Peter H Brown Clinical Psychologist

Psychology News & Resources

Feeling Stuck? 10 Important Tips For Changing Your Life

Credit: excerpted from psychologytoday.com

Self-change is tough, but it’s not impossible, nor does it have to be traumatic, according to change expert Stan Goldberg, Ph.D. Here, he lays out the 10 principles he deems necessary for successful change. [………]Many of us want to change but simply don’t know how to do it. After 25 years of researching how people change, I’ve discovered 10 major principles that encompass all self-change strategies. I’ve broken down those principles and, using one example—a man’s desire to be more punctual—I demonstrate strategies for implementing change in your own life.

All Behaviors Are Complex

Research by psychologist James O. Prochaska, Ph.D., an internationally renowned expert on planned change, has repeatedly found that change occurs in stages. To increase the overall probability of success, divide a behavior into parts and learn each part successively.

Strategy: Break down the behavior

Almost all behaviors can be broken down. Separate your desired behavior into smaller, self-contained units.

He wanted to be on time for work, so he wrote down what that would entail: waking up, showering, dressing, preparing breakfast, eating, driving, parking and buying coffee—all before 9 a.m.

Change Is Frightening

We resist change, but fear of the unknown can result in clinging to status quo behaviors—no matter how bad they are.

Strategy: Examine the consequences

Compare all possible consequences of both your status quo and desired behaviors. If there are more positive results associated with the new behavior, your fears of the unknown are unwarranted.

If he didn’t become more punctual, the next thing he’d be late for is the unemployment office. There was definitely a greater benefit to changing than to not changing.

Strategy: Prepare your observers

New behaviors can frighten the people observing them, so introduce them slowly.

Becoming timely overnight would make co-workers suspicious. He started arriving by 9 a.m. only on important days.

Strategy: Be realistic

Unrealistic goals increase fear. Fear increases the probability of failure.

Mornings found him sluggish, so he began preparing the night before and doubled his morning time.

Change Must Be Positive

As B.F. Skinner’s early research demonstrates, reinforcement-not punishment-is necessary for permanent change. Reinforcement can be intrinsic, extrinsic or extraneous. According to Carol Sansone, Ph.D., a psychology professor at the University of Utah, one type of reinforcement must be present for self-change, two would be better than one, and three would be best.

Strategy: Enjoy the act

Intrinsic reinforcement occurs when the act is reinforcing.

He loved dressing well. Seeing his clothes laid out at night was a joyful experience.

Strategy: Admire the outcome

An act doesn’t have to be enjoyable when the end result is extrinsically reinforcing. For instance, I hate cleaning my kitchen, but I do it because I like the sight of a clean kitchen.

After dressing, he looked in the mirror and enjoyed the payoff from his evening preparation: He looked impeccable.

Strategy: Reward yourself

Extraneous reinforcement isn’t directly connected to the act or its completion. A worker may despise his manufacturing job but will continue working for a good paycheck.

Whenever he met his target, he put $20 into his Hawaii vacation fund.

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Being Is Easier Than Becoming

In my karate class of 20 students, the instructor yelled, “No pain, no gain,” amid grueling instructions. After four weeks, only three students remained. Uncomfortable change becomes punishing, and rational people don’t continue activities that are more painful than they are rewarding.

Strategy: Take baby steps

In one San Francisco State University study, researchers found that participants were more successful when their goals were gradually approximated. Write down the behavior you want to change. Then to the right, write your goal. Draw four lines between the two and write a progressive step on each that takes you closer to your goal.

The first week, he would arrive by 9:20 a.m., then five minutes earlier each subsequent week until he achieved his goal.

Strategy: Simplify the process

Methods of changing are often unnecessarily complicated and frenetic. Through simplicity, clarity arises.

Instead of waiting in line at Starbucks, he would buy coffee in his office building.

Strategy: Prepare for problems

Perfect worlds don’t exist, and neither do perfect learning situations. Pamela Dunston, Ph.D., of Clemson University, found cueing to be an effective strategy.

His alarm clock failed to rouse him, so for the first month he’d use a telephone wake-up service.

Slower Is Better

Everything has its own natural speed; when altered, unpleasant things happen. Change is most effective when it occurs slowly, allowing behaviors to become automatic.

Strategy: Establish calm

Life is like a stirred-up lake: Allow it to calm and the mud will settle, clearing the water. The same is true for change.

To make mornings less harried, he no longer ran errands on his way to work.

Strategy: Appreciate the path

Author Ursula LeGuin once said, “It’s good to have an end to journey toward; but it is the journey that matters, in the end.” Don’t devise an arduous path; it should be as rewarding as the goal.

He enjoyed almost everything involved in being punctual. The coffee could be better, but it was a small price to pay.

Know More, Do Better

Surprise spells disaster for people seeking change. Knowing more about the process allows more control over it.

Strategy: Monitor your behaviors

Some therapists insist on awareness of both current and desired behaviors, but research suggests it’s sufficient to be aware of just the new one.

In a journal, he recorded the time taken for each step of work preparation.

Strategy: Request feedback

A study in the British Journal of Psychology found that reflecting on personal experiences with others is key to successful change. But because complimenting new behavior implies that the observer disliked the old one, it can make observers feel uncomfortable. If, for example, you were once demeaning to people, few would now say, “It’s nice talking with you since you stopped being a jerk.” Give the observer permission, suggests Paul Schutz, Ph.D., of the University of Georgia, and you will receive feedback.

Every Friday he asked a friend how well he was doing with his time problem.

Strategy: Understand the outcome

Success is satisfying, and if you know why you succeeded or failed, similar strategies can be applied when changing other behaviors.

Every morning, he analyzed why he did or did not arrive to work on time.

Change Requires Structure

Many people view structure as restrictive, something that inhibits spontaneity. While spontaneity is wonderful for some activities, it’s a surefire method for sabotaging change.

Strategy: Identify what works

Classify all activities and materials you’re using as either helpful, neutral or unhelpful in achieving your goal. Eliminate unhelpful ones, make neutrals into positives and keep or increase the positives.

After evaluating his morning routine, he replaced time-consuming breakfasts with quick protein drinks.

Strategy: Revisit your plan regularly

Review every day how and why you’re changing and the consequences of success and failure. Research by Daniel Willingham, Ph.D., a psychology professor at the University of Virginia, showed that repetition increases the probability of success.

Each night he reviewed his plan, smiled and said, “Hawaii, here I come.”

Strategy: Logically sequence events

According to behavior expert Richard Foxx, Ph.D., a psychology professor at Penn State University at Harrisburg, it’s important to sequence the aspects associated with learning a new behavior in order of level of difficulty or timing.

He completed all bathroom activities, then ate breakfast.

Practice Is Necessary

Practice is another key approach to change, suggests one study on changing conscious experience published recently in the British Journal of Psychology. I’ve found that the majority of failures occur because this principle is ignored. Practice makes new behaviors automatic and a natural part of who we are.

Strategy: Use helpers

Not all behaviors can be learned on your own. Sometimes it’s useful to enlist the help of a trusted friend.

When even the telephone answering service failed to wake him up, he asked his secretary to call.

Strategy: Practice in many settings

If you want to use a new behavior in different environments, practice it in those or similar settings. Dubbing this “generalization,” psychologists T.F. Stokes and D.M. Baer found it critical in maintaining new behaviors.

During the first week he would try to be punctual for work. The following week, he would try to be on time for his regularly scheduled tennis game.

New Behaviors Must Be Protected

Even when flawlessly performed, new behaviors are fragile and disappear if unprotected.

Strategy: Control your environment

Environmental issues such as noise and level of alertness may interfere with learning new behaviors. After identifying what helps and what hinders, increase the helpers and eliminate the rest.

Having a nightcap before bed made it difficult to wake up in the morning, so he avoided alcohol after 7 p.m.

Strategy: Use memory aides

Because a new behavior is neither familiar nor automatic, it’s easy to forget. Anything that helps memory is beneficial.

He kept a list in each room of his apartment describing the sequence of things to be done and the maximum allowable time to complete them.

Small Successes Are Big

Unfortunately, plans for big successes often result in big failures. Focus instead on a series of small successes. Each little success builds your reservoir of self-esteem; one big failure devastates it.

Strategy: Map your success

Approach each step as a separate mission and you’ll eventually arrive at the end goal.

For each morning activity he completed within his self-allotted time limit, he rewarded himself by putting money into his Hawaii-getaway fund.

The process of changing from what you are to what you would like to become can be either arduous and frustrating or easy and rewarding. The effort required for both paths is the same. Choose the first and you’ll probably recycle yourself endlessly. Apply my 10 principles, and change, once only a slight possibility, becomes an absolute certainty. The choice is yours.

Stan Goldberg, Ph.D., is a private speech therapist (www.speechstrategies.com), a change consultant and the author of four books on change.

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August 31, 2010 Posted by | brain, Cognition, Cognitive Behavior Therapy, Health Psychology, Positive Psychology | , , , | 6 Comments

People Vs Possessions: What Matters The Most?

Credit: Sciencedaily.com

In the first study of its kind, researchers have found compelling evidence that our best and worst experiences in life are likely to involve not individual accomplishments, but interaction with other people and the fulfillment of an urge for social connection.

The findings, which run contrary to implications of previous research, are reported in “What Makes Us Feel the Best Also Makes Us Feel the Worst: The Emotional Impact of Independent and Interdependent Experiences.” The study reports on research conducted at the University at Buffalo and will appear in the forthcoming print issue of Self and Identity.

Co-author Shira Gabriel, PhD, associate professor of psychology at UB, says, “Most of us spend much of our time and effort focused on individual achievements such as work, hobbies and schooling.

“However this research suggests that the events that end up being most important in our lives, the events that bring us the most happiness and also carry the potential for the most pain, are social events — moments of connecting to others and feeling their connections to us.”

Gabriel says that much research in social psychology has explicitly or implicitly implied that events experienced independent of other individuals are central to explaining our most intense emotional experiences.

“We found, however, “she says, “that it was not independent events or individual achievements like winning awards or completing tasks that affected participants the most, but the moments when close relationships began or ended; when people fell in love or found a new friend; when a loved one died or broke their hearts. In short, it was the moments of connecting to others that that touched peoples’ lives the most.”

The researchers included principal author Lisa Jaremka, a doctoral student in psychology at the University of California, Santa Barbara, and Mauricio Cavallo, PhD, assistant professor of psychology at the University of Oklahoma, Norman, both graduates of UB.

A total of 376 subjects participated in the four studies that formed the basis of the researchers’ conclusions.

Study 1 involved college students who were asked to describe the most positive and negative emotional experiences of their lives. Overwhelmingly, and without regard for the sex of participants, they were much more likely to describe social events as the most positive and negative thing they had ever experienced (as compared to independent events).

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Study 2, replicated and extended Study 1, with similar results, and focused on middle-aged participants who were asked to report on a recent intense emotional experience.

Study 3 provided evidence that the strong emotional impact of interdependent (i.e., social) events reported in the first two studies was not due to the fact that social events were more salient than independent events.

Study 4 demonstrated that when thinking about both social and independent events, participants rate the social events as far more impactful than independent events. Study 4 also demonstrated that social events gain their emotional punch from our need to belong.

Gabriel’s research and expertise focuses on the social nature of the self, including social aspects of self-construal, the social functions of the self, the need to belong and gender differences in strategies for connecting to others.
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August 30, 2010 Posted by | Cognition, Health Psychology, Intimate Relationshps, Marriage, Positive Psychology, Resilience, Social Psychology | , , | 2 Comments

Sugar & Spite: Bullying and Young Girls

Source: TIME.com

Sugar and spice and everything nice. That’s what little girls are made of, right? Well, not exactly, it seems. Bullying and nasty cliques start as early as elementary school, says Michelle Anthony, a developmental psychologist and the co-author of Little Girls Can Be Mean: Four Steps to Bully-Proof Girls in the Early Grades (St. Martin’s Griffin). Anthony and her co-author, Reyna Lindert, have developed a helpful technique for parents to employ. In brief, they advise observing the social situation, connecting with the child and guiding the child to the point that she is supported in her actions. TIME senior reporter Andrea Sachs spoke with Anthony about their research and conclusions.

How did you get interested in this topic?
Our interest in this topic began personally as the mothers of young girls. My eldest daughter, when she was 6, was enmeshed in a two-year-long struggle with a friend. For the first year, I didn’t even know about it, because she felt so alone and isolated that she didn’t talk about it with anyone. She tried to get help from her teacher, who sort of told her to thicken her skin over it. She took that to heart as being her problem and really was silent for a while. Then it became apparent as it began influencing her life more and more. Dr. Lindert’s daughter in fifth grade was ousted from her friendship circle in the middle of the year and basically had to start over socially. So our interests really began as mothers, and then knowing our background and our expertise, we began working with families and parents and girls.

Is there a common misperception that this only happens when kids get older?
Exactly, that this is a problem that only comes to light in middle school and high school. The reality is that the roots are all in elementary school. Girls as young as kindergarten are facing significant social challenges without the resources, without the tools and most important, without the support to best manage them.

Is this type of bullying behavior common?
Oh, I think it’s extremely common. I don’t think there’s a single school in this country where a good portion of girls aren’t dealing with friendship struggles and various degrees of social cruelty. I think what’s more uncommon is to have a language to talk about it. So many girls are facing these struggles alone. Either their parents say, “She’ll be nicer tomorrow,” or “Just find another friend,” or “Don’t play with someone who’s mean.” We’re doing it from the best place, we’re doing it to be helpful. But the problem is, for the girls themselves, it’s isolating them further, because it’s basically saying to them, “This is your problem to figure out by yourself.” 

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Among young kids, is bullying more common among girls or boys?
I think what we’re talking about here — in terms of social cruelty and relational aggression — is more common among girls. Which is not to say that it doesn’t happen with boys. But if you had to stereotype, girls more often use social power to have influence over their peers, and boys more often use physical intimidation to have power over their peers. Some people would argue that the physical blow from a boy bully might be more acute, might be more dramatic, might be more dangerous. But what research has shown is that girls’ relational aggression tends to involve more people, and it tends to last longer, and in that way is just as devastating for the girls who experience it.

Do most daughters tell their parents that something is going on?
Sometimes. When it gets bad enough, they usually do. And if they don’t, parents — especially parents who are taught to recognize shifts in their children — will begin to notice changes. More often than girls coming and saying, “I have this big problem,” you’ll see shifts in behavior. They’ll stop liking things they used to like, or they’ll start complaining about headaches or stomachaches more, or that they don’t like [a particular] class, because that’s where these things are happening. When girls come home, there are sort of codes that they use: “She was mean” — that’s a very common phrase for a child to use — or, “My friend and I got in a fight.”

Is it ever necessary to enlist the school’s help?
Absolutely. In every case? Absolutely not. But I’m a very big advocate of parents not staying alone. Teachers, guidance counselors, principals, social workers — there are a slew of people in these school districts whose purpose is to help kids learn. And when kids are stuck in social strife, they can’t learn. To face it alone doesn’t make any sense. For parents, to reach out to get more knowledge and more support is so beneficial to their child. This isn’t about tattling on some other child and saying, “This kid is mean.” It’s really about understanding the situation that your child is in.

Should you ever move your daughter out of the school?
That can happen if things are bad enough. But I think before that, there are a lot of steps. For instance, put the kids in separate classes.

Has the Internet made this worse?
Yes. That’s one of the big things about the difference from when our generation was growing up. Meanness happened then too, but the sphere of influence was much smaller. The public and permanent nature of the acts today — because of social-networking sites, technology and the Internet — make it very real for these kids since everyone is involved. Whatever happens will last literally forever.

Do things get any better when the girls get older?
This behavior peaks around middle school and the very beginning of high school. It tends to decrease over high school, because the girls’ friendships become more stabilized and they really learn how to interact and to support one another, and to have the kind of friendships that we think of as adult friendships.

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August 29, 2010 Posted by | Books, Bullying, Child Behavior, Internet, Parenting | , , , , | 4 Comments

Narcissism, Self-Esteem & Facebook

Following on from yesterday’s post on disinhibition and social networking, I came across this post from Dr Shock MD’s blog commenting on THIS RESEARCH PAPER (pdf) Credit to Dr Shock (excerpted). Interesting?

In normal every day life with face to face contact the physical characteristics and knowledge about social background form the identity of your contact. It’s stable and three dimensional. You know that person, it’s therefor very difficult for the other to claim another identity or create impressions inconsistent with how you know him or her. Online identity is a different topic. You can create ideal identities not necessarily overlapping your real identity. It’s a controlled setting in which you can create different identities from the person you really are. Moreover, from research it has been shown that people act differently in social networking environments when compared to those interacting in anonymous settings. Online self representation can vary according to the nature of the setting.

What is the relationship between offline personality and online self representation on facebook?

A recent study looked at the effects of narcissism and self esteem on online social activity and self promotion. The researchers included 50 male and 50 female facebook owners, they were randomly recruited at York university, their age ranged from 18 to 25 years. The facebook pages were rated and the participants took 4 questionnaires about demographic information, facebook activity, self esteem (the Rosenberg Self-Esteem Scale) and narcissism (the Narcissism Personality Inventory).

Five features of the Facebook page were coded for the extent to which they were self-promoting: (a) the About Me section, (b) the Main Photo, (c) the first 20 pictures on the View Photos of Me section, (d) the Notes section, and (e) the Status Updates section.

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Self promotion was distinguished as any descriptive or visual information that appeared to attempt to persuade others about one’s own positive qualities. For instance posting ‘‘My Celebrity Look-alikes”. Use of picture enhancement etc.

They found a strong relationship between narcissism and lower self esteem with greater facebook activity as well as more promotional self content. Gender did not influence these relationships.

This is another study implying that narcissism can be detected in facebook, the previous study is also discussed on this blog: The Dangers of Facebook. Gender differences were found in another study but on risk taking attitudes. Men with profiles on social networking sites are higher in risk taking behavior and less worried about privacy issues compared to women.

In research looking at other personality factors, the Big Five was used amongst facebook users. As discussed in a previous post on this blog: personality factors are not as influential as expected on using Facebook. The Big Five is probably not a very good instrument to investigate personality traits and facebook use.

Mehdizadeh, S. (2010). Self-Presentation 2.0: Narcissism and Self-Esteem on Facebook Cyberpsychology, Behavior, and Social Networking, 13 (4), 357364

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August 25, 2010 Posted by | Education, Identity, Internet, Personality Disorder, Social Psychology, Technology | , | 7 Comments

What Were You Thinking? The Causes Of Online Disinhibition

The online disinhibition effect has cost people their jobs, their income and their relationships, yet many are still oblivious to it.

Credit: Re-posted from PsyBlog

The first famous case of someone allegedly losing their job from indiscreet remarks made online was in 2002. Heather Armstrong, author of the blog ‘dooce’, claimed she was fired after her colleagues discovered she’d been lampooning them online.

In internet terms getting fired for a blog rant is ancient news; to make the headlines now your indiscretions have to be on Twitter or Facebook. One recent example was this girl who was ‘Facebook fired’ after she said exactly what she thought of her boss on Facebook after a bad day at work.

What she’d forgotten was they were Facebook friends, so the update would appear front and centre the next time he logged into Facebook. She might as well have said it straight to his face and, for good measure, kicked him in the shins.

These are two examples of what psychologists call the ‘online disinhibition effect’, the idea that when online people feel less inhibited by social conventions. Compared with face-to-face interactions, online we feel freer to do and say what we want and, as a result, often do and say things we shouldn’t.

Internet psychologist John Suler has written about six characteristics of the internet which lead to radical changes in our online behaviour (Suler, 2004):

1. Anonymity

Online people feel they can’t be identified in the same way they can when they’re in public. It’s similar to going out in a costume at night with a mask on to cover the face (see research on deindividuation). That sense of disconnection from our normal personality allows new ways of behaving. People may even consider their online behaviours to arise from an online alter ego.

Ironically, though, some people are far less anonymous online than offline. Because of the online disinhibition effect some share too much on their social networking profiles, sometimes even things they wouldn’t admit to their closest friends. It’s easy to forget that you don’t need espionage training to type someone’s name into Google.

2. Invisibility

Because others can’t see us online, we don’t have to worry about how we look to others and what emotional signals we are sending through facial expressions.

Imagine, for example, that you’re telling a friend about a distressing experience face-to-face. You may feel the urge to try and hide the depth of your emotion from them, which stops you telling the story. Online, however, you can continue to tell the story without giving away how bad it really is.

It can allow us to open up about things that we can’t discuss face-to-face. Online support groups rely on this openness to allow members to discuss their deepest hopes and fears. This is one of the potentially positive aspects of the online disinhibition effect, as long as users protect their privacy and identity.

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3. Stop/start communication

Face-to-face we see people’s reactions to what we’ve said or done immediately. That tends to put us off upsetting them or risking their judgement.

Online there are no such restrictions: because of online asynchronicity it’s possible to say something and wait 24 hours before reading the response, or never read it at all.

This cuts both ways. So-called ‘internet trolls’ are people who post to discussion forums or other online groups with the express purpose of stirring up controversy (known online as flame wars). They are experts in a kind of emotional hit-and-run. On the other hand, people who have difficulty when communicating face-to-face can become eloquent and courteous when online.

The majority of us probably fall somewhere in between these two extreme positions. Nevertheless the lack of instant feedback from other people’s body language causes all sorts of communication failures online. One of the most common causes of these failures is jokes. Without the accompanying body language, friendly jibes are easily misunderstood and interactions can quickly take a turn for the worse.

4. Voices in your head

The very act of reading online can create a surprisingly intimate connection. Because other people’s words are in our heads, we may merge them with our own internal monologues.

While humans have been reading novels and letters for centuries, these are relatively formal modes of communication, and it’s only in the last decade that online communication has brought the intimacy of a letter to informal, everyday conversation.

5. An imaginary world

The anonymity, invisibility and fantasy elements of online activities encourage us to think that the usual rules don’t apply. Like a science fiction escape fantasy, the net allows us to be who we want and do what we want, both good and bad.

The problem is that when life becomes a game that can be left behind at the flick of a switch, it’s easy to throw responsibility out of the window.

6. No police

We all fear disapproval and punishment, but this imaginary world appears to have no police and no authority figures. Although there are people with authority online, it’s difficult to tell who they are. There is no internet government, no one person in charge of it all. So people feel freer online: away from authority, social convention and conformity.

Of course the idea that authority doesn’t exist online is fantasy because the policeman exists inside all of us, to a greater or lesser extent.

Wing it

These factors work together to create a world in which we can feel freer. But this freedom is an illusion maintained by the online experience of invisibility, anonymity and lack of immediate, visceral, emotional feedback from others, or at least our ability to turn that feedback off.

Perhaps this is freedom: some people do report feeling closer to their real selves when online. But there’s a reason we developed all those social inhibitions in the old-fashioned, offline world. They stop us offending other people, which helps us keep our jobs and maintain our relationships. That’s not to say that the internet can’t help us build relationships with others or find jobs, it clearly can. It’s just that we tend to be less aware of both how much our behaviour can change online and the potential drawbacks to these changes.

Every now and then we need reminding that the internet is still a relatively fresh invention and, socially, we are still coming to terms with it. Long-established niceties of face-to-face behaviour haven’t yet taken hold online and, in the absence of precedent, we have to wing it.

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August 24, 2010 Posted by | Addiction, Bullying, Health Psychology, Internet, Social Psychology, Technology | , , , | 8 Comments

Why Do Some Friends Disappear When The Going Gets Tough?

Image by Getty Images via @daylife

It’s a question that many of us ask when terrible things happen. Where are the people who call themselves your friends when the going gets tough?

This reposted article from Harriet Brown of the New York Times may help you understand some of the possible answers.

Over the last few years, my family has weathered our share of crises. First our younger daughter was hospitalized for a week with Kawasaki disease, a rare condition in children that involves inflammation of the blood vessels, and spent several months convalescing at home. Soon after she recovered, our older daughter landed in the hospital with anorexia, which proved to be the start of a yearlong fight for her life.

Somewhere in the middle of that process, my mother-in-law was given a diagnosis of advanced lung cancer, and died less than 11 months later.

So we’ve had plenty of opportunities to observe not only how we dealt with trauma but how our friends, family and community did, too. For the most part, we were blessed with support and love; friends ran errands for us, delivered meals, sat in hospital waiting rooms, walked, talked and cried with us.

But a couple of friends disappeared entirely. During the year we spent in eating-disorder hell, they called once or twice but otherwise behaved as though we had been transported to Mongolia with no telephones or e-mail.

At first, I barely noticed; I was overwhelmed with getting through each day. As the year wore on, though, and life settled in to a new if unpleasant version of normal, I began to wonder what had happened. Given our preoccupation with our daughter’s recovery and my husband’s mother’s illness, we were no doubt lousy company. Maybe we’d somehow offended our friends. Or maybe they were just sick of the disasters that now consumed our lives; just because we were stuck with them didn’t mean our friends had to go there, too.

Even if they were completely fed up with us, though, they had to know that my husband and I were going through the toughest year of our lives. I would have understood their defection if our friendship had been less close; as it was, I couldn’t stop wondering what had happened.

In the wake of 9/11, two wars and the seemingly ever-rising tide of natural disasters, we’ve come to understand the various ways in which people cope with crisis when it happens to them. But psychologists are just beginning to explore the ways we respond to other people’s traumas.

“We all live in some degree of terror of bad things happening to us,” said Barbara M. Sourkes, associate professor of pediatrics at the Stanford University School of Medicine. “When you’re confronted by someone else’s horror, there’s a sense that it’s close to home.”

Dr. Sourkes works with families confronted with the unfolding trauma of a child’s serious, and possibly fatal, illness. “Other people’s reactions are multifaceted,” she said. “There’s no formula, and it’ll change from person to person.” The only certainty is that traumatic events change relationships outside the family as well as within it.

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Often the closer one feels to the family in crisis, the harder it is to cope. “Most people cannot tolerate the feeling of helplessness,” said Jackson Rainer, a professor of psychology at Georgia Southern University who has studied grief and relationships. “And in the presence of another’s crisis, there’s always the sense of helplessness.”

Feelings of vulnerability can lead to a kind of survivor’s guilt: People are grateful that the trauma didn’t happen to them, but they feel deeply ashamed of their reactions. Such emotional discomfort often leads them to avoid the family in crisis; as Dr. Sourkes put it, “They might, for instance, make sure they’re never in a situation where they have to talk to the family directly.”

Awkwardness is another common reaction — not knowing what to say or do. Some people say nothing; others, in a rush to relieve the feelings of awkwardness, blurt out well-intentioned but thoughtless comments, like telling the parent of a child with cancer, “My grandmother went through this, so I understand.”

“We have more of a societal framework for what to say and do around bereavement than we do when you’re in the midst of it,” Dr. Sourkes said. “Families say over and over, ‘It’s such a lonely time and I don’t have the energy to educate my friends and family, yet they don’t have a clue.’ ”

The more vulnerable people feel, the harder it may be to connect. A friend whose son suffered brain damage in an accident told me that the families who dropped them afterward had children the same age as her son. They could picture all too vividly the same thing happening to their children; they felt too much empathy rather than not enough.

That was true for us, too, I realized. The friends who had disappeared had daughters exactly the same age as ours.

Dr. Rainer describes this kind of distancing as “stiff-arming” — creating as much space as possible from the possibility of trauma. It’s magical thinking in the service of denial: If bad things are happening to you and I stay away from you, then I’ll be safe.

Such people often wind up offering what Dr. Rainer calls pseudo-care, asking vaguely if there’s anything they can do but never following up. Or they might say they’re praying for the family in crisis, a response he dismisses as ineffectual at best. “A more compassionate response,” he said, “is ‘I am praying for myself to have the courage to help you.

True empathy inspires what sociologists call instrumental aid. “There are any number of tasks to be done, and they’re as personal as your thumbprint,” Dr. Rainer said. If you really want to help a family in crisis, offer to do something specific: drive the carpool, weed the garden, bring a meal, do the laundry, go for a walk.

I tested that theory recently, when a friend’s mother went through a series of medical crises and moved to an assisted-living facility in our town. Normally, I might have been guilty of pseudo-care, asking if I could do anything but never really stepping up. Instead, I e-mailed her a list of tasks I could do, and asked if any of them would be helpful.

To my surprise, my friend responded by asking if I’d visit her mother on a day she couldn’t. Her mother was glad for the company, and my friend felt reassured, knowing that her mother wasn’t alone.

And I had the chance to do something truly useful for my friend, which in turn let me show her how much I cared about her. The time I spent with her mother turned out to be a gift for me.

Thinking back to my own years of crisis, I wondered why I’d focused on the friends who didn’t come through when so many others had. In retrospect, I wished I’d taken a slightly more Zen-like attitud

“The human condition is that traumatic events occur,” said David B. Adams, a psychologist in private practice in Atlanta. “The reality is that we are equipped to deal with them. The challenge that lies before us is quite often more important than the disappointment that surrounds us.”

Harriet Brown is the author of “Brave Girl Eating: A Family’s Struggle With Anorexia,” being published next week.

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August 19, 2010 Posted by | Books, Eating Disorder, Education, Health Psychology, Intimate Relationshps, Parenting, Positive Psychology, stress | , , , , , | 2 Comments