Peter H Brown Clinical Psychologist

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I Am Old But I Am Happy: Why Happiness And Emotional Stability Might Improve With Age

ScienceDaily (Oct. 28, 2010) — It’s a prediction often met with worry: In 20 years, there will be more Americans over 60 than under 15. Some fear that will mean an aging society with an increasing number of decrepit, impaired people and fewer youngsters to care for them while also keeping the country’s productivity going.

The concerns are valid, but a new Stanford study shows there’s a silver lining to the graying of our nation. As we grow older, we tend to become more emotionally stable. And that translates into longer, more productive lives that offer more benefits than problems, said Laura Carstensen, the study’s lead author.

“As people age, they’re more emotionally balanced and better able to solve highly emotional problems,” said Carstensen, a psychology professor and director of the Stanford Center on Longevity. “We may be seeing a larger group of people who can get along with a greater number of people. They care more and are more compassionate about problems, and that may lead to a more stable world.”

Between 1993 and 2005, Carstensen and her colleagues tracked about 180 Americans between the ages of 18 and 94. Over the years, some participants died and others aged out of the younger groups, so additional participants were included.

For one week every five years, the study participants carried pagers and were required to immediately respond to a series of questions whenever the devices buzzed. The periodic quizzes were intended to chart how happy, satisfied and comfortable they were at any given time.

Carstensen’s study — which was published online in the journal Psychology and Aging — was coauthored by postdoctoral fellows Bulent Turan and Susanne Scheibe as well as Stanford doctoral students and researchers at Pennsylvania State, Northwestern, the University of Virginia and the University of California’s campuses in San Francisco and Los Angeles.

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While previous research has established a correlation between aging and happiness, Carstensen’s study is the first to track the same people over a long period of time to examine how they changed.

The undertaking was an effort to answer questions asked over and over again by social scientists: Are seniors today who say they’re happy simply part of a socioeconomic era that predisposed them to good cheer? Or do most people — whether born and reared in boom times or busts — have it within themselves to reach their golden years with a smile? The answer has important implications for future aging societies.

“Our findings suggest that it doesn’t matter when you were born,” Carstensen said. “In general, people get happier as they get older.”

Over the years, the older subjects reported having fewer negative emotions and more positive ones compared with their younger days. But even with the good outweighing the bad, older people were inclined to report a mix of positive and negative emotions more often than younger test subjects.

“As people get older, they’re more aware of mortality,” Carstensen said. “So when they see or experience moments of wonderful things, that often comes with the realization that life is fragile and will come to an end. But that’s a good thing. It’s a signal of strong emotional health and balance.”

Carstensen (who is 56 and says she’s happier now than she was a few decades ago) attributes the change in older people to her theory of “socio-emotional selectivity” — a scientific way of saying that people invest in what’s most important to them when time is limited.

While teenagers and young adults experience more frustration, anxiety and disappointment over things like test scores, career goals and finding a soul mate, older people typically have made their peace with life’s accomplishments and failures. In other words, they have less ambiguity to stress about.

“This all suggests that as our society is aging, we will have a greater resource,” Carstensen said. “If people become more even-keeled as they age, older societies could be wiser and kinder societies.”

So what, then, do we make of the “grumpy old man” stereotype?

“Most of the grumpy old men out there are grumpy young men who grew old,” Carstensen said. “Aging isn’t going to turn someone grumpy into someone who’s happy-go-lucky. But most people will gradually feel better as they grow older.”

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November 4, 2010 Posted by | Age & Ageing, Identity, mood, Resilience | , , , , , , , , , , , | 2 Comments

Bucket List Or Boredom?: Building Your “Experience Resume”

If sleeping on a bed of ice or eating bacon-flavored ice cream doesn’t sound too appealing, consider the tale you’ll have to tell about it later. According to a new study in the Journal of Consumer Research, some people can’t resist a chance to collect experiences.

“Recent marketing trends suggest that many consumers are attracted to unusual and novel consumption experiences and choose vacations, leisure activities, and celebrations that are predicted to be less pleasurable and enjoyable,” write authors Anat Keinan (Harvard Business School) and Ran Kivetz (Columbia Business School).

“A fascinating example is the increasing popularity of Ice Hotels, where visitors sleep on beds made of ice in frigid temperatures of 25° F. A similar trend is observed in consumers’ dining preferences: many restaurants are trying to attract consumers by offering unusual entrees and desserts. Such gastronomic innovations include tequila-mustard sorbet, bacon-flavored ice cream, and chocolate truffles with vinegar and anchovies.”

Consumers are attracted to these activities and products because they view them as opportunities to collect new experiences and build their “experiential CV,” the authors write. And this desire is connected to people’s continual striving to use time efficiently and productively.

“This desire to accomplish more in less time is so powerful that it not only affects consumers’ performance in vocational (or “production”) settings, but can also influence their leisure preferences and consumption choices,” the authors write.

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In a series of experiments, the researchers found that a “productivity orientation” made participants more inclined to desire collectible experiences. They examined revelers celebrating New Year’s Eve in New York City’s Times Square, AARP members attending conferences on retirement and aging, park visitors, train and airport travelers, and people who are trying to visit all 50 states.

“Our findings suggest that marketers of unusual consumption experiences and innovative products should target consumers who are concerned with being productive (and collecting experiences),” the authors write.
Anat Keinan and Ran Kivetz. “Productivity Orientation and the Consumption of
Collectable Experiences.” Journal of Consumer Research. Contact
JCR@bus.wisc.edu to receive a preprint of this study. See http://ejcr.org for
further information.
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October 21, 2010 Posted by | Age & Ageing, Cognition, Health Psychology, Identity, mood | , , , , , , , , , , , , | 2 Comments

“That’s One Small Step…”: Up To 92% Of Parents Plant Their Child’s First Digital Footprint Before They Are 2 Years Old

It seems like many of our children will no longer have to worry about those embarrassing photos popping up at 16,18th or 21st birthdays anymore. Many of them will have their lives broadcast as they grow via the internet, some before they are even born! The following article, based on research undertaken by internet security company AVG raises some interesting and concerning questions about how we publicly share our childrens’ lives, beginning before they are even old enough to speak, let alone protest…

Digital Birth: Welcome to the Online World

AVG Study Finds a Quarter of Children Have Online Births Before Their Actual Birth Dates

Source:AMSTERDAM–(BUSINESS WIRE)

Uploading prenatal sonogram photographs, tweeting pregnancy experiences, making online photo albums of children from birth, and even creating email addresses for babies – today’s parents are increasingly building digital footprints for their children prior to and from the moment they are born.

“Secondly, it reinforces the need for parents to be aware of the privacy settings they have set on their social network and other profiles. Otherwise, sharing a baby’s picture and specific information may not only be shared with friends and family but with the whole online world.”

Internet security company AVG surveyed mothers in North America (USA and Canada), the EU5 (UK, France, Germany, Italy and Spain), Australia/New Zealand and Japan, and found that 81 percent of children under the age of two currently have some kind of digital profile or footprint, with images of them posted online. In the US, 92 percent of children have an online presence by the time they are two compared to 73 percent of children in the EU5.

According to the research, the average digital birth of children happens at around six months with a third (33%) of children’s photos and information posted online within weeks of being born. In the UK, 37 percent of newborns have an online life from birth, whereas in Australia and New Zealand the figure is 41 percent.

Almost a quarter (23%) of children begin their digital lives when parents upload their prenatal sonogram scans to the Internet. This figure is higher in the US, where 34 percent have posted sonograms online, while in Canada the figure is even higher at 37 percent. Fewer parents share sonograms of their children in France (13%), Italy (14%) and Germany (15%). Likewise only 14 percent of parents share these online in Japan.

Seven percent of babies and toddlers have an email address created for them by their parents, and five percent have a social network profile.

When asked what motivates parents to post images of their babies on the Internet, more than 70 percent of all mothers surveyed said it was to share with friends and family. However, more than a fifth (22%) of mothers in the US said they wanted to add more content to their social network profiles, while 18 percent of US mothers said they were simply following their peers.

Lastly, AVG asked mothers how concerned they are (on a scale of one to five with five being very concerned) about the amount of online information available on their children in future years. Mothers were moderately concerned (average 3.5), with Spanish mothers being the most concerned.

 


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According to AVG CEO JR Smith, “It’s shocking to think that a 30-year-old has an online footprint stretching back 1015 years at most, while the vast majority of children today will have online presence by the time they are two-years-old – a presence that will continue to build throughout their whole lives.

“Our research shows that the trend is increasing for a child’s digital birth to coincide with and in many cases pre-date their real birth date. A quarter of babies have sonogram photos posted online before they have even physically entered into the world.

“It’s completely understandable why proud parents would want to upload and share images of very young children with friends and families. At the same time, we urge parents to think about two things:

“First, you are creating a digital history for a human being that will follow him or her for the rest of their life. What kind of footprint do you actually want to start for your child, and what will they think about the information you’ve uploaded in future?

“Secondly, it reinforces the need for parents to be aware of the privacy settings they have set on their social network and other profiles. Otherwise, sharing a baby’s picture and specific information may not only be shared with friends and family but with the whole online world.”

The research was conducted by Research Now among 2200 mothers with young (under two) children during the week of 27 September. Mothers in the EU5 (UK, Germany, France, Italy, Spain), Canada, the USA, Australia, New Zealand and Japan were polled.

Key results

1 – Mothers with children aged under two that have uploaded images of their child
Overall – 81%

USA – 92%
Canada – 84%

UK – 81%
France – 74%
Italy – 68%
Germany – 71%
Spain – 71%
(EU573%)

Australia – 84%
New Zealand – 91%
Japan – 43%

2 – Mothers that uploaded images of their newborn
Overall – 33%

USA – 33%
Canada – 37%

UK – 37%
France – 26%
Italy – 26%
Germany – 30%
Spain – 24%
(EU528.6%)

Australia – 41%
New Zealand – 41%
Japan – 19%

3 – Mothers that have uploaded antenatal scans online
Overall – 23%

USA – 34%
Canada – 37%

UK – 23%
France – 13%
Italy – 14%
Germany – 15%
Spain – 24%
(EU520%)

Australia – 26%
New Zealand – 30%
Japan – 14%

4 – Mothers that gave their baby an email address
Overall – 7%

USA – 6%
Canada – 9%

UK – 4%
France – 7%
Italy – 7%
Germany – 7%
Spain – 12%
(EU57%)

Australia – 7%
New Zealand – 4%
Japan – 7%

5 – Mothers that gave their baby a social network profile
Overall – 5%

USA – 6%
Canada – 8%

UK – 4%
France – 2%
Italy – 5%
Germany – 5%
Spain – 7%
(EU55%)

Australia – 5%
New Zealand – 6%
Japan – 8%

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October 13, 2010 Posted by | Child Behavior, Identity, Internet, Parenting, research, Technology | , , , , , , , , , , , , | 2 Comments

Helicopter Parenting? Why There Are No Medals In The Parenting Olympics

The following is re-posted from Psychcentral’s Dr John M Grohol, and poses some interesting questions about some trends towards over-parenting or “Helicopter Parenting” and it’s possible impacts on our kids. While there are many children who come from situations of parental neglect and laxity, there are also concerns regarding over protection. See what you think about what he has to say…

Let Your Children Be Children

By John M Grohol PsyD

Everyday, the same scene plays itself out across American neighborhoods across the United States. Mothers pull up in their Suburbans and Lexus SUVs at the entrance to their housing development. Even though the families live in perfectly safe, middle-class (or better) neighborhoods, parents feel the need to chauffeur their children the few blocks from the bus stop to home. Why?

This behavior may be understandable if the child is 5 or 6. But at 8 or 10, this behavior is ludicrous and symptomatic of a dangerous infection that has spread throughout this country in the latest generation of parents.

If not stopped, we may end up raising a whole generation or two of children who have little effective life coping skills and no connection or understanding to the world around them.

If you’re around 30 or older, think back to your own childhood. How much time was scheduled by your parents, and how much free time did you have on your own, to do with as you please? You may be surprised at the contrast between the scripted lives you as a parent plan for your children versus your own unscripted, imagination-driven childhood.

Here’s another scene from modern parenting. A child holds their 8th birthday party at a local birthday party place. All the parents not only arrive to drop off their child to attend the party, but also stay to supervise the child during the entire time they are at the party.

This isn’t just one or two worried parents — this appears to be very much the norm in many towns throughout middle-class America now. When it’s time to eat the cake, the birthday song is sung, the cake is cut, and then all the kids sit down at long rows of tables and begin eating. Their parents stand, like a prison lineup, along the outside walls of the room, keeping a close eye on their child.

At the first sign of a child’s conflict, parents are quick to intervene nowadays. “I just want everyone to play nicely,” they may explain. But they’re depriving their child of the opportunity to learn invaluable problem-solving skills. Especially if a child has no siblings, how else are they going to learn such skills except through trial-and-error interaction with their peers?

 

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There are many rationales for these kinds of parenting behaviors. But if we look at some of the most common ones, they all don’t stand up to tests of data, reasoning or logic.

One rationale is safety. “I’ll do anything to protect my child!” Okay, then why are you driving them home from the bus stop a few blocks away? Because statistics show that your child (age 15 years or younger) is 5 to 7 times more likely to die in your car than they are to be abducted by a stranger. And put into perspective, both are highly unlikely occurrences to begin with. With approximately 78 million children in the U.S., only 1,638 children died in car accidents in 2008, compared with only 200 who were abducted by a stranger.

Still another excuse for this behavior is a sense that there’s no reason not to help out our children or placate them with this thing or that. Why not buy them that toy while we’re out shopping for some new clothes? Why not pick them up at the entrance to our housing development?

Because it teaches our children that every outing is a chance for a reward. So much like a mouse in a cage pressing a button to receive a pellet of food, our children can inadvertently learn that any type of outing results in a toy and all of life is just another opportunity for a reward. When a reward isn’t granted, it’s an excuse to act out or punish those who grant the rewards.

Another rationale is wanting to provide our children with all the benefits we didn’t have. If our parents seemed uninterested or didn’t spend as much time with us as we may have wished, we’re going to ensure we’re there every minute for our children.

But somehow this has become twisted to trying to smooth over every life bump our child experiences, so that they experience virtually none at all. By the time they go off to college, they have had only this womb-like protected life that little prepares them for the realities of life — people who treat us badly, failure at something we want to be good at, rejection by others, and honest hardship.

Understandably, there may be times where a parent has good reason to need to pick up their child at their bus-stop, or attend a birthday party with them. But these should be exceptions, not the rule.

 

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If you see yourself in this entry, it’s not too late. I highly recommend one of the following books, either Richard Weissbourd’s The Parents We Mean To Be: How Well-Intentioned Adults Undermine Children’s Moral and Emotional Development or Free Range Kids by Lenore Skenazy. These books talk about the importance of letting children be children, exploring their imagination on their own, on their own unscripted and unscheduled time. The research we have on child development suggests this results not only in happier children, but children who grow up to be more well-adjusted adults.

There is no “right way” to parent (contrary to what the hundreds of parenting books suggest). The right way is to find the way that works for you and your partner, while respecting the needs of your child. Those needs include the need to be connected with nature, to be connected and learn how to interact with other children who aren’t their siblings, with no adults around.

What if your child doesn’t want to play outside or walk from the bus stop? Well, they often don’t want to learn arithmetic or do their chores, and yet we still find a way to have them understand the value of each. And if you’re feeling pressure from other moms, well, now’s the time to take a stand for what you believe in and what the research shows. Your child will thank you in the end.

Children — like adults — learn by doing, as much as they learn through formal teaching. If we take those informal learning opportunities away from our children, we ultimately hurt them while ironically trying to help them. We hurt their ability to learn the way they were intrinsically built to learn — through natural experiences, through interactive experiences with their peers, and through unscripted, unstructured play time.

If you want to help your child today, give them time to be a child.
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Dr. John Grohol is the CEO and founder of Psych Central. He has been writing about online behavior, mental health and psychology issues, and the intersection of technology and psychology since 1992.
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October 8, 2010 Posted by | Bullying, Child Behavior, Internet, Parenting, research, Resilience, stress | , , , , , , , , , , , | 1 Comment

TV For Toddlers: “The Wiggles” Or The Wobbles?

Want kids who are smarter and thinner? Keep them away from the television set as toddlers. A shocking study from child experts at the Université de Montréal, the Sainte-Justine University Hospital Research Center and the University of Michigan, published in the Archives of Pediatrics & Adolescent Medicine, has found that television exposure at age two forecasts negative consequences for kids, ranging from poor school adjustment to unhealthy habits.

View Abstract Here

“We found every additional hour of TV exposure among toddlers corresponded to a future decrease in classroom engagement and success at math, increased victimization by classmates, have a more sedentary lifestyle, higher consumption of junk food and, ultimately, higher body mass index,” says lead author Dr. Linda S. Pagani, a psychosocial professor at the Université de Montréal and researcher at the Sainte-Justine University Hospital Research Center.

The goal of the study was to determine the impact of TV exposure at age 2 on future academic success, lifestyle choices and general well being among children. “Between the ages of two and four, even incremental exposure to television delayed development,” says Dr. Pagani.

A total of 1,314 kids took part in the investigation, which was part of the Quebec Longitudinal Study of Child Development Main Exposure. Parents were asked to report how much TV their kids watched at 29 months and at 53 months in age. Teachers were asked to evaluate academic, psychosocial and health habits, while body mass index (BMI) was measured at 10 years old.

“Early childhood is a critical period for brain development and formation of behaviour,” warns Dr. Pagani. “High levels of TV consumption during this period can lead to future unhealthy habits. Despite clear recommendations from the American Academy of Pediatrics suggesting less than two hours of TV per day — beyond the age of two — parents show poor factual knowledge and awareness of such existing guidelines.”

According to the investigation, watching too much TV as toddlers later forecasted:

  • a seven percent decrease in classroom engagement;
  • a six percent decrease in math achievement (with no harmful effects on later reading);
  • a 10 percent increase in victimization by classmates (peer rejection, being teased, assaulted or insulted by other students);
  • a 13 percent decrease in weekend physical activity;
  • a nine percent decrease in general physical activity;
  • a none percent higher consumption of soft drinks;
  • a 10 percent peak in snacks intake;
  • a five percent increase in BMI.

“Although we expected the impact of early TV viewing to disappear after seven and a half years of childhood, the fact that negative outcomes remained is quite daunting,” says Dr. Pagani. “Our findings make a compelling public health argument against excessive TV viewing in early childhood and for parents to heed guidelines on TV exposure from the American Academy of Pediatrics.”

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Since TV exposure encourages a sedentary lifestyle, Dr. Pagani says, television viewing must be curbed for toddlers to avoid the maintenance of passive mental and physical habits in later childhood: “Common sense would have it that TV exposure replaces time that could be spent engaging in other developmentally enriching activities and tasks which foster cognitive, behavioral, and motor development.”

“What’s special about this study is how it confirms suspicions that have been out there and shown by smaller projects on one outcome or another. This study takes a comprehensive approach and considers many parental, pediatric and societal factors simultaneously,” she adds.

This research was funded by the Social Science and Humanities Research Council of Canada.

The article, published in the Archives of Pediatrics & Adolescent Medicine, was authored by Linda S. Pagani, Caroline Fitzpatrick and Tracie A. Barnett of the Université de Montréal and its affiliated Sainte-Justine University Hospital Research Center in Canada in collaboration with Eric Dubow of the University of Michigan in the United States.

Source: Sciencedaily

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May 8, 2010 Posted by | ADHD /ADD, Books, Child Behavior, Cognition, Education, Parenting, Resilience, Technology | , , , , , , , , , , , , , , , | 2 Comments

Preventing Child Bullying: The Important Role Of Parents

Getting to know friends, helping with homework are among the things parents can do to decrease the likelihood that their child will become a bully

View Abstract Here

Communities across the United States are developing programs to address child bullying. New research shows that parents can play an important role in preventing their children from becoming bullies in the first place.

“Improving parent-child communication and parental involvement with their children could have a substantial impact on child bullying,” said Rashmi Shetgiri, MD, MSHS, lead author of a study to be presented Monday, May 3 at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.

Dr. Shetgiri, a pediatrician and researcher at the University of Texas Southwestern Medical Center and Children’s Medical Center Dallas, and colleagues analyzed data from the 2007 National Survey of Children’s Health. Among the questions asked of 45,897 parents with children 10-17 years old was whether their child bullies or is cruel or mean to others. Researchers then identified factors that increased or reduced the risk of a child being a bully.

Results showed the prevalence of bullying was 15 percent. Factors increasing the risk included race, emotional/behavioral problems and mothers’ mental health.

African-American and Latino children had a higher likelihood of being bullies compared to white children. In addition, children with emotional, developmental or behavioral problems and those whose mothers reported having less than “very good” mental health also were more likely to be bullies. Other parental characteristics that increased the likelihood of child bullying were getting angry with their child frequently and feeling that their child often did things to bother them.

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There also were factors that decreased the likelihood that a child will become a bully. Older children, those living in a home where the primary language spoken is not English and those who consistently did their homework were less likely to be bullies.

Parents also played a protective role. Those who shared ideas and talked with their child, and those who met most of their child’s friends were less likely to have children who bully.

“Parents can also work with health care providers to make sure any emotional or behavioral concerns they have about their child, as well as their own mental health, are addressed,” Dr. Shetgiri said. “Lastly, parents can take advantage of parenting programs that can help them become aware of and manage negative feelings, such as anger, and respond to their child in a non-aggressive manner.

View Abstract Here

Source: Eurekalert

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May 4, 2010 Posted by | Bullying, Child Behavior, Parenting, research | , , , , , , , , , , , , | 2 Comments

Should I Tell Or Not? Mood Disorders & The Workplace

Credit: Therese J. Borchard via psychcentral

Just when I think our world has moved a baby step in the right direction regarding our understanding of mental illness, I get another blow that tells me otherwise. For example, awhile back I quoted an intelligent woman who wrote an article in a popular women’s magazine about dating a bipolar guy when she was bipolar herself. She recently discovered that she had jeopardized a job prospect because the article came up — as well as all those who referenced it, like Beyond Blue — when you Googled her name. So she requested everyone who picked up that article to go back and change her real name to a pseudonym.

Because talking about bipolar disorder in the workplace is pretty much like singing about AIDS at the office a hundred years ago or maybe championing civil rights in the 60s.

I totally get why this woman created a pseudonym. Trust me, I entertained that possibility when I decided to throw out my psychiatric chart to the public. It’s risky. Extremely risky. Each person’s situation is unique, so I can’t advise a general “yes ” or “no.” As much as I would love to say corporate America will embrace the person struggling with a mood disorder and wrap him around a set of loving hands, I know the reality is more like a bipolar or depressive being spit upon, blamed, and made fun of by his boss and co-workers. Because the majority of professionals today simply don’t get it.

Not at all.

They don’t get it even though the World Health Organization predicts that by 2020, mental illness will be the second leading cause of disability worldwide, after heart disease; that major mental disorders cost the nation at least $193 billion annually in lost earnings alone, according to a new study funded by the National Institute of Mental Health; that the direct cost of depression to the United States in terms of lost time at work is estimated at 172 million days yearly.

I realize every time I publish a personal blog post — one in which I describe my severe ruminations, death thoughts, and difficulty using the rational part of my brain — I jeopardize my possibilities for gainful employment in the future. I can pretty much write off all government work because, from what I’ve been told, you have to get a gaggle of people to testify that you have no history of psychiatric illnesses (and, again, all it takes is one Google search to prove I’m crazy).

It’s totally unfair.

Do we penalize diabetics for needing insulin or tell people with disabling arthritis to get over it? Do we advise cancer victims to use a pseudonym if they write about their chemo, for fear of being labeled as weak and pathetic? That they really should be able to pull themselves up by their bootstraps and heal themselves because it’s all in their heads?

But I don’t want to hide behind a pseudonym. I use my real name because, for me, the benefit of comforting someone who thinks they are all alone outweighs the risk of unemployment in the future. Kay Redfield Jamison did it. She’s okay. So is Robin Williams. And Kitty Dukasis. And Carrie Fisher. Granted all four of those people have talent agents ready to book them as speakers for a nice fee.

In their book, Living with Someone Who’s Living with Bipolar Disorder Chelsea Lowe and Bruce M. Cohen, MD, Ph.D., list the pros and the cons of going public with a mood disorder. I’m paraphrasing a little bit, but here are the pros:

  • There’s nothing disgraceful about the condition, any more than there would be about cancer or heart disease.
  • Carrying a secret is an enormous burden. Sharing it lightens it.
  • The more people who know and are looking out for you, the more likely you’ll be able to get help before the problems turn serious.
  • Sharing the information lessons the burden on your partner.
  • Lots of people have psychiatric issues; maybe your boss or family member does too.
  • Taking about the diagnosis is an opportunity to educate others.

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The authors suggest telling your employer under these circumstances:

  • If you are taking a new medication and may need time for adjustment.
  • If your schedule doesn’t allow for regular, restful sleep–which is an important factor in controlling the disorder–or if you need to request certain adjustments to your schedule, like telecommuting.
  • If you need to be hospitalized or take a leave of absence.
  • If the disorder is affecting your behavior or job performance.
  • If you need to submit benefit claims through your employer rather than the insurance company, or if your employer requires medical forms for extended absences.

And the cons:

  • Prejudice and stigma about psychiatric disorders are still common in our society. A disclosure of bipolar disorder [or any mental illness] will inevitably color your employer’s and coworkers’ perceptions of his job performance: “Did Jerry miss that meeting because the bus was late, or because he was off his meds?” Potential problems include discrimination, stigmatization, fear and actual job loss.
  • You can’t un-tell a secret.
  • Your chances for promotion could be hurt.
  • The employer is under no obligation to keep your condition secret.
  • Discrimination is illegal but difficult to prove.
  • You could be written off as “crazy.”

It’s Tricky! What are your thoughts?

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May 3, 2010 Posted by | anxiety, Books, depression, Education, General, mood | , , , , , , , , , , , , , | 2 Comments

Families, Alcohol, Recovery & ‘The Limits Of Love’

I have re-posted this article from psych central as it is a thorough, well written and balanced view of the impact of alcoholism in families, the hope for recovery and the role of families and the community in helping those with substance over-use illnesses: Please read!
By William L. White, M.A. and Robert J. Lindsey, M.Ed., CEAP

Gredit: psychcentral.com

On April 25th, Hallmark Hall of Fame will broadcast the movie “When Love Is Not Enough — The Lois Wilson Story,” starring Winona Ryder and Barry Pepper (CBS, 9:00 pm ET). The movie, which portrays the life of Lois Wilson, co-founder of Al-Anon Family Groups and wife of Alcoholics Anonymous co-founder Bill Wilson, is based on William G. Borchert’s 2005 book, The Lois Wilson Story: When Love Is Not Enough.

Borchert’s earlier screenplay was the basis of the acclaimed movie My Name is Bill W. which starred James Woods, James Garner, and JoBeth Williams. The premiere of the movie also falls during the National Council on Alcoholism and Drug Dependence, Inc.’s (NCADD) 24th Annual Alcohol Awareness Month with its theme, “When Love Is Not Enough: Helping Families Coping With Alcoholism.”

Lois Wilson fell in love with a man whose alcoholism brought his life and their relationship to the brink before he began his personal recovery and helped found Alcoholics Anonymous. Lois and many of the other wives of early AA members also began to band together for mutual support, formalizing these meetings into Al-Anon Family Groups in 1951.

When Love is Not Enough is the story of Lois Wilson and her life with Bill Wilson. The reach of her and their stories is unfathomable and inseparable from the larger stories of AA and Al-Anon and the influence their lives would exert on the larger story of the professional treatment and recovery of individuals and families affected by addiction to alcohol and other drugs. As William Borchert suggests:

“In the end, Bill Wilson’s alcoholism proved not to be the tragic undoing of this brilliant and loving couple, but rather the beginning of two of the twentieth century’s most important social and spiritual movements- Alcoholics Anonymous and Al-Anon Family Groups.”

There are presently more than 114,500 Alcoholics Anonymous groups (with a combined membership of more than 2 million) and more than 25,000 Al-Anon/Alateen groups (with a combined membership estimated at more than 340,000) hosting local meetings worldwide.

When Love is Not Enough is clearly more than a love story, though it is surely that. Readers of Psych Central and the people they serve will discover in this movie six profound lessons about the impact of alcoholism and alcoholism recovery on intimate relationships and the family.

1. Prolonged cultural misunderstandings about the nature of alcoholism have left a legacy of family shame and secrecy. Centuries of debates between those advocating religious, moral, criminal, psychiatric, psychological, medical and sociological theories of alcoholism failed to offer clear guidance to individuals and families affected by alcoholism. When Love is Not Enough is in part a poignant history of the hidden desperation many families experienced before the birth of Alcoholics Anonymous, Al-Anon, and modern alcoholism treatment. Lois Wilson and Anne Bingham helped change that history in 1951 when they organized 87 groups of wives of AA members into the Al-Anon Family Groups.

2. Alcoholism is a family disease in the sense that it also wounds those closest to the alcohol dependent person; transforms family relationships, roles, rules, and rituals; and isolates the family from potential sources of extended family, social, and community support. And, it has far reaching, long-lasting effects on the physical and emotional health of the family and children. When Love is Not Enough conveys the physical and emotional distress of those struggling to understand a loved one who has lost control of drinking and its consequences.

It vividly portrays the disappointment, confusion, frustration, anger, resentment, jealousy, fear, guilt, shame, anxiety and depression family members experience in the face of alcoholism. The recognition that significant others and their children become as sick as the person addicted and are in need of a parallel pathway of recovery were the seeds from which Al-Anon and Alateen grew.

3. The family experience of alcoholism is often one of extreme duality. When Love is Not Enough poignantly conveys this duality: brief hope-inspiring interludes of abstinence or moderated drinking, periods of peacefulness, moments of love and shared dreams for the future — all relentlessly violated by explosive bouts of drinking and their devastating aftereffects. Memories of that lost person and those moments and dreams co-exist even in the face of the worst effects of alcoholism on the family.

It is only in recognizing this duality of experience and the character duality of the alcoholic that one can answer the enigmatic question that is so often posed about Lois Wilson’s contemporary counterparts, “Why does she/he stay with him/her?” As clinicians, we can too often forget that these family stories contain much more than the pathology of alcohol or drug dependence (White, 2006).

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4. Family recovery from alcoholism is a turbulent, threatening and life-changing experience. The hope of all families and children wounded by alcoholism is that the drinking will stop and with it, the arrival of an idyllic family life. Lois Wilson’s story confirms what research on family recovery from addiction is revealing: recovery from alcoholism can destabilize intimate and family relationships. Stephanie Brown and Virginia Lewis (1999), in their studies of the impact of alcoholism recovery on the family, speak of this as the “trauma of recovery.”

People recovering from alcoholism, their families, and their children can and often do achieve optimum levels of health and functioning, but this achievement is best measured in years rather than days, weeks, or months. That recognition in the life of Lois Wilson underscored the need for sustained support for families as they went through this process.

5. We cannot change another person, only ourselves. If there is a central, singular message from Lois Wilson’s life and from the Al-Anon Family Groups program, this may well be it. Al-Anon’s defining moments came when family members stopped focusing on how they could change and control their addicted family member and focused instead on their own need for regeneration and spiritual growth, the overall health of their families and the comfort and help they could offer each other and other families similarly affected.

Their further discovery that AA’s twelve step program of recovery could also guide the healing of family members marks the birth of the modern conceptualization of family recovery. The 2009 Al-Anon Membership Survey confirms the wide and enduring benefits members report experiencing as a result of their sustained involvement in Al-Anon—irrespective of the drinking status of their family members.

6. The wonder of family recovery. As a direct result of Lois’s groundbreaking work in co-founding Al-Anon and the impact it has had on the field of alcohol and drug treatment, family recovery from alcoholism is a reality for millions of Americans today, and the hope, help, and healing of family recovery has become the most powerful way to break the intergenerational cycle of alcoholism and addiction in the family.

The growing interest in the lives of Bill and Lois Wilson — as indicated by a stream of memoirs, biographies, plays, and films — is testimony to the contributions that Alcoholics Anonymous and Al-Anon Family Groups have made to personal and family recovery from alcoholism and to the ever-widening adaptation of the Twelve Steps to other problems of living (Wilson, 1994).

Psych Central readers will find much of value in “When Love Is Not Enough — The Lois Wilson Story,” including the power of Al-Anon as a tool of support for clients living with someone else’s alcoholism. A DVD of the movie and a Viewer’s Guide, for use as a tool in family and community education, will be available at www.hallmarkhalloffame.com on April 25th, the day of the movie’s premiere.

References

Al-Anon membership survey. (Fall, 2009). Virginia Beach, VA: Al-Anon Family Headquarters, Inc.

Borchert, W.G. (2005). The Lois Wilson story: When love is not enough. Center City, MN: Hazelden.

Brown, S., & Lewis, V. (1999). The alcoholic family in recovery: A developmental model. New York & London: Guilford Press.

White, W. (2006). [Review of the book The Lois Wilson Story: When Love is Not Enough, by W. G. Borchert]. Alcoholism Treatment Quarterly, 24(4), 159-162.

Wilson, L. (1979). Lois remembers: Memoir of the co-founder of Al-Anon and wife of the co-founder of Alcoholics Anonymous. New York: Al-Anon Family Group Headquarters, Inc.

Additional Resources

Al-Anon Family Group Headquarters, 800-4AL-ANON (888-425-2666), Monday-Friday, 8 a.m. to 6 p.m., ET.

Alcoholics Anonymous

National Council on Alcoholism and Drug Dependence (NCADD).

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April 26, 2010 Posted by | Addiction, Alcohol, Books, depression, diagnosis, Health Psychology, Intimate Relationshps, Marriage, mood, Resources, Spirituality, stress | , , , , , , , , , , , , , , , | 1 Comment

“Out Of The Way People…I Want Stuff!”: How Materialism Affects The Work-Family Conflict & Marital Satisfaction

The more materialistic individuals are, the more likely they are to view their family as an obstacle to work. This is the finding of a study published online on 8th April 2010, in the Journal of Occupational and Organizational Psychology.

Mark Promislo from Temple University, Philadelphia, USA and colleagues John Deckop, Robert Giacalone and Carole Jurkiewicz, carried out the study to investigate to what extent a person’s materialistic values were linked to their experience of work-family conflict. Mark Promislo said: “Needs associated with materialistic values are far more likely to be attained through work, so it is possible that people who place a high value on income and material possessions feel that the family demands get in the way of their work time.”

A total of 274 people replied to a questionnaire which asked to what extent their work demands interfered with their family responsibilities, and to what extent their family demands interfered with their work. They were also asked to complete a questionnaire that assessed how materialistic they were.

Materialism was significantly associated with the measures of family interference with work, and also their experience of work-overload – the perception of having too many things to do and not enough time to do them.

Mark Promislo continued: “Highly materialistic people pour their efforts into work as this produces tangible materialistic rewards – money and possessions. They therefore see any obstacle to work -including their family, as disruptive. This finding adds ‘work-family conflict’ to the already long list of the negative effects of materialistic values on personal well-being.”

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Materialism is also related to Marital Dissatisfaction

While there has been a relatively large number of studies conducted to investigate associations between financial problems and marital outcomes, little research has been done to examine possible relationships between materialistic attitudes, perceived financial problems, and marital outcomes.

A 2005 study by Lukas Dean of Brigham Young University was designed to examine a conceptual model linking materialism, perceived financial problems, and relationship satisfaction among married couples.

Data was obtained from 600 married heterosexual couples who took the RELATE test; a multidimensional couple assessment instrument that contains 271 questions that are designed to measure respondents’ perceptions about themselves and their partners in four main contexts of premarital and marital relationships.

His findings indicate that wives’ materialism is negatively related to husbands’ marital satisfaction. Husbands’ and wives’ materialism is positively related with increased perception of financial problems which is in turn negatively associated with marital satisfaction. As expected, income was positively related to marital satisfaction, however, income had no relation to perception of financial problems. Materialism had a stronger impact on perception of financial problems than income.

Distinct gender findings indicate that although husbands’ variables had no significant relation with wives’ outcomes, wives’ variables were significantly related to husbands’ outcomes. Specifically, wives’ materialism is positively related with husbands’ increased perception of financial problems, and wives’ perceived financial problems is negatively associated with husbands’ marital satisfaction.

These findings support the notion that materialism is indirectly related to marital satisfaction, and in some ways directly related to marital satisfaction.

Both these studies add to a growing body of work which demonstrates the negative psychosocial impacts of materialism.

Sources:

British Psychological Society

Dean, L.R. (2005) MATERIALISM, PERCEIVED FINANCIAL PROBLEMS,
AND MARITAL SATISFACTION (Unpublished Thesis)
Brigham Young University, Provo, Utah

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April 12, 2010 Posted by | anxiety, Books, Health Psychology, Marriage, Parenting, research, Social Psychology, Spirituality | , , , , , , , , , , , , , , | 2 Comments

Compulsive Collecting: Finding Hope In The Misunderstood Mess of Hoarding

Compulsive collecting or Hoarding is a misunderstood and debilitating mental health issue. Many psychologists and counsellors never see someone with this condition as they very rarely present for help. This article from an Australian newspaper provides an excellent overview of the condition and issues underlying hoarding, and I have included links to two brilliant books co-authored by the researchers discussed in the article, who have developed a wholistic and novel approach to it’s treatment.

Credit: Kate Benson, Sydney Morning Herald April 8 2010

They may dress well or hold down a good job. But hoarders are unhappy people who suffer from a debilitating condition.

Every suburb has one. The elderly woman weaving through an overgrown backyard full of cardboard boxes, old tyres and discarded furniture. Cats perch on every surface; kittens roll about among the rusted drums and long grass.

Inside, behind closed curtains, the rooms are piled high with papers, cups, plates and bottles. Broken toys, old clothes and shopping bags spill across kitchen benches and floor, smothering the stove and filling the sink, neither of which has been used in years.

The stench of cat faeces, urine and food scraps fill the house.

To her neighbours, she is an oddity. Or a pest, bringing down house values and encouraging vermin.

But to therapists she is one of a growing band across Australia suffering from a debilitating condition known as compulsive hoarding, where people feel a need to collect and store items that seem useless to others.

Their homes become havens of insurmountable clutter and junk, often leaving them unable to sleep in their beds or use appliances. Many end up with electricity or gas supplies disconnected or their fridge and washing machines unusable because they fear their lifestyle will be revealed if they contact a tradesmen to make repairs.

This secrecy and shame make it difficult to know exactly how many people have the disorder.

Some experts think between 200,000 and 500,000 Australians compulsively hoard, but others put the figure closer to 800,000.

“It’s a sleeping giant,” Chris Mogan, a clinical psychologist and expert on hoarding, says. “There is no systematic estimate of how many hoarders there are in any Australian setting. I suspect there are many, many more out there than we are aware of.”

Louise Newman, the president of the Royal Australian and New Zealand College of Psychiatrists, agrees.

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“I’ve only seen one case in my career [because] these people usually only come to light when the council steps in and orders a clean-up. Hoarders desperately want to keep hoarding. They don’t want to be stopped.”

There is little research on the condition in Australia and not much in the way of funding or treatment programs, but experts are hopeful hoarding will be included in the next (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders, the bible used by mental health experts to diagnose psychiatric conditions.

Many sufferers fall between the cracks because hoarding is not a clinical diagnosis in its own right, but is seen more as an offshoot of obsessive compulsive disorder, muddled with depression, anxiety, panic disorder and low self-esteem.

“But it is different to OCD and once we get it in the DSM-V, therapists, psychiatrists, psychologists and social workers can then be trained in the management of it [and] we can attract funding for research,” Mogan says.

Jessica Grisham, a clinical psychologist who specialises in obsessive compulsive disorder, also believes compulsive hoarding should be included in the next edition as it requires specialised treatment.

She cites recent neural imaging studies in the US that showed that different parts of the brain were activated in hoarders than in obsessive compulsive disorder patients.

Mogan and Grisham agree that cognitive behaviour therapy, where sufferers are slowly taught to change their thought patterns, is more effective than medication alone.

But hoarders responded better to a specially adapted version of the therapy, developed by the American hoarding experts Gail Steketee and Randy Frost. It had been achieving success with about 60 per cent of hoarders – far more than standard cognitive behaviour therapy.

“But it has to be a long-term project. You don’t go in to someone’s place and do a sudden excavation against their will,” Grisham says.

“That’s a violation and it’s very traumatic for them. It might make great TV, but it’s not good clinically.”

Mogan agrees. A pay TV show, Hoarders, was damaging to the public’s understanding of the illness, because it focused on forcefully cleaning houses in three days.

“Within six to 12 months that house will be recluttered because it is a compulsion … they suffer a lot of grief after things are taken away.”

Mogan makes weekly home visits to hoarders, and focuses on getting them to reduce the associated dangers by ensuring their home has two exits for safety, and working appliances and smoke alarms.

“Just as we do with drugs and alcohol, we’re into harm minimisation. Once the house is safe, we gradually set more goals. If they are comfortable with that, they will continue to stay in touch and not reject us.”

Sometimes the problem extends beyond mounds of paperwork and clothes. Mogan and Grisham know patients who hoarded urine or fingernail clippings. Some stored their own faeces or collected one particular item, such as bicycles. One sufferer was hoarding so much junk, the only access to the house was a 30-centimetre gap at the top of the front door.

But for Allie Jalbert, of the RSPCA, the most distressing hoarders are those who keep scores of cats and dogs, all battling for attention and food on a crowded suburban block.

She has been calling for years to have hoarding classified as an illness in its own right to allow more people to receive treatment and put an end to the 100 per cent recidivism rate.

“Often, we find that hoarders might be treated for peripheral symptoms such as anxiety or depression, but their core problem, the hoarding, is not addressed. So once we have cleaned out the house, they reoffend, which is very, very frustrating for everyone involved,” Jalbert says.

Some people threatened suicide and had to be removed by police when faced with the prospect of giving up their animals or clutter.

“There’s a mixed bag of emotion when you deal with hoarders. Firstly, there is the concern for your personal safety but there is also a degree of empathy because often these people are quite emotional and attached to the animals. But it’s quite frustrating to see animals living in such horrific situations,” she says.

“I’ve seen bathtubs full of faeces and rubbish, sinks that no longer work, homes with no heating or cooling. Sometimes it’s quite an overwhelming experience.”

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Who develops the condition and why?

Some studies have shown that many hoarders have been brought up in households where chaos reigned. Some were neglected as children and witnessed pets being treated poorly.

Mogan accepts the aetiology is mostly unknown, but cites an Australian study that found sufferers reported failing to connect with their parents or growing up in households lacking emotional warmth.

“The lack of attachment causes them to become ambivalent about their identity and about other people. As a compensatory mechanism, they link with things, which they find more compelling, more predictable and dependable and less rejecting.”

But Grisham believes there is no real trigger, apart from children of hoarders being rewarded for saving things and getting punished for discarding. “Sometimes there is a traumatic head injury but those cases are very rare.”

The condition affects slightly more women than men but is found across all occupations, age groups and ethnicities. “And they are in relationships,” Mogan says. “Albeit strained ones.

“Some are going out to work, but they make sure no one comes to their house. They’re not agoraphobic. On the contrary, many hoarders go out a lot to escape. But their children’s lives can’t be normalised because they can never sit down for a meal or find space to do homework. It’s a real impost on the family experience.”

Mogan runs group therapy sessions in Melbourne and says that many patients do want to be cured.

“This condition is a disability and the source of quite a lot of human suffering and neglect. A lot of these people are quite relieved to get help.”

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April 10, 2010 Posted by | anxiety, Books, Cognitive Behavior Therapy, diagnosis, Identity, research, Resources, therapy | , , , , , , , , , , , , | 9 Comments