Dr. Dorothy Rowe, Ph.D: Helping us learn how to help ourselves.

Dr. Dorothy Rowe and I first met through a friend back in 1984 when I first became interested in setting up  a program for persons depressed. We didn’t actually have a face to face meeting at that time but a member of our newly  formed Depressed Anonymous mutual aid group, gave me Dorothy’s award winning work, titled Depression: The Way out of your prison.  I had already established elements of Aaron Beck’s thoughts on Cognition (Cognitive Therapy) into our mutual aid group’s structure and was quite familiar with  his point that it is not the event that causes the problem but how one’s perceives that event.  For a simple  example,  if a family is off for the day to enjoy a picnic at the park and it rains and their picnic is canceled, there are feelings of disappointment. And if a farmer is looking for rain for his drought stricken crop, he is heartened by the fact that the rain will enable his crops to live.  The same rain event is seen differently by different folks, dependent on how the even impacts their lives.

Dorothy Rowe and her beliefs, plus her hands on experiences as a therapist, came to me in this one book (followed later by her many works on the subject of depression). It was like the saying, “When  the student is ready the teacher appears.” Truly, a serendipitous happening!   It was this work of hers — the event — which powered my thoughts about how we humans construct the world of our individual personal experiences of depression. I also got  a  clearer and deeper insight into   how  “language creates reality.” Also, from Dorothy, I learned that it is how we talk to ourselves (our language and its meaning)  that provides us some insights into our emotional and thinking lives. From this I concluded  how  my  thoughts produce feelings, feelings produce moods and my mood produce behaviors.

In the Foreword (c) to  our work, Depressed Anonymous (1998, 2008, 2011) Dorothy Rowe tells us how she discovered a truth  about how persons deal most effectively with their depression experiences. Basically, it’s in the sharing of their story with someone  who cares and will lend a loving listening ear. Let’s look at what she has to say:

“When I first began reaching depression, back in 1968, the only treatments that depressed people got from psychiatrists were pills, ECT and psychosurgery, where incisions were made in the frontal lobes of their brain. My research required that I should talk to depressed patients, and lo and behold, many of these patients got better. This was  not because I had some magic cure, but because for the first time, the people were able to tell their story to someone who was concerned and interested. (My italics) By telling their story, they found that their lives gained in significance, and by explaining the whys and hows  to someone who was not always sure that she understood , they worked out better choices for themselves, and went on with their lives.”

So, in the Foreward (c) to our work Depressed? Here is a way out! which was published in 1991 by Fount paperbacks, a division of Harper Collins Publishing Group, Ltd., located in London, UK., Dorothy points out how those of us who “by engaging the depressed in dialogue, and getting depressed people to do what they least want to do: to come out of their isolation, to share their experiences  with others, and to become concerned  with and involved in the lives of other people.”

SEE:   Depressed Anonymous, 3rd edition. (1998, 2008, 2011) Depressed Anonymous Publications. Louisville.

Final note. It was  with Dr. Rowe’s and Bill W’s ., great influence on my thinking that helped make Depressed Anonymous what it is today. Thank you Dorothy.

In 1995 Dorothy came to the US and presented the major address at the 10th Anniversary celebration of Depressed Anonymous.

 

 

…something powerful is starting to blossom within me

 Promise  #12 states that “We would suddenly realize that God is doing for us what we could not do for ourselves.”

I believe that this Promise is at the core of our recovery. It is precisely at this moment in our lives that we realize that somebody, someone greater than myself is guiding me. This someone is not forcing us but is guiding us through our darkness.  It is lighting our path so we neither stumble or regress into our old ways of thinking and behaving. It is with this in mind that we continually redirect our attention to have that desire to do its will.

Before we discovered the program of Depressed Anonymous we were convinced that the only chance that we had to get better was to wait while the prescribed drugs kicked in and then everything would be all right.   But now we are certain that our ability to get well is surely based on how much we develop the belief that we can choose how we feel and think. Indeed we are now convinced that we can either sad ourselves or choose not to sad ourselves. We have a choice.

The community and bonds of the Depressed Anonymous fellowship produce a feeling that just as other members of the group are recovering so can I. We must be willing to let go of all thoughts that tell us we will   never get well. These are the same thoughts that have imprisoned us over the years.

We now listen to the God of our understanding and proceed with the belief that what we hold about the world on the outside of us is determined and governed by the world that is lived within us. We are in a brand new way, on a new path, and find ourselves committed to a fresh belief that something powerful is starting to blossom within me.  A peace that surpasses all understanding is beginning to be born in us when we learn to relax,  wait and listen for that still small voice.”


SOURCES:  (c) Depressed Anonymous, 3rd edition. (2011) Depressed Anonymous Publications. Louisville.

(c) The Promises of Depressed Anonymous: Planting a seedbed of Hope. (2002) Depressed Anonymous Publications. Louisville. Page 25.

Childhood messages: how are they working for you today?

In the  Depressed Anonymous Workbook, we are asked a very important question included in STEP FIVE.

AT 5.1 the question is asked:  As a child did you get a message that if you were good and did everything that you were supposed to do that you would end up happy and everything would go your way?  (The Workbook then asks you to write out your response.) For all of us, who are experiencing depression, this is a very important question. I myself have often wondered how the messages of childhood are working for us now that we are adults.

STEP FIVE is about intimacy and the sharing of one’s  innermost self with its secrets to that other human being. This is something that we hate that we would much rather snuggle back into our little corner and keep all knotted up in the addiction to our misery. In STEP FOUR we learned about getting it straight within ourselves so that we looked into every nook and cranny inside ourselves that kept us from being honest with ourselves, our God and all the other human beings that we have shared our story with.

For that personal experience of our lives, as we see it, can be obtained by spending time with the Depressed Anonymous Workbook. You will be amazed  by the feelings that come up and present themselves as we work through our lives using the Twelve Steps as a roadmap of life.

Depression is different from normal sadness

Depression cannot be reduced to a single factor. It is the result of the coinciding of different factors. Biological, historical, environmental and psychological factors play a certain role in the beginning and its evolution.

Many people never reach a state of clinical depression. Such depression, with the feeling of paralysis that it involves, is different from normal sadness. People with clinical depression, in general, demonstrate physical and psychic alterations; people who are not depressed manifest certain mental signs of sadness.

In addition, people often confuse depression with unhappiness. often one can hear the phrase “I feel depressed’, even though the person concerned only wants to say that he or she is not happy. Until, one has really experienced depression one cannot realize the enormous, difference that exists between being depressed and being unhappy. When we are unhappy, despite the scale of the tragedy that has afflicted us, we remain in contact with reality. When other people offer us consolation and love we can still feel gratitude for their warmth and support. But when we are depressed we feel like people who are excluded from the rest of the world. The comfort and love offered by other people do not penetrate our barrier and we feel neither consoled or loved. To experience real depression means to feel entrapped in pitch or suffocated by some dense, heavy material or buried alive in a dark tunnel. The depressed person is interested in nothing and nobody, and does not feel any hope.”

SOURCE: Jose Saraiva Martins


Comment: If you are a depressed person and are reading this you know the guy who is writing the above material knows what he is talking about. But, if you are a person who has been unhappy but never depressed, it is impossible for you to even begin to fathom what he is talking about. ” Yes”, you might say, “but I don’t see any plaster casts, no sign of physical brokenness and the guy or gal is always happy. You know, the life of the party.”

There is a night and day difference between being depressed and being unhappy. I know, as I have been depressed. I also have been very unhappy as well. Being depressed is a life threatening illness and for many the trajectory can lead to suicide preceded by thinking that is hopeless and suicidal.

The person who has experienced depression themselves and who seeks help to climb out of the dark pit now has friends in the Depressed Anonymous fellowship of the 12 steps. The new person coming into our group soon learns that the members know about the depression experience. Some have talked about trying to commit suicide.

My point is that persons depressed live in a world that they cannot touch, a world which they are viewing from the insides of an enclosed soundproof glass room. They are completely isolated and adrift — floating alone in a river of turbulence and dangerous currents. And when the time comes to flee this pain and isolation they run to the people who say they know what depression is. They also have a “toolkit” which they continue to use in their daily lives which helps them to forever stay out of that glass enclosed room. I am one of those persons who never returned to that past time in my life when I felt totally alone, without friends, purpose or meaning in my life. I owe my life to Depressed Anonymous and its powerful focus on hope instead of hopelessness.

Hugh

The world of the “Selfie” mirrors a world of the isolated and disconnected.

In our ongoing discussion of the ecology of the depression experience, and looking at the personal, biological and environmental factors that are each part of the whole, we can make some observations about how to overcome this human and life threatening reality.

Environmentally, we have seen the post-industrial society, at least here in America, become a nation of diminished size of families (1 in 4 Americans now live alone), fewer family farms and more persons living in isolated and disconnected environments. It appears that we all are moving away from that wholesome community form of life toward an individualistic and Selfie generation. The “we” society is gradually turning into the “me” generation.

To quote David Karp (Speaking of Sadness, Pg. 195.), he states that “The estimated 11 to 15 million people suffering from depression and the million more with anxiety disorders are the victims of a society that has lost sight of what I now see as a shared sociological and spiritual message. It is that our individual emotional health and the health of society are inseparable. If we do not nourish society by realizing our individual responsibilities to it, we pay the price in terms of individual illness. In this way, those millions pained by affective disorder are part of a dialectical process in which the extent of collective suffering eventually creates an urge to change the social structures that have made so many of us ill. During this current moment of cultural discontent we may be better able to appreciate the spiritual message that all of us are connected to and responsible for each other. Although we can never return to the small, intimate communities of the nineteenth century, such a communitarian vision is the necessary starting place for efforts at social reconnection and thereby the creation of a more generally happy society.”

In another place Karp contends that “we may be at a juncture where we are ready as a culture to see the wisdom in the spiritual idea that our individual well-being is inseparable from that seamless web of connections…”

At our Depressed Anonymous group fellowship meetings it is evident how the “we” trumps the “me” at every turn and how the “we” of the fellowship produces, not only spiritual recovery from isolation and being disconnected, it also provides the tools in which a community of people who care about each other is built.

Won’t you care to join in this community building adventure? Search our website menu to find if your community has a Depressed Anonymous meeting. You can also read the personal stories of those who made the choice of a “we” life over the disconnected and isolated “me” life in Depressed Anonymous, 3rd edition.


See our guide Depressed Anonymous, 3rd edition.(2011) Depressed Anonymous Publications. Louisville.

Depression and the ecological imperative

To continue our important discussion about depression and its effect on the ecology of the human person, it is imperative that you and I continue to examine each of the three pillars or legs that make up the interactive systems of depression.

Once we admit that we are depressed (we discover the parts such as feeling worse in the morning, a physical slowing down much like dark molasses, an inner anxiety and hollowness. We also experience a need to sleep more or not sleep at all , excessive guilt or shame, weight loss and crying spells, feelings of worthlessness, suicidal thinking). We now begin to look more closely at what is happening to us, and become aware that there are systems that are always interacting in the human body. We have already enumerated the major three systems: the personality factors, the biological factors and the environmental factors.

It is imperative that we now take a closer look at the biological factors that are attributed to the reality that we call depression. Some persons don’t espouse the common belief that the cause of depression is a chemical imbalance. Some others claim that there is no such thing as a chemical imbalance causing a depression. These same folks believe that we have overmedicalized a normal and natural human experience. It’s like the fight or flight syndrome that primitive humans experienced ages ago. They could either run away from a man eating lion or they could stand and fight. Today, we can go round and round in our mental sphere and by continued rumination with our fearful life cycling thoughts find ourselves physically worn out by shooting more and more adrenal fluids into our blood stream. Thinking such unpleasant thoughts over time has to wear down the human body, much like the Chinese torture of a single drop of water continuously falling on the head of a captured enemy. I think what scientists mean when they deny that chemicals are the cause of depression is that they know that by just telling oneself that I am a bad person does not make that person depressed.

Here is an interesting view from a sociologist, David Karp, in his research book, Speaking of Sadness.

“Psychiatric illness in the United States, with its heavily scientific bias, largely presumes biochemical pathology as the ultimate source of depressive disorders everywhere. Such a view is sustained despite the existence of “impressive date that there is no such thing as depression that occurs solely from biological causes.” To be sure, it would be equally plausible to say that real world experiences produce depression by altering biochemistry and thus stand first in the hierarchy of depression causes.

Right now, though, it would be as presumptuous to make this claim as it is of American medicine to claim biology as the absolute foundation of depressive disorders. The truth is that there is no way to claim the greater significance of either way to untangle the intersection of cultural and biological factors and consequently, no sure way to claim the greater significance of either nature or nurture in causing depression. Despite this epistemological problem, the role of culture and the contribution of social science in understanding the role of culture and the contribution of social science in understanding the course of illness remain very much at the margins of American Medical training and practice.”

So finally we know that when a psychiatrist reaches for the prescription pad that he/she is dealing with only part of the personal depression experience. It is just as important to know something of one’s life history to date, what were his early childhood feelings and relationships like, and did the parents present the world to him/her as a safe place to discover, or was it best for this child not to venture out to far away from what was familiar and safe.

Next time we want to share more of how culture can affect the thoughts, ideas and feelings embedded in that culture. We can ask ourselves how does our present culture promote community or isolation. And remember, isolation and being disconnected from others is a critical factor in one becoming and staying depressed.

To learn more on how to get connected and stay undepressed please avail yourself of the HOME STUDY PROGRAM of Depressed Anonymous. If you are depressed you c an very well determine if you are depressed and then if you are what measures to take to free yourself from isolation and pain.


VISIT THE STORE and read about the HOME STUDY PROGRAM and how it is well positioned to give you not only a positive view of a plan on how to overcome depression but also a Workbook where you will gradually find answers in yourself for personal freedom from depression.

Our compulsive retreat from life

“Depression is so often a refuge from having to live out our life. And it is only when we feel that we can live with a fair degree of unpredictableness in our lives that we move out of our isolation into the real world. So often our depression hides behind a mask of superficial friendliness — with people never aware of the deep pain that we feel inside. The risk is in moving out of isolation into contact with other depressed people. We know now that it is the expression of our feelings that gets us free. It is in the telling and the admission of our powerlessness over our depression that makes us move ever so slowly out of the deep pit of darkness and sadness. So often when we are able to make amends, we feel that part of the prison wall begins to crumble and we begin to see the light of day. We discover a way out! We find that our forgiveness of others frees and brings us more into step into the peace of serenity. Getting free is in saying that we alone are responsible for our compulsive retreat from life when we run up against some stressful situation. And the more we study and hear about the addictive personalities and behavior. the more we learn about ourselves and how we have anaesthetized ourselves against any possible feeling of pain, hurt or anger by our sadness and keeping to ourselves.”

SOURCE: Copyright (c) Depressed Anonymous, 3rd edition (2011) Depressed Anonymous Publications. Louisville. Pages 85-86.

A COMMENT:

Yesterday I talked about the three pillars of the depression experience. I believe that the analogy of the tripod with its three legs can serve the purpose of this discussion. Besides personal factors and the biological factors there is the environmental factor. If we want to embrace an ecological perspective in reference to depression then it is best to look at each of the aforementioned legs that support an understanding of one’s depression. With these three pillars and an understanding of each, and with a fleshing out of the effect depression has upon our personal being, our physical reality and our relationship with our unique environment, we are able to determine what are the causes and what solutions are needed to restore a balance to these inter related systems of the human person.

An author, shares with us the environmental factors that may cause a person to succumb to a deep melancholy. He notes that a “greater probability of depressive disturbances has been described when adverse external factors exist, such as a history of traumatic events, recent stressing events, the premature death of a family relative, an inadequate upbringing provided by parents, poverty, malnutrition, medical illnesses, a family or personal history of negative emotional episodes, and insufficient social support. All those environmental factors which form a part of the biography of the individual, have an effect on him or her by creating a vulnerability to stress. In the same way it has been demonstrated that the appearance of depressive episodes occur when there is an increase in stressing events.” (Dr. Salvador Cervera- Enguix. )

No surprise here. It is important to know that what happens to us, has a direct impact on our personality and our biological self.

So, when we become a member of the fellowship of Depressed Anonymous we begin by looking at these three areas of our lives mentioned above and by use of the Steps begin to live with serenity and hope. Without a doubt this process of dealing with our depression and all the issues that surround it, gradually provide a growth for uas like a well watered garden.

Depression and ecology: the greening of the human spirit

In my life, I have found that most things that we do have their origin in the mind. First comes the thought, then the feeling , then the mood and then the behavior. So, does this mean that what we think we become?

So if I think I am superman, does that mean I am? If I think that I am a giant and only 5’5 tall, it’s obvious that something is not right about our thinking.

But if metaphorically I think I am a giant among others in the way I can shoot pool, then this is just a manner of speech, and not to be taken literally.

Depression and ecology are related. Here is how that works: Each person, according to the LIFE MODEL all living creatures have four essential characteristics. All living beings have a competency, an identity, are autonomous, and are interrelated to every other living being.

When we are depressed, we might feel that we no longer have a purpose in this life, or that we have lost our identity because, let’s say, we lost our job or an important relationship with another; having to retire from a position that we loved, our identity closely identified to our work, we are saddened over this important loss.

Aging presents us with a gradual diminishing of our competencies. We no longer physically able to move around as freely as we wish; our body no longer responds to our mental directives. Now that we are no longer able to get around as we like, we may need a walker, wheelchair or help with eating, dressing, We are now at the mercy of those who assist us and help us keep some of our autonomy, and I might add, dignity!

Because we are social beings, our lives over time have been interrelated with family, friends and others. Our world is without a doubt connected to everything that is alive. We inhabit a world where everything living is connected to everything else.

The ecology of the human person is composed of body, spirit and mind. These three realities are like the three legs of a tripod – each one needing the other. (Depression is the result of a highly interactive dialogue between biology, personal and psychological factors, and the environment.)

In an effort to deal with these factors each one of us must make time to discover what in each of these three factors can be changed so that the depression or melancholic experience can be lessened and even eradicated. What can I do to change what needs to be changed?

The “greening” of our personal environment begins when we admit that something is out of whack in our lives. Not only is something out of whack but is such that the psychic and physical pain is overwhelming. We discover that our mental state is such that we are gradually slipping down into the abyss of despair. It is ironic that only when we are physically immobilized and our mind feels like it is filled with cotton balls, no longer are we able to think ourselves into a happier frame of mind. Our will power is futile in its attempt to straighten out this personal confusion and internal mental restlessness.

So, when does the “greening” start? What gets us feeling more like ourselves, going about our lives with a sense of purpose and happiness. What can we do to get us back on the playing field of live, interacting with others and finding joy in the simple pleasures of life?

I have found the answer to this question. The “greening” of my life, the environmental landscape started to change for the better. I found hope and a way to live my life using a plan that gradually game me my life back.

This plan is there for all to use. It is called Depressed Anonymous. It is a 12 Step approach on how to live. It is a program of recovery which if put to use on a daily basis will help restore hope and give meaning to your life.

Please read about how this can happen for you in the book Depressed Anonymous. It’s happening for anyone serious about getting their life back! You can read some powerful stories in this book and gradually see how you too can get the help and hope that you so strongly desire.

The Serenity Prayer

On this last Thursday of November, the people of the United States celebrate Thanksgiving. This is a national Holiday which reminds us of the many things we as a people can celebrate.

With a deep gratitude, I am also celebrating the many friends with whom I am in contact this day. I am also going to add my gratitude for all the special gifts I have received by being in a 12 step fellowship of recovery. I am also celebrating my freedom from depression and the fact that my own depression experience has helped me help others to free themselves from the deadly grip of sadness.
The prayer that means so much to me is the Serenity Prayer, which is said at the beginning of all our Depressed Anonymous meetings.

God grant me he serenity to accept the things that I cannot change, the courage to change the things I can, and the wisdom to know the difference.”

SOURCE:  (c) Depressed Anonymous, 3rd edition. (2011) Depressed Anonymous Publications. Louisville.

The difference between cure and care.

“I commented that once individuals realize that medical treatment is unlikely to fix their problem, their thinking moved away from the medical language of cure and toward the spiritual language of transformation. With that interpretation I was speaking only as a sociologist trying to see patterns in data. Several weeks later I read a nearly identical idea in Moore’s book.
“A major difference between care and cure is that cure implies the end of trouble..But care has a sense of ongoing attention. There is no end. Conflicts may never be resolved. Your character will never change radically, although it may go through some interesting transformation…” (Care of the soul. Thomas Moore.)

” Moore sustains the argument that we ought not become pathological about our depression. He makes then interesting point that the word “depression” itself shapes the way we think about the human condition it describes. Today, consistent with a medically dominated view of emotional pain, we prefer the more clinical and serious word depression to the more human words “melancholy” or “sadness.” This observation is entirely consistent with labeling theory in social psychology that ties the construction of our identities to the labels others apply to us and that we ourselves ultimately adopt.” Karp, David A (1996) Speaking of Sadness: Depression, Disconnection and the Meaning of Illness. Oxford University Press. NY.
___________________________
A comment:
“One of the major indicators of depression is how it permeates our soul with that desire for isolation and being disconnected from life around us.”
Yes, I agree fully with this reality of getting ourselves isolated and disconnected from that world which we once inhabited. The solution is to take charge of our lives –get out the “toolbox” of our fellowship, Depressed Anonymous, and roll up our sleeves and get to work. How tom do this is all contained in our group manual Depressed Anonymous, 3rd edition. And if we get the Depressed Anonymous Workbook and start to answer the questions contained there, we will begin to see that we have started on a journey of not only understanding the nature of the depression experience but we will begin to understand ourselves.
Hugh

SOURCE: I’ll do it when I feel better.(2014) Depressed Anonymous Publications. Louisville. Pages 88-89.

Hope is just a few steps away!