Depression: Help for Young People

I was inspired by Professor Railton’s courage to join him in coming Out of the Closet” to admit that I, too, have lived through debilitating depressive episodes.  

Railton says: “We must call [depression] mental illness because that’s what it is, illness that takes up residence in the mind, but no more of the essence of a person than any other illness.  And when we hear of mental illness, treatment should be the first thing that comes to mind.”

The Facebook link to my “confession” prompted an outpouring of moving stories, mutual support and help that I hope to make more accessible with this and other posts.  

Teenagers are especially vulnerable to depression and are among the least well equipped to get help.  Liz wrote:  “The black dog” of depression and other mental illnesses are part of our common human experience.  We need to be able to openly discuss our mental health, just like we do our physical health: there should be no shame in being in pain.  I was recently gratified to read an article my high-school age daughter wrote for our local paper on this subject; I didn’t know she was that brave!  Maybe it means things are actually changing? 

Liz’ daughter, Katie, is indeed brave and her article “Teen Talk: YouTube can be a valuable resource” offers very practical help.

Katie begins by telling us: “Studies show that the number of teenagers who report feeling regularly anxious and/or depressed has doubled in the last 30 years or so, that children today have anxiety levels similar to those of the average psychiatric patient in the 1950s.”

When Katie experienced “a perfect storm of stress and unhappiness” she, like every teenager, needed more help than her parents could provide:  “I am lucky enough to have supportive parents who could sympathize with what I was experiencing, but sometimes sympathy wasn’t enough.  I wanted to feel understood; I wanted a sense of camaraderie with other people my age who were going through similar things.”

What she found is: “on YouTube of all places … a handful of younger people — younger women especially — who made videos on their experiences with anxiety, depression, body image and mental illnesses in general, to spread awareness and encourage recovery …  People … offered authentic and beneficial suggestions on how to manage living with anxiety or depression on a day-to-day basis.”

This is so important because:  “Teenagers who don’t feel comfortable telling anyone that they are dealing with mental illness now have somewhere they are able to get information.”

“That’s not to say,” Katie writes, “that informational YouTube videos are a replacement for cognitive behavioral therapy or any other form of treatment, but they are certainly a step in the right direction — a step that many people would not normally be able to take.”

I hope we can change what Katie points out:  “There is still a stigma surrounding mental illness. Our culture teaches us that mental illness is something we must keep to ourselves, something that is too personal to share or discuss, something we should feel ashamed of.”

But people need help now.  So, everyone who knows a teenager, here’s a way they or a friend can get help when they feel alone, too vulnerable to talk.

Thank you so much, Liz and Katie!

 

Out of the Closet

I was never a good follower.  But sometimes there’s no choice.  Today, I must follow Professor Peter Railton who studies ethics and the philosophy of science.

I highly recommend the transcript of his entire Dewey Lecture but it is 16 pages long so I will be much more brief.  Asked to weave his own life story and developments in neuroscience into a call for action, he spoke of three times of transformation in his life.  I will mention only one, and here is the only bit of neuroscience:  “Memory turns out to be tightly linked to our capacity to imagine alternatives to the ways things are and to meet new challenges—to face the future, where it is still possible to make a difference.  For these purposes, it is better to have a living memory system capable of recombining, relating, correcting, and enriching stored information.”

Railton recreated in his speech “a series of moments from my remembered life,” each of them “a moment of making a transition.”  His hope was “if I can make the experience of these moments real enough to you, even briefly, they might speak to you in ways that go beyond the little stories.”

He followed those three seminal memories with what he hoped would be a new one right there in the lecture hall.  He introduced it this way:  “The stunning reversal of age-old attitudes toward gay marriage came about [because] enough gay individuals courageously … came out publicly.  Within two decades the rest of the population had learned … that among their friends, neighbors, coworkers, children, parents, teachers, students, and favorite movie stars were many gay individuals.  Were these people to be denied the rights of life and love the rest of us enjoy?”

What those courageous gay individuals did was “insisted that privacy should be a choice … made visible … so that heterosexuals could see their gay brothers and sisters for what they are, not for what their incomprehension and apprehensions had made of them.”

Being gay is not a choice.  What must be a choice for everyone who is gay is whether or not to keep it private.

We are still living in another “don’t ask, don’t tell” world, Railton continues So there’s nothing for it.  Those who have dwelt in the depths of depression need to come out as well.”

Our society sees depression as an inner weakness.  We must learn to call it what it is, Railton tells us “We must call it mental illness because that’s what it is, illness that takes up residence in the mind, but no more of the essence of a person than any other illness.  And when we hear of mental illness, treatment should be the first thing that comes to mind, not shame and withdrawal.”

So I, too, must come out because I, too, have lived through debilitating depressive episodes.

The first, when I was 16, is very luckily the only one where I wanted to kill myself.  I walked along the river bank for so long, afraid to continue living, equally afraid of drowning.  Finally I was tired out and continued to live by default.  I went to the doctor the next day and explained my symptoms.  “You’ll just have to get used to it,” he told me.  “Learn to hide it as best you can.”

So I did.  Alcohol was a mixed blessing in some especially severe episodes but I was luckier than my very close High School friend who killed himself.  My experience manifested most often in second-guessing that slowed me down but left me enough strength to keep forcing myself onward.

Shortly before I retired from business, where I accomplished a lot but could have done more, Felicity got me to a doctor again.  There are now plenty of antidepressants and although their effect is poorly understood and/or misunderstood, I have been symptom-free since that time.

If I had been open about my depressive episodes, the business challenges I enjoyed would not have been open to me.  But if more of us reveal our mental illness along with what we accomplished despite it, I hope others will have the choice of openness that Professor Railton, I and so many others did not.  And I hope they will promptly get treatment!

Beyond the Media Hype: Fear and Loathing

It is traditional to express a wish around this time of year.  Mine is that all of us will come to feel this truth more — we are all the same.

It is also traditional to make a personal resolution.  Mine is to continue diligently training myself to act on this truth.  If all of us did, we would “save the world” — we would end suffering.

All the sameThat’s what motivated all these posts I originally titled “Fear and Loathing of…”  Someone I love said, “I wish you’d stop with the fear and loathing” and I knew it was a distressing title but it highlighted what is so dangerous, the fear and loathing our media stimulates.  On reflection, I think it amplifies the emotion so now I’ve renamed them “Beyond the Media Hype…”

Progressives fume about Fox News.  They’re right because 60% of Fox’s statements are mostly or completely false, less than 10% are true and less than 20% are even mostly true.  But it’s not just Fox News.

Politifact Fox

Conservatives fulminate about MSNBC.  They’re also right.  Almost half (44%) of statements there are mostly or completely false, again less than 10% are true, and although the percentage is better than with Fox News, less than 30% are mostly true.

Fox News and MSNBC give us stories to feed our hatred.  Better to watch CNN because fewer than 20% of their statements are mostly or completely false and 60% are true or mostly true.

Politifact MSNBC

But nonetheless, 18% of the statements on CNN are mostly or completely false.  We must not believe everything there.

Politifact CNN

Democracy cannot work when 3 of every 5 statements on Fox News are mostly or completely false, more than 2 of 5 statements on MSNBC are mostly or completely false, and even on CNN, only 3 of 5 statements are true or mostly true.

This is not a theoretical issue.  Falsehoods in the media persuade us that we have enemies, people who are fundamentally different from us, people we must destroy.

We are so easily led  to imagine those who seem different from us in some way are our enemies.  That’s why I originally titled these posts “Fear and Loathing Of/In …”

We fear being swept aside by immigrants, especially Muslims, we fear who knows what violence from Iran, Saudis are beset by conflict with each other that exacerbates our mutual suspicion, and so on and so on and so on.

I will continue to explore Middle Eastern nations and the ethnic, religious and other rivalries that transcend their arbitrarily imposed borders to set the context for a deeper exploration of what is really going on.

But please don’t wait.  We really are all the same — we all want to be more happy.  We all will be more happy if we become more kind, and we will grow more kind as we become more happy.

Not Ribbit, ‘Scuse Me and a 2 by 4

Half of your EVERY income tax dollar gets spent on death and destruction!

Maybe as a semi-wrathful frog I should start by flailing a 2 by 4?  Would a grabber like “Half your EVERY Dollar!”  be better than the eyelid-closing title of my previous post, which everyone should read and think about, “Military-Industrial Complex”?

In any case, I must do a better job with Categories so it’s easier to find posts.  Inciting y’all to read the posts in the first place is not the same as helping you find potentially interesting ones from the past.  Already, I’m having trouble finding posts about specific topics from the fairly recent past.  I’ve forgotten what content went with some titles.

What the title of this post tries to suggest is first, especially when I’m in semi-wrathful frog mode, I always try to write something more worth reading than “ribbit”.  There’s so much non-fact-based, not-thought-through ribbiting around.  I try hard not to add more.  The third part of the title, “2 by 4”, I already explained.  “Scuse me” refers to the culture in which I was raised where 2 by 4s were frowned upon.  If you had something worth saying, the expectation was that in most circumstances you would have the grace to keep it to yourself.  If it really had to be said, you should do so with minimal fuss.  So, as an example, here’s a true story from a Brit friend.

Early one morning when my friend was playing in a nearby gravel pit, he found a metal canister.  It looked quite old.  What could it be?  He broke off some of the corrosion with a rock and exposed a plate with strange writing.  Maybe his dad would know what it was?  He took it home.  “I don’t know,” said his dad.  “I have to go to work in a minute but give it here, I’ll take it in the shed and buff it up a bit.”  Dad went out and had a go with his grindstone.  After he got home from work that afternoon and had his tea, he put the canister in a cardboard box, strapped it on the back of his bicycle and peddled off then waited patiently in line with the box under his arm until it was his turn.  When it was, he said: “Erm… ‘Scuse me…” to the policeman on the other side of the counter, “My boy found this.  Looks like German writing.  Thought it might be an old bomb, like.  Thought I’d best bring it here.”

“If You Really Want to End Suffering,

it’s very simple,” Shugen Sensei told us at the start of our week of Zen Buddhist meditation: “Stop creating it.”  I’ll come back to that in a moment.  Just notice he did not say it’s easy.

Thinking why I blog reminded me of what Steve Jobs said is the secret to product development “Start somewhere”.  Just starting has always been my path.  Only later, sometimes much later, if what I started still feels worth doing, do I try to understand why.  The urge to figure out the why of Himalayan exploration, Buddhist practice, economic and governance research and blogging has now arrived.   To my surprise, it centers on ending suffering.

It all started ten years ago in the Himalayan mountains.  It wasn’t my idea to go there and I had no specific objective.  What happened was I found myself among people who appeared to be living with dignity, not aggressively, not hurriedly, and happily without the nice things we take for granted.  Could it be true?  Did they have a recipe my society might learn from?  So I kept going back.

I began to wonder if Buddhism was part of the recipe.   When we visited Buddhist temples our crew always lit lamps and prostrated.  But later, when we visited Hindu temples and the dwelling places of animist spirits, they showed reverence there, too.  I’d done some Buddhist reading by that time and was trying to meditate.  That’s why I went to the Zen monastery.

By the end of the first day I was pretty sure I’d made a mistake.  It was so hard to do nothing, sit completely still, just notice my thoughts, make no judgments, not reject or follow them.   By the end of the day I was exhausted although I’d “done” nothing.  I fell instantly asleep.  In the morning I thought, “I’ll see how it goes until breakfast”.   After breakfast I thought, “I’ll see if I can hang on ’til lunch”.  At day’s end I thought, “Maybe day three will be better“.   It was worse.  Day four was a little better, though, and so it went.  I’d suffered a lot by the end of the week but I’d also had glimpses of the truth of what Shugen Sensei told us at the start.  I was bringing my suffering onto myself.  That felt worth knowing.

Before I could go to the Himalayas I’d forced myself to retire.  It was hard because from then on, investments would have to support us.  With more time to worry, I realized my ignorance of how the economy works meant I had little confidence we’d made good investments.  So, when I wasn’t in the Himalayas I studied investment and economic theory.  The Great Recession arrived just as I was starting to feel I had the theories sufficiently clear.

Now I had to understand why our economy collapsed.  I studied governance and saw some parallels with the paralysis of government in Nepal.  That’s when I started blogging.  The US economy is embedded in the global economy.  There are so many moving parts in the system.  I had to start recording facts and analyses to get a holistic picture.  Charts and writing are my best tools for thinking and I hoped for critical feedback.

It’s only recently that I began to sense all these activities are related and they all start where Shugen Sensei was pointing.  They’re all aimed at happiness and stopping the creation of suffering.

The historical Buddha taught that we will only become truly happy when we work to end the suffering of others.  It must be so because we are not separate from others.  If they are unhappy we will also be made unhappy.  Communities were small two and a half thousand years ago.  People made each other happier or not with face to face interactions.   Today we also interact via nation-state and global systems that impact both us and future generations.  That’s why I care about governance.

A Semi-Wrathful Frog

Frogs are not cuddly but each could be a prince.  Today, the transformation is triggered by a princess’s kiss.  In Grimm’s version it’s when the princess disgustedly throws the frog against a wall.  In other cases the frog had only to spend a night on the princess’s pillow.

Setting fable aside, a sad fact about frogs is that one sitting in a pan of water will not notice the gradual change if the water is heated.  It will remain unaware until it dies.

A frog that touches hot water, however, will immediately jump away from the danger.  I say this because although no form of attention from a princess will transform me into a prince, I do try to notice and point out water that’s getting hotter.

A couple of days ago, someone I greatly respect asked: “Your posts seem a bit angry; do you feel that way?”  I was surprised.   “I don’t think so…  I hope not…  Hmmm, I do see what you mean.  Maybe they do sound that way.  It’s true that I very much want some things to change.”

My posts are on disparate topics but most are sparked when I notice something and feel like a frog sensing hot water.  Wanting to alert my neighbors to the danger, I probably would be semi-wrathful.

What does semi-wrathful mean?  Tibetan Buddhists use images of deities with peaceful, wrathful and semi-wrathful appearance.  Meditating on them helps practitioners see the origin of their emotional habits and misguided concepts as they work to slowly gain control of their mind.

These deities do not experience emotion as we do.  They do not feel attracted, repelled or indifferent.  They simply recognize what is good and not good behavior, speech and thoughts.

Peaceful deities help calm the crazy spinning of the mind.  Wrathful deities help destroy its passions, anger, desire and indifference.  Semi-wrathful deities help those of us who sometimes need gentle calming and sometimes more urgency to do better.

Aspiring to be a semi-wrathful frog is better than the goal many of us are given, to be lion king of the jungle.  That has three defects — lions do not live in the jungle, it is not possible to control the jungle, and above all, it’s selfish.

Selfishness makes everyone unhappy.

Who am I With?

As we enjoy our fine breakfasts of potato curry, my Korean-American friend tells me Korean is better for people because the usage changes depending on their relationship.  It’s not just the greeting, the suffix of many words also changes.  Interactions are not effective if the wrong form of language is used.

What this means is when Korean people meet, they must immediately work out how they are related.  “I must pay close attention to you.  I can’t just start blah, blah, blah as I would to an American.  The language forces me to be more sensitive to other people.”  I knew Japanese was like this and associated it with a stilted, hierarchical culture.  Koreans, my friend says, are very different.  “We are fiery people, always yelling at each other.  But because of our language we do it respectfully.” 

Westerners also assess relative relationships.  Think of a business gathering, think of a social gathering, think of any gathering.  We treat people differently depending on what role we imagine for them, and we can imagine simultaneous different roles for the same person.   Chokyi Nyima Rinpoche, the head of a big Tibetan monastery here in Boudha, who travels extensively to give teachings, said with a big smile one day last year: “It’s very strange.  Sometimes people treat me like a great teacher.  They say, “oh, you are such a great lama’ and they bow to me.  Other times they treat me like a baby who cannot do anything for himself.”

How does communication actually work?   Do we need concepts about others to interact effectively?  Does facial expression, for example, tell us more?  Recent research provides a surprising answer.

A researcher with photographs of faces of people who had won or lost a tennis match asked folks to say who had won and who lost.  Then he showed photographs of the whole body of the winners and losers.  Lastly, he showed  losers’ faces photo-shopped onto winners’ bodies  and vice versa.  Shown faces only, people were wrong as often as they were right.  With entire bodies they usually guessed correctly.  We imagine faces reveal what’s in our mind but in fact, it’s body posture.

Surely eye contact is important?  Sherry Turkle has been studying social technology for thirty years at MIT.  When I met her in the mid-90’s she was cautiously optimistic about virtual communities where adolescents (and others) can try out different personalities and learn better ways to interact.  No eye contact there.  She recently published a new book about not only social technology but the impact of always-on smartphones and also caring robots.  She is troubled by how these technologies amplify self-absorption.  Robots that make eye contact are especially seductive.

If a robot follows us with its eyes and responds to our words or gestures, we imagine it cares about us.  It fits our concept of interaction.  We are in fact happy to imagine the emotion that does not exist, maybe happier because that’s safer; we’re in control.  One of Sherry’s research volunteers was playing with her grand-daughter when her robotic “seal” was delivered.  Captivated by its responsiveness, happily imagining its need for food and sleep and responding to that, she soon ignored the real child.

Are concepts of interaction ever helpful?  My sheep didn’t seem to have concepts about each other.  Mothers and their lambs baa’d if they got separated.  Pairs of adult ewes sometimes interacted by standing nose to nose breathing lightly.  In both cases information was exchanged.  Was it correctly understood?

Maybe that’s not the right question.  Sheep and other creatures are programmed not to evaluate but respond instantly to input that might signify a threat.  There’s little or no cost when the threat is not real and great benefit when it is.  They, too, are imagining more than is being sent but in their case, it’s a survival mechanism.  Chickens run from an aircraft shadow because it could have come from a hawk

There is a form of communication that provides perfect information exchange.  Computer-computer communication includes extra data with each message so the receiver can know if the message was corrupted, and extra messages so the sender knows if the message reached its destination correctly.  Getting that to work is harder than it sounds – the network whose development I managed starting in 1971 took a couple of years to debug – but this is a case where message sent and received are identical and there’s no imagining of additional content.

The goal of humans communicating seems less clear.  We are happy to communicate with robots even though we fabricate the emotional content of message received.  We are often unhappy communicating with each other because what’s said is ambiguous and/or what’s heard is misinterpreted.  Why does this happen?  Because our interactions are formed by concepts about others and what kinds we like, don’t like or don’t care about.

Suddenly, I see the big thing.  Korean helps us notice we are speaking with a real person not an imaginary playmate.  Grandma’s robotic seal has the opposite effect, seducing her into an imaginary relationship in which she ignores her real grand-daughter.

We so easily imagine we’re communicating when all we’re really doing is entertaining ourselves.