Random Ruminations on Depression

Preamble
I want to take back the word ruminate. The Online Etymology Dictionary explains that the word “ruminate (v.)” dating from the 1530s, means “’to turn over in the mind,’ also ‘to chew cud’ (1540s), from Latin ruminatus, past participle of ruminare ‘to chew the cud; turn over in the mind,’ from rumen (genitive ruminis) ‘gullet,’ of uncertain origin.” Merriam-Webster Online gives the definition of ruminate as

transitive verb
1: to go over in the mind repeatedly and often casually or slowly
2: to chew repeatedly for an extended period
intransitive verb
1: to chew again what has been chewed slightly and swallowed : chew the cud
2: to engage in contemplation : REFLECT

But psychology — and in general I have real respect and genuine gratitude for the healing and support psychology and psychotherapists provide; if I kept a gratitude journal, my therapist’s name would be on every page — has come near to ruining this abundantly apt word that perfectly expresses the way many of us need or choose to take the time to ponder and deliberate rather than hasten to judge or get embroiled in the consequences of an ill-considered decision. Psychology, as a field, has decided ruminate should mean obsessively thinking about whatever is bothering one, over and over, round and round… ¹

 

I think one of the reasons that this definition has become popular, not only among psychologists, but in the general public as well, is that we have such short attention spans and have come to prize speed over all else. We rush to embrace technology that robs us of our privacy, we don’t stay to watch the credits after a movie (unless there’s an added scene), we expect to know the results of every election before the votes are all counted.

 

Take a breath, people.  

 

Being ruminative used to be a positive attribute, one that indicated one was a careful, thoughtful person, not inclined to fling one’s self pell-mell off a cliff. Now it is a weakness, a character flaw that indicates one brings one’s misfortunes upon one’s self because one can’t control one’s thoughts. 

Join me in my mission. Let’s rescue ruminate. Start using it in its proper sense. Fling it with abandon into your philosophical conversations: “I was ruminating upon the meaning of life the other day and wondering just what 42 really has to do with it.” If someone tries to push you into making a snap decision, say, “You know, in order to give you the thoughtful answer you

https://pixabay.com/photos/pensive-female-woman-window-staring-580611/

deserve, I need to ruminate on that for a day or two.” When next asked to describe yourself, pause for a moment,  then declare, “I am an attentive, measured sort of person with a ruminative cast to my mind.” (Just don’t tell anyone you’re a ruminant. That will totally undermine our goal.) 

And after we save ruminate, we’re coming back for you, enable.
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Every so often, the New Yorker slips a suggestion for an archived article into the inbox of my e-mail. That how I came across Andrew Solomon’s article, “Anatomy of Melancholy,” that appeared in New Yorker’s January 12, 1998 issue. It’s a pretty harrowing description of the depths down to which depression can pull person and of the biases that still pertain when it comes to admitting to others or to ourselves that we have a mental illness and, worse, might be so “weak” as to need chemical (or electrical) interventions. As I moved through the essay, I came upon this proffered bit of wisdom:

Accuracy of perception is not an evolutionary priority. Too optimistic a world view results in foolish risk-taking, but moderate optimism gives you a strong selective advantage. “Normal human thought and perception,“ Shelley Taylor writes in her 1989 book, Positive Illusions, “is marked not by accuracy but by positive self-enhancing illusions about the self, the world, and the future. Moreover…these illusions are not merely characteristic of human thought; they appear actually to be adaptive.” As she notes, “The mildly depressed appear to have more accurate views of themselves, the world, and the future than normal people. [They] clearly lack the illusions that in normal people promote mental health and buffer them against setbacks.”

Charles Darwin
Photo by hulki-okan-tabak-SKadYI4E7OM-unsplash

So — why are those of us with depression and accurate perceptions the ones who are mentally ill, while the “normies” with their illusions are the ones who are considered sane? Why are we the ones who are seen as less evolved? Am I the only one who thinks this assessment is a little bit off?

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  In a recent car commercial, actor and apparent guru Matthew
McConaughey ruminates (see how easy it is just to slip the word right into a sentence?) out loud about the process of identity formation.

McConaughey muses

“Knowin’ who we are is hard — it’s hard. Eliminatin’ who you
are not, first, and you’re gonna find yourself where ya need to be.”

OK, first: shouldn’t the thrust of the first sentence — the search for identity — lead to a statement about finding out who one is rather than where one is? I guess that’s what happens when one infuses manufactured sagacity into an advert for a vehicle. And never mind the lack of parallel structure in the second sentence.

But what I keep thinking is, “What if we, as is recommended by Mr. McConaughey, eliminate all the people we are not, only to realize there’s no one left?” That’s kind of who-where I keep finding myself.

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An ethical dilemma: At the recommendation of a friend, I picked up Change Your Brain, Change Your Life, by Daniel G. Amen. M.D. I haven’t read very far into it, but so far there are some sensible observations about the practicality of having one’s brain scanned for damage so one knows whether medical or psychotherapeutic remedies are most likely to be beneficial. However, on page twenty-nine, our friend the doctor discusses things that hurt the brain and things that help the brain. Under malign influences, Dr. Amen notes that “even spending time with unhealthy people [is] bad for the brain.” OK: I can see how that can work; we are the company we keep.

In the next paragraph, Dr. Amen lists things that can boost the brain. This list includes the point that “In many ways, the best thing you can do for your brain is to spend time with healthy people. As we will see, they are contagious. I often say the fastest way to get healthy is to find the healthiest person you can stand and then spend as much time around him or her as possible.” That also makes sense.

Aside from the difficulties of fulfilling this prescription in our COVID-19-riddled age — and you may already see the problem here — consider this: Let’s say I’m a healthy person. I know an unhealthy person, someone with, say, depression, someone who would immensely benefit from spending time with me. Yet if I do spend time with that person, I’ll be engaged in an activity that will be detrimental to my own grey matter. On the other hand, if I choose to protect myself by shunning the depressed person, I’m selfishly depriving her or him of my beneficial “contagion” and preventing that person from attaining the flourishing cerebrum she or he deserves. (Unless, of course, that person has been ruminating. In that case, she or he deserves all the melancholy that infests her or his soul. [That’s an example how NOT to use the word ruminating.]) I’m either allowing harm to come to myself or withholding aid from another, which makes me a pretty lousy human being, and knowing that I’m a pretty lousy human will depress me.

Now let’s imagine that I am the unhealthy person, and I know a tremendously healthy person, in whose salubrious presence I never fail to rally. I have a lot of time on my hands. I easily could spend days with this person and notably sharpen my dulled mental functions and ameliorate my debilitating mood. However, by latching on to this bloom-imparting person, I will be causing harm to that individual’s well-being and will likely disrupt her or his equilibrium. That would make me an insensitive parasite, sucking the life out of someone for my own ends, and being such a draining leech would make me feel horrible and depressed.

So what to do? I hate lose-lose, damned-if-you-do-or-don’t, caught-between-Scylla-and-a-hard-place options.

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And then Will Wheaton put this up on his Blog:

報復性熬夜
Revenge Bedtime Procrastination, which has a much more beautiful name in Chinese (the literal translation for revenge bedtime procrastination means “suffering through the night vengefully.”), is a phenomena unique to people who feel out of control in their daily lives, so we refuse to go to sleep early, to exert some control over our lives, and to enjoy some quiet time alone, when the rest of our people are sleeping.

I should confess, straight up, that I am, by nature, a night owl. It runs in the family. But I love both this concept and its name. Between the depression and the M.E. and the State of the Union, I’m having an increasingly hard time getting any sleep. I just wish being AWAKE YES I’M AWAKE YES I DO KNOW WHAT TIME IT IS OH ISN’T THAT A LOVELY SUNRISE? would wreak some actual vengeance on the conditions and people who are responsible for my near-insomnia.

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Image by Stefan Keller from Pixabay https://pixabay.com/photos/fantasy-face-branches-woman-3317298/

I hope, dear reader, that my ruminations provide some conceptual cud for your synapses to masticate at the pace of your choosing. And don’t forget: enable is still waiting for us…
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  1. Margaret Wehrenberg, Psy.D. “Rumination: A Problem in Anxiety and Depression,” Psychology Today (on line). April 20, 2016.

Alien Abduction and the Rest of Inktober 2019

 

 

 

 

 

 

 

 

 

 

 

        If you’re one of the few people who might be reading this, perhaps you’ve noticed that I’ve been away for a while. I wasn’t really abducted by aliens — that would have been all over the tabloids, right? — but I often feel as if I get transported to a place where I inexplicably lose time and all memory of what I was supposed to be doing.

      It’s hard to know how to dive into this post, not because I don’t know what to write, but because others, especially Jenny Lawson and Wil Wheaton, have already said it better than I ever shall. 

       You know what would help? If you would read Mr. Wheaton’s speech to the Ohio branch of NAMI (the National Alliance on Mental Illness). Go ahead; I’ll wait. You can find the speech here: http://wilwheaton.net/2018/05/my-name-is-wil-wheaton-i-live-with-chronic-depression-and-i-am-not-ashamed/.

         You’re back? Great. That was a pretty awesome speech, wasn’t it? OK: here we go.

I am Ruth Feiertag, and I live with Chronic Depression.

        In many ways, my life has been very different from Mr. Wheaton’s. I rank among the least famous people on the planet. I do love Star Trek, but I never even got to be a neon-skinned alien with tentacles or antennae lurking, uncredited, in the background. But he and I do have some things in common. In my own way, I also have been fortunate. I have always had a place to live, enough to eat, clothes to wear, access to health care and decent schools, and almost all the books I wanted: you know, the basic necessities. I grew up in a stable home with parents and siblings who loved me. I went on to create a family of my own. Pretty damn lucky. 

       But like Wil Wheaton, I live with chronic depression and anxiety, what he aptly calls “the tag team champions of the World Wrestling With Mental Illness Federation.” (I also have myalgic encephalomyelitis, the condition formerly known as chronic fatigue, and a couple other door-prizes I’ve discovered or picked up along the way.) I’m offering up my story, in part, to add to my voice to the chorus1 of those trying to defuse the stigma around mental illness and, in part, to explain what happened to my Inktober tale.

          Again like Mr. Wheaton, I got the message early and clearly that mental illness was a shameful character flaw, one that would redound to my family’s shame. My mother was particularly expressive on this subject. Over the years, even well into my adulthood, Mom told me that psychologists only mess people up, that they always blame the mothers (thank you, Dr. Freud), that they take children away from their parents — a prospect that frightened me horribly. People who have mental problems, my mom would say, need to be tough and get past to whatever they might be attributing their depression. Mom made it plain that if we ever sought help for mental issues, she would be the one to suffer.

          To be fair, my mother’s fears were not entirely unfounded. She did have some damaging experiences, especially with school counselors who were quick to fault my mother for things beyond her control. It was not Mom’s fault that I was (am) shy and socially inept, tom-boyish and gawky, just as it was not her “fault” that I used to be tall for my age, liked books, and was good at catching lizards. My hair-cut, though — that was ENTIRELY Mom’s fault.

 

         My anxiety manifested young. I got kicked out of nursery school for being so shy and anxious that I couldn’t make friends or interact with the other children. I remember standing on the margins of the playground, hoping equally that no one would notice me and that one of the other children would ask me to come play. I think I was there about three weeks before the teachers told Mom to keep me home. Mom attributed my behaviour to selfishness. There was a baby, and Mom said that I didn’t want to let her have time with him.

          Grammar school was a little better. After all, public schools can’t kick out students for being socially awkward. I spent a lot of recesses tucked away in odd corners, reading. But my anxiety was still powerful enough to give me stomach aches. There was a day in first grade when I my stomach was cramping up painfully, but Mom insisted that I go to school anyway. She did tell me, however, to let my teacher know that if I didn’t feel better after a while, the teacher should let me call home. 

          Mrs. Persons was one of those firm teachers with high expectations and her opinion was immensely important to me. I was so shakingly nervous about conveying Mom’s message to her that I immediately burst into tears and couldn’t speak with any coherency. Mrs. Persons sent me to the nurse, the nurse called Mom, and Mom came to get me, and she was not amused.

          Even worse, when I went back to school the next day, Mrs. Persons shamed me during circle time in front of the other students, chastising me for my “crocodile tears” and accusing me of lying about feeling ill. (That wasn’t even what I had been trying to tell her. I’d been trying to say that if I still felt ill later, then, Mom had said, I should get to call home.) Other than that one instance, Mrs. Persons was a wonderful teacher who encouraged me and celebrated my intelligence, but I realized that she felt I had been dishonest and, on some level, that I had made her look bad, and I was disappointed with myself, verging on being ashamed, for letting her down. I had been bad, not in need of understanding.

         By junior high, I was talking with friends about whether I might be crazy. In high school, I would regularly miss a couple weeks of school due to a mysterious lethargy that my parents finally decided was caused by my allergies.

           It wasn’t until after the birth of my first child that I saw a therapist. The beautiful cherub we brought home from the hospital turned out to be an adorable demon who didn’t — and as an adult, still doesn’t — need much sleep. For a year, I thought that my low mood was due to an exhaustion that would go away about the time our sleepless wonder went to college. All I had to do was hold up for another seventeen years…

       Then, at the children’s used-clothing store up the street, I picked up a local parents’ newspaper that had an article on postpartum depression and I realized that sleep deprivation might not be my only problem.

       This was back before health insurance had to offer behavioural health benefits and before we had money to spare for luxuries like counselling, so it was lucky that the article also listed organizations that would help new mothers find the support they needed. The local United Way found me a therapist and sent someone around to check on me every week or so until I regained my balance. It took only a few months, that time, for me to feel like myself again and to start to re-build my hopes and ambitions, and then to work to start bringing them about.

       Over the next few years, I had bouts of melancholy that would come and go, but eventually the depression came to stay. I have now spent about a quarter-century living with the sadness, the self-doubt, and other emotional accessories that come with the second skin of melancholy.2

          Because here’s what Mr. Wheaton’s speech doesn’t say: about a third of us who suffer from chronic depression are stuck with it. The drugs don’t work — all the ones I’ve tried had side-effects that made me worse, sometimes trip-to-the-ER worse — and counselling doesn’t scare away the depression either. (I have a brilliant therapist. While she hasn’t been able to disappear the depression, she does keep me from living under my covers.) And even those who do get relief from drugs or therapy usually find what some people call the Black Dog (not Sirius Black. This is a different black dog. Sirius Black would be cool) padding along beside them at times throughout their lives.

         When my depression and fatigue become rampant, sometimes my mind walls off sections in an arbitrary fashion. And that’s what happened with my Inktober project. I kept up with writing the prompts, but not with typing up my ramblings and posting them. I have, slowly, over the past many weeks, gotten my Inktoberings into shape, and will start posting them, one every couple of days.3

          So that’s where I’ve been, sorting out my mom’s estate (a Work In Progress) and living in my head (another WIP). But if you’d rather think I was abducted by aliens, go ahead. That would be a better story. Maybe I was aboard a UFO with aliens who found my Inktober efforts sufficiently amusing to let me bring my notebook and pens. Maybe the depression is just a cover story planted in my brain to account for my absence. Maybe I’m still on the ship and don’t know it, though I’d expect space-travelling aliens to have better WiFi than what we have at our house…

 

 

 

 

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1. Mr. Wheaton, in addition to his NAMI speech, blogs about his depression (and other matters). Sarah Marsh, in the NAMI newsletter, tells us that “Mental Illness Should Not Be A Secret” in a story much like Mr. Wheaton’s. In one of the Rumpus’ Letters  in the Mail, Rion Amilcar Scott discusses the depression-troll that sits on his shoulder and has become a companion. And the Queen of Mental Illness, Jenny Lawson, thebloggess, writes about her own struggles on her blog and in her hysterically funny book, Furiously Happy. (I was going to quote something pertinent from the appendix in the middle of her book, but I couldn’t choose just one.) 

2. I do have moments of joy, especially when my children come home, but also after a trip to the bookstore, or during an outing with friends.

3. I saddled poor Hannah with my chronic fatigue, sadness, and self-doubt, mostly to give a plausible reason for the days I couldn’t think up a plot-point.