Health Condition Quotes

It is no measure of health to be well adjusted to a profoundly sick society.

happiness does not really depend on objective conditions of either wealth, health or even community. Rather, it depends on the correlation between objective conditions and subjective expectations.

In order to eat, you have to be hungry. In order to learn, you have to be ignorant. Ignorance is a condition of learning. Pain is a condition of health. Passion is a condition of thought. Death is a condition of life.

The reality is that the lives of the smallest patients are in our hands, and their clinical condition can change in an instant. No matter how many times you are involved in situations such as this, the physical stress and anxiety as well as the emotional and psychological effects of being immersed in that environment are dramatic and lasting on the human body, mind, and central nervous system. These effects are severe, and I firmly believe that they are cumulative over your lifetime.

To be sure, man's search for meaning may arouse inner tension rather than inner equilibrium. However, precisely such tension is an indispensable prerequisite of mental health. There is nothing in the world, I venture to say, that would so effectively help one to survive even the worst conditions as the knowledge that there is a meaning in one's life. There is much wisdom in the words of Nietzsche: "He who has a why to live for can bear almost any how

There were people who believed their opportunities to live a fulfilled life were hampered by the number of Asians in England, by the existance of a royal family, by the volume of traffic that passed by their house, by the malice of trade unions, by the power of callous employers, by the refusal of the health service to take their condition seriously, by communism, by capitalism, by atheism, by anything, in fact, but their own futile, weak-minded failure to get a fucking grip.

What bothers me is that health professionals give fancy names to conditions or learning difficulties that will irritate the patients; like OCD not being in alphabetical order, putting an ‘S’ in ‘lisp,’ and making dyslexia a word that no one can spell. It’s just mean.

But the most important finding of all is that happiness does not really depend on objective conditions of either wealth, health or even community. Rather, it depends on the correlation between objective conditions and subjective expectations.

From the onset of polio in 1921 until his death, Franklin, his family, his inner circle of advisers, and teams of physicians assiduously disguised the state of his health, promoting the fantasy of a robust leader who was always in excel- lent physical condition for a man his age. Severe heart disease was not admit- ted until twenty-five years after his death, and then only as part of a new and larger cover-up to conceal other severe medical problems. These deceptions still dominate the present-day narrative of Franklin’s health, especially so in his later years.

The brain-disease model overlooks four fundamental truths: (1) our capacity to destroy one another is matched by our capacity to heal one another. Restoring relationships and community is central to restoring well-being; (2) language gives us the power to change ourselves and others by communicating our experiences, helping us to define what we know, and finding a common sense of meaning; (3) we have the ability to regulate our own physiology, including some of the so-called involuntary functions of the body and brain, through such basic activities as breathing, moving, and touching; and (4) we can change social conditions to create environments in which children and adults can feel safe and where they can thrive. When we ignore these quintessential dimensions of humanity, we deprive people of ways to heal from trauma and restore their autonomy. Being a patient, rather than a participant in one’s healing process, separates suffering people from their community and alienates them from an inner sense of self.

When you got a condition, it's bad to forget your medicine.

Mental illness" is among the most stigmatized of categories.' People are ashamed of being mentally ill. They fear disclosing their condition to their friends and confidants-and certainly to their employers.

Isn't there something in living dangerously?' There's a great deal in it,' the Controller replied. 'Men and women must have their adrenals stimulated from time to time.' What?' questioned the Savage, uncomprehending. It's one of the conditions of perfect health. That's why we've made the V.P.S. treatments compulsory.' V.P.S.?' Violent Passion Surrogate. Regularly once a month. We flood the whole system with adrenin. It's the complete physiological equivalent of fear and rage. All the tonic effects of murdering Desdemona and being murdered by Othello, without any of the inconvenience.' But I like the inconveniences.' We don't,' said the Controller. 'We prefer to do things comfortably.' But I don't want comfort. I want God, I want poetry, I want real danger, I want freedom, I want goodness. I want sin.' In fact,' said Mustapha Mond, 'you're claiming the right to be unhappy. Not to mention the right to grow old and ugly and impotent; the right to have syphilis and cancer, the right to have too little to eat; the right to be lousy; the right to live in constant apprehension of what may happen tomorrow; the right to catch typhoid; the right to be tortured by unspeakable pains of every kind.' There was a long silence. I claim them all,' said the Savage at last. Mustapha Mond shrugged his shoulders. 'You're welcome,' he said.

Health is the natural condition. When sickness occurs, it is a sign that Nature has gone off course because of a physical or mental imbalance. The road to health for everyone is through moderation, harmony, and a 'sound mind in a sound body'.

It is a healthy approach not to expect persons to turn out precisely how you would have wished.

Capitalist realism insists on treating mental health as if it were a natural fact, like weather (but, then again, weather is no longer a natural fact so much as a political-economic effect). In the 1960s and 1970s, radical theory and politics (Laing, Foucault, Deleuze and Guattari, etc.) coalesced around extreme mental conditions such as schizophrenia, arguing, for instance, that madness was not a natural, but a political, category. But what is needed now is a politicization of much more common disorders. Indeed, it is their very commonness which is the issue: in Britain, depression is now the condition that is most treated by the NHS. In his book The Selfish Capitalist, Oliver James has convincingly posited a correlation between rising rates of mental distress and the neoliberal mode of capitalism practiced in countries like Britain, the USA and Australia. In line with James’s claims, I want to argue that it is necessary to reframe the growing problem of stress (and distress) in capitalist societies. Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill?

I want a dyke for president. I want a person with AIDS for president and I want a fag for vice president and I want someone with no health insurance and I want someone who grew up in a place where the earth is so saturated with toxic waste that they didn’t have a choice about getting leukemia. I want a president that had an abortion at sixteen and I want a candidate who isn’t the lesser of two evils and I want a president who lost their last lover to AIDS, who still sees that in their eyes every time they lay down to rest, who held their lover in their arms and knew they were dying. I want a president with no air-conditioning, a president who has stood in line at the clinic, at the DMV, at the welfare office, and has been unemployed and laid off and sexually harassed and gaybashed and deported. I want someone who has spent the night in the tombs and had a cross burned on their lawn and survived rape. I want someone who has been in love and been hurt, who respects sex, who has made mistakes and learned from them. I want a Black woman for president. I want someone with bad teeth and an attitude, someone who has eaten that nasty hospital food, someone who crossdresses and has done drugs and been in therapy. I want someone who has committed civil disobedience. And I want to know why this isn’t possible. I want to know why we started learning somewhere down the line that a president is always a clown. Always a john and never a hooker. Always a boss and never a worker. Always a liar, always a thief, and never caught.

[All the ancient wisdom] tells us that work is necessary to us, as much a part of our condition as mortality; that good work is our salvation and our joy; that shoddy or dishonest or self-serving work is our curse and our doom. We have tried to escape the sweat and sorrow promised in Genesis - only to find that, in order to do so, we must forswear love and excellence, health and joy. (pg. 44, "The Unsettling of America")

We've all heard about people who've exploded beyond the limitations of their conditions to become examples of the unlimited power of the human spirit. You and I can make our lives one of these legendary inspirations, as well, simply by having courage and the awareness that we can control whatever happens in our lives. Although we cannot always control the events in our lives, we can always control our response to them, and the actions we take as a result. If there's anything you're not happy about--in your relationships, in your health, in your career--make a decision right now about how you're going to change it immediately.

The distinction between diseases of "brain" and "mind," between "neurological" problems and "psychological" or "psychiatric" ones, is an unfortunate cultural inheritance that permeates society and medicine. It reflects a basic ignorance of the relation between brain and mind. Diseases of the brain are seen as tragedies visited on people who cannot be blamed for their condition, while diseases of the mind, especially those that affect conduct and emotion, are seen as social inconveniences for which sufferers have much to answer. Individuals are to be blamed for their character flaws, defective emotional modulation, and so on; lack of willpower is supposed to be the primary problem.

You'd never tell an athlete to just get over a sprain; you'd give them time to recover, physical therapy, whatever they needed. Why are mental health conditions any different?

Pick a leader who will make their citizens proud. One who will stir the hearts of the people, so that the sons and daughters of a given nation strive to emulate their leader's greatness. Only then will a nation be truly great, when a leader inspires and produces citizens worthy of becoming future leaders, honorable decision makers and peacemakers. And in these times, a great leader must be extremely brave. Their leadership must be steered only by their conscience, not a bribe.

Pick a leader who will keep jobs in your country by offering companies incentives to hire only within their borders, not one who allows corporations to outsource jobs for cheaper labor when there is a national employment crisis. Choose a leader who will invest in building bridges, not walls. Books, not weapons. Morality, not corruption. Intellectualism and wisdom, not ignorance. Stability, not fear and terror. Peace, not chaos. Love, not hate. Convergence, not segregation. Tolerance, not discrimination. Fairness, not hypocrisy. Substance, not superficiality. Character, not immaturity. Transparency, not secrecy. Justice, not lawlessness. Environmental improvement and preservation, not destruction. Truth, not lies.

When you feel yourself to be in critical condition, you must treat yourself as gently as you would a sick friend.

Our Investments should be consistent with our values. If we value the environment, we should have our money invested in businesses and systems that improve the condition of the environment and add value to nature. If we value health, we should have our money invested in businesses and systems that help people to live healthier lives in some way.

Eating natural foods, in their uncooked condition, when the cells are still alive, will bring an enormous sense of health and vitality to the system.

The spirit is one of the most neglected parts of man by doctors and scientists around the world. Yet, it is as vital to our health as the heart and mind. It's time for science to examine the many facets of the soul. The condition of our soul is usually the source of many sicknesses.

You think that the mental anguish you are experiencing is a permanent condition, but for the vast majority of people it is only a temporary state. (But what if I’m special? What if I’m in the minority?)

The only reason I am inside the Palace of Illusions is that I am afraid of being declared insane. I know it is all fake. I know everyone is conspiring against me (everyone in this simulation). And I still can’t get out. It’s like a man speeding his bike towards the edge. He knows his future. Yet he can’t make a turn, for he has a stunt to perform for others to watch. This condition is subdued insanity. When you know you are not sane, yet have to act like everything is all right with the world you live in. It is insanity deferred. Insanity postponed. Only to haunt you all the time. An undercurrent. Not manifested in totality.

Try to come to a place where you accept your own imperfections. Where it's okay to be less than perfect. Because you are less than perfect; it‟s the human condition. And that's okay!

Isn`t man an amazing animal? He kills wildlife - birds, kangaroos, deer, all kinds of cats, coyotes, beavers, groundhogs, mice, foxes, and dingoes - by the millions in order to protect his domestic animals and their feed. Then he kills domestic animals by the billions and eats them. This in turn kills man by the million, because eating all those animals leads to degenerative - and fatal - health conditions like heart disease, kidney disease, and cancer. So then man tortures and kills millions more animals to look for cures for these diseases. Elsewhere, millions of other human beings are being killed by hunger and malnutrition because food they could eat is being used to fatten domestic animals. Meanwhile, some people are dying of sad laughter at the absurdity of man, who kills so easily and so violently, and once a year sends out a card praying for 'Peace on Earth.

We didn’t evolve to be healthy, but instead we were selected to have as many offspring as possible under diverse, challenging conditions. As a consequence, we never evolved to make rational choices about what to eat or how to exercise in conditions of abundance and comfort.

I do not write this in a spirit of sourness or personal disappointment of any kind, nor do I have any romantic attachment to suffering as a source of insight or virtue. On the contrary, I would like to see more smiles, more laughter, more hugs, more happiness and, better yet, joy. In my own vision of utopia, there is not only more comfort, and security for everyone — better jobs, health care, and so forth — there are also more parties, festivities, and opportunities for dancing in the streets. Once our basic material needs are met — in my utopia, anyway — life becomes a perpetual celebration in which everyone has a talent to contribute. But we cannot levitate ourselves into that blessed condition by wishing it. We need to brace ourselves for a struggle against terrifying obstacles, both of our own making and imposed by the natural world. And the first step is to recover from the mass delusion that is positive thinking.

Violet is the most soothing, tranquilizing and cooling color vibration. It encourages the healing of unbalanced mental conditions in people who are overly nervous or high-strung. Foods of the violet vibration are: purple broccoli, beetroot and purple grapes.

During the years of Stalin's reign, the Soviet nation made dramatic gains in literacy, industrial wages, health care, and women's rights. These accomplishments usually go unmentioned when the Stalinist era is discussed. To say that "socialism doesn't work" is to overlook the fact that it did. In Eastern Europe, Russia, China, Mongolia, North Korea, and Cuba, revolutionary communism created a life for the mass of people that was far better than the wretched existence they had endured under feudal lords, military bosses, foreign colonizers, and Western capitalists. The end result was a dramatic improvement in living conditions for hundreds of millions of people on a scale never before or since witnessed in history.

It’s never too late to start eating well. A good diet can reverse many of those conditions as well. In short: change the way you eat and you can transform your health for the better.

One student asks: Why should I live? Steven Pinker answers: In the very act of asking that question, you are seeking reasons for your convictions, and so you are committed to reason as the means to discover and justify what is important to you. And there are so many reasons to live! As a sentient being, you have the potential to flourish. You can refine your faculty of reason itself by learning and debating. You can seek explanations of the natural world through science, and insight into the human condition through the arts and humanities. You can make the most of your capacity for pleasure and satisfaction, which allowed your ancestors to thrive and thereby allowed you to exist. You can appreciate the beauty and richness of the natural and cultural world. As the heir to billions of years of life perpetuating itself, you can perpetuate life in turn. You have been endowed with a sense of sympathy—the ability to like, love, respect, help, and show kindness—and you can enjoy the gift of mutual benevolence with friends, family, and colleagues. And because reason tells you that none of this is particular to you, you have the responsibility to provide to others what you expect for yourself. You can foster the welfare of other sentient beings by enhancing life, health, knowledge, freedom, abundance, safety, beauty, and peace. History shows that when we sympathize with others and apply our ingenuity to improving the human condition, we can make progress in doing so, and you can help to continue that progress.

we estimate that more than 50 percent of all children with an ADHD diagnosis actually have a sleep disorder, yet a small fraction know of their sleep condition and its ramifications. A major public health awareness campaign by governments—perhaps without influence from pharmaceutical lobbying groups—is needed on this issue.

Human rights violations are not accidents; they are not random in distribution or effect. Rights violations are, rather, symptoms of deeper pathologies of power and are linked intimately to the social conditions that so often determine who will suffer abuse and who will be shielded from harm

This country is founded on some very noble ideals but also some very big lies. One is that everyone has a fair chance at success. Another is that rich people have to be smart and hardworking or else they would´t be rich. Another is that if you´re not rich, don´t worry about it, because rich people aren´t really happy. I am the white male living proof that all of that is garbage. The vast degree to which my mental health improved once I had the smallest measure of economic security immediately unmasked this shameful fiction to me. Money cannot buy happiness, but it buys the conditions for happiness: time, occasional freedom from constantly worry, a moment of breath to plan for the future, and the ability to be generous.

Our longing for community and purpose is so powerful that it can drive us to join groups, relationships, or systems of belief that, to our diminished or divided self, give the false impression of belonging. But places of false belonging grant us conditional membership, requiring us to cut parts of ourselves off in order to fit in. While false belonging can be useful and instructive for a time, the soul becomes restless when it reaches a glass ceiling, a restriction that prevents us from advancing. We may shrink back from this limitation for a time, but as we grow into our truth, the invisible boundary closes in on us and our devotion to the groupmind weakens. Your rebellion is a sign of health. It is the way of nature to shatter and reconstitute. Anything or anyone who denies your impulse to grow must either be revolutionised or relinquished.

Although both home and mental illness are complex, modern ideas, we have fallen into the habit of using phrases such as "housing the homeless" and "treating the mentally ill" as if we knew what counts as housing a homeless person or what it means to treat mental illness. But we do not. We have deceived ourselves that having a home and being mentally healthy are our natural conditions, and that we become homeless or mentally ill as a result of "losing" our homes or our minds. The opposite is the case. We are born without a home and without reason, and have to exert ourselves and are fortunate if we succeed in building a secure home and a sound mind.

Whatever you have received more than others in health, in talents, in ability, in success, in a pleasant childhood, in harmonious conditions of home life, all this you must not take to yourself as a matter of course. You must pay a price for it. You must render in return an unusually great sacrifice of your life for other life.

Of the thousands of patients I have seen, only two or three have ever claimed to be unhappy: all the rest have said that they were depressed. This semantic shift is deeply significant, for it implies that dissatisfaction with life is itself pathological, a medical condition, which it is the responsibility of the doctor to alleviate by medical means. Everyone has a right to health; depression is unhealthy; therefore everyone has a right to be happy (the opposite of being depressed). This idea in turn implies that one’s state of mind, or one’s mood, is or should be independent of the way that one lives one’s life, a belief that must deprive human existence of all meaning, radically disconnecting reward from conduct. A ridiculous pas de deux between doctor and patient ensues: the patient pretends to be ill, and the doctor pretends to cure him. In the process, the patient is wilfully blinded to the conduct that inevitably causes his misery in the first place.

Never allow yourself to dwell on your weaknesses, your failures, your unhappy condition. Hold firmly the ideal of your efficiency, your competency, your divinity, the conviction that you were made for health, success, and happiness, and struggle vigorously to attain that which will help you to realize this condition.

I left for home later dispirited by the thought that my life was infinitely preferable to almost every other human who had ever lived on this planet. I lived in a country where most individuals were free to shape any life for themselves without state intimidation or improper imprisonment; in a time when most of the travesties of human interaction caused by ignorance had been removed. I had adequate money and my health was generally good. I worked at something I loved and if the working conditions ever became unbearable I was able to move without fear of destitution. I had enough or even an excess of food from all continents, all climates. And I was still a miserable bastard.

One quarter of Medicare beneficiaries have five or more chronic conditions, sees an average of 13 physicians each year, and fills 50 prescriptions per year.

...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.

...A person who is headstrong enough to open their eyes and their heart to the full depth and weight of the world is inviting in everything out there - both evil and good, both dark and light, and the sheer bravery of that openness enables them to gain profound insight into the human condition. It also fucks them up. It may even make them more prone to stick their head in an oven than to engage in self-promotional chitchat on Jay Leno.

Under normal conditions people react to a threat with a temporary increase in their stress hormones. As soon as the threat is over, the hormones dissipate and the body returns to normal. The stress hormones of traumatized people, in contrast, take much longer to return to baseline and spike quickly and disproportionately in response to mildly stressful stimuli. The insidious effects of constantly elevated stress hormones include memory and attention problems, irritability, and sleep disorders. They also contribute to many long-term health issues, depending on which body system is most vulnerable in a particular individual.

we’re addicted to our beliefs; we’re addicted to the emotions of our past. We see our beliefs as truths, not ideas that we can change. If we have very strong beliefs about something, evidence to the contrary could be sitting right in front of us, but we may not see it because what we perceive is entirely different. We’ve in fact conditioned ourselves to believe all sorts of things that aren’t necessarily true—and many of these things are having a negative impact on our health and happiness. Certain cultural beliefs

Apart from stemming consumption, the most intractable puzzle that Paul Ehrlich has encountered is why health decisions about Mother Nature—the mother that gives us life and breath—are made by politicians, not by scientists who know how critical her condition is. “It’s the immoral equivalent of insurance company accountants making decisions about our personal health.” Even

Is it a war we are fighting, a war against health, against life and love? My condition is a torn condition. Every day, the dispensing of existence. I see the face of suffering. Its face is fierce and distant and ancient. There's probably a straightforward explanation for the impossible weariness I feel. A perfectly straightforward explanation. It is a mortal weariness. Maybe I'm tired of being human, if human is what I am. I'm tired of being human.

Our greatest happiness does not depend on the condition of life in which chance has placed us, but is always the result of a good conscience, good health, occupation, and freedom in all just pursuits.

Manipulating or controlling others through the use of one's illness or suffering,for example,was-and remains-extremely effective for people who find they cannot be direct in their interactions,Who argues with someone who is in pain? And if pain is the only power a person has,health is not an attractive replacement. It was apparent to me that becoming healthy represented more than just getting over an illness. Health represented a complex progression into a state of personal empowerment in which one had to move from a condition of vulnerability to one of invincibility,from victim to victor,from silent bystander to aggressive defender of personal boundaries.Completing this race to the finish was a yeoman's task if ever there was one.Indeed,in opening the psyche and soul to the healing process,we had expanded the journey of wellness into one of personal transformation." -

Well...ignorance is an evil," said Joe. "Not when it can be acknowledged and accepted," said Hagbard. "In order to eat, you have to be hungry. In order to learn, you have to be ignorant.Ignorance is a condition of learning. Pain is a condition of health. Passion is a condition of thought. Death is a condition of life...

Racism is both overt and covert. It takes two, closely related forms: individual whites acting against individual blacks, and acts by the total white community against the black community. We call these individual racism and institutional racism. The first consists of overt acts by individuals, which cause death, injury or the violent destruction of property. This type can be recorded by television cameras; it can frequently be observed in the process of commission. The second type is less overt, far more subtle, less identifiable in terms of specific individuals committing the acts. But it is no less destructive of human life. The second type originates in the operation of established and respected forces in the society, and thus receives far less public condemnation than the first type. When white terrorists bomb a black church and kill five black children, that is an act of individual racism, widely deplored by most segments of the society. But when in that same city - Birmingham, Alabama - five hundred black babies die each year because of the lack of proper food, shelter and medical facilities, and thousands more are destroyed and maimed physically, emotionally and intellectually because of conditions of poverty and discrimination in the black community, that is a function of institutional racism. When a black family moves into a home in a white neighborhood and is stoned, burned or routed out, they are victims of an overt act of individual racism which many people will condemn - at least in words. But it is institutional racism that keeps black people locked in dilapidated slum tenements, subject to the daily prey of exploitative slumlords, merchants, loan sharks and discriminatory real estate agents. The society either pretends it does not know of this latter situation, or is in fact incapable of doing anything meaningful about it.

What bothers me is that health professionals give fancy names to conditions or learning difficulties that will irritate the patients; like OCD not being in alphabetical order, putting an ‘S’ in ‘lisp,’ and making dyslexia a word that no one can spell. It’s just mean.” Harper

That it is at least as difficult to stay a moral infection as a physical one; that such a disease will spread with the malignity and rapidity of the Plague; that the contagion, when it has once made head, will spare no pursuit or condition, but will lay hold on people in the soundest health, and become developed in the most unlikely constitutions; is a fact as firmly established by experience

This was the Mecca of the American Dream, the world that everyone wanted. A world of sleek young women (allied with Slenderella to be so) in shorts and halters, driving 400-horsepower station wagons to air-conditioned, music-serenaded supermarkets of baby-sitter corporations and culture condensed into Great Books discussion groups. A life of barbecues by the swimming pool and drive in movies open all year. It did't appeal to me. Fuck health insurance plans and life insurance. They wanted to live without leaving the womb. It made me more alive to play a game without rules against society, and I was prepared to play it to the end. A tremor almost sexual passed through me as I anticipated the comming robbery.

Antidemocracy, executive predominance, and elite rule are basic elements of inverted totalitarianism. Antidemocracy does not take the form of overt attacks upon the idea of government by the people. Instead, politically it means encouraging what I have earlier dubbed “civic demobilization,” conditioning an electorate to being aroused for a brief spell, controlling its attention span, and then encouraging distraction or apathy. The intense pace of work and the extended working day, combined with job insecurity, is a formula for political demobilization, for privatizing the citizenry. It works indirectly. Citizens are encouraged to distrust their government and politicians; to concentrate upon their own interests; to begrudge their taxes; and to exchange active involvement for symbolic gratifications of patriotism, collective self-righteousness, and military prowess. Above all, depoliticization is promoted through society’s being enveloped in an atmosphere of collective fear and of individual powerlessness: fear of terrorists, loss of jobs, the uncertainties of pension plans, soaring health costs, and rising educational expenses.

Using the combined, integrated force of the mind and body is more efficient than using one without the other. Since the body can only exist in the present, that’s where the mind should be too (unless we deliberately choose to contemplate the past or future). At the same time, the body needs to be healthy and in optimum operating condition so that it can respond effectively to the mind’s directives.

What really does work to increase the feeling of having a home and its comforts is housekeeping. Housekeeping creates cleanliness, order, regularity, beauty, the conditions for health and safety, and a good place to do and feel all the things you wish and need to do and feel in your home. Whether you live alone or with a spouse, parents, and ten children, it is your housekeeping that makes your home alive, that turns it into a small society in its own right, a vital place with its own ways and rhythms, the place where you can be more yourself than you can be anywhere else.

Let me outline briefly as I can what seem to me the characteristics of these opposite kinds of mind. I conceive a strip-miner to be a model exploiter, and as a model nurturer I take the old-fashioned idea or ideal of a farmer. The exploiter is a specialist, an expert; the nurturer is not. The standard of the exploiter is efficiency; the standard of the nurturer is care. The exploiter's goal is money, profit; the nurturer's goal is health -- his land's health, his own, his family's, his community's, his country's. Whereas the exploiter asks of a piece of land only how much and how quickly it can be made to produce, the nurturer asks a question that is much more complex and difficult: What is its carrying capacity? (That is: How much can be taken from it without diminishing it? What can it produce dependably for an indefinite time?) The exploiter wishes to earn as much as possible by as little work as possible; the nurturer expects, certainly, to have a decent living from his work, but his characteristic wish is to work as well as possible. The competence of the exploiter is in organization; that of the nurturer is in order -- a human order, that is, that accommodates itself both to other order and to mystery. The exploiter typically serves an institution or organization; the nurturer serves land, household, community, place. The exploiter thinks in terms of numbers, quantities, "hard facts"; the nurturer in terms of character, condition, quality, kind.

If it was cancer or a heart condition that had killed Charlotte, people might have related to me better, because many people have lost someone to one of those illnesses. But when it’s an invisible problem like mental health or suicide, people aren’t sure how to talk about it. They’d rather say nothing than end up saying something insensitive, stupid or becoming tongue-tied. It made for a lonelier life for me, though.

The 40-hour work week, long considered the gold standard, has quietly and insidiously stretched into 50 to 60 hours. Despite this accepted practice, social commentators and the average person agree that functioning at such a pace can't possibly be good for one's mental or physical health. /So I ask you: if the expanded work-week isn't healthy for someone in good physical condition, how can it possibly be acceptable for someone with a chronic illness? Quite simply, it's not.

The family which takes its mauve an cerise, air-conditioned, power-steered and power-braked automobile out for a tour passes through cities that are badly paved, made hideous by litter, lighted buildings, billboards and posts for wires that should long since have been put underground. They pass on into countryside that has been rendered largely invisible by commercial art. (The goods which the latter advertise have an absolute priority in our value system. Such aesthetic considerations as a view of the countryside accordingly come second. On such matters we are consistent.) They picnic on exquisitely packaged food from a portable icebox by a polluted stream and go on to spend the night at a park which is a menace to public health and morals. Just before dozing off on an air mattress, beneath a nylon tent, amid the stench of decaying refuse, they may reflect vaguely on the curious unevenness of their blessings. Is this, indeed, the American genius?

If ignorance about the nature of pain is widespread, ignorance about the way pain-killing drugs is even more so. What is not generally understood is that many of the vaunted pain-killing drugs conceal the pain without correcting the underlying condition. They deaden the mechanism in the body that alerts the brain to the fact that something may be wrong. The body can pay a high price for suppression of pain without regard to its basic cause.

Farmer points to what he calls "structural violence," which influences "the nature and distribution of extreme suffering." The book is, as he explains, "a physician-anthropologist's effort to reveal the ways in which the most basic right-the right to survive-is trampled in an age of great affluence." He argues: "Human rights violations are not accidents; they are not random in distribution or effect. Rights violations are, rather, symptoms of deeper pathologies of power and are linked intimately to the social conditions that so often determine who will suffer abuse and who will be shielded from harm.

Our body’s evolutionary journey is also far from over. Natural selection didn’t stop when farming started but instead has continued and continues to adapt populations to changing diets, germs, and environments. Yet the rate and power of cultural evolution has vastly outpaced the rate and power of natural selection, and the bodies we inherited are still adapted to a significant extent to the various and diverse environmental conditions in which we evolved over millions of years. The end product of all that evolution is that we are big-brained, moderately fat bipeds who reproduce relatively rapidly but take a long time to mature.

Aren’t humans amazing? They kill wildlife – birds, deer, all kinds of cats, coyotes, beavers, groundhogs, mice and foxes by the million in order to protect their domestic animals and their feed. Then they kill domestic animals by the billion and eat them. This in turn kills people by the million, because eating all those animals leads to degenerative – and fatal – health conditions like heart disease, stroke, kidney disease, and cancer. So then humans spend billions of dollars torturing and killing millions more animals to look for cures for these diseases. Elsewhere, millions of other human beings are being killed by hunger and malnutrition because food they could eat is being used to fatten domestic animals. Meanwhile, few people recognize the absurdity of humans, who kill so easily and violently, and once a year send out cards praying for “Peace on Earth.” ~Revised Preface to Old MacDonald’s Factory Farm

Too often, poverty and deprivation get covered as events. That is, when some disaster strikes, when people die. Yet, poverty is about much more than starvation deaths or near famine conditions. It is the sum total of a multiplicity of factors. The weightage of some of these varies from region to region, society to society, culture to culture. But at the core is a fairly compact number of factors. They include not just income and calorie intake. Land, health, education, literacy, infant mortality rates and life expectancy are also some of them. Debt, assets, irrigation, drinking water, sanitation and jobs count too. You can have the mandatory 2,400 or 2,100 calories a day and yet be very poor. India’s problems differ from those of a Somalia or Ethiopia in crisis. Hunger—again just one aspect of poverty—is far more complex here. It is more low level, less visible and does not make for the dramatic television footage that a Somalia and Ethiopia do. That makes covering the process more challenging—and more important. Many who do not starve receive very inadequate nutrition. Children getting less food than they need can look quite normal. Yet poor nutrition can impair both mental and physical growth and they can suffer its debilitating impact all their lives. A person lacking minimal access to health at critical moments can face destruction almost as surely as one in hunger.

A man who under the influence of mental pain or unbearably oppressive suffering sends a bullet through his own head is called a suicide; but for those who give freedom to their pitiful, soul-debasing passions in the holy days of spring and youth there is no name in man's vocabulary. After the bullet follows the peace of the grave: ruined youth is followed by years of grief and painful recollections. He who has profaned his spring will understand the present condition of my soul. I am not yet old, or grey, but I no longer live. Psychiaters tell us that a solider, who was wounded at Waterloo, went mad, and afterwards assured everybody - and believed it himself - that he had died at Waterloo, and that what was now considered to be him was only his shadow, a reflection of the past. I am now experiencing something resembling this semi-death..

Although a male physician could quite easily, and convincingly, assert that ovarian cancer was “silent,” if you were to really listen to women who have had ovarian cancer speak, you’d find that it wasn’t so much that the disease process was silent—but that they were. Conditions that seem to lurk unnoticed in a woman’s body go unnoticed by others because, for one thing, they are an assumed part of womanhood, and, for another, women are taught to keep those pains private. I’ve often found it curious that when a woman is suffering, her competence is questioned, but when a man is suffering, he’s humanized. It’s a gender stereotype that hurts both men and women, though it lends itself to the question of why there is a proclivity in health care, and in society, to deny female pain.

Spiritual depression presents itself in much the same way as clinical depression—but not quite. The marks of distinction are crucial, yet hard for the untrained to recognize. They make the difference between interpreting the source of depression as a problem that may require medication or as a process of transformation that is best served by reflection, discussion of the stages of the dark night, and understanding the nature of mystical prayer. I have met many people who have been treated for depression and other conditions when they were, in fact, in the deep stages of a spiritual crisis. Without the proper support, that crisis becomes misdirected into a problem with relationships, a problem with one’s childhood, or a chronic malaise. Spiritual crises are now a very real part of our spectrum of health challenges and we need to acknowledge them with the same authority as we do clinical depression.

In my view, it is an error to think about 'alternatives to prison' if what we mean by that is 'electronic bracelets,' through which people are subject to computer-monitored house arrest, or granting fuller surveillance and disciplinary powers and technologies to other state agencies, such as welfare and mental health, through 'transcarceration' policies...We need to decrease, not increase, the means by which the state, in its multifarious networks of authority, controls human lives and selectively incapacitates people who, no less than others, have the potential to contribute to the improvement of hte human condition.

Not wanting the girls to endure the shame of a crazy mother, I spent my days acting as normal as possible. I walked through life, an actor in a Leave it to Beaver episode, determined to disguise all clues of my real condition until... well, until I could find an appropriate moment to do away with myself." [...] "Yet even as my depression spiraled into ever more precarious territory, I retained an uncanny ability to disguise my true mental condition from everyone except Tom. He was my sole source of strength and he never stopped encouraging me.

Involved. At least that was the right word, Alsana reflected, as she liftes her foot off the pedal, and let the wheel spin a few times alone before coming to a squeaky halt. Sometimes, here in England, especially at bus-stops and on the daytime soaps, you heard people say “We’re involved with each other,” as if this were a most wonderful state to be in, as if one chose it and enjoyed it. Alsana never thought of it that way. Involved happened over a long period of time, pulling you in like quicksand. Involved is what befell the moon-faced Alsana Begum and the handsome Samad Miah one week after they’d been pushed into a Delhi breakfast room together and informed they were to marry. Involved was the result when Clara Bowden met Archie Jones at the bottom of some stairs. Involved swallowed up a girl called Ambrosia and a boy called Charlie (yes, Clara had told her that sorry tale) the second they kissed in the larder of a guest house. Involved is neither good, nor bad. It is just a consequence of living, a consequence of occupation and immigration, of empires and expansion, of living in each other’s pockets… one becomes involved and it is a long trek back to being uninvolved. And the woman was right, one didn’t do it for one’s health. Nothing this late in the century was done with health in mind. Alsana was no dummy when it came to the Modern Condition. She watched the talk shows, all day long she watched the talk shows — My wife slept with my brother, My mother won’t stay out of my boyfriend’s life — and the microphone holder, whether it be Tanned Man with White Teeth or Scary Married Couple, always asked the same damn silly question: But why do you feel the need…? Wrong! Alsana had to explain it to them through the screen. You blockhead; they are not wanting this, they are not willing it — they are just involved, see? They walk IN and they get trapped between the revolving doors of those two v’s. Involved. Just a tired inevitable fact. Something in the way Joyce said it, involved — wearied, slightly acid — suggested to Alsana that the word meant the same thing to hear. An enormous web you spin to catch yourself.

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

He admitted but four elementary principles, or more strictly, conditions of bliss. That which he considered chief was (strange to say!) the simple and purely physical one of free exercise in the open air. "The health," he said, "attainable by other means is scarcely worth the name." He instanced the ecstasies of the fox hunter, and pointed to the tillers of the earth, the only people who, as a class, can be fairly considered happier than others. His second condition was love of woman. His third, and most difficult of realization, was the contempt of ambition. His fourth was an object of unceasing pursuit; and he held that, other things being equal, the extent of attainable happiness was in proportion to the spirituality of this object.

Part of the apparently conventional nature of our relationships is the threat of separation and death. This body dies. That body dies. We can rejuvenate, feel better, live longer, but, even so, in this world everybody dies. That is why we do spiritual practice, because we are conscious of the destiny of our separation. We are willing to fulfill the law of love, but on the other hand what we love dies. That is why this is one of the realms of suffering. This world is not a heaven. This is not a place of fulfillment. Thus, we must yield to the true Condition. We must not become dependent upon the conventional aspect of our relations. We must recognize our relations. We must identify with the Condition of the loved one. You must become established in the real Condition, or you will never be satisfied. You will be driven to all kinds of preoccupations and great schemes, trying to become victorious or immortal, for immortality's own sake, simply because you cannot deal with the fact of death. But death is an absolute message in this realm. It obligates us to recognize or identify one another in Truth, and we are not relieved of that obligation in this place.

Illness in this society, physical or mental, they are not abnormalities. They are normal responses to an abnormal culture. This culture is abnormal when it comes to real human needs. And.. it is in the nature of the system to be abnormal, because if we had a society geared to meet human needs.. would we be destroying the Earth through climate change? Would we be putting extra burden on certain minority people? Would we be selling people a lot of goods that they don't need, and, in fact, are harmful for them? Would there be mass industries based on manufacturing, designing and mass-marketing toxic food to people? So we do all that for the sake of profit. That's insanity. It is not insanity from the point of view of profit, but it is insanity from the point of view of human need. And so, in so many ways this culture denies and even runs against counter to human needs. When you mentioned trauma.. given how important trauma is in human life and what an impact it has.. why have we ignored it for so long? Because that denial of reality is built in into this system. It keeps the system alive. So it is not a mistake, it is a design issue. Not that anybody consciously designed it, but that's just how the system survives. Now.. the average medical student to THIS DAY (I say the average.. there are exceptions) still doesn't get a single lecture on trauma in 4 years of medical school. They should have a whole course on it, Because I can tell you that trauma is related to addiction, all kinds of mental illness and most physical health conditions as well. And there is a whole lot of science behind that, but they don't study that science. Now that reflects this society's denial of trauma, the medical system simply reflects the needs of the larger society, I should say, the dominant needs of the larger society.

We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self. At this point in time there are people who question the validity of the DID diagnosis. The fact is that DID has its own category in the Diagnostic and Statistical Manual of Mental Disorders because, as with all psychiatric conditions, a portion of society experiences a cluster of recognizable symptoms that are not better accounted for by any other diagnosis.

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.

I have asked them to pay attention to what they have just said. In particular to their use of the phrase “mental illness”. While it is true, i continued, that people in deprived situations are likely to suffer a great deal more than those who are more affluent, on what grounds are we correct to use medical language to describe that suffering? Do we use it because we have simply been taught to use it or because we have objective that it is somehow better to medicalise such suffering than it is to view it as many social scientists might as non-medical, non-pathological yet understandable human response to harmful social, relational, political and environmental conditions?

Having DID is, for many people, a very lonely thing. If this book reaches some people whose experiences resonate with mine and gives them a sense that they aren't alone, that there is hope, then I will have achieved one of my goals. A sad fact is that people with DID spend an average of almost seven years in the mental health system before being properly diagnosed and receiving the specific help they need. During that repeatedly misdiagnosed and incorrectly treated, simply because clinicians fail to recognize the symptoms. If this book provides practicing and future clinicians certain insight into DID, then I will have accomplished another goal. Clinicians, and all others whose lives are touched by DID, need to grasp the fundamentally illusive nature of memory, because memory, or the lack of it, is an integral component of this condition. Our minds are stock pots which are continuously fed ingredients from many cooks: parents, siblings, relatives, neighbors, teachers, schoolmates, strangers, acquaintances, radio, television, movies, and books. These are the fixings of learning and memory, which are stirred with a spoon that changes form over time as it is shaped by our experiences. In this incredibly amorphous neurological stew, it is impossible for all memories to be exact. But even as we accept the complex of impressionistic nature of memory, it is equally essential to recognize that people who experience persistent and intrusive memories that disrupt their sense of well-being and ability to function, have some real basis distress, regardless of the degree of clarity or feasibility of their recollections. We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self.

The uncomfortable, as well as the miraculous, fact about the human mind is how it varies from individual to individual. The process of treatment can therefore be long and complicated. Finding the right balance of drugs, whether lithium salts, anti-psychotics, SSRIs or other kinds of treatment can be a very hit or miss heuristic process requiring great patience and classy, caring doctoring. Some patients would rather reject the chemical path and look for ways of using diet, exercise and talk-therapy. For some the condition is so bad that ECT is indicated. One of my best friends regularly goes to a clinic for doses of electroconvulsive therapy, a treatment looked on by many as a kind of horrific torture that isn’t even understood by those who administer it. This friend of mine is just about one of the most intelligent people I have ever met and she says, “I know. It ought to be wrong. But it works. It makes me feel better. I sometimes forget my own name, but it makes me happier. It’s the only thing that works.” For her. Lord knows, I’m not a doctor, and I don’t understand the brain or the mind anything like enough to presume to judge or know better than any other semi-informed individual, but if it works for her…. well then, it works for her. Which is not to say that it will work for you, for me or for others.

Written Exercise #1: Investigating Your Core Complaint Focus on a problem that’s most pressing in your life right now. It might be an issue with your health, your job, your relationship—any issue that disrupts your sense of safety, peace, security, or well-being. What is the deepest issue you want to heal? Maybe it’s a problem that feels overwhelming to you. Maybe it’s a symptom or a feeling you’ve had all your life. What do you want to see shift? Don’t edit yourself. Write down what feels important to you. Write it down as it comes to you. For example, you may carry a fear of something terrible happening to you in the future. It doesn’t matter what comes out; just keep writing. If nothing comes, answer this one question: If the feeling or symptom or condition you have never goes away, what would you be afraid could happen to you? Don’t continue reading until you’ve written down your most pressing concern.

Tom felt that it was time to wake up; this sort of life might be romantic enough, in his blighted condition, but it was getting to have too little sentiment and too much distracting variety about it. So he thought over various plans for relief, and finally hit pon that of professing to be fond of Pain-killer. He asked for it so often that he became a nuisance, and his aunt ended by telling him to help himself and quit bothering her. If it had been Sid, she would have had no misgivings to alloy her delight; but since it was Tom, she watched the bottle clandestinely. She found that the medicine did really diminish, but it did not occur to her that the boy was mending the health of a crack in the sitting-room floor with it. One day Tom was in the act of dosing the crack when his aunt's yellow cat came along, purring, eying the teaspoon avariciously, and begging for a taste. Tom said: "Don't ask for it unless you want it, Peter." But Peter signified that he did want it. "You better make sure." Peter was sure. "Now you've asked for it, and I'll give it to you, because there ain't anything mean about me; but if you find you don't like it, you mustn't blame anybody but your own self." Peter was agreeable. So Tom pried his mouth open and poured down the Pain-killer. Peter sprang a couple of yards in the air, and then delivered a war-whoop and set off round and round the room, banging against furniture, upsetting flower-pots, and making general havoc. Next he rose on his hind feet and pranced around, in a frenzy of enjoyment, with his head over his shoulder and his voice proclaiming his unappeasable happiness. Then he went tearing around the house again spreading chaos and destruction in his path. Aunt Polly entered in time to see him throw a few double summersets, deliver a final mighty hurrah, and sail through the open window, carrying the rest of the flower-pots with him. The old lady stood petrified with astonishment, peering over her glasses; Tom lay on the floor expiring with laughter.

Dr. Margaret Chan, Director-General of the World Health Organization, recently warned that we may be facing a future in which many of our miracle drugs no longer work. She stated, “A post-antibiotic era means, in effect, an end to modern medicine as we know it. Things as common as strep throat or a child’s scratched knee could once again kill.”147 We may soon be past the age of miracles. The director-general’s prescription to avoid this catastrophe included a global call to “restrict the use of antibiotics in food production to therapeutic purposes.” In other words, only use antibiotics in agriculture to treat sick animals. But that isn’t happening. In the United States, meat producers feed millions of pounds of antibiotics each year to farm animals just to promote growth or prevent disease in the often cramped, stressful, and unhygienic conditions of industrial animal agriculture. Yes, physicians overprescribe antibiotics as well, but the FDA estimates that 80 percent of the antimicrobial drugs sold in the United States every year now go to the meat industry.

Many survivors of relational and other forms of early life trauma are deeply troubled and often struggle with feelings of anger, grief, alienation, distrust, confusion, low self-esteem, loneliness, shame, and self-loathing. They seem to be prisoners of their emotions, alternating between being flooded by intense emotional and physiological distress related to the trauma or its consequences and being detached and unable to express or feel any emotion at all - alternations that are the signature posttraumatic pattern. These occur alongside or in conjunction with other common reactions and symptoms (e.g., depression, anxiety, and low self-esteem) and their secondary manifestations. Those with complex trauma histories often have diffuse identity issues and feel like outsiders, different from other people, whom they somehow can't seem to get along with, fit in with, or get close to, even when they try. Moreover, they often feel a sense of personal contamination and that no one understands or can help them. Quite frequently and unfortunately, both they and other people (including the professionals they turn to for help) do misunderstand them, devalue their strengths, or view their survival adaptations through a lens of pathology (e.g., seeing them as "demanding", "overdependent and needy", "aggressive", or as having borderline personality). Yet, despite all, many individuals with these histories display a remarkable capacity for resilience, a sense of morality and empathy for others, spirituality, and perseverance that are highly admirable under the circumstances and that create a strong capacity for survival. Three broad categories of survivorship, with much overlap between them, can be discerned: 1. Those who have successfully overcome their past and whose lives are healthy and satisfying. Often, individuals in this group have had reparative experiences within relationships that helped them to cope successfully. 2. Those whose lives are interrupted by recurring posttraumatic reactions (often in response to life events and experiences) that periodically hijack them and their functioning for various periods of time. 3. Those whose lives are impaired on an ongoing basis and who live in a condition of posttraumatic decline, even to the point of death, due to compromised medical and mental health status or as victims of suicide of community violence, including homicide.

If we put this whole progression in terms of our discussion of the possibilities of heroism, it goes like this: Man breaks through the bounds of merely cultural heroism; he destroys the character lie that had him perform as a hero in the everyday social scheme of things; and by doing so he opens himself up to infinity, to the possibility of cosmic heroism, to the very service of God. His life thereby acquires ultimate value in place of merely social and cultural, historical value. He links his secret inner self, his authentic talent, his deepest feelings of uniqueness, his inner yearning for absolute significance, to the very ground of creation. Out of the ruins of the broken cultural self there remains the mystery of the private, invisible, inner self which yearned for ultimate significance, for cosmic heroism. This invisible mystery at the heart of every creature now attains cosmic significance by affirming its connection with the invisible mystery at the heart of creation. This is the meaning of faith. At the same time it is the meaning of the merger of psychology and religion in Kierkegaard's thought. The truly open person, the one who has shed his character armor, the vital lie of his cultural conditioning, is beyond the help of any mere "science," of any merely social standard of health. He is absolutely alone and trembling on the bring of oblivion-which is at the same time the brink of infinity. To give him the new support that he needs, the "courage to renounce dread without any dread...only faith is capable of," says Kierkegaard. Not that this is an easy out for man, or a cure-all for the human condition-Kierkegaard is never facile. He gives a strikingly beautiful idea: not that [faith] annihilates dread, but remaining ever young, it is continually developing itself out of the death throe of dread. In other words, as long as man is an ambiguous creature he can never banish anxiety; what he can do instead is to use anxiety as an eternal spring for growth into new dimensions of thought and trust. Faith poses a new life task, the adventure in openness to a multi-dimensional reality.

Every negative complex of emotion conceals a conflict, a problem or dilemma made up of contradictory or opposing motives or desires. Self-observation must recover these emotional seeds of the dramatization of life if real control of habits is to occur. Otherwise, mere control of habits will itself become a form of dramatized conflict or warfare with the motives of our lives. Food desires, sex desires, relational desires, desires for experience and acquisition, for rest, for release, for attention, for solitude, for life, for death, the whole pattern of desires must come under the view of consciousness, the aspects of the conflicts must be differentiated, and habits must be controlled to serve well-being or the pleasurable and effective play of Life. This whole process is truly possible only in the midst of the prolonged occasion of spiritual life in practice, since the mere mechanical and analytical attempts at self-liberation and self-healing do not undermine the principal emotion or seat of conflict, which is the intention to identify with a separate self sense and to reject and forget the prior and natural Condition of Unqualified or Divine Consciousness.

I resolutely refuse to believe that the state of Edward's health had anything to do with this, and I don't say this only because I was once later accused of attacking him 'on his deathbed.' He was entirely lucid to the end, and the positions he took were easily recognizable by me as extensions or outgrowths of views he had expressed (and also declined to express) in the past. Alas, it is true that he was closer to the end than anybody knew when the thirtieth anniversary reissue of his Orientalism was published, but his long-precarious condition would hardly argue for giving him a lenient review, let alone denying him one altogether, which would have been the only alternatives. In the introduction he wrote for the new edition, he generally declined the opportunity to answer his scholarly critics, and instead gave the recent American arrival in Baghdad as a grand example of 'Orientalism' in action. The looting and destruction of the exhibits in the Iraq National Museum had, he wrote, been a deliberate piece of United States vandalism, perpetrated in order to shear the Iraqi people of their cultural patrimony and demonstrate to them their new servitude. Even at a time when anything at all could be said and believed so long as it was sufficiently and hysterically anti-Bush, this could be described as exceptionally mendacious. So when the Atlantic invited me to review Edward's revised edition, I decided I'd suspect myself more if I declined than if I agreed, and I wrote what I felt I had to. Not long afterward, an Iraqi comrade sent me without comment an article Edward had contributed to a magazine in London that was published by a princeling of the Saudi royal family. In it, Edward quoted some sentences about the Iraq war that he off-handedly described as 'racist.' The sentences in question had been written by me. I felt myself assailed by a reaction that was at once hot-eyed and frigidly cold. He had cited the words without naming their author, and this I briefly thought could be construed as a friendly hesitance. Or as cowardice... I can never quite act the stern role of Mr. Darcy with any conviction, but privately I sometimes resolve that that's 'it' as it were. I didn't say anything to Edward but then, I never said anything to him again, either. I believe that one or two charges simply must retain their face value and not become debauched or devalued. 'Racist' is one such. It is an accusation that must either be made good upon, or fully retracted. I would not have as a friend somebody whom I suspected of that prejudice, and I decided to presume that Edward was honest and serious enough to feel the same way. I feel misery stealing over me again as I set this down: I wrote the best tribute I could manage when he died not long afterward (and there was no strain in that, as I was relieved to find), but I didn't go to, and wasn't invited to, his funeral.

I tell you, because military training is not publicly recognised by the state, you must not make that an excuse for being a whit less careful in attending to it yourself. For you may rest assured that there is no kind of struggle, apart from war, and no undertaking in which you will be worse off by keeping your body in better fettle. "For in everything that men do the body is useful; and in all uses of the body it is of great importance to be in as high a state of physical efficiency as possible. Why, even in the process of thinking, in which the use of the body seems to be reduced to a minimum, it is matter of common knowledge that grave mistakes may often be traced to bad health. "And because the body is in a bad condition, loss of memory, depression, discontent, insanity often assail the mind so violently as to drive whatever knowledge it contains clean out of it. But a sound and healthy body is a strong protection to a man, and at least there is no danger then of such a calamity happening to him through physical weakness: on the contrary, it is likely that his sound condition will serve to produce effects the opposite of those that arise from bad condition. And surely a man of sense would submit to anything to obtain the effects that are the opposite of those mentioned in my list. "Besides, it is a disgrace to grow old through sheer carelessness before seeing what manner of man you may become by developing your bodily strength and beauty to their highest limit. But you cannot see that, if you are careless; for it will not come of its own accord.

Exploring Self-Compassion Through Letter Writing PART ONE Everybody has something about themselves that they don’t like; something that causes them to feel shame, to feel insecure or not “good enough.” It is the human condition to be imperfect, and feelings of failure and inadequacy are part of the experience of living. Try thinking about an issue that tends to make you feel inadequate or bad about yourself (physical appearance, work or relationship issues, etc.). How does this aspect of yourself make you feel inside—scared, sad, depressed, insecure, angry? What emotions come up for you when you think about this aspect of yourself? Please try to be as emotionally honest as possible and to avoid repressing any feelings, while at the same time not being melodramatic. Try to just feel your emotions exactly as they are—no more, no less. PART TWO Now think about an imaginary friend who is unconditionally loving, accepting, kind, and compassionate. Imagine that this friend can see all your strengths and all your weaknesses, including the aspect of yourself you have just been thinking about. Reflect upon what this friend feels toward you, and how you are loved and accepted exactly as you are, with all your very human imperfections. This friend recognizes the limits of human nature and is kind and forgiving toward you. In his/her great wisdom this friend understands your life history and the millions of things that have happened in your life to create you as you are in this moment. Your particular inadequacy is connected to so many things you didn’t necessarily choose: your genes, your family history, life circumstances—things that were outside of your control. Write a letter to yourself from the perspective of this imaginary friend—focusing on the perceived inadequacy you tend to judge yourself for. What would this friend say to you about your “flaw” from the perspective of unlimited compassion? How would this friend convey the deep compassion he/she feels for you, especially for the discomfort you feel when you judge yourself so harshly? What would this friend write in order to remind you that you are only human, that all people have both strengths and weaknesses? And if you think this friend would suggest possible changes you should make, how would these suggestions embody feelings of unconditional understanding and compassion? As you write to yourself from the perspective of this imaginary friend, try to infuse your letter with a strong sense of the person’s acceptance, kindness, caring, and desire for your health and happiness. After writing the letter, put it down for a little while. Then come back and read it again, really letting the words sink in. Feel the compassion as it pours into you, soothing and comforting you like a cool breeze on a hot day. Love, connection, and acceptance are your birthright. To claim them you need only look within yourself.

As a special branch of general philosophy, pathogenesis had never been explored. In my opinion it had never been approached in a strictly scientific fashion--that is to say, objectively, amorally, intellectually. All those who have written on the subject are filled with prejudice. Before searching out and examining the mechanism of causes of disease, they treat of 'disease as such', condemn it as an exceptional and harmful condition, and start out by detailing the thousand and one ways of combating it, disturbing it, destroying it; they define health, for this purpose, as a 'normal' condition that is absolute and immutable. Diseases ARE. We do not make or unmake them at will. We are not their masters. They make us, they form us. They may even have created us. They belong to this state of activity which we call life. They may be its main activity. They are one of the many manifestations of universal matter. They may be the principal manifestation of that matter which we will never be able to study except through the phenomena of relationships and analogies. Diseases are a transitory, intermediary, future state of health. It may be that they are health itself. Coming to a diagnosis is, in a way, casting a physiological horoscope. What convention calls health is, after all, no more than this or that passing aspect of a morbid condition, frozen into an abstraction, a special case already experienced, recognized, defined, finite, extracted and generalized for everybody's use. Just as a word only finds its way into the Dictionary Of The French Academy when it is well worn stripped of the freshness of its popular origin or of the elegance of its poetic value, often more than fifty years after its creation (the last edition of the learned Dictionary is dated 1878), just as the definition given preserves a word, embalms it in its decrepitude, but in a pose which is noble, hypocritical and arbitrary--a pose it never assumed in the days of its vogue, while it was still topical, living and meaningful--so it is that health, recognized as a public Good, is only the sad mimic of some illness which has grown unfashionable, ridiculous and static, a solemnly doddering phenomenon which manages somehow to stand on its feet between the helping hands of its admirers, smiling at them with its false teeth. A commonplace, a physiological cliche, it is a dead thing. And it may be that health is death itself. Epidemics, and even more diseases of the will or collective neuroses, mark off the different epochs of human evolution, just as tellurian cataclysms mark the history of our planet.

Having learnt from experiment and argument that a stone falls downwards, a man indubitably believes this, and always expects the law he has learnt to be fulfilled. But learning just as certainly that his will is subject to laws, he does not and cannot believe it. However often experiment and reasoning may show a man that under the same conditions and with the same character he will do the same thing as before, yet when, under the same conditions and with the same character, he approaches for the thousandth time the action that always ends in the same way, he feels as certainly convinced as before the experiment that he can act as he pleases. Every man, savage or sage, however incontestably reason and experiment may prove to him that it is impossible to imagine two different courses of action in precisely the same conditions, feels that without this irrational conception (which constitutes the essence of freedom) he cannot imagine life. He feels that, however impossible it may be, it is so, for without this conceptions of freedom not only would he be unable to understand life, but he would be unable to live for a single moment. He could not live, because all man's efforts, all his impulses to life, are only efforts to increase freedom. Wealth and poverty, fame and obscurity, power and subordination, strength and weakness, health and disease, culture and ignorance, work and leisure, repletion and hunger, virtue and vice, are only greater or lesser degrees of freedom. A man having no freedom cannot be conceived of except as deprived of life. If the conception of freedom appears to reason a senseless contradiction, like the possibility of performing two actions at one and the same instant of time, or of an effect without a cause, that only proves that consciousness is not subject to reason.

Had she been able to listen to her body, the true Virginia would certainly have spoken up. In order to do so, however, she needed someone to say to her: “Open your eyes! They didn’t protect you when you were in danger of losing your health and your mind, and now they refuse to see what has been done to you. How can you love them so much after all that?” No one offered that kind of support. Nor can anyone stand up to that kind of abuse alone, not even Virginia Woolf. Malcolm Ingram, the noted lecturer in psychological medicine, believed that Woolf’s “mental illness” had nothing to do with her childhood experiences, and her illness was genetically inherited from her family. Here is his opinion as quoted on the Virginia Woolf Web site: As a child she was sexually abused, but the extent and duration is difficult to establish. At worst she may have been sexually harassed and abused from the age of twelve to twenty-one by her [half-]brother George Duckworth, [fourteen] years her senior, and sexually exploited as early as six by her other [half-] brother… It is unlikely that the sexual abuse and her manic-depressive illness are related. However tempting it may be to relate the two, it must be more likely that, whatever her upbringing, her family history and genetic makeup were the determining factors in her mood swings rather than her unhappy childhood [italics added]. More relevant in her childhood experience is the long history of bereavements that punctuated her adolescence and precipitated her first depressions.3 Ingram’s text goes against my own interpretation and ignores a large volume of literature that deals with trauma and the effects of childhood abuse. Here we see how people minimize the importance of information that might cause pain or discomfort—such as childhood abuse—and blame psychiatric disorders on family history instead. Woolf must have felt keen frustration when seemingly intelligent and well-educated people attributed her condition to her mental history, denying the effects of significant childhood experiences. In the eyes of many she remained a woman possessed by “madness.” Nevertheless, the key to her condition lay tantalizingly close to the surface, so easily attainable, and yet neglected. I think that Woolf’s suicide could have been prevented if she had had an enlightened witness with whom she could have shared her feelings about the horrors inflicted on her at such an early age. But there was no one to turn to, and she considered Freud to be the expert on psychic disorders. Here she made a tragic mistake. His writings cast her into a state of severe uncertainty, and she preferred to despair of her own self rather than doubt the great father figure Sigmund Freud, who represented, as did her family, the system of values upheld by society, especially at the time.   UNFORTUNATELY,

There is yet another reason why peer-oriented kids are insatiable. In order to reach the turning point, a child must not only be fulfilled, but this fulfillment must sink in. It has to register somehow in the child's brain that the longing for closeness and connectedness is being met. This registration is not cognitive or even conscious, but deeply emotional. It is emotion that moves the child and shifts the energy from one developmental agenda to another, from attachment to individuation. The problem is that, for fulfillment to sink in, the child must be able to feel deeply and vulnerably — an experience most peer-oriented kids will be defended against. Peer-oriented children cannot permit themselves to feel their vulnerability. It may seem strange that feelings of fulfillment would require openness to feelings of vulnerability. There is no hurt or pain in fulfillment — quite the opposite. Yet there is an underlying emotional logic to this phenomenon. For the child to feel full he must first feel empty, to feel helped the child must first feel in need of help, to feel complete he must have felt incomplete. To experience the joy of reunion one must first experience the ache of loss, to be comforted one must first have felt hurt. Satiation may be a very pleasant experience, but the prerequisite is to be able to feel vulnerability. When a child loses the ability to feel her attachment voids, the child also loses the ability to feel nurtured and fulfilled. One of the first things I check for in my assessment of children is the existence of feelings of missing and loss. It is indicative of emotional health for children to be able to sense what is missing and to know what the emptiness is about. As soon as they are able to articulate, they should be able to say things like “I miss daddy,” “It hurt me that grandma didn't notice me,” “It didn't seem like you were interested in my story,” “I don't think so and so likes me.” Many children today are too defended, too emotionally closed, to experience such vulnerable emotions. Children are affected by what is missing whether they feel it or not, but only when they can feel and know what is missing can they be released from their pursuit of attachment. Parents of such children are not able to take them to the turning point or bring them to a place of rest. If a child becomes defended against vulnerability as a result of peer orientation, he is made insatiable in relation to the parents as well. That is the tragedy of peer orientation — it renders our love and affection so useless and unfulfilling. For children who are insatiable, nothing is ever enough. No matter what one does, how much one tries to make things work, how much attention and approval is given, the turning point is never reached. For parents this is extremely discouraging and exhausting. Nothing is as satisfying to a parent as the sense of being the source of fulfillment for a child. Millions of parents are cheated of such an experience because their children are either looking elsewhere for nurturance or are too defended against vulnerability to be capable of satiation. Insatiability keeps our children stuck in first gear developmentally, stuck in immaturity, unable to transcend basic instincts. They are thwarted from ever finding rest and remain ever dependent on someone or something outside themselves for satisfaction. Neither the discipline imposed by parents nor the love felt by them can cure this condition. The only hope is to bring children back into the attachment fold where they belong and then soften them up to where our love can actually penetrate and nurture.