.

Growth occurs when we discover how to remain authentically ourselves in the presence of potentially threatening things. Maturity is the possession of coping skills: we can take in our stride things that previously would have knocked us off course. We are less fragile, less easily shocked and hence more capable of engaging with situations as they really are

She wasn't a cowardIf she were she would have retreated back into her shell years before and pulled back entirely from life. She was a fighter. Life knocked her down, and she coped by getting up and moving on.

and that makes him wish all over again that his dad would stop crying, so he can have a turn.

Breathe. It's going to be okay." Cora took a deep breath, eyeing him. "You really think so?" "No," he said baldly. "It's never okay. But I told myself that every night when I was in Prism. I told myself that every morning when I woke up, still in Prism. And I got through, Sometimes that's all you can do. Just keep getting through until you don't have to do it anymore, however much time that takes, however difficult it is.

I need to fall in love with a hopeless romantic. Someone who would tell me that my eyes are like the stars at night and how my morning bed hair looks like a windswept forest that dances whenever the sky cries every time the ocean quenches her thirst for love. Someone who believes in fate, destiny, and magic. Someone who believes that finding true love is a necessity to cope up with the sadness and agony that life brings. Someone who believes that I exist.

There was a reason these boys were still alive, though. Something made them stronger than the other kids, the ones who had died in the early days, who had simply lain down and given up, unable to cope with the terrible things that were happening in the world. These boys were survivors. The will to live was stronger than any other feelings.

I wonder at how many of us, feeling unsafe and unprotected, either end up running far away from everything we know and love, or staying and simply going mad. I have decided today that neither option is more or less noble than the other. They are merely different ways of coping, and we each must cope as best we can.

Besides being blind to lots of good things, the GDP also benefits from all manner of human suffering. Gridlock, drug abuse, adultery? Goldmines for gas stations, rehab centers, and divorce attorneys. If you were the GDP, your ideal citizen would be a compulsive gambler with cancer who’s going through a drawn-out divorce that he copes with by popping fistfuls of Prozac and going berserk on Black Friday. Environmental pollution even does double duty: One company makes a mint by cutting corners while another is paid to clean up the mess. By contrast, a centuries-old tree doesn’t count until you chop it down and sell it as lumber.

That’s the problem with being an adult: people have already made up their minds about us; we’ve even made up our minds about ourselves.

Love is impatient; love is cruel. It gets your hopes up then tears them down expecting you to be ok; able to cope without that second part of you that belongs to one unique person.

It takes surprisingly little in terms of uncontrollable unpleasantness to make humans give up and become helpless in a generalized way.

Changes in Relationship with others: It is especially hard to trust other people if you have been repeatedly abused, abandoned or betrayed as a child. Mistrust makes it very difficult to make friends, and to be able to distinguish between good and bad intentions in other people. Some parts do not seem to trust anyone, while other parts may be so vulnerable and needy that they do not pay attention to clues that perhaps a person is not trustworthy. Some parts like to be close to others or feel a desperate need to be close and taken care of, while other parts fear being close or actively dislike people. Some parts are afraid of being in relationships while others are afraid of being rejected or criticized. This naturally sets up major internal as well as relational conflicts.

I swing my arms to loosen myself up. Place my fists on my hips. then drop them to my sides. Saliva's filling my mouth at a ridiculous rate and i feel vomit at the back of my throat. I swallow hard and open my lips so I can get the stupid line out and go hide in the woods and-that's when i start crying.

That night, before bed, he goes first to Willem's side of the closet, which he has still not emptied. Here are Willem's shirts on their hangers, and his sweaters on their shelves, and his shoes lined up beneath. He takes down the shirt he needs, a burgundy plaid woven through with threads of yellow, which Willem used to wear around the house in the springtime, and shrugs it on over his head. But instead of putting his arms through its sleeves, he ties the sleeves in front of him, which makes the shirt look like a straitjacket, but which he can pretend—if he concentrates—are Willem's arms in an embrace around him. He climbs into bed. This ritual embarrasses and shames him, but he only does it when he really needs it, and tonight he really needs it.

His way of coping with the days was to think of activities as units of time, each unit consisting of about thirty minutes. Whole hours, he found, were more intimidating, and most things one could do in a day took half an hour. Reading the paper, having a bath, tidying the flat, watching Home and Away and Countdown, doing a quick crossword on the toilet, eating breakfast and lunch, going to the local shops… That was nine units of a twenty-unit day (the evenings didn’t count) filled by just the basic necessities. In fact, he had reached a stage where he wondered how his friends could juggle life and a job. Life took up so much time, so how could one work and, say, take a bath on the same day? He suspected that one or two people he knew were making some pretty unsavoury short cuts.

...our children must learn...to face full responsibility for their actions, to make their own choices and cope with the results...the whole democratic system...depends upon it. For our system is founded on self-government, which is untenable if the individuals who make up the system are unable to govern themselves.

He grimaced and went after her. “I’m not a trainer. Just spent a lot of time working out.”  “Misspent youth, clearly.” She held the door open, standing just outside.  “My application to princess school was rejected.” Callan exited the building and fell into step alongside her. “Working out was how I coped.” Sunlight peeked out from behind striped clouds and lit the early-morning sky. Autumn weather chilled the perspiration on his skin.  “Such a shame.” Meridian glanced up at him out of the corner of her eye.  “What is?”  “That you didn’t go to princess school. Could have learned some manners.” Her blue-green eyes sparked in the sunlight. And her mouth . . . Her lips set in some smart-looking, lopsided grin, with a small dimple.  I should definitely kiss that look off her face. “Overrated. Inefficient. And I look terrible in a tiara.

Nell did not imagine that Constable Moore wanted to get into a detailed discussion of recent events, so she changed the subject. "I think I have finally worked out what you were trying to tell me, years ago, about being intelligent," she said. The Constable brightened all at once. "Pleased to hear it." The Vickys have an elaborate code of morals and conduct. It grew out of the moral squalor of an earlier generation, just as the original Victorians were preceded by the Georgians and the Regency. The old guard believe in that code because they came to it the hard way. They raise their children to believe in that code– but their children believe it for entirely different reasons." They believe it," the Constable said, "because they have been indoctrinated to believe it." Yes. Some of them never challenge it– they grow up to be smallminded people, who can tell you what they believe but not why they believe it. Others become disillusioned by the hypocrisy of the society and rebel– as did Elizabeth Finkle-McGraw." Which path do you intend to take, Nell?" said the Constable, sounding very interested. "Conformity or rebellion?" Neither one. Both ways are simple-minded– they are only for people who cannot cope with contradiction and ambiguity.

This is the consequence of a society that faces the final phase of the human life cycle by trying not to think about it. We end up with institutions that address any number of societal goals—from freeing up hospital beds to taking burdens off families’ hands to coping with poverty among the elderly—but never the goal that matters to the people who reside in them: how to make life worth living when we’re weak and frail and can’t fend for ourselves anymore.

Overslept and had to race to get a life to Jas’s with my dad. No time for yoga or makeup. Oh well, I’ll start tomorrow. God alone knows how the Dalai Lama copes on a daily basis. He must get up at dawn. Actually, I read somewhere that he does get up at dawn.

Something I learned very quickly was that grieving was complicated by lack of certainty, that the hope inherent in a missing loved one was also a species of curse. People posted about children who had gone missing upwards of fifteen years ago and whose faces were now impossible to conjure, about friends who had messaged to confirm a meeting place and then simply never showed up. In almost every case, the sense of loss was convoluted by an ache of possibility, by the almost-but-not-quite-negligible hope of reprieve. Deus ex machina – the missing loved one thrown back down to earth. Grief is selfish: we cry for ourselves without the person we have lost far more than we cry for the person – but more than that, we cry because it helps. The grief process is also the coping process and if the grief is frozen by ambiguity, by the constant possibility of reversal, then so is the ability to cope.

I think the question is, can you live without her? Watch her fall in love with someone else?.....If the fear of some random thing happening in the future is bigger than the reality of her being with another guy, walk away now when it'll merely sort of kill you to do it. But you can't have this doubt between you. Man up. Love her the way she deserves it, or let another man do it.

I don't think immediate tragedy is a very good source of art. It can be, but too often it's raw and painful and un-dealt-with. Sometimes art can be a really good escape from the intolerable, and a good place to go when things are bad, but that doesn't mean you have to write directly about the bad thing; sometimes you need to let time pass, and allow the thing that hurts to get covered with layers, and then you take it out, like a pearl, and you make art out of it. When my father died, on the plane from his funeral in the UK back to New York, still in shock, I got out my notebook and wrote a script. It was a good place to go, the place that script was, and I went there so deeply and so far that when we landed Maddy had to tap me on the arm to remind me that I had to get off the plane now. (She says I looked up at her, puzzled, and said "But I want to find out what happens next.") It was where I went and what I did to cope, and I was amazed, some weeks later when I pulled out that notebook to start typing, to find that I'd written pretty much the entire script in that six hour journey.

I wanted to write in my diary—to do as I always do when things get too much—let it out onto the page, like a kind of bloodletting, letting the ink and paper soak up all the grief and anger and fear until I can cope again.

We can’t fight against evil. That’s the most unbearable thing about the world we have built. Evil can’t be eradicated, can’t be locked up, the more violence we use against it, the stronger it becomes when it seeps out under doors and through keyholes. It can never disappear because it grows inside us, sometimes even in the best of us, sometimes even in fourteen-year-olds. We have no weapons against it. We have only been given love as a gift in order to cope with it.

Along with the trust issues, one of the hardest parts to deal with is the feeling of not being believed or supported, especially by your own grandparents and extended family. When I have been through so much pain and hurt and have to live with the scars every day, I get angry knowing that others think it is all made up or they brush it off because my cousin was a teenager. I was ten when I was first sexually abused by my cousin, and a majority of my relatives have taken the perpetrator's side. I have cried many times about everything and how my relatives gave no support or love to me as a kid when this all came out. Not one relative ever came up to that innocent little girl I was and said "I am sorry for what you went through" or "I am here for you." Instead they said hurtful things: "Oh he was young." "That is what kids do." "It is not like he was some older man you didn't know." Why does age make a difference? It is a sick way of thinking. Sexual abuse is sexual abuse. What is wrong with this picture? It brings tears to my eyes the way my relatives have reacted to this and cannot accept the truth. Denial is where they would rather stay.

Here's a story of a girl Who grew up lost and lonely Thinking love was fairy tale And trouble was made only for me Even in the darkness every color can be found And every day of rain brings Water flowing To things growing in the ground Grief replaced with pity For a city barely coping Dreams are easy to achieve If hope is all I'm hoping to be Any time you're hurt There's one who has it worse around And every drop of rain will keep you growing Seeds you're sowing in the ground

The core predicament of medicine - the thing that makes being a patient so wrenching, being a doctor so difficult, and being a part of society that pays the bills they run up so vexing - is uncertainty. With all that we know nowadays about people and diseases and how to diagnose and treat them, it can be hard to see this, hard to grasp how deeply uncertainty runs. As a doctor, you come to find, however, that the struggle in caring for people is more often with what you do not know than what you do. Medicine's ground state is uncertainty. And wisdom - for both the patients and doctors - is defined by how one copes with it.

While I pressed the tissue to my face, Beck said, “Can I tell you something? There are a lot of empty boxes in your head, Sam.” I looked at him, quizzical. Again, it was a strange enough concept to hold my attention. “There are a lot of empty boxes in there, and you can put things in them.” Beck handed me another tissue for the other side of my face. My trust of Beck at that point was not yet complete; I remember thinking that he was making a very bad joke that I wasn’t getting. My voice sounded wary, even to me. “What kinds of things?” “Sad things,” Beck said. “Do you have a lot of sad things in your head?” “No,” I said. Beck sucked in his lower lip and released it slowly. “Well, I do.” This was shocking. I didn’t ask a question, but I tilted toward him. “And these things would make me cry,” Beck continued. “They used to make me cry all day long.” I remembered thinking this was probably a lie. I could not imagine Beck crying. He was a rock. Even then, his fingers braced against the floor, he looked poised, sure, immutable. “You don’t believe me? Ask Ulrik. He had to deal with it,” Beck said. “And so you know what I did with those sad things? I put them in boxes. I put the sad things in the boxes in my head, and I closed them up and I put tape on them and I stacked them up in the corner and threw a blanket over them.” “Brain tape?” I suggested, with a little smirk. I was eight, after all. Beck smiled, a weird private smile that, at the time, I didn’t understand. Now I knew it was relief at eliciting a joke from me, no matter how pitiful the joke was. “Yes, brain tape. And a brain blanket over the top. Now I don’t have to look at those sad things anymore. I could open those boxes sometime, I guess, if I wanted to, but mostly I just leave them sealed up.” “How did you use the brain tape?” “You have to imagine it. Imagine putting those sad things in the boxes and imagine taping it up with the brain tape. And imagine pushing them into the side of your brain, where you won’t trip over them when you’re thinking normally, and then toss a blanket over the top. Do you have sad things, Sam?” I could see the dusty corner of my brain where the boxes sat. They were all wardrobe boxes, because those were the most interesting sort of boxes — tall enough to make houses with — and there were rolls and rolls of brain tape stacked on top. There were razors lying beside them, waiting to cut the boxes and me back open. “Mom,” I whispered. I wasn’t looking at Beck, but out of the corner of my eye, I saw him swallow. “What else?” he asked, barely loud enough for me to hear. “The water,” I said. I closed my eyes. I could see it, right there, and I had to force out the next word. “My …” My fingers were on my scars. Beck reached out a hand toward my shoulder, hesitant. When I didn’t move away, he put an arm around my back and I leaned against his chest, feeling small and eight and broken. “Me,” I said.

...there’s such an unbelievable amount that we’re all supposed to be able to cope with these days. You’re supposed to have a job, and somewhere to live, and a family (...) We don’t have a plan, we just do our best to get through the day, because there’ll be another one coming along tomorrow.Sometimes it hurts, it really hurts, for no other reason than the fact that our skin doesn’t feel like it’s ours. Sometimes we panic, because the bills need paying and we have to be grown-up and we don’t know how, because it’s so horribly, desperately easy to fail at being grown-up.

When I was a child, an angel came to say, A true friend is coming my warrior to sweep you away, It won’t be easy the path because it leads through hell, But if you’re faithful, it will be the greatest story to tell, You will move God’s daughters to a place of hope, Your story will teach everyone there is nothing they can’t cope, You will suffer a lot, but not one tear will you waste, Because for all that you do for me, you will be graced, For I am bringing you someone that wants to travel your trail, Someone you already met when you passed through heaven’s veil, A warrior, a friend that whispers your heart’s song, Someone that will run with you and pull your spirit along, Don’t you see the timing was love's fated throw, Because I put you both there to help one another grow, I am the writer of all great stories your chapters were written by me, You suffered, you cried because I needed you to see, That your faith in my ending goes far beyond two, It was going to change more hearts than both of you knew, So hush my child and wait for my loving hand, The last chapter is not written and still in the sand, It is up to you to finish, before the tide washes it away, All that is in your heart, I’ve put there for you to say, This is not about winning, loss or pain, I made you the way you are because true love stories are insane, I wrote you in heaven as I sat on its sandy shore, You know with all of my heart I loved you both more, There is no better ending two people seeing each other's heart, Together your spirits will never drift apart, Because two kindred spirits is what I made you to be, The waves and beach crashing together because of-- ME.

I don’t wake up in the morning and think, ‘Wow, I’m on a planet in the Milky Way, in infinite space, bestowed with the gift of consciousness, which I did not give myself, with the gift of language, with lungs that breathe and a heart that beats, none of which I gave myself, with no concrete understanding of the Great Mysteries, knowing only that I was born and will die and nothing of what’s on either side of this brief material and individualized glitch in the limitless expanse of eternity and, I feel, I feel love and pain and I have senses, what a glorious gift! I can relate, and create and serve others or I can lose myself in sensuality and pleasure. What a phenomenal mystery!’ Most days I just wake up feeling a bit anxious and plod a solemn, narrow path of survival, coping. ‘I’ll have a coffee’, ‘I’ll try not to reach for my phone as soon as I stir, simpering and begging like a bad dog at a table for some digital tidbit, some morsel of approval, a text, that’ll do

Bigger questions, questions with more than one answer, questions without an answer are the hardest to cope with in silence. Once asked they do not evaporate and leave the mind to its serener musings. Once asked they gain dimension and texture, trip you on the stairs, wake you at night-time. A black hole sucks up its surroundings and even light never escapes. Better then to ask no questions? Better then to be a contented pig than an unhappy Socrates? Since factory farming is tougher on pigs than it is on philosophers I'll take a chance.

Strength—real strength—is not doing what someone asks you, necessarily. Strength is turning up every day to a situation that is intolerable, unbearable even, just to support the people you love. Strength is being in that terrible room hour after hour even though every cell in your body is telling you it’s too much for you to cope with.

It is slightly chilling to realize there are rational, functional people up there employed to spot, nurture, and exploit those down here among us who are irrational and can barely cope. If you want to know how stupid you’re perceived to be by the people up there, count the unsolicited junk mail you receive. If you get a lot, you’re perceived to be alluringly stupid.

Modern life seems set up so that we can avoid loneliness at all costs, but maybe it's worthwhile to face it occasionally. The further we push aloneness away, the less are we able to cope with it, and the more terrifying it gets. Some philosophers believe that loneliness is the only true feeling there is. We live orphaned on a tiny rock in the immense vastness of space, with no hint of even the simplest form of life anywhere around us for billions upon billions of miles, alone beyond all imagining. We live locked in our own heads and can never entirely know the experience of another person. Even if we're surrounded by family and friends, we journey into death completely alone.

If I was lonely, if I was afraid of being alone, then why abandon myself? Why run to someone else looking to give myself the thing that only I could give? I wanted to escape myself because I felt empty, and the emptiness frightened me. But obviously, I was empty because I was always running out, running away. The only way to fill the emptiness was to remain, to take up residence in myself.

Sasha's green eyes were right up against yours, the lashes interlocking. "In Naples," she said, "there were kids who were just lost. You knew they were never going to get back to what they'd been, or have a normal life. And then there were other ones who you thought, maybe they will." ... You opened your eyes, which you hadn't realized were shut again. "what I'm saying is, We're the survivors," Sasha said. ... "Not everyone is. But we are. Okay?

We now know that love is, in actuality, the pinnacle of evolution, the most compelling survival mechanism of the human species. Not because it induces us to mate and reproduce. We do manage to mate without love! But because love drives us to bond emotionally with a precious few others who offer us safe haven from the storms of life. Love is our bulwark, designed to provide emotional protection so we can cope with the ups and downs of existence. This drive to emotionally attach — to find someone to whom we can turn and say “Hold me tight” — is wired into our genes and our bodies. It is as basic to life, health, and happiness as the drives for food, shelter, or sex. We need emotional attachments with a few irreplaceable others to be physically and mentally healthy — to survive.

It was May’s idea,” Quentin added. “I’m sure it was,” I said. Sylvester started circling. I dropped into a defensive position. “I’m not really comfortable with this, May.” “Cope,” she said. “Maybe an audience will make you shape up,” Sylvester said, and lunged. I parried. “Maybe an audience will distract me and get me gutted.” “Let’s see some carnage!” hollered May, pumping her fist in the air. “This isn’t professional wrestling!” I snapped, trying to hit Sylvester’s ankle. He blocked, turning my thrust aside and nearly disarming me. “And I swear if you shout ‘take it off,’ I am coming over there.” “Take what off?” asked Sylvester. “Nothing, Your Grace,” Quentin and I said in unison.

The word “coherence” literally means holding or sticking together, but it is usually used to refer to a system, an idea, or a worldview whose parts fit together in a consistent and efficient way. Coherent things work well: A coherent worldview can explain almost anything, while an incoherent worldview is hobbled by internal contradictions. … Whenever a system can be analyzed at multiple levels, a special kind of coherence occurs when the levels mesh and mutually interlock. We saw this cross-level coherence in the analysis of personality: If your lower-level traits match up with your coping mechanisms, which in turn are consistent with your life story, your personality is well integrated and you can get on with the business of living. When these levels do not cohere, you are likely to be torn by internal contradictions and neurotic conflicts. You might need adversity to knock yourself into alignment. And if you do achieve coherence, the moment when things come together may be one of the most profound of your life. … Finding coherence across levels feels like enlightenment, and it is crucial for answering the question of purpose within life. People are multilevel systems in another way: We are physical objects (bodies and brains) from which minds somehow emerge; and from our minds, somehow societies and cultures form. To understand ourselves fully we must study all three levels—physical, psychological, and sociocultural. There has long been a division of academic labor: Biologists studied the brain as a physical object, psychologists studied the mind, and sociologists and anthropologists studied the socially constructed environments within which minds develop and function. But a division of labor is productive only when the tasks are coherent—when all lines of work eventually combine to make something greater than the sum of its parts. For much of the twentieth century that didn’t happen — each field ignored the others and focused on its own questions. But nowadays cross-disciplinary work is flourishing, spreading out from the middle level (psychology) along bridges (or perhaps ladders) down to the physical level (for example, the field of cognitive neuroscience) and up to the sociocultural level (for example, cultural psychology). The sciences are linking up, generating cross-level coherence, and, like magic, big new ideas are beginning to emerge. Here is one of the most profound ideas to come from the ongoing synthesis: People gain a sense of meaning when their lives cohere across the three levels of their existence.

The damaging part of learning to live your life in two parts , whether in reality or fantasy, cannot be underestimated. It is an infectious skill that you learned, one that would eventually spread beyond the bedroom of your life. Life wasn't ever what it seemed on the surface. Nothing could be trusted for what it appeared to be. After all, you weren't what you appeared to be. In learning to hide part of yourself, you lost the ability to trust anything or anyone fully. Without knowing it, you traded humane innocence for dry cynicism.

Understand: your mind is weaker than your emotions. But you become aware of this weakness only in moments of adversity,precisely the time when you need strength. What best equips you to cope with tthe heat of battle is neither more knowledge nor more intellect. What makes your mind stronger, and more able to control your emotions, is internal discipline and toughness.No one can teach you this skill; you cannot learn it by reading about it. Like any discipline, it can come only through practice, experience, even a little suffering. The first step in building up presence of mind is to see the need for it, to want it badly enough to be willing to work for it.

There are two basic coping mechanisms. One consists of dreading the chaos, fighting it and abusing oneself after losing, building a structured life of work/marriage/gym/reunions/children/depression/affair/divorce/alcoholism/recovery/heart attack, in which every decision is a reaction against the fear of the worst (make children to avoid being forgotten, fuck someone at the reunion in case the opportunity never comes again, and the Holy Grail of paradoxes: marry to combat loneliness, then plunge into that constant marital desire to be alone). This is the life that cannot be won, but it does offer the comforts of battle—the human heart is content when distracted by war. “The second mechanism is an across-the-board acceptance of the absurd all around us. Everything that exists, from consciousness to the digestive workings of the human body to sound waves and bladeless fans, is magnificently unlikely. It seems so much likelier that things would not exist at all and yet the world shows up to class every morning as the cosmos takes attendance. Why combat the unlikeliness? This is the way to survive in this world, to wake up in the morning and receive a cancer diagnosis, discover that a man has murdered forty children, discover that the milk has gone sour, and exclaim, 'How unlikely! Yet here we are,' and have a laugh, and swim in the chaos, swim without fear, swim without expectation but always with an appreciation of every whim, the beauty of screwball twists and jerks that pump blood through our emaciated veins.

Everything in physiology follows the rule that too much can be as bad as too little. There are optimal points of allostatic balance. For example, while a moderate amount of exercise generally increases bone mass, thirty-year-old athletes who run 40 to 50 miles a week can wind up with decalcified bones, decreased bone mass, increased risk of stress fractures and scoliosis (sideways curvature of the spine)—their skeletons look like those of seventy-year-olds. To put exercise in perspective, imagine this: sit with a group of hunter-gatherers from the African grasslands and explain to them that in our world we have so much food and so much free time that some of us run 26 miles in a day, simply for the sheer pleasure of it. They are likely to say, “Are you crazy? That’s stressful.” Throughout hominid history, if you’re running 26 miles in a day, you’re either very intent on eating someone or someone’s very intent on eating you.

Ah! This is retribution for Promethean fire! Besides being patient, you must also love this sadness and respect your doubts and questions. They are an abundant excess, a luxury of life, and they appear more at the summits of happiness, when you have no crude desires. They are not born in the midst of mundanity. They have no place where there is grief and want. The masses go along without knowing the fog of doubts or the anguish of questions. But for anyone who has encountered them at the right time they are dear visitors, not a hammer.' 'But there's no coping with them. They bring anguish and indifference to nearly everything.' she added indecisively. 'But for how long? Afterward they refresh life,' he said. 'They lead to an abyss from which nothing can be gained, and they force you to look again at life, with even greater love. They summon up your tested powers to struggle with it, as if expressly to let them sleep afterward.' 'This fog and these specters torment me!' she complained. 'Everything is bright and all of a sudden a sinister shadow is cast over life! Are there no means against this?' 'What do you mean? Your buttress is in life! Without it, life is sickening, even without any questions!' p. 508

It came down to that flexibility of a person’s mind. An ability to withstand horrors and snap back, like a fresh elastic band. A flinty mind shattered. In this way, he was glad not to be an adult. A grown-up’s mind—even one belonging to a decent man like Scoutmaster Tim—lacked that elasticity. The world had been robbed of all its mysteries, and with those mysteries went the horror. Adults didn’t believe in old wives’ tales. You didn’t see adults stepping over sidewalk cracks out of the fear that they might somehow, some way, break their mothers’ backs. They didn’t wish on stars: not with the squinty-eyed fierceness of kids, anyway. You’ll never find an adult who believes that saying “Bloody Mary” three times in front of a mirror in a dark room will summon a dark, blood-hungry entity. Adults were scared of different things: their jobs, their mortgages, whether they hung out with the “right people,” whether they would die unloved. These were pallid compared to the fears of a child—leering clowns under the bed and slimy monsters capering beyond the basement’s light and faceless sucking horrors from beyond the stars. There’s no 12-step or self-help group for dealing with those fears. Or maybe there is: you just grow up. And when you do, you surrender the nimbleness of mind required to believe in such things—but also to cope with them. And so when adults find themselves in a situation where that nimbleness is needed . . . well, they can’t summon it. So they fall to pieces: go insane, panic, suffer heart attacks and aneurysms brought on by fright. Why? They simply don’t believe it could be happening. That’s what’s different about kids: they believe everything can happen, and fully expect it to.

Because women tend to turn their anger inward and blame themselves, they tend to become depressed and their self-esteem is lowered. This, in turn, causes them to become more dependent and less willing to risk rejection or abandonment if they were to stand up for themselves by asserting their will, their opinions, or their needs. Men often defend themselves against hurt by putting up a wall of nonchalant indifference. This appearance of independence often adds to a woman's fear of rejection, causing her to want to reach out to achieve comfort and reconciliation. Giving in, taking the blame, and losing herself more in the relationship seem to be a small price to pay for the acceptance and love of her partner. As you can see, both extremes anger in and anger out-create potential problems. While neither sex is wrong in the way they deal with their anger, each could benefit from observing how the other sex copes with their anger. Most men, especially abusive ones, could benefit from learning to contain their anger more instead of automatically striking back, and could use the rather female ability to empathise with others and seek diplomatic resolutions to problems. Many women, on the other hand, could benefit from acknowledging their anger and giving themselves permission to act it out in constructive ways instead of automatically talking themselves out of it, blaming themselves, or allowing a man to blame them. Instead of giving in to keep the peace, it would be far healthier for most women to stand up for their needs, their opinions, and their beliefs.

Everybody in this room is bored. The poems drag, the voice and gestures irk. He can't be interrupted or ignored. Poor fools, we came here of our own accord And some of us have paid to hear this jerk. Everybody in the room is bored. The silent cry goes up, 'How long, O Lord?' But nobody will scream or go berserk. He won't be interrupted or ignored. Or hit by eggs, or savaged by a horde Of desperate people maddened by his work. Everybody in the room is bored, Except the poet. We are his reward, Pretending to indulge in his every quirk. He won't be interrupted or ignored. At last it's over. How we all applaud! The poet thanks us with a modest smirk. Everybody in the room was bored. He wasn't interrupted or ignored.

The cases described in this section (The Fear of Being) may seem extreme, but I have become convinced that they are not as uncommon as one would think. Beneath the seemingly rational exterior of our lives is a fear of insanity. We dare not question the values by which we live or rebel against the roles we play for fear of putting our sanity into doubt. We are like the inmates of a mental institution who must accept its inhumanity and insensitivity as caring and knowledgeableness if they hope to be regarded as sane enough to leave. The question who is sane and who is crazy was the theme of the novel One Flew Over The Cuckoo's Nest. The question, what is sanity? was clearly asked in the play Equus. The idea that much of what we do is insane and that if we want to be sane, we must let ourselves go crazy has been strongly advanced by R.D. Laing. In the preface to the Pelican edition of his book The Divided Self, Laing writes: "In the context of our present pervasive madness that we call normality, sanity, freedom, all of our frames of reference are ambiguous and equivocal." And in the same preface: "Thus I would wish to emphasize that our 'normal' 'adjusted' state is too often the abdication of ecstasy, the betrayal of our true potentialities; that many of us are only too successful in acquiring a false self to adapt to false realities." Wilhelm Reich had a somewhat similar view of present-day human behavior. Thus Reich says, "Homo normalis blocks off entirely the perception of basic orgonotic functioning by means of rigid armoring; in the schizophrenic, on the other hand, the armoring practically breaks down and thus the biosystem is flooded with deep experiences from the biophysical core with which it cannot cope." The "deep experiences" to which Reich refers are the pleasurable streaming sensations associated with intense excitation that is mainly sexual in nature. The schizophrenic cannot cope with these sensations because his body is too contracted to tolerate the charge. Unable to "block" the excitation or reduce it as a neurotic can, and unable to "stand" the charge, the schizophrenic is literally "driven crazy." But the neurotic does not escape so easily either. He avoids insanity by blocking the excitation, that is, by reducing it to a point where there is no danger of explosion, or bursting. In effect the neurotic undergoes a psychological castration. However, the potential for explosive release is still present in his body, although it is rigidly guarded as if it were a bomb. The neurotic is on guard against himself, terrified to let go of his defenses and allow his feelings free expression. Having become, as Reich calls him, "homo normalis," having bartered his freedom and ecstasy for the security of being "well adjusted," he sees the alternative as "crazy." And in a sense he is right. Without going "crazy," without becoming "mad," so mad that he could kill, it is impossible to give up the defenses that protect him in the same way that a mental institution protects its inmates from self-destruction and the destruction of others.

Everybody tries to protect this vulnerable two three four five six seven eight year old inside, and to acquire skills and aptitudes for dealing with the situations that threaten to overwhelm it... Usually, that child is a wretchedly isolated undeveloped little being. It’s been protected by the efficient armour, it’s never participated in life, it’s never been exposed to living and to managing the person’s affairs, it’s never been given responsibility for taking the brunt. And it’s never properly lived. That’s how it is in almost everybody. And that little creature is sitting there, behind the armour, peering through the slits. And in its own self, it is still unprotected, incapable, inexperienced... And in fact, that child is the only real thing in them. It’s their humanity, their real individuality, the one that can’t understand why it was born and that knows it will have to die, in no matter how crowded a place, quite on its own. That’s the carrier of all the living qualities. It’s the centre of all the possible magic and revelation. What doesn’t come out of that creature isn’t worth having, or it’s worth having only as a tool—for that creature to use and turn to account and make meaningful... And so, wherever life takes it by surprise, and suddenly the artificial self of adaptations proves inadequate, and fails to ward off the invasion of raw experience, that inner self is thrown into the front line—unprepared, with all its childhood terrors round its ears. And yet that’s the moment it wants. That’s where it comes alive—even if only to be overwhelmed and bewildered and hurt. And that’s where it calls up its own resources—not artificial aids, picked up outside, but real inner resources, real biological ability to cope, and to turn to account, and to enjoy. That’s the paradox: the only time most people feel alive is when they’re suffering, when something overwhelms their ordinary, careful armour, and the naked child is flung out onto the world. That’s why the things that are worst to undergo are best to remember. But when that child gets buried away under their adaptive and protective shells—he becomes one of the walking dead, a monster. So when you realise you’ve gone a few weeks and haven’t felt that awful struggle of your childish self—struggling to lift itself out of its inadequacy and incompetence—you’ll know you’ve gone some weeks without meeting new challenge, and without growing, and that you’ve gone some weeks towards losing touch with yourself.

...Failure cannot be erased. It is built in to a life and helps us grow. Failure cannot be erased, but it can be understood. Most people carry around a load of feeling that they bury or pretend is not there because it is too painful and alarming to cope with or because it involved unbearable guilt. Anger against a parent, for example. I knew the tide of woe was rising, that woe that seizes me like anger, and is a form of anger, and I didn’t know what to do to stop it, so I got up and picked flowers, cooked my dinner, looked at the news, all the same usual routine that can ward off the devils or suddenly clear the air as when a thunderstorm seems to be coming and then dissipates….it always happens when there is a galaxy of problems that get knit together into one huge outcry against the sense of being abandoned or orphanhood…

What chatty Madam Shpolyanski mentioned had conjured up Mira's image with unusual force. This was disturbing. Only in the detachment of an incurable complaint, in the sanity of near death, could one cope with this for a moment. In order to exist rationally, Pnin had taught himself...never to remember Mira Belochkin - not because...the evocation of a youthful love affair, banal and brief, threatened his peace of mind...but because, if one were quite sincere with oneself, no conscience, and hence no consciousness, could be expected to subsist in a world where such things as Mira's death were possible. One had to forget - because one could not live with the thought that this graceful, fragile, tender young woman with those eyes, that smile, those gardens and snows in the background, had been brought in a cattle car and killed by an injection of phenol into the heart, into the gentle heart one had heard beating under one's lips in the dusk of the past.

Feeling that Mommy is happy is a great boon to a child. Imagine for a moment a snapshot of Mother smiling and laughing. She’s happy to be here. She’s happy with you and anyone else in the picture, and she doesn’t need things to be any different than they are in that moment. She is relaxed! When Mommy is relaxed and smiling, we sense that her world is right. And when her world is right, then our world is right. But when Mommy is distracted or worried or depressed, we don’t have the same kind of support, and it’s harder for us to relax and be fully present. It doesn’t feel quite right to be expansive and expressive when Mommy is withdrawn or frazzled. There isn’t really a place to be happy, unless we’re putting on a happy face trying to cheer Mother up. Mother’s happiness relieves us of these burdens, and we can simply express ourselves as we are.

Nature’s ultimate goal is to foster the growth of the individual from absolute dependence to independence — or, more exactly, to the interdependence of mature adults living in community. Development is a process of moving from complete external regulation to self-regulation, as far as our genetic programming allows. Well-self-regulated people are the most capable of interacting fruitfully with others in a community and of nurturing children who will also grow into self-regulated adults. Anything that interferes with that natural agenda threatens the organism’s chances for long-term survival. Almost from the beginning of life we see a tension between the complementary needs for security and for autonomy. Development requires a gradual and ageappropriate shift from security needs toward the drive for autonomy, from attachment to individuation. Neither is ever completely lost, and neither is meant to predominate at the expense of the other. With an increased capacity for self-regulation in adulthood comes also a heightened need for autonomy — for the freedom to make genuine choices. Whatever undermines autonomy will be experienced as a source of stress. Stress is magnified whenever the power to respond effectively to the social or physical environment is lacking or when the tested animal or human being feels helpless, without meaningful choices — in other words, when autonomy is undermined. Autonomy, however, needs to be exercised in a way that does not disrupt the social relationships on which survival also depends, whether with emotional intimates or with important others—employers, fellow workers, social authority figures. The less the emotional capacity for self-regulation develops during infancy and childhood, the more the adult depends on relationships to maintain homeostasis. The greater the dependence, the greater the threat when those relationships are lost or become insecure. Thus, the vulnerability to subjective and physiological stress will be proportionate to the degree of emotional dependence. To minimize the stress from threatened relationships, a person may give up some part of his autonomy. However, this is not a formula for health, since the loss of autonomy is itself a cause of stress. The surrender of autonomy raises the stress level, even if on the surface it appears to be necessary for the sake of “security” in a relationship, and even if we subjectively feel relief when we gain “security” in this manner. If I chronically repress my emotional needs in order to make myself “acceptable” to other people, I increase my risks of having to pay the price in the form of illness. The other way of protecting oneself from the stress of threatened relationships is emotional shutdown. To feel safe, the vulnerable person withdraws from others and closes against intimacy. This coping style may avoid anxiety and block the subjective experience of stress but not the physiology of it. Emotional intimacy is a psychological and biological necessity. Those who build walls against intimacy are not self-regulated, just emotionally frozen. Their stress from having unmet needs will be high.

My mother once told me that trauma is like Lord of the Rings. You go through this crazy, life-altering thing that almost kills you (like say having to drop the one ring into Mount Doom), and that thing by definition cannot possibly be understood by someone who hasn’t gone through it. They can sympathize sure, but they’ll never really know, and more than likely they’ll expect you to move on from the thing fairly quickly. And they can’t be blamed, people are just like that, but that’s not how it works. Some lucky people are like Sam. They can go straight home, get married, have a whole bunch of curly headed Hobbit babies and pick up their gardening right where they left off, content to forget the whole thing and live out their days in peace. Lots of people however, are like Frodo, and they don’t come home the same person they were when they left, and everything is more horrible and more hard then it ever was before. The old wounds sting and the ghost of the weight of the one ring still weighs heavy on their minds, and they don’t fit in at home anymore, so they get on boats go sailing away to the Undying West to look for the sort of peace that can only come from within. Frodos can’t cope, and most of us are Frodos when we start out. But if we move past the urge to hide or lash out, my mother always told me, we can become Pippin and Merry. They never ignored what had happened to them, but they were malleable and receptive to change. They became civic leaders and great storytellers; they we able to turn all that fear and anger and grief into narratives that others could delight in and learn from, and they used the skills they had learned in battle to protect their homeland. They were fortified by what had happened to them, they wore it like armor and used it to their advantage. It is our trauma that turns us into guardians, my mother told me, it is suffering that strengthens our skin and softens our hearts, and if we learn to live with the ghosts of what had been done to us, we just may be able to save others from the same fate.

He has the kind of density that makes me constantly guess to myself how much he’d weigh. Does muscle weigh more than fat? He’s a ton. He’s six-six, and I watched him get this tall, but it’s a surprise every time I see him. It’s the body you see on first responders. Think big-ass firemen kicking in doors, ready to save you. “How do you cope with a skeleton that big?” I ask, and he looks down at himself, mystified. “I mean, how do you coordinate all four limbs and actually ambulate around the place?” My eyes are back on his shoulders, following the round lines down, the flat sections, the dips and shadowed lines, the creases on the cotton. I can see his belt, which doesn’t know how lucky it is to be strapped around that, and a lush half inch of black underwear waistband, and my cheeks are burning and I can hear my heart and— “Eyes up, DB.” He’s busted me. Not that I was very subtle. “Me and my skeleton getaround just fine.

Stand in front of this fantastic machine, my friend, and for just 99¢ your likeness will appear, two hundred feet tall, on a screen above downtown Las Vegas. Ninety-nine cents more for a voice message. “Say whatever you want, fella. They’ll hear you, don’t worry about that. Remember you’ll be two hundred feet tall.” Jesus Christ. I could see myself lying in bed in the Mint Hotel, half-asleep and staring idly out the window, when suddenly a vicious nazi drunkard appears two hundred feet tall in the midnight sky, screaming gibberish at the world: “Woodstock Über Alles!” We will close the drapes tonight. A thing like that could send a drug person careening around the room like a ping-pong ball. Hallucinations are bad enough. But after a while you learn to cope with things like seeing your dead grandmother crawling up your leg with a knife in her teeth. Most acid fanciers can handle this sort of thing. But nobody can handle that other trip—the possibility that any freak with $1.98 can walk into the Circus-Circus and suddenly appear in the sky over downtown Las Vegas twelve times the size of God, howling anything that comes into his head. No, this is not a good town for psychedelic drugs. Reality itself is too twisted.

Freud was fascinated with depression and focused on the issue that we began with—why is it that most of us can have occasional terrible experiences, feel depressed, and then recover, while a few of us collapse into major depression (melancholia)? In his classic essay “Mourning and Melancholia” (1917), Freud began with what the two have in common. In both cases, he felt, there is the loss of a love object. (In Freudian terms, such an “object” is usually a person, but can also be a goal or an ideal.) In Freud’s formulation, in every loving relationship there is ambivalence, mixed feelings—elements of hatred as well as love. In the case of a small, reactive depression—mourning—you are able to deal with those mixed feelings in a healthy manner: you lose, you grieve, and then you recover. In the case of a major melancholic depression, you have become obsessed with the ambivalence—the simultaneity, the irreconcilable nature of the intense love alongside the intense hatred. Melancholia—a major depression—Freud theorized, is the internal conflict generated by this ambivalence. This can begin to explain the intensity of grief experienced in a major depression. If you are obsessed with the intensely mixed feelings, you grieve doubly after a loss—for your loss of the loved individual and for the loss of any chance now to ever resolve the difficulties. “If only I had said the things I needed to, if only we could have worked things out”—for all of time, you have lost the chance to purge yourself of the ambivalence. For the rest of your life, you will be reaching for the door to let you into a place of pure, unsullied love, and you can never reach that door. It also explains the intensity of the guilt often experienced in major depression. If you truly harbored intense anger toward the person along with love, in the aftermath of your loss there must be some facet of you that is celebrating, alongside the grieving. “He’s gone; that’s terrible but…thank god, I can finally live, I can finally grow up, no more of this or that.” Inevitably, a metaphorical instant later, there must come a paralyzing belief that you have become a horrible monster to feel any sense of relief or pleasure at a time like this. Incapacitating guilt. This theory also explains the tendency of major depressives in such circumstances to, oddly, begin to take on some of the traits of the lost loved/hated one—and not just any traits, but invariably the ones that the survivor found most irritating. Psychodynamically, this is wonderfully logical. By taking on a trait, you are being loyal to your lost, beloved opponent. By picking an irritating trait, you are still trying to convince the world you were right to be irritated—you see how you hate it when I do it; can you imagine what it was like to have to put up with that for years? And by picking a trait that, most of all, you find irritating, you are not only still trying to score points in your argument with the departed, but you are punishing yourself for arguing as well. Out of the Freudian school of thought has come one of the more apt descriptions of depression—“aggression turned inward.” Suddenly the loss of pleasure, the psychomotor retardation, the impulse to suicide all make sense. As do the elevated glucocorticoid levels. This does not describe someone too lethargic to function; it is more like the actual state of a patient in depression, exhausted from the most draining emotional conflict of his or her life—one going on entirely within. If that doesn’t count as psychologically stressful, I don’t know what does.

Physiological stress, then, is the link between personality traits and disease. Certain traits — otherwise known as coping styles — magnify the risk for illness by increasing the likelihood of chronic stress. Common to them all is a diminished capacity for emotional communication. Emotional experiences are translated into potentially damaging biological events when human beings are prevented from learning how to express their feelings effectively. That learning occurs — or fails to occur — during childhood. The way people grow up shapes their relationship with their own bodies and psyches. The emotional contexts of childhood interact with inborn temperament to give rise to personality traits. Much of what we call personality is not a fixed set of traits, only coping mechanisms a person acquired in childhood. There is an important distinction between an inherent characteristic, rooted in an individual without regard to his environment, and a response to the environment, a pattern of behaviours developed to ensure survival. What we see as indelible traits may be no more than habitual defensive techniques, unconsciously adopted. People often identify with these habituated patterns, believing them to be an indispensable part of the self. They may even harbour self-loathing for certain traits — for example, when a person describes herself as “a control freak.” In reality, there is no innate human inclination to be controlling. What there is in a “controlling” personality is deep anxiety. The infant and child who perceives that his needs are unmet may develop an obsessive coping style, anxious about each detail. When such a person fears that he is unable to control events, he experiences great stress. Unconsciously he believes that only by controlling every aspect of his life and environment will he be able to ensure the satisfaction of his needs. As he grows older, others will resent him and he will come to dislike himself for what was originally a desperate response to emotional deprivation. The drive to control is not an innate trait but a coping style. Emotional repression is also a coping style rather than a personality trait set in stone. Not one of the many adults interviewed for this book could answer in the affirmative when asked the following: When, as a child, you felt sad, upset or angry, was there anyone you could talk to — even when he or she was the one who had triggered your negative emotions? In a quarter century of clinical practice, including a decade of palliative work, I have never heard anyone with cancer or with any chronic illness or condition say yes to that question. Many children are conditioned in this manner not because of any intended harm or abuse, but because the parents themselves are too threatened by the anxiety, anger or sadness they sense in their child — or are simply too busy or too harassed themselves to pay attention. “My mother or father needed me to be happy” is the simple formula that trained many a child — later a stressed and depressed or physically ill adult — into lifelong patterns of repression.

There was a girl, and her uncle sold her, wrote Mr. Ibis in his perfect copperplate handwriting. That is the tale; the rest is detail. There are stories that are true, in which each individual’s tale is unique and tragic, and the worst of the tragedy is that we have heard it before, and we cannot allow ourselves to feel it too deeply. We build a shell around it like an oyster dealing with a painful particle of grit, coating it with smooth pearl layers in order to cope. This is how we walk and talk and function, day in, day out, immune to others’ pain and loss. If it were to touch us it would cripple us or make saints of us; but, for the most part, it does not touch us. We cannot allow it to. Tonight, as you eat, reflect if you can: there are children starving in the world, starving in numbers larger than the mind can easily hold, up in the big numbers where an error of a million here, a million there, can be forgiven. It may be uncomfortable for you to reflect upon this or it may not, but still, you will eat. There are accounts which, if we open our hearts to them, will cut us too deeply. Look—here is a good man, good by his own lights and the lights of his friends: he is faithful and true to his wife, he adores and lavishes attention on his little children, he cares about his country, he does his job punctiliously, as best he can. So, efficiently and good-naturedly, he exterminates Jews: he appreciates the music that plays in the background to pacify them; he advises the Jews not to forget their identification numbers as they go into the showers—many people, he tells them, forget their numbers, and take the wrong clothes, when they come out of the showers. This calms the Jews: there will be life, they assure themselves, after the showers. And they are wrong. Our man supervises the detail taking the bodies to the ovens; and if there is anything he feels bad about, it is that he still allows the gassing of vermin to affect him. Were he a truly good man, he knows, he would feel nothing but joy, as the earth is cleansed of its pests. Leave him; he cuts too deep. He is too close to us and it hurts.

I HAD TO GO to America for a while to give some talks. Going to America always does me good. It’s where I’m from, after all. There’s baseball on the TV, people are friendly and upbeat, they don’t obsess about the weather except when there is weather worth obsessing about, you can have all the ice cubes you want. Above all, visiting America gives me perspective. Consider two small experiences I had upon arriving at a hotel in downtown Austin, Texas. When I checked in, the clerk needed to record my details, naturally enough, and asked for my home address. Our house doesn’t have a street number, just a name, and I have found in the past that that is more deviance than an American computer can sometimes cope with, so I gave our London address. The girl typed in the building number and street name, then said: “City?” I replied: “London.” “Can you spell that please?” I looked at her and saw that she wasn’t joking. “L-O-N-D-O-N,” I said. “Country?” “England.” “Can you spell that?” I spelled England. She typed for a moment and said: “The computer won’t accept England. Is that a real country?” I assured her it was. “Try Britain,” I suggested. I spelled that, too—twice (we got the wrong number of T’s the first time)—and the computer wouldn’t take that either. So I suggested Great Britain, United Kingdom, UK, and GB, but those were all rejected, too. I couldn’t think of anything else to suggest. “It’ll take France,” the girl said after a minute. “I beg your pardon?” “You can have ‘London, France.’ ” “Seriously?” She nodded. “Well, why not?” So she typed “London, France,” and the system was happy. I finished the check-in process and went with my bag and plastic room key to a bank of elevators a few paces away. When the elevator arrived, a young woman was in it already, which I thought a little strange because the elevator had come from one of the upper floors and now we were going back up there again. About five seconds into the ascent, she said to me in a suddenly alert tone: “Excuse me, was that the lobby back there?” “That big room with a check-in desk and revolving doors to the street? Why, yes, it was.” “Shoot,” she said and looked chagrined. Now I am not for a moment suggesting that these incidents typify Austin, Texas, or America generally or anything like that. But it did get me to thinking that our problems are more serious than I had supposed. When functioning adults can’t identify London, England, or a hotel lobby, I think it is time to be concerned. This is clearly a global problem and it’s spreading. I am not at all sure how we should tackle such a crisis, but on the basis of what we know so far, I would suggest, as a start, quarantining Texas.