Depression Research Update

Feeling down from time to time is a normal part of life. But when emptiness and despair take hold and won’t go away, it may be depression. More than just the temporary “blues,” the lows of depression make it tough to function and enjoy life as you once did. Hobbies and friends don’t interest you like they used to; you’re exhausted all the time; and just getting through the day can be overwhelming.

The subject of depression is highlighted frequently in the news . High profile sufferers  have brought the subject to the fore and awareness is at an all time high. I have often written about the so-called “cancer of mental health” on this blog but the true extent of the effects of depression can only be felt by sufferers themselves. The way it affects self-confidence, reduces quality of life and plagues everyday activities are just some of the consequences. There are as many triggers and causes of depression as there are types of depression but some new  research has shed a new light on some of the beliefs held about depression.

A study conducted at the University of Rochester’s Sleep and Neurophysiology Research laboratory concluded that depressed seniors grappling with insomnia were 17 times more likely to continue being depressed a year later than those without insomnia. Sleep disorders have long been cited as a symptom of depression, but new research suggests insomnia may in fact lead to depression. A second study at the clinic found that seniors who weren’t depressed, but experienced insomnia, were six times more likely to be depressed at some point in their lives than seniors who were not insomniacs. “What we know is that insomnia is a risk factor for depression, it precedes depression and it seems to make depression resistant to treatment,” said lab director Dr. Michael Perlis.

In new research published in Psychological Science, Charles et al. (2013) looked at people’s reactions to everyday stressors and how this played out a decade later. Participants were asked about their daily stressors over eight days and generally how they felt. People reported having all the usual sorts of stressors like having arguments, a fridge breaking down or being late for an appointment. Then, 10 years later, they were revisited and asked whether they had been treated for anxiety, depression or any other emotional problems in the last year. What the results showed was that how people reacted to the little stressors of everyday life predicted whether they developed psychological problems a decade later (incidentally, the number who did report a disorder was almost one in five).This fits in with other recent studies which have also shown that people’s reactions to ordinary stressors predict depressive symptoms (e.g. Parrish et al., 2011).

A lot of research has recently been carried out on suicide: why do people take their lives? What is the relationship between suicide and depression? Now a Swedish report, published in the British medical journal The Lancet claims that the likelihood of a person committing suicide is partly determined as early as before birth. The Swedish team looked at 700,000 adults and found low birth weight and being born to a teenage mother meant a two-fold rise in suicide risk. The report also said risk increased for shorter babies. The authors, from the National Centre for Suicide Research and Prevention in Stockholm, said it proved genetics played an important role in suicides. The researchers followed the adults, who were all born between 1973 and 1980, and assessed the proportion of suicides and attempted suicides between 10 and 26 years of age. The overall suicide rate in Sweden in 1999, when the follow-up exercise finished, was around 20 per 100,000 of the population. Babies weighing 2 kg or less were more than twice as likely to commit suicide as adults than those weighing between 3.25kg and 3.75kg, according to the findings. Children born to mothers under 19 years old were also more than twice as likely to commit suicide as those born to women aged 20 to 29.

The old expression, “You are what you eat,” may go a long way towards  explaining what research increasingly says is a causal link between diet and  depression. The good news for depression sufferers; however, is that  because diet may be affecting your mood, your condition is very treatable  naturally. A recent meta-analysis of 11 longitudinal studies  involving unipolar depression and/or symptoms of depression in adults between  the ages of 18-97 years found a distinctive link between said depression and  diet. Follow-up for these studies ranged from two to 13 years, according to  Diet and the risk of unipolar depression in adults: systematic review of  cohort studies. “Researchers found an inverse association between  depression risk and folate, omega-3 fatty acids, monounsaturated fatty acids,  olive oil, fish, fruits, vegetables, nuts and legumes. Results indicate that  diet and nutrition may influence depression risk,” says an abstract of the  findings by a team of researchers from Oxford University in Great  Britain.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples,  groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need.  Online Therapy details : Here ……

How to help a depressed loved one.

I once read an extremely interesting article claiming the following : “Depression doesn’t go away for everyone. There is a percentage of people who will suffer from it on and off for their entire lives. They will take medication, have therapy and be able to talk about it but it will always be there in the background”

If this is truly the case and I tend to think it is then it begs the question…for how many people is this true? Global statistics concerning the rates of depression increase every year and there are those who seem to stay depressed despite years of medication, different types of therapy and changes in circumstances. In many cases, depression actually is the result of habitual negative thoughts. When bad things happen, we begin chastising ourselves with thoughts such as: I’m no good, I’m a total failure or Nothing ever goes my way. Our feelings follow what we are thinking, and negative thoughts like these can send us spiraling down into depression. This is a cycle that leads to habitual depression and is extremely difficult to treat with medication alone. However, this is sadly often the way. Sufferers are often left with a damaging cycle of fear of the next attack and find themselves unable to enjoy the few break from the illness.

Having a continually depressed family member can put a huge strain on a family and dealing with the illness on a daily basis can be frustrating. I know from experience that the interaction with family members (or the lack of it) goes a long way to helping or hindering a sufferer. Many still live with the idea that depression can be cured “by getting on with it” or that sufferers “need to be pushed”. These outdated views can be disastrous for someone who is struggling with the self-esteem issues that often go along with depression.  The most important thing any family member can do for the depressed person is to offer emotional support. This involves listening without judging, and demonstrating understanding, patience, affection, and encouragement . The second most important thing is to help him or her get an appropriate diagnosis and treatment. If you are the spouse or parent, and play the role of primary care–giver for the family member suffering from depression, your role is the most crucial of all. Some suggestions for successfully managing your role include:

Be Realistic: Understand that depression won’t just go away on its own or be ‘cured’ overnight. Your help, and the commitment of the rest of your family, must be there for the long term. Treatment, which usually consists of behavioral therapy and/or antidepressant medication, requires a dedicated, ongoing effort. Keeping your expectations — and the expectations of the depressed family member — realistic means you both realize that neither is perfect or able to satisfy every need of the other.

Keep Communicating: Sharing intimate feelings, desires, and hopes in any relationship can be challenging, and the added dimension of coping with depression can lead to additional mistrust, anger, and frustration. Don’t be afraid to keep your lines of communication open. Look for ways to solve problems as a team, and make sure the person suffering from depression knows you are there for them for the long haul. Balance the needs of the depressed family member with needs of your own, and don’t work against each other.

Don’t Take It Personally: The effects of depression can put even the healthiest relationships to the test. As couples or families try to cope with depression, family roles and interactions change, and financial status, social and work routines can be disrupted. Remember that the actions of a family member suffering from depression result from depression, and are not aimed against you or the family personally. Keep in mind that mixed feelings are common in those battling depression, but focus on the goal of well–being for the depressed family member.

Don’t Forget About Yourself: It’s a natural tendency for a caregiver to focus all of his or her efforts and attention on the person suffering from depression However, when that happens the caregiver’s own life can suffer dramatically. Try to make sure that your needs are being met. You’re not being selfish when you ask for help from other family members, friends, or support groups. When the depressed person isn’t feeling like a burden to you, it will benefit you both. Dealing with depression requires ongoing effort, and the more help you have, the better will be your results.

For family members in general, the following tips can provide a useful framework for assisting in the depressed person’s recovery:

  • Acknowledge that the family member is suffering from a real illness and that getting better is a priority for everyone
  • Understand that depression can change the family member’s behavior, and that he or  she may at times have a negative outlook
  • Don’t  ignore remarks about suicide. Report them to the depressed person’s  therapist
  • Recognize that all family members must adjust to new responsibilities, both inside and outside the household
  • Set a  good example for the depressed family member and others by avoiding alcohol and tobacco, and eating a healthy, balanced diet, and exercising regularly. A healthy body is more resistant to mental and physical illnesses.
  • Don’t accuse the depressed person of faking illness or of laziness, or expect  him or her “to snap out of it.” Eventually, with treatment, most people do get better. Keep that in mind, and keep reassuring the depressed person that, with time and help, he or she will feel better.
  • Invite the depressed family member out for walks, to the movies, and other  activities. Be gently encouraging if your invitation is refused. Encourage participation in activities that once gave pleasure, such as hobbies, sports, religious or cultural activities, but do not push the depressed  person to undertake too much too soon. The depressed person needs diversion and company, but too many demands can increase feelings of  failure.

Depression is a real illness that afflicts nearly 20 million people in the United States alone each year. With proper treatment, and the support of a dedicated family, the chances of recovery are very good.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples,  groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need.  Online Therapy details : Here …… Take advantage of the “online therapy” tester. Try the first three sessions for free. Contact me for more details.

What is it really like to be an online patient?

Many people reading this will have heard of online therapy but might find it hard to imagine how it works. What better than to hear from someone who has been there and done that. Here one of my former patients shares her experiences of life in online therapy.

I was a reluctant client at first due to my experience of therapists and years of trying to deal with my issues. Someone passed me the details for Dr Jenner’s therapy and I immediately put it in a drawer and forgot about it. Online therapy…what next?..I thought. Surely that cannot be effective, so I forgot about it for a few months. Then something happened for the worse and sent me into a spiral that left me depressed with no hope of recovery and resigned to my fate.I had experienced the triple whammy…financial, health and personal problems all at the same time and I felt desperate. As always happens, I could not find his details at first and that depressed me even more. I searched on the internet, found him and made tentative contact. I sent a long email, not really knowing who would read it, if anyone would read it and unsure of the response. I felt bad that I had spilled my guts to a total stranger and regretted my decision to write. Just as I was going to bed one night, I received my answer. Dr Jenner wrote me a long reply that seemed just to fully understand what I was going through. He didn’t offer solutions, just compassion and empathy and I felt better that at least one person in this wretched world seemed to understand what I was going through. He suggested that we get together online via video and talk about he might be able to help me. I asked him if it would be ok if we did that on the phone first and we set up the call. He called me one evening and we spoke for about an hour….he didn’t say much but what he did say mattered and I felt understood. I signed up for a course of therapy and I started in May 2012. Due to my financial problems at the time, he allowed me to pay over a period of time. This enabled me to start. Two hours before our first video session, Dr Jenner called me and asked me if I had any questions and put me at ease about appearing on video.The first session was easier than I had anticipated and I found myself getting more and more comfortable as time went on. It was great to think that I didn’t have to go into town to see my therapist and I guess that is the big advantage for many people. What I found amazing was that Dr Jenner gave me assignments to do from a self-help book between sessions and I was free to contact him by phone or mail if I hit a rough patch. This was never the case with other therapists. I always got an answer within 24 hours, mostly in the evenings. Was the treatment effective…certainly. I found that Dr Jenner centered first on the things I could change quickest…things that would have a real positive effect on me and he gave me constant encouragement to set small goals and not procrastinate. We are now nine months down the line and I am taking a little hiatus while I go back to my past and rectify a few things. I will be back in therapy in a few months. Despite my early misgivings, Dr Jenner has become a trusted confidant. He has allowed me to get close enough while still keeping the boundaries needed for therapy. I cannot imagine my life now without him in it or doing therapy any other way.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples,  groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need.  Online Therapy details : Here …… Take advantage of the “online therapy” tester. Try the first three sessions for free. Contact me for more details.

 

“Put that baby in the fire NOW” ….my wife demanded!!!

No…not some black magic ritual but part of a dream I had recently. The dream went as follows : I was carrying a baby that had apparently died and cremation on an open fire was part of a burial ritual in the culture we lived in. The trouble was that I didn’t think the baby was dead, just sleeping or hanging onto life so I refused to carry out the ritual causing my wife to be angry.  She then demanded that the ritual took place. I finally agreed but pulled the baby from the fire at the last moment claiming that it was badly burnt but still alive. At this moment, I awoke, distressed and immediately went to my son’s cot, half asleep to check on him. Everything was fine, of course…I hadn’t had a premonition. Thinking about the dream the morning after, I realised the significance of the dream and why it had come at this time. Death in a dream generally means that a part of you is dying, be it a belief, a long-held thought pattern or a habit. I realised that this dream signifies my final recovery from the accident that I had two  years ago that left me with various phobias and fears. My wife has been gently encouraging me lately to take that next step (with some resistance). I really feel this dream is a real pointer to upcoming events.

 

When we are under stress, anxious or worried, sleep is one of the first things to be affected and many complain of broken sleep or the inability to fallasleep. When trauma has occurred in our lives, we are sometimes afraid of sleep, conscious of the nightmares and flashbacks that could follow. However, it is universally recognised that obtaining sleep, and good sleep, is essential for strong physical and mental health. As a therapist, I am very interested in a client’s sleep patterns as they can give a good sign of troubled times (or not). I also believe that what we do when asleep is an equally important source of information, that is the analysis of dreams. The interpretation of dreams in psychology was first pioneered by Freud himself. He believed that dreams are the window to the subconscious. He famously quoted in his work The Interpretation of Dreams (the definitive text was published in 1955), “The interpretation of dreams is the royal road to knowledge of the unconscious activities of the mind” , something that I truly adhere to.

There are people, of course, who believe that dreams hold no particular value and are just a re-run of recent events in our lives, much like when we would watch a film we have shot on a camcorder, that they are just a repository for information received through the senses or are some kind of “white noise”, similar to that hum give off by electrical equipment. On many levels, this could well be true. Our brains need to find an efficient way of filtering and storing valuable information, ready for the next day’s onslaught of even more. We can liken this to spring cleaning in the sense that some things are used and some things stored away for the future. The question is, what happens to the stored information? It is stored in the subconscious just as we store household things away in the attic. When this is added to the existing information present there from the influences. belief systems and experiences gained as we grow older, we have a melting pot of information that goes to making up the vast, murky, mostly uncharted place we call the subconscious. If we see the brain as some form of large computer that is continually fed during waking hours, we could imagine that dreams perform two functions : the correct sorting and processing of information and the presentation of new ideas needed for the dreamer to fully function. To do this. it gets most of its input from our subconscious mind during our sleeping hours as this is the only time that we do not place limitations on our conscious mind, allowing elements of the subconscious to come through. This process is often associated with nightmares but can also be on a more positive note. There have been many recollections of solutions to problems being found while dreaming or in deep sleep.

Nightmares and Flashbacks

When we have a nightmare or flashback to a traumatic event, we are showing a depth of emotion rarely experienced in waking mode. Nightmares are usually associated with our psychological reaction to fight or flight, yet we rarely get to this point and huge relief is felt when we wake and realise that it was not real. Nightmares tend to arise from six sources.

1. Childhood memories of intense emotions associated with loss ( or birth trauma)

2. Childhood fears and anxiety, especially in the case of dysfunctional attachment to parents.

3. PTSD where basic survival is threatened, even when the traumatic event is long past.

4. A fear of the unknown which could have been absorbed as a child. Yet again, the need for basic survival.

5. Serious illness with the natural fear of death.

6. A sense of foreboding of doom to come. This is a concept not fully understood as yet but what seems true is that humans have an innate cognitive ability to predict future events while sleeping.

People who have nightmares are more likely to suffer recurring dreams in the same situation, with the same emotions but participants disguised and often invisible. In these cases, analysis of dreams in therapy is extremely helpful to break habitual responses and change attitudes and anxiety. The analysis of dreams in therapy is not advocated by all therapists and this depends mostly on point of view and personal opinion. I, for one, believe we need to use everything at our disposal to help the client understand and ultimately recover health. Dreams, in my opinion, serve a number of purposes but not least by showing us that we are attempting to achieve a goal that is , at present unattainable, telling us that we need to focus on how we handle emotions such as anger, fear, jealousy or pain or such issues as spirituality and sexuality. Though this is not an exact science and interpretations can be wrong but a simple breakdown of the dream can glean valuable information concerning the conscious and subconscious thought patterns of the dreamer. Initially, the situation or the environment that the dream took place in is significant. A good example is a school:  a learning environment. Then the emotions being felt in that situation gives an understanding of the dream framework, just as a theater group sets up a stage for a play. The important part is then to decipher various symbols and sub-plots that occur and the participants involved. We should also realise that a dream can relate to various themes going on in our lives and a simple explanation is often not enough to truly reveal the secrets involved.

Hochzeit 041Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples,  groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need.  Online Therapy details : Here …… Take advantage of the “online therapy” tester. Try the first three sessions for free. Contact me for more details.

Medical Marijuana : Truth or Fiction….You Decide

“I think people need to be educated to the fact that marijuana is not a drug. Marijuana is a herb and a flower. God put it here. If He put it here and He wants it to grow, what gives the government the right to say that God is wrong?” ~Willie Nelson quote on Marijuana

Marijuana, or cannabis, as it is more appropriately called, has been part of humanity’s medicine chest for almost as long as history has been recorded.  However, given the image of marijuana as a recreational drug, its use as a medicine is still highly disputed by many, including governments who refuse to fund further research. Here we debate the issue, taking as always opposing sides   Join us HERE

Clue up on SAD : It affects more of us than you think.

As I woke up this morning, I realized that something was different. I ‘m not talking here about the aging process here but the sudden change in the weather. Summer had seemed to turn into fall overnight. Drizzly rain, dark clouds and that nip in the air. Realistically there is a good chance that the warmer weather will return before fall really sets in but it gave me a taste of things to come. This time of year tends to be a time when, as a psychologist, I become a little busier as the more positive thoughts associated with summer tend to start fading with the amount of sunlight available. This is prime time for the onset of SAD, commonly known as seasonal affective disorder or the winter blues. It strikes like the clock for many people exactly as the weather starts to change and like clockwork, returns every year. Sufferers complain of limited energy levels, mood swings and low-level depression, usually from early fall through winter to the start of spring. In rarer cases, some can suffer in spring until early summer. For anyone afflicted with this, it can seem as if their life is attached solely to the changing of the seasons and some clients that I have known who battle with this say that eventually they become generally depressed during summer as well as they wait for the inevitable to arrive.

No-one is really sure why SAD affects so many people but the most popular theory and the one most likely is that it is associated with reduced exposure to sunlight during the shorter days of the year. This theory makes sense due to the fact that sunlight is known to affect some of the brain’s chemicals and hormones, though it is not yet clear how and what effect this has. One theory is that light stimulates a part of the brain called the hypothalamus which controls mood, appetite and sleep. These things can affect how you feel. It is thought that the combination of lack of sunlight with the inability to produce certain chemicals that stimulate the hypothalamus produces a situation that affects the production of the hormones melatonin and serotonin and consequently affects the body’s circadian rhythm (the body’s internal clock, which regulates several biological processes during a 24-hour period. This could explain why many sufferers feel the need to sleep more and have trouble rising on dark mornings. However, research is ongoing.

More of us are affected by SAD than we realize. The NHS in the UK estimates that  SAD affects around 2 million people in the UK and more than 12 million people across Northern Europe and it mostly affects people between the ages of 18-30 but there are also cases of children and pensioners suffering and under treatment too. These are just the ones who have sought treatment. As for treatment, the most common and effective for many people is the use of light boxes in light or phototherapy. These simulate the natural daylight needed to produce the hormones needed in the process described above. It calls for regular daily “sittings” under a desk lamp or wall-mounted light. Some even like to be woken by “natural light” alarm clocks that slowly flood the room with simulated daylight. These solutions are often combined with an exercise regime and an analysis of dietary requirements due to the fact that many sufferers have a tendency to gain weight. Talking therapies and counseling are often prescribed as well. Something that must be noted at this point is that even someone who is generally not depressed can still be afflicted with other symptoms associated with SAD. GP’s will also generally run blood tests to check for signs of thyroid issues as the symptoms are similar in some cases.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals, couples, groups and companies. Apart from seeing clients face-to-face, Dr Jenner also runs a thriving online therapy business bringing help to those who are housebound or located in rural locations where therapy is difficult to find. He can be booked for online sessions from anywhere in the world. First consultation free. For more information , follow the link to his website HERE

Want to know more about Dr Nicholas Jenner? Check out what his clients say….HERE

New Research on Suicidal Behavior : Associations between life and death

A few days ago, I was passed a rather controversial article written by an American psychologist in the wake of the Tony Scott suicide stating that “he hates suicide but understands it in the case of terminal illnesses” and “even highly trained psychologists have trouble defining a suicidal patient”. As a psychologist, I know this is something that you must keep a very close eye on, looking for those tell-tale words and signs that can point you towards diagnosis. However, the very nature of the relationship between therapist and client sometimes hinders this in the fact that if someone is determined to end their life, they are unlikely to tell someone who can take steps to stop it. This places a huge responsibility on the shoulders of psychologists who more often that not do not or cannot pick up the signs. However, new research (highlighted below) would seem to suggest that responses given to words or groups of words can give an indicator of suicidal behavior. Though it would be wrong to see it as an exact science, the results are encouraging.

Determining who is at risk for suicide is an arduous and inexact endeavor. Even trained clinicians can miss warning signs.

Researchers have now developed an instrument they believe will help predict those at risk.

Matthew Nock of Harvard University, along with colleagues from Harvard University and Massachusetts General Hospital, modified a well-known word-association test to measure associations between life and death/ suicide and examined if it could be effective in predicting suicide risk.

The Implicit Association Test (IAT) is a widely used test that measures automatic associations people hold about various topics. Participants are shown pairs of words; the speed of their response indicates if they unconsciously associate those words.

In the IAT version used in this study, participants classified words related to “life” (e.g., breathing) and “death” (e.g., dead) and “me” (e.g., mine) and “not me” (e.g., them).

Faster responses to “death”/”me” stimuli than “life”/”me” stimuli would suggest a stronger association between death and self.

People seeking treatment at a psychiatric emergency room participated in this study. They completed the IAT and various mental health assessments. In addition, their medical records were examined six months later to see if they had attempted suicide within that time.

The results, reported in Psychological Science, a journal of the Association for Psychological Science, revealed that participants presenting to the emergency room after a suicide attempt had a stronger implicit association between death/ suicide and self than did participants presenting with other psychiatric emergencies.

In addition, participants with strong associations between death/ suicide and self were significantly more likely to make a suicide attempt within the next six months than were those who had stronger associations between life and self.

These results suggest that an implicit association between death/ suicide and self may be a behavioral marker for suicide attempts. These findings also indicate that measures of implicit cognition may be useful for identifying and predicting clinical behaviors that tend not be reported.

As Nock explains, “these results are really exciting because they address a long-standing scientific and clinical dilemma by identifying a method of measuring how people are thinking about death and suicide that does not rely on their self-report.”

He adds, “we are hopeful that this line of research ultimately will provide scientists and clinicians with new tools for measuring how people think about sensitive clinical behaviors that they may be unwilling or unable to report on verbally.”

Mahzarin Banaji, also of Harvard University and a co-author of this study, adds that this work presents a strong argument for the importance of funding basic behavioral research.

“These results are an example of basic research helping to solving a troubling and devastating problem in every society. The method we used was designed to understand the mind, but it turned into a technique that can predict disorders of a variety of sorts. One wonders why funding agencies that should know better about the value of basic research seem so naive when it comes to decisions about what is in the public’s interest.”

Source: Association for Psychological Science

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals, couples, groups and companies. Apart from seeing clients face-to-face, Dr Jenner also runs a thriving online therapy business bringing help to those who are housebound or located in rural locations where therapy is difficult to find. He can be booked for online sessions from anywhere in the world. First consultation free. For more information , follow the link to his website HERE

Want to know more about Dr Nicholas Jenner? Check out what his clients say….HERE

Nature vs Nurture..and then some.

Most of a therapist’s daily work is to help a client put childhood experiences and parenting styles in perspective. It is true that our early years have an enormous influence on us as adults, positively or negatively. Many parents, in the stress of coming to terms with being new parents, sometimes forget that every single interaction they have with a young child leaves its mark. This statement suggests that we are, as children, like sponges, willing and able to soak up all experience and influence from our surroundings and that is true. However, one could say that we are somewhat prepared for this by being handed a “genetic toolbox”, formed from the genes of our parents and incorporated into our brains as we develop in the womb. There is often strong discussion in the medical profession about which of these have the greater influence…nature versus nurture.

Many observers have likened being born to being held under water for nine months and then being allowed to take a breath of air. Others have said that it is the most traumatic event we will ever face, being suddenly plunged into a confusing, hectic world with no idea what is happening. Depending on which side of the nature versus nurture argument one stands, a newborn is either fully ‘wired’ for life or comes with a ‘blank slate’ , having to soak up all environmental influences around it in order to develop. These opposing views have resulted in fierce debate over the years and the true answer probably lies somewhere in the middle though supporters of each side have made convincing arguments for their case.

The fact is that it is probably not an either-or case but both work in unison. It is hard to believe that we arrive in this world with no cognitive influence from our parents.  This theory would be, for me, implausible given that the very conception process that creates a newborn is associated with the passing on of genes from both parents. Of course, one could also argue that environmental influence could haven taken place in the womb, as I am sure it does.

Much research done concerning identical and non-identical twins reared together and apart appear to suggest that genetic factors have more of an influence on psychological development than environmental factors. Additionally, adopted children are more likely to show hereditary characteristics than ones learned from their new environment. (Rowe 1993). Adding credibility to the argument that we have a genetic ‘toolbox’ available at birth, Greenough, Black and Wallace (1987) determined two different neural pathways in newborns. The first, the experience-expectant system contains all the functions that a newborn needs to be able to survive its early life, including sucking, breathing and temperature regulation. These are present due to genetic programming. The second, the experience-dependant system is dormant at birth but develops and strengthens as learning and experience takes hold. The evidence makes a convincing argument for the influence of genetic and environmental influence on the development of a child. Just what the percentage is for either side is remains a mystery.

However, to add a twist into the debate, new research by psychologist George Holden at Southern Methodist University in Dallas states that a third factor must be added..parental guidance. Child development researchers largely have ignored the importance of parental “guidance,” Holden says. In his model, effective parents observe, recognize and assess their child’s individual genetic characteristics, then cultivate their child’s strengths.

“It’s been said that parents are the ‘architect’ or the ‘conductor’ of a child’s development. There are lots of different synonyms, but the terms don’t capture the essence that parents are trying to ‘guide,’” Holden says. “Some parents have more refined goals — like wanting their child to be an athlete or to have a particular career. Some have more general goals — such as not wanting their child to become a criminal. But all are positive goals.”

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals, couples, groups and companies. Apart from seeing clients face-to-face, Dr Jenner also runs a thriving online therapy business bringing help to those who are housebound or located in rural locations where therapy is difficult to find.

Online Therapy details : http://www.therapy-for-leaders.com/buy-online-therapy/

 

 

 

An advocate for child abuse victims

I have been inspired by many books in my life and I am an avid reader of a wide range of genres. I have always had the feeling that if you read the right book at the right time and under the right circumstances, it can change your life or at the very least put much of what has happened before into perspective. I came across Linda T Sanford’s Strong in Broken Places some years ago and while many would say there is nothing revolutionary about the content, it struck a chord with me due to its simplicity and ability to potentially help anyone who has been through the hell of child abuse, whether it be of a sexual, physical or emotional nature. One part of the book highlights the research done into the case studies that were used and how this progressed onto the theories created by Sanford. While some would say that interviewing so few people is not representative, the theories are certainly sound. A short summary of her reasearch is highlighted below.

Linda T Sanford studied twenty survivors of child abuse as the basis for her book. They were chosen after sending a “request for volunteers“to over one hundred psychologists using specific criteria as a prerequisite. The survivors were finally chosen to give as much of a cross-section as possible of demographics as well as type of abuse suffered. Her aim was to attempt to dispel commonly held theories and prejudices about abuse victims in that they find it hard to stop the abuse jumping generations and they will be a drain on society’s resources by becoming criminals, drop-outs or abusers themselves. She states many times in her research that most of the twenty survivors had nothing in common with this stereotype and had gone on to become successful parents and business people. The main findings of her research are as follows:

Once damaged goods…… The theory that the abused will become abusers was not borne out by the study. While it is clear that in some cases, abuse victims do abuse others later in life, none of Sanford’s cases had done so. She also, through her research, found that the reporting of statistics on child abusers becoming abusers themselves was flawed and biased, giving a false impression of the whole picture.

Sanford looked at the role trauma plays in child abuse and likened it to the death of a loved one suggesting that child abuse victim grieve for their dead “self” as they would with the death of a loved one. She suggests that there must be a set process ending with the reconnection to self which is often “started by a trigger”, maybe a move to another town or the death of the abuser.

A child abuse victim is often told by the abuser and the people around them that the abuse “never happened” or “can’t have been that bad” suggesting that the abuse was “good for the victim”. To the extreme, the abuser has total control over the child and forces them to deny the abuse or to make them feel they deserved or provoked it. Some victims escape these “lies of the mind” by fantasizing or “escaping” into intellectual pastimes. Sanford suggests that the mind can be used to “heal the lies of the mind” by thinking differently and building a “cognitive life raft”.

Many of the twenty interviewed were cases of “looking good on the outside”. Some families paint a picture of harmony to the outside world but behind closed doors are troubled and full of abuse. Sanford found that this often leads to children to suppressing or “freezing” feelings towards others. This process of suppression of feelings can lead to children being sullen, hyperactive, or left in social isolation. They can have problems in school or suffer eating disorders. Sanford determined that children cope with this by using distinct behavior styles, all negative for development. She suggests that recovery means to renew the ability to show and express feelings and be comfortable accepting vulnerabilities.

“The body is a like a museum for abuse” states Sanford. Some of the victims who had suffered sexual or physical abuse stated that they felt unattached from their bodies, seeing it as “part of the abuse problem”  driving them to self-abuse or overeat or in some cases become bodybuilders . The author clearly suggests that the effects of abuse are shown in the way our body works, reacts or behaves. The path to healing starts with nurturing the body, that is food, sleep, exercise and most importantly, forgiving.

Sanford goes on to talk about the role of parents and others in the development of a child and how parent’s behavior can either emphasize it in a positive way or how they can stunt development by not setting physical and emotional boundaries. She explains the role of friends, role-models and peer groups in “good families” and how this is complicated in troubled families. A key point she made was that when the abused become parents themselves, they must unlearn all the lessons learnt as a child. This is seen as vital to breaking the chain of abuse.

Sanford finishes her account of the research by stating that many survivors turn to religion or nature for recovery, finding there a counter to the “vicious God” they saw in their abuser. She states that this gives them back the faith they have lost and conquers the natural feeling of fear. Often death is all around abused children when parents take drugs or alcohol to excess. Spirituality gave them a different perspective on this also.

www.immodiumabuser.com

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