Love & reflection

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We express love because the gratification of love is enormous, and we continue to express love and to act protectively because the loss of love is traumatic. If we did not experience pain on the demise of those we love, if we had the pleasure of love but felt nothing when the object of our love is destroyed, we would be considerably less protective than we are.

It may also be that the very structure if consciousness opens the pathway to depression…To give up the essential conflict between what we feel like doing and what we do, to end the dark moods that reflect that conflict and its difficulties–this is to give up what it is to be human, of what is good in being human.

–Andrew Solomon, The Noonday Demon: An Atlas of Depression.

Reflection is a sign of consciousness, the ability to take in information and observe how it feels to be oneself in the face of that information, and to assess the impact of behaviors and actions and catastrophes and deaths. Socrates, the irritating questioner, required of human beings that capacity of reflectiveness. Solomon suggests this reflective ability is natural to people who undergo a depressive episode: “The unexamined life is unavailable to the depressed.” (italics mine)

Yet it is also this reflective consciousness which permits recovery among those who’ve been in the abyss, and sometimes a kind of bounce into remission/relief. Solomon adds that “[p]eople who have been through a depression and stabilized often have a heightened awareness of the joyfulness of everyday existence. They have a capacity for a kind of ready ecstasy and for an intense appreciation of all that is good in their life.”

That sense of “ready ecstasy” often acts as the impetus for poetry, in my experience. I am not sure that joyful awareness was worth the pain and despair–couldn’t I have just achieved heightened awareness through, say, meditation, song, or religion? Nonetheless, if I can craft a relationship with depression that is not a destabilizing battle, that’s enough for me. The recognition of joy and the critical thinking that reflection deepens in my consciousness keep me striving.

Yesterday morning, early, in the long grass, the three-legged doe gave birth to a fawn. I watched as they emerged from the meadow and headed for the woodlot together, mama still licking the little one.

Earth delivers ecstasies readily, if only we will observe.

ann e michael

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Depression & friendship

When I mentioned to an acquaintance that I am reading Andrew Solomon’s The Noonday Demon: An Atlas of Depression, the look on her face pretty much summed up how most people feel about the topic–why would I want to read about something so upsetting?

A few sections of Solomon’s book are hard to read but, surprisingly, some of it is laugh-out-loud funny. Humor definitely acts as a leveler for the challenges life brings us; Solomon admits to “being afraid of a lamb chop” and other anecdotes that are not merely self-deprecating–they are somehow universal, at least they are if you are a person who has had a relationship with the Noonday Demon. His descriptions of how his friends bore with him and supported him through his deepest katabasis are hilarious, humiliating, sad, and unbelievably moving.

Simultaneously, I’m reading The Five Invitations: Discovering What Death Can Teach Us about Living Fully, by Frank Ostaseski. Obviously, that text is on the reading list of “the morbid book group.” The approach is mostly Buddhist, but Ostaseski does a good job of gently suggesting that bringing more moment-by-moment, alert compassion into our lives daily can ease many of the burdens of human suffering by making us aware that all of us suffer and that suffering, shared, becomes less of a weight or stressor in our lives.

Friendship keeps us sane. It does so partly through that sense of community in which many hands make light work. And it brings us back to sanity, sometimes (not always–there is no “always” in the human sphere). For many persons, relatives are friends. Other people have no friendships within their families but have friend-relationships that act as similar, or even more powerful, support. The luckiest people have both.

I am one of the lucky ones. Today, while thinking about consciousness and suffering and depression in the human condition, I want to acknowledge the loving, sane difference a friend made in my life: David Dunn, poet, jazz aficionado, baseball fan, Trekkie, fellow laborer in the mines of the abyss, 1955-1999.

Reading these books while navigating the recent loss of an elderly long-time friend has unleashed a reflective current that, while a bit sorrowful, does not feel like depression. There’s gratitude in this rivulet, happy memories and rueful ones–more like inspiration than desperation. That may be because the friendships are still supportive. Relationships don’t die when the friends die; a powerful relationship lasts far longer.

Depressed people feel unlovable and, unable to accept the clear evidence that they are indeed loved and valued, manage to behave in ways that make themselves and others miserable. They don’t mean to hurt others; in their pain, they think that they deserve to be abandoned and their crazy words and actions create a self-fulfilling prophecy of isolation. It takes a surprising amount of strength to be a person who undergoes depressive episodes (they are so exhausting, physically and mentally–see Solomon’s book). And it takes incredible strength to love and stand with a deeply depressed person.

David Dunn, who experienced depressions far more debilitating than my own, acted as my tether when I started to drift too far. In my younger days, that drifting often led me toward Charybdis. In turn, I helped David when he was low; we shared poems of others and poems of our own, shared books, fears, and insomnia tales. We held one another upright in the throes of some pretty miserable days.

I miss him. Though I am much, much better now, I do not think I could have survived those years unscathed without his quiet acknowledgment of my pain and the presence of his friendship. The idea that we can accept what life brings us without bitterness or anger or blame, yet without resignation or helplessness, seems a tough task for the people in my culture. David Dunn could not always attain that balance for himself, but his acceptance of me taught me more than I ever realized at the time.

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~

“There is something brazen about depression. Most demons–those forms of anguish–rely on the cover of night. To see them clearly is to defeat them. Depression stands in the full glare of the sun. You can know all the why and wherefore and suffer just as much as if you were shrouded in ignorance. There is almost no other mental state of which the same can be said.” ~Andrew Solomon

 

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.

Words for pain

On Wednesday, I spent a long time in conversation with an anxious dear one who was despondent over US election results. I am not the only person who engaged in such dialogues that day, but what stays with me is the way I described the conversation later–to another friend. The phrase I used was “talking her down off a ledge.” It was, thankfully, just a harmless metaphor, an exaggeration (she was not suicidal, merely distressed). Nonetheless, having recently considered the ways we express pain linguistically and how hard it is to express pain of any kind in a manner that conveys anything to other people [see blog on Scarry], I stopped to think about the figure of speech I had employed.

Emotional pain hurts, after all, as much as physical pain. What else might I have said?

I could have said, “I spent 20 minutes calming her down.” Not as vivid, but less violent. Yet isn’t that what poets and writers want–vividness? Some sort of language that elicits visceral response…and the metaphors or war, violence, and harm are the default phrases and symbols to which we turn.spinal-cord-injury-pain

We learn these word-images when we are very young, often before we understand the violent origin of the metaphor. So I wonder whether the connection is as clear as some theorists suspect. But there’s no denying that pain = harming imagery, because pain is harm. Stabbing, throbbing, pounding. That’s pain. Emotionally, too: we feel wounded, we feel broken, damaged, hurt. Anxiety feels painful; stress feels painful– “The stress is killing me!” Pretty clear connections there.

I have been challenging myself to write poems about pain (physical, existential, mental, emotional) and to discover whether I can make the sense of pain come through in words as something other than self- or other-harm; whether I can use non-violent images to convey pain, and to reframe it in the body and in the consciousness.

So far?

Not a lot of success, but some interesting drafts that sound slightly surreal or hallucinatory. There is a bonus here, though, in that I have created a difficult writing prompt and, at the same time, given myself some insights into the connections between mind and body (Descartes, you old rascal) and language.

 

Depression & the creative process

I was recently chatting with a psychiatrist about the creative process, specifically among poets. He admitted that he doesn’t know much about poetry, but I was nevertheless surprised to learn that he believed the stereotype of the poet who works most creatively when depressed.

“You deal with depressed people all the time,” I said. “Do they strike you as particularly motivated to do anything creative?”

He admitted that one hallmark of depression is loss of motivation–to do anything, let alone create expressive art of any kind. So it would follow, I suggested, that a period in which a person is seriously working at what he or she loves would be unlikely to coincide with a full-blown depressive episode.

“What about those poets who write about, say, staring out a window and sadness,” he asked, “They seem to write about being depressed, to express the feelings of depression.”

True, some poets experience depression (some commit suicide, too); and some express those feelings in verse. Yet none of the working writers I know who struggle with forms of depression write while in the midst of the “black mood.” They can only write well when the mood has not seized them fully; and while they may try to convey those feelings of the ‘inexpressible,’ they write and especially, revise, the work during more productive hours when melancholia has tapered a bit.

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Drurer’s Melencolia I (wiki images)

It takes concentration, creativity, and analysis to craft a poem that adequately means what depression feels like. You cannot access such things when you are truly depressed. Some writers want to portray the experience; others want to explain it; still others prefer to write about the desire to escape, or even to embrace, the melancholy; others simply relate what they observe. Trying to pigeonhole all writers who address despair defies reason and suggests that all writers undergo the same feelings and experiences. Excuse me, we are individuals–diversely, wildly, enthusiastically unique.

That said, I cannot make the claim that no one has ever created a great work of art or poem while in the midst of a clinical depression; I merely posit that it’s likely that poetry composed while the author is gripped by existential melancholy will not meet the poet’s own standards.

Lewis Wolpert, a biologist and author, says, “I claim that if you can truly describe what it is like, then you have not had a true depression. It’s an illusion, and completely unlike anything else. When you are immersed in it, you enter a world without reference points, so once you recover it is very hard to relate how you felt.”

A world without reference points–that is the attraction depression might hold for a writer: the creative summons to relate an experience that is essentially beyond description. But most writers are not able to answer that summons while in the depths themselves.

And many writers are not troubled by depression at all. [See this 2012 article from the UK’s Mental Health Foundation for essential insight and clarification of an earlier study–that abstract is here.] The studies do suggest that writers are more likely than the general population to have bipolar disorder, which makes a kind of sense to me: after the sinkhole of a depressive period, the active “manic” phase might permit a writer to accomplish a great deal, including possibly a description of the void. Or it might not.

At any rate, I hope that people–psychiatrists, for example!–eventually recognize that we should not stereotype artists and poets any more than we should stereotype people who have mental illnesses, different accents, or skin color that is dissimilar to our own. What makes artists “different from other people” remains a mystery despite years of research and speculation, and my gut feeling is that the difference has more to do with other aspects of the creative process than it does with depression of any stripe.