Depression narratives

I have been an avid and interested reader of books, usually memoirs, describing the authors’ experiences with depression, unmanageable grief, or depressive episodes. There are a number of reasons for my interest, one being that I have an interior depression narrative of my own and the other because of my passion for delving into concepts of consciousness. Consciousness and depression must be intimately linked, of course; a person cannot feel depressed if he or she lacks a reflective sense of self or Mind. Sorrow differs, but some grief is so deep that depression enters in and squeezes the soul dry. Each narrative contains parallels to other narratives, and yet each is as unique as the author. We are “storytelling animals,” and the impetus to tell the story of depression may be to help others or to assist in re-knitting the disjunctions depression creates in consciousness.

For example: This Close to Happy, Darkness Visible, An Unquiet Mind, H is for Hawk, Hyperbole and a Half, The Year of Magical Thinking, The Solace of Open Spaces…even in the relatively brief Chapter 75 of Bruce Springsteen’s memoir Born to Run–there are dozens of such memoirs on my bookshelves, and this list does not even mention the books by poets, psychologists, and philosophers who have explored the human challenges of depression. [I have not yet read Andrew Solomon’s Noonday Demon; but it is on my list.]

Porcelain doll, “Rain,” by Alexandra Koukinova of “Alexandra” Company.

Because I am a writer, these narratives, and the lyric inventions crafted by poets, teach me much about how to explain the un-nameable, to describe–in words–the kind of numb grip that a depressive crash or a monumental grief exerts on a person’s sense of self, or even of language (which fails); the way depression shrinks into nothingness a person’s feeling of shared community/communion/communication with others, even with beloved others. There’s a story there, the story of how the story itself gets subsumed by stasis.

In these cases, metaphor: the person is the story; the story loses its narrative, tapers off, stands still. No longer interesting, expressive, alive.

Unfortunately, I know that feeling. I know how it arrests creativity and savages my ability to write.

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Why do we “get” depressed? What does depression do to the brain? Does the brain itself cause depression? Despite the insights medical researchers have gleaned about neurological networks, cells, synapses, the anatomy of the organ we call “the brain,” there are no answers to these questions; the former can be tracked through scans to some extent, but there is seldom a “before” MRI or PET scan with which to compare “normal” and “depressed” in a unique individual. A New York Times Health & Science article from 2005 puts things pretty succinctly:

” ‘I think that, with some notable exceptions, the community of scientists was excessively optimistic about how quickly imaging would have an impact on psychiatry,’ said Dr. Steven Hyman, a professor of neurobiology at Harvard and the former director of the National Institute of Mental Health. ‘In their enthusiasm, people forgot that the human brain is the most complex object in the history of human inquiry, and it’s not at all easy to see what’s going wrong.’

For one thing, brains are as variable as personalities.”

brainOne of the problems is determining causation: which was first, the disease or a perceived (and possibly inaccurate) difference in brain structure or function? Is it chemical or hereditary, or is it traumatically-induced? Or are we not really seeing a difference in brain structure? Why do medications work for some people but not others? And why and how do medications work, exactly? Twelve years after Carey’s NYT article, psycho-neuro-biologist folks still do not know any definitive facts, though there is slow movement toward progress. [For a quite up-to-date and thorough but readable article about the complexities involved in depression, I recommend Harvard Health Publication’s online pamphlet “What Causes Depression?”]

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From the standpoint of a person who has had a lifelong relationship with depression, I’m not sure I need a cure at this point. My depression narrative includes taking a pill that seems to help considerably; but that has not been the magic bullet that alleviated a chronic, possibly chemical, condition. What has balanced my conscious mind with my chemistry is at least as likely to be related to support, friendship, talk therapy, cognitive behavioral changes, personal motivation, love, reflection, experience, information, aging, writing, spiritual study, Zen, nature, environment, valuable work, art, and tai chi.

The Nautilus article (cited below–do consider reading it) suggests there may be an “up” side to depression:

In a study of 61 depressed subjects, 4 out of 5 reported at least one upside to their rumination, including self-insight, problem solving, and the prevention of future mistakes.

“It may be best to let depression work its miserable magic, under protective supervision.”

“Most episodes of depression end on their own—something known as spontaneous remission…” says Steven Hollon, a professor of psychology at Vanderbilt University.

The Nautilus article cites several researchers who use the evolutionary model of fitness and bargaining, concepts that Marjorie Grene might caution us away from relying too heavily upon. Drake Baer of The Science of Us, whose article was certainly titled by editors, not scientists, writes “that, in some circumstances, depression may be, in the arc of a life, yielding of insights and personal meaning. All of this is in no way meant to minimize the suffering that depression can cause — but to suggest the uses that it may serve.”

Baer’s article dwells upon the idea that there are structural and cultural concepts at work in the identification of, experience of, and healing of depression; that the “illness” or disease resides in the subjective, non-empirical, non-testable world of human consciousness (interiority). I’m on board with that suggestion. Baer closes by relating depression to katabasis, an ancient Greek word that refers to the inexorable downhill slide, the descent into the underworld, the sinking down into darkness.

Baer writes that “Katabasis leads to catharsis; not coincidentally, there’s a shared theme in the personal narratives of people who reach midlife with a sense of well-being and generativity toward others: redemption.”

My personal depression narrative, just past mid-life (by some reckoning), suggests redemption. Which is to say there’s hope.

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Totally cheesy rainbow photo.

See also: http://psycnet.apa.org/journals/rev/116/3/620/

http://nautil.us/issue/45/power/does-depression-have-an-evolutionary-purpose

http://nymag.com/scienceofus/2017/02/a-new-way-to-understand-and-treat-depression.html

Please, if you or someone you know and care about has challenges with depression, read the Harvard article linked in the text at very least; and check out the other links as well. This is as close as I ever get to a public service announcement, but the urgency is explicit.

Coincidence & synthesis

I adore random synthesis. I love how coincident information, ideas, and experiences connect to enrich my understanding or pique my interest.

Today, a friend sent me a link to a chapter from the Dalai Lama’s book and another friend sent me to New York Magazine‘s Science of Us blog to read Cody Delistraty’s piece on the neurology of poetry reading. Meanwhile, I have been cleaning my bookshelves and reading Jane Hirshfield’s Ten Windows.

books1Delistraty’s essay reports on a study (in Germany) conducted by Eugen Wassiliwizky, a researcher at the Max Planck Institute for Empirical Aesthetics, on what happens in the human brain when people read or hear poetry. The Institute has sponsored quite a few studies on the neurological responses to the arts, which offers researchers not just the findings from one area of aesthetics but the opportunity to compare responses across artistic disciplines.

For example:

…[Neurological] responses… seemed to be unique to poetry: Scans taken during the study showed that listening to the poems activated parts of participants’ brains that, as other studies have shown, are not activated when listening to music or watching films.

The authors also found evidence to support the idea of poetry’s pleasure as a slow-building experience, or what they called a “pre-chill”: While listening to poems they found particularly evocative, the listeners subconsciously anticipated the coming emotional arousal in a way that was neurologically similar to the reward anticipation one might get from, for instance, unwrapping a chocolate bar.

Delistraty notes that in this study, “the poetic lines that most emotionally stirred people were also most memorable for them later.”

Our brains ready themselves for surprise, delight, arousal, some emotional leap in the poem–even before the poem ends–anticipation. I know that feeling well. We are anticipating some kind of surprise or delight as the poem unfolds in our reading or listening real-time imaginations: a kind of freedom that we anticipate but cannot expect (the poem may surprise us in ways we had not anticipated; or it may disappoint our hopes).

Hirshfield writes:

On the one hand…poetic transformation occurs by what might be called the paradox of intimate distance. The freedom inherent in art to choose stance, attitude, approach, form, word, is in itself an act of emancipation. When distance increases…we often feel more, not less, because we are able to take in the whole.

What we “take in” as whole includes the phenomenon of reality, even though the poem operates in the imagination–another paradox. Reading a good poem, then, opens consciousness. bkmk-violet

I realize that in the years keeping this blog, I have never yet found a satisfactory understanding of what makes human beings conscious or from whence consciousness originates; but that’s one reason I keep reading and writing, Socratic gadfly that I am. And that brings me to the third random reading that, to my mind, synthesizes well with the essays I’ve mentioned. Here’s an excerpt from one of the Dalia Lama’s books that was posted on Lion’s Roar, a Buddhist-oriented website. In this chapter, His Holiness has been visiting with neurosurgeons and brain researchers at the cutting edge of medical science–people deeply, empirically engaged with the science of the human mind:

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The Buddhist understanding of mind is primarily derived from empirical observations grounded in the phenomenology of experience, which includes the contemplative techniques of meditation…

The view that all mental processes are necessarily physical processes is a metaphysical assumption, not a scientific fact. I feel that, in the spirit of scientific inquiry, it is critical that we allow the question to remain open, and not conflate our assumptions with empirical fact…A crucial point about the study of consciousness, as opposed to the study of the physical world, relates to the personal perspective. In examining the physical world, leaving aside the problematic issue of quantum mechanics, we are dealing with phenomena that lend themselves well to the dominant scientific method of the objective, third-person method of inquiry… In the realm of subjective experiences, however, the story is completely different. *

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Part of what makes poetry, or any art form, “work” is that appeal to the subjective. Subjectivity excludes the empirical; there’s always, somehow, more to art than science can explain–wonderful as science is. Delistraty writes, “poetry transcends…methodical scrutiny. It valorizes the unconscious, opening us up to new perspectives; it implies the possibility of unlimited pleasure.”

Hirshfield names that pleasure, that surprise, that alteration within the reader “hope” –a wonderful synthesis.

snowdrops

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* The Universe in a Single Atom by His Holiness The Dalai Lama; full discussion on https://www.lionsroar.com/studying-mind-from-the-inside/

Problems of moral order

“Authority in the moral sphere is modeled on dominance in the physical sphere. The moral authority of the parent over the child is metaphorically modeled on the physical dominance of the parent over the young child…it is a metaphorical model in which the logic of moral authority makes use of the logic of physical dominance.”   –from Philosophy in the Flesh, George Lakoff & Mark Johnson (p. 301, my italics)

Here is a problem: “folk philosophy” assumes that the moral order is the natural order, a logic much used in the dogma of many Western religions; but Lakoff and Johnson point out how such suppositions lead to “a hierarchy of moral superiority and authority.” Because we are corporeal, physical phenomena in a physical world and our initial human relationships get established through the parent-child model, human beings have a hard time escaping the physical dependence-physical dominance-physical responsibility metaphors, which we incorporate into our languages and philosophies.

There is no reason to refute or escape such metaphors, fundamentally embodied as they are, as long as we are aware of them. For people who accept physical dominance as the natural order without recognizing it as evolutionary and metaphorical, however, the logic that [this metaphor]=Natural Law=Moral Order can be harmful.

And not just to them but to their families, their neighbors, and their societies.

Lakoff & Johnson write, “The consequences of the metaphor of Moral Order are sweeping, momentous, and, we believe, morally repugnant…the Moral Order metaphor gives us a better understanding of what fascism is: Fascism legitimatizes such a moral order and seeks to enforce it through the power of the state” (p. 304).

The authors later note that “the view of moral concepts as metaphoric profoundly calls into question the idea of ‘pure’ moral reason” (p. 330). In other words, pretty much all of Western philosophy since Aristotle. Which makes me contemplate whether that question also suggests there is no “pure” abstract consciousness–whether there is any me (I do not mean Ego here) without the body I inhabit.

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Then again,  Dürr’s speculation that memories exist as data–a kind of cloud network, as an analogy–and somehow persist, merits some consideration. I find Lakoff persuasive, however. I know he has since added to, altered, and labored on the concepts laid out in this 1999 book.

The foundations and evolutionary development of our families, tribes, and languages create our philosophies; this much seems as certain to me as anything–and thus arrive in our collective consciousness as metaphors, stories, poems.

 

Spiritual quantum fields?

 

Herewith, an intriguing paragraph about physics, biology (the brain), and consciousness:

Wave-particle duality, a fundamental concept of quantum mechanics, proposes that elementary particles, such as photons and electrons, possess the properties of both particles and waves. These physicists claim that they can possibly extend this theory to the soul-body dichotomy. If there is a quantum code for all things, living and dead, then there is an existence after death (speaking in purely physical terms). Dr. Hans-Peter Dürr, former head of the Max Planck Institute for Physics in Munich, posits that, just as a particle “writes” all of its information on its wave function, the brain is the tangible “floppy disk” on which we save our data, and this data is then “uploaded” into the spiritual quantum field. Continuing with this analogy, when we die the body, or the physical disk, is gone, but our consciousness, or the data on the computer, lives on.

This comes from a brief article by Janey Tracey on Outerblogs. I spent a few minutes trying to find more on the physicists she quotes, among them Christian Hellwig, also of Max Planck Institute, and Robert Jahn of Princeton. But I have been too busy to follow up by reading papers and books–between semester mid-term and concerns about our Resident Nonagenarian, who is at present “declining” toward death, things have been…challenging. We are experiencing with our best-beloved the waiting period as the corporeal body shuts down organ by organ, bit by bit, consciousness becoming semi-conscious, then intermittent, and unresponsive, as the mind enters that realm none of us can understand.

Life closes in many ways–swiftly, at times, but more commonly in increments. This death is not the one our best-beloved would have chosen (in one of her recent moments of clarity: “This isn’t what I wanted,” she said). Alas. The slow, to all appearances agonizing, shutting-down toward death probably rates low on most people’s desires list.

The Rolling Stones warned us you can’t always get what you want [skip the ad, listen to the rock n roll]. I suppose that song has already been uploaded onto my spiritual quantum field. Not to mention the spiritual quantum fields of millions of humans. If Dr. Dürr’s speculations are correct, that may mean Mick Jagger, Keith Richards, et al are among the immortals already. And while I am mentioning this possibility with a sense of humor, I do ponder the interesting concept of a quantum code that encompasses human memory-processing, experience, and mind. It seems to be distinctly likely that consciousness is a tangled hierarchy.

Tangled hierarchy as in strange loop, or paradox, explained in Goedel’s Incompleteness Theorems. Douglas Hofstadter, trying to get his mind around the problem of consciousness, suggests that such a “flipping around of causality” appears to happen in minds possessing self-consciousness. The mind perceives itself as the cause of feelings, thoughts, etc. Our 20th-century scientific models posited that feelings and desires are caused solely by the interactions of neurons.

Though maybe quantum theory and biophysics and 21st-century neurological psychology studies will indicate we are still pretty far from the Whole Story.

Meanwhile, one story of one person draws nearer the close. No–that is not the case. The body will die. Her story–her many stories, told from many perspectives, her paradoxes, her own strange loopiness–91 years has only been the beginning.

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Rene Magritte “The Treachery of Images” 1928. Los Angeles County Museum of Art

 

 

 

 

Metaphor & mind

In a recent New Yorker article about the trial of Charleston church shooter Dylann Roof, Jelani Cobb reports that during the lead prosecutor’s presentation

Roof’s mother sank down on the bench as he delivered his opening statement, which contained details of the crime that had previously been withheld from the press. At a certain point, she slumped over. It seemed for a moment that she had fainted, but she was taken to a hospital, and it was later learned that she had suffered a heart attack. She survived, but did not return for the remainder of the trial.

In her situation, I might have had the same response. How metaphorical: the heart revolts from within–an embodied reaction. When I read about this incident, I thought of cognitive scientist/philosophers George Lakoff and Mark Johnson, who have been pioneering the concept that the mind and body evolved together and cannot be separated through the literal, analytical, categorical approaches of classic Western thought.

Languages the world over use body-based metaphors and gestures that reinforce how our  minds are integrated with and connected to our human bodies–we intuit from the gut; a situation makes our skin crawl; we place hands over hearts to demonstrate love, loyalty, compassion. Medical science confirms what people have long understood, in a “folk physiology” way, for years: emotional and intellectual stress has physical expressions and repercussions.

Lakoff and Johnson have been investigating such universal human phenomena since the 1970s. Their work has implications for a wide range of endeavors from artificial intelligence to brain trauma. In 1999, when Philosophy in the Flesh was published, they said Western philosophy needs to retool its thinking from the ground up, the ground being the body itself.

Reason, they assert, is as embodied as emotion; and their argument that intellectual functioning arises metaphorically through the physiological experiences of the (human) body is persuasive and extensively documented through research, particularly neurological research. Exactly where what we term “consciousness” arises may never be determined, but phenomenology, Taoism, and empirical science converge with what we are learning about synapses, cells, hormones, and the neural network to suggest there may be an answer as to how consciousness emerges; and that answer is likely to be biological.

brain

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The brain, the heart, the entire bodily system under emotional, mental, psychological duress, the conflicting moods of love, grief, anger, fear, and a chasm of misunderstanding; the terrible awe of disbelief–an embodied self might well collapse, physically, literally, under the metaphorical strain.

 

 

Knowing the mind

I am reading an unusual pairing of books…Joseph Fins’ Rights Come to Mind and George Lakoff & Mark Johnson’s Philosophy in the Flesh. One is about traumatic brain (and to some extent, spinal) injury and the differences between minimally conscious states and persistent vegetative states, and what we know–or mostly, don’t know–about the brain and its ability to recover or reorganize (see also Will Storr’s article from 2015 about some recent medical discoveries in neurology).

The other book is an inquiry into how Western philosophy may be seriously challenged by scientific, empirical findings about the embodiment of the conscious self. Then, after suggesting that neural pathways help us to create abstract reason–largely through metaphor–he asks whether we can adequately understand the world through science alone!

Fins’ book is not elegantly written, from a literary standpoint; but he raises hugely important questions about consciousness, healthcare decision-making, medical institutions’ and physicians’ difficulties dealing with how to measure consciousness and brain activity–to determine who may be “locked-in” or who is minimally conscious, or which patients will never recover any conscious neural activity again. Fins details the agony of family members making impossible decisions in a medical system that often views brain-trauma victims as medical failures when the patient does not recover quickly enough; he asks us: by what measure is quickly-enough? (Usually, as determined by a health care insurer…alas, my family has been snarling with too-general insurance categories lately, so I am sympathetic to Fins’ perspective).

These are tough areas to investigate, and his argument is that physicians and researchers have not spent enough time investigating them. He also asserts that this would not be a waste of money on irreparably-injured patients, because we can learn much about the brain’s capacity to heal through observation, therapy, and scans of such people. He takes pains to be certain his readers recognize how much remains unknown about the brain and human consciousness. (Here, I refer my own readers to Douglas Hofstadter’s book I Am a Strange Loop).

In the Storr article cited above, Greg Downey, co-author of the blog Neuroanthropology, cautions: “People are so excited about neuroplasticity they talk themselves into believing anything.” And it is true, there’s a chance of false hope and huge disappointment here. But the brain does exhibit an astonishing ability to rewire itself–in the body.

Which brings me to Lakoff & Johnson’s text. Lakoff calls himself a cognitive scientist, not a philosopher. He says, “In 1978, I discovered that metaphor was not a minor kind of trope used in poetry, but rather a fundamental mechanism of mind.” He and his colleagues have gone on to provide a body of evidence to support this claim that they’ve been working on since the late 90s.

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neural matrix fiber topography, Johns Hopkins University

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As a poet interested in neurology and in philosophy, these claims interest me. As a person whose elderly best-beloveds are now beginning to show evidence of significant cognitive lacunae…or “decline”…I am interested in losses of neural plasticity, or perhaps a misfiring in the processes of rewiring. The evidence of such losses are, indeed, embodied. Gaps in the ability to recognize metaphor or analogy appear. On a recent visit, the nonagenarian said, “I can no longer seem to say any of the things I want to say, that I hear in my head, but can’t…can’t seem to…make. Make into the world. Do you know what I’m saying?”

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A word is dead
When it is said,
Some say.
I say it just
Begins to live
That day.

~ Emily Dickinson

 

 

 

Further shifts

Shifts are necessary now and again. Here are a some I am undergoing.

For example, readers of this blog will notice that the writer’s focus tends to move from interest to interest, month to month, year to year. And yet there’s poetry to consider, always. During the past year, I have read more non-fiction books than poetry books. More history. More memoir. More science. I have been pursuing the consciousness and neurology and physiology texts.

I have learned a great deal from all of this reading, and it is inspiring. I find, however, that it’s taken its toll on my writing poetry.

My shift now: Read more poetry.

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But what about my love for difficult books?

Well, there is no doubt in my mind that poetry can be difficult. Difficult to write, difficult to read, difficult to understand. Time to go there, further and deeper.

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Another shift: in the spring semester, I will be teaching a more advanced course in writing comp and rhetoric, one that will be more challenging for the students and especially for me. One of the arguments I will be making to them is that they recognize the need for credibility in the sources they use as evidence.

Making that case runs rather counter to the way US society operates. We shall see how well I can make my argument to these young people.

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One further shift–certainly not the last. There’s my constant inquiry into consciousness…because sentience and human beings–and their brains, and their mind-body problems, and their relationships, and their stories and metaphors and art forms and pains–intrigue me endlessly, I turn to books and art for understanding. I do not expect to learn what consciousness is, where it originates, or how it came to be. But I ask because asking is interesting.

The reading has been enlightening. Philosophy, yes, and neurology and cultural anthropology. Oh, and evolution, religion, and medicine. Not to mention texts on death and dying (and the unanswerable “is that the end of consciousness?”).

My shift here lately has been to read less and to encounter more. I have been volunteering as a hospice companion/caregiver relief assistant, sometimes in the home but most often at the inpatient hospice unit at a nearby hospital.

quanyin

There are bodhisattvas among us, and I have met them on the ward floor. This particular shift does not mean I will never read another book on consciousness, but it has reminded me that kindness is a constant act and that kindness is conscious and aware. It does not reside in a book but in the daily world, which is all we have.

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I have to work on that in my own relationships, the ones that don’t take place on the hospice wing.

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May I prove resilient to these shifts. The days are incrementally longer now. Time to read poems.