Good Mood: The New Psychology
of Overcoming Depression
It is as if psychoanalysts say that one can never simply replace a bad
faucet successfully; the past will always ruin such simple replacements unless
one replaces all the old plumbing and hence gets the past straightened out.
Psychoanalytic inspection of the past--whether by yourself, as was mostly
the case with me, or with a therapist--certainly may be of value in
discovering the historical sources of contemporary negative self-comparisons.
But in the majority of cases professional psychoanalysis is of dubious value
for treating depression:
Most psychoanalysts will not treat patients with clear-cut depression for a
number of reasons. First, the energy-depletion process, however they may
understand it, contributes a pathogenic factor which strongly resists
psychoanalysis. Second, the frankly depressed patient usually has insufficient
interest in treatment to be able to pursue the arduous regimen of
psychoanalysis. Third, the frankly depressed patient is too miserable to have
patience for analysis. Moreover there are far too many depressed patients to
be treated by psychoanalysts, and psychoanalysis is far too costly for most
individuals.8
In my own case, I did not want to spend the time or money to reflect at
length with a therapist about my childhood relationship with my parents.
Furthermore, psychoanalysis by itself does not have a very good statistical
record of relieving depression, even after prolonged therapy. In contrast,
cognitive therapy has been proven successful in controlled tests.
GETTING THE HABIT OF A SWEET DENOMINATOR
After you have decided to substitute a new and less demanding denominator
for the harsh old one, you must build the habit of implementing that decision.
With such a habit, your "insight" and decision to change the
denominator becomes more than just a bit of interesting self-knowledge. The
principles of building such a habit are similar to those we discussed for
improving your numerator.
An illustration: Basil T. is a small businessman who makes a decent
living--but only a decent living. No Cadillac for him, no three-month trips
down the Nile for his family, no fat portfolio of stocks and bonds. Basil used
to spend most of his hours working around his store. When he wasn't working he
felt sad because he wasn't getting enough done, or earning enough; he was
frequently depressed. Then Basil came to understand that his sadness arose
from the negative self-comparison between his actual income and what he felt
he ought to earn. And it was easy for him to figure out why he felt he ought
to have an upper- middle class income, and ought to be able to afford luxury
rather than just a decent living.
In the extended family in which Basil grew up, the only mark of success was
being "rich." Basil long ago decided that he rejected this benchmark
standard. But he kept on with his workaholic schedule, and continued to be
depressed, until he built the habit that resolved the problem. He built the
habit of saying to himself, "Stop pushing, you've got enough",
together with taking in a deep relaxing breath deep in his abdomen, each time
he noticed himself thinking "You aren't getting any work done." And
Basil found that he liked his new, more-relaxed way of life well enough so
that it reinforced his habit and kept it going. And Basil began to enjoy his
life, and afterwards he seldom let depression stay with him for more than a
few hours at a time.
The key point about Basil's case is that no single anti- depression tactic
by itself was enough. It was necessary that Basil (a) understand the role of
negative self-comparisons, and the need to reduce them; (b) notice that his
benchmark standard of an upper-middle class income was depressing him; (c)
recognize that he held that particular denominator because he carried the
ideas of the particular family in which he grew up, rather than because of any
objective or logical or moral basis for it; (d) decide to change the
denominator; and (e) build a habit of pushing that benchmark standard out of
his thinking as soon as it came in.
SUMMARY
One's actual state, almost no matter how bad it is in objective terms, can
only cause sadness when you compare it to some benchmark hypothetical state of
affairs, the denominator in your self-comparisons Mood Ratio. That is, whether
a self- comparison is positive or negative depends on the benchmark standard
of comparison as well as the perceived facts of your life. Many cases of
depression can best be attacked by changing the benchmark state. This chapter
discusses how that may be done.
People we consider "normal" tend to adjust their denominators
flexibly in such fashion that they will feel good about themselves. In
contrast, depressives--people with a propensity for depression--usually have a
tendency to hang onto their denominators even when afflicted by them.
You can use the following procedure to alter your denominators: (1) First,
recognize the importance of the denominator in the Mood Ratio as the standard
of comparison. (2) Then, accept that your denominator can be changed, and that
you can change it, though of course you may decide not to do so. (3) Next,
consider whether you are willing to change your denominator, that is, whether
you are willing to exert the effort as well as give up any rewards (including
the benefits of depression) that you obtain for yourself from the old
denominator.
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