Health Professionals Quotes

Learn, he says, that there will be hours, days and months ahead of feeling absolutely terrible and nothing can change that; neither new girlfriends, health professionals, changes of diet, dope, humility, or God.

For years mental health professionals taught people that they could be psychologically healthy without social support, that “unless you love yourself, no one else will love you.”…The truth is, you cannot love yourself unless you have been loved and are loved. The capacity to love cannot be built in isolation

We do not have to be mental health professionals to identify the traits of the possible sociopaths among us.

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.

Stigma against mental illness is a scourge with many faces, and the medical community wears a number of those faces.

The ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable. Atrocities, however, refuse to be buried. Equally as powerful as the desire to deny atrocities is the conviction that denial does not work. Folk wisdom is filled with ghosts who refuse to rest in their graves until their stories are told. Murder will out. Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims. The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy. When the truth is finally recognized, survivors can begin their recovery. But far too often secrecy prevails, and the story of the traumatic event surfaces not as a verbal narrative but as a symptom. The psychological distress symptoms of traumatized people simultaneously call attention to the existence of an unspeakable secret and deflect attention from it. This is most apparent in the way traumatized people alternate between feeling numb and reliving the event. The dialectic of trauma gives rise to complicated, sometimes uncanny alterations of consciousness, which George Orwell, one of the committed truth-tellers of our century, called "doublethink," and which mental health professionals, searching for calm, precise language, call "dissociation." It results in protean, dramatic, and often bizarre symptoms of hysteria which Freud recognized a century ago as disguised communications about sexual abuse in childhood. . . .

But that is what these people do - the Steves of this world - they all try and make something out of nothing. and they all do it for themselves.

The problem with medicine and the institutions it has spawned for the care of the sick and the old is not that they have had an incorrect view of what makes life significant. The problem is that they have had almost no view at all. Medicine’s focus is narrow. Medical professionals concentrate on repair of health, not sustenance of the soul. Yet—and this is the painful paradox—we have decided that they should be the ones who largely define how we live in our waning days.

Fat realized that one of two possibilities existed and only two; either Dr. Stone was totally insane – not just insane but totally so – or else in an artful, professional fashion he had gotten Fat to talk; he had drawn Fat out and now knew that Fat was totally insane.

Learn that there will be hours, days and months ahead of feeling absolutely terrible and nothing can change that; neither new girlfriends, health professionals, changes of diet, dope, humility, or God.

I have schizophrenia. I am not schizophrenia. I am not my mental illness. My illness is a part of me.

To any survivor who may be doubting whether what they’ve experienced is truly abuse, remember that emotional, verbal, and psychological abuse will never be, and should never be, considered part of the messy equation of a normal relationship. As both metal health professionals and survivors can attest to, the traumatic highs and lows of being with a narcissist, a sociopath, or a psychopath are not the natural highs and lows of regular relationships. That suggestion is quite damaging to society and to survivors all around the world.

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

[Talking about Monte Rissell] ...and like Ed Kemper he was able to convince the psychiatrist he was making excellent progress while he was actually killing human beings. This is kind of a sick version of the old joke about how many psychiatrists it takes to change a light bulb. The answer being, just one, but only if the light bulb wants to change.

Systems awareness and systems design are important for health professionals, but they are not enough. They are enabling mechanisms only. It is the ethical dimensions of individuals that are essential to a system’s success. Ultimately, the secret of quality is love. You have to love your patient, you have to love your profession, you have to love your God. If you have love, you can then work backward to monitor and improve the system.

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

I realized that every healthcare professional — every single doctor, nurse, midwife, pharmacist, physical therapist, and paramedic — need to shout out about the reality of their work so the next time the health secretary lies that doctors are in it for the money, the public will know just how ridiculous that is. Why would any sane person do that job for anything other than the right reasons, because I wouldn’t wish it on anyone. I have so much respect for those who work on the front line because, when it came down to it, I certainly couldn’t.

There are times we will miss the opportunity to be empathic. Mental health professionals often call these “empathic failures.” There are also times when the people around us will not be able to give us what we need. When this happens on occasion, most of our relationships can survive (and even thrive) if we work to repair the empathic failures. However, most relationships can’t withstand repeated failed attempts at empathy. This is especially true if we find ourselves constantly rationalizing and justifying why we can’t be empathic with someone or why someone is not offering us the empathy we need.

Although, in principle, the psychoanalytical theory of borderlines is not punitive, in practice 'borderline' is almost always used to indicate that the patient is hostile, demanding, unpleasant, manipulative, attention-seeking, and prone to regression and dependency if admitted to hospital; in other words patient is a witch by Malleus Maleficarum criteria. The term 'borderline' functions to rationalize sadistic counter-transference, and to legitimize rejecting triaging decisions within the health-care system. Actually, most of the time, in my experience, the splitting is coming from the staff, not the patient, and it is the mental-health professionals who are using projection and denial. This is an example of 'blaming the victim,' which is a fundamental borderline psychodynamic.

John Briere, quip that if Cptsd were ever given its due, the DSM [The Diagnostic and Statistical Manual of Mental Disorders] used by all mental health professionals would shrink from its dictionary like size to the size of a thin pamphlet.

the new “affirmative-care” standard of mental health professionals is a different matter entirely. It surpasses sympathy and leaps straight to demanding that mental health professionals adopt their patients’ beliefs of being in the “wrong body.” Affirmative therapy compels therapists to endorse a falsehood: not that a teenage girl feels more comfortable presenting as a boy—but that she actually is a boy.

I will not be satisfied with playing doctor! Not like other so-called health professionals who treat their patients with disdain!! Doctors are healers! They shouldn't act like judges or cops! What kind of doctor do you want to be, huh? A healer or a cop?

If the mind fits, shrink it.

Many mental health professionals are drawn to the field in part to resolve their own personal struggles.

Mental health professionals of the 1960s make their 1990s counterparts look like Mozarts trampling upon Salieri’s lesser work.

They cultivated normality till it stood out of them all over in knobs, like the muscles upon professional strong men, and scarcely looked normal at all. And they talked interminably and loudly. From their bouncing mental health ordinary ill-balanced mortals shrank in alarm.

Professionals yammer on about the “mental health crisis” in These Turbulent Times, like, GEE I WONDER if it has anything to do with most people being constantly in a state of desperation to sell their joy to oligarchs forever and ever?

Dear friend…' The Witcher swore quietly, looking at the sharp, angular, even runes drawn with energetic sweeps of the pen, faultlessly reflecting the author’s mood. He felt once again the desire to try to bite his own backside in fury. When he was writing to the sorceress a month ago he had spent two nights in a row contemplating how best to begin. Finally, he had decided on “Dear friend.” Now he had his just deserts. 'Dear friend, your unexpected letter – which I received not quite three years after we last saw each other – has given me much joy. My joy is all the greater as various rumours have been circulating about your sudden and violent death. It is a good thing that you have decided to disclaim them by writing to me; it is a good thing, too, that you are doing so so soon. From your letter it appears that you have lived a peaceful, wonderfully boring life, devoid of all sensation. These days such a life is a real privilege, dear friend, and I am happy that you have managed to achieve it. I was touched by the sudden concern which you deigned to show as to my health, dear friend. I hasten with the news that, yes, I now feel well; the period of indisposition is behind me, I have dealt with the difficulties, the description of which I shall not bore you with. It worries and troubles me very much that the unexpected present you received from Fate brings you worries. Your supposition that this requires professional help is absolutely correct. Although your description of the difficulty – quite understandably – is enigmatic, I am sure I know the Source of the problem. And I agree with your opinion that the help of yet another magician is absolutely necessary. I feel honoured to be the second to whom you turn. What have I done to deserve to be so high on your list? Rest assured, my dear friend; and if you had the intention of supplicating the help of additional magicians, abandon it because there is no need. I leave without delay, and go to the place which you indicated in an oblique yet, to me, understandable way. It goes without saying that I leave in absolute secrecy and with great caution. I will surmise the nature of the trouble on the spot and will do all that is in my power to calm the gushing source. I shall try, in so doing, not to appear any worse than other ladies to whom you have turned, are turning or usually turn with your supplications. I am, after all, your dear friend. Your valuable friendship is too important to me to disappoint you, dear friend. Should you, in the next few years, wish to write to me, do not hesitate for a moment. Your letters invariably give me boundless pleasure. Your friend Yennefer' The letter smelled of lilac and gooseberries. Geralt cursed.

Mental health professionals have said for a long time that individuals cannot adapt well to too many life changes at once. If you suffer a loss in the family, change jobs, and move all within a short time, the chances are your own internal stability may break down, or show signs of serious strain.

Whether we are working to improve our health, wealth, personal achievement, or professional enterprise, the difference between triumphant success or bitter failure lies in the degree of our commitment to seek out, study, and apply those half-dozen things

The factory farm industry (in alliance with the pharmaceutical industry) currently has more power than public-health professionals... We give it to them. We have chosen, unwittingly, to fund this industry on a massive scale by eating factory-farmed animal products (and water sold as animal products) - and we do so daily.

Political prisoners describe: - extreme physical and emotional torture - distortion of language, truth, meaning and reality - sham killings - begin repeatedly taken to the point of death or threatened with death - being forced to witness abusive acts on others - being forced to make impossible "choices" - boundaries smashed i.e. by the use of forced nakedness, shame, embarrassment - hoaxes, 'set ups', testing and tricks - being forced to hurt others Ritual abuse survivors often describe much the same things.

When I hear health professionals suggesting that you shouldn't worry about the balance of calories in versus calories out, but rather eat clean and follow your hunger instincts, well, I really just want to pinch their heads off. That's like a millionaire suggesting that instead of worrying about that's in your bank account, just listen to your shopping instincts and buy high-quality goods . . . weight loss is not magic. To a great extent, it's accounting.

Clutter also adversely affects health. According to a study by scientists at UCLA, being surrounded by too many things increases cortisol levels, a primary stress hormone

Adoption is a lifelong journey. It means different things to me at different times. Sometimes it is just a part of who I am. Other times it is something I am actively going through.

A friend, Scott Egleston, who is a professional in the mental health field, told me a therapy fable. He heard it from someone, who heard it from someone else. It goes: Once upon a time, a woman moved to a cave in the mountains to study with a guru. She wanted, she said, to learn everything there was to know. The guru supplied her with stacks of books and left her alone so she could study. Every morning, the guru returned to the cave to monitor the woman's progress. In his hand, he carried a heavy wooden cane. Each morning, he asked her the same question: " Have you learned everything there is to know yet?" Each morning, her answer was the same. "No." she said, " I haven't." The guru would then strike her over the head with its cane. This scenario repeated itself for months. One day the guru entered the cave, asked the same question, heard the same answer, and raised his cane to hit her in the same way, but the woman grabbed the cane from the guru, stopping his assault in midair. Relieved to end the daily batterings but fearing reprisal, the woman looked up at the guru. To her surprise, the guru smiled. " Congragulations." he said, " you have graduated ". You know now everything you need to know." " How's that"? the woman asked. " You have learned that you will never learn everything there is to know," he replied. " And you have learned how to stop the pain".

Our society assigns us a tiny number of roles: We're producers of one thing at work, consumers of a great many things all the rest of the time, and then, once a year or so, we take on the temporary role of citizen and cast a vote. Virtually all our needs and desires we delegate to specialists of one kind or another - our meals to the food industry, our health to the medical profession, entertainment to Hollywood and the media, mental health to the therapist or the drug company, caring for nature to the environmentalist, political action to the politician, and on and on it goes. Before long it becomes hard to imagine doing much of anything for ourselves - anything, that is, except the work we do "to make a living." For everything else, we feel like we've lost the skills, or that there's someone who can do it better... it seems as though we can no longer imagine anyone but a professional or an institution or a product supplying our daily needs or solving our problems.

What are your three most important business or career goals right now? What are your three most important family or relationship goals right now? What are your three most important financial goals right now? What are your three most important health goals right now? What are your three most important personal and professional development goals right now? What are your three most important social and community goals right now? What are your three biggest problems or concerns in life right now?

Sadly, psychiatric training still includes far too little on the very serious psychiatric sequelae of childhood trauma, especially CSA [child sexual abuse]. There is inadequate recognition within mental health services of the prevalence and importance of Dissociative Disorders, sufferers of which are frequently misdiagnosed as Borderline Personality Disorder (BPD), or, in the cases of DID, schizophrenia. This is to some extent understandable as some of the features of DID appear superficially to mimic those of schizophrenia and/or Borderline Personality Disorder.

A mental illness diagnosis does not automatically sentence you to a bleak and painful life, devoid of pleasure or joy or accomplishment. I also wanted to dispel the myths held by many mental-health professionals themselves—that people with a significant thought disorder cannot live independently, cannot work at challenging jobs, cannot have true friendships, cannot be in meaningful, sexually satisfying love relationships, cannot lead lives of intellectual, spiritual, or emotional richness.

How did we forget these lessons from the past? How did we go from knowing that the best athletes in the ancient Greek Olympics must consume a plant-based diet to fearing that vegetarians don’t get enough protein? How did we get to a place where the healers of our society, our doctors, know little, if anything, about nutrition; where our medical institutions denigrate the subject; where using prescription drugs and going to hospitals is the third leading cause of death? How did we get to a place where advocating a plant-based diet can jeopardize a professional career, where scientists spend more time mastering nature than respecting it? How did we get to a place where the companies that profit from our sickness are the ones telling us how to be healthy; where the companies that profit from our food choices are the ones telling us what to eat; where the public’s hard-earned money is being spent by the government to boost the drug industry’s profits; and where there is more distrust than trust of our government’s policies on foods, drugs and health? How did we get to a place where Americans are so confused about what is healthy that they no longer care?

In some counties, there is an actual named crime of ritual abuse and there too, there have been convictions.

I am the catalyst of change!

Doctors and health care institutions are complicit in the medicalization of poverty that encourages the creation of professional patients.

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

The pressures of the current neoliberal capitalist system of health care and its financing force health professionals into a double bind. Either they spend the time and energy necessary to listen to and fully treat the patient and put their job and clinic in economic jeopardy, or they move at a frenetic pace to keep their practice afloat and only partially attend to the patient in their presence.

Like sex, evolution elicits equally strong opinions from those who study it professionally and those who consider it so wrong and dangerous that they believe the subject shouldn’t be taught to children. Yet,

Information on dissociative disorders, trauma, and mind control had been deliberately suppressed from the American psychiatric and psychological associations for so-called “reasons of national security.” The founder of the APA, Dr. Ewen Cameron, had been caught using CIA mind control methods at the Allen Memorial Institute in Montreal, Canada. The CIA was forced to compensate the victims, yet it took years2. In the meantime, educational institutions for mental health professionals lacked the facts necessary for treating the vast number of victims/survivors who were filling their offices in search of help and understanding.

A MANTRA FOR HOME HEALTH CARE I am my own healer. I have a radiant voice within that guides me. I can make decisions for myself. I can rely on others as needed, but at my discretion. It is my body, my health, my balance, and my responsibility to make right choices for myself. Right choices include working with competent health-care professionals when necessary, allowing friends and family to help as needed, and, above all, being true to my beliefs, with the wisdom and willingness to change as part of the path of healing.

Since emotional regulation is the critical issue in managing the effects of trauma and neglect, it would make an enormous difference if teachers, army sergeants, foster parents, and mental health professionals were thoroughly schooled in emotional-regulation techniques. Right now this still is mainly the domain of preschool and kindergarten teachers, who deal with immature brains and impulsive behavior on a daily basis and who are often very adept at managing them.

This one is OK,' I say quietly. ‘OK, OK, OK. Everything is always just ‘OK’. It’s so boring. Who wants to be ‘OK’? I sit for a moment and think about what she said. It doesn’t take me long to realise that I, quite genuinely, just want to be OK.

You may be a serious writer if …. 10. your hard drive is littered with random notes and story ideas … but not nearly as littered as your head. 9. you keep pen and paper next to your bed. And in the glove compartment. And in your gym bag. Also on the rim of the bathtub. 8. a day without Roget’s Thesaurus is a day without sunshine. 7. your emotional landscape includes creativity, confidence, elation, frustration, and the occasional neurosis. 6. you’ve ever had to clean peanut butter and bread crumbs off your keyboard, because the work was going well, and you didn’t want to stop for lunch. 5. grammar and punctuation turn you on. 4. your interest in a new acquaintance is directly proportionate to his/her potential as a secondary character. 3. you’ve worn the white e, r, s, and t clean off your keyboard. 2. the search history on your web browser would raise red flags with the FBI, CIA, DEA, and mental health professionals everywhere. 1. you have stories to tell, and you just. Keep. Telling. Them.

the higher the psychological safety in a unit, the fewer errors they made. Why? In the units that lacked psychological safety, health care professionals hid their errors, fearing retribution. As a result, they weren’t able to learn from their mistakes. In the units with high psychological safety, on the other hand, reporting errors made it possible to prevent them moving forward.

In a nutshell, the process they [abusers in a ritual abuse group] use on survivors is designed to: break the will and personality of the person until they become as nothing... with no will of their own...no identity...then they... rebuild the person & shape their will in order to...try and make the person one of them...thus gaining power If abusers hold all the power, becoming one of them can, for some, be the only means of survival. However, this doesn't always work, instead survivors often find ways of regaining their own power and fighting back.

In a world where no creatures are truly isolated and diseases spread around as fast as jets can fly, we are all canaries and the entire planet is our coal mine. Any species can be a sentinel of danger—-but only if the widest array of health--care professionals is paying attention.

Ritualised child sexual abuse is about abuse of power, control and secrecy. Ten years ago many people found it difficult to believe that fathers actually raped their children, yet survivors of such abuses spoke out and eventually began to be listened to and believed. Ritual abuse survivors, when they try to speak out about their experiences, face denial and disbelief from society and often fear for their lives from the abusers.

... adults with SM are significantly more likely than the general population to develop other mood- and anxiety-related conditions, most notably depression, generalised anxiety, panic disorder, social anxiety and PTSD. For some, chronic mental health conditions are a factor in their lives. Most indicated that they felt their long-term mental health conditions could have been avoided with appropriate support at the appropriate time in childhood.

This was him, an earnest health-care professional, lovesick and concerned, the sort of foolish heart who had told the policeman that he’d drive right over and did just that, on time. He figured that later, when the pills kicked in, he’d be Romeo, overwhelmed with love and poison, right on stage. The

I have always believed that women hold this world together with their love, passion, inspiration, hard work, vision and willingness to help others. Yet, increased responsibility in both our personal and professional lives – to become “superwomen” – is taking a devastating toll on our health and happiness.

Mr. Wang had found my interest in fen, the Mandarin word for excrement, peculiar. Nonetheless, he tried to be helpful. He would point out when he spotted a truck full of fen looming behind, though its odor preceded it by far. He would alert me when he saw a tiny figure in a roadside field bearing a tank and hose, spraying--by the smell of it--the contents of his toilets on his cabbages. This practice would horrify any public health professional, given the disease-load of feces, but it's what happens to 90 percent of China's excrement, and has been done forever. There are reasons not to eat salads in China, and why the sizzling woks are so sizzling.

Government as we now know it in the USA and other economically advanced countries is so manifestly horrifying, so corrupt, counterproductive, and outright vicious, that one might well wonder how it continues to enjoy so much popular legitimacy and to be perceived so widely as not only tolerable but indispensable. The answer, in overwhelming part, may be reduced to a two-part formula: bribes and bamboozlement (classically "bread and circuses"). Under the former rubric falls the vast array of government "benefits" and goodies of all sorts, from corporate subsidies and privileges to professional grants and contracts to welfare payments and health care for low-income people and other members of the lumpenproletariat. Under the latter rubric fall such measures as the government schools, the government's lapdog news media, and the government's collaboration with the producers of professional sporting events and Hollywood films. Seen as a semi-integrated whole, these measures give current governments a strong hold on the public's allegiance and instill in the masses and the elites alike a deep fear of anything that seriously threatens the status quo.

A man who lives a part, not to others but alone, is exposed to obvious psychological dangers. In itself the practice of deception is not particularly exacting. It is a matter of experience, a professional expertise. It is a facility most of us can acquire. But while a confidence trickster, a play actor or a gambler can return from his performance to the ranks of his admirers, the secret agent enjoys no such relief. For him, deception is first a matter of self defense. He must protect himself not only from without, but from within, and against the most natural of impulses. Though he earn a fortune, his role may forbid him the purchase of a razor. Though he be erudite, it can befall him to mumble nothing but banalities. Though he be an affectionate husband and father, he must within all circumstances without himself from those with whom he should naturally confide. Aware of the overwhelming temptations which assail a man permanently isolated in his deceit, Limas resorted to the course which armed him best. Even when he was alone, he compelled himself to live with the personality he had assumed. It is said that Balzac on his deathbed inquired anxiously after the health and prosperity of characters he had created. Similarly, Limas, without relinquishing the power of invention, identified himself with what he had invented. The qualities he had exhibited to Fiedler: the restless uncertainty, the protective arrogance concealing shame were not approximations, but extensions of qualities he actually possessed. Hence, also, the slight dragging of the feet, the aspect of personal neglect, the indifference to food, and an increasing reliance on alcohol and tobacco. When alone, he remained faithful to these habits. He would even exaggerate them a little, mumbling to himself about the iniquities of his service. Only very rarely, as now, going to bed that evening, did he allow himself the dangerous luxury of admitting the great lie that he lived.

The city (regardless which one it is) does provide a certain degree of sophistication and intellectualism. It offers the challenge of professional matters. It throws new and interesting people in one’s path. There is a dynamic and an energy in cities which is diametric to the life-forces of the forest. Still the cabin is the wellspring, the source, the hub of my existence. It gives me tranquility, a closeness of nature and wildlife, good health and fitness, a sense of security, the opportunity for resourcefulness, reflection and creative thinking…..

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.

Because now mental health disorders have gone “mainstream”. And for all the good it’s brought people like me who have been given therapy and stuff, there’s a lot of bad it’s brought too. Because now people use the phrase OCD to describe minor personality quirks. “Oooh, I like my pens in a line, I’m so OCD.” NO YOU’RE FUCKING NOT. “Oh my God, I was so nervous about that presentation, I literally had a panic attack.” NO YOU FUCKING DIDN’T. “I’m so hormonal today. I just feel totally bipolar.” SHUT UP, YOU IGNORANT BUMFACE. Told you I got angry. These words – words like OCD and bipolar – are not words to use lightly. And yet now they’re everywhere. There are TV programmes that actually pun on them. People smile and use them, proud of themselves for learning them, like they should get a sticker or something. Not realizing that if those words are said to you by a medical health professional, as a diagnosis of something you’ll probably have for ever, they’re words you don’t appreciate being misused every single day by someone who likes to keep their house quite clean. People actually die of bipolar, you know? They jump in front of trains and tip down bottles of paracetamol and leave letters behind to their devastated families because their bullying brains just won’t let them be for five minutes and they can’t bear to live with that any more. People also die of cancer. You don’t hear people going around saying: “Oh my God, my headache is so, like, tumoury today.” Yet it’s apparently okay to make light of the language of people’s internal hell

Sexual health is as achievable and reasonable a goal for patients in palliative care and hospice care as pain relief, but few hospice and palliative care professionals include sexual health within their assessment and plan of care. Given that sexuality is a central aspect of being human, sexual health should be part of the assessment and plan for every patient receiving palliative care and hospice care.

These US doctors are trained to cut you and write prescriptions. That is all. They don't know a thing about healing you. They treat symptoms, not causes. Like other professionals, they're working to buy their homes and send their kids to Harvard. That doesn't mean they don't care about your wellness, or that they're not good at diagnosing, and some of their treatments are excellent and should be followed. But before you let anyone go sticking a knife or needle in you, you've got to investigate. You've got to be sure you know what's happening with your body. You've got to advocate for yourself and your loved ones.

Within the mental-health system in North America, the borderline victim of severe childhood trauma is usually blamed for her behaviour, which is regarded as having no legitimate basis and being self-indulgent; her trauma history is ignored and not talked about; and she is given as little treatment and follow-up as possible. At St Boniface Hospital in Winnipeg, many staff members expressed the opinion, in my presence, that borderlines and multiple personality disorder patients did not have a legitimate right to in-patient treatment, and the out-patient department would not accept patients with either diagnosis. (1995)

I don't think this is a good idea. We all live on one planet so we cannot segregate the genders. If the Holy Mosque in Makkah, which is the holiest place on earth, does not segregate women, then why would the Ministry of Health want to segregate them?” She also went on to object to the selection of a physician based only on gender and not competence, expressing her disdain as follows: “I prefer doctors who are professional in studying my situation and solving my problem, regardless of whether they are male or female. I cannot imagine a men's hospital without female nurses and doctors, and I also cannot imagine women's hospitals without men playing a role in them.

We are healthy, we think, if we do not feel any pain or too much pain, and if we are strong enough to do our work. If we become unhealthy, then we go to a doctor who we hope will “cure” us and restore us to health. By health, in other words, we mean merely the absence of disease. Our health professionals are interested almost exclusively in preventing disease (mainly by destroying germs) and in curing disease (mainly by surgery and by destroying germs). But the concept of health is rooted in the concept of wholeness. To be healthy is to be whole. The word health belongs to a family of words, a listing of which will suggest how far the consideration of health must carry us: heal, whole, wholesome, hale, hallow, holy. And so it is possible to give a definition to health that is positive and far more elaborate than that given to it by most medical doctors and the officers of public health.

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

There needs to be a nationwide awareness programme for all NHS staff, to educate them about dissociative disorders. Diagnoses need to be more obtainable within the NHS; people's lives should be placed ahead of funding restraints and bureaucratic red tape. We need minimum standards of care and treatment agreed and implemented within the NHS to end the current nightmare of the postcode lottery—not just guidelines that can be ignored but actual regulations.

I began looking for these four: Smart. It doesn’t mean high IQ (although that’s great), it means disposed toward learning. If there’s a best practice anywhere, adopt it. We want to turn as much as possible into a routine so we can focus on the few things that require human intelligence and creativity. A good interview question for this is: “Tell me about the last significant thing you learned about how to do your job better.” Or you might ask a candidate: “What’s something that you’ve automated? What’s a process you’ve had to tear down at a company?” Humble. I don’t mean meek or unambitious, I mean being humble in the way that Steph Curry is humble. If you’re humble, people want you to succeed. If you’re selfish, they want you to fail. It also gives you the capacity for self-awareness, so you can actually learn and be smart. Humility is foundational like that. It is also essential for the kind of collaboration we want at Slack. Hardworking. It does not mean long hours. You can go home and take care of your family, but when you’re here, you’re disciplined, professional, and focused. You should also be competitive, determined, resourceful, resilient, and gritty. Take this job as an opportunity to do the best work of your life. Collaborative. It’s not submissive, not deferential—in fact it’s kind of the opposite. In our culture, being collaborative means providing leadership from everywhere. I’m taking responsibility for the health of this meeting. If there’s a lack of trust, I’m going to address that. If the goals are unclear, I’m going to deal with that. We’re all interested in getting better and everyone should take responsibility for that. If everyone’s collaborative in that sense, the responsibility for team performance is shared. Collaborative people know that success is limited by the worst performers, so they are either going to elevate them or have a serious conversation. This one is easy to corroborate with references, and in an interview you can ask, “Tell me about a situation in your last company where something was substandard and you helped to fix it.

My other client, whom I will call Teresa, thought Lorraine had MPD and hoped I could help her. Almost no one recognized this condition in those days. Lorraine was forty years old and had been in and out of psychiatric hospitals since she was thirteen. She had had various diagnoses, mainly severe depression, and she had made quite a few serious suicide attempts before I even met her. She had been given many courses of electric shock therapy, which would confuse her so much that she could not get together a coherent suicide plan for quite a while. Lorraine’s psychiatrist was initially opposed to my seeing her, as her friend Teresa had been stigmatized with the "borderline personality disorder" diagnosis when in hospital, so was seen as a bad influence on her. But after Lorraine spent a couple of months in hospital calling herself Susie and acting consistently like a child, he was humble enough to acknowledge that perhaps he could learn some new things, and someone else’s help might be a good idea.

Even if your inner voice is friendlier, the dialogues you have with yourself often have to do with what’s weighing on you—things like relationship problems, professional disappointments, health concerns, and the like. Human beings are by nature problem solvers, so in quiet moments, this is where our minds go. Our fixation on what needs to be fixed is why some people can’t abide downtime and always have to have something to do so they won’t think about what’s wrong. However, trying to suppress your inner voice only gives it more power. It gets louder and more insistent, which makes some people get even busier and overscheduled to drown it out. It never works, though. Your inner voice is always there and, if it can’t get your attention during the day, it will roust you at 4:00 a.m. Hello! Remember me?

the ones who long to live in alignment with their own Inner Pilot Lights start flocking to you. Your changing vibration attracts your true soul community to you. And as a sort of thank-you for aligning with your true self, the Universe often draws into your life more and more true joy, unconditional love, professional vitality, physical health, and a sense of connection with the Divine. You may lose some, or much, of what makes up your comfort zone. But what you’ll gain when you commit to this journey is priceless. The prize for your commitment is FREEDOM.

Men as Victims: Challenging Cultural Myths Judith Herman’s recent treatise on “complex PTSD" (Herman, 1992) is an extremely articulate and compelling analysis of some of the failings of the current PTSD diagnosis, and of some of the psychological legacies of prolonged, repeated trauma. However, there was one aspect of the article which concerned me and which I wish to address. Throughout the article, "Complex PTSD: A Syndrome in Survivors of Prolonged and Repeated Trauma," whenever reference is made by pronoun to perpetrators or "captors," the pronoun "he" or "him' is used. There are four such references. Whenever reference is made by pronoun to victims or survivors, the pronoun "her" or "she" is used. There are 11 such references. This is not simply an issue of the use of sexist language, which it is. By uniformly linking perpetration with males and victimhood with females, a misconception is perpetuated, one that is shared by the public and by mental health professionals. While there is evidence that most perpetrators of sexual abuse are male, and that there are more female victims of sexual abuse than male victims, it is not true that all perpetrators are male and all victims are female. In fact, in the article, some of the traumas from which Dr. Herman was deriving her argument—political torture, concentration camp survivors, for example—affect as many males as females. Even in the case of sexual abuse, there is increasing evidence that the sexual abuse of males is far more prevalent than has heretofore been believed. Research on male sexual victimization lags more than a decade behind that of female victimization, but several recent studies have reported prevalence rates near or above 20% (Finkelhor et at, 1990; Urquiza, 1988, cited in Urquiza and Keating, 1990; Lisak and Luster, 1992).

The Tree of Life was an ancient symbol of interconnection, fertility, and eternal life—precisely because of this legendary tree’s fruit. Fruit is part of our essence, a basic element of who we are. We cannot survive without fruit on this planet. It outweighs the nutrition of any other food. Yet the current “health” movement toward low-carb diets has put fruit on the endangered species list, with the goal of making it extinct. Is this denial? Ignorance? Foolishness? We’re not talking about uneducated people who are driving the trend. We’re talking about smart, highly intelligent professionals with advanced degrees in medicine and nutrition. If they’re advising patients to shun fruit, it must be because of their training, the misinformation out there, or their own selective interests. Have you heard of book burning? If the anti-sugar war keeps up its momentum, fruit trees will be next to go up in flames.

But the real reasons why scientists promote accommodationism are more self-serving. To a large extent, American scientists depend for their support on the American public, which is largely religious, and on the U.S. Congress, which is equally religious. (It’s a given that it’s nearly impossible for an open atheist to be elected to Congress, and at election time candidates vie with one another to parade their religious belief.) Most researchers are supported by federal grants from agencies like the National Science Foundation and the National Institutes of Health, whose budgets are set annually by Congress. To a working scientist, such grants are a lifeline, for research is expensive, and if you don’t do it you could lose tenure, promotions, or raises. Any claim that science is somehow in conflict with religion might lead to cuts in the science budget, or so scientists believe, thus endangering their professional welfare.

Those who support such survivors of abuse often find it difficult to hear the reality of those survivors' lives and experience and are often unsupported themselves. Rather than being supported, workers are often ridiculed, castigated or accused of being gullible or of giving the survivor false memories. Many workers work in isolation and a climate of hostility and are unable to talk about the work they do. Yes, despite all the odds, survivors of ritual abuse are beginning to speak out about their experiences, and some people, mainly in voluntary organisations, are beginning to listen to them and support them. [Published 2001]

Stuart Diver has had years of extensive professional counselling to retrain his brain so that he can replace the thought of how helpless he was when Sally dies with the truth that he tried everything he could to save her, showing how much he cared. He has learned to substitute memories of Sally's last moments with thoughts of wonderful times from their lives together- a great trip, a fun birthday, some other special occasion. In the corner of his living room is a bicycle that he rides every night, and he likens keeping his mental health on track to keeping physically fit. It's hard. It requires patience and it takes discipline.

We also knew that empathic resonance with pain can lead, when it is repeated many times, to emotional exhaustion and distress. It affects people who emotionally collapse when the worry, stress, or pressure they have to face in their professional lives affect them so much that they become unable to continue their activities. Burnout affects people confronted daily with others’ sufferings, especially health care and social workers. In the United States, a study has shown that 60% of the medical profession suffers or has suffered from burnout, and that a third has been affected to the point of having to suspend their activities temporarily.3

•I lost money in every way possible: I misplaced checks and sometimes found them when they were too old to take to the bank. If I did find them in time, I missed out on the interest they could’ve made in my savings account. I paid late fees on bills, even though I had money in the bank — I’d just forgotten to pay them or lost the bill in my piles. I bought new items because they were on sale with a rebate, but forgot to mail the rebate form. •I dealt with chronic health worries because I never scheduled doctor’s appointments. •I lived in constant fear of being “found out” by people who held me in high regard. I always felt others’ trust in me was misplaced. •I suffered from nonstop anxiety, waiting for the other shoe to drop. •I struggled to create a social life in our new home. I either felt I didn’t have time because I needed to catch up and calm some of the chaos, or I wasn’t organized enough to make plans in the first place. •I felt insecure in all my relationships, both personal and professional. •I had nowhere to retreat. My life was such a mess, I had no space to gather my thoughts or be by myself. Chaos lurked everywhere. •I rarely communicated with long-distance friends or family. •I wanted to write a book and publish articles in magazines, yet dedicated almost no time to my creative pursuits.

The difficulties in diagnosing DID result primarily from lack of education among clinicians about dissociation, dissociative disorders, and the effects of psychological trauma, as well as from clinician bias. This leads to limited clinical suspicion about dissociative disorders and misconceptions about their clinical presentation. Most clinicians have been taught (or assume) that DID is a rare disorder with a florid, dramatic presentation. Although DID is a relatively common disorder, R. P. Kluft (2009) observed that “only 6% make their DID obvious on an ongoing basis” (p. 600). - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p4-5

Imagine a psychiatrist sitting down with a broken human being saying, I am here for you, I am committed to your care, I want to make you feel better, I want to return your joy to you, I don't know how I will do it but I will find out and then I will apply one hundred percent of my abilities, my training, my compassion and my curiosity to your health -- to your well-being, to your joy. I am here for you and I will work very hard to help you. I promise. If I fail it will me my failure, not yours. I am the professional. I am the expert. You are experiencing great pain right now and it is my job and my mission to cure you from your pain. I am absolutely committed to your care... I know you are suffering. I know you are afraid, I love you. I want to cure you and I won't stop trying to help you. You are my patient. I am your doctor. You are my patient. Imagine a doctor phoning you at all hours of the day and night to tell you that he or she had been reading some new stuff on the subject of whatever and was really excited about how it might help you. Imagine a doctor calling you in an important meeting and saying listen, I'm so sorry to bother you but I"ve been thinking really hard about your problems and I'd like to try something completely new. I need to see you immediately! I"m absolutely committed to your care! I think this might help you. I won't give up on you.

can't speak to what it's like to abuse a child: I've never done it. I can speak to what it's like to have mental health issues that require professional help. It's scary, it's overwhelming, and it makes some people (like me) feel like less of a person sometimes. But getting that help is better than the alternative. Much as I hate the idea that I need help to run something as basic and intimate as my own brain, and much as I hate the fact that I have to take medication every day to keep my sanity train from derailing, I vastly prefer it (when I'm thinking rationally) to the idea of hurting myself (and through that action, hurting the ones I love), or completely losing control of my life.

Some abusers organise themselves in groups to abuse children and other adults in a more formally ritualised way. Men and women in these groups can be abusers with both sexes involved in all aspects of the abuse. Children are often forced to abuse other children. Pornography and prostitution are sometimes part of the abuse as is the use of drugs, hypnotism and mind control. Some groups use complex rituals to terrify, silence and convince victims of the tremendous power of the abusers. the purpose is to gain and maintain power over the child in order to exploit. Some groups are so highly organised that they also have links internationally through trade in child-pornography, drugs and arms. Some abusers organise themselves around a religion or faith and the teaching and training of the children within this faith, often takes the form of severe and sustained torture and abuse. Whether or not the adults within this type of group believe that what they are doing is, in some way 'right' is immaterial to the child on the receiving end of the 'teachings' and abuse.

Let’s take a quick look at what a psychopath is. Although the American Psychiatric Association (APA) no longer uses this term, much of the rest of the world does. The APA has incorporated the term psychopath and sociopath within a broader definition designated as antisocial personality disorder. Even within the APA, there is wide disagreement as to what these terms actually mean. The most recent Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is an American handbook for mental health professionals. It lists different categories of mental disorders and the criteria for diagnosing them, according to the publishing organization, the American Psychiatric Association. The APA defines antisocial personality disorder, which would include Lobaczewski’s psychopathic personality disorder, as a pervasive pattern of disregard for the violation of the rights of others occurring since age fifteen years, as indicated by three or more of the following:   1.     Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest. 2.     Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. 3.     Impulsivity or failure to plan ahead. 4.     Aggressiveness, as indicated by repeated physical fights or assaults. 5.     Reckless disregard for the safety of self or others. 6.     Consistent irresponsibility. 7.     Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.

In the past few years, I’ve vacationed in Panama and England. I’ve bought my groceries at Whole Foods. I’ve watched orchestral concerts. I’ve tried to break my addiction to “refined processed sugars” (a term that includes at least one too many words). I’ve worried about racial prejudice in my own family and friends. None of these things is bad on its own. In fact, most of them are good—visiting England was a childhood dream; eating less sugar improves health. At the same time, they’ve shown me that social mobility isn’t just about money and economics, it’s about a lifestyle change. The wealthy and the powerful aren’t just wealthy and powerful; they follow a different set of norms and mores. When you go from working-class to professional-class, almost everything about your old life becomes unfashionable at best or unhealthy at worst.

The Measure of America, a report of the Social Science Research Council, ranks every state in the United States on its “human development.” Each rank is based on life expectancy, school enrollment, educational degree attainment, and median personal earnings. Out of the 50 states, Louisiana ranked 49th and in overall health ranked last. According to the 2015 National Report Card, Louisiana ranked 48th out of 50 in eighth-grade reading and 49th out of 50 in eighth-grade math. Only eight out of ten Louisianans have graduated from high school, and only 7 percent have graduate or professional degrees. According to the Kids Count Data Book, compiled by the Annie E. Casey Foundation, Louisiana ranked 49th out of 50 states for child well-being. And the problem transcends race; an average black in Maryland lives four years longer, earns twice as much, and is twice as likely to have a college degree as a black in Louisiana. And whites in Louisiana are worse off than whites in Maryland or anywhere else outside Mississippi. Louisiana has suffered many environmental problems too: there are nearly 400 miles of low, flat, subsiding coastline, and the state loses a football field–size patch of wetland every hour. It is threatened by rising sea levels and severe hurricanes, which the world’s top scientists connect to climate change.

The conceptual problem at the center of contemporary healthcare is the confusion between disease processes and disease origins. Instead of asking why an illness occurs and trying to remove the conditions that led to it, medical researchers try to understand the mechanisms through which the disease operates, so that they can then interfere with them. These mechanisms, rather than the true origins, are seen as the causes of disease in current medical thinking. In the process of reducing illness to disease, the attention of physicians has moved away from the patient as a whole person. By concentrating on smaller and smaller fragments of the body – shifting its perspective from the study of bodily organs and their functions to that of cells and, finally, to the study of molecules – modern medicine often loses sight of the human being, and having reduced health to mechanical functioning, it is no longer able to deal with the phenomenon of healing. Over the past four decades, the dissatisfaction with the mechanistic approach to health and healthcare has grown rapidly both among healthcare professionals and the general public. At the same time, the emerging systems view of life has given rise to a corresponding systems view of health, as we discuss in Chapter 15, while health consciousness among the general population has increased dramatically in many countries. The

Although the terminology implies scientific endorsement, false memory syndrome is not currently an accepted diagnostic label by the APA and is not included in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994). Seventeen researchers (Carstensen et al., 1993) noted that this syndrome is a "non-psychological term originated by a private foundation whose stated purpose is to support accused parents" (p.23). Those authors urged professionals to forgo use of this pseudoscientific terminology. Terminology implies acceptance of this pseudodiagnostic label may leave readers with the mistaken impression that false memory syndrome is a bona fide clinical disorder supported by concomitant empirical evidence.(85)... ... it may be easier to imagine women forming false memories given biases against women's mental and cognitive abilities (e.g., Coltrane & Adams, 1996). 86

the welfare states of western Europe were not politically divisive. They were socially re-distributive in general intent (some more than others) but not at all revolutionary—they did not ‘soak the rich’. On the contrary: although the greatest immediate advantage was felt by the poor, the real long-term beneficiaries were the professional and commercial middle class. In many cases they had not previously been eligible for work-related health, unemployment or retirement benefits and had been obliged, before the war, to purchase such services and benefits from the private sector. Now they had full access to them, either free or at low cost. Taken with the state provision of free or subsidized secondary and higher education for their children, this left the salaried professional and white-collar classes with both a better quality of life and more disposable income. Far from dividing the social classes against each other, the European welfare state bound them closer together than ever before, with a common interest in its preservation and defense.

Their management and regulation of our lives spans the total spectrum of American experience, from their obtuse Imperial Measurement System, to their irregularity-strangled English language. From their lobbyist-ruled government bureaucracy, to their consumer-oriented religious holidays like Christmas. From their brainless professional sports jocks cast as heroes, to their anorexic supermodels warping the concept of beauty. These are the people who made sugary colas more important that water; fast food more important than health; television sitcoms more important than reading literature. They made smoking a joint in your home a crime; going out in public without your hair tinted an embarrassment; and accidentally carrying a half-filled bottle of baby formula on an airplane a terrorist act. Do you realize 85 percent of Americans still say 'God bless you' after someone sneezes? And that 'In God We Trust' is on every single dollar in circulation? Or that 'One nation under God' is recited everyday in the Pledge of Allegiance by millions of impressionable kids?

When we are told what is healthy we are being told what is right to think and feel. When we are told what is mentally ill we are being told what ideas, behaviour, and fantasies are wrong. [...] The avenues of escape are blocked by the professioal abuse of pathologizing. To refuse the mental health approach confirms one's 'sickness'. One needs 'therapy', [...] How can we take back therapy [...] from a system which must find illness in order to promote health and which, in order to increase the range of its helping, is obliged to extend the area of sickness. Ever deeper pockets of pathology to be analyzed, ever earlier traumata: primal, prenatal, into my astral body; ever more people into the ritual: the family, the office force, community mental health, analysis for everyone. [...] Its practice may differ [...] but the premise is the same. The work of making soul requires professional help. Soul-making has become restricted by therapy and to therapy. And psychopathology has become restricted to therapy's negative definition of it, reduced to its role in the therapy game.

In airplane crashes and chemical industry accidents, in the infrequent but serious nuclear plant accidents, in the NASA Challenger and Columbia disasters, and in the British Petroleum gulf spill, a common finding is that lower-ranking employees had information that would have prevented or lessened the consequences of the accident, but either it was not passed up to higher levels, or it was ignored, or it was overridden. When I talk to senior managers, they always assure me that they are open, that they want to hear from their subordinates, and that they take the information seriously. However, when I talk to the subordinates in those same organizations, they tell me either they do not feel safe bringing bad news to their bosses or they’ve tried but never got any response or even acknowledgment, so they concluded that their input wasn’t welcome and gave up. Shockingly often, they settled for risky alternatives rather than upset their bosses with potentially bad news. When I look at what goes on in hospitals, in operating rooms, and in the health care system generally, I find the same problems of communication exist and that patients frequently pay the price. Nurses and technicians do not feel safe bringing negative information to doctors or correcting a doctor who is about to make a mistake. Doctors will argue that if the others were “professionals” they would speak up, but in many a hospital the nurses will tell you that doctors feel free to yell at nurses in a punishing way, which creates a climate where nurses will certainly not speak up. Doctors engage patients in one-way conversations in which they ask only enough questions to make a diagnosis and sometimes make misdiagnoses because they don’t ask enough questions before they begin to tell patients what they should do.

The intelligent want self-control; children want candy. —RUMI INTRODUCTION Welcome to Willpower 101 Whenever I mention that I teach a course on willpower, the nearly universal response is, “Oh, that’s what I need.” Now more than ever, people realize that willpower—the ability to control their attention, emotions, and desires—influences their physical health, financial security, relationships, and professional success. We all know this. We know we’re supposed to be in control of every aspect of our lives, from what we eat to what we do, say, and buy. And yet, most people feel like willpower failures—in control one moment but overwhelmed and out of control the next. According to the American Psychological Association, Americans name lack of willpower as the number-one reason they struggle to meet their goals. Many feel guilty about letting themselves and others down. Others feel at the mercy of their thoughts, emotions, and cravings, their lives dictated by impulses rather than conscious choices. Even the best-controlled feel a kind of exhaustion at keeping it all together and wonder if life is supposed to be such a struggle. As a health psychologist and educator for the Stanford School of Medicine’s Health Improvement Program, my job is to help people manage stress and make healthy choices. After years of watching people struggle to change their thoughts, emotions, bodies, and habits, I realized that much of what people believed about willpower was sabotaging their success and creating unnecessary stress. Although scientific research had much to say that could help them, it was clear that these insights had not yet become part of public understanding. Instead, people continued to rely on worn-out strategies for self-control. I saw again and again that the strategies most people use weren’t just ineffective—they actually backfired, leading to self-sabotage and losing control. This led me to create “The Science of Willpower,” a class offered to the public through Stanford University’s Continuing Studies program. The course brings together the newest insights about self-control from psychology, economics, neuroscience, and medicine to explain how we can break old habits and create healthy habits, conquer procrastination, find our focus, and manage stress. It illuminates why we give in to temptation and how we can find the strength to resist. It demonstrates the importance of understanding the limits of self-control,

One year later the society claimed victory in another case which again did not fit within the parameters of the syndrome, nor did the court find on the issue. Fiona Reay, a 33 year old care assistant, accused her father of systematic sexual abuse during her childhood. The facts of her childhood were not in dispute: she had run away from home on a number of occasions and there was evidence that she had never been enrolled in secondary school. Her father said it was because she was ‘young and stupid’. He had physically assaulted Fiona on a number of occasions, one of which occurred when she was sixteen. The police had been called to the house by her boyfriend; after he had dropped her home, he heard her screaming as her father beat her with a dog chain. As before there was no evidence of repression of memory in this case. Fiona Reay had been telling the same story to different health professionals for years. Her medical records document her consistent reference to family problems from the age of 14. She finally made a clear statement in 1982 when she asked a gynaecologist if her need for a hysterectomy could be related to the fact that she had been sexually abused by her father. Five years later she was admitted to psychiatric hospital stating that one of the precipitant factors causing her breakdown had been an unexpected visit from her father. She found him stroking her daughter. There had been no therapy, no regression and no hypnosis prior to the allegations being made public. The jury took 27 minutes to find Fiona Reay’s father not guilty of rape and indecent assault. As before, the court did not hear evidence from expert witnesses stating that Fiona was suffering from false memory syndrome. The only suggestion of this was by the defence counsel, Toby Hed­worth. In his closing remarks he referred to the ‘worrying phenomenon of people coming to believe in phantom memories’. The next case which was claimed as a triumph for false memory was heard in March 1995. A father was aquitted of raping his daughter. The claims of the BFMS followed the familiar pattern of not fitting within the parameters of false memory at all. The daughter made the allegations to staff members whom she had befriended during her stay in psychiatric hospital. As before there was no evidence of memory repression or recovery during therapy and again the case failed due to lack of corrobo­rating evidence. Yet the society picked up on the defence solicitor’s statements that the daughter was a prone to ‘fantasise’ about sexual matters and had been sexually promiscuous with other patients in the hospital. ~ Trouble and Strife, Issues 37-43

I discovered that the predominant effects produced by the drugs discussed in this book are positive. It didn’t matter whether the drug in question was cannabis, cocaine, heroin, methamphetamine, or psilocybin. Overwhelmingly, consumers expressed feeling more altruistic, empathetic, euphoric, focused, grateful, and tranquil. They also experienced enhanced social interactions, a greater sense of purpose and meaning, and increased sexual intimacy and performance. This constellation of findings challenged my original beliefs about drugs and their effects. I had been indoctrinated to be biased toward the negative effects of drug use. But over the past two-plus decades, I had gained a deeper, more nuanced understanding. Sure, negative effects were also possible outcomes. But they represented a minority of effects; they were predictable and readily mitigated. For example, the type of drug use described in this book should be limited to healthy, responsible adults. These individuals fulfill their responsibilities as citizens, parents, partners, and professionals. They eat healthy, exercise regularly, and get sufficient amounts of sleep. They take steps to alleviate chronic excessive stress levels. These practices ensure physical fitness and considerably reduce the likelihood of experiencing adverse effects. Equally important, I learned that people undergoing acute crises and those afflicted with psychiatric illnesses should probably avoid drug use because they may be at greater risk of experiencing unwanted effects. The vast amount of predictably favorable drug effects intrigued me, so much so that I expanded my own drug use to take advantage of the wide array of beneficial outcomes specific drugs can offer. To put this in personal terms, my position as department chairman (from 2016 to 2019) was far more detrimental to my health than my drug use ever was. Frequently, the demands of the job led to irregular exercise and poor eating and sleeping habits, which contributed to pathological stress levels. This wasn’t good for my mental or physical health. My drug use, however, has never been as disruptive or as problematic. It has, in fact, been largely protective against the negative health consequences of negotiating pathology-producing environments.

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.