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Latest Mental Health News
Written by HealthyPlace.com News Editor   
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Dec 06, 2008 A +  A -  RESET  

News articles on mental health, psychology, psychiatry updated daily. Get the latest mental health news on HealthyPlace.com

PsycPORT.com
News from the world of Psychology
  • Why do we hate?
    November 18, 2009 SPOKANE, Wash. - Why did the Nazis hate the Jews? Why did the Hutus hate the Tutsis?
  • Army says morale down among troops in Afghanistan
    November 13, 2009 WASHINGTON - Morale has fallen among soldiers in Afghanistan, where troops are seeing record violence in the 8-year-old war, while those in Iraq show much improved mental health amid much lower violence, the Army said Friday.
  • Dark chocolate eases emotional stress
    November 12, 2009 LAUSANNE, Switzerland, Nov 12, 2009 (UPI via COMTEX) -- Swiss scientists say people who are stressed and reach for dark chocolate -- the "chocolate cure" -- do seem to experience less emotional stress.
  • International award for Temple researcher
    November 12, 2009 Nov. 12--Temple University professor Laurence Steinberg will take his research on teen brain development and risky behavior international with a word_count_title="25" rssimage="0" million award he received yesterday.
  • Number of wounded troops in Afghanistan increasing
    November 11, 2009 WASHINGTON - Far from winding down, the numbers of U.S. soldiers coming home wounded have continued to swell. The problem is especially acute among those fighting in Afghanistan, where nearly four times as many troops were injured in October as a year ago.

NYT > Psychology and Psychologists
A free collection of articles about psychology and psychologists published in The New York Times.

Psychology Today
  • Insomnia
    The glow of the alarm clock is all too familiar. Insomnia refers to an inability to fall asleep or stay asleep, or a tendency to wake up too early or experience poor sleep.

    Insomnia is the feeling of inadequate or poor-quality sleep because of one or more of the following: trouble falling asleep (Initial Insomnia); trouble remaining asleep through the night (Middle Insomnia); waking up too early (Terminal Insomnia); or unrefreshing sleep for at least one month. These can all lead to daytime drowsiness, poor concentration and the inability to feel refreshed and rested upon awakening.

    Insomnia is not defined by the hours of sleep a person gets or how long it takes to fall asleep. Individuals vary normally in their need for, and their satisfaction with, sleep. Insomnia may cause problems during the day, such as tiredness, difficulty concentrating and irritability.

    Insomnia can be classified as transient, intermittent and chronic. Insomnia lasting from a single night to a few weeks is referred to as transient. If episodes of transient insomnia occur from time to time, the insomnia is said to be intermittent. Insomnia (or Primary Insomnia) is considered to be chronic if it occurs on most nights and lasts a month or more. Secondary insomnia is the symptom or side effect of another problem. This type of insomnia often is a symptom of an emotional, neurological, or other medical or sleep disorder.

    Women, the elderly and individuals with a history of depression are more likely to experience insomnia. Factors such as stress, anxiety, a medical problem or the use of certain medications make the chance of insomnia more likely.

    People will be unable to carry out their daily responsibilities either because they are too tired or because they have trouble concentrating due to lack of restful sleep.

    Insomnia may cause a reduced energy level, irritability, disorientation, dark circles under the eyes, posture changes and fatigue.

    Patients with insomnia are evaluated by a medical history and a sleep history. The sleep history may be obtained from a sleep diary filled out by the patient or by an interview with the patient's bed partner concerning the quantity and quality of the patient's sleep. Specialized sleep studies may be recommended, but only if there is suspicion that the patient may have a primary sleep disorder such as sleep apnea or narcolepsy.

    Diagnostic criteria of primary insomnia:

    • The predominant complaint is difficulty falling or staying sleep, or nonrestorative sleep, for at least one month.
    • The sleep disturbance (or associated daytime fatigue) causes clinically significant distress or impairment in social, occupational or other important areas of functioning.
    • The sleep disturbance does not occur exclusively during the course of narcolepsy, breathing-related sleep disorder, circadian rhythm sleep disorder or a parasomnia.
    • The disturbance does not occur exclusively during the course of another mental disorder (such as major depressive disorder, generalized anxiety disorder, a delirium).
    • The disturbance is not due to the direct physiological effects of a substance (such as a drug abuse, a medication) or a medical condition.

    Certain conditions seem to make individuals more likely to experience insomnia. Examples of these conditions include:

    • Advanced age (insomnia occurs more frequently in those over age 60)
    • Female gender
    • A history of depression

    There are a number of possible causes of insomnia:

    • Jet lag
    • Shift work
    • Wake-sleep pattern disturbances
    • Grief
    • Depression or major depression
    • Stress
    • Anxiety
    • Exhilaration or excitement
    • Bed or bedroom not conducive to sleep
    • Nicotine, alcohol, caffeine, food, or stimulants at bedtime
    • Aging
    • Excessive sleep during the day
    • Excessive physical or intellectual stimulation at bedtime
    • Overactive thyroid
    • Taking a new drug
    • Alcoholism
    • Inadequate bright-light exposure during waking hours
    • Abruptly stopping a medication
    • Medications or illicit drugs
    • Withdrawal of medications
    • Interference with sleep by various diseases
    • Restless leg syndrome
    • Stroke
    • Menopause and hot flashes
    • Gastrointestinal disorders, such as heartburn
    • Conditions that make it hard to breathe
    • Conditions that cause chronic pain, such as arthritis

    Transient and intermittent insomnia generally occur in people who are temporarily experiencing one or more of the following:

    • Stress
    • Environmental noise
    • Extreme temperatures
    • Change in the surrounding environment
    • Sleep/wake schedule problems such as those due to jet lag
    • Medication side effects

    Chronic insomnia is more complex and often results from a combination of factors, including underlying physical or mental disorders. One of the most common causes of chronic insomnia is depression. Other underlying causes include arthritis, kidney disease, heart failure, asthma, sleep apnea, narcolepsy, restless legs syndrome, Parkinson's disease and hyperthyroidism. However, chronic insomnia may also be due to behavioral factors, including the misuse of caffeine, alcohol or other substances; disrupted sleep/wake cycles that may occur with shift work or other nighttime lifestyles; and chronic stress.

    Some behaviors may prolong existing insomnia, and they can also be responsible for causing the sleeping problem in the first place:

    • Worrying about the upcoming difficulty sleeping
    • Ingesting excessive amounts of caffeine
    • Drinking alcohol before bedtime
    • Smoking cigarettes before bedtime
    • Excessive napping in the afternoon or evening
    • Irregular or continually disrupted sleep/wake schedules

    Stopping these behaviors may eliminate the insomnia.

    Transient and intermittent insomnia may not require treatment since episodes last only a few days at a time. For example, if insomnia is due to a temporary change in schedule, as with jet lag, the person's biological clock will often get back to normal on its own. However, for some people who experience daytime sleepiness and impaired performance as a result of Transient Insomnia, the use of short-acting sleeping pills may improve sleep and next-day alertness. As with all drugs, there are potential side effects. The use of over-the-counter sleep medicines is not usually recommended for the treatment of insomnia.

    Treatment for diagnosed chronic insomnia includes identifying and stopping (or reducing) behaviors that may worsen the condition, possibly using sleeping pills (although the long-term use of sleeping pills for chronic insomnia is controversial and should be a last resort), trying behavioral techniques to improve sleep, such as relaxation therapy, sleep restriction therapy, and reconditioning.

    Relaxation Therapy

    There are specific and effective techniques that can reduce or eliminate anxiety and body tension. As a result, the person's mind is able to stop racing, the muscles can relax and restful sleep can occur. It usually takes much practice to learn these techniques and to achieve effective relaxation.

    Sleep Restriction

    Some people suffering from insomnia spend too much time in bed unsuccessfully trying to sleep. They may benefit from a sleep restriction program that at first allows only a few hours of sleep during the night and gradually increases the time until the person achieves a normal night's sleep.

    Reconditioning

    Another treatment that may help some people with insomnia is to recondition them to associate the bed and bedtime with sleep. For most people, this means not using their beds for any activities other than sleep and sex. As part of the reconditioning process, the person is usually advised to go to bed only when sleepy. If unable to fall asleep, the person is told to get up, stay up until sleepy and then return to bed. Throughout this process, the person should avoid naps and wake up and go to bed at the same time each day. Eventually the person's body will be conditioned to associate the bed and bedtime with sleep.

    Cognitive Behavioral Therapy

    CBT for insomnia targets the thoughts and actions that can disrupt sleep. This therapy encourages good sleep habits and uses several methods to relieve sleep anxiety.

    For example, relaxation training and biofeedback at bedtime are used to reduce anxiety. These strategies help you better control your breathing, heart rate, muscles, and mood.

    CBT also works on replacing sleep anxiety with more positive thinking that links being in bed with being asleep. This method also teaches you what to do if you're unable to fall asleep within a reasonable time.

    CBT also may involve talking with a therapist one-on-one or in group sessions to help you consider your thoughts and feelings about sleep. This method may encourage you to describe thoughts racing through your mind in terms of how they look, feel, and sound. The goal is for your mind to settle down and stop racing.

    CBT also focuses on limiting the time you spend in bed while awake. This method involves setting a sleep schedule. At first, you will limit your total time in bed to the typical short length of time you're usually asleep. This schedule may make you even more tired because some of the allotted time in bed will be taken up by problems falling asleep. However, the resulting tiredness is intended to help you get to sleep more quickly. Over time, the length of time spent in bed is increased until you get a full night of sleep.

    For success with CBT, you may need to see a therapist who is skilled in this approach weekly over 2 to 3 months. CBT works as well as prescription medicine for many people who have chronic insomnia. It also may provide better long-term relief than medicine alone.
    For people who have insomnia and major depressive disorder, CBT combined with antidepression medicines has shown promise in relieving both conditions.

    Practice good sleep hygiene:

    Avoid using alcohol in the evening. Avoid caffeine for at least eight hours before bedtime. Quit smoking. Establish a regular bedtime, but don't go to bed if you feel wide-awake. Avoid staying in bed for long periods of time while awake, or going to bed because of boredom. Exercise regularly, but not in the last two hours before going to bed. Sex can be a natural sleep inducer and helps some people. If these fail, you may want to ask you health care provider to recommend other options.Try to schedule your daily exercise at least 5 to 6 hours before going to bed. Don't eat heavy meals or drink a lot before bedtime.

    Make your bedroom sleep-friendly. Avoid bright lighting while winding down. Try to limit possible distractions, such as a TV, computer, or pet. Make sure the temperature of your bedroom is cool and comfortable. Your bedroom also should be dark and quiet.

    Go to sleep around the same time each night and wake up around the same time each morning, even on weekends. If you can, avoid night shifts, alternating schedules, or other things that may disrupt your sleep schedule.

    Tips for a Good Night's Sleep:

    Set a schedule:

    Go to bed at a set time each night and get up at the same time each morning. Disrupting this schedule may lead to insomnia. Sleeping in on weekends also makes it harder to wake up early on Monday morning because it resets your sleep cycles for a later awakening.

    Exercise:

    Try to exercise 20 to 30 minutes a day. Daily exercise often helps people sleep, although a workout soon before bedtime may interfere with sleep. For maximum benefit, try to get your exercise about five to six hours before going to bed.

    Avoid caffeine, nicotine, and alcohol:

    Avoid drinks that contain caffeine, which acts as a stimulant and keeps people awake. Sources of caffeine include coffee, chocolate, soft drinks, non-herbal teas, diet drugs and some pain relievers. Smokers tend to sleep very lightly and often wake up in the early morning due to nicotine withdrawal. Alcohol robs people of deep sleep and REM sleep and keeps them in the lighter stages of sleep.

    Relax before bed:

    A warm bath, reading or another relaxing routine can make it easier to fall sleep. You can train yourself to associate certain restful activities with sleep and make them part of your bedtime ritual.

    Sleep until sunlight:

    If possible, wake up with the sun, or use very bright lights in the morning. Sunlight helps the body's internal biological clock reset itself each day. Sleep experts recommend exposure to an hour of morning sunlight for people having problems falling asleep.

    Don't lie in bed awake:

    If you can't get to sleep, don't just lie in bed. Do something else, like reading, watching television or listening to music, until you feel tired. The anxiety of being unable to fall asleep can actually contribute to insomnia.

    Control your bedroom environment:

    • Use comfortable bedding
    • Block out distracting noise
    • Reserve bed for sleep and sex
    • Maintain a comfortable temperature in the bedroom. Extreme temperatures may disrupt sleep or prevent you from falling asleep.

    See a doctor if your sleeping problem continues:

    If you have trouble falling asleep night after night, or if you always feel tired the next day, then you may have a sleep disorder and should see a physician. Your primary care physician may be able to help you; if not, you can probably find a sleep specialist at a major hospital near you. Most sleep disorders can be treated effectively.

    Sleep research is expanding and attracting more and more attention. Researchers now know that sleep is an active and dynamic state that greatly influences our waking hours, and they realize that we must understand sleep to fully understand the brain. Innovative techniques, such as brain imaging, can now help researchers understand how different brain regions function during sleep and how different activities and disorders affect sleep. Understanding the factors that affect sleep in health and disease also may lead to revolutionary new therapies for sleep disorders and to ways of overcoming jet lag and the problems associated with shift work. We can expect these and many other benefits from research that will allow us to truly understand sleep's impact on our lives.

    Sources:

    • Diagnostic and Statistical Manual of Mental Disorders IV-TR
    • National Heart, Lung, and Blood Institute Information Center
    • National Institute of Neurological Disorders and Stroke
    • National Institutes of Health - National Library of Medicine
    Primary WebMD XPG:
    1836: insomnia
    Secondary WebMD XPG:
    2951: agoraphobia
    2003
    Psychology Today
    November 21, 2009
    October 10, 2002
    insomnia
    Insomnia
  • Legacy of the Sixties: Not All Peace and Love, Man

    If you're old enough and have been interested for a long time in psychological issues, you may remember Synanon, the California organization that specialized in treatment of addictions and was gradually revealed to have been both emotionally and physically brutal in its methods. A surprising allusion to Synanon cropped up the other day in a New York Times article about union organization. In his article "Some Organizers Protest Their Union's Tactics" (Times, Nov. 19, 2009, pp. B1, B5), Steven Greenhouse described organizing methods that involved finding vulnerabilities in the personal histories of potential union members and using this information to manipulate people. Some members of the relevant union denied this, and I have no way of knowing who is correct on this point. However , the article contained an important statement from some of the organizers. According to Greenhouse, these organizers compared the union's methods to "a practice that Cesar Chavez, former president of the United Farm Workers, used when he embraced a mind-control practice developed by Synanon, a drug rehabilitation center... Union staff members were systematically subjected to intense, prolonged verbal abuse in an effort to break them down and assure loyalty."

    It's surprising, isn't it, to hear that the decade of "peace and love" was also characterized by vicious manipulation of attitudes and beliefs? And it's equally surprising to find that those manipulative methods were passed down and around, to the point where they emerge as almost conventional practices.

    But union organizers (for example) have not been the only ones to inherit and use resources from the less appetizing side of the Sixties. We continue to see some of the same things in fringe practices aimed at child guidance and child psychotherapy. For example, in the last few years we have seen caging of children in the Gravelle case in Ohio and the Vasquez case in California. A therapist who recently had his license revoked in Colorado was known for intimidating children by shouting and verbal abuse, by physical restraint, and by licking their faces.

    Are these simply bizarre behaviors that occur spontaneously among a few emotionally-disturbed practitioners, or is there a historical connection that goes back to the Sixties, like the possible connection between the union organizers and Synanon? It's hard to prove that a historical influence caused some present-day event, but we can see a paper trail that leads from the Sixties through various intermediate steps to the present day. Beginning in the 1960s, Robert M. Zaslow, a psychologist who was a professor at San Jose State University, began to write and speak about certain beliefs he held on the subject of personality development. In 1975, he and a colleague, Marilyn Menta, published a book entitled "The psychology of the Z-process: Attachment and activity." The "Z-process" was Zaslow's term for a postulated set of events in personality development, in which fear, discomfort, and intimidation caused a child to form an emotional attachment to his or her parents. This attachment, according to Zaslow, was responsible for making children cheerful, affectionate, and obedient; lack of attachment caused a wide variety of behavior problems and even mental illnesses like autism or schizophrenia.

    Zaslow theorized about-- and put into practice-the idea that if a child had somehow missed the formation of attachment at the usual time, later exposure to intimidation and pain could correct problems by causing attachment to occur. The correction would be based on the "draining off" of rage resulting from pain and fear; once the rage was gone, attachment could easily take place. Zaslow and his admirers carried out his methods with clients ranging from toddlers to adults. In sessions that lasted many hours, the individuals were held down by four or more people while Zaslow applied "tactile stimulation" in the form of painful prodding of the ribs and underarms. Zaslow stressed that it was necessary for this to hurt, and suggested informed consent documentation that stated that some bruises were likely to result from treatment. He continued to claim his treatment as effective for many problems, and in a paper in a German journal in 1982 described having cured the blindness of a child at the Colorado School for the Blind.

    Zaslow eventually lost his license as a result of an actual injury to a patient. But he continued to travel and to write, and in the course of his travels encountered a Colorado physician named Foster Cline, now a major figure in the commercial parent education organization called "Love & Logic". Cline adopted much of Zaslow's thinking, and in material published in the 1990s stated baldly that in his opinion "all bonds are trauma bonds"-- an opinion which, to the best of my knowledge, he has never retracted.

    A detailed account of the ways Zaslow's ideas were passed along would be very lengthy. Suffice it to say here that various organizations and individuals have continued to support the Zaslow approach, with disastrous effects for the children in their power. Perhaps the most important question is, why were the ideas and methods advocated by Synanon and by Zaslow not called down when they began, or soon afterward? Part of the answer is undoubtedly that most of the public, and indeed most professionals, had no idea what was happening. But another, less easily acceptable, part is that the Sixties admired unconventional thought, and tolerance of unconventional thought can be overdone. When we encounter really unusual ways of thinking or acting, we need to consider carefully the consequences of those ways, rather than being afraid that disapproval might make us "uncool". The Sixties were a time when "cool" was desperately desired. Let's hope that the Aughties have learned a lesson from this and become ready to think critically about the unconventional and the conventional alike.

  • Hypersomnia
    Excessive sleepiness that intrudes on daily functions for a month or more may affect teens and young adults. It is also a common accompaniment to depression. Stimulants and adherence to good sleep routines can alleviate symptoms.

    Hypersomnia is characterized by recurrent episodes of excessive daytime sleepiness or prolonged nighttime sleep.

    Persons with hypersomnia are compelled to nap repeatedly during the day, often at inappropriate times such as at work, during a meal or in conversation. These daytime naps usually provide no relief from symptoms. Patients often have difficulty waking from a long sleep, and may feel disoriented. Other symptoms may include anxiety, increased irritation, decreased energy, restlessness, slow thinking, slow speech, loss of appetite, hallucinations and memory difficulty. Some patients lose the ability to function in family, social, occupational or other settings.

    Hypersomnia may be caused by drug or alcohol abuse, other sleep disorders such as narcolepsy or sleep apnea, or dysfunction of the autonomic nervous system. In some cases it results from a physical problem, such as a tumor, head trauma, or injury to the central nervous system. Certain medications, or medicine withdrawal, may also cause hypersomnia. Medical conditions including multiple sclerosis, depression, encephalitis, epilepsy or obesity may contribute to the disorder. Some people appear to have a genetic predisposition to hypersomnia; in others, there is no known cause. Hypersomnia typically affects adolescents and young adults.

    Symptoms often develop slowly during adolescence or young adulthood.

    • Daytime naps that do not relieve drowsiness
    • Difficulty waking from a long sleep -- may feel confused or disoriented
    • Increased need for sleep during the day -- even while at work, or during a meal or conversation
    • Increased sleep time -- up to 14 - 18 hours per day
    Other symptoms may include anxiety, feeling irritated, low energy, restlessness, slow thinking or speech, loss of appetite, and memory difficulty.

    Hypersomnia may be symptomatic of

    • multiple sclerosis
    • depression
    • obesity
    • chronic fatigue syndrome
    • an injury to the central nervous system resulting from head trauma
    • a side effect of taking a medication or stopping a medication
    • genetics: there may be a genetic predisposition to hypersomnia

    Diagnostic Features

    • Excessive sleepiness for at least a month, including prolonged sleep episodes or daytime sleep episodes almost daily
    • Excessive sleepiness severe enough to cause clinically significant distress or impairment in social, occupational or other important areas of life
    • Excessive sleepiness does not occur exclusively during the course of another sleep disorder or mental disorder
    • Excessive sleepiness is not due to the physiological effects of a substance or a general medical condition
    • Self-imposed short sleep time
    • Medications (tranquilizers, sleeping pills, antihistamines)
    • Sleep disorders (such as obstructive sleep apnea isolated sleep paralysis and restless leg syndrome)
    • Other medical conditions (such as hypothyroidism, hypercalcemia, and hypo/hypernatremia)

    Stimulants, such as amphetamine, methylphenidate, and modafinil, may be prescribed. Other drugs used to treat hypersomnia include clonidine, levodopa, bromocriptine, antidepressants, and monoamine oxidase inhibitors. Changes in behavior—for example avoiding night work and social activities that delay bed time—and diet may offer some relief. Patients should avoid alcohol and caffeine.

    Tips for a Good Night's Sleep:

    Set a schedule:

    Go to bed at a set time each night and get up at the same time each morning

    Disrupting this schedule may lead to insomnia. Sleeping in on weekends also makes it harder to wake up early on Monday morning because it resets your sleep cycles for a later awakening.

    Exercise:

    Try to exercise 20 to 30 minutes a day. Daily exercise often helps people sleep, although a workout soon before bedtime may interfere with sleep. For maximum benefit, try to get your exercise about five to six hours before going to bed.

    Avoid caffeine, nicotine, and alcohol:

    Avoid drinks that contain caffeine, which acts as a stimulant. Sources of caffeine include coffee, chocolate, soft drinks, nonherbal teas, diet drugs and some pain relievers. Smokers tend to sleep very lightly and often wake up in the early morning due to nicotine withdrawal. Alcohol robs people of deep and REM sleep and keeps them in the lighter stages of sleep.

    Relax before bed:

    A warm bath, reading or another relaxing routine can make it easier to fall sleep. You can train yourself to associate certain restful activities, such as relaxation techniques, with sleep and make them part of your bedtime ritual.

    Sleep until sunlight:

    If possible, wake up with the sun, or use very bright lights in the morning. Sunlight helps the body's internal biological clock reset itself each day. Sleep experts recommend exposure to an hour of morning sunlight for people having problems falling asleep.

    Don't lie in bed awake:

    If you can't get to sleep, don't just lie in bed. Do something else, like reading, watching television or listening to music, until you feel tired. The anxiety of being unable to fall asleep can actually contribute to insomnia.

    Control your bedroom enviroment:

    • Use comfortabe bedding
    • Block out distracting noise
    • Reserve bed for sleep and sex
    • Maintain a comfortable bedroom temperature. Extreme temperatures may disrupt or prevent sleep.

    See a doctor if your sleeping problem continues:

    If you have trouble falling asleep night after night, or if you always feel tired the next day, then you may have a sleep disorder and should see a physician. Your primary care physician may be able to help you; if not, you can probably find a sleep specialist at a major hospital near you. Most sleep disorders can be treated effectively.

    Sleep research is expanding and attracting more and more attention from scientists. Researchers now know that sleep greatly influences our waking hours, and they realize that we must understand sleep to fully understand the brain. Innovative techniques, such as brain imaging, can now help researchers understand how different brain regions function during sleep and how various activities and disorders affect sleep. Understanding the factors that affect sleep may lead to revolutionary new therapies for sleep disorders and to ways of overcoming jet lag and the problems associated with shift work.

    DSM-IV TR (2000).
    Textbook of Clinical Neurology. 3rd ed.
    University of Maryland Medical Pages

    Primary WebMD XPG:
    1836: insomnia
    Secondary WebMD XPG:
    7002: addiction
    2003
    Psychology Today
    November 21, 2009
    November 21, 2009
    hypersomnia
    Hypersomnia
  • RECLAIMING SADNESS

    Or the Obligation to Be Up-Beat


    The Metropolitan Transportation Authority has announced that soon all New York City Metrocards will be stamped "OPTIMISM." Positive thinking, our unofficial national ideology, is becoming harder and harder to escape.

    Happiness and cheerfulness are good things, to be sure, as are self-confidence and faith. Nor is optimism bad, by any means. But there are downsides.

    Right now, for example, in the aftermath of our financial crisis, we have very good reasons to be wary of optimism. Too many people rashly overestimated their ability to pay the mortgages they were encouraged to take out on their houses, while too many investors bought mortgage derivatives based on the false expectation that real estate values would spiral ever upwards. Banks over-extended themselves, while regulatory agencies and ratings services stopped worrying just at the point when they should have been fearful and pessimistic, when they should have forcefully said "no."

    Barbara Ehrenreich's new book, Bright-Sided, describes our national obsession with positive thinking at a critical moment when it looks as if we are trying very hard not to learn the lessons of our recent mistakes. She chronicles how positive thinking has been touted as a cure for cancer, causing many suffering from it to blame themselves if they do not get better. It is seen as the key to financial success and upward mobility, some writers going to far as to proclaim: "God wants you to be rich." Increasingly it is viewed as a management strategy, where the "right attitude" is viewed as essential to success.

    She notes that this trend parallels the deepening of the problems we face in our society, our deteriorating ssafety net, the growing gap between rich and poor, and rising uncertainty and pressure in the workplace. She cites a recent meta-analysis that found Americans ranking only twenty-third worldwide in self-reported happiness, adding that we account for two-thirds of the global market for anti-depressants. This is similar to a point made by Carlin Flora in Psychology Today last January: "According to some measures, as a nation we've grown sadder and more anxious during the same years that the happiness movement has flourished." Maybe, she offers, "that's why we've eagerly bought up its offerings." (See, "The Pursuit of Happiness.")

    There are a few other problems with positive thinking. A full and rich life includes other mental and emotional states. Life inevitably includes frustration, disappointment, loss, illness, and ultimately death. Without the capacity for sadness those experiences engender, life would be two-dimensional. Without nostalgia, longing, wistfulness, regret, and even grief, how could we understand others and expect to be understood in turn?

    Moreover, anxiety and fear are clues that something is amiss. Sadness tells us something, often something we need to hear about our relationship to the world.

    Far worse, though, is the danger of proscribing such feelings by refusing to meet each other in their presence. Nothing is worse that the isolation and guilt we induce by being unwilling to recognize what others are experiencing. That makes us ungenerous, sometimes even cruel and punitive.

  • Try Fun, Quick Exercises to Boost Your Creativity.

    Creativity2

    I’m working on my Happiness Project, and you could have one, too! Everyone’s project will look different, but it’s the rare person who can’t benefit. Join in -- no need to catch up, just jump in right now.

    One of my favorite resolutions, because it’s so much fun to keep, is Read at whim. Instead of trying to be very targeted about my reading, as I once tried to be, I let myself read whatever I want to read.

    The other day, at coffee with my blogpals Caren and Leah from the great site, Drinking Diaries, Leah highly recommended Blake Snyder’s Save the Cat: The Last Book on Screenwriting That You’ll Ever Need. She wasn’t writing a screenplay, but she said that the book was extremely helpful for writing any kind of story.

    I’m not writing a screenplay, or a novel either, but it sounded intriguing, so I picked up a copy. And she’s right, it’s a fascinating look at storytelling.

    Save the Cat also included a terrific exercise to foster creative thinking. Doing these types of games can boost happiness -- even for people who don’t consider themselves to be particularly “creative.”

    This kind of playful thinking is – fun! It’s fun to mess around with ideas, to have new thoughts, to come up with a great idea. It’s stimulating. It might even inspire you to write a screenplay or start a novel. (Shameless teaser: in my forthcoming book, I talk about my experience of writing a novel in a month, inspired by the book, No Plot? No Problem!, written by Chris Batyk, also the founder of National Novel Writing Month. Yes, I wrote a novel as long as The Great Gatsby in thirty days.)

    Sometimes creativity exercises are a bit boring – what’s the one with the candle, the cup, the matches? – but these exercises by Snyder, meant to jump-start ideas for movies, are very amusing:

    1. Funny _____
    Pick a drama, thriller, or horror film and turn it into a comedy.

    2. Serious _____
    Likewise, pick a comedy and make it into a drama. Serious Animal House – Drama about cheating scandal at a small university ends in A Few Good Men-like showdown.

    3. FBI out of water.
    This works for comedy or drama. Name five places that a FBI agent in the movies has never been sent to solve a crime. Example: “Stop or I’ll Baste!”: Slob FI agent is sent undercover to a Provence Cooking School.

    4. _____ School
    Works for both drama and comedy. Name five examples of an unusual type of school, camp, or classroom. Example: “Wife School.”

    5. Versus!!
    Drama or comedy. Name several pairs of people to be on opposite sides of a burning issue. Example: A hooker and a preacher fall in love when a new massage parlor divides the resident of a small town.

    6. My ______ Is a Serial Killer
    Drama or comedy. Name an unusual person, animal, or thing that a paranoid can suspect of being a murderer.

    Feeling creative helps boost happiness, and it’s also true that while people often associate brooding melancholy as the spirit most appropriate to creative outpourings, research shows that people are more creative when they’re feeling happy. If this sort of thing appeals to you, check out Blake Snyder’s website. It has great information and exercises for screenwriters.

    * I love this video of a pebble frog. Ah, nature! It looks like CGI, but it's real.

    * Ah, that teaser caught your interest, and you want to pre-order The Happiness Project! Great! Here's the link to all your favorite bookstores.

Mental Health News From Medical News Today
Latest Mental Health News From Medical News Today.
  • Innovative Therapy That Offers New Hope For Borderline Personality Disorder
    Patients coping with the chaos and misery of Borderline Personality Disorder now have reason for strong confidence in making major life changes through a new treatment, Schema Therapy. For the first time, three major outcome studies have shown that many patients with Borderline Personality Disorder can achieve full recovery across the complete range of symptoms.
  • Otsuka Pharmaceutical Europe Ltd Withdraws Its Application For An Extension Of Indication For Abilify (aripiprazole), Europe
    The European Medicines Agency has been formally notified by Otsuka Pharmaceutical Europe Ltd of its decision to withdraw its application for an extension of indication for the centrally authorised medicine Abilify (aripiprazole) tablets, orodispersible tablets and oral solution. Abilify was expected to be used in the treatment of major depressive episodes, as adjunctive therapy, in patients who have had an inadequate response to previous treatment with antidepressants.
  • Mental Health America Endorses Nomination Of Chai Feldblum As EEOC Commissioner
    "Mental Health America is pleased to endorse the nomination of Chai Feldblum to serve as a commissioner on the Equal Employment Opportunity Commission.
  • Government's Social Care Green Paper Overlooks Mental Health, UK
    On the day that the consultation period for the Government's Green Paper on adult social care closes, mental health charity Mind has expressed its concerns that the Paper does not address the needs of adults with mental health problems, instead skewing the debate towards older people.
  • Results Of 2009 Pfizer Index Show Unemployed Claim To Have Four Times Higher Rate Of Depression
    The results of the 2009 Pfizer Health Index announced at the Royal College of Physicians Ireland reveal that the recently unemployed are four times more likely to claim to have depression than the general population. There is also evidence that the recession is leading to anxiety over money, is bad for self-esteem and is leading to relationship tension. The greatest impact of the recession is apparent among those between the ages of 25 and 50, who are parents and who live in urban areas.

MedWire News - Psychiatry
Daily service providing the latest research news in the field of psychiatry including addiction, anxiety, mood disorders, eating disorders, personality and behavioral disorders, schizophrenia and psychosis, and Alzheimer's disease and dementia, in addition to the drug and psychotherapeutic treatment of psychiatric conditions.

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Last Updated( Jan 22, 2009 )
reviewed by: Harry Croft, MD
Psychiatrist, HealthyPlace.com Medical Director
 

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