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Coming Out Crazy



  • After 30 years as a reporter, feature writer and columnist for The Toronto Sun, Sandy is now a freelance writer, public speaker, mental health advocate and Seneca College instructor. You can learn more about Sandy here, and contact her here.

    "Blessed are the cracked, for they shall let in the light." Groucho Marx

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September 25, 2009

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Jessica

I'm glad you ended up blogging ;) I needed to read something like this because I had "a blip in my world order" this week as well...and your words in this post were so inspiring and helped me to believe that I am in fact stronger then I think.

Thanks Sandy.

Sandy Naiman

Hi Jessica,

I apologize for taking so long to respond to your comment. I'm glad my rather undisciplined warblings the other day were there at the right time for you. I was a little frantic.

My husband had to be taken to the hospital by ambulance and for two days, while he lay in the ER awaiting a room, we didn't know what was wrong with him. Turns out, it's not too serious and a good wake up call for both of us to be more caring about our bodies – eat more carefully, exercise, all that lifestyle stuff it's so easy to let slide.

As I write this, I notice a Weight Watchers ad right next to my comment and guess what? That's where we're headed on Tuesday.

I'm very grateful for this chance to get serious about physical health and to seriously embrace the wholism of health – mind, body and spirit.

If what I wrote reached you at the right time and made a difference to you, I'm thrilled. You are, indeed, "stronger than you think." I'm very happy to hear that you're feeling better.

So am I, and not only because my husband is on the mend, but also because you wrote. Your comment means the world to me and I thank you wholeheartedly.

Take good care.
sln

brushes9

Apparently, fundamentalist evangelicals have incorporated positive psychology into their culture such that people who are not always positive are stigmatized.

Sandy Naiman

Hi brushes9...

Regarding your comment, if it's true, it's certainly not very positive, is it?

Thanks for weighing in with this "apparent" point. I suspect that Dr. Seligman is not terribly concerned.

Cheers,
sln

Sandy Naiman

Hi All,

My friend psychiatrist Ron Pies of Tufts University has drawn my attention in a personal note to a rather unfair "misstep" in my post above. I am very sorry about this. I was wrong.

Please forgive me and let me explain.

You know that I am not "anti-psychiatry" in the least. I know that many psychiatrists really care about their patients. I know mine, Dr. Bob, does, as does Dr. Pies.

You know I'm not a happy camper when it comes to psychiatric diagnostic labels, nor do I believe in pill pushing as a treatment for all psychiatric or emotional disorders – but that's not what I wrote.

I was so frazzled when I was writing on Friday morning as my husband lay on a stretcher in the ER. I was virtually sleepless and exhausted and I wrote something I really don't believe. I do not feel "victimized" by psychiatry. Or by any medical professional. That was a unfair. Untrue.

At that moment of writing, I didn't know what was going on with my husband. He was being tested and checked out for a rather serious condition, which he does not have. But I didn't know that at the time. I wasn't quite as measured and careful as I should have been – not entirely positive to be sure. Mostly frightened out of my mind.

Here's what Ron wrote to me this evening, Monday, September 28 and he really makes a very valid point and very eloquently:

"With your penchant for 'positivity', I was a little puzzled and taken aback by what seemed a rather negative portrait of psychiatrists:

"Refuse to be a victim. Refuse to allow psychiatrists to victimize you. Just don't buy their pathology. Their world view."

He continued: "Knowing a bit of what you went through in your arduous journey through the psychiatric system, I can certainly understand some of those feelings. But it seems to me that your comment, above, is a bit out of character for you--perhaps even a comment that (watch out, here comes that "S" word!) inadvertently stigmatizes all psychiatrists. Or, if you prefer, paints psychiatrists with a very broad brush.

"As you know, there are good and bad psychiatrists, just as there are good and bad heart surgeons, allergists, and family practitioners. And, there are probably as many "world views" from psychiatrists as there are psychiatrists (put two psychiatrists in a room, and you will invariably get three opinions, as the saying goes!). This is not to candy-coat abuses by individual psychiatrists--but surely, most are trying to help their patients, to the best of their abilities, without "victimizing" them, no?"

Ron, I stand corrected. Please forgive me and thank you for pointing this out and for bringing me back to my senses. I wasn't myself. This has been a real ordeal.

And... I am happy to say that my husband is fine, on the mend. I'm recovering, too. Though exhausted.

Take care and be well.
With enormous gratitude,
sln

Sandy Naiman

This came in from Dr. Pies at 12:06 a.m. this morning, September 29, 2009:

"Hi, Sandy--I received your messages, thank you! I fully understand the enormous stress you were under, and I am very grateful for your amended posting. When we are frightened, we are not ourselves...it's that simple. And you have shown great courage and grace in revising your earlier statements (and great courtesy, in posting my own). You are, in short, a "mensch" in the best sense of that term! With fond regards, Ron Pies MD"

brushes9

I listened to Seligman's talk and he points out that the problem with the disease model was that it turned medical professionals into victimologists and that it forgot that people made choices, that is, forgot "personal responsibility."

As you know, "personal responsibility" is how fundamentalist evangelicals blame poor people for their poverty. It is not a big leap to blame the mentally ill for being immoral, lacking in personal responsability and, therefore, people crying out that they are victims to get something for nothing. (As you may, or may not know, this is really going on in the U.S. in fundamentalist, religious circles.)

Seligman may not be the person that you want to associate yourself with if you want to appeal to the mental health community. Aaron Beck and his descendants, with Cognitive Therapy, is far more empowering than Dr. Tony Robbins-Seligman ever will be.

Seligman appears to be the doctor-to-the-successful,-healthy-and-sane. In his talk, even he had a hard time explaining "flow" for the grocery store bagging lady. Experiencing "flow" in a dead-end, minimum wage job is still a dead-end, physically and psychologically. Also, when my Bipolar I illness has me in a manic state, do I experience "flow." Of course,...right down the tubes. "Flow" is a term most useful to the economically secure, occupationally adjusted and mentally not-ill person.

For the ill, managing emotional disturbance, not nurturing "flow" forms the imperative of our condition. Cognitive therapy provides a mental road map to follow when we are triggered: note our "automatic thoughts," "underlying assumptions," and "core beliefs" and challenged each one.

You get my point: "positive psychology" is a fashion, not a serious theraputic model and should be approached with caution, given possible political misuse of its tenants.

Sandy Naiman

Hi brushes9,

I really found your comment most interesting.

However, I'm afraid we're going to have to agree to disagree.

One can combine a variety of approaches to reach "recovery" from a serious mental illness and I think that Martin Seligman has some interesting perspectives. Worth learning about. I am in a habit of looking at all kinds of approaches to mental wellness. Anything that will help and everybody has different needs and grapples with diverse issues.

We can learn from many people. I tend to be pluralistic in my approach to the world. I learn wherever I go and I'm open to all kinds of ideas and possibilities that intrigue me.

Do I wholly subscribe ONLY to Positive Psychology? No. But according to my friend Tufts University professor and clinical psychiatrist Ron Pies, "much of Seligman's thinking grew out of earlier work by the late psychologist, Dr. Albert Ellis, one of my major influences; he developed the school known as 'Rational Emotive Behavioral Therapy', which has much in common with 'positive psychology'."

Even if, as you say, Positive Psychology is a fashion, if it fits some people, works for them and makes them feel better, what's wrong with that? I believe that most people can benefit from psychotherapy. As for sanity or insanity. Well, we all have our moments. With or without a diagnosis. We are human beings. Imperfect, by definition. With all kinds of psychological blemishes and behavioural quirks. All of us are "Next to Normal" as far as I'm concerned.

I'm afraid I know very little about the philosophical tenets of Fundamental Evangelicalism as regards people with mental illnesses or people who are in financial straits. From the way you describe them, they certainly don't sound very Christian, do they?

As for your concerns about the term "flow" – quite frankly, I don't get it. As far as I can tell, anyone can experience "flow" – which means complete immersion in a task or activity. I can't really believe that this feeling is reserved only for people with money and secure jobs. Or that it excludes anyone with a diagnosis of a mental illness.

It's about pursuing "the good life," whatever that means to you? When I'm writing, I experience "flow" and it's very satisfying and invigorating. I'm happy. Work that's productive makes me feel wonderful. So does walking in the fresh air where I find I do some of my best creative thinking.

I'm in recovery from a serious mental illness and I do not have lots of money or a secure job. I work on several contracts.

My mantra?

"To know you have enough is to be rich."

It all depends on your values, I guess. And I suspect Martin Seligman would agree.

Thanks for sharing your ideas with us here at "Coming Out Crazy" and I hope you visit and comment often. You're very thoughtful and provocative. I like engaging with you.

Cheers,
sln

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