O'Grady Psychology Associates

Psychotherapy, Marriage Counseling, Neuropsychological Assessment

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The Elusive Muse: Reclaiming creativity and focus

NorthernLights
Photo by Marcelo Quinan, Unsplash

For three months, I’ve resisted writing. I sat at my desk or the kitchen table—my favorite place to write—to compose an essay, but distraction beckoned me at every turn. The muse, that slippery, elusive impulse to create words from experiences and observations, had gone missing. Each week I’d tell myself that I’d write over the weekend, and Sunday night would come with nothing to show.

Wonderful ideas came at moments in my psychotherapy work, or on a hike, or in conversations with friends. I had flashes of insight, but writing them down was the tricky part. I used apps like Evernote and Pocket to collect interesting, pertinent articles to reference. I’d write a few lines and a title, but not finish the post. In fact, my Mac desktop became so cluttered with ideas and open pages that I was overwhelmed with all the fragments of potential posts staring back at me, giving me a glimpse into the world of attention deficit disorder (ADD). The mindscape becomes so cluttered with snippets of thoughts and ideas that nothing sticks for long, and nothing gets finished.

When Ancient Greeks needed inspiration, they’d call upon the muses. The one I’ve been needing is Calliope, the goddess of epic poetry and eloquence. Socrates said that when a muse takes hold of us, we’re compelled to create.

It would be great if invoking the muse were all there was to it. But the muse alone is not enough. Focus and perseverance provide the steam, the energy that gets things going. As Victor Hugo said, “Persistence is necessary to accomplish most anything of value.”

Claude Monet (1840–1926) offers a good example of persistence. He painted his garden at Giverny, France, with its beautiful water lilies, some 250 times over the last 30 years of his life. Some water-lily paintings were enormous murals, some were smaller canvases. “Know that I am absorbed by work,” he wrote in a 1908 letter, when he was 68. “These landscapes of water and reflections have become an obsession. It is beyond my power as an old man, and yet I want to arrive at rendering what I feel. I have destroyed some. . . . Some I recommence . . . and I hope that after so many efforts, something will come out” (quoted in Monet, Narcissus, and Self-Reflection: The Modernist Myth of the Self by Steven Z. Levine, p. 206).

Despite being displeased with his work, feeling that it failed to capture his intentions, and despite the cataracts that plagued him until a 1923 operation, Monet persisted. And he succeeded in creating some of the world’s most famous and best-loved art: his water-lily paintings hang in museums all over the world.

Monet found his work absorbing to the point of obsession even when he had to destroy canvases. Many people, though, find it hard to persist in tasks that are unrewarding.

In my three months of a writing slump, I did not persist. I gave up when the writing didn’t come easily. Sitting at the computer to write, I gave in to mind-numbing web browsing.

I had distractions besides the internet. Of course, I work nearly full-time as a psychologist, and have home and family obligations. The holidays took over a big portion of my attention, updating my software entailed much time-consuming tinkering, and my 24-year-old daughter told me she was leaving to work on an mhealth project in Darfur, Sudan, to help the 90,000 displaced people living in refugee camps. I learned a lot in the last month about that region’s history and its genocides. Letting young adults make their own choices is the right thing to do…but still, I kept searching for recent news from Sudan, and that was a big distraction from my own writing.

At one point, my friend Sarah told me, “Susan, I think you need to get back to your blogging—besides, we all miss your posts.” In Walking on Water: Reflections on Faith and Art (WaterBrook Press, 2001), Madeleine L’Engle quotes an unknown writer on the subject of discipline: “If I leave my work for a day, it leaves me for three,” going on to cite Arthur Rubinstein: ”If I don’t practice the piano for one day I know it. If I don’t practice it for two days my family knows it. If I don’t practice it for three days, my public knows it” (p. 196). By that formula, I will need a lot of catching up to do. But fortunately, I love to write, and I sense that the muse is not lost. She may have been taking a break, but she is near.

I have learned a few things over these last few months about how to make space for the muse to re-enter. Some ways to refocus:

  1. Tidy your computer’s home screen. Close all windows except the document you are working on; turn notifications off. Open a browser window only if it relates to your project. You can also try an app that blocks distractions.
  2. If you have a noisy environment, try headphones and/or closing the door to minimize distractions.
  3. Keep a regular schedule. As William Faulkner said, “I only write when I am inspired. Fortunately I am inspired at 9 o’clock every morning.” Return to that schedule after vacations, holidays, or sickness.
  4. If you’re having trouble finding sustained time to write, try working in “chunks.” Break up your writing task into manageable pieces that you can accomplish in half an hour or 45 minutes. Then, knowing you have (say) half an hour before starting dinner, you can work on a half-hour chunk.
  5. Be mindful of self-care—get good sleep, eat well, exercise, and make time to relax.
  6. Don’t call your mother unless you’ve finished your writing task for the day.
  7. Cultivate will power and self-control.
  8. Write even when you don’t feel inspired.

One of the reasons that mindfulness has gained such traction is that most of us know we are only half awake. We use only a small part of our mental and physical resources. As William James wrote, being cut off from our creative resources leads to feeling as if a “sort of cloud weighed upon us, keeping us below our highest notch or clearness in discernment, sureness in reasoning, or firmness in deciding.” On Vital Reserves: The Energies of Men (The Perfect Library, 1833).

James observed, that in a single successful effort of will, such as saying ”no” to mindless temptation, we gain vitality and reanimate our energy for days and weeks, giving us a new range of power. Giving in to habitual avoidance behaviors, only provides temporary escape, and ultimately leads to fatigue and inertia. It is not what we do that causes fatigue, but what we don’t do.

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Facebook’s False Face: Comparing our insides to other people’s outsides

Social media often contributes to feeling left out, leading to depression and social comparison.

Guidelines for Kindness When Posting

We seldom deliberately present a bad face on social media. Selfie stick in hand, we depict ourselves smiling before an elaborate, expensive meal, in front of a landmark in an exotic land, or simply celebrating with friends (which all can see, including those not fortunate enough to be present in those moments).  Accumulating ubiquitous likes and thumbs-up is gratifying in the way that cotton candy is: briefly sweet,  but fading quickly as the posts scroll by. Posts may have sad news; they may be angry, ranting, or commented on by haters, but in constructing a public version of ourselves, we promote something: a lifestyle, an idea, or an image.

First generation Face bookers–the early adopters—now in their twenties, have mostly abandoned it for Twitter and Instagram where they look for news in their areas of interest.  Their parents, on the other hand, who may have started a Facebook page as a means to snoop on their kids, (and friends of their kids)—are more active than ever, but for themselves now, posting about their kid’s achievements. That’s understandable. The need to know that others care about us is normal.  Seeking attention in the right way, at the right time, is healthy: An actor needs interaction with her audience; a poet wants to hear audible sighs when reading their work. In conversation, we seek reciprocity. I speak while someone listens, then I listen attentively in turn. I can tell you now, having published a blog, that I want to know that people read my posts, and it is the best when someone comments.

 No one wants to be a Debbie Downer to their friends, and no one wants to read the sad, drab, boring parts of life. So what’s wrong with shaping a good-looking, successful persona for social media? One answer: it’s depressing. The theory of social comparison suggests that we evaluate and define ourselves in relation to others, and Facebook is no exception. But if we’re always comparing our lives, which we know to be full of difficulty (unrealized dreams, illness, money problems, strained relationships, etc.) to the carefully curated, only-the-highlights lives of others, it’s easy to feel envious and depressed at how you don’t measure up.

More than that, when we’re obsessing over social media, we’re not paying attention to our own present moment. Instead, we take a mini-time travel to a future moment, imagining other people witnessing our experience, or become lost in memories, wishes, and comparisons. We become exhibitionists and voyeurs, which detaches us from other people rather than bringing us closer together.

Chao-pien was a Chinese official of the Sung dynasty and lay disciple to a Zen master. He summarized a spiritual experience in a four-line poem:

 

Devoid of thought, I sat quietly by the desk in my official room,

With my fountain-mind undisturbed, as serene as water;

A sudden crash of thunder, the mind doors burst open,

And lo, there sits the old man in all his homeliness.

                                 T. Suzuki (Essays in Zen Buddhism, Second Series (1953; reprint, London: Rider, 1970)

 

Thomas Merton unpacks this metaphor in his book The Inner Experience:

Suddenly there is a clap of thunder and the “doors” of the inner consciousness fly open. The clap of thunder is just startling enough to create a sudden awareness, a self-realization in which the false, exterior self is caught in all its naked nothingness and immediately dispelled as an illusion. Not only does it vanish, but it is seen never to have been there at all—a pure fiction, a mere shadow of passionate attachment and of self-deception. Instead, the real self stands revealed in all his reality.

A serene mind, devoid of the constant stream of media, allows us to see ourselves as we are: homely and human. The irony for those of us hoping to portray perfection is that it takes seeing our homeliness—our unpolished, unedited life—to begin glimpsing our wholeness.

When we don’t see our homeliness because we are busily posting all the good stuff, we evade the difficult yet real feelings we have, and we evade real emotional contact with ourselves and others. Our rejected, unacknowledged feelings go underground—and will pop up again as symptoms of unease. In this way, social media becomes a defense mechanism, like denial or projection.

The vivid starkness of D. T. Suzuki ‘s excerpt speaks to what we must eventually encounter when we sit alone without our devices. We see the door burst open to our humanness, in all its homeliness and ordinariness. We are fine as we are, warts and all.

Over the years I have seen clients who obsessively look at social media; some create a complete alter ego. This keeps them from true and honest relationships, even with themselves. For tips on putting down the smartphone, try this link.

Consider the following these guidelines for kindness when posting.

  1. Be considerate of others when posting photos of exclusive activities, amazing holidays, or expensive vacations—especially ones your friends can’t afford, weren’t invited to, or couldn’t attend.
  2. Don’t overshare—no one wants to see your every activity, meal, and outfit.
  3. Check your privilege. Make sure you are not being insensitive in your posting.
  4. Be genuine; avoid arrogance.
  5. Make posts that are about other people and issues, not just yourself.
  6. Try taking a break from posting.
  7. People want to see your artwork, your successes, and accomplishments, but don’t upload every single thing.

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Implacable Grandeur: Mindfulness and Change

Learning to appreciate what you have.

If there is a sin against life, it consists perhaps not so much in despairing of life as in hoping for another life and in eluding the implacable grandeur of this life.                 Albert Camus

Much of the human experience is determined by chance—factors completely outside our control.

My father, who died of prostate cancer at the age of fifty-six, had two copies of the BRCA2 gene, one healthy and one defective. The defective BRCA2 gene greatly increases the chances of developing hereditary breast, ovarian, or prostate cancer (HBOC). My brother and I each had a 50/50 chance of getting that mutated gene. As it turns out, my brother got the broken gene, and I got the healthy one.  I was lucky; I don’t have to face that increased cancer risk, and neither do my two daughters. But my brother is now fighting HBOC prostate cancer.

Surgery and treatments will hopefully keep the cancer from spreading beyond where it has already taken up residence in his body. My brother and I talked for a long time after we got the genetic news. I felt something akin to survivor guilt—why did I escape hereditary cancer while my brother was saddled with it?

Like many siblings, we had been competitive in our younger years; I worried that he would feel envy, but in fact, he congratulated me. My brother was genuinely happy for me. For anyone in that position, being able to feel glad for another in the face of your own difficult outcome takes maturity, wisdom, and a generous spirit.

Finding out that I do not carry the genetic alteration BRCA2 was a great relief. I’d had such an outpouring of kind thoughts from so many people while waiting for the results that I almost feel guilty for not having the mutation. I had this crazy thought that those who expressed love and support would think “Why was she such a drama queen bothering us with this when she only had a 50% chance?”

Some might wonder why I chose to be so transparent, especially when psychotherapists normally aren’t self-disclosing. On further reflection, I believe that transparency facilitates integration. That means that you’re working toward a more unified sense of self, rather than compartmentalizing or walling off different facets of your personality.

I use my own personal experiences, as well as the insights from my work, as a foundation for growth and self-discovery leading to greater authenticity. As we get older, we learn that being authentic feels better. I’m glad that despite my self-doubt, I opened up about that threat. By doing so, and by being present to either outcome, I learned a lot.

What I learned is the stuff of aphorisms, platitudes, teaching stories, parables, and fairy tales from all faith traditions: How to appreciate your life before you see it vanish, how to find meaning in daily challenges, and beauty in the smallest things. My wish now is to savor my sense of gratitude and good fortune and relish my current good health.

I was lucky. But the truth is, no one gets to a certain point and then lives happily ever after. Most of life is a matter of contending with problems, hardships, and unexpected turn of events. Periods of placid security are the exception rather than the rule.

Life is change. It’s our nature to want to hold onto things, always grasping to make things safe and predictable. But the wisdom of the Buddha teaches us that we will never succeed: Because life is constant change, attachment causes suffering. The only way to achieve true peace is through accepting that life is dynamic, not static. As Epictetus wrote, “It is not events that disturb the minds of men, but the view they take of them.”

But this doesn’t require superhuman serenity. I believe that we all have an instinct for wholeness at the core of our being. One way of looking at this yearning is as an archetypal urge of the Self, an archaic memory that may have been present in the lives and generations before us.

Growing with difficulties and changes.The Next Blade of Grass

“As a caterpillar, having come to the end of one blade of grass, draws itself together and reaches out for the next, so the Self, having come to the end of one life and dispelled all ignorance, gathers in his faculties and reaches out from the old body to a new.”  [IV.4.3] (Easwaran, Eknath. The Upanishads. Nilgiri Press, iBooks, 2007.)

Like the caterpillar, we draw ourselves together when one phase of life ends and stretch to reach for our next landing place—a new way of being in life, despite the inevitable changes that chance throws in our path.

We all possess that ability to draw ourselves together, collecting what we have learned from our experiences (a difficult situation, an insight during mediation, inner work in psychotherapy) and stretching out for the next blade of grass, the next place of sustenance. In this way, we grow, progressing slowly and deliberately from one place to the next.

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Accepting Life’s Turbulence: Fasten Your Seatbelt

Life brings ups and downs and finding a way through the stormy turbulence takes courage and grace.
Thunder Cloud from 37,000 ft

This dramatic cumulonimbus was captured at 37,000 feet over the Rocky Mountains in Colorado. Pilots know to avoid going near these thunderclouds, charting a course around them for the comfort of passengers and safety of the aircraft. Even coming close will cause turbulence—the jet trembles and shakes, often violently.

Pilots rate turbulence as mild, medium, or severe. Thankfully, excellent communication between pilots means that patches of bumpy air can be predicted well ahead of time and avoided by changing elevation or course. But sometimes turbulence is unavoidable. In that situation, fearful flyers grip armrests, pop benzodiazepines, and turn up the volume on their headsets. Eventually the air smooths out, and everyone releases their breath…and their grips.

Staying Steady During Turbulent Times

Jet travel is a great metaphor for life. Sometimes the bumpy moments are so extreme that there’s nothing you can do but sit with it and hope you don’t have to pee. But sitting with the rocky ups and downs of life isn’t always easy.

When a pilot acquaintance asked me how to survive the turbulence of his current marriage problems, I asked him what he tells his passengers to do when the flight encounters a rough patch.

He said, “I tell them to fasten their seat belts.” We have all heard the familiar words, “The captain has turned on the seat belt sign. Please return to your seats and fasten your seatbelts.” Now, I confess I sometimes use this moment to zip down the now suddenly empty aisle to use the lavatory (but only in mild turbulence.)  But basically, in bad weather you need to stay seated and wait it out.

I enjoy flying, but that wasn’t always true. I was a fearful flyer for about six years. I wasn’t phobic, I didn’t avoid flying or have panic attacks, but I was alert to every squeal of the engine, movement of the wing flaps, or ring of a cabin bell,. During euphemistically described moments of “bumpy air,” I would glance up at the flight attendants’ faces to see if they were showing signs of concern.

I wasn’t afraid of heights or of being in an enclosed space—my fear was simply of crashing. Kaput, end of life, and the imagined 60 seconds of sheer terror I expected to feel going headlong into death.

We have no control over death. Once I came to terms with accepting that I could die in a plane crash, I became less afraid. It wasn’t that I was convinced by statistics showing how rare such deaths are; fearful flyers are rarely comforted by the statistics. Acceptance, in contrast, goes a long way in dealing with the bumps we encounter in life.

I found out this week that I have a 50/50 chance of having the genetic mutation associated with hereditary breast and ovarian cancer (HBOC). My family on both sides has had lots of cancer. But through advanced genetic testing, I now know that my family members have the BRCA2 mutation going back three generations. As I await the results of my blood test, I am again reminded of our lack of control. For me, it’s the toss of a coin: I either have it or I don’t. If I do, I have an 85% chance of developing breast cancer and lower risk of other cancers (ovarian, pancreatic, melanoma, and stomach). I am not comforted by those odds.

Flying has infinitely better odds. But after a week of emotional turbulence, I will meet my fate with HBOC with as much grace as I can muster. It hasn’t been an easy week, to be sure, veering between certainty of bad results and certainty of escape. So while I wait and hope that I end up on the happier side of the 50-50 split, I will fasten my seatbelt and try to steer as safe a course through the thunderstorm as I can, with all the support I’ve gathered over the years: family, friendship, work that I love, and resources (such as FORCE). Coping skills, like seat belts, keep us safe. While we generally don’t enjoy restraints, a seatbelt helps to contain our emotions so they are less likely to overwhelm.

I am reminded, once again, of a lesson taught by Thich Nhat Hanh: “When we have a toothache, we know that not having a toothache is a wonderful thing.” (Peace Is Every Step: The Path of Mindfulness in Everyday Life, 1992, p. 38). Finding comfort in the face of difficulty is possible—by riding out the painful moments and trusting that the next moment contains a potential fullness, some simple pleasure waiting to be noticed. So when the seatbelt sign is again turned off,  you are free to move about the cabin. Add take a deep breath.

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Psychotherapy: A Safe and Sheltered Space

Psychotherapy is a safe place to explore what is causing you pain and how to cope.One size does not fit all when it comes to finding a good therapist. Many variables influence the extent to which people get better, solve problems, and grow. While empirical support is important in choosing what treatment to provide, psychotherapists shouldn’t stick rigidly to what studies suggest; instead, they should work from the position of evidence-informed practice. This allows for treatments that respond to what clients bring to therapy—their unique histories, temperaments, and narratives. Sometimes what may be most helpful in the therapy is intangible and unmeasurable by any study. In research, these are referred to as non-specific effects. These are uncontrollable factors: the usually small, barely noticed interactions that create an unexpected effect in the subject. In other words, they are not a part of the research experiment.

In Irvin Yalom’s book Existential Psychotherapy, he describes how, during a cooking class, he wondered why the instructor’s meal always tasted better than any of the his attempts at the same recipe. He learned why after catching the teacher’s assistant throwing fistfuls of various spices in the dish before putting it in the oven. This story has stayed with me since reading it in the early years of graduate school. The crucial ingredients—the “throw-ins”— of good therapy may be unquantifiable, and untaught; even the therapist may be unaware of them.

In a previous post I wrote about love as part of the therapy. Love is a challenging factor to study because it is difficult to quantify and because love overlaps significantly with other emotional reactions such as respect, compassion and empathy, and curiosity.

What is the art of therapy? Sometimes it is as simple as being really present with clients during their pain. Being present means not interrupting, giving advice, or falling asleep, but instead staying tuned to a client’s process. As in meditation, a therapist who notices his or her mind wandering should first notice where it has gone (and if there is anything in that mental tangent that could provide meaning about the client’s situation) and second, return that attention to the client.

A safe and sheltered space

In ancient times a holy person who would descend into what was called an incubation chamber—a dark underground space—with someone in turmoil or grieving. They would remain together in the darkened underground space for three days. This practice illustrates how healing  comes through being present with feelings. When someone is suffering, the willingness to go into the dark with them as they express and move through their feelings is a large part of what we do as therapists. When suffering people can take what’s vague and private, locked inside their heads, and speak out loud the unspeakable, they can gain a depth of understanding and new self-compassion.

The popular 2015 Pixar film Inside Out shows how this works. Riley, the young protagonist must endure her family’s cross-country move, which takes her away from her friends, her home, and her beloved hockey team. Believing she must be perfectly mature, she suppresses her sadness. Five personified emotions–Joy, Sadness, Anger, Disgust, and Fear –live in her head and influence her actions and memories. The dominant voice is Joy, because being happy and not expressing our negative feelings is socially rewarded. But all emotions have a role to play in living well. When Riley tries to silence Sadness, she becomes numb to all feeling, including Joy, and pandemonium ensues. It’s only when Riley can fully acknowledge the sadness in her life that she can also remember the tender, loving moments. Therapy patients must similarly accept and not disown their most difficult feelings.

Good treatment isn’t always easily available. Many therapies lend themselves to apps and downloadable protocols, making these treatments more accessible for people who are unable to find (or afford) a good-fit therapist. Videoconferencing, mobile applications, g-chats, and web- or text-based therapy have a place, and can be powerful ways to change behavior and improve symptoms, especially for those who feel shy or stigmatized about talking to a therapist. But with something gained, sometimes something is also lost with techniques that avoid human interaction and relationship.

What’s missing are the powerful nonverbal communications that shed so much light on the intangibles of what might be contributing to a person’s issues. A blush, an eye-roll, a tear welling up; the fidgeting of someone with a secret, the nervous giggle or shy smile—these nuanced communications can speak in ways where texting is mute. Staying safely in front of a screen provides shelter, to be sure, but possibly also a place to hide.

To illustrate the importance of face-to-face therapy, there’s the example of my former client who returned to therapy after a seven-year break. He told me his physician kept increasing his antidepressant dosage, but he was getting worse, not better. After sitting with him for close to an hour, listening to the many stresses he described, I gently inquired about his subtle, yet noticeable twitching. His movements were suggestive of a genetic disorder and not merely anxious fidgeting. He immediately told me “My biological father [he was adopted at birth] was really strange before he died. He moved and twitched all the time—I haven’t thought about it in years but I know he had something wrong.”

At the conclusion of our session, he promised me that he would contact his cousin and find out the name of his father’s condition. I suspected it was Huntington’s disease, a rare genetic disorder. When he emailed me the confirmation, I was able to suggest genetic counseling and testing.

So what appeared to be depression and anxiety—and was being treated as such—was in fact a neurobiological condition. While the news was not good, he could be treated by the right physician for his condition and not keep taking medication that only made him feel worse.

The opportunity to look at your darkness with someone who respects you and your process can allow you to speak the unspeakable, giving room to the ineffable—those moments of awe that come only when we let the full range of who we are be seen and known.

Rumi stated it well in his mystical poem “A Garden Beyond Paradise”:

Everything you see has its roots in the unseen world.

The forms may change, yet the essence remains the same.

Every wonderful sight will vanish; every sweet word will fade,

But do not be disheartened,

The source they come from is eternal, growing,

Branching out, giving new life and new joy.

Why do you weep?

The source is within you

And this whole world is springing up from it.

 The joy of which he wrote cannot spring forth without awareness that it will also fade. Trust that the source of life is in sitting with and sharing the difficult parts of ourselves in a safe and sheltered space.