Posts Tagged ‘Stress Management’

BOTH PARENTS AT HIGHEST RISK OF DEPRESSION IN THE FIRST YEAR AFTER THEIR CHILD’S BIRTH

Wednesday, September 8th, 2010

A group of investigators at the Medical Research Council, London, England, led by Shreya Dave, Ph.D., studied the incidence of parental depression in 86,957 families in the U.K. The data was taken from primary care clinic medical and pharmacy records during the period 1993-2007. Between their child’s birth and their child turning age 12 more than one-third of all mothers and about one-fifth of all fathers became depressed, with the highest rates of depression for mothers and fathers occurring within the first year of their child’s birth.

During their child’s first 12 years of life 19,286 mothers had a total of 25,176 episodes of depression and 8,012 fathers had a total of 9,683 episodes of depression. The overall rate of depression was 7.53 per 100 mothers and 2.69 per 100 fathers per year. In the first year after the child’s birth the depression rate was 13.93 per 100 mothers and 3.56 per 100 fathers.

Dr. Dave said the most likely factors for these high rates of post-partum depression shared by all parents are poor parental sleep, extra demands on parents and the negative effects of stress on spousal intimacy. Some specific factors that would apply to some but not all parents include being young parents, having an unplanned pregnancy, being low wage earners unable to afford child care, having a limited social support network, and the temporary discontinuation of mothers taking anti-depressants while pregnant and breastfeeding. Dr. Dave’s study was published in the September 6, 2010, online version of Archives of Pediatrics & Adolescent Medicine.

Lawyers should be aware of theses findings, because they may tend to attribute all feelings of depression to their work even when those feelings are coming from raising a new child. Let’s face it, raising a new child is stressful for anyone but especially so when you have to be up early for court, completely prepared for argument, well groomed, bright-eyed and alert – instead of exhausted, bleary eyed and covered in baby vomit.

Despite our high earning potential, lawyers are living in weird economic times – a stagnant recession – when jobs are scarce for new lawyers and layoffs are plentiful for older lawyers. The financial stress of unemployment or underemployment for a lawyer can add fuel to depression associated with raising a child. 

Once you realize and acknowledge that raising your child is contributing to an episode of depression for you and/or your spouse, then you are in a position to deal with it by seeing a psychologist, getting counseling, going on temporary medication and learning how to develop a stronger social support network.

It’s also a time to open your perspective to include you, your spouse and your child. Maternal or paternal depression during a child’s first years can cause permanent emotional damage to a child and raise his or her lifetime risk for depression and other psychiatric problems. Yes your career is important and yes it’s important to earn money, but your child is very important too. If you’re stuck at home due to a lousy job market, rather than spend all your time brooding and being resentful of your parental responsibilities which limit your time for job hunting, relax into parenting, enjoy it and create a beautiful bond with your child. This can ease your depression by creating meaning and pleasure during a layoff which would otherwise by somewhat tense and joyless. Yes children are burdensome (in some respects), but they are also a gift, the greatest gift I know.

TIME IS ALL WE HAVE, SO LIVE YOUR BEST LIFE NOW BEFORE YOUR TIME IS UP

Friday, September 3rd, 2010

In her poem When Death Comes the great American poet Mary Oliver makes the certain prospect of our death pose the question of how we will live out our lives:

When it’s over, I want to say: all my life
I was a bride married to amazement.
I was the bridegroom, taking the world into my arms.

When it is over, I don’t want to wonder
if I have made of my life something particular, and real.
I don’t want to find myself sighing and frightened,
or full of argument.

I don’t want to end up simply having visited this world.

Will you have lived as a timid visitor, simply observing life from the outside because you were too fearful to plunge in – or will you have committed,  lived fully and left your footprints here in this world?

Yesterday at lunch I attended a fascinating talk by Bonnie O’Brien Jonsson, M.S., who teaches MBSR (mindfulness based stress reduction), Buddhist meditation and a class for dying persons on how to live their last year. Bonnie said that life is poised on the fingertips of your intention. She asked each member of the audience to face another member and tell them what made him feel most alive and what he most wanted out of the life remaining to him. She reminded us that life makes no guarantees except for constant change up until the unknowable moment we die.

The past is gone and exists only in the form of a story. The future is not yet here and may never come. Bonnie reminded us that all the people who died in the 9/11 catastrophe showed up for work that morning believing they would be fine. They were in a state of complete ignorance that they were going to die that morning. Given that our death is certain but we never know when it will come, tomorrow or 30 years from now, what makes more sense – to live suffocated by the fear of dying (which causes us to withhold loving others, taking chances and being creative) or to live our unique purpose and “dance the wild dance” of those who know they won’t get out of life alive?

How do you live at work? Are you grateful for any of the time you spend at the office? Do you notice and appreciate any of what happens during the work day? Perhaps you’re like most lawyers out there. You start off by making a list of tasks which you regard as hard, tedious, unpleasant but essential. Then you rush through those tasks as fast as you can without coming up for air so you can experience the relief that comes from getting them done. You do this day in and day out. Then one day you’re old and gray and the doctor says you have heart disease or cancer. Not a pretty picture is it?

What keeps us back from making full use of our time and really living life? Is it because we are busy or are we busy because we are afraid and being busy distracts us from our fears? Bonnie, who has worked intimately with dying people for a dozen years, says it’s fear. Fear of what? Fear of dying, sickness, injury and pain. Fear of social rejection. Fear of breaking free of the story of one’s past that makes one a helpless victim and becoming responsible for oneself. Fear of trying and failing at a goal and making a fool of oneself. Fear of succeeding and then losing everything. Fear of succeeding and having to live with too many demands and expectations.

So how can we transcend fear and learn to take risks? Bonnie says it’s only by befriending our fear. Fear is an emotion. It will not kill us. It can be faced. The word courage comes from an old French term for heart. The heart is the seat of compassion. Bonnie says that having compassion for yourself is the key to facing and transcending fear.

She had everyone in the class do an exercise. First she had us close our eyes and call to mind an old fear. Next she told us to allow the fear to spread and feel all the sensations of the fear in our body, e.g. a tight abdomen. Then we were asked to trace the pattern of the fear in our body with our hands while having full compassion for ourselves. Bonnie suggested we use our hands to approach the anatomic area of our fear as if it was a puppy or a cute, helpless infant – by stroking it in a loving manner with a loving intention while silently murmuring reassuring words (may you be safe, healthy, happy, peaceful and at ease).

This exercise worked for everyone in the sense that it enabled us to face, endure, soften and reduce an old fear. If you engage in frequent practice of this exercise you may find it reduces the fears that are holding you back from risking change, living in the present moment and getting more out of life.

Yesterday evening I had the privilege of attending a talk given by Julia Butterfly Hill, the young woman who attained fame by sitting in a one thousand year old redwood tree for 2 years which forced a logging company to abandon its plan to cut down that tree and the grove in which it stood.

By coincidence (or was it synchronicity) Julia addressed the same issue. How can we commit ourselves to anything when we know we may lose, that we would feel terrible and even have our hearts broken? Julia said she learned from the tree to stay flexible and bend in life’s storms instead of being rigid and snapping. It boils down to attachment. If you are attached to the outcome of any endeavor (which means you make the value of your work and your happiness contingent on getting the result you envisioned), then you will keep on experiencing the fear of losing and you are setting yourself up for misery.

Few if any events in life happen exactly just when and how we want them. But if we learn to release our attachment to the result, then we can stay committed without the constant fear in our belly that makes us give up or never try in the first place. Julia ended her talk by saying her credo is to serve others for no reason. That is her shorthand way of saying that she serves others without attachment to the result she envisions. This enables her to stay loose instead of being tight (both figuratively and literally) as she serves.

Can she pull this off all the time? No. Julia said part of being human is slipping back into attachment. She knows she’s getting attached when she experiences rage or cynicism. Julia copes with the unconscious process of re-attachment by doing her best to stay mindful and monitor her thoughts and feelings. Then she can consciously choose to let go of her attachment and usher in freedom and inner peace. In the tree Julia could only enjoy the tree, the birds, the sky, and the clouds, in a state of non-attachment to the result of her fight with the logging company. Through practice she spends much more of her time in a state of non-attachment (serving for no reason), but her life is still a bit of a see-saw, because she sometimes get re-attached.

I hope you will take away something useful from the example and the advice of these two wise women. Don’t let fear of fear or fear of suffering hold you back from living your best life. Work on releasing your attachment to results. If the fear keeps coming up, then have compassion for yourself and use Bonnie’s exercise of patting and stroking the part of your body that is tight and clenched while breathing and wishing yourself well.

SCIENTIFIC LINKAGE OF SOCIAL REJECTION AND PHYSICAL PAIN PUTS THE INCIVILITY CRISIS IN A NEW LIGHT

Thursday, September 2nd, 2010

When someone disturbs, annoys or otherwise ill-treats you, do you call him a “pain,” a “pain in the neck,” or a “pain in the ass?” Is there any truth to these expressions? The answer is yes according to C. Nathan DeWall, Ph.D., an Assistant Professor of Psychology at the University of Kentucky, and Gregory Webster, Ph.D., at the University of Florida. In the July 2010 issue of Psychological Science they published their research into the connection between social rejection and physical pain. Remarkably taking the equivalent of a Tylenol for 3 weeks reduced self-reported social pain from being rejected.

The researchers conducted two experiments. In the first one volunteers took either a 1,000 mg. acetaminophen pill or a placebo pill every day and kept a diary in which they reported their social pain. The subjects who took the acetaminophen reported substantially less social pain.

In the second experiment volunteers took either a 2,000 mg. acetaminophen pill or a placebo pill everyday for 3 weeks. At the end of the 3 week period all participants played a computer game designed to elicit feelings of social rejection while a functional MRI scanner monitored their brain activity. The MRI showed that acetaminophen reduced neural responses to social rejection in brain regions associated with distress from social pain (the anterior cingulate cortex) and from physical pain (the insula). 

This simple yet remarkable experiment showed that a drug designed to reduce physical pain managed to reduce the pain of social rejection. Dr. DeWall says the study shows that social and physical pain centers may overlap in the brain and rely on some of the same behavioral and neural mechanisms. Dr. Webster said the experiment showed that the physical and social or emotional pain systems are inherently linked and it makes sense, because if someone is hurting you, you want to know about it and get away.

What does this mean for us? Clearly the old saying “sticks and stones may break my bones but names will never hurt me” isn’t true. When lawyers exchange rude, insulting language which conveys contempt they aren’t just “pissing each other off” (to use another bodily expression) they are causing each other social, and perhaps also, physical pain. Do you live with headaches, neck aches, stomach aches or other aches which have no apparent cause? These could be coming from your law practice.

In life we get back what we give. It’s called karma. When you’re unreasonable and downright hostile to other lawyers, they will treat you the same way. If you’re reasonable and civil to other lawyers, they will act the same towards you. One way guarantees social stress, muscle tension, and very possibly physical ailments, while the other invites peace and calm even in the midst of strong disagreements over legal issues. You get to choose the way.

PARTNER UP WITH A WORK BUDDY TO MAKE MORE ACCURATE, LESS STRESSFUL DECISIONS

Friday, August 27th, 2010

Lawyers have to make a steady stream of decisions every day. These range from the small (whether to interrupt an activity to take a call) to the hugely consequential (whether to reject a final offer of settlement and go to trial). When it comes to making big decisions do you trust yourself above all others and make them alone or do you consult a colleague? If you make them alone you pay a price. What price? You may be sacrificing accuracy without the objectivity a colleague can provide, and you are certainly incurring more stress. When you make decisions alone you are completely responsible for them even though you may be missing something that a colleague might have seen.

The old saying that “two heads are better than one,” turns out to be largely true. In a study published in the August 2010 issue of the journal Science neuroscientists Bahador Bahrami from UCL (University College London) and Chris Frith from Aarhus University, Denmark, explored the relative accuracy of collective vs. solo decision making on a low level perceptual task. The task involved detecting a very weak signal on a computer screen, one that was so weak there could be legitimate disagreement as to whether the signal had occurred or not.

What the researchers found was that for two observers of nearly equal visual sensitivity, two heads were definitely better than one, provided they were given the opportunity to communicate freely about their perceptions. Their accuracy did not depend on getting feedback from the researchers. Simply being told by the researchers which one of them was right did not increase accuracy. But when one observer with good visual sensitivity was paired with another observer with poor visual sensitivity, two heads performed worse than one because the person with poor visual sensitivity influenced the person with better sensitivity to make the wrong decision. The researchers concluded that the optimal conditions for making a perceptual decision (did I actually see something or not?) are having a partner of comparable visual sensitivity and being able to freely discuss your perceptions with each other.

It’s logical to assume that making a complex legal decision would follow the same model. If so, then two heads are better than one provided you select a partner of comparable intellectual capability who is given access to the same information you have, and you communicate freely with each other regarding your perceptions of the data. Following this model of decision making can increase your accuracy and lower your stress at work.

HIGH SENSITIVITY TO SOCIAL REJECTION TRIGGERS INFLAMMATORY DISEASE – LEARN TO MODIFY YOUR RESPONSE TO SOCIAL STRESS

Monday, August 23rd, 2010

Some people love to speak in public, while others fear it worse than death. Some people are energized by the prospect of a job interview and march in with confidence, while others fear the worst and blow it because they are self-conscious and ill-at-ease. Some people are able to take a “no” in stride and enjoy the dating process, while others make excuses to avoid asking people out and crumble when they reach out and receive a no. 

People in some occupations get ignored or hear “no” more than others. Lawyers are right up there with telemarketers and people selling life insurance or financial investment products. Our legal system is set up to be adversarial. It exists to process disputes between two sides that want different outcomes, hold to different positions and make opposed arguments. Whether it’s a motion, a trial or a negotiation, lawyers constantly hear no. It gets frustrating, irritating and discouraging to keep hearing no from opposing counsel. It can be downright depressing to hear no from a judge or jury. Some lawyers are said to have a “tough hide,” and they are able to shake off rejection and defeat. But not all lawyers are emotionally bullet proof. Some of them are quick to perceive rejection and hate the feeling.

What goes on in the bodies of people who are extra sensitive to social rejection? That’s what psychologist Shelly E. Taylor, Ph.D. and psychoneuroimmunologist George Slavich, Ph.D., at UCLA wanted to find out. They recruited 124 people (54 men and 70 women) and put them throw two stressful social situations. In the first they had to prepare and deliver an impromptu speech and perform difficult mental arithmetic in front of a socially rejecting panel of raters wearing white lab coats. Mouth swabs were taken before and after the test to determine if changes had occurred in two biomarkers for immune system response marked by increased inflammation – greater release of tumor necrosis factor-a and interleukin-6 (IL-6).

In the second test 31 of the participants underwent an MRI brain scan while playing a computerized game of catch with what they believed were two other real people. For the first half of the test the game was between three people, but midway through the game the other two players excluded the participant and played on their own causing the participant to feel rejected.

On MRI some of the subjects showed greatly increased activation of two areas of the brain known to respond to social stress, the dorsal anterior cingulate cortex (ACC) and anterior insula. Those very same subjects showed greater increases in tumor necrosis factor-a and IL-6 as a result of their lab test facing the stern, frowning panel of raters in white lab coats.

Dr. Slavich said this study confirms the very close relationship between mind and body and helps elucidate some of the neurocognitive pathways involved in inflammatory response to social stress. According to Dr. Slavich this is important because frequent or chronic episodes of inflammation in response to the mere perception of social stress can increase the risk for asthma, rheumatoid arthritis, cardiovascular disease and even depression.

Why would the human brain trigger the release of inflammatory proteins via the immune system when it perceives social threat or rejection? Dr. Slavich said that social ostracism in the cave man days meant death because you would have to hunt and defend yourself alone in a world full of dangerous predators and hostile bands of competitors. Thus social ostracism goes hand in hand with anticipation of physical injury and the activation of the immune system before the injury occurred could have some survival value.

What can people do to control their response to situations in which they anticipate or perceive social rejection? Dr. Slavich suggested that you question your belief that people are rejecting you. If there’s no solid evidence it’s true, then you can dismiss the belief and relax your tense mind.  For example if someone doesn’t return your call it’s not necessarily because they don’t like you. It may be that they are away from the office, incredibly busy that week, just plain disorganized or overwhelmed by all the emails and calls they get.  

There are many ways to reduce the negativity and intensity of your response to social stress. Sometimes the answer is skills training. If your greatest fear is public speaking then enrolling in your local Toastmasters club will really help, because Toastmasters has helped tens of thousands of people from all walks of life (including new immigrants with little English) to overcome their fear of public speaking and become confident, effective public speakers. The typical charge to belong is just $100 per year.

In most situations it boils down to your perspective. If your self-esteem is always on the line and it rises or falls with the result of every encounter you have with another person, you’re in deep trouble because none of us can control how other people respond to us and when we attempt to do this we’re perceived as manipulative. If you’re over-focused on something you regard as a defect you won’t be able to connect with others with a feeling of comfort and ease. Do you see yourself as too short, too bald, too fat, too ugly or too something? Do you hate your nose or your accent? Are you terribly self-conscious about the no-name law school you attended or the fact that you have a family member who is much more successful than you?

Are you constantly worried that you might not make partner? Do you evaluate every decision and every interaction with others in terms of how they affect your potential for partnership? Do you live in fear that others may discover something you’re ashamed over? Do you actively try to hide it? Whatever it is (be it a current problem with binge drinking or the imposition of professional reprimand twenty years ago) the fear of discovery is going to make you jittery around others and make you curious as to whether they know your dark secret.

There are two methods for dealing with such anxieties which can free you to interact with others less stressfully. One is to learn self-acceptance. There are many fine books and CDs which teach self-acceptance. I have written a number of blog articles on this topic using such concepts as self-compassion and self-forgiveness. The other method, which I want to talk about here, is self-forgetting – the process of realizing the self is a fiction and letting it go.

Eckhart Tolle (author of The Power of Now) is a leading exponent of self-forgetting in the popular media. While I have certainly enjoyed and gained a lot from reading his books and listening to his lectures on CD, much of my understanding of self-forgetting comes from Tarthang Tulku the Buddhist Lama who founded the Nyingma Institute in Berkeley, CA.

Tarthang Tulku says that the mind clothes itself and renders itself tangible to itself in a purely mind-created projection it calls the self. The self is like a magnet which attracts stories – stories which the mind has spun to make sense of its experiences in the world and stories which others have proffered to mind. Whether you define yourself your own way or you have allowed others to define you (such as your parents, teachers, professors, spouse or boss), either way you are placing narrow, artificial limits on your being and you are shaping the way you perceive and interpret events and situations. Depression is the difference between what you believe you should have accomplished and what you have accomplished.

If your self is a victim in your story than you’re likely to be on guard against rejection, disappointment and victimization. When you meet someone you analyze his every word and scrutinize all his facial micro-expressions for approval/disapproval. If your self is a conquering hero it’s all great until you suffer a long series of small defeats or one big humiliating disaster. As of August 2010 Tiger Woods (arguably the greatest golfer who ever lived) can’t make a golf shot, because the self he constructed with the help of PGA Tour, the press, and his fans has been shattered. Whether you’re a goat or a hero in your own story you’re loading yourself with stress because you’re always waiting for mistreatment and abuse or because you’re always working hard to stay on top.

If you confuse being (the state of existing in the present moment as a being) with having a self, then your focus is not on living in this moment but on how the self is faring (well or ill) and you are lost in tension-riddled comparisons between your self, your past and future selves and other selves. 

Tarthang Tulku recommends daily meditation to release the self and come back into the state of pure being unconditioned by stories about who we are, why we are, what we must do and so forth. He says that meditating in this way leads to compassion for all beings and unity with all beings – a condition of existence in which fear of others (social stress) cannot exist. I have been meditating in this way and making progress along this path.  I commend it you.

MRI STUDY SHOWS THAT OPTIMISTS AND PESSIMISTS USE THEIR BRAINS DIFFERENTLY

Sunday, August 22nd, 2010

Do you consider yourself an optimist or pessimist? An optimist is someone who is hopeful and confident that things will turn out well. He has a sense of personal power and expects to obtain a favorable outcome from his efforts. An optimist does not view failure as sign that he is defective or that the universe is against him. When he meets with defeat he regards it as a temporary setback and he looks for new strategies to succeed.

A pessimist is someone who sees and anticipates the worst in people and situations. He assumes things are likely to go badly. When they do go badly he takes this as a confirmation of his negative view that failure and frustration are a permanent and pervasive condition of his existence. When things go well he assumes the good times will not last. Rock bottom pessimism (what Martin Seligman called “learned helplessness”) is the belief that nothing you can do to help yourself or improve your situation matters because it’s doomed to fail.

Nobody I know is a pure optimist or pure pessimist. People tend to incline more one way than the other. Which way you incline has a huge impact on your health, longevity, career, family relationships and social relationships. Psychiatrist George Vaillant, M.D., (author of Aging Well) and psychologist Martin Seligman (author of Learned Optimism) say that optimists tend to have more friends, higher levels of happiness, better health and greater longevity than pessimists. 

Although pessimists call optimists frivolous Pollyannas the optimists I know are not naïve simpletons. Far from it. They are realistic optimists who would not hand their money over to a Bernard Madoff to invest, but would extend themselves to raise money to eradicate a disease or volunteer to tutor underprivileged children from bad neighborhoods (things that a pessimist would call long shots). Optimists are motivated by positive reward, rather than avoidance of worst case scenarios. A new study by Richard A. Anderson, Ph.D., the James G. Boswell Professor of Neuroscience at Caltech, confirms this on a neurological level. The study was published in the August 2010 issue of PLoS Biology.

Dr. Anderson recruited a group of adult subject to perform a complex task while under a functional MRI brain scanner. He wanted to find out how the motivation of the participants affected the degree to which the part of their brain called the posterior parietal cortex (PPC) was activated. The PPC is the part of the brain that transforms sensory stimuli into movement plans. It lies between the parts of the brain that control vision and movement. Using a trackball the subjects had to move a cursor to a number of memorized locations on a computer screen in a predetermined order. The subjects were given 1 second to memorize the sequence, 15 seconds to plan their movements and then only 10 seconds to perform the task.

In each trial the subjects were presented with opportunities for monetary gain or loss. For instance in one trial completing the task successfully would net the subject $5 while failure cause him to lose $1. In another trial success would earn $1 while failure would cost $5. Following all trials, the subjects were interviewed about how well they thought they did. All of them did poorly with regard to accurately recollecting their performance. People either had exaggerated perceptions of how well they did or exaggerated perceptions of how poorly they did.

The most interesting finding was how the perceptions of the subjects affected the activation of their PPC. Subjects who are optimists and believe they are doing well put out the most effort, and exhibit the largest increase in PPC activity, for the largest reward. Subjects who are pessimists and believe they are doing poorly put out the most effort, and exhibit the largest increase in PPC activity, to avoid the largest loss. Dr. Anderson concluded that the process of planning and action are influenced both by our subjective – but often incorrect – idea of how well we are doing, as well as by our perspective on potential gain and loss. Optimists are motivated by gain while pessimists are motivated by loss avoidance.

This is a fascinating study on a neuroscience level and a life philosophy level. Martin Seligman said that pessimism might be helpful to lawyers in spotting places where a deal could go sour, but it’s not a good recipe for a happy life. If you’re an optimist that’s great, but what if you’re a pessimistic lawyer who is making a good living but is subjectively unhappy, even depressed? Think about the fact that neurons which fire together wire together. Every time you act based solely on loss avoidance, you’re missing a chance to see and act on opportunities for reward which could increase your health and happiness.

I am not advocating that you become a frivolous Pollyanna and that you ignore blatant risks to yourself and your law clients when making decisions, something which could trigger malpractice. I am suggesting that you take some time to think about how your mind operates, to ask yourself if you’re happy or depressed, and (if you’re depressed) to think about moving from the strongly pessimistic zone into the mildly optimistic zone and give it a trial run. If you spend more time in the optimistic zone you will change your brain and become more motivated by reward than by loss avoidance. You will see people and situations more positively. That’s not a bad thing at all.

UNCLENCH AND HEAL YOUR PSYCHE WITH SELF-FORGIVENESS

Wednesday, August 11th, 2010

It’s easier to forgive others than ourselves. The nobility and magnanimity of forgiving others is appealing. In many cases it’s possible to imagine that what led to the other’s hurtful action was not a deliberate intent to harm, but rather ignorance, naïveté or a mistake. Yet when we feel shame because we have failed at something and let others down or when we feel guilt because we have done something to hurt another, we find it very hard to let ourselves off the hook. Part of this has to do with our personal knowledge of our own standards, intentions and motivations. Letting go of shame/guilt is rare. It’s much more common for us to keep telling ourselves “I should have known better and acted better. I must be a bad person.”

As Sherri Fisher points out shame/guilt develops very early. We experience it as toddlers when we resent the very existence of our younger sibling and blame ourselves for being such monumental failures that our parents had to make another baby to get one that truly pleased them. It happens in school when we don’t get the grades our parents and teachers expect so we make up loads of excuses for why we didn’t turn in top notch homework on time or get an A on tests. This triggers shame/guilt.

As aspirants to becoming lawyers we had to take LSATs, get into law school, compete for grades in law school, compete for jobs as graduation neared and take one or more Bar exams. In every case we measured ourselves against our own expectations which were shaped by family expectations, cultural norms, what our fellow law students were accomplishing and so forth. Every time we fell below those expectations most of us experienced the pain and anguish of shame/guilt instead of just shrugging it off.

Once in the world of work we had to compete with lawyers in our firm for achievement, recognition and approval. We also had to deal on a daily basis with the expectations of our bosses, clients, peers, support staff and our spouse and children. Each day we faced a mountain of work, strict deadlines and the ever present threat of being reprimanded, fired, disciplined or sued if we screwed up. Under all this stress some of us felt the allure of alcohol, drugs, gambling or in-office affairs and became addicts. The perfectionists among us ignored those temptations, but they worked such long hours that they abandoned their spouse and kids, life-balance and anything resembling simple fun and pleasure. Both the addicts and the perfectionists experience shame/guilt.

How does shame/guilt affect us? There are three classic responses. One is to deny you have done something worthy of shame or guilt to avoid the pain. Instead you project failure or wrongdoing onto others, blame and attack them for disappointing you and then reap the pain of constant social friction. The second way is to feel the pain and avoid social interaction because you don’t feel worthy of belonging and you don’t want to be judged. The third way is to immerse yourself in shame/guilt, conclude you deserve to feel bad and pursue a course of self-destruction. You can either numb yourself and shut down by becoming depressed or actively engage in self-harmful or risky behaviors.

Over the course of time shame/guilt accumulates like a toxic sludge in our psyches. It is only through self-forgiveness that we can flush out this sludge and gain healing self-acceptance. Julie Hall of the University of Rochester Medical Center and Frank Fincham of Florida State University co-wrote an article in 2005 while they were colleagues at the University of Buffalo, State University of New York, which defined analyzed the process of self-forgiveness and described its benefits. Their article appeared in Volume 24 Issue 5 of the Journal of Social and Clinical Psychology.

 Hall and Finch defined self-forgiveness as: “a set of motivational changes whereby one becomes decreasingly motivated to avoid stimuli associated with the offense, decreasingly motivated to retaliate against the self (e.g., punish the self, engage in self–destructive behaviors, etc.), and increasingly motivated to act benevolently toward the self.”

Hall and Fincham found that self-forgiveness is associated with positive self-esteem, and higher life satisfaction. They say that self-forgiveness remedies feelings of shame and guilt and restores one’s self-respect. In their article they describe a four phase process for effective self-forgiveness:

  1. The uncovering phase consists of recognizing denial, guilt, and shame.
  2. The decision phase includes having a change of heart and wanting more positive feelings.
  3. During the work phase, the person develops new self-awareness and self-compassion.
  4. Finally during the outcome phase, the person is able to stop activating painful thoughts about the offense and can choose new constructive behaviors.

          Self-forgiveness works because the self gives up guilt and blame and exchanges them for self-compassion and steps toward constructive, rather than destructive, behavior.

          A lawyer can accumulate toxic levels of shame/guilt which immobilize him for a great many reasons. He might have lost a client’s file with unique and irretrievable documents or forgot to back up his clients’ data before a total computer crash with loss of his hard drive. He might have missed payments on his insurance letting his malpractice liability policy lapse shortly before a claim was filed. He might have has lost a big case, developed an addiction, taken money from a client trust account, suffered a bankruptcy or gotten disciplined for misconduct. He might have missed one too many of his kid’s artistic performances or sports events and been told he’s the worst parent on the planet. He might have received divorce papers after his in-office affair was discovered.

Whatever your reason for feeling shame/guilt please know that you are no better and no worse than anyone else and that every human being fails or transgresses against others at some point in his life. Please know that your ability to function well as a lawyer, a spouse, a parent, and a friend, all depend on forgiving yourself when you fail or hurt someone and fall into the mire of shame/guilt.

I am not advocating that you free yourself from moral principles to avoid shame/guilt for your actions. Certainly you are always under an obligation to act ethically, and certainly you should try your best to make things right with the people you have harmed. Indeed, I’m presupposing that you have made all appropriate apologies and undertaken all appropriate actions to fix, repair or compensate them for harm. My focus here has been on the internal, mental punishment that goes on long after you have taken care of mistakes in the outer world.  

Speaking of internal punishment, many times lawyers engage in it without them having harmed anyone else. This occurs most commonly when they fail to live up to their own professional goals or expectations such as being hired by the law firm of their choice, making partner, establishing a reputation for excellence, keeping their promises, and so forth. Self-forgiveness is a necessity not a cop out. To remain a happy, healthy, high functioning person you’ve got to avoid burdening yourself with the sludge of shame/guilt. The old saying “to err is human, to forgive divine,” should have a companion that reads “to err is human and to forgive oneself is divine.” A sage once said that if you can only have compassion for others, but you exclude yourself, then your compassion is incomplete. 

As Mark Tyrrell has pointed out crimes have definite sentences, but self-blame can last forever. If you want to heal and move on you have to give yourself a release date. What if you want to forgive yourself but you don’t know how? There are resources out there. There are books, CDs and websites on self-compassion. These include Thom Rutledge’s book The Self-Forgiveness Handbook, the CD titled Self-Forgiveness: Prerequisite For Healing at Credence Communications and Kristin Neff’s website www.self-compassion.org. You can see a psychologist or grief counselor. You can also go on a meditation retreat devoted to self-forgiveness.

STRONG SOCIAL RELATIONSHIPS EXTEND LIFETIMES BY 50%

Thursday, July 29th, 2010

People in industrialized countries are experiencing a steady decline in the quantity and quality of social relationships. In Bowling Alone Robert D. Putnam said Americans have gone from a society of joiners to one of loners. He convincingly documented this by marshaling statistics which show startling declines in the membership of political parties, labor unions, civic organizations, religious and charitable organizations, neighborhood associations, sports clubs and so forth. Contemporary social trends along these lines are  reduced inter-generational living, greater social mobility, delayed marriage, dual-career families, increased single-residence households, and increased age-related disabilities. Over the last two decades there has been a three-fold increase in the number of Americans who report having no confidant.

Does lack of meaningful human contact and good social relationships predict early death? The answer is yes. In a study published in the online journal PLOS Medicine in July 2010 University of Utah psychologists Julianne Holt-Lunstad and Timothy B. Smith and UNC epidemiologist J. Bradley Layton performed a meta-analysis on 148 scientific research papers dealing with the link between social relationships with morbidity and mortality. The studies looked length of survival in 308,849 participants who were followed for an average of 7.5 years. The meta-analysis demonstrated a 50% increased likelihood of survival for participants with stronger social relationships. This finding remained consistent across age, sex, initial health status, cause of death, and follow-up period.

In their conclusion the researchers say that individuals with adequate social relationships have a 50% greater likelihood of survival compared to those with poor or insufficient social relationships. The magnitude of this effect is comparable with quitting smoking and it exceeds many well-known risk factors for mortality (e.g., obesity, physical inactivity).

Study author Timothy Smith said that relationships provide a level of protection for our physical health across all ages. He reminded us not to take relationships for granted as if we fish that never noticed the water.

Lawyers and other busy professionals need to take this study very seriously. Too many of us spend the bulk of our waking hours working, commuting, thinking about work, preparing for work, and soothing ourselves to relieve the stress of work. We make resolutions to spend more time with family members, but do we keep them? Some of us only see family for milestone birthdays, marriages and funerals. When we run into old friend we say “it’s been way too long, we’ve just got to get together soon,” but how often do we actually follow up? More and more people substitute Facebook communication via the Internet for real in-the-flesh socializing.

How does friendship make us happier, healthier people who lead longer lives?
The authors of the PLOS Medicine article say social relationships buffer stressors which would otherwise damage individual health. They provide resources (informational, emotional, or tangible) that promote adaptive behavioral responses to acute or chronic stressors (e.g., illness, life events, life transitions). Just having friends and knowing that social support is available can increase a person’s stress tolerance. Spending time with friends and sharing a laugh lowers cortisol and increases endorphins. Social relationships may directly encourage or indirectly model healthy behaviors. Loners have less incentive than people in active social networks to engage in self-care and good hygiene. Being part of a social network gives individuals meaningful roles that provide self-esteem and a life purpose. Being alone during non-work hours can be taken as proof that one’s life isn’t meaningful or that other people don’t care about you.

We are social creatures. Our survival during pre-historic times depended on staying together in small, cohesive groups marked by a high degree of cooperation. People have a strong inner need to contribute to the lives of others, to give and receive human touch, and to exchange admiration, appreciation and affection with people they care about. When we experience something truly interesting, beautiful or awe inspiring we naturally want to share it with a friend. When we are lonely, scared or sad we long to share our feelings with a confidant and get his or her support.

Ultimately it’s so much better for our health and happiness to let go of the  chance to make that one extra dollar and spend that time with a friend instead. The real bottom line is not what you have in the bank, but how long you’ll live to enjoy your family, friends, and everything else that brings you joy. If the thought of spending more time socializing and less time at the office makes you apprehensive about your financial bottom line, then remember that avoiding social relationships will significantly increase your odds of dying. To have friends you have to be a friend. Believe me it pays off. Your life will be way more enjoyable and your odds of survival will increase by 50%  Isn’t that the best deal in town?

Right after finishing this blog entry I received a touching  email from my sister-in-law Lori Carlson Watsky in Austin, TX, about the value of friendship. I’m reprinting it here because it so beautifully captures why we need friends:

“If you happened to read a recent front page story of the SF Chronicle, You would have read about a female humpback whale that had become entangled in a spider web of crab traps and lines. She was weighted down by hundreds of pounds of traps that caused her to struggle to stay afloat. She also had hundreds of yards of line rope wrapped around her body,  her tail, her torso, a line tugging in her mouth.

A fisherman spotted her just east of the Farallon Islands (outside the Golden Gate ) and radioed an environmental group for help. Within a few hours, the rescue team arrived and determined that she was so bad off, the only way to save her was to dive in and untangle her. They worked for hours with curved knives and eventually freed her.

When she was free, the divers say she swam in what seemed like joyous circles. She then came back to each and every diver, one at a time,  and nudged them, pushed them gently around…she was thanking them. Some said it was the most incredibly beautiful experience of their lives. The guy who cut the rope out of her mouth said her eyes were following him the whole time, and he will never be the same.

May you, and all those you love, be so blessed and fortunate to be surrounded by people who will help you get untangled from the things that are binding you. And, may you always know the joy of giving and receiving gratitude. I pass this on to you, my friends, in the same spirit.”

RELIEVE STRESS THROUGH CHORES DONE IN A MEDITATIVE SPIRIT

Wednesday, July 28th, 2010

Our homes manifest the law of entropy. The moment we get the clothes washed, dried, folded, and put away, and kids’ things picked up off the floor, everything gets messy again. A few people I know (like my wife) can’t rest until their homes are clean, neat and well organized. Many of us (me included) look at home cleaning chores somewhat resentfully, wishing they would somehow take care of themselves and leave us alone.

Lawyers and the many other people who work in offices all day solving other people’s problems come home feeling worn and depleted. They want to rest and they want to be soothed. The last thing they want to do is some type of chore, which means the dishes remain piled up in the sink, the high stack of unpaid bills on the desk leans like the Tower of Pisa and the dust balls move across the floor like tumbleweeds. Various people soothe themselves in different ways. Some go to Happy Hour. Some go home and drink wine. Some flop on the couch, turn on the TV and channel surf. All of those things seem so much better than doing those damned dishes.

There are several draw backs to this mode of living. One is that clutter catches up with us and eventually the house resembles a jungle. Just looking at the clutter adds to your stress. If  your spouse does all the cleaning, you can count on him or her using the death stare if you seek affection. Guzzling alcohol or being a couch potato does not relieve the stress you accumulate at the office in a healthy way which leaves you with greater mental clarity, energy and zest. Thirdly, these modes of self-soothing deprive you of contact with the joy of living that comes from being truly present and mindful.

Thich Nhat Hanh put it best in The Miracle of Mindfulness when he said:

“To my mind, the idea that doing dishes is unpleasant can occur only when you aren’t doing them…I enjoy taking my time with each dish, being fully aware of the dish, the water, and each movement of my hands.  I know that if I hurry in order to eat dessert sooner, the time of washing dishes will be unpleasant and not worth living.  That would be a pity, for each minute, each second of life is a miracle.”

Tonight when you get home wash the dishes mindfully in the meditative spirit discussed by Thich Nhat Hanh and see what happens. You can always go back to the wine or TV, but you may find you don’t even need them. You may find that you want to read a good book, take a walk, hang out with your kids or spend some face time with your spouse really listening to what his or her day was like. Sit quietly. Take a deep breath. Imagine it. Do it.

USING JASMINE FRAGRANCE INSTEAD OF DRUGS TO INDUCE SLEEP

Saturday, July 10th, 2010
Difficulty falling asleep is a worldwide problem and the use of drugs to induce sleep is commonplace. In the U.S. tens of millions of people use prescription drugs to depress the central nervous system and fall asleep. The two main categories are selective GABA agonists without benzodiazepines such as Ambien, Lunesta and Sonata and benzodiazepines (anti-anxiety drugs) such as Valium, Xanax, Klonopin, Ativan, Restoril and Halcion. Benzodiazepines are also known as benzos or benzies. Both classes of drugs activate the GABA system in the posterior hypothalamus of the brain. GABA is the main inhibitory neurotransmitter in the human brain which acts to calm, relax and quiet the brain.
Not all Americans use these drugs like Ambien of Valium. Some use anti-depressants like Trazodone, anti-convulsants like Neurontin; pain medications like Darvocet; muscle relaxants like Flexeril; or over-the-counter anti-histamines like Nytol, Tylenol PM or Unisom. Many people consume alcohol to get to bed, and there are some who get hooked on cough syrup containing alcohol. Prescription drugs, alcohol and over-the-counter drugs all have their side effects. To varying degrees they pose a risk of drug tolerance (needing a higher dose to get the same effect), drug dependence and withdrawal symptoms.
The non-benzodiazepines can cause dry mouth, drowsiness, feeling drugged and dizziness. The most common side effects of benzodiazepines are related to their sedating and muscle-relaxing action. They include drowsiness, dizziness and decreased alertness and concentration. They can produce incoordination with injury-falls and traffic accidents. Decreased libido and erection problems are a common side effect. They can cause depression. Less common side effects include nausea and changes in appetite, blurred vision, confusion, euphoria, depersonalization and nightmares. Cases of liver toxicity have been described but are very rare.
In Germany 20% of adults take benzodiazepines drugs to fall asleep. These drugs are highly addictive and although they are only supposed to be taken for no more 2-4 weeks, many people take them for years. Long term use of benzodiazepines over a period of years are associated with a general deterioration in physical and mental health, including cognitive impairments, behavioral problems, anxiety and depression, loss of sex drive, agoraphobia and social phobia, an altered perception of self and environment, and an inability to experience or express feelings. The most frequent withdrawal symptoms are insomnia, gastric problems, tremors, agitation, muscle spasms, and fearfulness. Less common effects are irritability, sweating, depression, psychosis, suicidal behavior, seizures, and delirium tremors. Severe symptoms usually result as a result of abrupt or rapid withdrawal, so gradual reduction is recommended.
Recently a team of researchers in Germany (Hanns Hatt of the Ruhr University in Bochum and Olga Sergeeva and Helmut Hass of the Heinrich Heine University in Dusseldolf) tested hundreds of fragrances to find a non-harmful substitute for benzodiazepines to induce sleep. They wanted to find out which fragrances, if any, could match the potency of benzodiazepines in activating GABA receptors in the posterior hypothalamus of mice. Their published results in the online July 2010 issue of the Journal of Biological Chemistry show that the fragrance of jasmine is highly effective in sleep induction. The jasmine fragrance vertacetal-coeur and its chemical variation (PI24513) were able to increase the GABA effect in mice by more than five times and act as strongly as benzodiazepines. This was the case whether the fragrance was injected or inhaled in a plexiglass cage. The mice exposed to the fragrance became extremely tranquil and their brains showed electrophysiologic evidence of the sleep cycle. The researchers were granted a patent for their discovery.
Thus there appears to be a scientific basis for aromatherapy with regard to inducing sleep, and this holds out some promise that people who are now dependent on drugs to fall asleep may be able to use a side-effect free jasmine fragrance instead.