Teach them to swim

Joseph Campbell’s famous quotation that the schizophrenic drowns in the same waters in which the mystic swims with delight has been passed around for generations as profound “wisdom” and therefore not challenged. To me, this quote leaves people with the impression that the schizophrenic is a write-off as a functioning human being, while in contrast, the mystic, with whom he has much in common is, well, a great and glorious mystic.

The schizophrenic has all the ingredients of a mystic/poet/writer/musician, he just needs help getting there. Teach him to swim in the mystic waters. Support his interests, don’t put them down. Encourage greatness in him. Don’t insist on conformity to our very limited appreciation for who is worthy and who is not.

If I knew then what I know now . . .

Here are my top eleven ideas for helping a relative to heal. It’s all about attitude.

1. Do not panic!

2. Accept only positive perspectives.

3. Be open minded to other ways of thinking.

4. Change your belief system.

5. You are an advocate for your relative, not the doctor’s cheerleader.

6. Your relative is not chronic; the interventions that have been tried so far are a failure. Try something different.

7. Spread your eggs over many baskets.

8. Your relative is not brain-diseased, but is reacting this way for a reason. Be empathetic. Hold his or her hand and say “I understand you are angry/afraid/whatever and you have every right to be.” You don’t know why, at this point, so don’t probe, just be there and be sympathetic and keep your mouth closed.

9. Indulge in self-examination.

10. This is a crisis only. There is an opportunity here for you and your relative to grow.

11. Beware declaring victory too soon.

Heightened consciousness

Note from the sound shaman

“Unfortunately, modern psychotherapy continues to view the human mind as if it were simply a result of chemical processes in the brain. This viewpoint, in my opinion, could not be further from the actual truth. While our thoughts are made manifest by the “mechanical” action of our brain, our “mind” and our “emotions” are quite something else. We can measure the electrical changes in the body – the torso, the arms, the legs – when we think and emote. Thus, the action of thought and emotion affects our entire body system. Our thoughts and emotions are interpreted by our mind, and are generally reactions to some form of external stimuli such as sounds, images, scents, etc. It is our perception of these signals that forms the images, feelings and connections to short and long term memories.

Our western perspective on perception has forgotten, or simply ignores, a very important “reality” which is that there are other equally valid, if not somewhat uncommon, or misunderstood experiences and “perceptions” of the world around us. In ancient cultures, and with most indigenous peoples, the understanding of the world is augmented through “heightened consciousness” or “expanded perceptive abilities”. To reach these levels of “super consciousness”, cultures have applied various rituals and practices: meditation, chant, dance, sensory deprivation, the ingestion of plant and animal substances, etc. Through many years of training, practice, patience, and experience, the monks, sages, shamans, masters, are able to reach a level of awareness and perceptual experience, that under the microscope of modern psychoanalysis many experts would consider abnormally psychotic. In so doing, our modern society is losing (or has already lost), an opportunity, as well as a willingness to understand the true essence of who we, as human beings, really are.”

Emotional Freedom Technique

The Emotional Freedom Technique newsletter always provides some interesting insights into how we can use our body’s electrical system to heal our minds and bodies. In today’s newsletter an EFT practitioner/therapist has written about his recent experience with a 16 year old client who was on the verge of being committed to the psych ward after breaking up with his girlfriend. The full story can be found at: http://www.emofree.com/Articles2/relationship-breakukp-desanto.htm

I have reprinted Steve DeSanto’s observations about the outcome of the treatment below. First I would like to say that I wish I had known that there were other possible ways of dealing with the crisis when Chris was beginning to come unravelled while in his teens. I am not saying that Chris wouldn’t have ended up in the hospital anyway, but access to another way might have saved Chris from becoming a psychiatric patient and the agony of all that goes with it.

Steve DeSanto: “I’d like to point out some important things relating to the above session. First, we have a single mom already stressed out because she’s single and raising 3 kids. Michelle’s a spunky woman and certainly no shrinking violet. But her son’s emotional condition caused her to seriously consider checking him in to the psych ward. If Nadine had not answered the phone, she probably would have done just that.

Unfortunately, far too many parents do. They trust the mental health system out of ignorance. They wrongly assume psychiatrists have the inside scoop on matters of the mind and can somehow work magic. (But they can’t … unless they know EFT–grin).”

NAMI again

There is something about NAMI’s patronizing view of the mentally ill that really irks me. For a bit of fun, I took a Q and A from its Ask the Psychiatric Pharmacist section and thought, what if this were an obese person they are talking about? Everybody knows that you can’t make another person lose weight. They have to do it themselves, for their own personal reasons. It’s the patronizing attitude that bothers me more than the good intentions. This approach may work with your friends, but it still presumptously assumes that the patient is incapable of making his own decisions for his own reasons. (NAMI does assume the person is incapable of making their own decisions because NAMI believes in agnosognosia, the inabilty to recognize that you are mentally ill!)

So, below is Q and A #14, to which I have copied almost verbatim, but substituted fat/obese for mental illness, diet for medications, FATSO for NAMI. I left in the special case they plead for bipolar and schizophrenia.

As yourself as you are reading this, if this approach will really work if you try it on your friend. I’d say, you’ve just lost a friend.

Original question: Someone I really care about has mental illness but repeatedly stops taking his medication and his symptoms come back. Sometimes my friend has to be hospitalized. How can I help him? (My thought: Why is this question being directed to a pharmacist in the first place?)

Rephrased question:
Someone I really care about is immensely obese but repeatedly stops dieting and he gains it all back. How can I help him?

PHARMACIST’S response: One answer is to let the fat person know that he can always count on your love and friendship, but his best chances of losing weight will occur when he accepts that proper diet is crucial to his recovery. Sometimes one can help persons struggling with fat (especially those with bipolar or schizophrenia) decide for themselves which is worse – the short periods of time without the donut and the side effects, followed by the inevitable re-emergence of the fat (often piling on more fat than before)….. or, the steadier, prolonged times of skinny living (or at least more manageable fat) while staying with the diet and coping with the hunger. In a recent study, a researcher and colleagues have shown that higher rates of non-compliance with diets were associated with relapse between 6 and 18 months following a previous binge.

Simply relapsing can help some of those suffering with obesity to be more compliant with their diet. To them, relapsing means “hitting rock bottom”, and they will be more motivated to change whatever they can to ensure a better recovery. Others may not be prepared, and will be more difficult to reach. For these people, consistent support and patience are important to maintain.

Another valuable action you can take is to tell your friend about FATSO. There may be a FATSO group in the community in which he lives. You could take him to a FATSO meeting. Show him how to get on the FATSO website and navigate to the different sections available (“Inform Yourself,” “Find Support,” and “Take Action”). Being an informed consumer will help him understand not only more about his illness but also about the important role dieting can have in controlling his symptoms (in his case, obesity).

It’s very important that your friend knows you will be there to help him when his over-eating gets troublesome. Your support in helping him stay on his diet will benefit him greatly.

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