Good Mood: The New Psychology
of Overcoming Depression
CHAPTER 20
SUMMING UP
The aim of this book is to better understand and cure depression--people's
generally, and yours in specific. The core of depression is prolonged sadness
plus a sense of worthlessness, in the context of an attitude of helplessness.
To understand depression we must therefore understand how sadness is caused,
and why it is prolonged in some people.
The most important idea in the book -- the key difference between modern
scientifically-successful cognitive therapy and the older psychoanalysis which
was never able to prove success in curing depression -- is that you have the
power to alter your mood by changing your current patterns of thought. The
current patterns of thought are largely under your conscious control, and are
not dictated irrevocably by your childhood or your genes.
THE MOOD RATIO
More specifically, your feelings are determined by your Mood Ratio, the
comparison between what you think is your present state of affairs, and a
counterfactual (hypothetical) benchmark state of affairs. You feel pain when a
negative comparison -- a Rotten Ratio --- is in your mind. And when a negative
comparison is combined with a sense of helplessness you feel sadness. If this
occurs habitually, you will experience depression. The concept of Mood Ratio
and the accompanying Self-comparisons Analysis constitute the key new
theoretical and practical element presented in this book. This structure
integrates and reconciles the apparently-conflicting central ideas of the main
writers within the field of cognitive therapy.
The "numerator" in your Mood Ratio is what you believe your
actual state of affairs to be at present. If you misconceive your actual
situation to be worse than it really is, you expose yourself to a painful
Rotten Ratio.
The hypothetical benchmark-state "denominator" in your Mood Ratio
may be, for example, circumstances you formerly were accustomed to but lost,
or a situation you expected or hoped for but that has not occurred, or a state
of affairs you believe you ought to achieve but have not achieved.
Actual present conditions do not explain well why some people get sad
(depressed) for a long period of time while others do not. There are a variety
of factors that may be at work, singly or together, to produce a propensity
for depression in an individual. These influences may usefully be thought of
as existing in the present, though their causes are in the past: an example is
poor methods of interpreting reality. Other influences must be seen in the
context of the past, such as the death of a parent or severe parental
punishment for not being sufficiently successful or dutiful. Different factors
combined in a variety of ways cause depression in different individuals.
Though understanding the historical roots of one's depression may be
illuminating, the main work of combating depression deals with the
contemporary thinking processes. You must reform the ways that you think so as
to control the self- comparisons that you make.
Anti-depressant medications have an important part in helping some
depressed people banish the pain of depression. But true cure calls for
psychotherapy, by yourself or with the assistance of a therapist. A wise
therapist can help you, but it is not easy to find a therapist who will be
good for you, and an unwise therapist can make depression worse.
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