EmotionalMedicine

Brian Lynch, M.D. © 2007-2011 All Rights Reserved. Terms of Use

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Applying Affect Psychology to improve our understanding of our emotions  

In his book, Dr. Lynch “clarifies and explains how we human beings might better understand ourselves with more patient acceptance of our basic emotions. “ He presents the hugely important work of Dr. Silvan Tomkins in an easy to understand way so that we know “how we might go about having more positive than negative affective (emotional) experiences”.


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12 Steps to Emotional Health

1) We came to realize that we are profoundly emotional beings and that unless we understand our emotions we are very often powerless over our own actions and are powerless over the world.


2) We came to believe that by coming to know our own powerful emotions we may maximize peace and joy in our lives.


3) We made a decision to start on a path of understanding how our thinking and actions are often profoundly determined by our emotions past and present.


4) We came to an understanding that only by taking a detailed emotional inventory, - an inventory of our anger, fear, distress, disgust and shame and by assessing what we are really interested in and what really makes us happy- will we truly be able to change our actions.


5) That we have expressed to others, when appropriate, and ourselves the exact nature of our feelings thereby gaining some power over them.


6) By doing all of the above steps we naturally became ready to be accepting of the world and others as it is and as they are.


7) By the above we came to accept ourselves as we are and to understand that we have done what we have done due to unmanageable feelings of hurt and thus it is counterproductive and damaging to blame ourselves and others.


8) Made a list of all persons we have harmed and made an inventory of how we felt at the time we hurt them and made amends when appropriate.


9) We have tried to understand why we felt the way we did thus understanding why we did what we did. We have come to understand that we feel before we think. We have worked towards understanding that others, like ourselves, have trouble controlling emotions and thus, often what they do.


10) We have continued to think about our basic emotions, daily if possible. We have come to know each emotion in our own personal way. We have monitored ourselves for feelings of guilt and when we do things that hurt others we look to what we were feeling at the time, thereby, avoiding feelings of guilt,understanding ourselves better, as well as making amends to those we have hurt.


11) Sought, through the practice of a daily emotional inventory and meditation on that inventory, control over our actions and lives.


12) Having come to know our emotional lives we have gained the ability to employ our interest and experience in a new type of interaction with others, one of mutual interest that will lead us to maximize joy in our lives and with others.


BRIAN LYNCH,MD

[This piece will be confusing to some. I hope only at first. It refers most to the AA movement. I often find it surprising how many people still are not familiar with the movement and have not even heard of the “12 steps.”  I had not reread the original version of the “12 Steps” for some time. I had occasion to do so. I was surprised at how much I did not like them. I originally rewrote them some 13 years ago and they became the basis for my book “Knowing Your Emotions.”

Of course the format has been used for many purposes from fixing your computer to losing weight. Here I address what I see as deeply flawed presumptions concerning the needs of not only drinker’s but addicts.

Many might be puzzled about this attack if they think the “movement” has great success. The fact is this is in great question. There is a lot of evidence that it is not a success overall and I would argue that the success it has is certainly not because of humiliating members in the  way mentioned here but by the interest shown in the fellowship.

Finally as will be seen this is not an attack on “God” or religion. As the movement itself acknowledges it has opened the concept up, long ago, of “high power” to personal interpretation but here I greatly challenge that. So I am really leaving religion aside.

It is suggested that we “Accept the things we cannot change, change the things we can and find, somewhere the wisdom to know the difference.” That is a paraphrase.

It orients only as life and death do hang in the details, in millimetres and answers are often in short supply.  We have general outlines but are often short on specifics.

At least we are in a conversation and we can always say we are trying and doing better than we were no matter how miserable that is.

I claim it is certainly not all that good as we are no where near having the knowledge of these matters in hand as we think we might-  that is where these lines fall.

What I call for here is a call for a radical involvement of community if real change is going to take place in individuals.

It is more than obvious that when people have had their troubles that it has been taken for granted that it is their doing. In fact they have, throughout history been marked as “bad” and “evil.” The family is cursed with its “bad seed” and, of course, we are all “sinners.” It is up to each of us as individuals to atone for our deeds through prayer, penance and other forms of sacrifice. The idea that we might not be “responsible” for our actions is quite new and the fact that we might be able to be helped to change the way we act and do things is very, very new.

So for example the “12 Step” movement of Alcoholic Anonymous asks us to admit we are powerless over alcohol and that we are “defective.” And it asks us to go into the community and “make amends” to those we have harmed.

To be sure most of what “The Steps” and their sprit is about was wonderful and needed at the time. It got people thinking and looking in the direction of community and connection. But the more and more I think about them the more and more I see them as the merest of beginnings as they :

-         put the entire burden on the individual
-         they recognize nothing of the community of which the person is a part  and that communities role in the persons dilemma

These two statements will upset many people. They will roll their eyes and simply insist that everyone is “responsible” for their own drug use. Yet this simply is not true. Humans are social and political animals. We are not made to live alone.

A favorite reference of mine  is Micheal Gladwells “Outliers” his best seller that starts with the chapter “Rosetto” about a town in Pennsylvania where people  are very healthy despite very poor health habits. They had low CVD, Cancer and no alcoholism. The only thing you could point to is a tremendously strong community life; for example 20 social services organizations for a town of 2,500.

Drug takers and drinkers do not pop up ready made they are traumatized one way or another and this trauma is repeated over and over again AND the means to medicate it is in a milieu that allows for self-medication is extant.

Most plainly speaking people are hurt by other people. No matter who you are you take care of that hurt in some way. If you have been very well cared for  most of your life, valued and have learned a sense of self then through most hard times you will probably do well with no more than maybe a temper now and then. But I would say even few of us are that lucky.

What has been fascinating to me, over the last few years, is how clearly it seems to be to me how we all have our “poison” when it comes to self medicating. We are as a society becoming more open, honest and accepting of the fact that one poison is equal to another but are not there yet. What am I saying? I am saying that food can easily be as bad as heroin depending on how much you eat. In fact it can be worse. Gambling is bad but do we recognize how many ways we gamble? Do we really recognize that the stock market in a major way is nothing more than gambling? Why is it and why is it not? I would say it is not because there is a long term track record of the Dow  Jones average. It is not a flip of the coin over years; however, it is very near a flip of a coin on any given day. This is the problem, what day are you going to need your money? If you  want to cash out in 18 months to retire and in 16 months there is a “Black Friday” your out of luck. But still, of course there are hundreds of ways to become “addicted” on a daily basis to trading.

In short people do all kinds of things to medicate themselves. Now where is, again, this pain coming form? Again from others and this is the problem with part of treatment or at least “the movement” and that is it does not recognize or give voice to the harm done to the individuals. Here there is no denying that there may have been done and maybe the majority of the time there is harm done by the user but the problem is where it all begins and where does it all end?

I deal a great deal with the concepts of shame and humiliation. What starts the whole process in the first place is shame and humiliation.

By shame here I “only” mean a feeling of unattained desire. This can
be a wished for returned greeting form a friend or a profound sense
of humiliation from a dressing down at work (the desire in retrospect
of wanting to be appreciated). Again I “want” something and do not
get it. Or I have lost a previous state of joy.

What we feel about these ideas is that these ideas about shame and
humiliation are so under-appreciated that they almost go universally
unnoticed/missed in our assessments.  To be sure they, if considered,
challenge everyone.

They ask us to consider the world from the drug user’s point of view.

From that point of view it can be said that many might claim feelings of
massive shame and humiliation throughout their lives.

And so pausing a beat I ask us to consider that   we are profoundly emotional beings and that unless we understand our emotions we are very often powerless over our own actions and are powerless over the world.
Yes, that is the extent of our “higher power.”  We have the traditional formulations embodied in the “12 steps” but I do say that given their succinctness and emphasis on the individual it may be time to move on.  I believe we end up “over explaining” them.  I say the “higher power” can be and often is a tautology. What I call the “hot potato” answer. What is that? The analogy is to anger management. We tell people that have problems with their anger that they need to go to anger management class and manage their anger. Well this is like having someone already holding a hot potato and telling them to ok continue to hold the hot potato. Ok buddy your doing pretty good let’s see what else you can do with the sucker! Wherever you turn you end up looking at yourself.

What has become clear to many is that anger is really not the issue at all. Anger is, that is a consequence of a deeper hurt and confusion, if you will, shame, what has happened is that the person has “wanted” something for probably a long time and has not gotten it. Often the “want” or desire has been quite reasonable. You may doubt this. First think about yourself. But I will give you an example. I use to work in nursing homes a lot. Well, residents would want passes to go outside. So they would want and want, right? And often would not get the pass. I believe often unjustly, but justly or not, they would build up enormous hurt confusions/ shame and finally they would get angry. They would be blamed for their anger. Something they would get violent. At the time I was doing group therapy. I suppose I was expected to scold them. Of course I didn’t. Many times what I saw was that their dose of Depakote would go up; a potent sedative.

We need to understand that is that it is a system that involves a community or at least a dyad more than one person. We need to interact. We need to complete the “I want.”

So I believe the “higher power” business, for the most part, is a neat sleight of hand for all of us to avoid this thought, the need to engage one another again throwing it back in face of individual. What I hear sub-rosa is that “you are weak”, “it certainly is your fault”, “you are to blame” and above all it sends a message loud and clear of abandonment. “Be very clear about this buddy you are very alone at least around here.” You need to stand on your own two feet and take responsibility.

So we tell people that need connection to look to a “higher power.” Don’t ask me for help!

All this said I am not going to throw the baby out with the bath water. The movement has come to accept a broad interpretation for the “higher power” and so I am saying nothing new and would of course be wrong to speak for anyone who says they benefit from using the concept. The hope is that we transition from being victim to a more self conscious healing adult.

I must too not act blind and dumb in terms of the aspects of the movement that entail the meetings, sometimes daily meetings if a person so  chooses and  the fellowship that entails   the tradition of a sponsor that is available 24/7. If that is not a “dyad?” What is? But there is structure and there is philosophy. So often the philosophy dominates

Note I did not say fully healthy and fully conscious adult as this is not possible.  Psychology at least is telling us that we are at the mercy of our affective or emotional system and always will be. Our emotions guide us. They tell us what is important. So our early experiences so inform us and they inform subconsciously and automatically for well or ill and if for ill it will take a lot of work to correct those “habits.”  And we will never completely get ahead of the task, sorry to say. Right there is enough of a “higher power” for me. What is that? The cold hard fact that I just gave the realization and acceptance that I am as-we-all-are works-in-progress and it takes our full attention to stay as much on course as possible and it takes at least a community of two. That never am I saying is cannot be or could not be a “sponsor.”

Above all we are not, again, “defective” or morally bad. No more than anyone else.

To be sure on this strange road, once on it I may have done many unsavoury things. No question about it. The radical science or rather the true science is about not having much or any free will form where we started as children wanting to be loved. Yes people not wanting to grow up  to be drunks or addicts to people being damaged and then in disassociated states that then do unsavoury things.

How am I not to feel, deep inside, but more shame and humiliation if it is suggested that I am to look to myself, only to myself, for the answer? That it is essentially my job and my job alone? That I am defective?  That is what the words say, “My defects.”

I turn inward then to understand the “higher power” and by that “all” I mean- and that is a lot- it is I mean that I am not in control simply through my “ego” or my reason. If I am going to have any hope of getting through life with any modicum of joy I better learn something about synchronizing reason and emotion. This will only come through some study and self exploration but also through some community.

©2009-2011 Dr. Brian Lynch, M.D.
On why the 12 Steps needed to be rewritten...
            (from Dr Lynch’s April 27, 2011 blog entry)
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