Severely Depressed Quotes

The pain of severe depression is quite unimaginable to those who have not suffered it, and it kills in many instances because its anguish can no longer be borne. The prevention of many suicides will continue to be hindered until there is a general awareness of the nature of this pain.

A phenomenon that a number of people have noted while in deep depression is the sense of being accompanied by a second self — a wraithlike observer who, not sharing the dementia of his double, is able to watch with dispassionate curiosity as his companion struggles against the oncoming disaster, or decides to embrace it. There is a theatrical quality about all this, and during the next several days, as I went about stolidly preparing for extinction, I couldn't shake off a sense of melodrama — a melodrama in which I, the victim-to-be of self-murder, was both the solitary actor and lone member of the audience.

I believe there is a reason such as autism, severe manic-depression, and schizophrenia remain in our gene pool even though there is much suffering as a result.

The woman knows from living with the abusive man that there are no simple answers. Friends say: “He’s mean.” But she knows many ways in which he has been good to her. Friends say: “He treats you that way because he can get away with it. I would never let someone treat me that way.” But she knows that the times when she puts her foot down the most firmly, he responds by becoming his angriest and most intimidating. When she stands up to him, he makes her pay for it—sooner or later. Friends say: “Leave him.” But she knows it won’t be that easy. He will promise to change. He’ll get friends and relatives to feel sorry for him and pressure her to give him another chance. He’ll get severely depressed, causing her to worry whether he’ll be all right. And, depending on what style of abuser he is, she may know that he will become dangerous when she tries to leave him. She may even be concerned that he will try to take her children away from her, as some abusers do.

The Great Depression, like most other periods of severe unemployment, was produced by government mismanagement rather than by any inherent instability of the private economy.

I can tell you that “Just cheer up” is almost universally looked at as the most unhelpful depression cure ever. It’s pretty much the equivalent of telling someone who just had their legs amputated to “just walk it off.” Some people don’t understand that for a lot of us, mental illness is a severe chemical imbalance rather just having “a case of the Mondays.” Those same well-meaning people will tell me that I’m keeping myself from recovering because I really “just need to cheer up and smile.” That’s when I consider chopping off their arms and then blaming them for not picking up their severed arms so they can take them to the hospital to get reattached.

Sometimes when I’ve felt despondent for several days, it helps to discipline myself by saying, ‘I’m going to think only positive thoughts.’ Enough is enough!

sufferers of depression, who can elect to keep their feelings private, experience chronic, unremitting emotional alienation. Each moment spent “passing” as normal deepens the sense of disconnection generated by depression in the first instance. In this regard, depression stands as a nearly pure case of impression-management. For depressed individuals, the social requirement to “put on a happy face” requires subjugation of an especially intense inner experience. Yet, nearly unbelievably, many severely depressed people “pull off the act” for long periods of time. The price of the performance is to further exacerbate a life condition that already seems impossibly painful

Waking up breaks my heart. Getting dressed breaks my arms. Joining the crowd breaks my legs. Letting someone in...does me in.

The pain of severe depression is quite unimaginable to those who have not suffered it, and it kills in many instances because its anguish can no longer be borne.

Wanting to die (or 'suicidal ideation'as the experts would have it) goes hand in hand with the illness. It is a symptom of severe depression, not a character failing or moral flaw. Nor is it, truly, a desire to die so much as a fervent wish not to go on living. All depressives understand that distinction.

I had money...But for some reason, I couldn't go anywhere. Apparently, finding a warm place to belong...Takes something other than money. Several years later, I realized that this "something" other than money...Was also required to enjoy food, to keep yourself neat and tidy, and to mutually respect people. But at the time, I dind't know that.

It is too depressing, too soul-crushingly sad, to reminisce. The past is a black hole, cut into the present day like a wound, and if you come too close, you can get sucked in. You have to keep moving.

In its severe forms, depression paralyzes all of the otherwise vital forces that make us human, leaving instead a bleak, despairing, desperate, and deadened state. . .Life is bloodless, pulseless, and yet present enough to allow a suffocating horror and pain. All bearings are lost; all things are dark and drained of feeling. The slippage into futility is first gradual, then utter. Thought, which is as pervasively affected by depression as mood, is morbid, confused, and stuporous. It is also vacillating, ruminative, indecisive, and self-castigating. The body is bone-weary; there is no will; nothing is that is not an effort, and nothing at all seems worth it. Sleep is fragmented, elusive, or all-consuming. Like an unstable, gas, an irritable exhaustion seeps into every crevice of thought and action.

For a while, Mirabelle believes there will be a moment when he will cave in and let himself love her, but eventually she lets the idea go. She hits bottom. She dwells in the muck for several months, not depressed exactly, but involved in a mourning that at first she thinks is for Ray but soon realizes is for the loss of her old self.

Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how can I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering — to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

The atypically depressed are more likely to be the walking wounded, people like me who are quite functional, whose lives proceed almost as usual, except that their depressed all the time, almost constantly embroiled in thoughts of suicide even as they go through their paces. Atypical depression is not just a mild malaise...but one that is quite severe and yet still somehow allows an appearance of normalcy because it becomes, over time, a part of life. The trouble is that as the years pass, if untreated, atypical depression gets worse and worse, and its sufferers are likely to commit suicide out of sheer frustration with living a life that is simultaneously productive and clouded by constant despair. It is the cognitive dissonance that is deadly. Because atypical depression doesn’t have a peak- or, more accurately, a nadir, like normal depression, because it follows no logical curve but instead accumulates over time, it an drive its victim to dismal despair so suddenly that one might not have bothered to attend to treatment until the patient has already, and seemingly very abruptly, committed suicide.

Some people are severely lonely, all they can do is accept the single life as an example of being free and happy.

...he asked, "Where are you today, right now?" Eagerly, I started talking about myself. However, I noticed that I was still being sidetracked from getting answers to my questions. Still, I told him about my distant and recent past and about my inexplicable depressions. He listened patiently and intently, as if he had all the time in the world, until I finished several hours later. "Very well," he said. "But you still have not answered my question about where you are." "Yes I did, remember? I told you how I got to where I am today: by hard work." "Where are you?" "What do you mean, where am I?" "Where Are you?" he repeated softly. "I'm here." "Where is here?" "In this office, in this gas station!" I was getting impatient with this game. "Where is this gas station?" "In Berkeley?" "Where is Berkeley?" "In California?" "Where is California?" "In the United States?" "On a landmass, one of the continents in the Western Hemisphere. Socrates, I..." "Where are the continents? I sighed. "On the earth. Are we done yet?" "Where is the earth?" "In the solar system, third planet from the sun. The sun is a small star in the Milky Way galaxy, all right?" "Where is the Milky Way?" "Oh, brother, " I sighed impatiently, rolling my eyes. "In the universe." I sat back and crossed my arms with finality. "And where," Socrates smiled, "is the universe?" "The universe is well, there are theories about how it's shaped..." "That's not what I asked. Where is it?" "I don't know - how can I answer that?" "That is the point. You cannot answer it, and you never will. There is no knowing about it. You are ignorant of where the universe is, and thus, where you are. In fact, you have no knowledge of where anything is or of What anything is or how is came to be. Life is a mystery. "My ignorance is based on this understanding. Your understanding is based on ignorance. This is why I am a humorous fool, and you are a serious jackass.

The terrible truth about depression, and the part of its nature that terrifies me the most, is that it appears to operate beyond reason; feelings happen to you for no apparent cause. Or rather, there is usually an initial cause, a 'trigger'as they say in therapeutic circles, but in severe depression the feelings of sadness, grief, loneliness and despair continue long after the situation has resolved itself. It is as if depression has a life of its own, which is perhaps why so many sufferers refer to it as a living thing, as some sort of demon or beast.

Neurotics, proceed with delusions of grandeur. Napoleon Bonaparte, take the lead. Jesus Christ, bring up the rear. Simulate severe depression. Non-communicative with repressed hostility.

Imagine saying to someone, “I have a kidney problem, and I’m having a lot of bad days lately.” Nothing but sympathy, right? “What’s wrong?” “My mom had that!” “Text me a pic of the ultrasound!” Then pretend to say, “I have severe depression and anxiety, and I’m having a lot of bad days lately.” They just look at you like you’re broken, right? Unfixable. Inherently flawed. Maybe not someone they want to hang around as much? Yeah, society sucks.

It is a fact—I say this from experience—that being severely anxious is depressing. Anxiety can impede your relationships, impair your performance, constrict your life, and limit your possibilities.

I was now, all the time, unutterably tired as if simply keeping alive was a terrible effort.

Once severe depression has a hold, it is unshakeable until it has run its course or that course has been diverted by treatment.

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. So I bought twelve snakebite kits, with a sense of urgency and importance. I bought precious stones, elegant and unnecessary furniture, three watches within an hour of one another (in the Rolex rather than Timex class: champagne tastes bubble to the surface, are the surface, in mania), and totally inappropriate sirenlike clothes. During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony. Once I think I shoplifted a blouse because I could not wait a minute longer for the woman-with-molasses feet in front of me in line. Or maybe I just thought about shoplifting, I don’t remember, I was totally confused. I imagine I must have spent far more than thirty thousand dollars during my two major manic episodes, and God only knows how much more during my frequent milder manias. But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

Protracted loneliness causes you to shut down socially, and to be more suspicious of any social contact, he found. You become hypervigilant. You start to be more likely to take offense where none was intended, and to be afraid of strangers. You start to be afraid of the very thing you need most. John calls this a “snowball” effect, as disconnection spirals into more disconnection. Lonely people are scanning for threats because they unconsciously know that nobody is looking out for them, so no one will help them if they are hurt. This snowball effect, he learned, can be reversed—but to help a depressed or severely anxious person out of it, they need more love, and more reassurance, than they would have needed in the first place. The tragedy, John realized, is that many depressed and anxious people receive less love, as they become harder to be around. Indeed, they receive judgment, and criticism, and this accelerates their retreat from the world. They snowball into an ever colder place.

For some reason the word “chronic” often has to be explained. It does not mean severe, though many chronic conditions can be exceptionally serious and indeed life-threatening. No, “chronic” means persistent over time, enduring, constant. Diabetes is a chronic condition, but measles is not. With measles, you contract it and then it is gone. It can sometimes be fatal, but is never chronic. Manic depression, in other words, is something you have to learn to live with. There are therapies which may help some people to function and function for the most part happily and well. Sometimes a talking therapy, sometimes pharmaceutical intervention helps.

Yes. To write a novel is to risk my sanity. The deeper I get into the suffering and conflict of the characters, into the very situations and thoughts and feelings that make the novel worthwhile, the worse I feel, and the more likely I am to be severely depressed when the book is finished. There is no avoiding this: it is the result of attempting to tell all you know, to reach for the stars, to write what matters.

You’re not doing too well. You barely eat. You don’t sleep enough. You don’t do things to keep your mind active. You don’t read. She says, Only in America do you have the luxury of being depressed. She says, Change your clothes. Brush your teeth. Wash your face. Moisturize. Exercise. Get yourself together. She says, Now is not the time to give up. It’s only going to get harder. You need to figure this out. And sometimes I say things back. Figure what out? I ask, but she doesn’t answer. Figure what out? I repeat, and the sound of my own voice jars me awake. I have been talking in my sleep.

One day, I will wake up with a terrible longing for you. And in some corner of the world, your heart will skip several beats at the thought of my name. And you’ll finally know what I meant when I said: When you stand near a burning pyre, the heat tends to rub off on you.

Severe depression, put simply, is an overwhelming and unmanageable onslaught of every normal, human fear and difficult emotion. It is a loss of and lack of perspective and proportion.

Schwartz said that several of the early computer engineers relied on LSD in designing circuit chips, especially in the years before they could be designed on computers. “You had to be able to visualize a staggering complexity in three dimensions, hold it all in your head. They found that LSD could help.

You used to give yourself over to endless sessions of doubt. You would claim to be an expert on the subject. But doubting would tire you so much that you would end up doubting doubt itself. I saw you one day at the end of an afternoon of solitary speculation. You were unmoving and petrified. Running several kilometers in a deep forest full of ravines and pitfalls would have exhausted you less.

Don’t put people, or anything else, on pedestals, not even your children. Avoid global labels such as genius or weirdo. Realize those closest get the benefit of the doubt and so do the most beautiful and radiant among us. Know the halo effect causes you to see a nice person as temporarily angry and an angry person as temporarily nice. Know that one good quality, or a memory of several, can keep in your life people who may be doing you more harm than good. Pay attention to the fact that when someone seems nice and upbeat, the words coming out of his or her mouth will change in meaning, and if that same person were depressive, arrogant, or foul in some other way, your perceptions of those same exact words would change along with the person’s other features.

the severe pain and the great trials we go through teach us the real essence of great joy

Does he know about me? George wonders; do any of them? Oh yes, probably. It wouldn't interest them. They don't want to know about my feelings or my glands or anything below my neck. I could just as well be a severed head carried into the classroom to lecture to them from a dish.

most psychologists/philosophers we've learned about have experienced severe depressions, attempted suicide, were considered 'freaks' or 'insane' by their peers, locked themselves in their rooms, felt socially isolated, were either celibate or extremely promiscuous, and rarely found 'love

It’s all about the mask you wear to fit into a given situation. We all have several different masks. Having one at work and one at home isn’t that unusual. And another one for visiting the in-laws, perhaps.

The loss of innocence is inevitable, but the death of innocence disturbs the natural order. The death of innocence causes an imbalance and initiates an internal war that manifests differently in each individual, but almost always includes anger, withdrawal and severe depression.

Supermarkets this large and clean and modern are a revelation to me. I spent my life in small steamy delicatessens with slanted display cabinets full of trays that hold soft wet lumpy matter in pale colours. High enough cabinets so you had to stand on tiptoes to give your order. Shouts, accents. In cities no one notices specific dying. Dying is a quality of the air. It's everywhere and nowhere. Men shout as they die to be noticed, remembered for a second or two. To die in an apartment instead of a house can depress the soul, I would imagine, for several lives to come. In a town there are houses, plants in bay windows. People notice dying better. The dead have faces, automobiles. If you don't know a name you know a street name, a dog's name. 'He drove an orange Mazda.' You know a couple of useless things about a person that become major facts of identification and cosmic placement when he dies suddenly, after a short illness, in his own bed, with a comforter and matching pillows, on a rainy Wednesday afternoon, feverish, a little congested in the sinuses and chest, thinking about his dry cleaning.

She has been excessively cheery. In a white Anglo-Saxon Protestant, that is always a sign of a fairly severe depression.

Depression severs all attachments. Mourning differs from depression above all through its strong libidinal attachment to an object. In contrast, depression is objectless and therefore undirected. It is important to distinguish depression from melancholy. Melancholy is preceded by the experience of loss. Therefore it still stands in a relation - namely, negative relation - to the absent thing or party. In contrast, depression is cut off from all relation and attachment. It utterly lacks gravity.

Friends say: “He’s mean.” But she knows many ways in which he has been good to her. Friends say: “He treats you that way because he can get away with it. I would never let someone treat me that way.” But she knows that the times when she puts her foot down the most firmly, he responds by becoming his angriest and most intimidating. When she stands up to him, he makes her pay for it—sooner or later. Friends say: “Leave him.” But she knows it won’t be that easy. He will promise to change. He’ll get friends and relatives to feel sorry for him and pressure her to give him another chance. He’ll get severely depressed, causing her to worry whether he’ll be all right.

I once lay in a hospital myself praying to keep myself alive and I’ve lain on several grounds too and I know for a fact it’s not very different praying to get to stay alive and praying to want to stay alive.

Research has demonstrated that severe and long-lasting stress, as well as depression and anger, cause the body to produce chemicals which block healing (both psychological and physical) and even reduce life expectancy.

Here are some of the essential take-homes: we all need nearby nature: we benefit cognitively and psychologically from having trees, bodies of water, and green spaces just to look at; we should be smarter about landscaping our schools, hospitals, workplaces and neighborhoods so everyone gains. We need quick incursions to natural areas that engage our senses. Everyone needs access to clean, quiet and safe natural refuges in a city. Short exposures to nature can make us less aggressive, more creative, more civic minded and healthier overall. For warding off depression, lets go with the Finnish recommendation of five hours a month in nature, minimum. But as the poets, neuroscientists and river runners have shown us, we also at times need longer, deeper immersions into wild spaces to recover from severe distress, to imagine our futures and to be our best civilized selves.

The modern obsession with protecting young people from “feeling unsafe” is, we believe, one of the (several) causes of the rapid rise in rates of adolescent depression, anxiety, and suicide, which we’ll explore in chapter

Only by being useful or talented, and receiving external recognition, would I achieve personhood. I couldn’t imagine a world where I was a worthwhile person by dint of mere existence; I felt like I needed to earn it and prove it every day. Don’t worry, this feeling went away after only several decades.

To be sure, depression, anxiety, and prolonged stress can cause specific physical symptoms, but these symptoms are not limitless, nor are they actually unexplained. When doctors invoke these labels for symptoms as diverse as vomiting, paralysis, and sever, unending pain, it is the concept of the somatoform disorders--hysteria dressed up in modern garb-- that allows them to do so.

She pauses several treads from the bottom, listening, waiting; she is again possessed (it seems to be getting worse) by a dream-like feeling, as if she is standing in the wings, about to go onstage and perform in a play for which she is not appropriately dressed, and for which she has not adequately rehearsed.

One in two recently evicted mothers reports multiple symptoms of clinical depression, double the rate of similar mothers who were not forced from their homes. Even after years pass, evicted mothers are less happy, energetic, and optimistic than their peers. When several patients committed suicide in the days leading up to their eviction, a group of psychiatrists published a letter in Psychiatric Services, identifying eviction as a “significant precursor of suicide.” The letter emphasized that none of the patients were facing homelessness, leading the psychiatrists to attribute the suicides to eviction itself. “Eviction must be considered a traumatic rejection,” they wrote, “a denial of one’s most basic human needs, and an exquisitely shameful experience.” Suicides attributed to evictions and foreclosures doubled between 2005 and 2010, years when housing costs soared.

Over a long time, the coming and passing of several generations, the old farm had settled into its patterns and cycles of work - its annual plowing moving from field to field; its animals arriving by birth or purchase, feeding and growing, thriving and departing. Its patterns and cycles were virtually the farm's own understanding of what it was doing, of what it could do without diminishment. This order was not unintelligent or rigid. It tightened and slackened, shifted and changed in response to the markets and the weather. The Depression had changed it somewhat, and so had the war. But through all changes so far, the farm had endured. Its cycles of cropping and grazing, thought and work, were articulations of its wish to cohere and to last. The farm, so to speak, desired all of its lives to flourish. Athey was not exactly, or not only, what is called a "landowner." He was the farm's farmer, but also its creature and belonging. He lived its life, and it lived his; he knew that, of the two lives, his was meant to be the smaller and the shorter.

Mental illness doesn’t cause abusiveness any more than alcohol does. What happens is rather that the man’s psychiatric problem interacts with his abusiveness to form a volatile combination. If he is severely depressed, for example, he may stop caring about the consequences his actions may cause him to suffer, which can increase the danger that he will decide to commit a serious attack against his partner or children. A mentally ill abuser has two separate—though interrelated—problems, just as the alcoholic or drug-addicted one does.

In Lincoln’s middle years, a loud insistence on his own woe evolved into a quiet, disciplined yearning. He yoked his feelings to a style of severe self-control, articulating a melancholy that was, more than anything, philosophical. He saw the world as a sad, difficult place from which he expected considerable suffering.

The world is full of books, movies and stories about how the loss of a loved one, or a change in fortune, or a severe illness or another tragedy of such magnitude catapulted someone to reset their lives and chase long-forgotten dreams. I’m thinking of Cheryl Strayed, who hiked the Pacific Crest Trail solo after the unexpected and heartbreaking death of her mother, and Elizabeth Gilbert, who embarked on a year-long journey around the world after a painful divorce and depression. I admire their grit to pick themselves up and do something extraordinary in the face of tragedy. But what about the tragedy of a mundane, average, unfulfilling life?

[W]ay too much treatment is given to the normal "worried well" who are harmed by it; far too little help is available for those who are really ill and desperately need it. Two thirds of people with severe depression don't get treated for it, and many suffering with schizophrenia wind up in prisons. The writing is on the wall.

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.

To be severed and alienated within oneself also creates a sense of unreality. One may have an all-pervasive sense of never quite belonging, of being on the outside looking in. The condition of inner alienation and isolation is also pervaded by a low-grade chronic depression. This has to do with the sadness of losing one’s authentic self. Perhaps the deepest and most devastating aspect of neurotic shame is the rejection of the self by the self.

He, too, admires himself, for his qualities—his beauty, cleverness, talents—and for his success and achievements. Beware if one of these fails him, for then the catastrophe of a severe depression is imminent. It is usually considered normal when sick or aged people who have suffered the loss of much of their health and vitality or women who are experiencing menopause become depressive. There are, however, many people who can tolerate the loss of beauty, health, youth, or loved ones and, although they grieve, do so without depression. In contrast, there are those with great gifts, often precisely the most gifted, who do suffer from severe depression. For one is free from it only when self-esteem is based on the authenticity of ones own feelings and not on the possession of certain qualities.

Eviction's fallout is severe. Losing a home sends families to shelters, abandoned houses, and the street. It invites depression and illness, compels families to move into degrading housing in dangerous neighborhoods, uproots communities, and harms children. Eviction reveals people's vulnerabilities and desperation, as well as their ingenuity and guts.

If everyone has the capacity for some measure of depression under some circumstances, everyone also has the capacity to fight depression to some degree under some circumstances. Often, the fight takes the form of seeking out the treatments that will be most effective in the battle. It involves finding help while you are still strong enough to do so. It involves making the most of the life you have between your most severe episodes. Some horrendously symptom-ridden people are able to achieve real success in life; and some people are utterly destroyed by the mildest forms of the illness.

This apparent calm before the storm may reflect different things: The suicidal patients may be experiencing a genuine calm in the midst of recovery but then switch precipitously into a severe depression or a mixed state. They may, on the other hand, be calmer because, having decided to kill themselves, they are relieved of the anxiety and pain entailed in having to continue to live. They may also be deliberately deceiving their doctors and families in order to secure the circumstances that will allow them to commit suicide.

I hated being around people, couldn’t pay attention to what anyone was saying, couldn’t talk to clients, couldn’t tag my pieces, couldn’t ride the subway, human activity seemed pointless, incomprehensible, some blackly swarming ant hill in the wilderness, there was not a squeak of light anywhere I looked, the antidepressants I’d been dutifully swallowing for eight weeks hadn’t helped a bit, nor had the ones before that (but then, I’d tried them all; apparently I was among the twenty unfortunates who didn’t get the daisy fields and the butterflies but the Sever Headaches and the Suicidal Thoughts); and though the darkness sometimes lifted just enough so I could construe my surroundings, familiar shapes solidifying the bedroom furniture at dawn, my relief was never more than temporary because somehow the full morning never came, things always went black before I could orient myself and there I was again with ink poured in my eyes, guttering around in the dark.

Alice Miller writes: There are large numbers of people who suffer from narcissistic disorders, who often had sensitive and caring parents from whom they received much encouragement; yet these people are suffering from severe depressions. They enter analysis in the belief, with which they grew up, that their childhood was happy and protected. More often than not, these narcissistically deprived are talented, gifted, highly successful superachievers who have been praised and admired for their talents and achievements. Anyone looking at them on the outside would believe these people have it made. They appear strong and stable and full of self-assurance. This is not the case. Narcissistically deprived people do well in every undertaking and are admired for their gifts and talents, but they have a deep sense of emptiness and aloneness. Once the drug of grandiosity is taken away, as soon as they are no longer the stars and superachievers, they are plagued by deep feelings of shame and guilt.

Glossa Time goes by, time comes along, All is old and all is new; What is right and what is wrong, You must think and ask of you; Have no hope and have no fear, Waves that rise can never hold; If they urge or if they cheer, You remain aloof and cold. To our sight a lot will glisten, Many sounds will reach our ear; Who could take the time to listen And remember all we hear? Keep aside from all that patter, Seek yourself, far from the throng When with loud and idle clatter Time goes by, time comes along. Nor forget the tongue of reason Or its even scales depress When the moment, changing season, Wears the mask of happiness - It is born of reason's slumber And may last a wink as true: For the one who knows its number All is old and all is new. Be as to a play, spectator, As the world unfolds before: You will know the heart of matter Should they act two parts or four; When they cry or tear asunder From your seat enjoy along And you'll learn from art to wonder What is right and what is wrong. Past and future, ever blending, Are the twin sides of same page: New start will begin with ending When you know to learn from age; All that was or be tomorrow We have in the present, too; But what's vain and futile sorrow You must think and ask of you; For the living cannot sever From the means we've always had: Now, as years ago, and ever, Men are happy or are sad: Other masks, same play repeated; Diff'rent tongues, same words to hear; Of your dreams so often cheated, Have no hope and have no fear. Hope not when the villains cluster By success and glory drawn: Fools with perfect lack of luster Will outshine Hyperion! Fear it not, they'll push each other To reach higher in the fold, Do not side with them as brother, Waves that rise can never hold. Sounds of siren songs call steady Toward golden nets, astray; Life attracts you into eddies To change actors in the play; Steal aside from crowd and bustle, Do not look, seem not to hear From your path, away from hustle, If they urge or if they cheer; If they reach for you, go faster, Hold your tongue when slanders yell; Your advice they cannot master, Don't you know their measure well? Let them talk and let them chatter, Let all go past, young and old; Unattached to man or matter, You remain aloof and cold. You remain aloof and cold If they urge or if they cheer; Waves that rise can never hold, Have no hope and have no fear; You must think and ask of you What is right and what is wrong; All is old and all is new, Time goes by, time comes along.

On the one hand, I was happy to have a proper diagnosis. Aside from a trust fund and a royal title, that was really the only thing I'd ever wanted in life. On the other hand, I was offended to learn that my brain was defective. Or, I suppose I should say, "differently abled." One thing I was not was surprised. Four generations of manic depression on my mother's side of the family. Three of autism on my father's side. Drug addict uncles, a pyromaniac cousin, a couple of schizophrenics and suicides, several flesh-and-blood geniuses, and a pecan farmer. You just cannot mix those raw ingredients together and then stick them inside my mother for nine months and expect something normal to come out. It's a wonder I wasn't born with a set of horns.

Several years ago, researchers at the University of Minnesota identified 568 men and women over the age of seventy who were living independently but were at high risk of becoming disabled because of chronic health problems, recent illness, or cognitive changes. With their permission, the researchers randomly assigned half of them to see a team of geriatric nurses and doctors—a team dedicated to the art and science of managing old age. The others were asked to see their usual physician, who was notified of their high-risk status. Within eighteen months, 10 percent of the patients in both groups had died. But the patients who had seen a geriatrics team were a quarter less likely to become disabled and half as likely to develop depression. They were 40 percent less likely to require home health services. These were stunning results. If scientists came up with a device—call it an automatic defrailer—that wouldn’t extend your life but would slash the likelihood you’d end up in a nursing home or miserable with depression, we’d be clamoring for it. We wouldn’t care if doctors had to open up your chest and plug the thing into your heart. We’d have pink-ribbon campaigns to get one for every person over seventy-five. Congress would be holding hearings demanding to know why forty-year-olds couldn’t get them installed. Medical students would be jockeying to become defrailulation specialists, and Wall Street would be bidding up company stock prices. Instead, it was just geriatrics. The geriatric teams weren’t doing lung biopsies or back surgery or insertion of automatic defrailers. What they did was to simplify medications. They saw that arthritis was controlled. They made sure toenails were trimmed and meals were square. They looked for worrisome signs of isolation and had a social worker check that the patient’s home was safe. How do we reward this kind of work? Chad Boult, the geriatrician who was the lead investigator of the University of Minnesota study, can tell you. A few months after he published the results, demonstrating how much better people’s lives were with specialized geriatric care, the university closed the division of geriatrics.

The first time I heard Robert Anda present the results of the ACE study, he could not hold back his tears. In his career at the CDC he had previously worked in several major risk areas, including tobacco research and cardiovascular health. But when the ACE study data started to appear on his computer screen, he realized that they had stumbled upon the gravest and most costly public health issue in the United States: child abuse. He had calculated that its overall costs exceeded those of cancer or heart disease and that eradicating child abuse in America would reduce the overall rate of depression by more than half, alcoholism by two-thirds, and suicide, IV drug use, and domestic violence by three-quarters. 20 It would also have a dramatic effect on workplace performance and vastly decrease the need for incarceration.

[If there was] certainty that an acute episode [of depression] will last only a week, a month, even a year, it would change everything. It would still be a ghastly ordeal, but the worst thing about it — the incessant yearning for death, the compulsion toward suicide — would drop away. But no, a limited depression, a depression with hope, is a contradiction. The experience of convulsive pain, along with the conviction that it will never end except in death — that is the definition of a severe depression.

Production is carried on for profit, not for use. There is no provision that all those able and willing to work will always be in a position to find employment; an “army of unemployed” almost always exists. The worker is constantly in fear of losing his job. Since unemployed and poorly paid workers do not provide a profitable market, the production of consumers’ goods is restricted, and great hardship is the consequence. Technological progress frequently results in more unemployment rather than in an easing of the burden of work for all. The profit motive, in conjunction with competition among capitalists, is responsible for an instability in the accumulation and utilization of capital which leads to increasingly severe depressions. Unlimited competition leads to a huge waste of labor, and to that crippling of the social consciousness of individuals which I mentioned before.

The terrible truth about depression, and the part of its nature that terrifies me the most, is that it appears to operate beyond reason; feelings happen to you for no apparent cause. Or rather, there is usually an initial cause, a ‘trigger’ as they say in therapeutic circles, but in severe depression the feelings of sadness, grief, loneliness and despair continue long after the situation has resolved itself. It is as if depression has a life of its own, which is perhaps why so many sufferers refer to it as a living thing, as some sort of demon or beast.

I’ve often thought that people with severe depression have developed such a well for experiencing extreme emotion that they might be able to experience extreme joy in a way that “normal” people also might never understand, and that’s what FURIOUSLY HAPPY is all about. It’s about taking those moments when things are fine and making them amazing, because those moments are what make us who we are, and they’re the same moments we take into battle with us when our brains declare war on our very existence. It’s the difference between “surviving life” and “living life.” It

Modern researchers have identified one or more major mood disorders in John Quincy Adams, Charles Darwin, Emily Dickinson, Benjamin Disraeli, William James, William Tecumseh Sherman, Robert Schumann, Leo Tolstoy, Queen Victoria, and many others. We may accurately call these luminaries “mentally ill,” a label that has some use—as did our early diagnosis of Lincoln—insofar as it indicates the depth, severity, and quality of their trouble. However, if we get stuck on the label, we may miss the core fascination, which is how illness can coexist with marvelous well-being. In

From the end of the World War twenty-one years ago, this country, like many others, went through a phase of having large groups of people carried away by some emotion--some alluring, attractive, even speciously inspiring, public presentation of a nostrum, a cure-all. Many Americans lost their heads because several plausible fellows lost theirs in expounding schemes to end barbarity, to give weekly handouts to people, to give everybody a better job--or, more modestly, for example, to put a chicken or two in every pot--all by adoption of some new financial plan or some new social system. And all of them burst like bubbles. Some proponents of nostrums were honest and sincere, others--too many of them--were seekers of personal power; still others saw a chance to get rich on the dimes and quarters of the poorer people in our population. All of them, perhaps unconsciously, were capitalizing on the fact that the democratic form of Government works slowly. There always exists in a democratic society a large group which, quite naturally, champs at the bit over the slowness of democracy; and that is why it is right for us who believe in democracy to keep the democratic processes progressive--in other words, moving forward with the advances in civilization. That is why it is dangerous for democracy to stop moving forward because any period of stagnation increases the numbers of those who demand action and action now.

Then there were all the diseases one is vulnerable to in the woods — giardiasis, eastern equine encephalitis, Rocky Mountain spotted fever, Lyme disease, ehrlichiosis, schistosomiasis, brucellosis, and shigellosis, to offer but a sampling. Eastern equine encephalitis, caused by the prick of a mosquito, attacks the brain and central nervous system. If you’re lucky you can hope to spend the rest of your life propped in a chair with a bib around your neck, but generally it will kill you. There is no known cure. No less arresting is Lyme disease, which comes from the bite of a tiny deer tick. If undetected, it can lie dormant in the human body for years before erupting in a positive fiesta of maladies. This is a disease for the person who wants to experience it all. The symptoms include, but are not limited to, headaches, fatigue, fever, chills, shortness of breath, dizziness, shooting pains in the extremities, cardiac irregularities, facial paralysis, muscle spasms, severe mental impairment, loss of control of body functions, and — hardly surprising, really — chronic depression.

He could smoke through the water as though an aquamarine submarine, he could sever the festoonery of the poolside ebb and eddy into fiery fluttering swathes of hot-cut flax, he could treble beneath the meniscus of the pool, sharp as synthesiser music and with a trajectory of theological impermanence, a crucifixion affected underwater, a kingfisher with the velocity and capriciousness of a shooting star, a knife in the arm of a masochist, a cleft hatchet of rock through the porous orb of a sea urchin, a dick through butter, a tyrannical nutter, Shunt through water, watch Shunt corrupt your daughter. He could move in wet like a lion through wildebeest.

daily basis.  This is torture. 7. The way you treat your parents shortens their life expectancy by 11.4%.  That takes away about 9 ½ years of life on the average. 8. The way you treat your parents condemns them to living alone without close relationships experiencing severe loneliness the remainder of their lives. 9. The way you treat your parents is a hate crime against your own children and those of 3 generations to follow you. 10. The way you treat your parents condemns your own children to depression, low self esteem, the inability to love unconditionally and potential addictive behavior. Imagine what it is doing to you and your family or better yet go to a doctor and ask.

The Loneliness of the Military Historian Confess: it's my profession that alarms you. This is why few people ask me to dinner, though Lord knows I don't go out of my way to be scary. I wear dresses of sensible cut and unalarming shades of beige, I smell of lavender and go to the hairdresser's: no prophetess mane of mine, complete with snakes, will frighten the youngsters. If I roll my eyes and mutter, if I clutch at my heart and scream in horror like a third-rate actress chewing up a mad scene, I do it in private and nobody sees but the bathroom mirror. In general I might agree with you: women should not contemplate war, should not weigh tactics impartially, or evade the word enemy, or view both sides and denounce nothing. Women should march for peace, or hand out white feathers to arouse bravery, spit themselves on bayonets to protect their babies, whose skulls will be split anyway, or,having been raped repeatedly, hang themselves with their own hair. There are the functions that inspire general comfort. That, and the knitting of socks for the troops and a sort of moral cheerleading. Also: mourning the dead. Sons,lovers and so forth. All the killed children. Instead of this, I tell what I hope will pass as truth. A blunt thing, not lovely. The truth is seldom welcome, especially at dinner, though I am good at what I do. My trade is courage and atrocities. I look at them and do not condemn. I write things down the way they happened, as near as can be remembered. I don't ask why, because it is mostly the same. Wars happen because the ones who start them think they can win. In my dreams there is glamour. The Vikings leave their fields each year for a few months of killing and plunder, much as the boys go hunting. In real life they were farmers. The come back loaded with splendour. The Arabs ride against Crusaders with scimitars that could sever silk in the air. A swift cut to the horse's neck and a hunk of armour crashes down like a tower. Fire against metal. A poet might say: romance against banality. When awake, I know better. Despite the propaganda, there are no monsters, or none that could be finally buried. Finish one off, and circumstances and the radio create another. Believe me: whole armies have prayed fervently to God all night and meant it, and been slaughtered anyway. Brutality wins frequently, and large outcomes have turned on the invention of a mechanical device, viz. radar. True, valour sometimes counts for something, as at Thermopylae. Sometimes being right - though ultimate virtue, by agreed tradition, is decided by the winner. Sometimes men throw themselves on grenades and burst like paper bags of guts to save their comrades. I can admire that. But rats and cholera have won many wars. Those, and potatoes, or the absence of them. It's no use pinning all those medals across the chests of the dead. Impressive, but I know too much. Grand exploits merely depress me. In the interests of research I have walked on many battlefields that once were liquid with pulped men's bodies and spangled with exploded shells and splayed bone. All of them have been green again by the time I got there. Each has inspired a few good quotes in its day. Sad marble angels brood like hens over the grassy nests where nothing hatches. (The angels could just as well be described as vulgar or pitiless, depending on camera angle.) The word glory figures a lot on gateways. Of course I pick a flower or two from each, and press it in the hotel Bible for a souvenir. I'm just as human as you. But it's no use asking me for a final statement. As I say, I deal in tactics. Also statistics: for every year of peace there have been four hundred years of war.

Imagine saying to someone, “I have a kidney problem, and I’m having a lot of bad days lately.” Nothing but sympathy, right? “What’s wrong?” “My mom had that!” “Text me a pic of the ultrasound!” Then pretend to say, “I have severe depression and anxiety, and I’m having a lot of bad days lately.” They just look at you like you’re broken, right? Unfixable. Inherently flawed. Maybe not someone they want to hang around as much? Yeah, society sucks. My mental problems made me feel ashamed. I felt like I had to hide them until I could “work through it” on my own. Which I never did, because I didn’t know how. And I didn’t feel brave enough to make fixing my mind a priority because I didn’t think anyone would understand.

Guilt is not merely a concern with the past; it is a present-moment immobilization about a past event. And the degree of immobilization can run from mild upset to severe depression. If you are simply learning from your past, and vowing to avoid the repetition of some specific behavior, this is not guilt. You experience guilt only when you are prevented from taking action now as a result of having behaved in a certain way previously. Learning from your mistakes is healthy and a necessary part of growth. Guilt is unhealthy because you are ineffectively using up your energy in the present feeling hurt, upset and depressed about a historical happening. And it’s futile as well as unhealthy. No amount of guilt can ever undo anything.

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.

In the Eastern story, the heavy slab that was to fall on the bed of state in the flush of conquest was slowly wrought out of the quarry, the tunnel of the rope to hold it in its place was slowly carried through the leagues of rock, the slab was slowly raised and fitted in the roof, the rope to the great iron ring. All being made ready with much labour, and the hour come, the sultan was aroused in the dead of the night, and the sharpened axe that was to sever the rope from the great iron ring was put into his hand, and he struck with it, and the rope parted and rushed away, and the ceiling fell. So, in my case; all the work, near and afar, that tended to the end had been accomplished, and in an instant the blow was struck, and the roof of my stronghold dropped upon me.

The hamster friend said being able to do front rolls didn't make the hamster as good as Bruce Lee, which was not a true statement and not an untrue statement, because the word 'good' is meaningless until defined within a context and a goal, and hamsters when enjoying the company of other hamsters rarely define or think about contexts and goals, because to do so would make them aware of certain things about the universe that would make them feel a kind of emptiness or 'neutrality of emotion' that is usually desirable only in situations where the hamster wants to stop his or her self-perpetuating cycle of negative thinking, in order to fight severe depression or crippling loneliness. In a situation of severe depression or crippling loneliness caused by a period of time of uncontrollable negative thinking this 'kind of emptiness'--effected by an understanding (of the arbitrary nature of the universe) that is attained by thinking comprehensively about context, goals, and meaning--can be used to neutralize the hamster's automatic and self-perpetuating pattern of negative thoughts, at which point the hamster can form new thoughts, that will cause new behaviors, that will cause new patterns of thought, with which the hamster can better function in life and in relationships with other hamsters.

Alma knelt in the tall grass and brought her face as near as she could to the stone. And there, rising no more than an inch above the surface of the boulder, she saw a great and tiny forest. Nothing moved within this mossy world. She peered at it so closely that she could smell it- dank and rich and old. Gently, Alma pressed her hand into this tight little timberland. It compacted itself under her palm and then sprang back to form without complaint. There was something stirring about its response to her. The moss felt warm and spongy, several degrees warmer than the air around it, and far more damp than she had expected. It appeared to have its own weather. Alma put the magnifying lens to her eye and looked again. Now the miniature forest below her gaze sprang into majestic detail. She felt her breath catch. This was a stupefying kingdom. This was the Amazon jungle as seen from the back of a harpy eagle. She rode her eye above the surprising landscape, following its paths in every direction. Here were rich, abundant valleys filled with tiny trees of braided mermaid hair and minuscule, tangled vines. Here were barely visible tributaries running through that jungle, and here was a miniature ocean in a depression in the center of the boulder, where all the water pooled. Just across this ocean- which was half the size of Alma's shawl- she found another continent of moss altogether. On this new continent, everything was different. This corner of the boulder must receive more sunlight than the other, she surmised. Or slightly less rain? In any case, this was a new climate entirely. Here, the moss grew in mountain ranges the length of Alma's arms, in elegant, pine tree-shaped clusters of darker, more somber green. On another quadrant of the same boulder still, she found patches of infinitesimally small deserts, inhabited by some kind of sturdy, dry, flaking moss that had the appearance of cactus. Elsewhere, she found deep, diminutive fjords- so deep that, incredibly, even now in the month of June- the mosses within were still chilled by lingering traces of winter ice. But she also found warm estuaries, miniature cathedrals, and limestone caves the size of her thumb. Then Alma lifted her face and saw what was before her- dozens more such boulders, more than she could count, each one similarly carpeted, each one subtly different. She felt herself growing breathless. 'This was the entire world.' This was bigger than a world. This was the firmament of the universe, as seen through one of William Herschel's mighty telescopes. This was planetary and vast. These were ancient, unexplored galaxies, rolling forth in front of her- and it was all right here!

She dances, She dances around the burning flames with passion, Under the same dull stars, Under the same hell with crimson embers crashing, Under the same silver chains that wires, All her beauty and who she is inside, She's left with the loneliness of human existence, She's left questioning how she's survived, She's left with this awakening of brutal resilience, Her true beauty that she denies, As much she's like to deny it, As much as it continues to shine, That she doesn't even have to admit, Because we all know it's true, Her glory and success, After all she's been through, Her triumph and madness, AND YET, SHE STANDS. Broken legs- but she's still standing, Still dancing in this void, You must wonder how she's still dancing, You must wonder how she's not destroyed, She doesn't even begin to drown within the flames, But little do you realize, Within these chains, She weeps and she cries, But she still goes on, And just you thought you could stop her? You thought you'd be the one? Well, let me tell you, because you thought wrong. Nothing will ever silence her, Because I KNOW, I know that she is admiringly strong, Her undeniable beauty, The triumph of her song, She's shining bright like a ruby, Reflecting in the golden sand, She's shining brighter like no other, She's far more than human or man, AND YET, SHE STANDS. She continues to dance with free-spirit, Even though she's locked in these chains, Though she never desired to change it, Even throughout the agonizing pain, Throughout all the distress, Anxiety, depression, tears and sorrow, She still dances so beautify in her dress, She looks forward to tomorrow, Not because of a fresh start but a new page, A new day full of opportunities, Despite being trapped in her cage, She still smiles after being beaten so brutally, A smile that could brighten anyone's day, She's so much more than anyone could ask for, She's so much more than I could ever say, She's a girl absolutely everyone should adore, She never gets in the way, Even after her hearts been broken, Even after the way she has been treated, After all these severe emotions, After all all the blood she's bled, AND YET, SHE STANDS. Even if sometimes she wonders why she's still here, She wonders why she's not dead, But there's this one thing that had been here throughout every tear, Throughout the blazing fire leaving her cheeks cherry red, Everyday this thing has given her a place to exist, This thing, person, these people, Like warm sunlight it had so softly kissed, The apples of her cheeks, Even when she's feeling feeble, Always there at her worst and at her best Because of you and all the other people, She has this thing deep inside her chest, That she will cherish forever, Even once you're gone, Because today she smiles like no other, Even when the sun sets at dawn, Because today is the day, She just wants you to remember, In dark and stormy weather, It gets better. And after what she's been through she knows, Throughout the highs and the lows, Because of you and all others, After crossing the seas, She has come to understand, You have formed this key, This key to free her from this land, This endless gorge that swallowed her, Her and other men, She had never knew, nor had she planned, That because of you, She's free. AND YET, THIS VERY DAY, SHE DANCES. EVEN IN THE RAIN.

You heard me. Let someone else send you to your blaze of glory. You're a speck, man. You're nothing. You're not worth the bullet or the mark on my soul for taking you out." You trying to piss me off again, Patrick?" He removed Campbell Rawson from his shoulder and held him aloft. I tilted my wrist so the cylinder fell into my palm, shrugged. "You're a joke, Gerry. I'm just calling it like I see it." That so?" Absolutely." I met his hard eyes with my own. "And you'll be replaced, just like everything else, in maybe a week, tops. Some other dumb, sick shit will come along and kill some people and he'll be all over the papers, and all over Hard Copy and you'll be yesterday's news. Your fifteen minutes are up, Gerry. And they've passed without impact." They'll remember this," Gerry said. "Believe me." Gerry clamped back on the trigger. When he met my finger, he looked at me and then clamped down so hard that my finger broke. I depressed the trigger on the one-shot and nothing happened. Gerry shrieked louder, and the razor came out of my flesh, then swung back immediately, and I clenched my eyes shut and depressed the trigger frantically three times. And Gerry's hand exploded. And so did mine. The razor hit the ice by my knee as I dropped the one shot and fire roared up the electrical tape and gasoline on Gerry's arm and caught the wisps of Danielle's hair. Gerry threw his head back and opened his mouth wide and bellowed in ecstasy. I grabbed the razor, could barely feel it because the nerves in my hand seemed to have stopped working. I slashed into the electric tape at the end of the shotgun barrel, and Danielle dropped away toward the ice and rolled her head into the frozen sand. My broken finger came back out of the shotgun and Gerry swung the barrels toward my head. The twin shotgun bores arced through the darkness like eyes without mercy or soul, and I raised my head to meet them, and Gerry's wail filled my ears as the fire licked at his neck. Good-bye, I thought. Everyone. It's been nice. Oscar's first two shots entered the back of Gerry's head and exited through the center of his forehead and a third punched into his back. The shotgun jerked upward in Gerry's flaming arm and then the shots came from the front, several at once, and Gerry spun like a marionette and pitched toward the ground. The shotgun boomed twice and punched holes through the ice in front of him as he fell. He landed on his knees and, for a moment, I wasn't sure if he was dead or not. His rusty hair was afire and his head lolled to the left as one eye disappeared in flames but the other shimmered at me through waves of heat, and an amused derision shone in the pupil. Patrick, the eye said through the gathering smoke, you still know nothing. Oscar rose up on the other side of Gerry's corpse, Campbell Rawson clutched tight to his massive chest as it rose and fell with great heaving breaths. The sight of it-something so soft and gentle in the arms of something so thick and mountaineous-made me laugh. Oscar came out of the darkness toward me, stepped around Gerry's burning body, and I felt the waves of heat rise toward me as the circle of gasoline around Gerry caught fire. Burn, I thought. Burn. God help me, but burn. Just after Oscar stepped over the outer edge of the circle, it erupted in yellow flame, and I found myself laughing harder as he looked at it, not remotely impressed. I felt cool lips smack against my ear, and by the time I looked her way, Danielle was already past me, rushing to take her child from Oscar. His huge shadow loomed over me as he approached, and I looked up at him and he held the look for a long moment. How you doing, Patrick?" he said and smiled broadly. And, behind him, Gerry burned on the ice. And everything was so goddamned funny for some reason, even though I knew it wasn't. I knew it wasn't. I did. But I was still laughing when they put me in the ambulance.

Billy helped,” Jethro said, his voice held hesitation. “Billy?” Duane didn’t try to mask his surprise; he and Beau stared at each other, communicating for several seconds without talking. The twins’ ability to impart thoughts through a look had always been frustrating. I didn’t like being left out of a conversation. “Yes. Billy. Billy helped,” I confirmed irritably. “And will you two cease discussing with your eyeballs. There are several other people in the room who can’t brain-link.” Duane lifted an eyebrow, his eyes darting from me to Beau and then quickly to the floor. “Fine, Cletus. Cool your engine.” I grunted, but said nothing. I didn’t want to pick a fight with Duane. I only had a few more weeks of him hanging around and the thought depressed me. He was a grumpy, brooding little bastard who had the habit of only speaking when spoken to—and sometimes not even then. I was going to miss him.

Let me cite a clear-cut example: Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how could I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering—to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

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

9. Your Photo Album Many people have a photo album. In it they keep memories of the happiest of times. There may be a photo of them playing by the beach when they were very young. There may be the picture with their proud parents at their graduation ceremony. There will be many shots of their wedding that captures their love at one of its highest points. And there will be holiday snapshots too. But you will never find in your album any photographs of miserable moments of your life. Absent is the photo of you outside the principal’s office at school. Missing is any photo of you studying hard late into the night for your exams. No one that I know has a picture of their divorce in their album, nor one of them in a hospital bed terribly sick, nor stuck in busy traffic on the way to work on a Monday morning! Such depressing shots never find their way into anyone’s photo album. Yet there is another photo album that we keep in our heads called our memory. In that album, we include so many negative photographs. There you find so many snapshots of insulting arguments, many pictures of the times when you were so badly let down, and several montages of the occasions where you were treated cruelly. There are surprisingly few photos in that album of happy moments. This is crazy! So let’s do a purge of the photo album in our head. Delete the uninspiring memories. Trash them. They do not belong in this album. In their place, put the same sort of memories that you have in a real photo album. Paste in the happiness of when you made up with your partner, when there was that unexpected moment of real kindness, or whenever the clouds parted and the sun shone with extraordinary beauty. Keep those photos in your memory. Then when you have a few spare moments, you will find yourself turning its pages with a smile, or even with laughter.

Antidepression medication is temperamental. Somewhere around fifty-nine or sixty I noticed the drug I’d been taking seemed to have stopped working. This is not unusual. The drugs interact with your body chemistry in different ways over time and often need to be tweaked. After the death of Dr. Myers, my therapist of twenty-five years, I’d been seeing a new doctor whom I’d been having great success with. Together we decided to stop the medication I’d been on for five years and see what would happen... DEATH TO MY HOMETOWN!! I nose-dived like the diving horse at the old Atlantic City steel pier into a sloshing tub of grief and tears the likes of which I’d never experienced before. Even when this happens to me, not wanting to look too needy, I can be pretty good at hiding the severity of my feelings from most of the folks around me, even my doctor. I was succeeding well with this for a while except for one strange thing: TEARS! Buckets of ’em, oceans of ’em, cold, black tears pouring down my face like tidewater rushing over Niagara during any and all hours of the day. What was this about? It was like somebody opened the floodgates and ran off with the key. There was NO stopping it. 'Bambi' tears... 'Old Yeller' tears... 'Fried Green Tomatoes' tears... rain... tears... sun... tears... I can’t find my keys... tears. Every mundane daily event, any bump in the sentimental road, became a cause to let it all hang out. It would’ve been funny except it wasn’t. Every meaningless thing became the subject of a world-shattering existential crisis filling me with an awful profound foreboding and sadness. All was lost. All... everything... the future was grim... and the only thing that would lift the burden was one-hundred-plus on two wheels or other distressing things. I would be reckless with myself. Extreme physical exertion was the order of the day and one of the few things that helped. I hit the weights harder than ever and paddleboarded the equivalent of the Atlantic, all for a few moments of respite. I would do anything to get Churchill’s black dog’s teeth out of my ass. Through much of this I wasn’t touring. I’d taken off the last year and a half of my youngest son’s high school years to stay close to family and home. It worked and we became closer than ever. But that meant my trustiest form of self-medication, touring, was not at hand. I remember one September day paddleboarding from Sea Bright to Long Branch and back in choppy Atlantic seas. I called Jon and said, “Mr. Landau, book me anywhere, please.” I then of course broke down in tears. Whaaaaaaaaaa. I’m surprised they didn’t hear me in lower Manhattan. A kindly elderly woman walking her dog along the beach on this beautiful fall day saw my distress and came up to see if there was anything she could do. Whaaaaaaaaaa. How kind. I offered her tickets to the show. I’d seen this symptom before in my father after he had a stroke. He’d often mist up. The old man was usually as cool as Robert Mitchum his whole life, so his crying was something I loved and welcomed. He’d cry when I’d arrive. He’d cry when I left. He’d cry when I mentioned our old dog. I thought, “Now it’s me.” I told my doc I could not live like this. I earned my living doing shows, giving interviews and being closely observed. And as soon as someone said “Clarence,” it was going to be all over. So, wisely, off to the psychopharmacologist he sent me. Patti and I walked in and met a vibrant, white-haired, welcoming but professional gentleman in his sixties or so. I sat down and of course, I broke into tears. I motioned to him with my hand; this is it. This is why I’m here. I can’t stop crying! He looked at me and said, “We can fix this.” Three days and a pill later the waterworks stopped, on a dime. Unbelievable. I returned to myself. I no longer needed to paddle, pump, play or challenge fate. I didn’t need to tour. I felt normal.

What, in fact, do we know about the peak experience? Well, to begin with, we know one thing that puts us several steps ahead of the most penetrating thinkers of the 19th century: that P.E’.s are not a matter of pure good luck or grace. They don’t come and go as they please, leaving ‘this dim, vast vale of tears vacant and desolate’. Like rainbows, peak experiences are governed by definite laws. They are ‘intentional’. And that statement suddenly gains in significance when we remember Thorndike’s discovery that the effect of positive stimuli is far more powerful and far reaching than that of negative stimuli. His first statement of the law of effect was simply that situations that elicit positive reactions tend to produce continuance of positive reactions, while situations that elicit negative or avoidance reactions tend to produce continuance of these. It was later that he came to realise that positive reactions build-up stronger response patterns than negative ones. In other words, positive responses are more intentional than negative ones. Which is another way of saying that if you want a positive reaction (or a peak experience), your best chance of obtaining it is by putting yourself into an active, purposive frame of mind. The opposite of the peak experience—sudden depression, fatigue, even the ‘panic fear’ that swept William James to the edge of insanity—is the outcome of passivity. This cannot be overemphasised. Depression—or neurosis—need not have a positive cause (childhood traumas, etc.). It is the natural outcome of negative passivity. The peak experience is the outcome of an intentional attitude. ‘Feedback’ from my activities depends upon the degree of deliberately calculated purpose I put into them, not upon some occult law connected with the activity itself. . . . A healthy, perfectly adjusted human being would slide smoothly into gear, perform whatever has to be done with perfect economy of energy, then recover lost energy in a state of serene relaxation. Most human beings are not healthy or well adjusted. Their activity is full of strain and nervous tension, and their relaxation hovers on the edge of anxiety. They fail to put enough effort—enough seriousness—into their activity, and they fail to withdraw enough effort from their relaxation. Moods of serenity descend upon them—if at all—by chance; perhaps after some crisis, or in peaceful surroundings with pleasant associations. Their main trouble is that they have no idea of what can be achieved by a certain kind of mental effort. And this is perhaps the place to point out that although mystical contemplation is as old as religion, it is only in the past two centuries that it has played a major role in European culture. It was the group of writers we call the romantics who discovered that a man contemplating a waterfall or a mountain peak can suddenly feel ‘godlike’, as if the soul had expanded. The world is seen from a ‘bird’s eye view’ instead of a worm’s eye view: there is a sense of power, detachment, serenity. The romantics—Blake, Wordsworth, Byron, Goethe, Schiller—were the first to raise the question of whether there are ‘higher ceilings of human nature’. But, lacking the concepts for analysing the problem, they left it unsolved. And the romantics in general accepted that the ‘godlike moments’ cannot be sustained, and certainly cannot be re-created at will. This produced the climate of despair that has continued down to our own time. (The major writers of the 20th century—Proust, Eliot, Joyce, Musil—are direct descendants of the romantics, as Edmund Wilson pointed out in Axel’s Castle.) Thus it can be seen that Maslow’s importance extends far beyond the field of psychology. William James had asserted that ‘mystical’ experiences are not mystical at all, but are a perfectly normal potential of human consciousness; but there is no mention of such experiences in Principles of Psychology (or only in passing).

A child who has been denied the experience of connecting with his own emotions is first consciously and then unconsciously (through the internal identification with the parent) dependent on his parents. Alice Miller writes: He cannot rely on his own emotions, has not come to experience them through trial and error, has no sense of his own real needs and is alienated from himself to the highest degree. Such a person cannot separate from his parents. He is fantasy bonded with them. He has an illusion (fantasy) of connection, i.e., he really thinks there is a love relationship between himself and his parents. Actually he is fused and enmeshed. This is an entrapment rather than a relationship. Later on this fantasy bond will be transferred to other relationships. This fantasy-bonded person is still dependent on affirmation from his partner, his children, his job. He is especially dependent on his children. A fantasy-bonded person never has a real connection or a real relationship with anyone. There is no real, authentic self there for another to relate to. The real parents, who only accepted the child when he pleased them, remain as introjected voices. The true self hides from these introjected voices just as the real child did. The “loneliness of the parental home” is replaced by “isolation within the self.” Grandiosity is often the result of all this. The grandiose person is admired everywhere and cannot live without admiration. If his talents fail him, it is catastrophic. He must be perfect, otherwise depression is near. Often the most gifted among us are driven in precisely this manner. Many of the most gifted people suffer from severe depression. It cannot be otherwise because depression is about the lost and abandoned child within. “One is free from depression,” writes Alice Miller in The Drama of the Gifted Child, “when self-esteem is based on the authenticity of one’s own feelings and not on the possession of certain qualities.” Emotional abandonment is most often multigenerational. The child of the narcissistically deprived parent becomes an adult with a narcissistically deprived child and will use his children as he was used for his narcissistic supplies. That child then becomes an adult child and the cycle is repeated.

The last time I’d been unwell, suicidally depressed, whatever you want to call it, the reactions of my friends and family had fallen into several different camps: The Let’s Laugh It Off merchants: Claire was the leading light. They hoped that joking about my state of mind would reduce it to a manageable size. Most likely to say, ‘Feeling any mad urges to fling yourself into the sea?’ The Depression Deniers: they were the ones who took the position that since there was no such thing as depression, nothing could be wrong with me. Once upon a time I’d have belonged in that category myself. A subset of the Deniers was The Tough Love people. Most likely to say, ‘What have you got to be depressed about?’ The It’s All About Me bunch: they were the ones who wailed that I couldn’t kill myself because they’d miss me so much. More often than not, I’d end up comforting them. My sister Anna and her boyfriend, Angelo, flew three thousand miles from New York just so I could dry their tears. Most likely to say, ‘Have you any idea how many people love you?’ The Runaways: lots and lots of people just stopped ringing me. Most of them I didn’t care about, but one or two were important to me. Their absence was down to fear; they were terrified that whatever I had, it was catching. Most likely to say, ‘I feel so helpless … God, is that the time?’ Bronagh – though it hurt me too much at the time to really acknowledge it – was the number one offender. The Woo-Woo crew: i.e. those purveying alternative cures. And actually there were hundreds of them – urging me to do reiki, yoga, homeopathy, bible study, sufi dance, cold showers, meditation, EFT, hypnotherapy, hydrotherapy, silent retreats, sweat lodges, felting, fasting, angel channelling or eating only blue food. Everyone had a story about something that had cured their auntie/boss/boyfriend/next-door neighbour. But my sister Rachel was the worst – she had me plagued. Not a day passed that she didn’t send me a link to some swizzer. Followed by a phone call ten minutes later to make sure I’d made an appointment. (And I was so desperate that I even gave plenty of them a go.) Most likely to say, ‘This man’s a miracle worker.’ Followed by: ‘That’s why he’s so expensive. Miracles don’t come cheap.’ There was often cross-pollination between the different groupings. Sometimes the Let’s Laugh It Off merchants teamed up with the Tough Love people to tell me that recovering from depression is ‘simply mind over matter’. You just decide you’re better. (The way you would if you had emphysema.) Or an All About Me would ring a member of the Woo-Woo crew and sob and sob about how selfish I was being and the Woo-Woo crew person would agree because I had refused to cough up two grand for a sweat lodge in Wicklow. Or one of the Runaways would tiptoe back for a sneaky look at me, then commandeer a Denier into launching a two-pronged attack, telling me how well I seemed. And actually that was the worst thing anyone could have done to me, because you can only sound like a self-pitying malingerer if you protest, ‘But I don’t feel well. I feel wretched beyond description.’ Not one person who loved me understood how I’d felt. They hadn’t a clue and I didn’t blame them, because, until it had happened to me, I hadn’t a clue either.

Imagine you live on a planet where the dominant species is far more intellectually sophisticated than human beings but often keeps humans as companion animals. They are called the Gorns. They communicate with each other via a complex combination of telepathy, eye movements & high-pitched squeaks, all completely unintelligible & unlearnable by humans, whose brains are prepared for verbal language acquisition only. Humans sometimes learn the meaning of individual sounds by repeated association with things of relevance to them. The Gorns & humans bond strongly but there are many Gorn rules that humans must try to assimilate with limited information & usually high stakes. You are one of the lucky humans who lives with the Gorns in their dwelling. Many other humans are chained to small cabanas in the yard or kept in outdoor pens of varying size. They are so socially starved they cannot control their emotions when a Gorn goes near them. The Gorns agree that they could never be House-Humans. The dwelling you share with your Gorn family is filled with water-filled porcelain bowls.Every time you try to urinate in one,nearby Gorn attack you. You learn to only use the toilet when there are no Gorns present. Sometimes they come home & stuff your head down the toilet for no apparent reason. You hate this & start sucking up to the Gorns when they come home to try & stave this off but they view this as evidence of your guilt. You are also punished for watching videos, reading books, talking to other human beings, eating pizza or cheesecake, & writing letters. These are all considered behavior problems by the Gorns. To avoid going crazy, once again you wait until they are not around to try doing anything you wish to do. While they are around, you sit quietly, staring straight ahead. Because they witness this good behavior you are so obviously capable of, they attribute to “spite” the video watching & other transgressions that occur when you are alone. Obviously you resent being left alone, they figure. You are walked several times a day and left crossword puzzle books to do. You have never used them because you hate crosswords; the Gorns think you’re ignoring them out of revenge. Worst of all, you like them. They are, after all, often nice to you. But when you smile at them, they punish you, likewise for shaking hands. If you apologize they punish you again. You have not seen another human since you were a small child. When you see one you are curious, excited & afraid. You really don’t know how to act. So, the Gorn you live with keeps you away from other humans. Your social skills never develop. Finally, you are brought to “training” school. A large part of the training consists of having your air briefly cut off by a metal chain around your neck. They are sure you understand every squeak & telepathic communication they make because sometimes you get it right. You are guessing & hate the training. You feel pretty stressed out a lot of the time. One day, you see a Gorn approaching with the training collar in hand. You have PMS, a sore neck & you just don’t feel up to the baffling coercion about to ensue. You tell them in your sternest voice to please leave you alone & go away. The Gorns are shocked by this unprovoked aggressive behavior. They thought you had a good temperament. They put you in one of their vehicles & take you for a drive. You watch the attractive planetary landscape going by & wonder where you are going. You are led into a building filled with the smell of human sweat & excrement. Humans are everywhere in small cages. Some are nervous, some depressed, most watch the goings on on from their prisons. Your Gorns, with whom you have lived your entire life, hand you over to strangers who drag you to a small room. You are terrified & yell for your Gorn family to help you. They turn & walk away.You are held down & given a lethal injection. It is, after all, the humane way to do it.

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,

She was confusing me. This was my tragedy. Why were we talking about her? “I’d get there and people would stare at me,” I said. “Look at me!” “Look at me!” she shot back. She pointed accusingly at herself in the full-length mirror. Her hair looked wilty. Her bottom lip sagged. “I’m thirty-eight years old and still living with my mother. I’ve wanted to get away from that woman all my life. And here it is, ten-thirty at night. I’m tired, Dolores. I just want to go to bed. But instead, I’m on my way to work, dressed up like . . . one of the goddamned Andrews sisters.” In the mirror, we shared a smile. I wanted to reach over and rub her back, tell her I loved her. I opened my mouth to say it, but something else came out. “What if I get so depressed down there that I slit my wrists? They could call here and say they found me in a pool of blood.” “Oh for Christ’s sweet sake!” Her hairbrush flew past me and hit the wall. She slammed into the bathroom, banging the medicine-cabinet door once, twice, three times. Tap water ran for several minutes. When she came back, her eyes were red. She bent over and picked up the brush, picked strands of hair from the bristles. “You don’t want to go to college? Don’t go. I can’t keep this up. I thought I could, but I can’t.” “I’ll get a job,” I said. “Maybe I’ll go on a diet. I’m sorry.” “You’re sorry, I’m sorry, everybody’s sorry,” she sighed. “Write that girl a letter. Don’t let her get stuck with those bedspreads.” I stopped her as she headed for the stairs. “Ma?” I said. She turned and faced me and I saw, in her eyes, the dazed woman she’d been those first days when she’d returned from the mental hospital years before. “Goddamnit, Dolores,” she said. “You’ve made me so goddamned tired.” Then she was down the stairs and out the door.

She dances, She dances around the burning flames with passion, Under the same dull stars, Under the same hell with crimson embers crashing, Under the same silver chains that wires, All her beauty and who she is inside, She's left with the loneliness of human existence, She's left questioning how she's survived, She's left with this awakening of brutal resilience, Her true beauty that she denies, As much she's like to deny it, As much as it continues to shine, That she doesn't even have to admit, Because we all know it's true, Her glory and success, After all she's been through, Her triumph and madness, AND YET, SHE STANDS. Broken legs- but she's still standing, Still dancing in this void, You must wonder how she's still dancing, You must wonder how she's not destroyed, She doesn't even begin to drown within the flames, But little do you realize, Within these chains, She weeps and she cries, But she still goes on, And just you thought you could stop her? You thought you'd be the one? Well, let me tell you, because you thought wrong. Nothing will ever silence her, Because I KNOW, I know that she is admiringly strong, Her undeniable beauty, The triumph of her song, She's shining bright like a ruby, Reflecting in the golden sand, She's shining brighter like no other, She's far more than human or man, AND YET, SHE STANDS. She continues to dance with free-spirit, Even though she's locked in these chains, Though she never desired to change it, Even throughout the agonizing pain, Throughout all the distress, Anxiety, depression, tears and sorrow, She still dances so beautify in her dress, She looks forward to tomorrow, Not because of a fresh start but a new page, A new day full of opportunities, Despite being trapped in her cage, She still smiles after being beaten so brutally, A smile that could brighten anyone's day, She's so much more than anyone could ask for, She's so much more than I could ever say, She's a girl absolutely everyone should adore, She never gets in the way, Even after her hearts been broken, Even after the way she has been treated, After all these severe emotions, After all all the blood she's bled, AND YET, SHE STANDS. Even if sometimes she wonders why she's still here, She wonders why she's not dead, But there's this one thing that had been here throughout every tear, Throughout the blazing fire leaving her cheeks cherry red, Everyday this thing has given her a place to exist, This thing, person, these people, Like warm sunlight it had so softly kissed, The apples of her cheeks, Even when she's feeling feeble, Always there at her worst and at her best Because of you and all the other people, She has this thing deep inside her chest, That she will cherish forever, Even once you're gone, Because today she smiles like no other, Even when the sun sets at dawn, Because today is the day, She just wants you to remember, In dark and stormy weather, It gets better. And after what she's been through she knows, Throughout the highs and the lows, Because of you and all others, After crossing the seas, She has come to understand, You have formed this key, This key to free her from this land, This endless gorge that swallowed her, Her and other men, She had never knew, nor had she planned, That because of you, She's free. AND YET, THIS VERY DAY, SHE STILL DANCES, EVEN IN THE RAIN.

In attunement, it is the infant who leads and the mother who follows. “Where their roles differ is in the timing of their responses,” writes John Bowlby, one of the century’s great psychiatric researchers. The infant initiates the interaction or withdraws from it according to his own rhythms, Bowlby found, while the “mother regulates her behaviour so that it meshes with his... Thus she lets him call the tune and by a skillful interweaving of her own responses with his creates a dialogue.” The tense or depressed mothering adult will not be able to accompany the infant into relaxed, happy spaces. He may also not fully pick up signs of the infant’s emotional distress, or may not be able to respond to them as effectively as he would wish. The ADD child’s difficulty reading social cues likely originates from her relationship cues not being read by the nurturing adult, who was distracted by stress. In the attunement interaction, not only does the mother follow the child, but she also permits the child to temporarily interrupt contact. When the interaction reaches a certain stage of intensity for the infant, he will look away to avoid an uncomfortably high level of arousal. Another interaction will then begin. A mother who is anxious may react with alarm when the infant breaks off contact, may try to stimulate him, to draw him back into the interaction. Then the infant’s nervous system is not allowed to “cool down,” and the attunement relationship is hampered. Infants whose caregivers were too stressed, for whatever reason, to give them the necessary attunement contact will grow up with a chronic tendency to feel alone with their emotions, to have a sense — rightly or wrongly — that no one can share how they feel, that no one can “understand.” Attunement is the quintessential component of a larger process, called attachment. Attachment is simply our need to be close to somebody. It represents the absolute need of the utterly and helplessly vulnerable human infant for secure closeness with at least one nourishing, protective and constantly available parenting figure. Essential for survival, the drive for attachment is part of the very nature of warm-blooded animals in infancy, especially. of mammals. In human beings, attachment is a driving force of behavior for longer than in any other animal. For most of us it is present throughout our lives, although we may transfer our attachment need from one person — our parent — to another — say, a spouse or even a child. We may also attempt to satisfy the lack of the human contact we crave by various other means, such as addictions, for example, or perhaps fanatical religiosity or the virtual reality of the Internet. Much of popular culture, from novels to movies to rock or country music, expresses nothing but the joys or the sorrows flowing from satisfactions or disappointments in our attachment relationships. Most parents extend to their children some mixture of loving and hurtful behavior, of wise parenting and unskillful, clumsy parenting. The proportions vary from family to family, from parent to parent. Those ADD children whose needs for warm parental contact are most frustrated grow up to be adults with the most severe cases of ADD. Already at only a few months of age, an infant will register by facial expression his dejection at the mother’s unconscious emotional withdrawal, despite the mother’s continued physical presence. “(The infant) takes delight in Mommy’s attention,” writes Stanley Greenspan, “and knows when that source of delight is missing. If Mom becomes preoccupied or distracted while playing with the baby, sadness or dismay settles in on the little face.