Some thoughts on “This Emotional Life”


Caught part II of a 3 part, 6 hour, series on PBS last night. This Emotional Life, moderated by Dr. Dan Gilbert. I recommend you check out, at minimum their website but if you get a chance, tonight your local pbs station may air the 3rd part. The website includes lots of info about the various topics, individuals interviewed, and the whole first episode (which I have yet to watch). The series focuses on love and family relationships and attachment (#1), negative emotions such as anger, fear, and depression (#2), and happiness (#3).

Now, there are a number of irritations I have about the program but the good outweighs the bad. What don’t I like?  I don’t like the way they say, “Science says…” and then do not discriminate between data and interpretation of said data. I don’t like the repetitive evolutionary comments. For example, “the newer part of your brain can’t communicate with the older part” assumes that because we have a cerebral cortex and animals don’t have as well-developed cortexes, that part of our brain is “newer.” Further, the view of humanity in episode 2 seems to be that of the human physical robot. There is no space for the spiritual. One quote from the episode, “Mental illness is nothing less than a physical illness that has psychological consequences.” It is as if emotions are only chemical.

But these small problems can be easily forgiven. Here’s what I like from episode 2:

  • The honest admissions of struggles of celebrities (e.g., Katie Couric’s admission she has intrusive thoughts of jumping off high balconies, Chevy Chase’s admission of depression, etc.)
  • The gripping stories of struggler’s with anger, anxiety, and depression (especially two vet’s struggle with PTSD) and the significant impact of the struggles on the other family members
  • You really get a window into their interactions with their therapists. Lots of good video that is rare to see!
  • The scientific discoveries relating to the brain and the experiences of these negative emotions. For example:
    • Stress hormones seem to strengthen memory formation. Thus traumatic experiences likely etch bad memories much deeper than other memories.
    • Re-appraisal (neutral re-evaluation) of events where you experience negative emotions supports more control of these emotions whereas rumination causes us to be more reactive
    • Prolonged exposure therapy (telling, retelling and retelling again) for PTSD patients seems to have significant positive benefits (though it defies logic–most people want to get away from their bad memories)
    • Depressed individuals tend to have reduced hippocampus volume. Antidepressants and ECT seem not merely to change brain chemistry but actually increase cell growth. Depression actually seems to change the brain and antidepressant use stops hippocampus shrinkage

A couple of other interesting tidbits:

  • Emotion regulation: not trying to turn off emotion but tools to change the course of emotion
  • “Don’t believe everything you think.” But, we tend to nonetheless
  • Struggling with overwhelming anxiety? Accept that you have these feelings (crying, tension, fear), accept that they are physiological experiences, avoid labeling them as awful. You will have scary thoughts and you can live with them
  • “What is the worst thing that could happen right now?” I might cry. “And what if you do?” That would be bad. By accepting these emotions you can distance from the meaning you are applying to them.
  • There are biological indicators in those who are highly reactive to stress. These folks can’t help their reaction but they can recognize their tendencies and respond differently to them.
  • Untreated mental illness is harder to treat if left untreated for long periods of time.
  • Richard Lewis on the benefits of therapy and getting to talk about things he never talked about with anyone: “Maybe for the time I left her (his therapist) office til I got in my car I was floating on air”. Hmm, is that worth the 150 dollars he probably paid?

Finally, I leave you with this. Perceptions of progress, or lack thereof, have a huge impact on your perceptions of happiness. One young girl thought her ECT would help sooner than it did. When it did not, she crashed even worse. Even more than our physiology of emotions, our perceptions of our well-being and our progress often dictate our beliefs about ourselves and our futures.

If you saw it, what did you think?

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Filed under anger, Anxiety, counseling, Psychiatric Medications, Psychology

Standing with Rwanda


For those interested in pictures (from the Rwanda Embassy in DC) and formal information about what the AACC, Dr. Diane Langberg, and others including myself are planning on doing in Rwanda, click the following: MOU AACC alert.

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Filed under "phil monroe", christian counseling, christian psychology, Diane Langberg, Rwanda

Psychopathology Monday


Happy New Year all. Our semester begins today with the first session of Psychopathology for the first year students. Before launching into the various forms of mental illness and emotional maladies, we consider the larger concept of suffering. Without a careful understanding of (a) the nature, causes, and theology of suffering, (b) the meanings of suffering, and (c) our beliefs and responses to suffering, we counselors become a dangerous lot. We fall prey to simplistic understandings and responses–and fall prey to false hope and false despair.

Sound like a great way to start of the New Year? It does to me because we now have an opportunity to look at ourselves and our world with more realistic eyes than we may have during the stress of the holidays.

Coincidentally, we had a Sunday School class yesterday on the topic of suffering. Our church has buried 10 people who died before their time (so it seems to us!) in the past 5 years. Not only have we had these tragedies, we’ve also splanted a church and been in a transitional malaise for maybe 7 years? The class allowed individuals to talk about suffering and heartache. Good class. We heard those who felt that what was going on was a message from the Lord, from those who just felt confused and in pain, from those who felt the nearness of the Lord during these normal ups and downs of life in a fallen world.

What was said in multiple ways was that one’s perspective or expectations about suffering really impact how one feels about the struggle of life. If you expect life to always be healthy then repeated sicknesses and death will set you back. Someone said there that if you lived in a dirt hut that moving into a trailer would seem wonderful but if you lived in a palace, the trailer would seem a terrible thing.

So, what should we think about suffering and the seeming explosion of death and heartache?

  1. God is saying something AND yet He may not be sending some special message to us
  2. Our actions may cause some of our own suffering but living more righteous lives does not prevent suffering
  3. Suffering is to be expected in this world AND yet it is NOT THE WAY IT IS SUPPOSED TO BE
  4. Isolation and failure to connect to others in suffering ALWAYS makes that suffering worse
  5. Even those who only observe those in suffering suffer as well and need to connect with others in order to avoid despair
  6. Good may come out of suffering, but suffering itself is not good
  7. God, through the cross, bears our suffering and yet it still hurts
  8. It will not last forever

Finally, how do you respond to suffering? Turn away? Become numb? Angry? Probably all the above, right? Take a moment to consider how you respond to suffering right in front of you and watch yourself for those trite statements that can hurt those who are already in pain.

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Filed under christian counseling, christian psychology, Christianity, counseling, counseling skills, Doctrine/Theology, suffering

Merry Christmas!


Merry Christmas all. Hope you are enjoying winter white if you are in a cold environ or the warm glow if elsewhere. We are looking forward to seeing Maine at Christmas–where you want plenty of snow (like below)! Will be back to posting in January 2010.

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Interesting article in the American Psychologist


Just got my December issue of the American Psychologist (64:9). In it is an article but Brenda Major (and others) entitled, “Abortion and Mental Health.” These authors wrote a report in 2008 for the APA task force on Mental Health and Abortion (available at here). What I find interesting in the article is the discussion of the research on the association of mental health problems with abortion. Set aside, just for a moment, your strong feelings about the topic and consider this question: how would you go about studying the effects of abortion on women using robust measures?

You cannot do a randomized, double-blind study (you subjects get an abortion while you other subjects have your baby). Thus, you cannot fully control pre-existing or co-occurring risk factors. So, what do most researchers do? Try to indicate risk markers–correlations–that may point to possible but not proven causes. The writers of this article point out that the downside of correlation or associations is that folk tend to mistake them as causes. They give one specific example: If age is the “most important known risk factor for Alzheimer’s disease (AD)” one might assume that age causes AD. But it does not. Similarly, one can do a study that shows 100% of convicted sex offenders have their own sexual victimization and wrongly assume that sexual abuse leads to sex offending. Not so.

These authors emphasize the benefits of asking two other questions (on p. 865):

1. What is the relative risk of mental health problems associated with abortion compared to the same risks associated with having an unwanted baby (whether keeping or adopting out)?

2. What predicts individual variation in women’s psychological experiences following abortion?

The authors go on to say that the hypothesis of the researcher really impacts the kinds of research questions asked (and thus conclusions). Some research focuses on traumatic experiences, others on stress and coping, still others on the sociocultural context.

By the way, it is a long article but concludes this way (p. 886):

Mental health among women who experience an unwanted pregnancy reflects a number of factors. It reflects preexisting and co-occurring conditions in a woman’s life that place her at greater or lesser risk for poor mental health in general regardless of how she resolves her pregnancy. It reflects her appraisals of the meaning of a pregnancy and abortion and her appraisals of her ability to cope with either option.

There’s more to their final thoughts but you get the point. How you look at pregnancy, abortion, adoption is likely to have a big impact on your immediate mental health. Sadly, I suspect the research also reflects the biases of the researcher (how could it not?).

I found this article interesting because it does a great job illustrating the benefits AND drawbacks of research. Researching mental health of women with unwanted pregnancies is a good idea but will fail to address the moral and ethical questions that, in my mind, take precedence in the public debate.

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Funny how memory works


Went to log onto my Biblical Seminary course site from my laptop and somehow it no longer had my ID and password saved. Since it wasn’t one that I made myself I couldn’t remember either one. Called Eric, our registrar, for help. Wouldn’t you know it, both came back to me as I was talking to him and had fingers poised to type. I’m pretty certain my fingers remembered my password but not my brain. Now, technically, that isn’t true. What is more likely is that I had implicit memory of the password but not explicit recall. Something in the phone call made it come back to me. Ever had that happen? Weird.

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Propaganda is in the eye of the beholder


What is the difference from selling truth to a population and selling propaganda? A razor’s edge so it seems. I suppose another response would be, “I know it when I see it”–the response made about pornography. But what may be truth to you is propaganda to another.

Why am I thinking about this? My recent trip to DC included a trip to the holocaust museum. There, the curator of the new propaganda exhibit took us through his amazing assemblage of Nazi propaganda. Let me give you a flavor:

Propaganda as defined in the museum is, “biased information designed to shape public opinion and behavior.” They go on to say that propaganda is identified as that which

  • plays on emotions
  • uses a combination of truths, half-truths, and lies
  • omits information that might counter its contentions
  • simplifies complex information into a slogan
  • Attacks opponents (blames them for all problems; negatively portrays them)
  • Advertises a cause and uses righteous approach to give the cause meaning
  • Targets desired audiences through contextual material

As we went through, here’s what I noticed as well. A propaganda machine works to re-write history; makes the enemy comical (caricatures of Jews evident); emphasizes oration skills; uses media, fine arts, art, color, pictures, emphasizes a logo; targets different audiences in different ways; doesn’t mind opposition but builds on it; keeps people terrified; encourages even demands grassroots involvement; gets the youth involved; portrays self as victim and minority; creates fictitious events (e.g., calls war by another name (retaliation for prior aggression); connects with known trusted and wise individuals or labels (Hitler was alluded to as the Great Physician!); encourages passivity so that the inner circle may act in their stead; and encourages skepticism and cynicism about the criticism they will receive (the Nazis told the people near the end of the war that the Allies would say evil things about them that were going to be untrue. Such activities plant seeds of doubt to encourage those to believe that the holocaust didn’t really happen).

Now, let me tell you about the reactions we had as we went though the exhibit. The Rwandans with us gasped and gaped at times. They realized that someone(s) masterminding the Rwandan genocide must have read the Nazi playbook. They reminded us that one such mastermind in Rwanda was a PhD in history and was behind the use of the Radio propaganda. They repeated over and over, “this is what happened to us.” Several of us also realized that in child sexual abuse, many of these same behaviors are used (whether consciously or not) to avoid detection. The perpetrator grooms the victim, rewrites history, tells half-truths, makes themself the victims, and even may try to plant seeds of doubt about the truth.

One more thought? Could we also say that sometimes Christian organizations use some of these tactics. Scare a population by making a caricature of the government, report only half the truth, make self as victim, excuse unchristian behavior as necessary.

While I don’t think the answer is that we ought to all become horrible skeptics in order to avoid propaganda, I do think we ought to be highly sensitive to those behaviors and attitudes that do not reflect the proper character of Christianity. We must not use tactics unbecoming of Christ–even if for a good end.

I leave you with this thought: Isn’t there a good use of propaganda? I believe so. Can you give some examples where you are getting “good” propaganda?

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Filed under Abuse, christian counseling, Cognitive biases, deception, Rwanda

Rwandan meetings


Spending today at the Rwandan Embassy in DC. Discussing best ways to memorialize without further traumatizing the population. Yesterday we spent a good portion of the day at the National Holocaust Museum. Believe it or not, it was a wonderful experience. I intend to blog about it in the coming days. But for now, back to our meetings.

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Rwanda meetings


This coming week I have the pleasure of meeting up with several folks interested in the next step in our Rwanda efforts. We will be meeting with Rwandan church and gov’t officials to discuss possible training efforts before next Memorial period. Along with meetings in the DC area, we will tour, together, the Holocaust museum. I understand this will include a behind the scenes interaction with curators, holocaust survivors and others. Cool!

Hopefully, we will come out of these meetings with a clear plan for our next, yet-to-be scheduled trip. I don’t know if I’m alone in this experience, but meetings seems to drag on when I would rather start doing something. I know, at one level, how important listening is. But brainstorming and planning are way more fun! I hope we’ll get to that!

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Filed under christian psychology, Historical events, Rwanda

The uniqueness of the United States?


Have you caught any of the public (media) controversies about whether President Obama really likes the U.S.? You have sound bytes of Americans saying that Obama doesn’t even like the country and even the former Vice President Cheney making a similar accusation. It is not a new controversy. Certainly, the comments of his then pastor didn’t help him…The bruhaha about wearing a flag pin…and Michelle Obama’s comments about her first time feeling proud about the U.S.

Without debating Obama’s feelings about the country, I’d like to consider the issue of our uniqueness. Is there something special or unique about the US that places us in a special category different from the rest of the world? Is it okay to even ask this question or does it automatically indicate a disrespect for our forefathers, for democracy, for the Christian roots of the country?Is it tantamount to saying that God has not had his hand on this country in some special ways?

Stating that we are not unique may be one of the remaining heresies of our time.

But, should it be a heresy to suggest that in the eyes of God and others, we aren’t so different. This does not mean that we wouldn’t choose every time to still live in this country. This is not to suggest that we have blessings that few others have.  This is not to say that God isn’t carrying out his purposes via our country either.

But are we special? We have flawed individuals making up a flawed government who are seeking both personal good and, yes, the good of others (for the most part). Isn’t that true of other governments as well? Maybe not all governments seek this, but certainly many do.

Is America great? But could it be better? Yes. And so, being willing to criticize, even publicly, this country is one of the evidences of its greatness. Even further, being willing to criticize and demand better care for all is a sign of our greatness.

Seems the debate is not really about our pride in the US but in demanding no honest criticism. Sounds like the, “I can criticize my family all I want, but I’ll never admit to you that they have any flaws” mindset.

So, are we special and unique? Is it so bad to admit our flaws? Our failures? To even note that other countries have done a better job at certain things? What do you think? If your family emigrated to Canada instead, would you really be less of an individual? Would you be jealous of Americans?

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Filed under Christianity, News and politics