Archive for the ‘ Medical ’ Category

The President’s Speech

I am listening to The Man Who Mistook His Wife for a Hat: and Other Clinical Tales. One chapter is called The President’s Speech, where patients in a ward for those with severe attention deficits listened to a speech by President Reagan (although the president was never named).

Most of them roared with laughter, although there were many other reactions too – depending on the individual patient’s problems. They were all able to see through the President’s deceptions – because they were unable to react as normal people did.

Reagan was called The Great Communicator – but was really the Great Pseudo-Communicator. Most Americans could not tell the difference, and continued to regard him as nearly supernatural until his death. He reigned during the Eighties, when America hit rock-bottom – and has never recovered.

There was a tech boom in the Nineties, which helped to cover this up. But America (and the rest of the developed world) is now a shell, fast imploding.

Someone Even More Sensitive Than I Am

Knowing someone worse off than you are, in a way similar to your own, can be a big help.

I belonged to a men’s therapy group in Silicon Valley, and another man in the group did this for me. His problems were so much worse than mine, he made me feel better about my own. Evidently he felt the same way about me, because when I decided to leave Silicon Valley, he decided the group was over.

This is certainly not the way with everyone who has problems, the world of full of those, and for the most part their problems do not help me in the least. But I have discovered Oliver Sacks – or perhaps he has discovered me as I have listened to his book A Leg to Stand On.

He is a neurologist, which makes our relationship even stranger. When I was back in Silicon Valley I was suffering from nervous ticks of the right face and neck. After making quite a fuss, I was referred to a neurologist – and I could immediately see he was a strange kind of guy. He came up with an instant diagnosis: compulsive-obsessive syndrome. To check, he asked what my career was; I told him I was a technical writer; that confirmed his diagnosis. Actually, he was right, and his diagnosis was insightful.

But looking back at it, I can see was suffering from a nervous breakdown – one I was lucky to recover from. I couldn’t stand the crazy high-tech world, where nothing was what is was supposed to be. The only way I could cope was to go backpacking for awhile and get away from it all.

Everyone else just thought I was too sensitive – most people did not like the office environment, but they could live with it. I could not; and I knew other people who could not – such as my wife, who was even more sensitive than I was. She is no longer with us.

As I listened to Dr. Sacks relate his strange experience here – he has immense powers of description, and no one else in the hospital had any idea what he was going through –  I felt a sense of relief.

I was not so crazy after all.

Organization Men are Under Severe Pressure at Work

This is the conclusion of the newest book I am reading: Disciplined Minds: A Critical Look at Salaried Professionals and the Soul-battering System That Shapes Their Lives. The author, Jeff Schmidt, is right – but it is also true that many of these professionals are under no conscious pressure at all. Most have no objection to the business world, with its hierarchical authoritative structuring. They fit right in.

I ought to know, I was one of them – except that I was one of those who suffered, and made our therapists rich.

But something else was going on too, and it became well-known: stress, the problem everybody knows about, but few will admit its effect on them. A relative of mine, a successful executive, killed himself after his company gave up the ghost – even though other people brought it down, he tried his best to save it. It was his whole life, and when it was gone his life was gone.

I said there is no conscious pressure – but unconscious pressure can have horrible effects. I saw this happen to my brother, who went from being an idealistic young lawyer, intent on making the world a better place – to a successful lawyer suffering from severe depression. To this day, he has no idea what happened to him – and insists that something entirely different happened instead.

Meditation Involves Suffering

It is a common misconception that meditation should produce a state of bliss – and that is why people want to do it. Pain is not something they want, they avoid it as much as possible. This is the calculus of their logic: more happiness and less pain. Accepting pain to them seems ridiculous, avoiding it is the only thing to do – and they will do anything to avoid it.

They are dead wrong: pain is an normal part of life, it cannot be avoided, and this avoidance is a common component of mental illness. The ability to deal effectively with pain is, by contrast, an important part of mental health – and an important theme of the arts and religion.

The most serious of our human problems, and we certainly have many of them, is our addiction to thinking – adults have to be thinking all the time. The kind of meditation I do involves calming down this compulsive activity. Which is nearly impossible. But no matter, you do it anyway, the best you possibly can.

The immediate effects are not noticeable, but only become apparent later in the quality of your thinking – strangely enough. To think well, you have to stop thinking completely on a regular basis. This gives the mind a chance to rest, reset itself, start over on a fresh basis, and really get something done. Otherwise, it gets stale.

This process always involves some suffering – or maybe discomfort would be a better word. We are unaccustomed to making this distinction – and assume pain always leads to more pain. Usually, it doesn’t at all, we just feel some vague discomfort, and this makes us uneasy.

What we have to do is just sit with those feelings and get better acquainted with them – precisely what we ordinarily don’t want to do. When I say “get better acquainted with them” I mean with their physical sensations. Thinking about them is not what you want to do – because you will only get stuck in them more.

After reading The Master and his Emissary, I can understand better what is going on. Compulsive thinking is what the left hemisphere does. It has to give up and return control to the right hemisphere – for it to sort things out. Something it is very reluctant to do. And which, as a culture, we have become reluctant to do.

The ultimate left-hemisphere technology is the computer/software/internet. Which we have become completely enraptured of. This is natural enough, there is no clear dividing line between ourselves and our technologies. But the result has been a disaster. We have forgotten what it is like to be human – and the computer does not want us to. It only wants us to become more firmly addicted to it.

“But,” you may say, “You are using this technology now, in writing this blog.” True, and that is am important observation: technology can be used to break our addiction to technology.

It can happen, but it is unlikely – because too few people are aware of what is going on. And this is the objective of meditation – and Buddhism in general.

Buddhism, however, has been a failure.

Dave deBronkart: Meet e-Patient Dave

TED

I have been bad-mouthing the medical profession a lot recently – and I am not apologizing for that. But the rest of us have not done too well either – we are letting them get away with it, and submitting to other kinds of authority in every way possible.

This guy is fighting back – and using the Internet as one of his weapons. You get your 16 minutes worth here. Give it a listen.

The DSM is Balony

NY Review - The Illusions of Psychiatry

The DSM is the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders a runaway best-seller in its field. It ought to be classified as fiction. The article in the Review is the second of a two-part series about Unhinged: The Trouble with Psychiatry—A Doctor’s Revelations About a Profession in Crisis by Daniel Carlat.

Psychiatrists have now become describers of psychoactive drugs – often referred to by psychologists. I have met a few myself, and always found them to be fine, likable, perceptive fellows. The drugs they prescribed, by contrast, were not so impressive.

From the article:

One of the leaders of modern psychiatry, Leon Eisenberg, a professor at Johns Hopkins and then Harvard Medical School, who was among the first to study the effects of stimulants on attention deficit disorder in children, wrote that American psychiatry in the late twentieth century moved from a state of “brainlessness” to one of “mindlessness.”

It will be worth your time to read just what he means by that. But the bottom line is that children are being over-medicated for complicated reasons, often financial ones,  involving adults – including their own parents. Nothing has changed in the last 100 years.

I recently had a conversation with a friend of mine who has a history of severe mental illness – as many in his family have. He has a therapist who has diagnosed him, using the DSM. He looked up his diagnosis, and proudly informed me that it was very painful. I didn’t bother to tell him that, in my opinion, he was just plain stupid – in massive quantities.

Stupidity, of course, is incurable.

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