Symptoms Of Being Human Quotes

Highly sensitive people are too often perceived as weaklings or damaged goods. To feel intensely is not a symptom of weakness, it is the trademark of the truly alive and compassionate. It is not the empath who is broken, it is society that has become dysfunctional and emotionally disabled. There is no shame in expressing your authentic feelings. Those who are at times described as being a 'hot mess' or having 'too many issues' are the very fabric of what keeps the dream alive for a more caring, humane world. Never be ashamed to let your tears shine a light in this world.

The real hopeless victims of mental illness are to be found among those who appear to be most normal. "Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does." They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted.

A person who has not been completely alienated, who has remained sensitive and able to feel, who has not lost the sense of dignity, who is not yet "for sale", who can still suffer over the suffering of others, who has not acquired fully the having mode of existence - briefly, a person who has remained a person and not become a thing - cannot help feeling lonely, powerless, isolated in present-day society. He cannot help doubting himself and his own convictions, if not his sanity. He cannot help suffering, even though he can experience moments of joy and clarity that are absent in the life of his "normal" contemporaries. Not rarely will he suffer from neurosis that results from the situation of a sane man living in an insane society, rather than that of the more conventional neurosis of a sick man trying to adapt himself to a sick society. In the process of going further in his analysis, i.e. of growing to greater independence and productivity,his neurotic symptoms will cure themselves.

As for wondering if it's okay to be who you are--that's not a symptom of mental illness. That's a symptom of being a person.

The world isn't binary. Everything isn't black or white, yes or no. Sometimes it's not a switch, it's a dial. And it's not even a dial you can get your hands on; it turns without your permission or approval" -Riley

We’re all taught from a young age that there are only two choices: pink or blue, Bratz or Power Rangers, cheerleading or football. We see gender in two dimensions because that’s what society has taught us from birth. But, are you ready for a shocking revelation? SOCIETY NEEDS TO CHANGE.

That's my problem, actually. I don't talk to anybody about what's going on in my head, because I'm afraid they might not be able to take it.

The symptoms of abuse are there, and the woman usually sees them: the escalating frequency of put-downs. Early generosity turning more and more to selfishness. Verbal explosions when he is irritated or when he doesn’t get his way. Her grievances constantly turned around on her, so that everything is her own fault. His growing attitude that he knows what is good for her better than she does. And, in many relationships, a mounting sense of fear or intimidation. But the woman also sees that her partner is a human being who can be caring and affectionate at times, and she loves him. She wants to figure out why he gets so upset, so that she can help him break his pattern of ups and downs. She gets drawn into the complexities of his inner world, trying to uncover clues, moving pieces around in an attempt to solve an elaborate puzzle.

My mom says crying is just your body expelling all the bad stuff. Like a sneeze. Like your soul sneezing.

People do judge books by their covers; it’s human nature. They react to the way you look before they hear a single word that comes out of your mouth.

I can't blame you for trying to categorize me. It's a human instinct. It's why scientists are, to this day, completely flabbergasted by the duck-billed platypus: it's furry like a mammal, but lays eggs like a bird. It defies conventional classification. I AM THE PLATYPUS (Coo coo ka-choo)

But the truth is, feelings don't change anything. To change something, you have to say things out loud. Do things. Take chances. Take a stand" -Riley

I think you assume everyone is going to be your enemy. And by doing that, you sort of make it come true.

People are complicated. And messy. Seems too convenient that we’d all fit inside some multiple-choice question.

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration... Existential frustration is neither pathological or pathogenic.

The first thing you're going to want to know about me is: Am I a boy, or am I a girl?

You always say the best leaders figure out how to turn a bad situation to their advantage. When life gives you gators, make Gatorade

Remembering that moment stirs something inside -- anger, at first, and then a deep, hollow sadness that ripples through me in its own spiderweb pattern.

I've found my cause.

I may not be "blending in"- but if I'm standing out, at least I feel like I've found a place to stand.

You think I didn't choose these clothes and this haircut specifically to avoid being stuffed into one pigeonhole or another? I'm gender fluid. Not stupid

What, no Star Wars?" Solo sighs. "I wanted to bring the original, unaltered Episode IV, in which my namesake shoots first, as our Lord and savior intended." "Why didn't you?" "I only have it on VHS, and my dad's old VHS player broke halfway through the summer.

The most traumatic aspects of all disasters involve the shattering of human connections. And this is especially true for children. Being harmed by the people who are supposed to love you, being abandoned by them, being robbed of the one-on-one relationships that allow you to feel safe and valued and to become humane—these are profoundly destructive experiences. Because humans are inescapably social beings, the worst catastrophes that can befall us inevitably involve relational loss. As a result, recovery from trauma and neglect is also all about relationships—rebuilding trust, regaining confidence, returning to a sense of security and reconnecting to love. Of course, medications can help relieve symptoms and talking to a therapist can be incredibly useful. But healing and recovery are impossible—even with the best medications and therapy in the world—without lasting, caring connections to others.

Here are two enormous worlds side by side; what's remarkable is how little notice they have taken of each other. If the Western and Islamic worlds were two individual human beings, we might see symptoms of repression here. We might ask, "What happened between these two? Were they lovers once? Is there some history of abuse?

Things making you cry for no reason. There's nothing wrong with it. My mom says crying is just your body expelling all the bad stuff. Like a sneeze. Like your soul sneezing.

So, first, I want you to know that everybody experiences some level of anxiety. It's a normal human response to stress. It's like your body's smoke alarm. If there's a fire, you want to know so you can put it out or call 9-1-1, right?” I shrug. “I guess. But it feels like my alarm is going off all the time.” Doctor Ann nods. “Some people's systems are more sensitive than others'. For you, maybe all it takes is burning a piece of toast, and your alarm thinks the house is on fire.

Human beings are too important to be treated as mere symptoms of the past. They have a value which is independent of any temporal process──which is eternal, and must be felt for its own sake.

As it stands, the diagnostic criteria for depression are so loose that two people with absolutely no symptoms in common can both end up with the same unitary diagnosis of depression. For this reason especially, the concept of depression as a mental disorder has been charged with being little more than a socially constructed dustbin for all manner of human suffering.

At some point during my research, I came across the term "gender fluid." Reading those words was a revelation. It was like someone tore a layer of gauze off the mirror, and I could see myself clearly for the first time. There was a name for what I was. It was a thing. Gender fluid. Sitting there in front of my computer--like I am right now--I knew I would never be the same. I could never go back to seeing it the old way; I could never go back to not knowing what I was. But did that glorious moment of revelation really change anything? I don't know. Sometimes, I don't think so. I may have a name for what I am now--but I'm just as confused and out of place as I was before. And if today is any indication, I'm still playing out that scene in the toy store--trying to pick the thing that will cause the least amount of drama. And not having much success.

That’s none of your business,” I say. “And, while I’m flattered by your interest, you’re really not my type.” The

Many atheists might proudly proclaim that our lives have no ultimate meaning, yet the business of finding significance in one's life is perhaps the most important part of being human. When we drift into a life without meaning, we soon become a pack of symptoms and pathologies; and without any feeling of significance, many choose to end their lives altogether.

...ideas are definitely unstable, they not only CAN be misused, they invite misuse--and the better the idea the more volatile it is. That's because only the better ideas turn into dogma, and it is this process whereby a fresh, stimulating, humanly helpful idea is changed into robot dogma that is deadly. In terms of hazardous vectors released, the transformation of ideas into dogma rivals the transformation of hydrogen into helium, uranium into lead, or innocence into corruption. And it is nearly as relentless. The problem starts at the secondary level, not with the originator or developer of the idea but with the people who are attracted by it, who adopt it, who cling to it until their last nail breaks, and who invariably lack the overview, flexibility, imagination, and most importantly, sense of humor, to maintain it in the spirit in which it was hatched. Ideas are made by masters, dogma by disciples, and the Buddha is always killed on the road. There is a particularly unattractive and discouragingly common affliction called tunnel vision, which, for all the misery it causes, ought to top the job list at the World Health Organization. Tunnel vision is a disease in which perception is restricted by ignorance and distorted by vested interest. Tunnel vision is caused by an optic fungus that multiplies when the brain is less energetic than the ego. It is complicated by exposure to politics. When a good idea is run through the filters and compressors of ordinary tunnel vision, it not only comes out reduced in scale and value but in its new dogmatic configuration produces effects the opposite of those for which it originally was intended. That is how the loving ideas of Jesus Christ became the sinister cliches of Christianity. That is why virtually every revolution in history has failed: the oppressed, as soon as they seize power, turn into the oppressors, resorting to totalitarian tactics to "protect the revolution." That is why minorities seeking the abolition of prejudice become intolerant, minorities seeking peace become militant, minorities seeking equality become self-righteous, and minorities seeking liberation become hostile (a tight asshole being the first symptom of self-repression).

My research continues to amaze and baffle me. As human beings, we are geniuses. What we didn’t get from the home, we find ways of getting elsewhere. It’s evident, then, when one looks at the stats we don’t have a teenage pregnancy problem and we don’t have a street gang problem. I will even suggest that we don’t have a drug and alcohol problem, nor do we have a crime problem rather, these are only the symptoms that we are experiencing, and the real problem is broken homes that result in broken lives.

The really hopeless victims of mental illness are to be found among those who appear to be most normal. “Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does.” They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish “the illusion of individuality,” but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But “uniformity and freedom are incompatible. Uniformity and mental health are incompatible too. . . . Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.

Here's the other thing I think about. It makes little sense to try to control what happens to your remains when you are no longer around to reap the joys or benefits of that control. People who make elaborate requests concerning disposition of their bodies are probably people who have trouble with the concept of not existing. [...] I imagine it is a symptom of the fear, the dread, of being gone, of the refusal to accept that you no longer control, or even participate in, anything that happens on earth. I spoke about this with funeral director Kevin McCabe, who believes that decisions concerning the disposition of a body should be mad by the survivors, not the dead. "It's non of their business what happens to them whey the die," he said to me. While I wouldn't go that far, I do understand what he was getting at: that the survivors shouldn't have to do something they're uncomfortable with or ethically opposed to. Mourning and moving on are hard enough. Why add to the burden? If someone wants to arrange a balloon launch of the deceased's ashes into inner space, that's fine. But if it is burdensome or troubling for any reason, then perhaps they shouldn't have to.

... but as with so may diagnoses it is, in the end, the symptoms that matter, not the cause, because this is what being alive means, this is what being a person means, to be sickened by an illness known as you.

Reminiscing in the drizzle of Portland, I notice the ring that’s landed on your finger, a massive insect of glitter, a chandelier shining at the end of a long tunnel. Thirteen years ago, you hid the hurt in your voice under a blanket and said there’s two kinds of women—those you write poems about and those you don’t. It’s true. I never brought you a bouquet of sonnets, or served you haiku in bed. My idea of courtship was tapping Jane’s Addiction lyrics in Morse code on your window at three A.M., whiskey doing push-ups on my breath. But I worked within the confines of my character, cast as the bad boy in your life, the Magellan of your dark side. We don’t have a past so much as a bunch of electricity and liquor, power never put to good use. What we had together makes it sound like a virus, as if we caught one another like colds, and desire was merely a symptom that could be treated with soup and lots of sex. Gliding beside you now, I feel like the Benjamin Franklin of monogamy, as if I invented it, but I’m still not immune to your waterfall scent, still haven’t developed antibodies for your smile. I don’t know how long regret existed before humans stuck a word on it. I don’t know how many paper towels it would take to wipe up the Pacific Ocean, or why the light of a candle being blown out travels faster than the luminescence of one that’s just been lit, but I do know that all our huffing and puffing into each other’s ears—as if the brain was a trick birthday candle—didn’t make the silence any easier to navigate. I’m sorry all the kisses I scrawled on your neck were written in disappearing ink. Sometimes I thought of you so hard one of your legs would pop out of my ear hole, and when I was sleeping, you’d press your face against the porthole of my submarine. I’m sorry this poem has taken thirteen years to reach you. I wish that just once, instead of skidding off the shoulder blade’s precipice and joyriding over flesh, we’d put our hands away like chocolate to be saved for later, and deciphered the calligraphy of each other’s eyelashes, translated a paragraph from the volumes of what couldn’t be said.

Look. I don't expect you to spill your guts to me. Your business is your business. Dress how you want to dress. Let people wonder. Fuck 'em." I smile. Solo raised a finger. "But you've got to stop looking for a fight every time someone makes a comment. High school sucks for everyone." I feel my smile fade, and I sit back in the chair. "It kind of feels like you're defending those guys." Solo shrugs. "There will always be guys like Jim Vickers. But I'm not going to let them stop me from doing what I want. And neither should you.

You've read Gandhi-ji? He said that the two worst classes of human beings are doctors and lawyers. Lawyers because they prolong fights and doctors because they cure the symptoms, not the cause. Doctors don't eliminate disease--they perpetuate the existence of doctors.

Our political challenges are mere symptoms of a deeper malaise and a deeper dysfunction. Humanity itself is being challenged to move on to the next stage of our evolution.

She then proceeds to set the world record for Dropping Most Harry Potter References in a Fifty-Minute Period.

THE SUCCESS OF ANY parasite is proportional to its harmlessness. Some are intelligent; they avoid detection, allowing their carriers to lead healthy lives until obsolescence. Fewer, in brilliant acts of symbiosis, foster dependence in the host. But too many are loudmouths and fools, instigating aches, diarrhea, fatigue, bleeding, or other braggadocious symptoms. Most parasites cannot think far enough ahead to maintain the well-being of their host, much less their host’s entire species. Usually, such foresight is not necessary, unless humans are involved. They tend to hold grudges.

The system can be paralyzed in yet another way. Every feedback system needs a margin of “lag” or error. If we try to make a thermostat absolutely accurate–that is, if we bring the upper and lower limits of temperature very close together in an attempt to hold the temperature at a constant 70 degrees–the whole system will break down. For to the extent that the upper and lower limits coincide, the signals for switching off and switching on will coincide! If 70 degrees is both the lower and upper limit the “go” sign will also be the “stop” sign; “yes” will imply “no” and “no” will imply “yes.” Whereupon the mechanism will start “trembling,” going on and off, on and off, until it shakes itself to pieces. The system is too sensitive and shows symptoms which are startlingly like human anxiety. For when a human being is so self-conscious, so self-controlled that he cannot let go of himself, he dithers or wobbles between opposites. This is precisely what is meant in Zen by going round and round on “the wheel of birth-and-death,” for the Buddhist samsara is the prototype of all vicious circles. We saw that when the furnace responds too closely to the thermostat, it cannot go ahead without also trying to stop, or stop without also trying to go ahead. This is just what happens to the human being, to the mind, when the desire for certainty and security prompts identification between the mind and its own image of itself. It cannot let go of itself. It feels that it should not do what it is doing, and that it should do what it is not doing. It feels that it should not be what it is, and be what it isn’t. Furthermore, the effort to remain always “good” or “happy” is like trying to hold the thermostat to a constant 70 degrees by making the lower limit the same as the upper.

The evidence that women are being let down by the medical establishment is overwhelming. The bodies, symptoms and diseases that affect half the world’s population are being dismissed, disbelieved and ignored. And it’s all a result of the data gap combined with the still prevalent belief, in the face of all the evidence that we do have, that men are the default humans. They are not. They are, to state the obvious, just men. And data collected on them does not, cannot, and should not, apply to women. We need a revolution in the research and the practice of medicine, and we need it yesterday. We need to train doctors to listen to women, and to recognise that their inability to diagnose a woman may not be because she is lying or being hysterical: the problem may be the gender data gaps in their knowledge. It’s time to stop dismissing women, and start saving them.

Our "increasing mental sickness" may find expres­sion in neurotic symptoms. These symptoms are con­spicuous and extremely distressing. But "let us beware," says Dr. Fromm, "of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symp­toms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting." The really hopeless victims of mental illness are to be found among those who appear to be most normal. "Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been si­lenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does." They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their per­fect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish "the illusion of indi­viduality," but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But "uniformity and free­dom are incompatible. Uniformity and mental health are incompatible too. . . . Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.

Out in the real world, in which actual human beings live, it’s hard to come up with a more stupid example than 'ditching the daily latte'. Want to get your finances in order? Great! All you have to do is wean yourself off an addictive, stimulatory drug, which you’ve been using all your adult life, will cause withdrawal symptoms and impair your performance when you try to quit, is universally available, woven into the very fabric of social life, is the only addiction that carries no stigma whatsoever, and helped bring about the Enlightenment. Oh, and it’s also really frickin’ delicious.

There is an inward and outward state in every human soul, with the inward being imān (the condition of the faith) and the outward being islām (the manifestation or practice of the faith). When the two come together inwardly and outwardly, the resulting balance is a truly beautiful human being, one generally called a muḥsin, one whose worship and character are excellent.

Every age has its own collective neurosis, and every age needs its own psychotherapy to cope with it. The existential vacuum which is the mass neurosis of the present time can be described as a private and personal form of nihilism; for nihilism can be defined as the contention that being has no meaning. As for psychotherapy, however, it will never be able to cope with this state of affairs on a mass scale if it does not keep itself free from the impact and influence of the contemporary trends of a nihilistic philosophy; otherwise it represents a symptom of the mass neurosis rather than its possible cure. Psychotherapy would not only reflect a nihilistic philosophy but also, even though unwillingly and unwittingly, transmit to the patient what is actually a caricature rather than a true picture of man. First of all, there is a danger inherent in the teaching of man's "nothingbutness," the theory that man is nothing but the result of biological, psychological and sociological conditions, or the product of heredity and environment. such a view of man makes a neurotic believe what he is prone to believe anyway, namely, that he is the pawn and victim of outer influences or inner circumstances. This neurotic fatalism is fostered and strengthened by a psychotherapy which denies that man is free. To be sure, a human being is a finite thing and his freedom is restricted. It is not freedom from conditions, but it is freedom to take a stand toward the conditions. As I once put it: "As a professor in two fields, neurology and psychiatry, I am fully aware of the extent to which man is subject to biological, psychological and sociological conditions. But in addition to being a professor in two fields I am a survivor of four camps-concentration camps, that is-and as such I also bear witness to the unexpected extent to which man is capable of defying and braving even the worst conditions conceivable.

Classifying depression as an illness serves the psychiatric community and pharmaceutical corporations well; it also soothes the frightened, guilty, indifferent, busy, sadistic, and unschooled. To understand depression as a call for life-changes is not profitable. Stagnation is not a medical term. The 17.5 million Americans diagnosed as suffering a major depression in 1997 were mostly damned. (Psychobiological examinations confuse cause and symptom.) Deficient serotonergic functioning, ventral prefrontal cerebral cortex, dis-inhibition of impulsive-aggressive behavior, blah blah blah: the medical lexicon boils emotion from human being. Go take a drug, the doctor says. Pain is a biochemical phenomenon. Erase all memory.

Our “increasing mental sickness” may find expression in neurotic symptoms. These symptoms are conspicuous and extremely distressing. But “let us beware,” says Dr. Fromm, “of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symptoms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting.” The really hopeless victims of mental illness are to be found among those who appear to be most normal. “Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does.” They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish “the illusion of individuality,” but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But “uniformity and freedom are incompatible. Uniformity and mental health are incompatible too. . . . Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.

To label someone as selfless is symptomatic of having bought the preposterous claim that a human being can have great concern for other human beings and little concern for themselves, or that, when taken to extremes, a human being can have great concern for other human beings and absolutely no concern for themselves.

I now believe that virtually all my problems could be attributed to my brain’s being configured differently from those of the majority of humans. All the psychiatric symptoms were a result of this difference, not of any underlying disease. Of course I was depressed: I lacked friends, sex, and a social life, because I was incompatible with other people. My intensity and focus were misinterpreted as mania. And my concern with organization was labeled as obsessive-compulsive disorder.

Depression was a symptom of another illness. Being human. Being me.

Children do not as yet recognize or, at any rate, lay such exaggerated stress upon the gulf that separates human beings from the animal world.

mother

In former days, people frustrated in their will to meaning would probably have turned to a pastor, priest, or rabbi. Today, they crowd clinics and offices. The psychiatrist, then, frequently finds himself in an embarrassing situation, for he now is confronted with human problems rather than with specific clinical symptoms. Man’s search for a meaning is not pathological, but rather the surest sign of being truly human. Even if this search is frustrated, it cannot be considered a sign of disease. It is spiritual distress, not mental disease.

It is tempting to point the finger at local actors as the agents of the carnage---be it corrupt politicians, exploitive cooperatives, unhinged soldiers, or extortionist bosses. The all played their roles, but they were also symptoms of a more malevolent disease: the global economy run amok in Africa. The depravity and indifference unleashed on the children working at Tilwezembe is a direct consequence of a global economic order that preys on the poverty, vulnerability, and devalued humanity of the people who toil at the bottom of global supply chains. Declarations by multinational corporations that the rights and dignity of every worker in their supply chains are protected and preserved seem more disingenuous than ever.

There is always a gap between when a symptom begins and when it is 'medically explained.' It is unreasonable to expect that doctors, who are fallible human beings doing a difficult job, can close this gap instantaneously - and, given that medical knowledge is, and probably always will be, incomplete, they may at times not be able to close it at all. But it shouldn't unreasonable to expect that, during this period of uncertainty, the benefit of the doubt be given to the patient, the default assumption be that their symptoms are real, their description of what they are feeling in their own bodies be believed, and, if it is 'medically unexplained,' the burden be on medicine to explain it. Such basic trust has been denied to women for far too long.

[Author's Note:] When my grandmother came to the United States from Puerto Rico in the 1940s, she was a beautiful, glamorous woman from a wealthy family in the capital city, and the young bride of a dashing naval officer. She expected to be received as such. Instead, she found that people here had a very reductionist view of what it meant to be Puerto Rican, of what it meant to be Latinx. Everything about her confused her new neighbors: her skin tone, her hair, her accent, her notions. She wasn't what they expected a boricua to be. My grandmother spent much of her adult life in the States but didn't always feel welcome here. She resented the perpetual gringo misconceptions about her. She never got past that resentment, and the echoes of her indignation still have some peculiar manifestations in my family today. One of the symptoms is me. Always raging against a perceived slight, always fighting against ignorance in mainstream ideas about ethnicity and culture. I'm acutely aware that the people coming to our southern border are not one faceless brown mass but singular individuals, with stories and backgrounds and reasons for coming that are unique. I feel this awareness in my spine, in my DNA. So I hoped to present one of those unique personal stories - a work of fiction - as a way to honor the hundreds of thousands of stories we may never get to hear. And in so doing, I hope to create a pause where the reader may begin to individuate. When we see migrants on the news, we may remember: these people are people.

The U.S. has a so-called health care system that has nothing to do with the promotion of health. Those who run this system do not care about your health, and it's far from being a system. It's a fragmented patchwork of procedure-oriented services that are meshed in a voluminous trail of paper payments, with little relevance to community-based needs. This misdirected, disease-managed non-care system of symptom suppression demands more and more treatment at higher and higher costs. If they cared at all, you'd be treated like a human, not like a number resembling, quite frankly, the ear tags on a cattle herd.

In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration.

The performative dimension at work here consists of the symbolic efficiency of the “mask”: wearing a mask actually makes us what we feign to be. In other words, the conclusion to be drawn from this dialectic is the exact opposite of the common wisdom by which every human act (achievement, deed) is ultimately just an act (posture, pretense): the only authenticity at our disposal is that of impersonation, of “taking our act (posture) seriously.

I don’t remember when I stopped noticing—stopped noticing every mirror, every window, every scale, every fast-food restaurant, every diet ad, every horrifying model. And I don’t remember when I stopped counting, or when I stopped caring what size my pants were, or when I started ordering what I wanted to eat and not what seemed “safe,” or when I could sit comfortably reading a book in my kitchen without noticing I was in my kitchen until I got hungry—or when I started just eating when I got hungry, instead of questioning it, obsessing about it, dithering and freaking out, as I’d done for nearly my whole life. I don’t remember exactly when recovery took hold, and went from being something I both fought and wanted, to being simply a way of life. A way of life that is, let me tell you, infinitely more peaceful, infinitely happier, and infinitely more free than life with an eating disorder. And I wouldn’t give up this life of freedom for the world. What I know is this: I chose recovery. It was a conscious decision, and not an easy one. That’s the common denominator among people I know who have recovered: they chose recovery, and they worked like hell for it, and they didn’t give up. Recovery isn’t easy, at first. It takes time. It takes more work, sometimes, than you think you’re willing to do. But it is worth every hard day, every tear, every terrified moment. It’s worth it, because the trade-off is this: you let go of your eating disorder, and you get back your life. There are a couple of things I had to keep in mind in early recovery. One was that I was going to recover, even though I didn’t feel “ready.” I realized I was never going to feel ready—I was just going to jump in and do it, ready or not, and I am deeply glad that I did. Another was that symptoms were not an option. Symptoms, as critically necessary and automatic as they feel, are ultimately a choice. You can choose to let the fallacy that you must use symptoms kill you, or you can choose not to use symptoms. Easier said than done? Of course. But it can be done. I had to keep at the forefront of my mind the reasons I wanted to recover so badly, and the biggest one was this: I couldn’t believe in what I was doing anymore. I couldn’t justify committing my life to self-destruction, to appearance, to size, to weight, to food, to obsession, to self-harm. And that was what I had been doing for so long—dedicating all my strength, passion, energy, and intelligence to the pursuit of a warped and vanishing ideal. I just couldn’t believe in it anymore. As scared as I was to recover, to recover fully, to let go of every last symptom, to rid myself of the familiar and comforting compulsions, I wanted to know who I was without the demon of my eating disorder inhabiting my body and mind. And it turned out that I was all right. It turned out it was all right with me to be human, to have hungers, to have needs, to take space. It turned out that I had a self, a voice, a whole range of values and beliefs and passions and goals beyond what I had allowed myself to see when I was sick. There was a person in there, under the thick ice of the illness, a person I found I could respect. Recovery takes time, patience, enormous effort, and strength. We all have those things. It’s a matter of choosing to use them to save our own lives—to survive—but beyond that, to thrive. If you are still teetering on the brink of illness, I invite you to step firmly onto the solid ground of health. Walk back toward the world. Gather strength as you go. Listen to your own inner voice, not the voice of the eating disorder—as you recover, your voice will get clearer and louder, and eventually the voice of the eating disorder will recede. Give it time. Don’t give up. Love yourself absolutely. Take back your life. The value of freedom cannot be overestimated. It’s there for the taking. Find your way toward it, and set yourself free.

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration.

Being human can naturally bring many obstacles to our lives. "Difficult Gifts" is a poignant, touching story of Courtney Burnett's journey through a cancer diagnosis and the spiritual journey that buoyed her through symptoms, diagnosis and treatment. This book can help shape the perspective of all we face, especially now in times of uncertainty!

These people, I’m afraid, include those who suffer from ‘wheat intolerance’. I know there is such a thing, which can afflict even the sturdiest, most no-nonsense of souls and causes the consumption of foods containing wheat to bring on unpleasant symptoms that, while not at the same level as an allergic reaction, the sufferer would still want to do something about, such as stopping eating wheat, and that wouldn’t necessarily make them a tedious, attention-seeking wuss. However, I think the vast majority of people who cite the condition are tedious, attention-seeking wusses who mistake the normal symptoms of daily life – feeling sluggish after meals, tired in the morning, hungry before breakfast and generally not as though they want to leap around like someone in an advert – for there being something wrong with them. It’s not just wheat they’re intolerant of, it’s everything. They’re so dissatisfied with the sensation of being human, with the world’s constant assaults on the temples that are their bodies, that they’re now unwilling even to coexist with a grain.

In general, the trend of the evidence indicates that in land, just as in the human body, the symptoms may lie in one organ and the cause in another. The practices we now call conservation are, to a large extent, local alleviations of biotic pain. They are necessary, but they must not be confused with cures. The art of land doctoring is being practiced with vigor, but the science of land health is yet to be born.

Here’s the other thing I think about. It makes little sense to try to control what happens to your remains when you are no longer around to reap the joys or benefits of that control. People who make elaborate requests concerning disposition of their bodies are probably people who have trouble with the concept of not existing. Leaving a note requesting that your family and friends travel to the Ganges or ship your body to a plastination lab in Michigan is a way of exerting influence after you’re gone—of still being there, in a sense. I imagine it is a symptom of the fear, the dread, of being gone, of the refusal to accept that you no longer control, or even participate in, anything that happens on earth. I spoke about this with funeral director Kevin McCabe, who believes that decisions concerning the disposition of a body should be made by the survivors, not the dead. “It’s none of their business what happens to them when they die,” he said to me. While I wouldn’t go that far, I do understand what he was getting at: that the survivors shouldn’t have to do something they’re uncomfortable with or ethically opposed to. Mourning and moving on are hard enough. Why add to the burden? If someone wants to arrange a balloon launch of the deceased’s ashes into inner space, that’s fine. But if it is burdensome or troubling for any reason, then perhaps they shouldn’t have to. McCabe’s policy is to honor the wishes of the family over the wishes of the dead. Willed body program coordinators feel similarly. “I’ve had kids object to their dad’s wishes [to donate],” says Ronn Wade, director of the Anatomical Services Division of the University of Maryland School of Medicine. “I tell them, ‘Do what’s best for you. You’re the one who has to live with it.

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

Along with unemployment neurosis, which is triggered by an individual's socioeconomic situation, there are other types of depression which are traceable back to psychodynamic or biochemical conditions, whichever the case may be. Accordingly, psychotherapy and pharmacotherapy are indicated respectively. Insofar as the feeling of meaninglessness is concerned, however, we should not overlook and forget that, per se, it is not a matter of pathology; rather than being the sign and symptom of a neurosis, it is, I would say, the proof of one's humanness. But although it is not caused by anything pathological, it may well cause a pathological reaction; in other words, it is potentially pathogenic. Just consider the mass neurotic syndrome so pervasive in the young generation: there is ample empirical evidence that the three facets of this syndrome - depression, aggression, addiction - are due to what is called in logotherapy "the existential vacuum," a feeling of emptiness and meaninglessness.

How have individuals been affected by the technological advances of recent years? Here is the answer to this question given by a philosopher-psychiatrist, Dr. Erich Fromm: Our contemporary Western society, in spite of its material, intellectual and political progress, is increasingly less conducive to mental health, and tends to undermine the inner security, happiness, reason and the capacity for love in the individual; it tends to turn him into an automaton who pays for his human failure with increasing mental sickness, and with despair hidden under a frantic drive for work and so-called pleasure. Our "increasing mental sickness" may find expression in neurotic symptoms. These symptoms are conspicuous and extremely distressing. But "let us beware," says Dr. Fromm, "of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symptoms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting." The really hopeless victims of mental illness are to be found among those who appear to be most normal. "Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does." They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish "the illusion of individuality," but in fact they have been to a great extent deindividualized. Their conformity is developing into something like uniformity. But "uniformity and freedom are incompatible. Uniformity and mental health are incompatible too. ... Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.

Ionizing radiation takes three principal forms: alpha particles, beta particles, and gamma rays. Alpha particles are relatively large, heavy, and slow moving and cannot penetrate the skin; even a sheet of paper could block their path. But if they do manage to find their way inside the body by other means—if swallowed or inhaled—alpha particles can cause massive chromosomal damage and death. Radon 222, which gathers as a gas in unventilated basements, releases alpha particles into the lungs, where it causes cancer. Polonium 210, a powerful alpha emitter, is one of the carcinogens in cigarette smoke. It was also the poison slipped into the cup of tea that killed former FSB agent Alexander Litvinenko in London in 2006. Beta particles are smaller and faster moving than alpha particles and can penetrate more deeply into living tissue, causing visible burns on the skin and lasting genetic damage. A piece of paper won’t provide protection from beta particles, but aluminum foil—or separation by sufficient distance—will. Beyond a range of ten feet, beta particles can cause little damage, but they prove dangerous if ingested in any way. Mistaken by the body for essential elements, beta-emitting radioisotopes can become fatally concentrated in specific organs: strontium 90, a member of the same chemical family as calcium, is retained in the bones; ruthenium is absorbed by the intestine; iodine 131 lodges particularly in the thyroid of children, where it can cause cancer. Gamma rays—high-frequency electromagnetic waves traveling at the speed of light—are the most energetic of all. They can traverse large distances, penetrate anything short of thick pieces of concrete or lead, and destroy electronics. Gamma rays pass straight through a human being without slowing down, smashing through cells like a fusillade of microscopic bullets. Severe exposure to all ionizing radiation results in acute radiation syndrome (ARS), in which the fabric of the human body is unpicked, rearranged, and destroyed at the most minute levels. Symptoms include nausea, vomiting, hemorrhaging, and hair loss, followed by a collapse of the immune system, exhaustion of bone marrow, disintegration of internal organs, and, finally, death.

Harm reduction is often perceived as being inimical to the ultimate purpose of “curing” addiction—that is, of helping addicts transcend their habits and to heal. People regard it as “coddling” addicts, as enabling them to continue their destructive ways. It’s also considered to be the opposite of abstinence, which many regard as the only legitimate goal of addiction treatment. Such a distinction is artificial. The issue in medical practice is always how best to help a patient. If a cure is possible and probable without doing greater harm, then cure is the objective. When it isn’t — and in most chronic medical conditions cure is not the expected outcome — the physician’s role is to help the patient with the symptoms and to reduce the harm done by the disease process. In rheumatoid arthritis, for example, one aims to prevent joint inflammation and bone destruction and, in all events, to reduce pain. In incurable cancers we aim to prolong life, if that can be achieved without a loss of life quality, and also to control symptoms. In other words, harm reduction means making the lives of afflicted human beings more bearable, more worth living. That is also the goal of harm reduction in the context of addiction. Although hardcore drug addiction is much more than a disease, the harm reduction model is essential to its treatment. Given our lack of a systematic, evidencebased approach to addiction, in many cases it’s futile to dream of a cure. So long as society ostracizes the addict and the legal system does everything it can to heighten the drug problem, the welfare and medical systems can aim only to mitigate some of its effects. Sad to say, in our context harm reduction means reducing not only the harm caused by the disease of addiction, but also the harm caused by the social assault on drug addicts.

It was common among Muslim scholars to discuss the delicate balance between hope and fear. If one is overwhelmed with fear, he enters a psychological state of terror that leads to despair (ya’s)— that is, despair of God’s mercy. In the past, this religious illness was common, but it is less so today because, ironically, people are not as religious as they used to be. However, some of this is still found among certain strains of evangelical Christianity that emphasize Hellfire and eternal damnation. One sect believes that only 144,000 people will be saved based on its interpretation of a passage in the Book of Revelations. Nonetheless, an overabundance of hope is a disease that leads to complacency and dampens the aspiration to do good since salvation is something guaranteed (in one’s mind, that is). According to some Christian sects that believe in unconditional salvation, one can do whatever one wills (although he or she is encouraged to do good and avoid evil) and still be saved from Hell and gain entrance to Paradise. This is based on the belief that once one accepts Jesus a personal savior, there is nothing to fear about the Hereafter. Such religiosity can sow corruption because human beings simply cannot handle being assured of Paradise without deeds that warrant salvation. Too many will serve their passions like slaves and still consider themselves saved. In Islam, faith must be coupled with good works for one’s religion to be complete. This does not contradict the sound Islamic doctrine that “God’s grace alone saves us.” There is yet another kind of hope called umniyyah, which is blameworthy in Islam. Essentially, it is having hope but neglecting the means to achieve what one hopes for, which is often referred to as an “empty wish.” One hopes to become healthier, for example, but remains sedentary and is altogether careless about diet. To hope for the Hereafter but do nothing for it in terms of conduct and morality is also false hope.

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration... Existential frustration is neither pathological or pathogenic. A man’s concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. It may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient’s existential despair under a heap of tranquilizing drugs.

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration. I would strictly deny that one’s search for a meaning to his existence, or even his doubt of it, in every case is derived from, or results in, any disease. Existential frustration is in itself neither pathological nor pathogenic. A man’s concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease.

while dearest Miss Mitford’s letters from the deathbed of her father make my heart ache as surely almost as the post comes. There is nothing more various in character, nothing which distinguishes one human being from another more strikingly, than the expression of feeling, the manner in which it influences the outward man. If I were in her circumstances, I should sit paralysed — it would be impossible to me to write or to cry. And she, who loves and feels with the intensity of a nature warm in everything, seems to turn to sympathy by the very instinct of grief, and sits at the deathbed of her last relative, writing there, in letter after letter, every symptom, physical or moral —

The physical heart, which houses the spiritual heart, beats about 100,000 times a day, pumping two gallons of blood per minute and over 100 gallons per hour. If one were to attempt to carry 100 gallons of water (whose density is lighter than blood) from one place to another, it would be an exhausting task. Yet the human heart does this every hour of every day for an entire lifetime without respite. The vascular system transporting life-giving blood is over 60,000 miles long—more than two times the circumference of the earth. So when we conceive of our blood being pumped throughout our bodies, know that this means that it travels through 60,000 miles of a closed vascular system that connects all the parts of the body—all the vital organs and living tissues—to this incredible heart.

God is dead,” wrote Mainländer, “and His death was the life of the world.” Once the great individuation had been accomplished, the momentum of its creator’s selfannihilation would continue in a piecemeal fashion until nothing remained standing. And those who committed suicide, as did Mainländer, would only be following God’s example. Furthermore, the Will-to-live that Schopenhauer argued activates the world—a concept logically developed but only within a mythological framework—was revised by his disciple Mainländer as evidence not of a movement of a tortured life within beings, but as a deceptive cover for an underlying death wish in all things to burn themselves out as hastily as possible in the fires of becoming . . . or begoing, as it were. In this light, the raging of human progress is thus shown to be a mightily apparent symptom of a downfall into extinction that has just gotten underway.

Human evolution is not over, but the chances of natural selection adapting our species in dramatic, major ways to common non-infectious mismatch diseases are remote unless conditions change dramatically. One reason is that many of these diseases have little to no effect on fertility. Type 2 diabetes, for example, generally develops after people have reproduced, and even then, it is highly manageable for many years.8 Another consideration is that natural selection can act only on variations that affect reproductive success and that are also genetically passed from parent to offspring. Some obesity-related illnesses can hinder reproductive function, but these problems have strong environmental causes.9 Finally, although culture sometimes spurs selection, it is also a powerful buffer. Every year new products and therapies are being developed that allow people with common mismatch diseases to cope better with their symptoms. Whatever selection is operating is probably occurring at a pace too slow to measure in our lifetimes.

Insofar as the feeling of meaninglessness is concerned, however, we should not overlook and forget that, per se, it is not a matter of pathology; rather than being the sign and symptom of a neurosis, it is, I would say, the proof of one's humanness. But although it is not caused by anything pathological, it may well cause a pathological reaction; in other words, it is potentially pathogenic. Just consider the mass neurotic syndrome so pervasive in the young generation: there is ample empirical evidence that the three facets of this syndrome-depression, aggression, addiction-are due to what is called in logotherapy "the existential vacuum," a feeling of emptiness and meaninglessness. It goes without saying that not each and every case of depression is to be traced back to a feeling of meaninglessness, nor does suicide-in which depression sometimes eventuates-always result from an existential vacuum. But even if each and every case of suicide had not been undertaken out of a feeling of meaninglessness, it may well be that na individual's impulse to take his life would have been overcome had he been aware of some meaning and purpose worth living for. If, thus, a strong meaning orientation plays a decisive role in the prevention of suicide, what about intervention in cases in which there is a suicide risk?

Muslim scholars have identified four essential qualities in human beings, which have been identified in earlier traditions as well. Imam al-Ghazālī and Fakhruddīn al-Rāzī adopted them, as did Imam Rāghib al-Isfahānī in his book on ethics. According to Imam al-Ghazālī, the first of them is quwwat al-ʿilm, known in Western tradition as the rational soul, which is human capacity to learn. The next one, quwwat al-ghaḍab, which may be called the irascible soul, is the capacity that relates to human emotion and anger. The third element, quwwat alshahwah, known as the concupiscent soul, is related to appetite and desire. The fourth power, quwwat al-ʿadl, harmonizes the previous three powers and keeps them in balance so that no one capacity overtakes and suppresses the others. In Western tradition, these capacities correspond to what is known as cardinal virtues. Muslims call them ummahāt al-faḍā’il. They are wisdom, courage, temperance, and justice (ḥikmah, shajāʿah, ʿiffah, and ʿadl). When the rational soul is balanced, the result is wisdom. Whoever is given wisdom has been given much good (QUR’AN , 2:269). Wisdom, according to Imam al-Ghazālī, is found in one who is balanced, who is neither a simpleton nor a shrewd, tricky person. If there is a deficit in the rational soul, the result is foolishness. When the rational soul becomes excessive and inordinately dominant, the result is trickery and the employment of the intellect toward the exploitation of others.

If we survey the relation of survivors to the dead through the course of the ages, it is very evident that the ambivalent feeling has extraordinarily abated. We now find it easy to suppress whatever unconscious hostility towards the dead there may still exist without any special psychic effort on our part. Where formerly satisfied hate and painful tenderness struggled with each other, we now find piety, which appears like a cicatrice and demands : De mortuis nil nisi bene.Only neurotics still blur the mourning for the loss of their dear ones with attacks of compulsive reproaches which psychoanalysis reveals as the old ambivalent emotional feeling. How this change was brought about, and to what extent constitutional changes and real improvement of familiar relations share in causing the abatement of the ambivalent feeling, need not be discussed here. But this example would lead us to assume that the psychic impulses of primitive man possessed a higher degree of ambivalence than is found at present among civilized human beings. Withthe decline of this ambivalence the taboo, as the compromise symptom of the ambivalent conflict, also slowly disappeared. Neurotics who are compelled to reproduce this conflict, together with the taboo resulting from it, may be said to have brought with them an atavistic remnant in the form of an archaic constitution the compensation of which in the interest of cultural demands entails the most prodigious psychic efforts on their part.

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration. I would strictly deny that one's search or a meaning to his existence, or even his doubt of it, in every case is derived from, or results in, any disease. Existential frustration is neither pathological or pathogenic. A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. it may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient's existential despair under a heap of tranquilizing drugs. It is his task, rather, to pilot the patient through his existential crises of growth and development. Logotherapy regards its assignment as that of assisting the patient to find meaning in his life. Inasmuch as logotherapy makes him aware of the hidden logos of his existence, it is an analytical process. To this extent, logotherapy resembles psychoanalysis. However, in logotherapy's attempt to make something conscious again it does not restrict its activity to instinctual facts within the individual's unconscious bu also cares for existential realities, such as the potential meaning of his existence to be fulfilled as well as his will to meaning. Any analysis, however, even when it refrains from including the noological dimension in its therapeutic process, tries to make the patient aware of what he actually longs for in the depth of his being. Logotherapy deviates from psychoanalysis insofar as it considers man a being whose main concern consists in fulfilling a meaning, rather than in the mere gratification and satisfaction of drives and instincts, or in merely reconciling the conflict claims of id, ego and supergo, or in the mere adaptation and adjustment to society and environment.

How have individuals been affected by the technological advances of recent years? Here is the answer to this question given by a philosopher-psychiatrist, Dr Erich Fromm: ‘Our contemporary Western society, in spite of its material, intellectual and political progress, is increasingly less conducive to mental health, and tends to undermine the inner security, happiness, reason and the capacity for love in the individual; it tends to turn him into an automaton who pays for his human failure with increasing mental sickness, and with despair hidden under a frantic drive for work and so-called pleasure.’ Our ‘increasing mental sickness’ may find expression in neurotic symptoms. These symptoms are conspicuous and extremely distressing. But ‘let us beware’, says Dr Fromm, ‘of defining mental hygiene as the prevention of symptoms. Symptoms as such are not our enemy, but our friend; where there are symptoms there is conflict, and conflict always indicates that the forces of life which strive for integration and happiness are still fighting.’ The really hopeless victims of mental illness are to be found among those who appear to be most normal. ‘Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does.’ They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted, still cherish ‘the illusion of individuality’, but in fact they have been to a great extent de-individualized. Their conformity is developing into something like uniformity. But ‘uniformity and freedom are incompatible. Uniformity and mental health are incompatible too . . . Man is not made to be an automaton, and if he becomes one, the basis for mental health is destroyed.’ In the course of evolution nature has gone to endless trouble to see that every individual is unlike every other individual. We reproduce our kind by bringing the father’s genes into contact with the mother’s. These hereditary factors may be combined in an almost infinite number of ways. Physically and mentally, each one of us is unique. Any culture which, in the interests of efficiency or in the name of some political or religious dogma, seeks to standardize the human individual, commits an outrage against man’s biological nature.

Another common form of mental illness is bipolar disorder, in which a person suffers from extreme bouts of wild, delusional optimism, followed by a crash and then periods of deep depression. Bipolar disorder also seems to run in families and, curiously, strikes frequently in artists; perhaps their great works of art were created during bursts of creativity and optimism. A list of creative people who were afflicted by bipolar disorder reads like a Who’s Who of Hollywood celebrities, musicians, artists, and writers. Although the drug lithium seems to control many of the symptoms of bipolar disorder, the causes are not entirely clear. One theory states that bipolar disorder may be caused by an imbalance between the left and right hemispheres. Dr. Michael Sweeney notes, “Brain scans have led researchers to generally assign negative emotions such as sadness to the right hemisphere and positive emotions such as joy to the left hemisphere. For at least a century, neuroscientists have noticed a link between damage to the brain’s left hemisphere and negative moods, including depression and uncontrollable crying. Damage to the right, however, has been associated with a broad array of positive emotions.” So the left hemisphere, which is analytical and controls language, tends to become manic if left to itself. The right hemisphere, on the contrary, is holistic and tends to check this mania. Dr. V. S. Ramachandran writes, “If left unchecked, the left hemisphere would likely render a person delusional or manic.… So it seems reasonable to postulate a ‘devil’s advocate’ in the right hemisphere that allows ‘you’ to adopt a detached, objective (allocentric) view of yourself.” If human consciousness involves simulating the future, it has to compute the outcomes of future events with certain probabilities. It needs, therefore, a delicate balance between optimism and pessimism to estimate the chances of success or failures for certain courses of action. But in some sense, depression is the price we pay for being able to simulate the future. Our consciousness has the ability to conjure up all sorts of horrific outcomes for the future, and is therefore aware of all the bad things that could happen, even if they are not realistic. It is hard to verify many of these theories, since brain scans of people who are clinically depressed indicate that many brain areas are affected. It is difficult to pinpoint the source of the problem, but among the clinically depressed, activity in the parietal and temporal lobes seems to be suppressed, perhaps indicating that the person is withdrawn from the outside world and living in their own internal world. In particular, the ventromedial cortex seems to play an important role. This area apparently creates the feeling that there is a sense of meaning and wholeness to the world, so that everything seems to have a purpose. Overactivity in this area can cause mania, in which people think they are omnipotent. Underactivity in this area is associated with depression and the feeling that life is pointless. So it is possible that a defect in this area may be responsible for some mood swings.

Spellbinders are characterized by pathological egotism. Such a person is forced by some internal causes to make an early choice between two possibilities: the first is forcing other people to think and experience things in a manner similar to his own; the second is a feeling of being lonely and different, a pathological misfit in social life. Sometimes the choice is either snake-charming or suicide. Triumphant repression of selfcritical or unpleasant concepts from the field of consciousness gradually gives rise to the phenomena of conversive thinking (twisted thinking), or paralogistics (twisted logic), paramoralisms (twisted morality), and the use of reversion blockades (Big Lies). They stream so profusely from the mind and mouth of the spellbinder that they flood the average person’s mind. Everything becomes subordinated to the spellbinder’s over-compensatory conviction that they are exceptional, sometimes even messianic. An ideology emerges from this conviction, true in part, whose value is supposedly superior. However, if we analyze the exact functions of such an ideology in the spellbinder’s personality, we perceive that it is nothing other than a means of self-charming, useful for repressing those tormenting selfcritical associations into the subconscious. The ideology’s instrumental role in influencing other people also serves the spellbinder’s needs. The spellbinder believes that he will always find converts to his ideology, and most often, they are right. However, they feel shock (or even paramoral indignation) when it turns out that their influence extends to only a limited minority, while most people’s attitude to their activities remains critical, pained and disturbed. The spellbinder is thus confronted with a choice: either withdraw back into his void or strengthen his position by improving the ef ectiveness of his activities. The spellbinder places on a high moral plane anyone who has succumbed to his influence and incorporated the experiential method he imposes. He showers such people with attention and property, if possible. Critics are met with “moral” outrage. It can even be proclaimed that the compliant minority is in fact the moral majority, since it professes the best ideology and honors a leader whose qualities are above average. Such activity is always necessarily characterized by the inability to foresee its final results, something obvious from the psychological point of view because its substratum contains pathological phenomena, and both spellbinding and self-charming make it impossible to perceive reality accurately enough to foresee results logically. However, spellbinders nurture great optimism and harbor visions of future triumphs similar to those they enjoyed over their own crippled souls. It is also possible for optimism to be a pathological symptom. In a healthy society, the activities of spellbinders meet with criticism effective enough to stifle them quickly. However, when they are preceded by conditions operating destructively upon common sense and social order; such as social injustice, cultural backwardness, or intellectually limited rulers sometimes manifesting pathological traits, spellbinders’ activities have led entire societies into large-scale human tragedy. Such an individual fishes an environment or society for people amenable to his influence, deepening their psychological weaknesses until they finally join together in a ponerogenic union. On the other hand, people who have maintained their healthy critical faculties intact, based upon their own common sense and moral criteria, attempt to counteract the spellbinders’ activities and their results. In the resulting polarization of social attitudes, each side justifies itself by means of moral categories. That is why such commonsense resistance is always accompanied by some feeling of helplessness and deficiency of criteria.

In the main courtyard, the pool is a sapphire under the sun, shooting liquid rainbows into the house at oblique angles. How she adores submergence. She is a healer of human cracks and fissures, her days spent dealing with her patients struggles and agonies, the emotional and psychic often embodied in the physical. She uncovers all the states and syndromes that can spark and catch fire from infancy on, searing a being, those flames rarely sputtering out on their own. She works hard quenching the symptoms, providing parents with answers, and the toddlers, children, and teenagers with techniques to manage their frightening infernos, helping them douse the alarming heat and gain interior strength against what is burning them up.

Anxiety isn't indicative of weakness, but a symptom of being a living human person. It's also an ever-evolving creature you have to constantly outwit to keep it lurking and not thriving. For the most part, I've learned to do a good job of it. Then there are weeks where I feel like I'm back at square one. But, like the bags under my eyes, I consider my anxiety a badge of life experience. Or at least proof that my brain is still mine. And my life isn't over because I'm open about it. Pretending was exhausting. When I finally began testing the mental health waters by opening up to friends about how I was actually feeling, my revelation wasn't greeted with shame or pity, but with most of my friends admitting the same. I've yet to meet a person who's never felt anxious or sick or overwhelmed.

The reality is this: Violence changes a person in permanent, profound, existential ways. Once you experience the horrible things one human being can do to another, it's hard to trust anybody every again. Once you've faced death, you never really feel safe. And once you know that atrocity exists, it shatters your faith in God and humanity. As a result of this darkened worldview, people emerge from trauma with predictable symptoms. They are detached from others. They feel that they are in constant danger, and they fear that life has no meaning.

The causes of many mismatch diseases, such as smoking cigarettes or drinking too much soda, are popular because they provide immediate pleasures that override concerns about or rational valuations of their long-term consequences. In addition, there is a strong incentive for manufacturers and advertisers to cater to our evolved desires and sell us products that increase our convenience, comfort, efficiency, and pleasure—or that carry the illusion of being advantageous. Junk food is popular for a reason. If you are like me, you use commercial products nearly twenty-four hours a day, even when you are asleep. Many of these products, like the chair I am sitting on, make me feel good, but not all of them are healthy for my body. The hypothesis of dysevolution predicts that as long as we accept or cope with the symptoms of the problems these products create, often thanks to other products, and as long as the benefits exceed the costs, then we will continue to buy and use them and pass them on to our children, keeping the cycle going long after we are gone.

When it comes to helping another human being, you can treat the symptoms or you can treat the cause. Most people dabble in symptom management, and that is why most people don’t seem to be getting better.

Bertrand Russell:   The expression “free thought” is often used as if it meant merely opposition to the prevailing orthodoxy. But this is only a symptom of free thought, frequent, but invariable. “Free thought” means thinking freely—as freely, at least, as is possible for a human being. The person who is free in any respect is free from something; what is the free thinker free from? To be worthy of the name, he must be free of two things; the force of tradition, and the tyranny of his own passions. No one is completely free from either, but in the measure of a man’s emancipation he deserves to be called a free thinker. A man is not to be denied this title because he happens, on some point, to agree with the theologians of his country. An Arab who, starting from the first principles of human reason, is able to deduce that the Koran was not created, but existed eternally in heaven, may be counted as a free thinker, provided he is willing to listen to counter arguments and subject his ratiocination to critical scrutiny... What makes a free thinker is not his beliefs, but the way in which he holds them. If he holds them because his elders told him they were true when he was young, or if he holds them because if he did not he would be unhappy, his thought is not free; but if he holds them because, after careful thought, he finds a balance of evidence in their favor, then his thought is free, however odd his conclusions may seem.[4]

From the perspective of Islam, the ultimate goal of therapy is not simply to change thinking, emotion, or behaviour, but rather to have an impact upon the soul. This impact, in turn, will affect the other components of the human being. The foundation of any interventions will revolve around the spiritual development of the client. The focus on spiritual aspects will enhance the likelihood of effective and enduring outcomes. This is in contrast to secular approaches that focus on symptoms rather than addressing the primary cause, generally resulting in short-lived effects.

There are only four possible states in which the human being can live, according to revealed sources. A person is either receiving blessings (niʿmah) or tribulations (balā’) from God; or is either living in obedience (ṭāʿah) to God or in disobedience (maʿṣiyyah).

The real hopeless victims of mental illness are to be found among those who appear to be the most normal. Many of them are normal because they are so well adjusted to our mode of existence, because their human voice has been silenced so early in their lives, that they do not even struggle or suffer or develop symptoms as the neurotic does. They are normal not in what may be called the absolute sense of the word; they are normal only in relation to a profoundly abnormal society. Their perfect adjustment to that abnormal society is a measure of their mental sickness. These millions of abnormally normal people, living without fuss in a society to which, if they were fully human beings, they ought not to be adjusted.

Richard Ryan and his colleague Edward Deci are two of the most cited researchers in the world on the drivers of human behavior. Their “self-determination theory” is widely regarded as the backbone of psychological well-being, and countless studies have supported their conclusions since they began research in the 1970s. Just as the human body requires three macronutrients (protein, carbohydrates, and fat) to run properly, Ryan and Deci proposed the human psyche needs three things to flourish: autonomy, competence, and relatedness. When the body is starved, it elicits hunger pangs; when the psyche is undernourished, it produces anxiety, restlessness, and other symptoms that something is missing. When kids aren’t getting the psychological nutrients they need, self-determination theory explains why they might overdo unhealthy behaviors, such as spending too much time in front of screens. Ryan believes the cause has less to do with the devices and more to do with why certain kids are susceptible to distraction in the first place.

we shouldn’t view persistent negative emotions as symptoms of a biological malaise or a malfunctioning brain, as medical professional often tend to do. Instead, we should see them as indicators that our life has veered off the intended path and we are now living in a way that fails to satisfy the deepest yearning of our soul.

In reality two negations are involved in my title Immoralist. I first of all deny the type of man that has hitherto been regarded as the highest—the good, the kind, and the charitable; and I also deny that kind of morality which has become recognised and paramount as morality-in-itself—I speak of the morality of decadence, or, to use a still cruder term, Christian morality. I would agree to the second of the two negations being regarded as the more decisive, for, reckoned as a whole, the overestimation of goodness and kindness seems to me already a consequence of decadence, a symptom of weakness, and incompatible with any ascending and yea-saying life. Negation and annihilation are inseparable from a yea-saying attitude towards life. Let me halt for a moment at the question of the psychology of the good man. In order to appraise the value of a certain type of man, the cost of his maintenance must be calculated,—and the conditions of his existence must be known. The condition of the existence of the good is falsehood: or, otherwise expressed, the refusal at any price to see how reality is actually constituted. The refusal to see that this reality is not so constituted as always to be stimulating beneficent instincts, and still less, so as to suffer at all moments the intrusion of ignorant and good-natured hands. To consider distress of all kinds as an objection, as something which must be done away with, is the greatest nonsense on earth; generally speaking, it is nonsense of the most disastrous sort, fatal in its stupidity—almost as mad as the will to abolish bad weather, out of pity for the poor, so to speak. In the great economy of the whole universe, the terrors of reality (in the passions, in the desires, in the will to power) are incalculably more necessary than that form of petty happiness which is called "goodness"; it is even needful to practise leniency in order so much as to allow the latter a place at all, seeing that it is based upon a falsification of the instincts. I shall have an excellent opportunity of showing the incalculably calamitous consequences to the whole of history, of the credo of optimism, this monstrous offspring of the homines optimi. Zarathustra,[1] the first who recognised that the optimist is just as degenerate as the pessimist, though perhaps more detrimental, says: "Good men never speak the truth. False shores and false harbours were ye taught by the good. In the lies of the good were ye born and bred. Through the good everything hath become false and crooked from the roots." Fortunately the world is not built merely upon those instincts which would secure to the good-natured herd animal his paltry happiness. To desire everybody to become a "good man," "a gregarious animal," "a blue-eyed, benevolent, beautiful soul," or—as Herbert Spencer wished—a creature of altruism, would mean robbing existence of its greatest character, castrating man, and reducing humanity to a sort of wretched Chinadom. And this some have tried to do! It is precisely this that men called morality. In this sense Zarathustra calls "the good," now "the last men," and anon "the beginning of the end"; and above all, he considers them as the most detrimental kind of men, because they secure their existence at the cost of Truth and at the cost of the Future. "The good—they cannot create; they are ever the beginning of the end. They crucify him who writeth new values on new tables; they sacrifice unto themselves the future; they crucify the whole future of humanity! The good—they are ever the beginning of the end. And whatever harm the slanderers of the world may do, the harm of the good is the most calamitous of all harm.

Sīdī Aḥmad Zarrūq said that the truth has the power to penetrate the hearts of people, including those whose hearts have a seal. Humanity has the right to have among us witnesses to the truth, those who are willing to defend the truth no matter how unpopular it may be.