<?xml version="1.0" encoding="utf-8"?>
<feed xmlns="http://www.w3.org/2005/Atom">
    <title>Ψ Dare To Dream...</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/" />
    <link rel="self" type="application/atom+xml" href="http://blog.davemsw.com/atom.xml" />
    <id>tag:,2008-07-06:/1</id>
    <updated>2012-03-23T03:03:23Z</updated>
    <subtitle>Mental Health Information By A Licensed Therapist</subtitle>
    <generator uri="http://www.sixapart.com/movabletype/">Movable Type Personal 4.12</generator>

<entry>
    <title>Brene Brown: The power of vulnerability and shame</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2012/03/brene_brown_the_power_of_vulnerability_and_shame.php" />
    <id>tag:blog.davemsw.com,2012://1.322</id>

    <published>2012-03-23T01:03:56Z</published>
    <updated>2012-03-23T03:03:23Z</updated>

    <summary><![CDATA[This is an updated post from another a year ago. Here a highly intellectually focused researcher who surprises herself and begins a process of transformation from valuing strength in stoicism to embracing vulnerability as the core of strength. The first video was recorded in 2010. The second was released early this month.&nbsp;From Ted.com:Shame is an unspoken epidemic, the secret behind many forms of broken behavior. Brené Brown, whose earlier talk on vulnerability became a viral hit, explores what can happen when people confront their shame head-on. Her own humor, humanity and vulnerability shine through every word.Brené Brown studies vulnerability, courage,...]]></summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="brenébrown" label="Brené Brown" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotion" label="Emotion" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotionalintelligence" label="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="shame" label="Shame" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="vulnerability" label="Vulnerability" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<div><p id="tagline" class="notranslate" style="margin-bottom: 1em; font-family: arial, helvetica, sans-serif; color: rgb(0, 0, 0); font-size: 12px; text-align: left; ">This is an updated post from another a year ago. Here a highly intellectually focused researcher who surprises herself and begins a process of transformation from valuing strength in stoicism to embracing vulnerability as the core of strength. The first video was recorded in 2010. The second was released early this month.&nbsp;</p><p id="tagline" class="notranslate" style="margin-bottom: 1em; font-family: arial, helvetica, sans-serif; color: rgb(0, 0, 0); font-size: 12px; text-align: left; ">From <a href="http://www.ted.com/talks/lang/en/brene_brown_listening_to_shame.html">Ted.com</a>:</p></div><blockquote style="margin: 0 0 0 40px; border: none; padding: 0px;"><div><p id="tagline" class="notranslate" style="margin-bottom: 1em; font-family: arial, helvetica, sans-serif; color: rgb(0, 0, 0); font-size: 12px; text-align: left; ">Shame is an unspoken epidemic, the secret behind many forms of broken behavior. <a class="zem_slink" href="http://www.brenebrown.com/" title="Brené Brown" rel="homepage" target="_blank">Brené Brown</a>, whose earlier talk on vulnerability became a viral hit, explores what can happen when people confront their shame head-on. Her own humor, humanity and vulnerability shine through every word.</p></div><div><p style="margin-bottom: 1em; font-family: arial, helvetica, sans-serif; color: rgb(0, 0, 0); font-size: 12px; text-align: left; ">Brené Brown studies vulnerability, courage, authenticity, and shame.&nbsp;<a target="_blank" title="Brené Brown's bio" href="http://www.ted.com/speakers/brene_brown.html" style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; color: rgb(255, 43, 6); text-decoration: none; outline-style: none; outline-width: initial; outline-color: initial; ">Full bio »</a></p></div></blockquote><div><br /></div><iframe width="560" height="315" src="https://www.youtube.com/embed/iCvmsMzlF7o" frameborder="0" allowfullscreen=""></iframe>
<object width="526" height="374">
<param name="movie" value="http://video.ted.com/assets/player/swf/EmbedPlayer.swf" />
<param name="allowFullScreen" value="true" />
<param name="allowScriptAccess" value="always" />
<param name="wmode" value="transparent" />
<param name="bgColor" value="#ffffff" />
<param name="flashvars" value="vu=http://video.ted.com/talk/stream/2012/Blank/BreneBrown_2012-320k.mp4&amp;su=http://images.ted.com/images/ted/tedindex/embed-posters/BreneBrown_2012-embed.jpg&amp;vw=512&amp;vh=288&amp;ap=0&amp;ti=1391&amp;lang=&amp;introDuration=15330&amp;adDuration=4000&amp;postAdDuration=830&amp;adKeys=talk=brene_brown_listening_to_shame;year=2012;theme=master_storytellers;event=TED2012;tag=brain;tag=culture;tag=psychology;tag=self;&amp;preAdTag=tconf.ted/embed;tile=1;sz=512x288;" />
<embed src="http://video.ted.com/assets/player/swf/EmbedPlayer.swf" pluginspace="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash" wmode="transparent" bgcolor="#ffffff" width="526" height="374" allowfullscreen="true" allowscriptaccess="always" flashvars="vu=http://video.ted.com/talk/stream/2012/Blank/BreneBrown_2012-320k.mp4&amp;su=http://images.ted.com/images/ted/tedindex/embed-posters/BreneBrown_2012-embed.jpg&amp;vw=512&amp;vh=288&amp;ap=0&amp;ti=1391&amp;lang=&amp;introDuration=15330&amp;adDuration=4000&amp;postAdDuration=830&amp;adKeys=talk=brene_brown_listening_to_shame;year=2012;theme=master_storytellers;event=TED2012;tag=brain;tag=culture;tag=psychology;tag=self;&amp;preAdTag=tconf.ted/embed;tile=1;sz=512x288;">
</object>

<fieldset class="zemanta-related"><legend class="zemanta-related-title"><br /></legend><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://blog.ted.com/2012/03/02/vulnerability-is-the-birthplace-of-innovation-creativity-and-change-brene-brown-at-ted2012/" target="_blank">Vulnerability is the birthplace of innovation, creativity and change: Brené Brown at TED2012</a> (ted.com)</li>
<li><a href="https://www.epsyq.com/fullimpactliving/index.php?option=com_content&view=article&id=83&Itemid=81">Healing Shame: Gazing in the Looking Glass without Self-punishment </a></li>

<li><a href="http://blog.davemsw.com/archives/2007/11/secret_shame_contributes_to_chronic_depression.php">Secret Shame Contributes to Chronic Depression</a></li>

<li><a href="http://blog.davemsw.com/archives/2007/10/the_role_of_shame_in_therapy.php">The Role of Shame in Therapy</a></li></ul></fieldset><div class="zemanta-pixie" style="margin-top:10px;height:15px"><img class="zemanta-pixie-img" alt="" src="http://img.zemanta.com/pixy.gif?x-id=a93403e3-194d-494b-9092-1ab8be454280" style="border:none;float:right" /></div>]]>
        
    </content>
</entry>

<entry>
    <title>The Existential Experience of the Trauma Should Be the Focus of Treatment in PTSD</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2012/01/the_existential_experience_of_ptsd_should_be_the_f.php" />
    <id>tag:blog.davemsw.com,2012://1.330</id>

    <published>2012-01-11T20:39:42Z</published>
    <updated>2012-01-12T02:35:05Z</updated>

    <summary>How we integrate or make sense of our experiences have a lot to do with how they affect us. That&apos;s just common sense. However, the drive within psychology towards a research and evidence based practice standards has led to a move away from seeking the consensus of practicing professionals in the field on the formation of theory. A theory informed practice has been the standard for many years. Experts construct a theory based on their professional knowledge, including research. The theory is then tested based on the defined concrete references of the theory, called operational definitions. This is a very...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Blogging on Peer Reviewed Research" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Post Traumatic Stress Disorder" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Surviving Traumatic Stress" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="cognitivebehavioraltherapy" label="Cognitive behavioral therapy" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="posttraumaticstressdisorder" label="Posttraumatic stress disorder" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="ptsd" label="PTSD" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[How we integrate or make sense of our experiences have a lot to do with how they affect us. That's just common sense. However, the drive within psychology towards a research and <a class="zem_slink" href="http://en.wikipedia.org/wiki/Evidence-based_practice" title="Evidence-based practice" rel="wikipedia" target="_blank">evidence based practice</a> standards has led to a move away from seeking the consensus of practicing professionals in the field on the formation of theory. A theory informed practice has been the standard for many years. Experts construct a theory based on their professional knowledge, including research. The theory is then tested based on the defined concrete references of the theory, called operational definitions. This is a very common approach to theory construction. For example, testing the theory that the planets orbit the sun, one mathematically works out where each planet should be at some set time in the future based on the theory. When they are found there, that provides one study supporting the <a href="http://www.socialresearchmethods.net/kb/constval.php">criterian validity</a> of the theory that the the planets orbit the sun. <br /><br />
<span style="float: left; padding: 5px;"><a href="http://www.researchblogging.org"><img alt="ResearchBlogging.org" src="http://www.researchblogging.org/public/citation_icons/rb2_large_gray.png" style="border:0;" /></a></span>
The problem is that psychological constructs are notoriously defined differently by different researchers, and there is little consensus on a grand theory that attempts to explain human behavior. Instead there are a number of theories that have been developed that accounts for behavior based on the thoughts that occur before the behaviors. Research has shown that behavior can change when thoughts about that behavior change. This has been replicated many times. Cognitive behavior therapy is the model in the psychology that enjoys the largest following. But this theory does not explain all or even most behavior, nor does in fit with some of the more common beliefs and assumptions about human behavior. 
<br /><br />
If changing one's thinking were all that was necessary to change behavior, then more people would be successful with <a class="zem_slink" href="http://en.wikipedia.org/wiki/New_Year%27s_resolution" title="New Year's resolution" rel="wikipedia" target="_blank">New Year's resolutions</a>. Most people will tell you of their dismal success breaking old habits in the New Year. Throughout 2007, <a href="http://www.quirkology.com/UK/Experiment_resolution.shtml">one study</a> tracked over 3000 people attempting to achieve a range of resolutions, including losing weight, visiting the gym, quitting smoking, and drinking less. At the start of the study, 52% of participants were confident of success. One year later, only 12% actually achieved their goal. 
<br /><br />
Another problem with <a href="http://blog.davemsw.com/archives/2006/07/cognitive_behavior_therapy_the.php">Cognitive Behavior Theory (CBT)</a> is that it assumes that emotions are just an another form of behavior caused by thoughts. In some cases this may be true. In generally healthy people, emotional issues may well respond to changes in thoughts. But it's clear that <a class="zem_slink" href="http://www.webmd.com/anxiety-panic/guide/post-traumatic-stress-disorder" title="Post Traumatic Stress Disorder" rel="webmd" target="_blank">Post Traumatic Stress Disorder</a> (PTSD) is largely an emotional disorder, where manifestations have incomplete connections to thoughts. CBT is not the treatment of choice. Some form of exposure therapy is widely used to essentially break the pattern of emotionally driven habitual behavior or extinguish the conditioned emotional responses to thoughts, feelings and external stimulation associated with the trauma. If you experience that memory and it's emotions in a safe setting and recognize that your fears were not realized, then the memory is changed with the addition of this new information. This sort of change is incremental. Such learning may need to be repeated several times the intensity of the emotion subsides to acceptable levels.
<br /><br />
Other clinicians see a more profound version of PTSD in combat veterans. 
<br /><br />
<blockquote>Throughout history, warriors have been confronted with moral and ethical  challenges and modern unconventional and guerilla wars amplify these challenges. Potentially morally injurious events, such as perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations may be deleterious in the long-term,  emotionally, <div class="zemanta-img mt-image-right zemanta-action-dragged" style="margin-top: 1em; margin-right: 1em; margin-bottom: 1em; margin-left: 1em; display: block; float: right; width: 160px; "><a href="http://www.daylife.com/image/06gK5uXfAK03B?utm_source=zemanta&amp;utm_medium=p&amp;utm_content=06gK5uXfAK03B&amp;utm_campaign=z1"><img src="http://cache.daylife.com/imageserve/06gK5uXfAK03B/150x100.jpg" alt="KHOST, AFGHANISTAN - JANUARY 07:  Military med..." height="100" width="150" /></a><p class="zemanta-img-attribution" style="font-size:0.8em">Image by <a href="http://www.daylife.com/source/Getty_Images">Getty Images</a> via <a href="http://www.daylife.com/">@daylife</a></p></div>psychologically, behaviorally, spiritually, and socially (what we label as <i>moral injury</i>). Although there has been some research on the consequences of unnecessary acts of violence in war zones, the lasting impact of morally injurious experience in war remains  chiefly unaddressed. To stimulate a critical examination of moral injury, we review the available literature, define terms, and offer a working conceptual framework and a set of intervention strategies designed to repair moral injury. (Litz et al., 2009)</blockquote>

<blockquote>Georgetown University ethics professor Nancy Sherman heard stories of moral trauma when she interviewed veterans of Iraq, Afghanistan, Vietnam and World War II for her 2010 book, The Untold War. "It might be where you felt you should have been able to do more for your buddies, but you couldn't, or because you simply survived," she says. <br /><br />
"Regret," she writes, "doesn't begin to capture what the soldiers I talked with feel. It doesn't capture the despair or depth of the feeling -- the awful weight of self-indictment and the need to make moral repair in order to be allowed back into the community in which he feels he has somehow jeopardized his standing." (Silver, 2011)</blockquote>This is not a new idea, but rather repackaging of a well documented feature of all trauma, and not just trauma related to combat. Themes of shame and guilt pervade the PTSD literature, often referred to as complicating factors. 
<br /><br />
<blockquote>Studies suggest that those who interpret a traumatic experience as intensely negative are more at risk for posttraumatic distress and disorder than those who view the event as less traumatic. Specifically, a woman's reaction at the time of her victimization is likely to be an important predictor of her later psychological state. (Briere &amp; Jordan, 2004)</blockquote>
Certainly conceiving of a victim's behavior during a traumatic event as transgressions of deeply held moral beliefs and expectations would qualify as a particularly negative interpretation of the event and thus predict a more difficult recovery. She is also more likely to develop a <a href="http://blog.davemsw.com/archives/2010/07/gazing_in_the_looking_glass_without_selfpunishment.php">shame-based</a> view of herself based on the conclusion that she has demonstrated a moral defect reflected in her behavior. In my clinical work, I've seen this phenomena in traumatization caused by crime victimization, particularly rape, in natural disasters, such as hurricaine Katrina and the <a class="zem_slink" href="http://en.wikipedia.org/wiki/1994_Northridge_earthquake" title="1994 Northridge earthquake" rel="wikipedia" target="_blank">Northridge earthquake</a> in Oakland, Ca, as well as combat trauma from Iraq, Afghanistan and Vietnam.  The complicating factor of shameful beliefs about personal responsibility when others are injured is a prominent feature in people struggling with a difficult recovery. 
<br /><br />
This new conceptualization of <i>moral injury</i> may come in a useful form, one that is easily understood by the client and destigmatizing in the sense that a "mental health" problem is consistent with cultural norms. In addition, the authors further the theory of PTSD and its notorious resistance to treatment. The shame of a <i>moral injury</i> leads the sufferer to withdraw from social contact even with close confidants, under the assumption that if she doesn't hide their shameful behavior, others will know and find her disgusting and worthy of rejection. This prevents the natural healing process of sharing and reexperiencing the trauma with the support of a loved one. The expression of love and acceptance despite their shameful behavior becomes part of the emotional memory and gradually attenuates the shame as well as the intrusive memories, nightmares and flashbacks.  The authors note that self esteem has been found to mediate between belief that the world is just and in the willingness to self forgive Therefore, self-esteem may be an protective factor from moral injury. The authors also note that PTSD as well as <i>moral injury</i> involve healthy feelings. The affliction of a moral injury is in part a believe that the sufferer is not worthy of self-forgiveness. (Litz et al., 2009)
<br /><br />
Litz et al., (2009) outlines a model they call a "modified CBT" approach. They describe eight components: 1. A strong working alliance. 2. Educating about the concept of <i>moral injury</i> and preparing a plan for change. 3. a "hot-cognitive" exposure based processing or emotion focused self-disclosure. 4. A thorough examination of the implications of this experience on the sufferers concept of self and other cognitive schemas. 5. An imaginal dialogue with a benevolent moral authority (such as a grandparent or pastor) about the target behavior and implications for the future. 6. Fostering self-forgiveness and reconnection to the community. 7. An assessment of goals and values moving forward. 
<br /><br />
I've found it particularly effective to treat PTSD complicated by shame in a group setting, where the many components often become a natural process of the group's cohesion and mutual support. When other group members who suffer from post trauma symptoms share their story of how they believed they had personal responsibility that resulted in another's injury, it's much easier for the sufferer to see other's over reactions and offer support and validation. This helps them recognize their own exaggerated self-blame and begin the process of self-forgiveness, a kind of "opposite action" treatment. 
<br /><br />
References
<ul>
	<li>Briere, J. (2002). Treating adult survivors of severe childhood abuse and neglect: Further development of an integrative model. In L. Berliner, J. Briere, C. T. Hendrix, T. Reid, &amp; C. Jenny (Eds.), The APSAC handbook on child maltreatment; 2nd Edition., Briere (2002) (pp. 1-26). Newbury Park; CA: Sage Publications.</li>
	<li>Briere, J., &amp; Jordan, C. E. (2004). Violence against women: Outcome complexity and implications. Journal Of Interpersonal Violence, 199(11), 1252-1276. </li>
	<li><span class="Z3988" title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=Clinical+Psychology+Review&amp;rft_id=info%3Adoi%2F10.1016%2Fj.cpr.2009.07.003&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=Moral+injury+and+moral+repair+in+war+veterans%3A+A+preliminary+model+and+intervention+strategy&amp;rft.issn=02727358&amp;rft.date=2009&amp;rft.volume=29&amp;rft.issue=8&amp;rft.spage=695&amp;rft.epage=706&amp;rft.artnum=http%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0272735809000920&amp;rft.au=Litz%2C+B.&amp;rft.au=Stein%2C+N.&amp;rft.au=Delaney%2C+E.&amp;rft.au=Lebowitz%2C+L.&amp;rft.au=Nash%2C+W.&amp;rft.au=Silva%2C+C.&amp;rft.au=Maguen%2C+S.&amp;rfe_dat=bpr3.included=1;bpr3.tags=Psychology">Litz, B., Stein, N., Delaney, E., Lebowitz, L., Nash, W., Silva, C., &amp; Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy <span style="font-style: italic;">Clinical Psychology Review, 29</span> (8), 695-706 DOI: <a rev="review" href="http://dx.doi.org/10.1016/j.cpr.2009.07.003">10.1016/j.cpr.2009.07.003</a></span></li>
	<li>Silver, D. (2011, September 3). Beyond PTSD: Soldiers Have Injured Souls. Truthout. Retrieved from http://www.truth-out.org/beyond-ptsd-soldiers-have-injured-souls/1315066215</li>
</ul>



<div class="zemanta-pixie" style="margin-top:10px;height:15px"><img class="zemanta-pixie-img" alt="" src="http://img.zemanta.com/pixy.gif?x-id=9319a7a4-802e-423d-9cee-bddc178ed38a" style="border:none;float:right" /></div>]]>
        
    </content>
</entry>

<entry>
    <title>Do We Control Our Emotions, Or Do Our Emotions Control Us?</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/12/do_we_control_our_emotions_or_do_our_emotions_cont.php" />
    <id>tag:blog.davemsw.com,2011://1.332</id>

    <published>2011-12-20T02:15:34Z</published>
    <updated>2011-12-20T03:23:01Z</updated>

    <summary>Image via WikipediaIt&apos;s been standard practice in Cognitive-Behavioral therapy to teach clients that our thoughts trigger our emotions. Thus with training and practice a client can learn to change feelings by changing thoughts. While that is generally true, what CBT specialists sometimes miss is that some feelings actually control our thinking, often in ways that are beyond our awareness.When we are young, before the age of about 8, much of what we learn, we learn in emotional memory. Indeed, before the age of five, most people remember very little about that time of life. That&apos;s because emotional memory records no...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Child Development" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Surviving Traumatic Stress" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="amygdala" label="Amygdala" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotion" label="Emotion" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotionalintelligence" label="Emotional intelligence" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<div class="zemanta-img mt-image-right" style="margin-top: 1em; margin-right: 1em; margin-bottom: 1em; margin-left: 1em; display: block; float: right; width: 300px; "><a href="http://commons.wikipedia.org/wiki/File:Plutchik-wheel.svg" target="_blank"><img src="http://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Plutchik-wheel.svg/300px-Plutchik-wheel.svg.png" alt="English: Robert Plutchik's Wheel of Emotions" width="300" height="304" class="zemanta-img-configured" /></a><p class="zemanta-img-attribution" style="font-size:0.8em">Image via <a target="_blank" href="http://commons.wikipedia.org/wiki/File:Plutchik-wheel.svg">Wikipedia</a></p></div>It's been standard practice in Cognitive-Behavioral therapy to teach clients that our thoughts trigger our emotions. Thus with training and practice a client can learn to change feelings by changing thoughts. While that is generally true, what CBT specialists sometimes miss is that some feelings actually control our thinking, often in ways that are beyond our awareness.<div><br /></div><div>When we are young, before the age of about 8, much of what we learn, we learn in emotional memory. Indeed, before the age of five, most people remember very little about that time of life. That's because emotional memory records no clear recollection of events, no words, only emotions and the sort of trigger that set it off. Emotional memories might be accompanied by verbal memory, but the connection is far from&nbsp;guaranteed&nbsp;and the trigger for the emotional memory is MUCH broader than the finely tuned and coolly calculated thought based trigger.Thus when a child younger than 5 years touches a hot stove, she will remember that a stove hurts and may stay away until she understands in detail how a stove works. Even then, she might be particularly cautious regardless of further learning until the emotional memory dims with repetition.</div><div><br /></div><div>We continue to remember emotional memories throughout our lives whenever an experience has such an emotional impact, that our thoughts are impaired, our logic shutdown. Those emotional memories kick in when we become emotionally aroused in a similar situation. Those reactions are tough to change. It generally doesn't work to rationally decide you'll never react emotionally again. When strong primal emotions erupt, they are so compelling, that many think they lose control of their behavior. The angry strike out verbally or physically and the fearful cower or run.</div><div><br /></div><div>The truth is that we can learn to be more aware of our feelings and stop ourselves from acting until we can muster some rationality to make a reasonable decision. The key here is what we believe. If we think we can't control our emotions, indeed we can't. If we believe we can stop ourselves and make a better choice, then we will.&nbsp;</div><div><br /></div><div>Little did grandma know, the old advice to stop and count to ten has it's roots in brain physiology.</div><div><br /></div><fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://blog.davemsw.com/archives/2011/08/emotion_regulation_emotional_intelligence_for_pers.php" target="_blank">Emotion Regulation: Emotional Intelligence for Personal Growth</a> (davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://mindblog.dericbownds.net/2011/12/rem-sleep-chills-out-amygdala-reduces.html" target="_blank">REM sleep chills out amygdala, reduces emotional reactivity</a> (mindblog.dericbownds.net)</li><li class="zemanta-article-ul-li"><a href="http://mindblog.dericbownds.net/2011/12/heirarchies-of-empathy-in-brain.html" target="_blank">Heirarchies of empathy in the brain</a> (mindblog.dericbownds.net)</li><li class="zemanta-article-ul-li"><a href="http://mindblog.dericbownds.net/2011/10/jekyll-and-hyde-of-emotional.html" target="_blank">The Jekyll and Hyde of emotional intelligence</a> (mindblog.dericbownds.net)</li><li class="zemanta-article-ul-li"><a href="http://mindblog.dericbownds.net/2011/08/dark-side-of-emotion-in-decision-making.html" target="_blank">The dark side of emotion in decision making.</a> (mindblog.dericbownds.net)</li><li class="zemanta-article-ul-li"><a href="http://mindblog.dericbownds.net/2011/09/testosterone-modulates-brain-talk-in.html" target="_blank">Testosterone modulates brain talk in social emotional behavior.</a> (mindblog.dericbownds.net)</li></ul></fieldset>

<div class="zemanta-pixie" style="margin-top:10px;height:15px"><img class="zemanta-pixie-img" alt="" src="http://img.zemanta.com/pixy.gif?x-id=1a34420e-9236-4231-bf22-72428311479f" style="border:none;float:right" /></div>]]>
        
    </content>
</entry>

<entry>
    <title>Why I Do This Work</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/11/why_i_do_this_work.php" />
    <id>tag:blog.davemsw.com,2011://1.310</id>

    <published>2011-11-29T04:06:32Z</published>
    <updated>2011-11-29T03:57:16Z</updated>

    <summary><![CDATA[I meet the most incredible people in my work. Struggle as they might with various vices like&nbsp;substance abuse,&nbsp;serial monogamy, stormy relationships or keeping a job, the people I've worked with consistently have a surplus of one thing I highly value: empathy.Image via WikipediaIt seems as if people who have suffered greatly often have the ability to understand other's pain at a deeper level than most people. Often they have a depth of insight that far exceeds their "normal" peers. When they offer support, it touches deeply and effectively. But they are much better at helping others than themselves.&nbsp;Most importantly, they...]]></summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Advocacy" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Psychotherapy: What Works" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="emotionalhealthandwellbeing" label="Emotional Health and Wellbeing" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<p></p><p>I meet the most incredible people in my work. Struggle as they might with various vices like&nbsp;<a class="zem_slink" href="http://en.wikipedia.org/wiki/Substance_abuse" title="Substance abuse" rel="wikipedia" target="_blank">substance abuse</a>,&nbsp;<a class="zem_slink" href="http://en.wikipedia.org/wiki/Monogamy" title="Monogamy" rel="wikipedia" target="_blank">serial monogamy</a>, stormy relationships or keeping a job, the people I've worked with consistently have a surplus of one thing I highly value: empathy.</p><div class="zemanta-img mt-image-right" style="margin-top: 1em; margin-right: 1em; margin-bottom: 1em; margin-left: 1em; display: block; float: right; width: 310px; "><a href="http://commons.wikipedia.org/wiki/File:Old_marriage_at_Plac_Kaszubski.jpg" target="_blank"><img src="http://upload.wikimedia.org/wikipedia/commons/thumb/7/76/Old_marriage_at_Plac_Kaszubski.jpg/300px-Old_marriage_at_Plac_Kaszubski.jpg" alt="Old marriage at Plac Kaszubski in Gdynia." width="300" height="229" class="zemanta-img-configured" /></a><p class="zemanta-img-attribution" style="font-size:0.8em">Image via <a target="_blank" href="http://commons.wikipedia.org/wiki/File:Old_marriage_at_Plac_Kaszubski.jpg">Wikipedia</a></p></div><p></p><p></p><p>It seems as if people who have suffered greatly often have the ability to understand other's pain at a deeper level than most people. Often they have a depth of insight that far exceeds their "normal" peers. When they offer support, it touches deeply and effectively. But they are much better at helping others than themselves.&nbsp;</p><p>Most importantly, they are unique among those who suffer. They have asked for help facing and fixing their problems. Being willing to accept help gives them the willingness to look themselves squarely in the mirror and be willing to see what is really there.&nbsp;When they look at themselves, they feel a withering sense of shame about how responsible they with all that has gone wrong. With help, they see in exaggerated clarity all that they need to change. Shame has a way of discouraging any imagination of escape from the pattern of repeating mistakes. It often keeps people stuck or in denial for years. The willingness to walk through that process of sharing the darkest and most shameful events in their lives requires great courage.</p><p>Many times, all they really lack is a way to get beyond the shame of what they find inside themselves, make the changes and move on. Once they achieve that, they blossom before my eyes. And they are forever grateful.</p><p>Most days, I feel as if I've learned so much from them that I feel a little guilty getting paid to do this. Only a little... ;o)</p>

<p> <br />
</p><fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles by Zemanta</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://www.scienceblog.com/cms/making-connections-key-overcoming-shame-24928.html">Making connections the key to overcoming shame</a> (scienceblog.com)</li><li class="zemanta-article-ul-li"><a href="http://psychcentral.com/blog/archives/2011/11/17/6-ways-to-overcome-your-painful-past/" target="_blank">6 Ways to Overcome Your Painful Past</a> (psychcentral.com)</li><li class="zemanta-article-ul-li"><a href="http://psysociety.wordpress.com/2011/11/24/thanksgiving/" target="_blank">The Psychology of Giving Thanks</a> (psysociety.wordpress.com)</li><li class="zemanta-article-ul-li"><a href="http://whywereason.wordpress.com/2011/09/01/how-misguided-incentives-negatively-affect-productivity-and-well-being/" target="_blank">How Misguided Incentives Negatively Affect Productivity and Well-Being</a> (whywereason.wordpress.com)</li></ul></fieldset><p></p>

<div><br /></div>

<div class="zemanta-pixie" style="margin-top:10px;height:15px"><img class="zemanta-pixie-img" alt="" src="http://img.zemanta.com/pixy.gif?x-id=3aa65b62-bc1f-4ad8-8fba-b23f086cbe68" style="border:none;float:right" /></div>]]>
        
    </content>
</entry>

<entry>
    <title>Facebook Depression: Another Media Frenzy </title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/11/facebook_depression_another_media_distortion.php" />
    <id>tag:blog.davemsw.com,2011://1.331</id>

    <published>2011-11-23T02:24:01Z</published>
    <updated>2012-01-12T02:34:02Z</updated>

    <summary>I&apos;m going to try to write more short posts rather than work on a big paper for months before I post.There is a lot of hype about Facebook causing depression citing research. Actually, if you look, you will find the research had nothing to do with Facebook.Image via CrunchBaseIt all started with this article writing on this research article where the author rather loosely used the term &quot;Facebook depression&quot;. There is of course no such thing as Facebook depression. The author submits her disclaimer here.All the more reason to read about research in the media with considerable skepticism. Here is...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Adolescent Development" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Blogging on Peer Reviewed Research" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Child Development" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Mental Health In The News" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="depression" label="Depression" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="facebook" label="Facebook" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<span style="float: left; padding: 5px;"><a href="http://www.researchblogging.org"><img alt="ResearchBlogging.org" src="http://www.researchblogging.org/public/citation_icons/rb2_large_gray.png" style="border:0;" /></a></span>I'm going to try to write more short posts rather than work on a big paper for months before I post.<br /><br />There is a lot of hype about <a class="zem_slink" href="http://facebook.com/" title="Facebook" rel="homepage" target="_blank">Facebook</a> causing <a class="zem_slink" href="http://www.webmd.com/depression/guide/major-depression" title="Major Depression" rel="webmd" target="_blank">depression</a> citing research. Actually, if you look, you will find the research had nothing to do with Facebook.<br /><br /><div class="zemanta-img mt-image-right zemanta-action-dragged" style="margin-top: 1em; margin-right: 1em; margin-bottom: 1em; margin-left: 1em; display: block; float: right; width: 255px; "><a href="http://www.crunchbase.com/company/facebook" target="_blank"><img src="http://www.crunchbase.com/assets/images/resized/0000/4561/4561v1-max-450x450.png" alt="Image representing Facebook as depicted in Cru..." height="100" width="245" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;">Image via <a target="_blank" href="http://www.crunchbase.com/">CrunchBase</a></p></div>It all started with <a href="http://www.dailymail.co.uk/health/article-1132788/Why-chatting-long-Facebook-girl-down.html">this article</a> writing on <a href="http://pediatrics.aappublications.org/content/127/4/800.full?sid=0acb0548-18dc-49bc-b688-e235f6aaf072">this </a><a href="http://pediatrics.aappublications.org/content/127/4/800.full?sid=0acb0548-18dc-49bc-b688-e235f6aaf072">research article</a> where the author rather loosely used the term "Facebook depression". There is of course <b>no such thing as Facebook depression</b>. The author submits <a href="http://www.psychology.sunysb.edu/jdavila-/webpage/facebook%20depression%20controversy.htm">her disclaimer here</a>.<br /><br />All the more reason to read about research in the media with considerable skepticism. Here is a <a href="http://blog.davemsw.com/archives/2006/05/science_and_mass_media_dont_mi.php">past article</a> I wrote on the topic.<br /><br />There is reason to be concerned about spending long hours doing anything, including Facebook and the Internet, that could contribute to the development of depression. The causes are much more complex.
<br /><br />
Reference&nbsp;<div><span class="Z3988" title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=PEDIATRICS&amp;rft_id=info%3Adoi%2F10.1542%2Fpeds.2011-0054&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=The+Impact+of+Social+Media+on+Children%2C+Adolescents%2C+and+Families&amp;rft.issn=0031-4005&amp;rft.date=2011&amp;rft.volume=127&amp;rft.issue=4&amp;rft.spage=800&amp;rft.epage=804&amp;rft.artnum=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fdoi%2F10.1542%2Fpeds.2011-0054&amp;rft.au=O%27Keeffe%2C+G.&amp;rft.au=Clarke-Pearson%2C+K.&amp;rft.au=%2C+.&amp;rfe_dat=bpr3.included=1;bpr3.tags=Psychology"><br /></span></div><div><span class="Z3988" title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=PEDIATRICS&amp;rft_id=info%3Adoi%2F10.1542%2Fpeds.2011-0054&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=The+Impact+of+Social+Media+on+Children%2C+Adolescents%2C+and+Families&amp;rft.issn=0031-4005&amp;rft.date=2011&amp;rft.volume=127&amp;rft.issue=4&amp;rft.spage=800&amp;rft.epage=804&amp;rft.artnum=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fdoi%2F10.1542%2Fpeds.2011-0054&amp;rft.au=O%27Keeffe%2C+G.&amp;rft.au=Clarke-Pearson%2C+K.&amp;rft.au=%2C+.&amp;rfe_dat=bpr3.included=1;bpr3.tags=Psychology">O'Keeffe, G., Clarke-Pearson, K., &amp; , . (2011). The Impact of Social Media on Children, Adolescents, and Families <span style="font-style: italic;">PEDIATRICS, 127</span> (4), 800-804 DOI: <a rev="review" href="http://dx.doi.org/10.1542/peds.2011-0054">10.1542/peds.2011-0054</a></span></div><div><br /><span class="Z3988" title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=PEDIATRICS&amp;rft_id=info%3Adoi%2F10.1542%2Fpeds.2011-0054&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=The+Impact+of+Social+Media+on+Children%2C+Adolescents%2C+and+Families&amp;rft.issn=0031-4005&amp;rft.date=2011&amp;rft.volume=127&amp;rft.issue=4&amp;rft.spage=800&amp;rft.epage=804&amp;rft.artnum=http%3A%2F%2Fpediatrics.aappublications.org%2Fcgi%2Fdoi%2F10.1542%2Fpeds.2011-0054&amp;rft.au=O%27Keeffe%2C+G.&amp;rft.au=Clarke-Pearson%2C+K.&amp;rft.au=%2C+.&amp;rfe_dat=bpr3.included=1;bpr3.tags=Psychology"></span>
<fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://sixestate.com/facebook-depresion-social-media-and-children/" target="_blank">Facebook Depression: Social Media and Children</a> (sixestate.com)</li></ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><img style="border: medium none; float: right;" class="zemanta-pixie-img" alt="" src="http://img.zemanta.com/pixy.gif?x-id=bb9737ac-e0da-4faa-ad0d-4e160dd6231e" /></div></div>]]>
        
    </content>
</entry>

<entry>
    <title>Get Service</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/09/get_service.php" />
    <id>tag:blog.davemsw.com,2011://1.329</id>

    <published>2011-09-04T18:30:23Z</published>
    <updated>2011-09-04T18:58:00Z</updated>

    <summary>Feel like everyone is in your way? Disappointed that everyone seems inconsiderate? Be the change in your life....</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Advocacy" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="communication" label="Communication" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="community" label="community" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="consideration" label="consideration" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="motivation" label="Motivation" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="patience" label="patience" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<div align="left">Feel like everyone is in your way? Disappointed that everyone seems inconsiderate? Be the change in your life.<br /></div><br /> <iframe src="http://www.youtube.com/embed/JwyIfGHAhDI" allowfullscreen="" frameborder="0" height="345" width="420"></iframe><span style="top: 374px; left: 430px; margin-left: -54px; margin-top: -38px; opacity: 0.25;" class="smarterwiki-popup-bubble smarterwiki-popup-bubble-active"><span class="smarterwiki-popup-bubble-body"><span class="smarterwiki-popup-bubble-links-container"><span class="smarterwiki-popup-bubble-links"><span class="smarterwiki-popup-bubble-links-row"><a target="_blank" title="Search Google" href="http://www.google.com/search?q=%0D%0A" class="smarterwiki-popup-bubble-link"><img src="https://www.google.com/favicon.ico" alt="" class="smarterwiki-popup-bubble-link-favicon" /></a><a target="_blank" title="Search Wikipedia" href="http://www.google.com/search?hl=en&amp;btnI=I%27m+Feeling+Lucky&amp;q=%0D%0A+wikipedia" class="smarterwiki-popup-bubble-link"><img src="data:image/png;base64,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" alt="" class="smarterwiki-popup-bubble-link-favicon" /></a></span></span></span></span><span class="smarterwiki-popup-bubble-tip"></span></span>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=577fd806-b94f-41ab-a7ca-95e8e0abfb57" alt="Enhanced by Zemanta" /></a></div>]]>
        
    </content>
</entry>

<entry>
    <title>Emotion Regulation: Emotional Intelligence for Personal Growth</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/08/emotion_regulation_emotional_intelligence_for_pers.php" />
    <id>tag:blog.davemsw.com,2011://1.328</id>

    <published>2011-08-21T01:34:47Z</published>
    <updated>2012-02-10T01:19:12Z</updated>

    <summary>This is the eighth in a series of articles about emotional intelligence for personal growth. Emotions give our experiences a sort of color, a dimension of experience very different from other senses, different from even thoughts. Yet many of us find our emotions at times more of an enemy than a friend. Our emotions serve a purpose, one that is not entirely obvious. Most current theories of emotion share the assumption that emotions serve an adaptive function in human life. Emotions play an important role in how we appraise and prepare to act on current circumstances. There are instances when...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Blogging on Peer Reviewed Research" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="emotion" label="Emotion" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotionregulation" label="Emotion Regulation" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotionalintelligence" label="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="sigmundfreud" label="Sigmund Freud" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<br /><i>This is the eighth in a series of articles about emotional intelligence for personal growth.</i>
<br /><br />
Emotions give our experiences a sort of color, a dimension of experience very different from other senses, different from even thoughts. Yet many of us find our emotions at times more of an enemy than a friend. Our emotions serve a purpose, one that is not entirely obvious. 
<br /><br />
Most current theories of emotion share the assumption that emotions serve an adaptive function in human life. Emotions play an important role in how we appraise and prepare to act on current circumstances. There are instances when emotions seem to interfere with what we do. The simplest examples are of anxiety reactions to public speaking, climbing ladders, or spiders. 'Emotion regulation' is a popular way of describing a solution to this problem. 
<div class="zemanta-img mt-image-right zemanta-action-dragged" style="margin: 1em; display: block; float: right; width: 218px;"><a href="http://commons.wikipedia.org/wiki/File:Sigmund_Freud_LIFE.jpg"><img src="http://upload.wikimedia.org/wikipedia/commons/thumb/1/12/Sigmund_Freud_LIFE.jpg/300px-Sigmund_Freud_LIFE.jpg" alt="Sigmund Freud, founder of psychoanalysis, smok..." width="208" height="296" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;">Image via <a href="http://commons.wikipedia.org/wiki/File:Sigmund_Freud_LIFE.jpg">Wikipedia</a></p></div><br /><br />
<!-- Emotion regulation - Origins --><span style="float: left; padding: 5px;"><a href="http://www.researchblogging.org/"><img alt="ResearchBlogging.org" src="http://www.researchblogging.org/public/citation_icons/rb2_large_gray.png" style="border: 0pt none;" /></a></span>
Gross (2002) attributes the roots of the study of emotion regulation to Freud's early psychoanalytic theorizing about the nature of psychological defenses and Lazarus' stress and coping tradition. He describes two forms of emotion regulation. Reappraisal involves changing how we think about a situation in order to decrease its emotional impact. Suppression involves inhibiting ongoing emotion-expressive behavior. The method of reappraisal involves reinterpreting the emotional trigger into something less provocative. Suppression involves catching the reaction after it begins and containing it's consequential behavior.
<br /><br />
However, this is a rather simplistic description of a complex process. The very act of suppressing the target emotion evokes more emotions. An emotional response that invites suppression might evoke embarrassment at the intensity of the reaction, fear about the consequences of inadvertent expression, and shame about not having learned from similar experiences in the past. Cognitive reappraisal is strategy that can be useful to head off a response, but is possibly even more useful as a method to review the experience after the emotion has been contained. It seems to me that there are few examples I can think of that don't involve both strategies more or less working together. 
<br /><br />
Gross &amp; Levenson (1993, 1997) notes that expressive suppression can lead to decreased emotion expression, but interestingly, the body seems to feel the emotion even more intensely as reflected in increased sympathetic activation. Emotional suppression reduced memory for details emotional events, while reappraisal had no effects on memory. 
<br /><br />
Reappraisal may be related to relabeling and sublimination. Relabeling involves a cognitive reassignment of meaning that changes the qualitative emotional response, perhaps even it's valence. Sublimination is the directing of emotionally based response tendencies (motivation) into constructive problem solving responses that address the situation that elicited the emotion. Relabeling may play an important role in sublimination by redirecting energy into a more productive direction, presumably making it even more directable. Relabeling a suppressed emotion and subliiminating the motivation into a constructive response allows greater adaptive potential, memory, and interpersonal functioning.
<br /><br />
Gross (2002) argues that suppression--as a response-focused strategy-- acts comparatively late in the regulation process. Thus, the emotion is already underway and thus the energy implied in the sympathic activation is no longer available to be redirected. The decreasing in expressive behavior has some side effects in terms of cognitive (impaired memory) and physiological costs (increased sympathetic activation). Suppression does not diminish negative emotions. In contrast, reappraisal theoretically takes effect before the emotion response tendencies have been triggered leading to fewer behavioral and experiential signs of emotion without increasing physiological responses or impairing memory. However, it's hard to imagine that a person could have perceived the emotional trigger and selected an alternative interpretation without experiencing the emotion. Emotional processes is known to be much quicker than the more methodical and step by step rational process (<a class="zem_slink" href="http://en.wikipedia.org/wiki/Daniel_Kahneman" title="Daniel Kahneman" rel="wikipedia">Kahneman</a>, 2003). I think it's reasonable to assume some suppression is required to enable the time to reappraise, then the emotion is redirected into it's alternative conceptual context. Since reappraisal is known to decrease emotional activation, one must assume that the energy is redirected somewhere in a way that prevents most sympathetic activation. Redirecting the energy into motivation towards a constructive solution (sublimination) seems a likely explanation. Sublimination may well be regular part of the reappraisal process.
<br /><br />
Gross and John (2003) found that the habitual use of both strategies is uncorrelated. That might be explained by a conscious or pre-conscious choice. Suppressing an emotion might be a decision distinct from brief suppression followed by reappraisal and sublimination. Perhaps suppression is used because an obvious reappraisal strategy is unavailable or the person has an underdeveloped reappraisal skill. One has to wonder what happens to the energy. Invitably, the emotional activation will be expressed cognitively. Strong activation requires an explanation. If there is none, then feelings of helplessness and anxiety can spiral into being overwhelmed quickly. Few people will have the ability to supress the emotion with denial, but anger and blame towards some external source might head off a spiraling cycle of anxiety and helplessness. One would expect that such unspoken expression of emotions to be incomplete, even unsatisfying, and create an expectation of more negative outcomes. This would appear to be a largely maladaptive strategy. 
<br /><br />
Gross and Thompson (2007) describe emotion regulation as one of four types of affect regulation. "Coping" is solely focused on decreasing negative affect across greater periods of time and multiple instances.  They define mood as a global more persistent set of affect than an emotion and it's regulation as a means to manage the experience and action tendencies it may evoke. Emotion refers to one single meaningful event. It's regulation is focused on managing the experience and behavior tendency (motivation) it evokes evokes. 
<br /><br />
<a href="http://blog.davemsw.com/mt-static/html/images/EmotRegFamilies.gif"><img src="http://blog.davemsw.com/images/EmotRegFamilies.gif" alt="" title="Click to enlarge" width="300" border="0" align="right" /></a>
They describe five families of emotion regulation. 
<br /><br />
<i>Situation selection</i> involves planning to minimize any possible distracting or destructive emotions, by taking actions that make the desired outcome more likely. This is an important method used by parents during the life of a young child. A parent might recall a previous fantasy play at home with a toy doctor's bag  to explain and distract the child during a visit to the doctor.
<br /><br />
<i>Situation modification</i> involves quick actions that change the situation to one in which the outcome is more favorable. Very little planning is involved, though the skill might be developed by practicing and role playing. Supportive and empathetic responses to children's expression of emotion lead to more effective coping. Angry, denigrating, or dismissive responses undermine emotion regulation. An example might include bringing a book or activity to use during a waiting room period.
<br /><br />
<i>Attentional deployment</i> involves directing one's attention within a given situation such as distraction, concentration, leaving, refocusing. This is probably how people suppress thoughts. Trying not to think about something is usually an exercise in futility. Replacing the thought with something incompatible is pretty effective. At least some cognitive restructuring is an example of attentional deployment. For example, you can refocus on past successes in solving problems when stuck with a current one. A glass is half-full, rather than half-empty.
<br /><br />
<i>Cognitive change</i> involves altering the emotional significance of the appraisal by changing the meaning or changing one's capacity to manage the emotion. Cultural differences in socialization may play heavily on this skill, it's flexibility and effectiveness. Deciding that someone's inattentiveness caused them to bump into you, rather than a deliberate attempt to disrupt what you were doing would be an example of alternating the emotional significance of the event.
<br /><br />
<i>Response modification</i> is the method that is used after the situation is perceived and a response is initiating. This method involves influencing the physiological, experiential, or behavior responding as directly as possible. Drugs, exercise, relaxation, alcohol, cigarettes, medication, and food have been used this way. You can also modify how the thoughts and emotions are expressed. An important consideration is the situational context impacts the meaning of how the emotion is expressed and the consequences of the expression. For example, appropriate expression is different at home than it is at the work place or even in the grocery store.
<br /><br />
Most techniques of emotion regulation seem to assume that emotion is a distraction or a nuisance that needs to be managed or suppressed. Someone who has frequented this blog would be aware that the function of emotion is a common topic. Emotions have a purpose, otherwise we wouldn't have them. They have served humanity for a long time, apparently quite effectively. What's new is that we are actively second guessing their influence on our thinking. 
<br /><br />
Ayn Rand asserts unequivocally:

<blockquote>Your only choice is whether you define your philosophy by a conscious, rational, disciplined process of thought and scrupulously logical deliberation - or let your subconscious accumulate a junk heap of unwarranted conclusions, false generalizations, undefined contradictions, undigested slogans, unidentified wishes, doubts and fears, thrown together by chance, but integrated by your subconscious into a kind of mongrel philosophy and fused into a single, solid weight: self-doubt, like a bail and chain in the place where your mind's wings should have grown...</blockquote>

I think everyone would agree that emotions can distort our decisions if we are not aware of their impact. However, I challenge the assumption that we can reason logically. Certainly, we can structure our reasoning to be as logical as possible, but a self aware person will note that the logical conclusion is often in conflict with the personal preference. 
<br /><br />
<!-- Affect as information and Emotional intelligence - The purpose/function of emotion -->
Barrett, et al., (2001) describes a study that supports affect-as-information and emotional intelligence perspective. 

<blockquote>According to that perspective, specific emotional states have more adaptive value than global affective states, in part, because ... emotions are typically associated with a causal object, whereas global affective states are not. Identification of the source of an emotional state has important consequences. ...emotion differentiation is correlated with emotion regulation.
<br /><br />
.... Emotional intelligence is broadly defined as the ability to perceive emotions in self and other, to reflectively regulate emotions, and to access and generate emotional experiences <i>to inform adaptation</i>.... Those individuals with the ability to distinguish among negative emotional states and subsequently regulate their emotions may prove more ''emotionally intelligent'' than those who have less differentiated emotion representations. [Italics are mine.]</blockquote>

With practice, we can learn to influence but perhaps not totally control which emotions we have and how we experience and express them. We can act early in the emotion generation process or we can aim at modifying emotional response tendencies once they have already been triggered. 
<br /><br />
The purpose of emotion is to "inform adaptation". Emotions have evolved in the context of social relationships and serve as another avenue of exchange of information between and about people and relationships. Emotions reach beyond the logic of the situation to assess the risk in a social encounter and to communicate the nature of the relationship with the other person. 
<br /><br />
Rottenberg, J., &amp; Gross, J. J. (2003) notes that its very difficult to operationally define 'excessive sadness', or any other emotional excess or disturbance because of the need to integrate a considerable amount of contextual information into research formulations. Excessive sadness about loss of a loved one is not the same as the sadness that comes from being overlooked for recognition. Defining excessive emotion seems a futile endeavor. It would be more fruitful to ask what is it about this episode of sadness appear excessive. Sobbing at work is hardly the same as doing so in the privacy of home. But observing sobbing at work, you still can't describe the sadness as excessive without inquiring as to what the sadness was about. 
<br /><br />
<!-- Purpose of feelings discussion -->
<a href="http://blog.davemsw.com/mt-static/html/images/The%20Function%20of%20Feelings.pdf"><img alt="Click to enlarge" title="Click to enlarge" src="http://blog.davemsw.com/images/The%20Function%20of%20Feelings.png" width="300" align="right" /></a> <a href="http://blog.davemsw.com/archives/2008/08/the_wolves_within.php">From Dare To Dream blog</a>:
<br /><br />
<blockquote>Our motivations are largely emotionally driven. Negative emotions push us to face and act on those things that make us most uncomfortable. Positive emotions allow us to enjoy success and give us energy to meet new challenges. But negative emotions inspire us to make changes.
<br /><br />
Misery is perhaps the most creative force in our lives. Seldom do we make major changes in our lives without considerable emotional pain. Each negative emotion comes complete with an intuitive guide to action. Anger pushes us to stand up for ourselves and speak up when we've been treated with disrespect. Fear makes us hyper-vigilant to potential danger and readies us to duck or run away if needed. Sadness makes us review over and over again what we've lost. That ruminative search is for the knowledge to compensate for our loss [as well as reassess its meaning and purpose. Ultimately, such learning leads us with the wisdom to understand our lives from a new perspective and make our actions more adaptive.] Guilt reminds us of our responsibility in the errors we make and motivates us to work to understand our mistakes and learn how to avoid repeating them.</blockquote>
<br /><br />
Emotions are made to be understood by experiencing them, by sitting with them for a time so as to make some sense of them. By trace emotions to their origins you can come to understand what they might mean for you today. That will enable you to make a reasoned decision about what should be done. As hard as it is to sit with a profoundly negative emotion, you will find that emotion an amazingly creative force for change. 
<br /><br />
<!-- Good enough mother/therapist -->
Emotion regulation is learned in infancy when the child attunes with his mother. When attuned,

<blockquote>the infant is learning a number of very useful things: (1) that expressing her feelings can bring about positive outcomes--which generates positive feelings about the self and others; (2) that she can have impact on others -- which generates a dawning sense of agency or self-initiative; and (3) gradually, that particular affects elicit particular reactions-- which helps her begin to differentiate and eventually name her feelings. (Fonagy el., 2002 as referenced in Wallin, 2007).</blockquote>

The essence of mothering is providing a holding environment where empathy and devotion offer a supportive relationship for her child's growth. The quality of maternal attention, or attunement, was a key factor in determining how infants thrived. The "good-enough mother" is a mother who is able to adequately attune to her infant's needs and abilities despite the complex and always changing processes of growth and adaptation. In the natural process of infant care, misattunement and reattunement occurs regularly. Within the attachment relationship, the secure mother, at an intuitive, nonconscious level, is continuously regulating the infant's shifting arousal levels. Attachment can be defined as the dyadic regulation of emotion. And thus, emotional expression serves to stimulate a dyadic exchange within the attachment relationship that results in corrective and informative regulation. By being exposed to the primary caregiver's fluxuating attunement, the infant learns an expanding adaptive ability to evaluate on a moment-to-moment basis stressful changes in the external environment. Over time, this exchange with his mother allows infant to form coherent responses to future stressors and prepares him for future relationships. (Dales &amp; Jerry, 2008)
<br /><br />
<!-- Regulation in a dyad -->
<a href="http://blog.davemsw.com/archives/2009/05/how_do_you_inspire_a_client_to_believe_in_therapy.php">Research in psychotherapy</a> provides us with validation with the common sense notions of what makes a good approach to relationships: acceptance, permissiveness, warmth, respect, nonjudgmentalism, honesty, genuineness, and empathy or empathic understanding. Maintaining long term relationship require similar attunement and repair reminiscent of a mother and her infant. 
<br /><br />
Other research in psychotherapy has found complex positive emtions are experienced in the aftermath of the processing of intensely painful emotion and are highly correlated with positive outcome. Such "positive emotions may not only appear as a result of successful processing of negative emotions but be an integral, and perhaps overlooked part of modulating and deepening this processing." Presumably, such deepening and repair of attunment would enhance and deepen the relationship. Perhaps this is what is often observed when "kissing and making up" after a conflict.  

<blockquote>For adults, as well as children, the amplification and regulation of these positive states by a caring other are critically important to the self's ongoing development, the discovery of new capacities, and the healing of old wounds. (Russell &amp; Fosha, 2008).</blockquote>

<blockquote>Moreover, the regulation of otherwise overwhelming emotional intensity is vital in promoting the required depth of emotional processing. Finally emotion regulation involves not only the restraint of emotion, but at times its maintenance and enhancement (i.e., down- vs. up-regulation) (Greenberg and Pascual-Leone 2006, pp 616-617).</blockquote>

Clearly emotion is much more complex than a problem to eliminate or at least contain. Humans by their very nature are in capable of the cultural ideal of rational thought. Emotional expression is the core of our expression in relationships and evokes a response from the other that helps refine possible responses. Effective communication cannot occur without the emotional referents that define and structure mutual expectations and possible responses. Our awareness of this process is critical to learning effective relationship communication, boundaries, and building a support network. The key to learning how to express ourselves is understanding our emotions and using them to formulate a reasonable response based on an intuitive melding of emotion and rational thought, what Marsha Linehan (1993) elloquently calls "wise mind."
<br /><br />
References
<br /><br />
Dales, S., &amp; Jerry, P. (2008). Attachment, Affect Regulation and Mutual Synchrony in Adult Psychotherapy. American Journal Of Psychotherapy, 62(3), 283-312. <br />
Egloff, B., Schmukle, S. C., Burns, L. R., &amp; Schwerdtfeger, A. (2006). Spontaneous Emotion Regulation During Evaluated Speaking Tasks: Associations with Negative Affect, Anxiety Expression, Memory, and Physiological Responding. Emotion, Egloff et al (2006), 6(3), 356-366<br />
Barrett, L. F., Gross, J., Christensen, T. C., &amp; Benvenuto, M. (2001). Knowing what you're feeling and knowing what to do about it: Mapping the relation between emotion differentiation and emotion regulation. Cognition And Emotion, 15(6), 713-724. doi:10.1080/0269993014300023<br />
Greenberg, L. S., &amp; Pascual-Leone, A. (2006). Emotion in Psychotherapy: A Practice-Friendly Research Review. Journal Of Clinical Psychology, Greenberg and Pascual-Leone (2006), 62(5), 611-630.<br />
<span class="Z3988" title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=Psychophysiology&amp;rft_id=info%3Adoi%2F10.1017.S0048577201393198&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=Emotion+regulation%3A+Affective%2C+cognitive%2C+and+social+consequences&amp;rft.issn=&amp;rft.date=2002&amp;rft.volume=39&amp;rft.issue=&amp;rft.spage=&amp;rft.epage=&amp;rft.artnum=&amp;rft.au=JAMES+J.+GROSS&amp;rfe_dat=bpr3.included=1;bpr3.tags=Psychology">GROSS, J. J.  (2002). Emotion regulation: Affective, cognitive, and social consequences <span style="font-style: italic;">Psychophysiology, 39</span> DOI: <a rev="review" href="http://dx.doi.org/10.1017.S0048577201393198">10.1017.S0048577201393198</a></span><br />
Gross &amp; Levenson (1993, 1997) cited in Gross, J. (Ed.). (2007)
Gross, J. J., &amp; Thompson, R. A. (2007). Emotion Regulation: Conceptual Foundations. In Gross (2007).<br />
Gross, J. (Ed.). (2007). Handbook of Emotion Regulation (2009 paperback ed.). New York: The Guilford Press.<br />
Kahneman, D. (2003). A Perspective on Judgment and Choice - Mapping Bounded Rationality. American Psychologist, 58(9), 697-720. doi:10.1037/0003-066X.58.9.697<br />
Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. Linehan 1993. New York: The Guildford Press.<br /><span>
Rand, A. (n.d.). Philosophy, Emotion and Reason from the Objectivist Philosophy of Ayn Rand. Retrieved November 11, 2008, from <a href="http://www.skysite.org/philo.html#link" class="smarterwiki-linkify">http://www.skysite.org/philo.html#link</a> </span><br />
Rottenberg, J., &amp; Gross, J. J. (2003). When Emotion Goes Wrong: Realizing the Promise of Affective Science. Clinical Psychology: Science And Practice, 10(2), 227-232.<br />
Russell, E., &amp; Fosha, D. (2008). Transformational Affects and Core State in AEDP: The Emergence and Consolidation of Joy, Hope, Gratitude, and Confidence in (the Solid Goodness of) the Self. Journal of Psychotherapy Integration, 18(2), 167-190. doi:10.1037/1053-0479.18.2.167<br />
Wallin, D. J. (2007). Attachment in Psychotherapy. New York: The Guildford Press.<br /><br />



<fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/01/emotional_intelligence_for_personal_growth.php">Emotional Intelligence for Personal Growth - Part I</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/01/mindfulness_emotional_intelligence_for_personal_gr.php">Mindfulness - Emotional Intelligence for Personal Growth Part II</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/01/selfawareness_emotional_intelligence_for_personal.php">Self-Awareness - Emotional Intelligence For Personal Growth Part III</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/03/selfknowledge_emotional_intelligence_for_personal.php">Self-Knowledge - Emotional Intelligence For Personal Growth Part IV</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/04/the_essence_of_the_human_experience_what_is_normal.php">The Essence of Human Experience: What is Normal? Emotional Intelligence for Personal Growth, Part V</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/05/the_two_darts_of_suffering_pain_is_inevitable_suff.php">The Two Darts of Suffering: Pain is Inevitable, Suffering is Voluntary Emotional Intelligence for Personal Growth, Part VI</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><h2 class="asset-name entry-title"><font style="font-size: 0.64em;"><a href="http://blog.davemsw.com/archives/2010/07/gazing_in_the_looking_glass_without_selfpunishment.php">Gazing in the Looking Glass without Self-punishment - Emotional Intelligence for Personal Growth Part VII</a></font></h2></li><li class="zemanta-article-ul-li"><h2 class="asset-name entry-title"><font style="font-size: 0.64em;"><a href="http://westallen.typepad.com/brains_on_purpose/2011/08/teach-your-kids-refram.html">One of the best methods of emotion regulation: Teach your kids young to reframe</a> (westallen.typepad.com)</font></h2></li><li class="zemanta-article-ul-li"><a href="http://acoarecovery.wordpress.com/2011/08/20/identifying-emotions-part-1/">IDENTIFYING Emotions (Part 1)</a> (acoarecovery.wordpress.com)</li><li class="zemanta-article-ul-li"><a href="http://scienceblog.com/46037/distract-yourself-or-think-it-over-two-ways-to-deal-with-negative-emotions/">Distract yourself or think it over? Two ways to deal with negative emotions</a> (scienceblog.com)</li><li class="zemanta-article-ul-li"><a href="http://fsomle.com/2011/08/12/cognitive-appraisal-theory-understanding-our-emotions-in-a-crisis-or-disaster/">Cognitive Appraisal Theory - Understanding our emotions in a crisis or disaster</a> (fsomle.com)</li><li class="zemanta-article-ul-li"><a href="http://www.education.com/reference/article/social-emotional-learning-bullying/">Social and Emotional Learning and Bullying Prevention</a> (education.com)</li><li class="zemanta-article-ul-li"><a href="http://psych-your-mind.blogspot.com/2011/06/channels-of-emotion-not-just-in-face.html">The Channels of Emotion: Not (Just) in the Face!</a> (psych-your-mind.blogspot.com)</li><li class="zemanta-article-ul-li"><a href="http://mindblog.dericbownds.net/2011/07/emotion-hot-spots-in-our-brain-modern.html">Emotion hot spots in our brain - modern phrenology</a> (mindblog.dericbownds.net)</li><li class="zemanta-article-ul-li"><a href="http://mindblog.dericbownds.net/2011/08/dark-side-of-emotion-in-decision-making.html">The dark side of emotion in decision making.</a> (mindblog.dericbownds.net)</li></ul></fieldset><span style="top: 5042px; left: 164px; margin-left: -54px; margin-top: -38px; opacity: 0.25;" class="smarterwiki-popup-bubble"><span class="smarterwiki-popup-bubble-body"><span class="smarterwiki-popup-bubble-links-container"><span class="smarterwiki-popup-bubble-links"><span class="smarterwiki-popup-bubble-links-row"><a target="_blank" title="Search Wikipedia" href="http://www.google.com/search?hl=en&amp;btnI=I%27m+Feeling+Lucky&amp;q=One%20of%20the%20best%20methods%20of%20emotion%20regulation%3A%20Teach%20your%20kids%20young%20to%20reframe%20%28westallen.typepad.com%29+wikipedia" class="smarterwiki-popup-bubble-link"><img src="data:image/png;base64,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" alt="" class="smarterwiki-popup-bubble-link-favicon" /></a><a target="_blank" title="Search Google" href="http://www.google.com/search?q=One%20of%20the%20best%20methods%20of%20emotion%20regulation%3A%20Teach%20your%20kids%20young%20to%20reframe%20%28westallen.typepad.com%29" class="smarterwiki-popup-bubble-link"><img src="https://www.google.com/favicon.ico" alt="" class="smarterwiki-popup-bubble-link-favicon" /></a></span></span></span></span><span class="smarterwiki-popup-bubble-tip"></span></span>

<div style="margin-top:10px;height:15px" class="zemanta-pixie"><img style="border:none;float:right" class="zemanta-pixie-img" alt="" src="http://img.zemanta.com/pixy.gif?x-id=c87cfabe-a21f-425b-8ef4-daffa3a8a8ff" /></div>]]>
        
    </content>
</entry>

<entry>
    <title>The Death of Amy Winehouse</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/08/the_death_of_amy_winehouse.php" />
    <id>tag:blog.davemsw.com,2011://1.327</id>

    <published>2011-08-01T23:38:50Z</published>
    <updated>2011-08-02T01:39:53Z</updated>

    <summary>Tragically another music icon ends an incredibly creative life at age 27. Besides the uncanny fact that so many (10) incredibly talented musicians who died at 27, there is the other apparent truth that they all had everything their peers could have wanted. They were incredibly successful, had huge fan base, and were selling albums and tickets to concerts galore. What could possibly have gone wrong? Ms. Winehouse said living dangerously generated her creativity, and she was often photographed half-dressed, wild-eyed and disheveled. The English tabloids reported she had suffered brain damage from excessive use of drugs and alcohol.&quot; Image...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Addictions" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Mental Health In The News" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="amywinehouse" label="Amy Winehouse" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="backtoblack" label="Back to Black" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="rehab" label="Rehab" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="substanceabuse" label="Substance Abuse" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[Tragically another music icon ends an incredibly creative life at age 27. Besides the uncanny fact that <a href="http://www.washingtonpost.com/entertainment/music/amy-winehouse-dead-at-27-the-singers-lefacyremembering-an-artist/2011/07/25/gIQAcv8FZI_story.html">so many (10) incredibly talented musicians who died at 2</a><a href="http://www.washingtonpost.com/entertainment/music/amy-winehouse-dead-at-27-the-singers-lefacyremembering-an-artist/2011/07/25/gIQAcv8FZI_story.html">7</a>, there is the other apparent truth that they all had everything their peers could have wanted. They were incredibly successful, had huge fan base, and were selling albums and tickets to concerts galore. What could possibly have gone wrong?<br /><br />

<blockquote><p>Ms. Winehouse said living dangerously generated her creativity, and she was often photographed half-dressed, wild-eyed and disheveled. The English tabloids reported she had suffered brain damage from excessive use of drugs and alcohol."</p>

<div class="zemanta-img mt-image-right zemanta-action-dragged" style="margin: 1em; display: block; float: right; width: 310px;"><a href="http://commons.wikipedia.org/wiki/File:Amy_Winehouse_f5104871.jpg"><img src="http://upload.wikimedia.org/wikipedia/commons/thumb/2/28/Amy_Winehouse_f5104871.jpg/300px-Amy_Winehouse_f5104871.jpg" alt="Amy Winehouse at the Eurockéennes of 2007" height="200" width="300" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;">Image via <a href="http://commons.wikipedia.org/wiki/File:Amy_Winehouse_f5104871.jpg">Wikipedia</a></p></div><p>

<b>Teresa Wiltz's early 2007 profile of Winehouse foreshadowed the singer's brief career, <a href="http://www.washingtonpost.com/blogs/click-track/post/amy-winehouse-found-dead-in-her-london-home/2011/07/23/gIQA5fQHVI_blog.html">noting that her song "Rehab," seemed all too poignant at times.</a>
</b>

</p><p>"Onstage, the more <a class="zem_slink" href="http://amywinehouse.co.uk/" title="Amy Winehouse" rel="homepage">Amy Winehouse</a> drinks, the better she sings, which is often the case. She's the hottest voice you've never heard -- her album hit No. 1 back home in England -- but right now, at her first U.S. concert, her nerves are bedeviling her. She makes awkward chitchat in that cockney twang. Tugs distractedly at her trademark ratty do. Yanks nervously on the strapless shift that's sliding dangerously south.</p>
<p>Finally, she requests an amaretto sour -- to hoots of approval. It's a part of her shtick, what her fans have come to expect."</p></blockquote>

We may never know exactly what led up to her death. An <a href="http://www.dailymail.co.uk/tvshowbiz/article-2020963/Amy-Winehouse-dead-Singer-bought-1-200-drugs-night-died.html">initial post-mortem</a> proved inconclusive. A toxicology report is due within a few weeks. Her family insists that she'd quit drugs years before, and had recently quit alcohol. Family speculated that she may have had a withdrawal seizure or gone into shock. 
<br /><br />
There is no evidence that she was suffering from depression. In my experience however, depression is often a factor in drug or <a class="zem_slink" href="http://en.wikipedia.org/wiki/Alcohol_abuse" title="Alcohol abuse" rel="wikipedia">alcohol abuse</a>. Artists have a unique ability to express their thoughts and feelings in their chosen media, in this case music. Songs of <a class="zem_slink" href="http://en.wikipedia.org/wiki/Psychological_pain" title="Psychological pain" rel="wikipedia">psychological pain</a> are common, and certainly only a small number of authors are depressed or suicidal. Sadness and other negative feelings help color our world, help us appraise our environment, especially in novel situations or with unexpected elements. 
<br /><br />
Most of us can make some sense of our experiences and move on with new information with ourselves. Some however see negative feelings as evidence of a deeper problem in themselves or see them as signs of a flawed character. The misery of such knowledge without solution can lead a craving to escape it in <a class="zem_slink" href="http://en.wikipedia.org/wiki/Self-destructive_behaviour" title="Self-destructive behaviour" rel="wikipedia">self destructive</a> ways. Drugs and alcohol is one of those methods. <br /><br />Without help to find a way out, they may spiral downward into a self-image that is full of shame. Shame feeds the cycle of self-destructive escape and further misery until the trap seems inescapable. As symptoms worsen, concentration and focus deteriorates, relationships flounder, mood plummets until appetite disappears and even the escape of sleep is lost. Temporary escape becomes a preoccupation until it too fails to satisfy. Then, the only escape becomes self-destruction.

In simplistic terms, this describes how negative feelings and self-talk can lead to depression and perhaps even suicide. <br /><br />It is truly tragic that so many of our most talented artists die so young. The stresses of being in the public eye with so much money on the line I'm sure are overwhelming. There is a tragic cost to fame and fortune. Perhaps more awareness of drug and alcohol abuse and depression will save lives in the future.


<br /><br />RIP Amy Winehouse.<br /><br />Related articles<ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://www.cbsnews.com/8301-31749_162-20083160-10391698.html">Amy Winehouse's funeral Tuesday</a> (cbsnews.com)</li><li class="zemanta-article-ul-li"><a href="http://fresh1027.radio.com/2011/07/25/amy-winehouse-autopsy-results-fail-to-determine-cause-of-death-music-news/">Amy Winehouse Autopsy Results Fail to Determine Cause of Death</a> (fresh1027.radio.com)</li><li class="zemanta-article-ul-li"><a href="http://www.thestar.com/entertainment/article/1033089--amy-winehouse-s-family-hope-to-set-up-drug-rehab-centre-in-her-honour">Amy Winehouse's family hope to set up drug rehab centre in her honour</a> (thestar.com)</li><li class="zemanta-article-ul-li"><a href="http://r.zemanta.com/?u=http%3A//www.telegraph.co.uk/culture/music/music-news/8675612/Amy-Winehouses-third-album-to-cover-marriage-break-up-and-addiction-problems.html&amp;a=50416979&amp;rid=25d86fce-0a1f-400a-9325-1b5107674aab&amp;e=c000e441c1b3e160e987b81bd3286a12">Amy Winehouse's third album to cover marriage break-up and addiction problems</a> (telegraph.co.uk)</li><li class="zemanta-article-ul-li"><a href="http://www.huffingtonpost.com/2011/07/31/amy-winehouse-back-to-black_n_914384.html">Amy Winehouse Tops UK Chart After Death</a> (huffingtonpost.com)</li></ul><fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://www.thestar.com/entertainment/article/1033089--amy-winehouse-s-family-hope-to-set-up-drug-rehab-centre-in-her-honour">Amy Winehouse's family hope to set up drug rehab centre in her honour</a> (thestar.com)</li><li class="zemanta-article-ul-li"><a href="http://r.zemanta.com/?u=http%3A//www.telegraph.co.uk/culture/music/music-news/8675612/Amy-Winehouses-third-album-to-cover-marriage-break-up-and-addiction-problems.html&amp;a=50416979&amp;rid=25d86fce-0a1f-400a-9325-1b5107674aab&amp;e=c000e441c1b3e160e987b81bd3286a12">Amy Winehouse's third album to cover marriage break-up and addiction problems</a> (telegraph.co.uk)</li><li class="zemanta-article-ul-li"><a href="http://www.huffingtonpost.com/2011/07/31/amy-winehouse-back-to-black_n_914384.html">Amy Winehouse Tops UK Chart After Death</a> (huffingtonpost.com)</li></ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=25d86fce-0a1f-400a-9325-1b5107674aab" alt="Enhanced by Zemanta" /></a></div>]]>
        
    </content>
</entry>

<entry>
    <title>On Being Wrong</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/05/on_being_wrong.php" />
    <id>tag:blog.davemsw.com,2011://1.326</id>

    <published>2011-05-18T00:05:24Z</published>
    <updated>2011-06-14T19:20:29Z</updated>

    <summary><![CDATA[Arguments over who's right may be the most common topic of disagreement anywhere and by anybody. Check out the insights Kathryn Schulz, in her book, Being Wrong, has to offer. &nbsp; Ms Schulz makes a compelling argument that being wrong is more valuable than being right. In fact, if one is too preoccupied with being right, they will miss lots of mistakes due to the amazing human tendency to see whatever they want to see. Think about it. A large proportion of learning comes from one of two situations. You either make your own mistakes and learn from them, or...]]></summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="kathrynschulz" label="Kathryn Schulz" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="punishment" label="Punishment" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="selfesteem" label="Self-esteem" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[Arguments over who's right may be the most common topic of disagreement anywhere and by anybody. Check out the insights <a href="http://www.beingwrongbook.com/">Kathryn Schulz</a>, in her book, <a class="zem_slink" href="http://www.amazon.com/Being-Wrong-Adventures-Margin-Error/dp/0061176044%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D0061176044" title="Being Wrong: Adventures in the Margin of Error" rel="amazon">Being Wrong</a>, has to offer.<br /><br /><div><br /><object height="326" width="446"><param name="movie" value="http://video.ted.com/assets/player/swf/EmbedPlayer.swf" />

<param name="allowFullScreen" value="true" />
<param name="allowScriptAccess" value="always" />
<param name="wmode" value="transparent" />

<param name="bgColor" value="#ffffff" />

<param name="flashvars" value="vu=http://video.ted.com/talk/stream/2011/Blank/KathrynSchulz_2011-320k.mp4&amp;su=http://images.ted.com/images/ted/tedindex/embed-posters/KathrynSchulz-2011.embed_thumbnail.jpg&amp;vw=432&amp;vh=240&amp;ap=0&amp;ti=1126&amp;lang=eng&amp;introDuration=15330&amp;adDuration=4000&amp;postAdDuration=830&amp;adKeys=talk=kathryn_schulz_on_being_wrong;year=2011;theme=master_storytellers;theme=a_taste_of_ted2011;theme=new_on_ted_com;theme=how_the_mind_works;event=How+the+Mind+Works;tag=Culture;tag=failure;&amp;preAdTag=tconf.ted/embed;tile=1;sz=512x288;" />
<embed src="http://video.ted.com/assets/player/swf/EmbedPlayer.swf" pluginspace="http://www.macromedia.com/go/getflashplayer" type="application/x-shockwave-flash" wmode="transparent" bgcolor="#ffffff" allowfullscreen="true" allowscriptaccess="always" flashvars="vu=http://video.ted.com/talk/stream/2011/Blank/KathrynSchulz_2011-320k.mp4&amp;su=http://images.ted.com/images/ted/tedindex/embed-posters/KathrynSchulz-2011.embed_thumbnail.jpg&amp;vw=432&amp;vh=240&amp;ap=0&amp;ti=1126&amp;lang=eng&amp;introDuration=15330&amp;adDuration=4000&amp;postAdDuration=830&amp;adKeys=talk=kathryn_schulz_on_being_wrong;year=2011;theme=master_storytellers;theme=a_taste_of_ted2011;theme=new_on_ted_com;theme=how_the_mind_works;event=How+the+Mind+Works;tag=Culture;tag=failure;" height="326" width="446"></object>&nbsp;<div> <object height="326" width="446"><br /><br />Ms Schulz makes a compelling argument that being wrong is more valuable than being right. In fact, if one is too preoccupied with being right, they will miss lots of mistakes due to the amazing human tendency to see whatever they want to see. <br /><br />Think about it. A large proportion of learning comes from one of two situations. You either make your own mistakes and learn from them, or you read about someone else's mistakes in a book. But what you do from there is critical. <br /><br />Many people first <a class="zem_slink" href="http://en.wikipedia.org/wiki/Punishment" title="Punishment" rel="wikipedia">punish</a> themselves for their mistakes. This is what I call "shame". There is all sort of research out there that documents that punishment in general doesn't work. For example, send criminals to prison, when they get out, they are even more likely to commit a crime that will bring them back. That's because a when people are punished, they get the message loud and clear that they deserve to be punished. And they are likely to punish themselves for the infraction. All of that punishment shapes the self-concept into believing that they are worthy of punishment. Many people think that should create a strong motivation to make a change in behavior. So, if you believed you were worthy of punishment, that you were shameful because of it, are you likely to have the creative energy and encouragement to make a change? <br /><br />People make changes when they can envision themselves having succeeded in the change. They feel capable, and encouraged to do so. Encouragement is empowering, punishment robs a person of their ability to encourage themselves and to imagine the change. Change is hard. No one makes big changes unless they have to. When they are so dissatisfied with what needs to change, they are able to focus their positive encouraging energy into making a difficult change. <br /><br />Still people will point to times when punishment seemed to work, even in their own lives. I believe the energy to make the change didn't come from the punishment, but despite the punishment. In this case, punishment didn't discourage a change, but it may have helped the person decide that now was the time.<br /><br /></object><fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://r.zemanta.com/?u=http%3A//www10.nytimes.com/2011/03/27/books/review/up-front-kathryn-schulz.html%3F_r%3D5&amp;a=39207554&amp;rid=cd6a14eb-aa83-43a3-9521-d919508107bf&amp;e=de9c3abb9db4f2eaef1074328a54589d">Up Front: Kathryn Schulz</a> (nytimes.com)</li><li class="zemanta-article-ul-li"><a href="http://projectmanagementessentials.wordpress.com/2011/04/19/embrace-your-fallibility-kathryn-schulz-on-being-wrong/">Embrace Your Fallibility - Kathryn Schulz: On being wrong</a> (projectmanagementessentials.wordpress.com)</li><li class="zemanta-article-ul-li"><a href="http://psychcentral.com/blog/archives/2011/05/11/the-fear-of-making-mistakes-and-interesting-insights-on-being-wrong/">The Fear of Making Mistakes and Interesting Insights on Being Wrong</a> (psychcentral.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/07/gazing_in_the_looking_glass_without_selfpunishment.php">Gazing in the Looking Glass without Self-punishment - Emotional Intelligence for Personal Growth Part VII</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://mannerofspeaking.org/2011/04/23/analysis-of-a-speech-by-kathryn-schulz/">Analysis of a Speech by Kathryn Schulz</a> (mannerofspeaking.org)</li><li class="zemanta-article-ul-li"><a href="http://psychcentral.com/blog/archives/2011/03/17/pessimism-vs-optimism/">Pessimism vs Optimism</a> (psychcentral.com)</li></ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=cd6a14eb-aa83-43a3-9521-d919508107bf" alt="Enhanced by Zemanta" /></a></div></div></div>]]>
        
    </content>
</entry>

<entry>
    <title>Can You Detect a Liar?</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/03/can_you_detect_a_liar.php" />
    <id>tag:blog.davemsw.com,2011://1.325</id>

    <published>2011-03-16T01:05:17Z</published>
    <updated>2011-03-15T22:14:21Z</updated>

    <summary>Cover of Attachment in PsychotherapyAsk a lie detector professional and you will get a positive answer. But its not as simple as knowing how to work the instrument. The instruments used by a lie detector professional basically measure anxiety and are very similar to the machines used in biofeedback. The fact is that there is little research to support the idea that a polygraph or any other instrument can reliably detect a lie. Most psychologists and other scientists agree that there is little basis for the validity of polygraph tests. Courts, including the United States Supreme Court (cf. U.S. v....</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="americanpsychologicalassociation" label="American Psychological Association" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="liedetection" label="Lie detection" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="polygraph" label="Polygraph" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<div class="zemanta-img mt-image-right" style="margin: 1em; display: block; float: right; width: 210px;"><a href="http://www.amazon.com/Attachment-Psychotherapy-David-Wallin-PhD/dp/1593854560%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D1593854560"><img src="http://ecx.images-amazon.com/images/I/51cwqPok8ZL._SL300_.jpg" alt="Cover of &quot;Attachment in Psychotherapy&quot;" height="300" width="200" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;">Cover of <a href="http://www.amazon.com/Attachment-Psychotherapy-David-Wallin-PhD/dp/1593854560%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D1593854560">Attachment in Psychotherapy</a></p></div><p>Ask a <a class="zem_slink" href="http://en.wikipedia.org/wiki/Lie_detection" title="Lie detection" rel="wikipedia">lie detector</a> professional and you will get a positive answer. But its not as simple as knowing how to work the instrument. The <a href="http://en.wikipedia.org/wiki/Lie_detection">instruments used</a> by a lie detector professional basically measure anxiety and are very similar to the machines used in biofeedback. The fact is that there is little research to support the idea that a <a class="zem_slink" href="http://en.wikipedia.org/wiki/Polygraph" title="Polygraph" rel="wikipedia">polygraph</a> or any other instrument can reliably detect a lie. </p>

<blockquote>Most psychologists and other scientists agree that there is little basis for the validity of polygraph tests. Courts, including the United States Supreme Court (cf. U.S. v. Scheffer, 1998 in which Dr.'s Saxe's research on polygraph fallibility was cited), have repeatedly rejected the use of polygraph evidence because of its inherent unreliability. (<a href="http://www.apa.org/research/action/polygraph.aspx">American Psychological Association, 2004</a>.)<br /></blockquote>

<p>The truth is that human beings have developed the skills to detect deception over thousands of generations. Deception can be detected with an absence of warmth and genuineness. Human babies grow up in the context of emotional attunement with their parents. Witnessing <a class="zem_slink" href="http://en.wikipedia.org/wiki/Emotional_expression" title="Emotional expression" rel="wikipedia">emotional expression</a> triggers reflexive imitation and a shared feeling of closeness and mutuality. Imitating a smile will inspire a subtle positive feeling. Our every minor feeling is transmitted automatically and unconsciously to facial muscles. Suppressing the expression requires conscious effort and rarely succeeds entirely. The more similar the <a class="zem_slink" href="http://en.wikipedia.org/wiki/Emotion" title="Emotion" rel="wikipedia">emotional state</a> between two, the more accurately they can read each other. (Wallin, 2007, p.18.) Thus a mismatch is detectable as misattunement, raises anxiety and is interpreted as a reason to distrust.</p><div class="zemanta-img mt-image-right zemanta-action-dragged" style="margin: 1em; display: block; float: right; width: 201px;"><a href="http://www.amazon.com/Social-Intelligence-Science-Human-Relationships/dp/055338449X%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D055338449X"><img src="http://ecx.images-amazon.com/images/I/51MunyZVG-L._SL300_.jpg" alt="Cover of &quot;Social Intelligence: The New Sc..." height="300" width="191" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;"><a href="http://www.amazon.com/Social-Intelligence-Science-Human-Relationships/dp/055338449X%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D055338449X">Cover via Amazon</a></p></div>

<p>People who show the strongest expressions were best at judging other's expressions. Successful lying takes concentration, while facial expression is controlled unconsciously. The prefrontal areas can only control so much before involuntary emotional expression breaks through. A lie is delayed .2 sec in expression and is often accompanied with incongruent emotional expression. (Goleman, 2006, pp 23-26)</p>

<p>I suspect that skilled practitioners use their own finely tuned intuitive perceptions acquired by attachment experiences as well as their instruments to detect lies. Below is an interesting graphic that talks about a number of strategies you might use to enhance your ability to detect lies. Many of these tactics are a natural part of the intuitive lie detector built into all of us. A caution is in order. It's possible that learning these techniques will not be helpful detecting lies. Judgement skills are finely tuned by multiple experiences and work best when fully integrated into our intuitive perception system. In other words, practice makes "perfect", or at least better.</p>

<div style="clear: both; margin: 0pt; padding: 0pt; font-family: Arial; color: rgb(0, 0, 0); height: auto; border: 0pt none;"><div style="position: absolute; margin-top: 600px; height: 50px; margin-left: 11px; font-size: 12px; font-family: 'Arial'; color: rgb(255, 255, 255);"><a style="color: rgb(207, 207, 207); background: none repeat scroll 0% 0% rgb(0, 0, 0); padding: 2px 8px; text-decoration: none;" href="http://www.forensicpsychology.net/how-to-spot-a-liar/"><b>How To Spot A Liar</b></a> <i style="font-size: 9px; padding: 5px;">by</i> <a style="color: rgb(255, 255, 255); font-family: arial;" href="http://www.forensicpsychology.net/">Forensic Psychology</a></div><iframe src="http://forensicpsychology.s3.amazonaws.com/liar/how_to_spot_a_liar.html" scrolling="no" frameborder="no" height="625" width="521"></iframe><br /><br /><div style="line-height: 2em; margin-left: 0.5in; text-indent: -0.5in;">
<p style="margin: 0pt;">(Beware the link above. I DO NOT endorse the source, but I do like the graphic.)<br /></p><p style="margin: 0pt;"><u>References</u><br /></p><p style="margin: 0pt;">Goleman, D. (2006). <span style="font-style: italic;"><a class="zem_slink" href="http://www.amazon.com/Social-Intelligence-Science-Human-Relationships/dp/055338449X%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D055338449X" title="Social Intelligence: The New Science of Human Relationships" rel="amazon">Social Intelligence</a>; The Revolutionary New Science of Human Relationships</span>. New York: Bantam Books.&nbsp; <span class="Z3988" title="url_ver=Z39.88-2004&amp;ctx_ver=Z39.88-2004&amp;rft_id=urn%3Aisbn%3A978-0-553-38449-9&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Social%20Intelligence%3B%20The%20Revolutionary%20New%20Science%20of%20Human%20Relationships&amp;rft.place=New%20York&amp;rft.publisher=Bantam%20Books&amp;rft.aufirst=Daniel&amp;rft.aulast=Goleman&amp;rft.au=Daniel%20Goleman&amp;rft.date=2006&amp;rft.isbn=978-0-553-38449-9"><br /></span></p>
</div>Wallin, D. J. (2007). <span style="font-style: italic;"><a class="zem_slink" href="http://www.amazon.com/Attachment-Psychotherapy-David-Wallin-PhD/dp/1593854560%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D1593854560" title="Attachment in Psychotherapy" rel="amazon">Attachment in Psychotherapy</a></span>. New York: The Guildford Press.&nbsp; <span class="Z3988" title="url_ver=Z39.88-2004&amp;ctx_ver=Z39.88-2004&amp;rft_id=urn%3Aisbn%3A978-1-59385-456-0&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Attachment%20in%20Psychotherapy&amp;rft.place=New%20York&amp;rft.publisher=The%20Guildford%20Press&amp;rft.aufirst=David%20J.&amp;rft.aulast=Wallin&amp;rft.au=David%20J.%20Wallin&amp;rft.date=2007&amp;rft.isbn=978-1-59385-456-0"></span><div style="line-height: 2em; margin-left: 0.5in; text-indent: -0.5in;"><p style="margin: 0pt;"><span class="Z3988" title="url_ver=Z39.88-2004&amp;ctx_ver=Z39.88-2004&amp;rft_id=urn%3Aisbn%3A978-1-59385-456-0&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Attachment%20in%20Psychotherapy&amp;rft.place=New%20York&amp;rft.publisher=The%20Guildford%20Press&amp;rft.aufirst=David%20J.&amp;rft.aulast=Wallin&amp;rft.au=David%20J.%20Wallin&amp;rft.date=2007&amp;rft.isbn=978-1-59385-456-0"><br /></span></p>
</div></div>
<fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://bps-research-digest.blogspot.com/2011/02/how-to-cheat-brain-scan-based-lie.html">How to cheat a brain-scan-based lie detector</a> (bps-research-digest.blogspot.com)</li><li class="zemanta-article-ul-li"><a href="http://lifehacker.com/5675884/how-to-beat-a-polygraph-test">How to Beat a Polygraph Test [Video]</a> (lifehacker.com)</li><li class="zemanta-article-ul-li"><a href="http://psychcentral.com/blog/archives/2011/01/18/how-to-detect-lies-be-trusting/">How to Detect Lies: Be Trusting</a> (psychcentral.com)</li><li class="zemanta-article-ul-li"><a href="http://blog.davemsw.com/archives/2010/03/selfknowledge_emotional_intelligence_for_personal.php">Self-Knowledge - Emotional Intelligence For Personal Growth Part IV</a> (davemsw.com)</li></ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=746fec24-3a0e-4319-9589-1a4cb0ea9ae0" alt="Enhanced by Zemanta" /></a><span class="zem-script more-related pretty-attribution"><script type="text/javascript" src="http://static.zemanta.com/readside/loader.js" defer="defer"></script></span></div>]]>
        
    </content>
</entry>

<entry>
    <title>Book Review: When the Past is Always Present; A New PTSD Treatment?</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2011/01/book_review_when_the_past_is_always_present_a_new.php" />
    <id>tag:blog.davemsw.com,2011://1.323</id>

    <published>2011-01-20T02:51:58Z</published>
    <updated>2011-01-30T07:02:01Z</updated>

    <summary>by Ronald Ruden, MD, PhD When the Past Is Always Present: Emotional Traumatization, Causes, and Cures introduces a new treatment for trauma. Ronald A. Ruden is an internal medicine physician practicing in Manhattan. Since beginning his practice in 1983, he has dedicated part of the proceeds to follow research interests. His first efforts resulted in the book, The Craving Brain, a neurobiological discussion of addictive behaviors. In 2003 he redirected his interest in understanding traumatization. That has led to three publications in Traumatology, edited by Charles Figley, and to this book. Image via Wikipedia The book begins with an easy...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Blogging on Peer Reviewed Research" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Post Traumatic Stress Disorder" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="anxiety" label="Anxiety" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="posttraumaticstressdisorder" label="Posttraumatic stress disorder" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="ptsd" label="PTSD" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<p><br />by Ronald Ruden, MD, PhD</p>
<p><a href="http://astore.amazon.com/daretodream06-20/detail/0415875641"><u>When the Past Is Always Present: Emotional Traumatization, Causes, and Cures</u></a> introduces a new treatment for trauma. Ronald A. Ruden is an internal medicine physician practicing in Manhattan.  Since beginning his practice in 1983, he has dedicated part of the proceeds to follow research interests. His first efforts resulted in the book, <a class="zem_slink" href="http://www.amazon.com/Craving-Brain-Biobalance-Controlling-Addiction/dp/069451795X%3FSubscriptionId%3D0G81C5DAZ03ZR9WH9X82%26tag%3Ddaretodream06-20%26linkCode%3Dxm2%26camp%3D2025%26creative%3D165953%26creativeASIN%3D069451795X" title="The Craving Brain: The Biobalance Approach to Controlling Addiction" rel="amazon">The Craving Brain</a>, a neurobiological discussion of addictive behaviors. In 2003 he redirected his interest in understanding traumatization. That has led to three publications in Traumatology, edited by <a class="zem_slink" href="http://en.wikipedia.org/wiki/Charles_Figley" title="Charles Figley" rel="wikipedia">Charles Figley</a>, and to this book. </p>
<div class="zemanta-img mt-image-right" style="margin: 1em; display: block; float: right; width: 310px;"><a href="http://commons.wikipedia.org/wiki/File:Prefrontal_cortex.png"><img src="http://upload.wikimedia.org/wikipedia/commons/thumb/a/ab/Prefrontal_cortex.png/300px-Prefrontal_cortex.png" alt="Sagittal human brain with cortical regions del..." height="185" width="300" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;">Image via <a href="http://commons.wikipedia.org/wiki/File:Prefrontal_cortex.png">Wikipedia</a></p></div>
<br />

<p>The book begins with an easy to understand review of the neurobiological and neuropsychological literature as it relates to trauma. His intent is to provide a primer that a lay person could understand. He still provides adequate citations for those who have deeper interests.</p>

<p>Ruden believes that the means to <a class="zem_slink" href="http://www.webmd.com/anxiety-panic/tc/post-traumatic-stress-disorder--treatment-overview" title="Post Traumatic Stress Disorder  Treatment" rel="webmd">treat Post Traumatic Stress Disorder</a> (<a class="zem_slink" href="http://www.webmd.com/anxiety-panic/guide/post-traumatic-stress-disorder" title="Post Traumatic Stress Disorder" rel="webmd">PTSD</a>) is to use the senses. This idea, which is at the core of the theory of psychosensory therapy, forms what the author considers the "third pillar" of trauma treatment. The first and second pillars refer to psychotherapy and psychopharmacology. The theory of psychosensory therapy postulates that sensory input, for example, touch "creates extrasensory activity that alters brain function and the way we respond to stimuli". In other words, new sensory input can change memories and their power over us.</p>

<blockquote><p>"...the human brain can change it's own structure and function with thought and experience, turning on its own genes to change its circuitry, reorganize itself and change its operation, is the most important alteration in our understanding of the brain in 400 years." (<a class="zem_slink" href="http://www.normandoidge.com/" title="Norman Doidge" rel="homepage">Norman Doidge</a>, MD pXVII in Ruden, 2011)</p></blockquote>

<p>This process of brain modification is called neuro-platisticity. Evidence of this concept has begun a revolution in thinking about the brain. No longer can one assume that brain damage creates an impermeable barrier to recovery. The point is we can change how well our brain functions if we work at it. If we neglect our brain, it will deteriorate before it's time. Yoga, mindfulness, meditation, and exercise enhance resilience. Resilience is associated with high self-esteem, good emotion regulation skills, optimism, healthy relationships, and an active problem solving response. When you believing you can meet your needs, you feel self-contained, like your world can be managed, you can respond to challenges and can readily find help if you need it. Vulnerability is increased by putting aside your needs to care for others, low self-esteem, difficulty in regulating the intensity and duration of emotions, obsessive-compulsive traits, introversion or being very shy, being anxiety prone, substance abuse, poverty and low education.</p>

<blockquote><p>"In early life, when the limbic system has not completely formed (the hippocampus is not yet functional), highly emotional moments that occur become stored in a separate memory system called procedural [or implicit] memory.... The cognitive component of the event is not stored...." (Ruden, 2011, p24) <br /></p></blockquote><p>When a child experiences trauma, the emotional memory is stored in a part of the brain not easily accessed by our thoughts, our conscious mind. But the memory is there ready to be triggered some event that reminds you of the traumatic memory. You may not even understand why you feel the intense emotions which will add to your confusion and anguish. Chronic release of stress chemicals by repeated triggered panic, changes the landscape of the brain producing self-defeating behavior and thinking, stress related disease, and vulnerability to further traumatization. Retraumatization may be related to repetition compulsion, a homeostatic driven need to heal. If you seek mastery over a situation without new skills to ensure success, the memory is triggered without the healing sense of safe haven, increasing the compulsion to seek mastery. Subconsciously, you may reenact the trauma by repeatedly exposing yourself to a similar trauma.</p>

<p>The second idea presented in this book is that traumatization is encoded into the implicit memory only under special circumstances. Traumatic memories are formed by an emotion-producing event with significant meaning to the individual, the brain must be appropriately primed to acute stress, and the event must be perceived as inescapable. (Ruden, 2011, p47) Encoding is completed at high norepinepherine and dopamine levels, while the <a class="zem_slink" href="http://en.wikipedia.org/wiki/Prefrontal_cortex" title="Prefrontal cortex" rel="wikipedia">prefrontal cortex</a> is shut down. (Ruden, 2011, p59) Ruden insists the trauma must be perceived as inescapable for encoding as a traumatic memory. Feeling trapped, unable to escape takes the prefrontal cortex is taken off line, and we are unable to plan or think. (Ruden, 2011, p47-49) In my clinical experience, feeling trapped, responsible, and in some part to blame for the outcome also appears to play an important role in the development of PTSD. </p>

<blockquote><p>"The third idea is that traumatization occurs because we cannot find a haven during the event. This is the cornerstone of havening, the particular form of psychosensory therapy described in the book. Using evolutionary biological principles and recently published neuroscientific studies, this book outlines in detail how havening touch de-links the emotional experience from a trauma, essentially making it just an ordinary memory. Once done, the event no longer causes distress." (Yaffe &amp; Ruden Medical Associates)</p></blockquote>

<p>Ruden's proposed treatment provides another method to unlearn these emotional reactions and retrieve a sense of mastery and safety after a traumatizing experience. Ruden's approach and other sensory-based techniques, are exposure based, a method that has extensive research support. Ruden's claims that animal research supports the notion that bilateral stimulation enhances healing is at best weakly supported by the studies cited. </p>
<span class="mt-enclosure mt-enclosure-image" style="display: inline;"><a href="http://blog.davemsw.com/images/rb2_large_gray.png"><img alt="rb2_large_gray.png" src="http://blog.davemsw.com/assets_c/2011/01/rb2_large_gray-thumb-100x121.png" class="mt-image-left" style="float: left; margin: 0pt 0pt 20px 20px;" height="121" width="100" /></a></span>
<p>Rasolkhani-Kalhorn &amp; Harper (2006) appears to be Ruden's primary reference. The authors of this article acknowledge the limitations of the research support for their theory. They use anecdotal research evidence from animal studies to suggest that <a class="zem_slink" href="http://en.wikipedia.org/wiki/Eye_movement_desensitization_and_reprocessing" title="Eye movement desensitization and reprocessing" rel="wikipedia">Eye-movement Desensitization and Reprocessing</a> therapy (EMDR) and other psychosensory therapies, work by stimulating part of the brain to decouple the emotion from the memory. Those studies use <a class="zem_slink" href="http://en.wikipedia.org/wiki/Functional_magnetic_resonance_imaging" title="Functional magnetic resonance imaging" rel="wikipedia">fMRI</a>, a scanning technique that can detect brain activity, and other methods. The idea is where there is brain activity when a person is doing something, identifies what parts of the brain are involved. However, every scan shows a lot of activity that is not understood and only some that is thought to be related. The method doesn't prove causation, only a relationship of co-occurance in time or correlation. There is no direct evidence that this correlation in animal brains will translate to human brains. There are real structural differences between humans and animals. So the research results at best only suggest that bilateral stimulation might be related to decoupling emotion from memories. </p>

<p>Ruden's theory is a bit different. When a traumatic event is recalled or reenacted while the survivor is in safe haven, the trauma-induced linkages are disrupted and the emotional response is subsides or is eliminated. According to Behavior Theory, a well research and widely accepted model, a conditioned emotional response is said to "extinguish" when it is repeatedly stimulated when the person feels safe. But Ruden's theory goes much further. He believes that as little as one exposure to to Havening can decouple the memory. Once the traumatic memory is brought into working memory, if it's dislodged before activation, the triggering stimulus is disconnected from the response. The treatment is to create an escape from the memory of trauma. His method of dislodging the memory from working memory involves mental distraction and caressing arms, shoulders, face and tapping rythmically and bilaterally on each shoulder. </p>

<p>However, there is many confounding factors at work in both EMDR and Havening. Besides the exposure process, a proven technique, is built into both methods. Touch effects provides comfort, sensuality, relaxation. Massage therapy has been shown to enhance attentiveness, alleviates depressive symptoms, reduces pain, improves immune function. Cortisol secretion, a hormone that is part of the bodies stress reaction, is diminished. Dopamine and serotonin, pleasure related brain chemicals, are increased. Norepinephrine, a stress chemical is decreased. These are all related to an enhance sense of calm while exposed to the traumatic memory. </p>

<p>Anestis (2009a, 2009b) reviews the literature on EMDR and finds no evidence that it works any better than exposure. From my clinical experience, I've seen many times a one time telling of the story of trauma, another exposure method, resulted in a dramatic decrease in symptoms. </p>

<p>I too have experienced an immediate response from a single administration of totally different treatment technique while in training for hypnotherapy. At age 10, I was in a house struck by lightning. No one was injured, but there were several things that happened that heightened the traumatic impact of the event. I watched one leg of the lightning arc strike a tree outside the window. I knew a loud crash was imminent. I jumped none-the-less at the uncharacteristic "crack" rather than the usual "rumble" of thunder. At about the same moment, the radio behind my head shorted out with a loud pop and started smoking! </p>

<p>Years later, another therapist-in-training and I were paired to attempt a hypnotic regression. I helped direct the therapist trainee by bringing my therapist self of that day, back to comfort my 10 year old self in that memory. From that day until today, despite having lots of experience with lightning since, I have what I consider an unhealthy lack of fear. I have to consciously remind myself to avoid unsafe actions in a storm! </p>

<p>Ruden provides what I think is another explanation for why psychosensory therapies may work for some in as little as a single exposure. <br /></p><blockquote><p>"...the extrasensory response to sensory input [is what] effects change in psychosensory therapy. In the psychsensory therapy havening, touch produces change. It is not the simple act of touch and the brain's concommital response that is therapeutic; it is the meaning the brain ascribes to the touch that appears to be crucial." (Ruden, 2011)</p></blockquote><p>In other words, Ruden sees Havening as a particularly effective way to stimulate his clients to experience comfort and meaning. </p>

<p>A person with a healthy attachment is best suited to respond to supportive comfort from another and will quickly find the meaning implied and benefit immediately. Like most treatment techniques, the overall health of the client is a critical aspect of the outcome. Healthy people get better faster and with less effort. The more resilient factors noted above, that a person has, one would presume they would either not develop PTSD, or be most likely to respond immediately to treatment. Unfortunately, Ruden does not report differences in clients responses based on client characteristics. So his report that a single treatment sometimes works sounds sensational, but is not anything other than an expected outcome from an exposure based method.</p>

<p>Despite the disappointment I experienced with the discovery that Havening offers really nothing new, I enjoyed the book. It's a worthwhile read for it's easy to follow and understand review of the literature. He is a good writer. </p>

<p style="margin: 0pt;"><br />
References:</p><p style="margin: 0pt;"><br />
Anestis, M. (2009a, June 18). Eye movement desensitization and reprocessing (EMDR): What is it and does it work? Psychotherapy Brown Bag. Retrieved December 31, 2010, from <a href="http://www.psychotherapybrownbag.com/psychotherapy_brown_bag_a/2009/06/eye-movement-desensitization-and-reprocessing-emdr-what-is-it-and-does-it-work.html">here</a>.<br />
Anestis, M. (2009b, October 23). EMDR: Do bi-lateral eye movements actually add anything to treatment? Psychotherapy Brown Bag. Retrieved December 31, 2010, from <a href="http://www.psychotherapybrownbag.com/psychotherapy_brown_bag_a/2009/10/emdr-how-effective-is-it-in-the-treatment-of-ptsd-and-do-bilateral-eye-movements-add-anything-to-tre.html">here</a>.<br />
<span class="Z3988" title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=Traumatology&amp;rft_id=info%3Adoi%2F10.1177%2F153476560601200102&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=EMDR+and+Low+Frequency+Stimulation+of+the+Brain&amp;rft.issn=1534-7656&amp;rft.date=2006&amp;rft.volume=12&amp;rft.issue=1&amp;rft.spage=9&amp;rft.epage=24&amp;rft.artnum=http%3A%2F%2Ftmt.sagepub.com%2Fcgi%2Fdoi%2F10.1177%2F153476560601200102&amp;rft.au=Rasolkhani-Kalhorn%2C+T.&amp;rft.au=Harper%2C+M.&amp;rfe_dat=bpr3.included=1;bpr3.tags=Psychology">Rasolkhani-Kalhorn, T., &amp; Harper, M. (2006). EMDR and Low Frequency Stimulation of the Brain <span style="font-style: italic;">Traumatology, 12</span> (1), 9-24 DOI: <a rev="review" href="http://dx.doi.org/10.1177/153476560601200102">10.1177/153476560601200102</a></span><br />
<span class="Z3988" title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=Psychosocial+Stress+Series.+Routledge&amp;rft_id=info%3Aother%2F978-0-415-87564-6&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=When+the+Past+is+Always+Present&amp;rft.issn=&amp;rft.date=2011&amp;rft.volume=&amp;rft.issue=&amp;rft.spage=&amp;rft.epage=&amp;rft.artnum=&amp;rft.au=Ruden%2C+R.&amp;rfe_dat=bpr3.included=1;bpr3.tags=Psychology">Ruden, R. (2011). When the Past is Always Present <span style="font-style: italic;">Psychosocial Stress Series. Routledge</span> ISBN: <a rev="review" href="http://blog.davemsw.com/mt-static/html/978-0-415-87564-6">978-0-415-87564-6</a></span><br />Yaffe &amp; Ruden Medical Associates. (n.d.). Dr. Ruden's Books. <span style="font-style: italic;">Yaffe &amp; Ruden Medical Associates.</span>. Retrieved January 20, 2011, from <a href="http://www.yafferuden.com/html/dr__ruden_s_books.html">here</a>.</p><p style="margin: 0pt;"><br /><a href="http://www.yafferuden.com/html/dr__ruden_s_books.html"></a></p><div style="line-height: 2em; margin-left: 0.5in; text-indent: -0.5in;">
</div><fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://brainblogger.com/2011/01/19/the-neuroscience-of-fear-and-loathing/">The Neuroscience of Fear and Loathing</a> (brainblogger.com)</li><li class="zemanta-article-ul-li"><a href="http://www.huffingtonpost.com/robert-leahy-phd/haiti-ptsd-coping-with-trauma_b_807838.html">Robert Leahy, Ph.D.: Haiti One Year Later: Coping With The Anniversaries Of Trauma</a> (huffingtonpost.com)</li><li class="zemanta-article-ul-li"><a href="http://www.everydayhealth.com/emotional-health/anxiety/post-traumatic-stress-disorder.aspx">Help for Post-Traumatic Stress Disorder</a> (everydayhealth.com)</li><li class="zemanta-article-ul-li"><a href="http://bipolarblast.wordpress.com/2010/11/25/complicatedptsd/">Complicated PTSD</a> (bipolarblast.wordpress.com)</li><li class="zemanta-article-ul-li"><a href="http://www.brighthub.com/education/special/articles/66806.aspx">How Trauma Affects Learning, Memory and Attention</a> (brighthub.com)</li><li class="zemanta-article-ul-li"><a href="http://www.brighthub.com/mental-health/anxiety-panic/articles/102820.aspx">Post Traumatic Stress Disorder Nightmares</a> (brighthub.com)</li></ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=4fd86cbc-fc7f-4d4b-9f95-c19bbff79ae9" alt="Enhanced by Zemanta" /></a><span class="zem-script more-related pretty-attribution"><script type="text/javascript" src="http://static.zemanta.com/readside/loader.js" defer="defer"></script></span></div>]]>
        <![CDATA[<br />]]>
    </content>
</entry>

<entry>
    <title>Surviving the Holiday Blues</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2010/12/surviving_the_holiday_blues.php" />
    <id>tag:blog.davemsw.com,2010://1.321</id>

    <published>2010-12-20T01:14:15Z</published>
    <updated>2010-12-20T01:22:59Z</updated>

    <summary>Image via WikipediaThe holiday season is such a joyous time of year. Colored lights adorn houses and business. Thoughts of holidays past fill our minds and conversations. But not everyone can enjoy the holiday season. Some of us inevitably find as the holidays approach what is called the &quot;holiday blues&quot;.The holiday blues are quite common. We expect to enjoy ourselves during the holidays. Those around us expect we will enjoy holiday celebrations and their company as well. We feel that pressure within ourselves and others. But sometimes what we really need is acceptance of ourselves and others. There are many...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Grief and Loss" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="christmasandholidayseason" label="Christmas and holiday season" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotion" label="Emotion" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="grief" label="Grief" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="grieflossandbereavement" label="Grief Loss and Bereavement" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="jonkabatzinn" label="Jon Kabat-Zinn" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<div class="zemanta-img mt-image-right" style="margin: 1em; display: block; float: right; width: 310px;"><a href="http://commons.wikipedia.org/wiki/File:Aleksi61wb.jpg"><img src="http://upload.wikimedia.org/wikipedia/commons/thumb/c/c2/Aleksi61wb.jpg/300px-Aleksi61wb.jpg" alt="Christmas lights on Aleksanterinkatu." height="165" width="300" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;">Image via <a href="http://commons.wikipedia.org/wiki/File:Aleksi61wb.jpg">Wikipedia</a></p></div>The holiday season is such a joyous time of year. Colored lights adorn houses and business. Thoughts of holidays past fill our minds and conversations. But not everyone can enjoy the holiday season. Some of us inevitably find as the holidays approach what is called the "holiday blues".<br /><br />The holiday blues are quite common. We expect to enjoy ourselves during the holidays. Those around us expect we will enjoy holiday celebrations and their company as well. We feel that pressure within ourselves and others. But sometimes what we really need is acceptance of ourselves and others. <br /><br />There are many things that may bother us during the holidays: a death in the family, financial set backs, separations from loved ones due to work, military deployment, or other reasons. There can be losses due to health, a loss of relationship. Even happy changes have elements of loss and disappointment including getting married, or having a new baby. Celebrated changes often include a major change in lifestyle, a loss of choices and freedom. <br /><br />And of course those of us who struggle with depression and/or anxiety can experience worsened symptoms triggered by the holiday season. <br /><br />Sometimes memories stir during this time of year. While most of us are drawn to family during the holidays, some of us have had bad experiences in the past that complicate spending time with family. Our mood and behavior may be affected, our ability to enjoy ourselves is complicated by who we see. <br /><br />We might feel like our feelings get in the way of our holiday.&nbsp; But in fact, our feelings are telling us what we need, unfortunately in a way that is confusing and contradictory. Its like our body is talking to us, telling us what it needs without words, without the sense our mind makes. Sometimes what we need doesn't make sense, it's not logical, it contradicts what we plan and work towards. We might find we get angry at someone we love for something that seems petty. Indeed, it may well be petty, but in the context of our memories and feelings, it will make sense. <br /><br />One very common scenario happens when a family of origin comes together for the holiday. People find themselves falling into the roles they played years ago when they lived together. Remember the sibling rivalry you had as a kid? How might it manifest in a family gathering today? Find yourself trying to show off in front of your sibling or even your parent? Find yourself caught in a petty argument with a parent that sounds a lot those of the past?<br /><br />Our emotional or implicit memory provides us with immediate information in familiar situations, or it can provide an instantaneous reaction in a situation that might be risky or even dangerous. Not surprisingly, we react as if there is risk more often than it actually is risky. The cost of a temporary distraction of an emotional reaction is low compared to many risks we face everyday. Thats why we find ourselves reacting with excessive emotion at times. We're just trying to protect ourselves. <br /><br />When we're really young and inexperienced, our emotional memory dominates. Our judgment and reactions operate with excessive emotion very often. If something bad happens when we're that young, we will remember it on an emotional level, perhaps without a detailed thought and image record like we have when we are older. That is why we are quite capable of reacting in what might be seen as an immature way as an adult. <br /><br />As an adult, we have learned a lot about ourselves, and most of us can contain an excessive emotional reaction with emotion regulation skills. Some of us, at least some of the time, lack confidence in our ability to regulate an emotional reaction, especially in particularly challenging circumstance. We all have the capability to capture an emotional reaction and consciously redirect it to constructive action. It just takes some practice. <br /><br />One of the best way to develop the skill of redirecting emotion is mindfulness. One of the best courses available on CD is by <a href="http://astore.amazon.com/daretodream06-20/detail/1591793599">Jon Kabat-Zinn</a>. It's a complete course on <a class="zem_slink" href="http://en.wikipedia.org/wiki/Mindfulness_%28Buddhism%29" title="Mindfulness (Buddhism)" rel="wikipedia">mindfulness meditation</a>. <br /><br />Negative emotions are not the problem, they are a symptom of the real problem. These feelings are how our body and sub-conscious mind communicates with us. Something important hasn't been dealt with, and our feelings are letting us know. Unfortunately, feelings are not so simple to interpret. But once you have figured out what the feelings are about, you can begin problem solving. <br /><br />You are not helpless, even though it may feel that way. If your holiday blues is about the extra demands of the holiday, do something different. Decrease your family time. Set a realistic budget for presents. Presents are intended to be symbols of our feelings for each other, they should not break the bank! If you don't know what to give someone, a gift certificate will do just fine, even though it may not feel quite right. Your first priority is to feel better within yourself. You can't make others happy no wonder what you do. If someone you are giving to is demanding, that's their problem.<br /><br />If you are <a class="zem_slink" href="http://en.wikipedia.org/wiki/Grief" title="Grief" rel="wikipedia">grieving</a>, honor yourself and feelings during the holidays. Grief is the process by which you review your loss, honor your feelings about it and learn as much as you can about how to make up for your loss and prevent similar losses in the future. Grief is a process of assigning meaning and purpose to your life. A meaningful loss requires time, effort, and reviewing your priorities and values. Accept your process as necessary and important. The intensity of the grief will subside with time, and you will find yourself a better person because of it, more focused on what is most important to you.<br /><br /><br /><fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://www.psychologytoday.com/blog/intense-emotions-and-strong-feelings/201011/children-and-loss-when-holidays-trigger-grief">Children and Loss: When Holidays Trigger Grief</a> (psychologytoday.com)</li><li class="zemanta-article-ul-li"><a href="http://www.everydayhealth.com/cancer/grief-and-the-cancer-caregiver.aspx">Grief and the Cancer Caregiver</a> (everydayhealth.com)</li><li class="zemanta-article-ul-li"><a href="http://www.caregiving.com/2010/12/holiday-hope-and-miracles-a-time-of-remembrance%25e2%2580%25a8/">Holiday Hope and Miracles: A Time of Remembrance</a> (caregiving.com)</li><li class="zemanta-article-ul-li"><a href="http://mindhacks.com/2010/11/08/grief-myths/">Grief myths</a> (mindhacks.com)</li><li class="zemanta-article-ul-li"><a href="http://drdeborahserani.blogspot.com/2010/12/anniversary-effect.html">Anniversary Effect</a> (drdeborahserani.blogspot.com)</li><li class="zemanta-article-ul-li"><a href="http://drdeborahserani.blogspot.com/2010/11/managing-holiday-stress.html">Managing Holiday Stress</a> (drdeborahserani.blogspot.com)</li><li class="zemanta-article-ul-li"><a href="http://psychcentral.com/blog/archives/2010/11/06/on-mourning-the-death-of-a-pet/">On Mourning the Death of a Pet</a> (psychcentral.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/07/gazing_in_the_looking_glass_without_selfpunishment.php">Gazing in the Looking Glass without Self-punishment - Emotional Intelligence for Personal Growth Part VII</a> (blog.davemsw.com)</li></ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=052ddfbd-8f2a-44d7-8d6d-f58369269acf" alt="Enhanced by Zemanta" /></a><span class="zem-script more-related pretty-attribution"><script type="text/javascript" src="http://static.zemanta.com/readside/loader.js" defer="defer"></script></span></div>]]>
        
    </content>
</entry>

<entry>
    <title>Today&apos;s Great American Smokeout and What We Learn About All Bad Habits</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2010/11/todays_great_american_smokeout_and_what_we_learn_a.php" />
    <id>tag:blog.davemsw.com,2010://1.320</id>

    <published>2010-11-19T00:56:46Z</published>
    <updated>2010-11-19T02:40:22Z</updated>

    <summary>I quit smoking 28 years ago. The final effort started the previous year on &quot;Great American Smokeout&quot;, 29 years ago. I&apos;m very glad I succeeded. I used to joke that quitting smoking was easy, I&apos;d done it 100s of times. Unfortunately it was all too true. I struggled with attempts to quite smoking over most of my adult years. It&apos;s a major bad habit, with the further complication of addiction to Nicotine. At one time I smoked three packs a day. I was thoroughly hooked.In my experience, I&apos;ve found that major bad habits of all kinds are very difficult to...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Addictions" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Wellness" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="addictions" label="Addictions" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="badhabits" label="bad habits" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="health" label="Health" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="nicotine" label="Nicotine" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="quitting" label="Quitting" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="smokingcessation" label="Smoking cessation" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="substanceabuse" label="Substance abuse" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="tobacco" label="Tobacco" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[I <a class="zem_slink" href="http://en.wikipedia.org/wiki/Smoking_cessation" title="Smoking cessation" rel="wikipedia">quit smoking</a> 28 years ago. The final effort started the previous year on "<a class="zem_slink" href="http://en.wikipedia.org/wiki/Great_American_Smokeout" title="Great American Smokeout" rel="wikipedia">Great American Smokeout</a>", <a href="http://www.cancer.org/Healthy/StayAwayfromTobacco/GreatAmericanSmokeout/index"><img src="http://www.cancer.org/acs/groups/content/@healthpromotions/documents/image/acspc-024681.png" align="right" width="200" /></a>29 years ago. I'm very glad I succeeded. <br /><br />I used to joke that quitting smoking was easy, I'd done it 100s of times. Unfortunately it was all too true. I struggled with attempts to quite smoking over most of my adult years. It's a major bad habit, with the further complication of addiction to <a class="zem_slink" href="http://en.wikipedia.org/wiki/Nicotine" title="Nicotine" rel="wikipedia">Nicotine</a>. At one time I smoked three packs a day. I was thoroughly hooked.<br /><br />In my experience, I've found that major bad habits of all kinds are very difficult to break. Many a New Years' resolution has gone unfulfilled due to this problem. Despite our best intent and efforts, somehow all the logic in our arsenal cannot overcome an well established habit. That is because it has been "hard wired" into the body separate from our "thinking" brain. <br /><br />Generally bad habits are conditioned by the effects they have on our body. Often they give us <a class="zem_slink" href="http://en.wikipedia.org/wiki/Pleasure" title="Pleasure" rel="wikipedia">pleasure</a>, a good feeling that we wish to have again. Almost all bad habits have some sort of "withdrawal" syndrome, if only a mild discomfort and increased anxiety. Drug and <a class="zem_slink" href="http://en.wikipedia.org/wiki/Alcoholism" title="Alcoholism" rel="wikipedia">alcohol dependency</a> is also a bad habit, but the <a class="zem_slink" href="http://en.wikipedia.org/wiki/Withdrawal" title="Withdrawal" rel="wikipedia">withdrawal syndrome</a> is much more serious. Alcohol withdrawal or DT's amounts to a <a class="zem_slink" href="http://en.wikipedia.org/wiki/Medical_emergency" title="Medical emergency" rel="wikipedia">medical emergency</a> because the sufferer may die. Most other drug <a class="zem_slink" href="http://en.wikipedia.org/wiki/Withdrawal" title="Withdrawal" rel="wikipedia">withdrawals</a> aren't nearly as serious, but are none-the-less very uncomfortable for a prolonged period of time. But I've found that most people who are chemically dependent aren't concerned about the withdrawal, they are stuck on the pleasure effect. After a long term dependency, that sense of pleasure becomes a feeling of relief from all the complications of stopping the drug, not just the withdrawal.<br /><br />Bad habits have one major attribute in common, they create a <a class="zem_slink" href="http://en.wikipedia.org/wiki/Reward_system" title="Reward system" rel="wikipedia">reward system</a> unique to each user, adding to the feelings of pleasure, a personal reason for the habit. Most of the people I've worked with over the years, uses the bad habit to escape uncomfortable feelings like anxiety, guilt, shame, fear, or embarrassment. No one likes to feel these feelings. However, our pill popping culture has come to believe that negative feelings are a problem that needs to be avoided or even treated. Our culture teaches us we have a right to be happy, something we all work for, but find retaining that feeling for any great time quite elusive.<br /><br />Even something as benign as biting one's fingernails can become excessive and escapist in it's effects. Some people bite and tear at their fingernails and cuticles until they bleed. At this point, this habit has become a form of <a class="zem_slink" href="http://en.wikipedia.org/wiki/Self-harm" title="Self-harm" rel="wikipedia">self-injurious behavior</a>. <br /><br />I often tell my clients of my experience quitting <a class="zem_slink" href="http://en.wikipedia.org/wiki/Cigarette" title="Cigarette" rel="wikipedia">cigarettes</a> as an example of the sort of effort and persistence that's necessary. <br /><br />As I approached my thirtieth birthday, I had been smoking 15 years. I had developed a serious cough. On top of that, every time I got an <a class="zem_slink" href="http://en.wikipedia.org/wiki/Upper_respiratory_tract_infection" title="Upper respiratory tract infection" rel="wikipedia">upper respiratory infection</a>, it quickly advanced to bronchitis. I found my blood pressure became periodically very high, and then return to the high end of normal. The cough was persistent and annoying, but the bronchitis and the high blood pressure convinced me that smoking was going to kill me, sooner or later. <br /><br />I decided I had to quit. I started that night, as soon as my pack of cigarettes was gone. My resolve lasted until noon the next day when I went to the store on my lunch break to buy another pack. I really wanted to quit, but I was finding it very hard to sustain the effort through a single day. <br /><br />For the next few months I continued to quit many times when I ran out of cigarettes by the end of the day. And then I started again by noon the next day. The recognition of my failure and embarrassment stared at me everyday when I walked into the local convenience store. Finally, I recognized that I was not truly ready or motivated to take on this task. I fully intended to quit, but needed the kind of motivation or emotional fortitude to sustain the effort.<br /><br />A few years later, my son's promised birth creating a reason. I decided I didn't want to expose my newborn son to cigarette smoke. I quit on the Great American Smokeout day, and managed to sustain the effort for a couple of months and I gave in again. After his birth, I went out of my way to smoke outside or in the basement to avoid exposing my son. The hassle of making the habit more inconvenient enabled me to cut back smoking significantly. <br /><br />I started to notice other relatively minor annoyances of smoking. The habit is gross and the&nbsp; worst part of the habit for me was the appearance and smell of a dirty ash tray. The ash would hover in the air for several minutes after I emptied the ashtray. The smell was horrendous to me. It seemed to follow me from the kitchen.<br /><br />That flu season was a bad one. I ended up with <a class="zem_slink" href="http://en.wikipedia.org/wiki/Pneumonia" title="Pneumonia" rel="wikipedia">walking pneumonia</a>.&nbsp; Part of that problem is that I'd switched to <a class="zem_slink" href="http://en.wikipedia.org/wiki/Menthol_cigarette" title="Menthol cigarette" rel="wikipedia">menthol cigarettes</a> so I could tolerate smoking more while I had bronchitis. How pathetic is that? I was so sick, I couldn't smoke anymore. But as soon as I was feeling better, I was back at cigarettes, this time the menthol type with an even stronger addictive quality. <br /><br />Eventually I faced the fact that quitting at the end of a pack of cigarettes created an opportunity to start again the next day. I decided to quit, this time in the middle of a pack of cigarettes. I kept that half empty pack next to the dirty ashtray and lighter, on the coffee table sitting next to my TV chair where I had smoked for many years.<br /><br />Everyday, I'd sit down after work to watch the news. For awhile, everyday without a thought, I reached over, picked up that pack of cigarettes, pulled one out and went for my trusty lighter. Then it would dawn on me, I had quit. I stuffed the cigarette back in, put down the pack and the lighter. If I had any trouble doing so, I leaned over and took a good sniff of the dirty ashtray. That never failed to turn my stomach!<br /><br />Eventually, I'd catch myself before I pulled the cigarette out of the pack, and put it down. Then I started to catch myself with the pack in my hand. Eventually, all I had to do was glance at the pack and I'd remember I'd quit. That pack and dirty ashtray sat there for over three months. Finally one day, I was upset, feeling particularly sorry for myself, and picked up that pack, pulled out a cigarette and lit it up. I took a long drag and started coughing. Anyone who has smoked for any great length of time knows just how bad a stale cigarette was. I stubbed out that cigarette, tossed the pack and cleaned the ashtray. I put my lighter in the bottom of a drawer. I never touched a cigarette again.<br /><br />A bad habit can be broken. It takes sufficient determination, and some stop gap techniques to distract and remind you of the consequences. Some of those bad feelings that smoking used to relieve, actually became part of the cure!<br /><br />Good luck to all those out there in a struggle with smoking or any bad habit.<br /><br /><br />

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=bb6b7571-7b89-4fbf-b29d-1da3ed84b2ec" alt="Enhanced by Zemanta" /></a><span class="zem-script more-related pretty-attribution"><script type="text/javascript" src="http://static.zemanta.com/readside/loader.js" defer="defer"></script></span></div>]]>
        
    </content>
</entry>

<entry>
    <title>Gazing in the Looking Glass without Self-punishment - Emotional Intelligence for Personal Growth Part VII</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2010/07/gazing_in_the_looking_glass_without_selfpunishment.php" />
    <id>tag:www.dare-to-dream.us,2010://1.319</id>

    <published>2010-07-20T00:38:10Z</published>
    <updated>2010-07-20T01:11:47Z</updated>

    <summary>This is the seventh in a series of articles about emotional intelligence for personal growth. Many people are unsure what they feel. Some deny feeling anything at all. Others report boredom much of the time and seek reckless excitement when they can. Still others have never felt like they fit in. They may have experienced being ignored, picked on, or even being treated like scapegoat. Others seem to have an emotional on/off switch; they&apos;re either rational or raging.Some people seem to carry a fowl mood with them where ever they go. All it takes is a bad experience, and they...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Emotional Intelligence" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="abuse" label="Abuse" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="childabuse" label="Child abuse" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="emotion" label="Emotion" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="guilt" label="Guilt" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="intimaterelationship" label="Intimate relationship" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="personaldevelopment" label="Personal development" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="sexualabuse" label="Sexual abuse" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="shame" label="Shame" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<p><i>This is the seventh in a series of articles about emotional intelligence for personal growth. </i><br /></p><span class="mt-enclosure mt-enclosure-image" style="display: inline;"><a href="http://www.blog.davemsw.com/images/yel_canyon3.png"><img alt="yel_canyon3.png" src="http://www.blog.davemsw.com/images/yel_canyon3-thumb-300x400.png" class="mt-image-right" style="float: right; margin: 0pt 0pt 20px 20px;" height="400" width="300" /></a></span><p><br />Many people are unsure what they feel. Some deny feeling anything at all. Others report boredom much of the time and seek reckless excitement when they can. Still others have never felt like they fit in. They may have experienced being ignored, picked on, or even being treated like scapegoat. Others seem to have an emotional on/off switch; they're either rational or raging.<br /><br />Some people seem to carry a fowl mood with them where ever they go. All it takes is a bad experience, and they spiral down into an emotional hole. Others get so emotional at times they feel like they're going crazy. They become so desperate to escape their feelings that they'll do anything to escape, even things they'll feel badly about later. Some feel broken, beyond repair and have no idea what to do.<br /><br />Many people report their life seems to be going no where. They work hard, try their best, but seem to be defeated at every turn. Their life seems to be spinning out of control.<br /><br />Whenever something goes wrong, they look first at themselves and blame themselves. They expect others to blame them as well. Some feel that others are setting them up to fail. They expect mistreatment from others and it shows in their behavior. They get defensive or provocative increasing the likelihood people will react to them just as they expect.<br /><br />Some feel as if their life has been a series of failures. They feel constantly on edge as if awaiting the next disaster to occur.<br /><br />Some people when they look back on their lives, they see mostly regrets, mistakes and failures. They berate themselves for their failures. They punish themselves thinking it will make their future efforts better. But when a challenge presents itself, they feel dazed, anxious, exhausted and/or discouraged. They expect to fail again, tainting their effort and perceptions until it indeed looks like another failure.<br /><br />If you find yourself struggling with some of these issues, then the problem could be shame. Shame is a self-destructive form of guilt. Guilt is the feeling you get when you make a mistake.&nbsp; You say, "Uho. I made a mistake. I'll have to learn how to prevent that again." Shame goes well beyond motivating you to prevent another mistake. Shame promotes self-punishment. You say, "Here is another example of how I can never do anything right. I'm such a loser!" <br /><br />Shame doesn't come naturally, it has to be learned. It tends to be learned in early childhood, often before a child has a good command of the language, before the age of 8. Young children learn their lessons in a different way from adults. Young children learn emotionally, rather than with words. <br /><br />Very young children tend to see the world as revolving around them. Adults appear as all knowledgeable and powerful giants. When an adult mistreats them, they tend to believe that they must have deserved it, that it was something they did or something bad about them. So not surprising, abused children tend to believe on an emotional level that they deserved how they were treated. As they grow up, they may well learn that it wasn't their fault, that their parents were inappropriate. But what they learn in words doesn't necessarily change the older emotional learning. <br /><br />I often see adults abuse survivors still struggling to meet impossibly high expectations for themselves. It is as if they are still trying to please their parents. Despite being able to verbalize the abuse as inappropriate, they still feel like a mistake. <br /><br />Such is the nature of shame. Shame is learned emotionally. Even though we know in our heads that we are not to blame, we feel the blame none-the-less. Shame is often learned in childhood from parents and caregivers. Parents may either shame their children with abusive words or behavior, or repeatedly devalue their children through neglect. Even well meaning parents may inadvertently teach their children by example. They model calling themselves "stupid" or other forms of self-abuse. They may throw temper tantrums and rage out loud how useless and incapable they are.<br /><br />Once children get to school, they have many more opportunities to learn shame. Their teachers maybe inappropriately critical in a mistaken belief that such treatment is motivating. However, a shamed child feels a wound to their self-esteem and believes the adult sees them as defective. It's as if a child must face the challenge with a handicap, an expectation that they are likely to fail. Shame by it's very nature is not motivating, but discouraging. <br /><br />Peers can be another source of shame. Children too often treat each other in a malicious manner, by teasing, harassing, verbal, physical and even sexual abuse. Sexual harassment is rife on our playgrounds and in the hallways at school. Any child who is notably different in anyway can become a target of abuse from his peers.<br /><br />Even adults can experience major mistreatment and so learn to shame themselves. Any intensely emotional experience is recorded in emotional memory, while verbal memory is impaired by the emotion. The experience of war, witnessing violence and carnage, being mugged or raped, or beaten by a loved one, can change one's emotional reactions to similar situations. Any sort of severe trauma, such as rape, crime, war, injury, natural disasters can lead to a personal sense of responsibility and lead to a deep shame.<br /><br />Heart felt values distorted by shaming messages can have a similar effect. An over-emphasis on the work ethic can become a belief that an unproductive person is a leech, leading to a belief that ill, aged or disabled workers are useless and unworthy of respect and support. The workplace is sometimes turned upside down to find the person to blame for a mistake. Workers learn to hide their mistakes or even blame them on others, just to avoid the consequences of being the one to blame. <br /><br />Persons who have learned to see all of their behavior from a shame-based view point suffer from a tragically low self-esteem with very little hope of relief. Shame becomes a filter through which everything is distorted in a way that makes every action a test of the person's adequacy as a human being. It's like they carry around with them an internal harsh dictator that pummels them with withering criticism at every turn. They may actually believe that self-abuse will motivate them to make a change. But change becomes the first casualty in a shame-based person. Instead, they are locked in a never ending cycle of shame and self-defeating behaviors. <br /><br />Shame often gets played out in intimate relationships where one pressures one self to perform, setting impossibly high standards for themselves in hopes they can eek out a mediocre performance. <br /><br />Escape from this self-induced misery becomes a desperate preoccupation. Shame-based people will engage increasingly risky and self-destructive behaviors to capture a few moments of relief. They learn to numb themselves until their intuition-based social judgment is impaired. Feeling unworthy in any relationship, they over-estimate the trustworthiness of people around them. But they advertise their self-esteem with an apologetic presentation, so healthy people see their dependency and are driven away. Predatory people are drawn to the shame-based person because they are easily manipulated and fooled due their own self-doubt and poor judgment.<br /><br />Exhaustion, discouragement, self-doubt, and a feeling of being trapped in a hopeless rut, prevents any confidence that meaningful change is possible. Life becomes a self-fulfilling prophesy.<br /><br />The cycle of shame and self-defeating behaviors becomes a trap. Every mistake is interpreted as proof of a person's unworthiness. A mistake becomes a personal failing, evidence of a character flaw. It becomes so painful to examine the error that any effort to correct the mistake is compromised. Without change, the shame-based person is condemned to repeating the mistake, perhaps many times.<br />&nbsp;<br />Misery grows with each mistake, each reinforcement of the perception of being a defective human being. Sufferers get so desperate to escape their misery, the person will engage in any sort of temporary release to feel even a little better.<br />&nbsp;<br />Every escapist behavior isn't in and of itself self-destructive. Driven by the misery, the person repeats their self-indulgence excessively, even compulsively. Drug and alcohol abuse, excessive gambling, promiscuous sex, over spending, over eating, controlling even intimidating behaviors can be pretty easily seen as self-destructive. Excessive computer games, TV watching, even day dreaming can also be taken to an extreme.<br /><br />After wasting so much time in self-destructive behaviors, the indulgence becomes another mistake complete with serious consequences. This adds to the list of mistakes the person sees and starts the cycle again.<br /><br />But it's hard to break the habit. Life is so miserable for the shame-based person, that she will do anything to feel better, regardless of the long-term consequences. The more miserable she feels the more desperate for escape she becomes.<br />&nbsp;<br />I call these escapist habits temporary feel good behaviors. Many of these behaviors, in and of themselves, are not self-destructive. But all of them, when they become part of an escapist pattern to avoid negative feelings like shame, it not only wastes tremendous time, it saps most if not all of the creative energy we need to make changes in our lives.<br />&nbsp;<br />Misery is one of the most creative forces in our lives. We all resist any change that appears unwelcome. We will stall until we have to make major changes, until we can't stand how we feel until we make the change. If we work to avoid, escape or subvert the change, at least some of the motivation for change is depleted.<br /><br />Then there are behaviors that are widely recognized as self-destructive. The feeling of euphoria from these behaviors is a quick fix from misery, but the consequences to lives is huge. The effect on one's self-esteem is tragic. A long life of shame has much the same effect as brainwashing. <br /><br />To break this self-destructive pattern it is necessary is to fundamentally change one's relationship with oneself. A shame-based person can't afford to ever call themselves stupid again. Any amount of self abuse starts the cycle all over again, and leaves them lacking the energy and belief in themselves to make changes. The problem is that it's been going on for so long, it's become automatic and may even happen beyond immediate awareness. All the person may be aware of is a dull feeling of failure and discouragement.<br />&nbsp;<br />It is necessary to become more aware of your feelings and self-talk. That will certainly increase your misery for awhile. The next step is to replace that thought with a more constructive one. While you may not be able to readily stop a thought from happening, you can always replace it with another. It's not as simple as filling your thoughts with only positive thoughts. You need to recognize the meaningfulness of the new thoughts. Answer your negative thoughts in a meaningful way.<br />&nbsp;<br />You may not believe in your new thoughts for a long time. The effect of life long shame-based thinking is akin to brainwashing. You are now charged with reprogramming how you think.<br /><br />Your emotional memories are where your shame is buried. Changing those memories requires a painful self-exploration. With your therapist, share your oldest most painful shameful memories. Recognize you were a child, and had no responsibility. Likely, your parents or caregivers were directly or indirectly responsible. Even though they meant no harm, they were the adults. Feelings of shame brainwashes your self-concept. You can permanently change your emotional memory by activating your anger at those responsible.<br />&nbsp;<br />Blaming those responsible and allowing your anger to grow changes your memory and lets you off the hook. Just because you are angry at your parents or caregivers, you don't have to change your behavior towards them. Though you may find it necessary to limit contact for awhile while you reinforce your new memory and start to recover.<br /><br />Remember you've handicapped your ability to problem solve by punishing yourself for every mistake - it became too hard to look close enough at the mistake to make changes. Start with praising yourself for recognizing your mistake. Encourage yourself to review your actions carefully and thoroughly, but be encouraging and supportive with yourself.<br />&nbsp;<br />Gently but persistently encourage yourself to make the needed changes. A bad habit, in particular, can require enormous effort and can take a long time to change. Recognize your courage and maturity for recognizing the need to change and remind yourself repeatedly every step of the way. Heap on the self-praise for your work. You are making up for past self-abuse. <br />Carefully examine intense rage or lack of self-concern or self-care. Shame may lie deep beneath. If you neglect your health or fail to follow your doctors recommendations, you not feel you are worth the effort. <br /><br />In order to recover from shame, you have to repair the damage. The purpose of having a nurturing mother is to learn how to nurture yourself. If you didn't have a nurturing mother, it's all the harder to learn how. But there is no one else who can do this. Even if your mother is around and nurturing you, it just doesn't feel the same, it won't have the desirable effect. You are an adult now. No one else will have the same effect on you. You must do this yourself. Love yourself, make yourself your own best friend. Never mistreat yourself in any way. Put yourself first in your life. Nothing you can feel or think is unacceptable. Remember, you can't stop a thought or feeling from occurring, but you can always replace it with another. It just takes practice and persistence.<br />&nbsp;<br />None of your behavior is unforgivable by you. Without self-forgiveness, there can be no change. You need all the energy you have to make a major change. <br />Many people feel obligated to forgive others for transgressions. Often, we will take on some of the responsibility for how the act effected us. Perhaps, we think it shouldn't have hurt so much, or we could have avoided it. So, forgive yourself first. You get to decide when and if you forgive others. Giving yourself permission to not forgive someone makes the seemingly unforgivable within reach, but only if you wish it so.<br /><br />Perfection is impossible.<br />&nbsp;<br />You are only as good as you are capable; we all have limits. Limits are good. Some things are over our heads. It's good to recognize that and let go. Consciously lower your standards for yourself especially, but also for others. Recognize that when others haven't met your standards, you may have blamed yourself in the past.<br /><br /><br />Many people who have suffered a lot of mistreatment learn to numb their feelings. It's one thing to be victimized, it's another to feel victimized again every time they remember the event.<br />&nbsp;<br />If you numb your feelings, you interfere with your ability to make judgments and decisions. We often decide how much we can trust someone based on intuition. Even if we spend a long time reviewing the pros and cons of a decision, we still need to judge what the right decision is for us.<br />&nbsp;<br />Feelings will not do permanent damage. You may feel like you will never stop crying or go crazy with anxiety. But that never happens. But whatever you do to escape a feeling could have serious consequences, even death. Escaping is inevitably be self-destructive.<br />&nbsp;<br />We have feelings because our emotions provide us with important information we can't get anywhere else.<br />&nbsp;<br />Treat strong emotions like a big four foot wave. Bend your knees, let the wave wash over you, then let it go. Repeat as needed.<br /><br />Emotions can enhance your judgment. An emotion that comes to you that makes no sense is a message from your sub-conscious mind. Review what might have happened to elicit the feeling. The answer maybe one issue, or more likely it will be two or more issues to deal with separately.<br />&nbsp;<br />If you can't pinpoint the problem issue, file it away. Something may occur later to help you answer the question.<br /><br />If you can see the triggering event for the feelings, address it as the problem the emotion warned you about. Work at the problem one step at a time. You will uncover the underlying problem even if you start on something else. The benefit of any goal is not the achievement as much as it is what you learn along the way. Self-examination benefits us with irreplaceable information.<br /><br />If you feel something, assume it's important. Sit with that feeling, don't move to change or avoid it. Observe the thoughts that come to attempt to make sense of&nbsp; the feeling.<br />Let the intuitive solution slowly emerge from the feelings and thoughts as they interact. This could take days or even weeks. Remember, it's important, don't rush it.<br /><br />Consider your options carefully. If you have a good idea, look again, you may find a better one.<br /><br />When you feel ready to decide, choose the best option, from both an emotional and a rational point of view.<br /><br />Try out your idea. Be ready to change to another option if it proves wrong or a poor fit.<br /><br />The accuracy of your choice is dependent on your self-knowledge and full access to feelings. At first you will be more often wrong than right.<br />&nbsp;<br />Judgment takes time and experience to develop. Avoid taking major risks based on developing judgment. Find a trusted and experienced friend to help you make an important decision.<br /><br />Recognize that shame is learned.<br />&nbsp;<br />Identify the sources of shame in your life, often the people who are most important to you. <br />Write a letter to the shamers to focus your feelings on those who provoked them. Don't send this letter. You don't want to purge your feelings on people with whom you may want a relationship.<br />&nbsp;<br />If necessary, find a diplomatic way to clear the air between you. You'd be amazed how little you say will feel validating. Plan what you will say to be true to yourself. Recognize that the shamer may never respond as you like. If the relationship is important to you, be satisfied with saying only what is necessary. Expect you will not get the response you want. You might be surprised.<br /><br />Shame is not a personal conflict, it is something acquired and maintained in your relationships. Return your conflict with shame to relationships where it belongs. Recognize shame as inhibiting appropriate risk taking in trusting relationships. Look for shame impeding sharing, trust, and making you defensive or on-guard.<br /><br />Decrease your tolerance for discomfort! We all accept much more disrespect than we need to. Shame-based people put up with way too much crap from others.<br />&nbsp; <br />Business relationships are often seen as reflected on an accounting ledger, debit vs. credit, in pocket vs. out of pocket. Keep your social relationships on the credit side.<br />&nbsp;<br />Give only when it feels good, and never expect anything in return. When you are generous, people will notice. But when you say no, healthy people will recognize this as self-respect. They will admire you for it. Trustworthy people are generous out of appreciation, not out of obligation. People who wish to exploit you will eventually go away. You will be rewarded with many loyal friends.<br /><br />A Shame-based Person's Bill of Rights<br /><br />You have the right...<br />To say no;<br />To not tolerate disrespect, and say so;<br />To not be sorry;<br />To be without self-doubt;<br />To have limits and limitations;<br />To have a punishment and blame free life;<br />To not fear power in yourself or others;<br /><br /><br />You have the right...<br />To be who you are without comparing yourself to others;<br />To be less than perfect;<br />To privacy;<br />To speak up, or not;<br />To change situations to meet your needs, even if it imposes on others;<br />To praise yourself without fear of conceit;<br />To be angry;<br />To feel overwhelmed;<br />To recognize feelings of vulnerability as a form of strength;<br />To give only when it feels good;<br /></p><p>Related articles by Zemanta</p><fieldset class="zemanta-related"><legend class="zemanta-related-title"></legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/01/emotional_intelligence_for_personal_growth.php">Emotional Intelligence for Personal Growth - Part I</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/01/mindfulness_emotional_intelligence_for_personal_gr.php">Mindfulness - Emotional Intelligence for Personal Growth Part II</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/01/selfawareness_emotional_intelligence_for_personal.php">Self-Awareness - Emotional Intelligence For Personal Growth Part III</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/03/selfknowledge_emotional_intelligence_for_personal.php">Self-Knowledge - Emotional Intelligence For Personal Growth Part IV</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/04/the_essence_of_the_human_experience_what_is_normal.php">The Essence of Human Experience: What is Normal? Emotional Intelligence for Personal Growth, Part V</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://www.blog.davemsw.com/archives/2010/05/the_two_darts_of_suffering_pain_is_inevitable_suff.php">The Two Darts of Suffering: Pain is Inevitable, Suffering is Voluntary Emotional Intelligence for Personal Growth, Part VI</a> (blog.davemsw.com)</li><li class="zemanta-article-ul-li"><a href="http://emotional-verbal-abuse.suite101.com/article.cfm/emotional-abuse-understanding-mentally-violent-relationships">Emotional Abuse: Understanding Mentally Violent Relationships</a> (emotional-verbal-abuse.suite101.com)</li><li class="zemanta-article-ul-li"><a href="http://www.psychologytoday.com/blog/surviving-your-childs-adolescence/201007/adolescence-and-emotion">Adolescence and emotion.</a> (psychologytoday.com)</li><li class="zemanta-article-ul-li"><a href="http://brainblogger.com/2010/05/01/societal-assumptions-on-abuse-and-the-victims-perspective/">Societal Assumptions on Abuse and the Victim's Perspective</a> (brainblogger.com)</li><li class="zemanta-article-ul-li"><a href="http://www.vanguardngr.com/2010/07/19/re-the-problem-of-shame-and-guilt-in-csa/">Re: The problem of shame and guilt in CSA</a> (vanguardngr.com)</li><li class="zemanta-article-ul-li"><a href="http://ultimo167.wordpress.com/bent-freak/institutional-child-abuse-causes-immense-psychological-harm/">Institutional Child Abuse Causes Immense Psychological Harm</a> (ultimo167.wordpress.com)</li><br /><br />
</ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=886f1fdd-9461-41c8-947f-19b7eff173f0" alt="Enhanced by Zemanta" /></a><span class="zem-script more-related pretty-attribution"><script type="text/javascript" src="http://static.zemanta.com/readside/loader.js" defer="defer"></script></span></div><div><br /></div>]]>
        
    </content>
</entry>

<entry>
    <title>More Mentally Ill Persons Are in Jails and Prisons Than Hospitals: A Survey of the States</title>
    <link rel="alternate" type="text/html" href="http://blog.davemsw.com/archives/2010/07/more_mentally_ill_persons_are_in_jails_and_prisons.php" />
    <id>tag:www.dare-to-dream.us,2010://1.318</id>

    <published>2010-07-19T01:53:47Z</published>
    <updated>2010-07-18T23:24:59Z</updated>

    <summary>Image by RightBrainPhotography via Flickr Unfortunately, this headline is very true. And it&apos;s not because the mentally ill are more likely to commit crimes. In fact they are no more likely and often less likely to commit crimes than the general population. You might wonder, why are they in jail? The reason appears to be that though they are very much in need of treatment, they are not getting it. In my experience, it&apos;s not because they don&apos;t want it, it&apos;s because they have to endure considerable time, hassle and indignities just to get in the door for treatment. Then,...</summary>
    <author>
        <name>DaveMSW</name>
        <uri>http://www.davemsw.com</uri>
    </author>
    
        <category term="Advocacy" scheme="http://www.sixapart.com/ns/types#category" />
    
        <category term="Mental Health In The News" scheme="http://www.sixapart.com/ns/types#category" />
    
    <category term="dorotheadixefullertorrey" label="Dorothea Dix; E. Fuller Torrey;" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en" xml:base="http://blog.davemsw.com/">
        <![CDATA[<div class="zemanta-img mt-image-right" style="margin: 1em; display: block; float: right; width: 250px;"><a href="http://www.flickr.com/photos/21757951@N00/3301899706"><img src="http://farm4.static.flickr.com/3392/3301899706_c8041ede94_m.jpg" alt="Vegetative State of Mind" height="150" width="240" /></a><p class="zemanta-img-attribution" style="font-size: 0.8em;">Image by <a href="http://www.flickr.com/photos/21757951@N00/3301899706">RightBrainPhotography</a> via Flickr</p></div>

<p></p><p>Unfortunately, this headline is very true. And it's not because the mentally ill are more likely to commit crimes. In fact they are no more likely and often less likely to commit crimes than the general population. <br /></p><p>You might wonder, why are they in jail? The reason appears to be that though they are very much in need of treatment, they are not getting it. In my experience, it's not because they don't want it, it's because they have to endure considerable time, hassle and indignities just to get in the door for treatment. Then, they often have no job and so no insurance. And because it's just as much a hassle to qualify for disability, they often don't have that as well. So they are often expected to pay for treatment out of pocket. Money they often don't have. <br /></p><p>So like many of the poor these days, they resort to alternative "therapy" in the form of alcohol and <a class="zem_slink" href="http://en.wikipedia.org/wiki/Illegal_drug_trade" title="Illegal drug trade" rel="wikipedia">illicit drugs</a> to "self-medicate". Or like many other poor people, they engage in illegal activities just to live and eat.</p><p>Dr Torrey is the guru of mental health advocacy for families. <br /></p><blockquote><p><br /></p><p>E. Fuller Torrey, M.D. et al (2010)</p><p>I. Executive Summary (<a href="http://www.treatmentadvocacycenter.org/storage/tac/documents/final_jails_v_hospitals_study.pdf">Full Text in PDF</a>)<br /></p><p><br />
(a) Using 2004-2005 data not previously published, we found that in the United States<br />
there are now more than three times more seriously mentally ill persons in jails and<br />
prisons than in hospitals. Looked at by individual states, in North Dakota there are<br />
approximately an equal number of mentally ill persons in jails and prisons compared to<br />
hospitals. By contrast, Arizona and Nevada have almost ten times more mentally ill<br />
persons in jails and prisons than in hospitals. It is thus fact, not hyperbole, that<br />
America's jails and prisons have become our new mental hospitals.<br />
(b) Recent studies suggest that at least 16 percent of inmates in jails and prisons have a<br />
serious mental illness. In 1983 a similar study reported that the percentage was 6.4 percent. Thus, in less than three decades, the percentage of seriously mentally ill prisoners has almost tripled.<br />
(c) These findings are consistent with studies reporting that 40 percent of individuals with serious mental illnesses have been in jail or prison at some time in their lives.<br />
(d) It is now extremely difficult to find a bed for a seriously mentally ill person who needs<br />
to be hospitalized. In 1955 there was one psychiatric bed for every 300 Americans. In<br />
2005 there was one psychiatric bed for every 3,000 Americans. Even worse, the majority of the existing beds were filled with court-ordered (forensic) cases and thus not really available.<br />
(e) In historical perspective, we have returned to the early nineteenth century, when mentally ill persons filled our jails and prisons. At that time, a reform movement, sparked by <a class="zem_slink" href="http://en.wikipedia.org/wiki/Dorothea_Dix" title="Dorothea Dix" rel="wikipedia">Dorothea Dix</a>, led to a more humane treatment of mentally ill persons. For over a hundred years, mentally ill individuals were treated in hospitals. We have now returned to the conditions of the 1840s by putting large numbers of mentally ill persons back into jails and prisons.<br />
(f) Any state can solve this problem if it has the political will by using assisted outpatient<br />
treatment and mental health courts and by holding mental health officials responsible for outcomes. The federal government can solve this problem by conducting surveys to compare the states; attaching the existing federal block grants to better results; and fixing the federal funding system by abolishing the "institutions for mental diseases" (<a class="zem_slink" href="http://en.wikipedia.org/wiki/Psychiatric_hospital" title="Psychiatric hospital" rel="wikipedia">IMD</a>) Medicaid restriction.</p></blockquote>

<fieldset class="zemanta-related"><legend class="zemanta-related-title">Related articles by Zemanta</legend><ul class="zemanta-article-ul"><li class="zemanta-article-ul-li"><a href="http://psychcentral.com/blog/archives/2010/04/19/police-training-helps-treatment-of-mentally-ill/">Police Training Helps Treatment of Mentally Ill</a> (psychcentral.com)</li><li class="zemanta-article-ul-li"><a href="http://brainblogger.com/2010/05/20/clinical-psychologists-perceptions-of-persons-with-mental-illness/">Clinical Psychologists' Perceptions of Persons with Mental Illness</a> (brainblogger.com)</li><li class="zemanta-article-ul-li"><a href="http://bps-research-digest.blogspot.com/2010/06/new-data-suggests-one-in-two-of-us-will.html">New data suggests one in two of us experience mental illness in our life-times</a> (bps-research-digest.blogspot.com)</li><li class="zemanta-article-ul-li"><a href="http://www.mindhacks.com/blog/2010/04/questioning_one_in_.html">Questioning 'one in four'</a> (mindhacks.com)</li><li class="zemanta-article-ul-li"><a href="http://psychcentral.com/blog/archives/2010/04/04/harriet-shetler-co-founder-of-nami/">Harriet Shetler, Co-Founder of NAMI</a> (psychcentral.com)</li><li class="zemanta-article-ul-li"><a href="http://r.zemanta.com/?u=http%3A//www.guardian.co.uk/society/2010/jul/18/mental-health-nhs&amp;a=21077956&amp;rid=e2066184-c9fb-4981-8f24-48018f0829a5&amp;e=d9093ab97805c215b6203afabc0ceda9">Fears grow over care of mentally ill as GPs say they don't want the job</a> (guardian.co.uk)</li><li class="zemanta-article-ul-li"><a href="http://forensicpsychologist.blogspot.com/2010/07/video-criminalization-of-mentally-ill.html">Video: Criminalization of mentally ill</a> (forensicpsychologist.blogspot.com)</li><li class="zemanta-article-ul-li"><a href="http://eon.businesswire.com/news/eon/20100517006538/en">Mentally Ill Californians Most Likely Jailed; Not Hospitalized</a> (eon.businesswire.com)</li><li class="zemanta-article-ul-li"><a href="http://www.politics.ie/justice/133403-special-courts-mentally-ill-criminals.html">Special courts for mentally ill criminals</a> (politics.ie)</li><li class="zemanta-article-ul-li"><a href="http://criminaljustice.change.org/blog/view/americas_biggest_mental_health_facilities_are_our_jails">America's Biggest Mental Health Facilities Are Our Jails</a> (criminaljustice.change.org)</li></ul></fieldset>

<div style="margin-top: 10px; height: 15px;" class="zemanta-pixie"><a class="zemanta-pixie-a" href="http://www.zemanta.com/" title="Enhanced by Zemanta"><img style="border: medium none; float: right;" class="zemanta-pixie-img" src="http://img.zemanta.com/zemified_a.png?x-id=e2066184-c9fb-4981-8f24-48018f0829a5" alt="Enhanced by Zemanta" /></a><span class="zem-script more-related pretty-attribution"><script type="text/javascript" src="http://static.zemanta.com/readside/loader.js" defer="defer"></script></span></div>
]]>
        

    </content>
</entry>

</feed>

