Thursday, January 21, 2010

Mental illness - barking (mad) up the wrong tree

This is a new one for me! Not a thought in my head (worth writing about, that is) but I am writing all the same.

Take the way most of us look at life! A great deal of disharmony and general unhappiness in life generally arises because we, again generally, don’t understand how life works. Taking a ‘mechanistic’ view of life gives rise to many misconceptions. We buy things and do things because they bring us comfort or pleasure. We then take this same thought process and apply it to all aspects of our lives. We have this belief that buying something new will make us happy. We tend to use ‘retail therapy’ to solve our problems, or try to solve them. There is nothing inherently wrong with this approach to life – in fact it is a necessary facet of life in the 21st Century. Trouble is, this approach is not always as effective as we would hope or expect, is it?

We are a whole lot more than the molecules that constitute the 50 billion or so cells that make up each of our bodies. We have sense impressions; we have thoughts and ideas; we have emotions that somehow are all derived from these self same molecules and cells. Now, I cannot believe that a bunch of (originally) inanimate substances, which I might add will return to their inanimate state at the time of my (hopefully lamented) death, constitute all that I call ‘Life’ and ‘Living’. There is something else, something that animates the collection of cells. This of course applies to all things that we observe to be ‘alive’, be it a plant, an animal, insect, amoeba or any other form of ‘life’.

This ‘matter’ of ‘Life’ gets even more confusing if we delve deeper and enter the realm of quantum physics (about which I know very, very little) which states that matter = energy and that energy = matter (remember E=MC2?). If this is true where does this leave ‘life’? How can energy be animated? What is ‘dead’ energy (i.e. some matter which was alive and is now dead) compared to ‘live’ energy (i.e. some matter which is animated and alive)? Nobody knows.

In all this the human brain remains a lump of gray matter, alive but without any sense of touch (it has no pain receptors so feels no pain) it is a processor - like the mother board in a computer. Basically it processes the information it receives from the body’s senses – it cannot do things for itself; it cannot tell itself what to think.

"As the scientist Gerald Edelman has pointed out, the human cortex alone has 30 billion neurons and is capable of making 1 billion synaptic connections. Edelman writes, 'if we consider the number of possible neural circuits, we would be dealing with hyper-astronomical numbers: 10 followed by at least a million zeros, (there are 10 followed by 79 zeros, give or take a few, of particles in the known universe).' These staggering numbers explain why the human brain can be described as the most complex known object in the universe, and why it is capable of ongoing, massive microconstructural change, and capable of performing so many different mental functions and behaviours, including our different cultural activities." (Norman Doige, 2007, “The brain that changes itself” p294).

Wonderful as the brain is, it is not the ‘mind’. As I have said on other occasions there seems to be something ‘behind’ or ‘above’ or ‘superior’ to the brain that promotes thoughts, ideas, emotions and concepts – call it ‘Life’, or ‘Consciousness’ or whatever – something exists to make something ‘alive’.

All this gets me to where I was going when I started writing – that we are more than the body; that our mind is more than the brain. So it worries me when people either pump themselves full or are pumped full of ‘mind altering’ drugs to ‘cure’ a mental illness (this is the ‘mechanistic’ approach). To me an illness is something which affects the body in a manner which can be verified – such as measles, Aids or cancer or a diseased organ (liver, kidney etc). An illness is something that happens to a person which can be tested pathologically. What is called a ‘mental illness’, to me, is something which is judged or assumed to be as such, because of what people do – there is no known pathological test for a ‘mental illness’. This is a big difference. So it worries me when I read in various documents published by the Western Australian Government’s Chief Psychiatrist regarding ‘treatment for this supposed ‘mental illness’ that:

“The psychiatrist’s decision to make you an involuntary patient will be based on his or her opinion of whether or not you have a mental illness. A Mental Illness is defined in the Western Australian Mental Health Act (1996) as:

‘a disturbance of thought, mood, volition, perception, orientation or memory that impairs judgement or behaviour to a significant extent’.”

My comment:

How in God's name can this 'definition' be described as defining an illness and from who's view point? That of the psychiatrist? How does he/she know WHY a person may think the way he or she does?

What is a disturbance of thought? And what is a 'disturbance ... to a significant extent? How much is significant? Who decides this? What is normal and who determines any variance from ‘normal’?

Many of us have moments of impaired judgement - no one is perfect!

The ‘treatment’ for this so called ‘mental illness’ may involve the voluntary (or involuntary) consumption of brain altering drugs. This really bothers me particularly when the following warning is thoughtfully provided by the Chief Psychiatrist at the end of his various publications (remember the treatment is supposed to cure the ‘illness!!):

“ FDA Product Information Warning
Patients with major depressive disorder, both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality), whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. Although there has been a long-standing concern that antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients, a causal role for antidepressants in inducing such behaviors has not been established. Nevertheless, patients being treated with antidepressants should be observed closely for clinical worsening and suicidality, especially at the beginning of a course of drug therapy, or at the time of dose changes, either increases or decreases.

Consideration should be given to changing the therapeutic regimen, including possibly discontinuing the medication, in patients whose depression is persistently worse or whose emergent suicidality is severe, abrupt in onset, or was not part of the patient’s presenting symptoms.”

I really don’t think they know what they are doing and I don't believe this is ethical! Being an ‘involuntary’ patient must be an awful experience – worse than jail – and to have brain altering drugs forced down ones throat!

Tuesday, December 29, 2009

Grieving

We all need to grieve – not just over the death of someone we love – but for other things as well. Obviously to lose a pet is a cause for grief as is the loss of a friend. In these cases we need to grieve, to gather our strength, to re-assess our new situation without that person or pet. What I am talking about here is the loss of something close to each of us, something that we hold dear, something that has been a constant, that we have taken for granted, at least in our own mind.

I am talking about something which we may have considered as part of us, our make-up, our psyche, some characteristic, some trait which makes us, us. If this particular trait or characteristic is criticised or diminished in any way, or if it is realized to be, or pointed out to be, somewhat inappropriate and we recognize the truth of the matter then a change takes place, whether we want it or not. It is an immediate change and comes as a shock to the system. We immediately feel we have lost something – something we had previously considered as important.

Take my case for instance. I recently became very angry with someone I love dearly and who is my best friend. There had been some disagreement over a relatively trivial matter (as is usual in life’s relationships). This gradually, over the course of a few days, grew into something far greater than it really was. As I say I became very angry and it was not entirely what I said but the manner in which it was said, that has caused the repercussions.

As has been repeatedly stated in what I write, for every effect there was somewhere a cause. We can never know what string has been pulled or what thread has been severed and where the effect of the pulling or the severing will be felt. But felt it will be – somewhere and at sometime. There have been so far two repercussions that I have keenly felt. One and by far the most important one is that I sense the relationship with my friend has grown slightly more distant – still friendly and a loving relationship but not quite so warm. There is a lack of spontaneity and a slightly more cautious approach – from both my friend and myself.

The other repercussion is one that is of lesser importance but keenly felt none-the-less. It is about my temper. I have always striven, generally successfully, to control my temper. I am a human being and have always known that I had a temper and that if I let slip the leash, it will become a very bad temper. Now I may be exaggerating, but I don’t believe I have lost my temper more that about three or four times in my life. One of the reasons I try to control it is because when I really loose it and see red (and I do actually see red – my attention is totally focused by what appears to be a narrow tunnel, with the object of my anger at the other end) I feel physically ill for some time afterwards. The other, and more important point, is that I am afraid of what I might do to the person I am angry with – if I totally lose control, what will (or what can) I do? I don’t know.

I have written about the pointless of anger many time – it never solves a problem – only causes more! So now I have not only hurt a friend, which grieves me, but I have also, finally and at last, recognized the foolishness of getting angry – anger is toxic (to me at least) and has severe repercussions on innocent parties to the detriment of all.

The realization that control over my anger was always merely a front, to appear to be calm and in control, is difficult for me to appreciate and to learn. Yet the only thing that I have damaged in myself is my ego. I am now, in some small way, not what I thought I was. I am not diminished in any way – in fact I may now be a better person. But I feel the loss. This is where the grieving comes in.

I will grieve about, and do my best to repair, the relationship with my friend, and over time I feel sure that a new and stronger relationship, based on a new understanding and stronger ties will eventuate. That is what grief is for – to grow and become stronger from the grief.

My ego? Oh well I am sure it will recover fairly quickly as ego’s tend to do. I will justify the “loss” in whatever way seems appropriate and again, I am sure, I will be a better person from the loss!!

Monday, December 21, 2009

Dangers of using FENAC

Gee! One has to be so careful about what drugs you take and be self aware – know yourself – to see what side effects they may have.

Take my case for instance. I have been taking FENAC, a widely diagnosed anti- inflammatory, for a month or two, to control the pain in my arthritic left shoulder. There are thirty (yes, 30) listed side-effects. The ones that I noticed on myself where a bit of confusion and some disorientation with a change of mood – I felt a bit depressed. So I read the information from the Alphapharm Pty Limited website (the makers of FENAC) and there it was, and I quote, “If you are over 65 years of age, you may have an increased chance of getting side effects. .......

• confusion, disorientation

• change in mood such as feeling depressed, anxious or irritable.”

The Chemist never told me about these side effects – nor did my Doctor. LESSON ONE – never just accept what a doctor or a chemist tells you. Learn to read your body. It is your body so don’t give control over it to some stranger.

So now you know – be warned. I have now thrown away the FENAC tablets I had not used and will now use nothing except possibly some milder substance such as (occasional) use of paracetamol.

Saturday, December 19, 2009

Consequences.

There are always consequences for anything we do. These consequences cannot be avoided or limited in any way – each one of us feels the effect of these, both negative and positive, on a daily basis. We do ‘good’ things and good things happen; we do ‘bad’ things and bad things happen.

The thing is that we can never, or at best very seldom, tie any specific action or behaviour or sequences of actions or behaviours, to any particular consequence or sequence of consequences. There are some obvious ones certainly – aim a gun at someone and pull the trigger and there is a very good likelihood of injuring or killing them; spend more money than you earn and you end up in debt. These are brutal, up front, in your face type consequences. What I am talking about are the subtle ones that are not immediately obvious; the ones that may take years to work their way through the ‘system’ as it were.

Take two current problems the World is facing at the moment, which are consequences of activities, actions, behaviours and thought patterns that go back many years – generations in fact. The first one is ‘climate change’ and the second is the Middle East (Israel, Gaza, Iraq, Iran and Afghanistan).

Now whatever you think about the science behind the various claims and counter claims supporting or denying Man’s involvement in this debate one fact (to me) is obvious. We CANNOT continue to despoil, pillage and exploit the resources of the world as we are doing at the present moment. We cannot continue doing what we are now without suffering consequences of some sort. More of the same will be disastrous – there will be consequences we cannot predict but only sense.

I know that climate change – natural change – has always been a feature of geological time; ice-ages, extreme volcanic activity playing havoc with weather patterns and such like. This is natural and I have no argument with this – we can’t do anything about it anyway – it just happens and we (here we go) have to live with the consequences. My point is that by doing nothing we are not HELPING nature, the World, the Gaia, or whatever you call it, to recover naturally. And it will recover naturally – with time but we are not giving it that time.

Exploitative human activity is damaging the Nation and ‘our’ World to the detriment of all.

• Soil degradation. Much of our precious topsoils is either blown away (dust storms) or washed away (soil erosion) each year. Poor environmental planning and farming practices are the cause.

• Excessive use of chemical fertilizers. Because of the soil degradation more and more chemicals are being used which produce foods that are not as nutritious as they should be. They are deficient in essential minerals.

• Water. The essential element for life on earth. In the case of fresh water, in quantity, storage and quality, improvements are vital for the future health of the Nation and the World.

• Industrial activity. In the quest for ever increasing profits enormous quantities of toxic and polluting substances are being pumped into the atmosphere, the soil and water (both fresh and salt) of our Nation and the World. Huge tracts of land are being cleared of trees and other vegetation for what – profit?

These are just a few aspects of the immensely complex and interwoven matrix which I consider comes under the umbrella of ‘climate change’. We are in a position to do SOMETHING (my preferred option) rather than NOTHING (as advocated by the sceptics). Just think about it, even if, as some of the sceptics believe, the world is getting colder, not hotter, how will this help? It will just herald a new dark-age with shorter growing seasons.

From an economic point of view I suspect we are going to suffer, one way or another. This will be the consequence of thoughtlessness, of greed and the extreme capitalistic ideal of ‘profit’, no matter the cost (in the lives of all flora and fauna and economic cost).

Now for the second big problem – the conflict in the Middle East. This goes back a long time. Without going into a detailed history of the region one could really consider the problem as being the consequence of the collapse of the Ottoman Empire (after the First World War) and the British withdrawal from India (and Pakistan) and Iraq and the West’s interference in Iran and Palestine. The immediate cause, I suspect, is the false idea that the ‘West’ can impose its will, its ideas and its manner of living on peoples who trying to work out their own responses to their environment and to world events.

To think, even for a moment, that peace will be established by the production of greater numbers of ever more complex weapons is madness. Most of us have still to learn that peace is not external, but an internal state, that then translates to all things external. How can there ever be peace if nations or groups of people are constantly thinking about and preparing for war? How can there ever be peace if people are constantly thinking violent and warlike thoughts? It is never going to happen.

A cessation of violence or truce may be established if someone or some nation subdues another by being stronger or having a bigger and better army. But that is not peace. Think of the Korean conflict in the 1950s and how about the various Israeli/Palestinian conflicts. There has never been peace in these areas. We need to think ‘outside the box’ and use our accumulated wisdom in a rational, measured and reasonable manner.

There is no peace because the underlying problem has never been addressed – injustice, perceived or actual, is at the root of most conflicts and will be the root of the Middle East and the Korean problems. Sort out the injustices (perceived or otherwise) and the reason for the violence is removed. There is nothing that rankles and festers in the mind as much as injustice. If individuals have a feeling they have been hard done by and bear a grudge because of this then, rightly or wrongly, they will feel justified in fighting (as they may think) to redress the injustice.

Monday, November 30, 2009

In praise of praise

We all need praise at some time in our life – which is in effect recognition that we are worthy, creative human beings. For someone who has never been praised; someone who has never had a loving hug and a kiss; someone who has been institutionalised, either as an orphan or for some other reason, this lack of recognition will have severe long term ramifications. All of us will acknowledge the devastating emotional effect that may result from being ignored, rejected or given the ‘cold shoulder’ by someone we admire or would like to make friends with.

In any relationship – at work, family or friends – we need recognition as someone worthwhile, in our own right as a human being. This is why the worst punishment for any person is to be placed in solitary confinement (‘time out’ for a young child has a similar effect). This is to be isolated and have no meaningful contact with anyone. People may be driven insane by such treatment. Lacking meaningful contact and relationships with others of our kind is it any wonder that some, in this situation, resort to alcohol and drugs to dull the pain of non-existent or fractured associations or friendships.

Praise not only recognises us as human beings but also recognises some special feature or behaviour, which shows and others acknowledge, that we, as individuals have risen above the ‘norm’ and done or said something creditable and worthy.

While it is necessary for us to belong in a general sense, and to have a place in society – hence the intense feelings and emotional support given by members to their chosen sports team, their club, gang, tribe or clan - it has to be acknowledged that we are individuals, not clones. We normally conform to our society’s (often unwritten) rules and regulations for security and for general acceptance purposes. Why else do we follow the dictates of fashion; why else do we try to ‘keep up with the Joneses’; why else do we follow society’s mores and moral guidelines, or those of our club or gang?

This ‘requirement’ to conform and to be accepted cannot be carried too far in that anyone who does not conform may be considered eccentric and either ostracized as ‘strange’ or forced to conform, with dire effects on an individual’s psyche. It is a fine balancing act to find the point where one may safely exercise one’s individuality yet at the same time be seen to conform to societies expectations.

This is where praise or some form of acknowledgement is so valuable, and for two reasons. Firstly, it takes someone with courage to stand up for themselves and their individuality against the expectations of their society – this is praiseworthy. Secondly, only a few in the general populace have the insight to recognise the worth and the creativity of someone who is prepared to be different, and, as it were to thumb their nose at convention.

Think about it. Without some praise of individuality, some recognition of a person’s worth, and, most importantly the expression of that praise by way of emotional support (a hug and a kiss) or financial reward or public honour, there would be no inventions; no progress (in a material sense); no innovation in the arts.

Without recognition and praise the substance of human creativity would be still-born. It is really important to praise – judiciously praise – the deserving and the worthy.

Saturday, November 7, 2009

Refugees or queue jumpers? Where is our compassion?

I know that many items of news have been reported as important over the past few weeks but none seem to have touched me, and obviously many others, as much as the plight of those who are variously described as refugees, asylum seekers or even as ‘queue jumpers’.

This matter, the refugees etc, is both an ethical and a political issue. The politics of this I will avoid because I really believe that any resolution MUST be based on ethics. The unfortunate people involved have, for a variety of reasons, left their home country and faced severe difficulties in attempting to reach Australia.

It is worth looking at what many of these people are running from. Think of what life would be like in Iraq, in Afghanistan, in Sri Lanka, in Burma or Somalia. These are war torn countries, many with oppressive governments or, in the case of Somalia, no effective government at all. What does life hold for those in these counties, what quality of life, what hope for the future? If I lived in any of these places I would want to leave! In fact I did. Nearly thirty years ago I brought my wife and family to Australia from Zimbabwe – we were, I suppose, what would now be called economic refugees. There were other issues as well of course, the main ones being health and education. I had a wife who needed medical treatment unavailable in Zimbabwe and two young children that I wanted educated in a civilised country. Australia accepted us and as the saying goes the ‘rest is history.’

To get back to the refugees, or whatever you choose to call them, holed up in various boats, ships and islands there is:

Issue number one: If Australia does not want these people to even leave their home country then Australia and the world must ensure that conditions are made pleasant enough, at home, such that they have no real desire to leave.

Issue number two: If conditions at home cannot be made more pleasant then for God’s sake accept them as refugees. Treat these unfortunates as we would like to be treated, with compassion, consideration and kindness.

Think about it. Many countries, over the years have benefited by accepting immigrants. Even Australia!! America accepted, with open arms, all those who were in need – Irish (from the ‘great famine’ days) – and others from all over the world. And America is now the greatest country in the world (I am no great ‘lover’ of America and things American but I must give credit where it is due). Sure it has suffered a few setbacks and has more than a few shortcomings but then which country hasn’t? It is this diversity of peoples that gives America a vibrancy and an energy which is palpable.

We Australians seem to have lost sight of something – that Humanity is paramount. Being human is what binds us together. We are all human and should treat others the way we would like to be treated - with compassion, consideration, kindness and understanding. This is ethical way. This is the only way. What can be more important than having a good relationship with our fellow beings?

We are, after all, supposed to be a civilised, Christian country, living and upholding Christian ideals, morals and values. I wonder if we are?

Tuesday, November 3, 2009

Having some spare time.

Now that I have completed the first part of my exams, (for a BSc. in Psychology – still only first year!) I feel more at ease and under less pressure. I still have another in about two weeks but I do now have some spare time. This means I can now re-commence my writing and committing my thoughts to ‘paper’, as it were. It is actually a relief – I enjoy writing! It seems to have a calming effect on me. I get quite anxious if I don’t manage to find some time to write at least a few words. With writing I can collect my thoughts, express my ideas and hopefully, sometimes be creative and thought provoking.

The fields I prefer to write about, ‘Ethics and Life’, cover just about anything you can think of – so I have plenty of scope. There is always some ethical or life matter that needs to be written about.