Showing posts with label diet exercise fitness health medicine nutrition. Show all posts
Showing posts with label diet exercise fitness health medicine nutrition. Show all posts

Friday, April 30, 2021

Superimmunity by Paul Pearsall

Psychologist Paul Pearsall was an early proponent of current notions of mind-body medicine. For Pearsall, it was important to heal a person’s life even if it wasn’t possible to cure their disease. Often a disease can be the body’s way of getting a person’s attention, and letting him know a change is needed. People who make those changes can experience healing, sometimes in the form of a cure and sometime as health and happiness in the midst of disease. Pearsall described some of his ideas in Superimmunity.

In this book, Pearsall draws from Eastern medicine an organizing theme: hot and cold thinking. Hot thinkers are fast, impatient, black-or-white thinkers. They can be judgmental and prone to exaggeration, overreaction and isolation. Cold thinkers overreact to trivial things and underreact to important things. They are prone to passivity and feeling of inadequacy. They are isolated in their own way, and though often out of touch with their emotions, they often despair.

The body responds to these thinking styles. Hot reactors are always on the attack, and their immune systems attack their bodies. Heart disease is associated with hot people. Cold reactors are inactive, so their bodies may respond with excessive activity, particularly cell growth (i.e. cancer).

Pearsall does not eschew medicine. If you are facing a serious illness, the likes of heart disease or cancer, you need a lot of medical help. However, you also need to enlist the aid of your own immune system, which may be doing something counterproductive if it is very active at all. You’re immune system is closely linked to your brain, more so that was commonly thought when Pearsall was writing in the 1980s, so getting the best immune response calls for leaving hot or cold thinking for something more balanced.

“Until recently, we have behaved as if the immune system were somehow separate from us, doing its job secretly, automatically, beyond our control…. Research now tells us that our immune system functions within a supersystem of mind and body,” Paul Pearsall, Superimmunity

Superimmunity includes many tests to help you identify if you tend to be a hot or cold thinker (you can be both). From there, Pearsall offers strategies for cooling off or warming up your thinking as needed. This can mean observing your body, listening to your disease and getting in touch with your emotions in ways that can be unfamiliar to one in the throes of hot or cold reaction. This self-evaluation that reveals the underlying dysfunction, and your own exploration and imagination may uncover your path to healing.

Pearsall does not suggest that changing your thinking will always lead to a cure, though sometimes it might. Disease and mortality are part of being a human. However, you can truly live while you are alive, and in this since experience healing. Life is more than surviving, eating, drinking and breathing. It is important to live as fully as you can.

Paul Pearsall also wrote

The Beethoven Factor

The Last Self-Help Book You'll Ever Need

Toxic Success

If you’re interested in this book, you may also be interested in

Change Your Brain Change Your Body by Daniel G. Amen

The Relaxation Response by Herbert Bnson with Miriam Z. Klipper

The Road Less Traveled by M. Scott Peck

Timeless Healing by Herbert Benson with Marg Stark

Pearsall, Paul. Superimmunity: Master Your Emotions & Improve Your Health. New York: McGraw-Hill, 1987.

Sunday, April 25, 2021

Happiness is a Choice by Frank B. Minirth and Paul D Meier

I’ve been reading a lot about anxiety and depression lately, and it has led me to some older books, such as Happiness is a Choice by psychiatrists Frank B. Minirth and Paul D. Meier. The book appears to be written for a mixed audience of therapists who may be treating patients with depression and people who may pick up the book as a self-help guide. If depression is affecting your life, I recommend you talk to your physician or reach out for appropriate counseling; there are effective therapies and in some cases drugs may be appropropriate.

The book may be broken into three major parts. The first deals with the symptoms of depression. Though it is fairly widely know now (thanks largely to drug advertising), it was probably less known in 1978 when this book was published, that there are physical symptoms to depression. Feeling bad emotionally can make us feel bad physically and vice-versa.

The second part deals with the causes of depression. These are particularly stress and trauma. We all face trauma in life, and it does not have to be “major” to result in depression. We all grieve losses, get angry over the way we or others are mistreated, face dysfunction in relationships and countless other stresses and traumas. Any of us may suffer a blow that leads to depression.

“Who gets depressed? At some period of life, nearly everyone does!” Frank B. Minirth and Paul D. Meier, Happiness is a Choice

Finally, they deal with the treatment of depression. Much of Minirth and Meier’s advice deals with thinking and relationships. Therapy may occur at a counselor’s office, but healing takes place in everyday life, thoughts and relationships.

The book also contains appendices that deal with things that may be of more interest to therapist. These include a few very brief case studies, a short chapter on the biology of depression and additional information on various types of treatment.

Minirth and Meier are known as Christian counselors who discuss faith alongside medicine. This book is no exception. The authors reference the Bible and draw lessons from it. Though many may find useful advice in this book, I think it would especially appeal to Christian who are seeking help that is consistent with their faith. Their advice on overcoming depression and anxiety is rooted in their religion.

If you’re interested in this book, you may also be interested in

Anxious for Nothing by Max Lucado

The Mindful Way through Depression by Mark Williams, John Teasdale, Zindal Segal & Joh Kabat-Zinn

Rewire Your Anxious Brain by Catherine M. Pittman & Elizabeth M. Karle

The Solution by Lucinda Bassett

Think 4:8 by Tommy Newberry & Lyn Smith

12 “Christian” Beliefs That Can Drive You Crazy by Henry Cloud & John Townsend

Minirth, Frank B., and Paul D. Meier. Happiness is a Choice: A Manual on the Symptoms, Causes and Cures of Depression. Grand Rapids, MI: Baker House, 1978.

In Pursuit of Happiness by Frank Minirth

Happiness is something we can produce, at least in part, from the choices we make and the things we do. Psychiatrist Frank Minirth emphasizes the choices that lead to happiness in his book, In Pursuit of Happiness.

Minirth is particularly known for his work in Christian psychology. The book is full of references to the Bible, with scriptures selected to provide advice in several areas of life that have a strong effect no happiness. I found this to be one of the best parts of the book.

The author is also a medical doctor. As such, he also believes that some can benefit from drugs, other medical treatment and psychological counseling. He emphasizes the power of God, but he does not minimize the benefits of medicine. The main body of the book does not deal much with the medical treatment of depression, anxiety or other treatable disorders that affect happiness other to point to the potential benefits of medical treatment. However, the book includes several appendices on the biological causes and medical treatment (including drugs) of anxiety, depression, dementia and other diseases.

Most of the book is very easy to read. Each chapter plainly follows an outline and flows from subject to subject. To a great degree, readers may skip around to the chapters that are most relevant to them and still make sense of the book.

If you’re interested in this book, you may also be interested in

Anxious for Nothing by Max Lucado

The Beethoven Factor by Paul Pearsall

The Five Secrets You Must Discover Before You Die by John Izzo

Happiness is a Choice by Barry Neil Kaufman

Happier by Tal Ben-Shahar

I Can Make You Happy by Paul McKenna

The Instinct to Heal by David Servan-Schreiber

It's Not Always Depression by Hilary Jacobs Hendel

Language and the Pursuit of Happiness by Chalmers Brothers

Lost Connections by Hari Johnson

The 100 Simple Secrets of Happy People by David Niven

100 Ways to Happiness by Timothy Sharp

Rewire Your Anxious Brain by Catherine M. Pittman & Elizabeth M. Karle

Solve for Happy by Mo Gawdat

Secrets You Keep from Yourself by Dan Neuharth

The Solution by Lucinda Bassett

Think 4:8 by Tommy Newberry & Lyn Smith

Vital Friends by Tom Rath

Minirth, Frank. In Pursuit of Happiness: Choices that Can Change Your Life. Grand Rapids, MI: Fleming H. Revell, 2004.

Saturday, April 24, 2021

The Healthiest Diet on the Planet by John McDougal

I previously reviewed a couple of books on low-carb diets. Perhaps it is time for a dissenting opinion. Physician John McDowell argues for a low-fat vegan diet in The Healthiest Diet on the Planet.

The crux of the argument is the inversion of that made by some made by low-carb advocates, especially those who promote nearly carnivorous paleo diets. McDougall proposes that the primary diet of our ancient ancestors was plant-based, and that especially included energy-providing starches; he even refers to his picture of the ideal diet as “starchitarian.” He points to those parts of the world where people still eat their traditional diets and have low occurrence of obesity and associated diseases. They eat a lot of whole grains or potatoes along with vegetables and fruit; they eat little meat. It makes sense to me that this would be a natural diet for humans. In much of the world, foods from plants would have been much more widely available most of the year with much less effort and danger. Meat was probably a great calorie supplement to an otherwise lean diet, but it would not have been a reliable source of food for every meal, nor is it amenable to storage or preservation.

Another appealing aspect of the McDougall plan is it simplicity. In The Healthiest Diet on the Planet, he offers a green-yellow-red light approach to what to eat, what to eat with caution and what to avoid. The diet consists mainly of starchy foods: whole grains, potatoes, sweet potatoes and beans. It also includes vegetables and some fruit. Some foods, such as nuts, avocadoes and fruit juices, can be eaten in small amounts; they are a concern because they include a lot of fat or sugar. Finally, avoid animal products (meat, eggs and dairy) and extracted vegetable oils. McDougall admits that it is unusual of natural human diets to be completely devoid of meat, so I suspect it would be okay for someone to eat meat once in a while.

I haven’t tried it any more than I have tried a low-carb diet. It certainly seems easier. It is also likely to be less expensive.

Like many diet books, this one includes recipes. Coauthor Mary McDougal contributed the recipes.

McDougal, John, and Mary McDougal. The Healthiest Diet on the Planet: Why the Foods You Love—Pizza, Pancakes, Potatoes, Pasta, and More—are the Solution to Preventing Disease and Looking and Feeling Your Best. New York: HarperOne, 2016.

Cure by Jo Marchant

Over my lifetime, I’ve observed an increasing interest in the connection between mind and body. It is not a new concept, but it has gained ground and the Cartesian distinction between mind and body has eroded. However, how we are still learning how it works and the extent to which it is effective in the treatment of disease. Geneticist and science writer Jo Marchant explores these issues in Cure.

Marchant considers three areas in which there appears to be mind-body connections that have promise for use in medical settings. First is the placebo effect. Next, she looks at meditation, biofeedback and hypnosis. Finally, she discusses the effects of our viewpoint, especially how increase or reduce stress.

We are equipped with an internal pharmacy that can reduce or aggravate pain, and it can be triggered by something as vague as our expectations. This placebo affect can be as powerful as drugs at reducing pain and some other symptoms of disease, which can make it difficult to test the effectiveness of drugs. Some physicians are starting to change their minds about the placebo effect. Instead of seeing it as a problem that gets in the way of testing drugs, they are seeing it a potential substitute for drugs. The placebo effect has limitations; it can reduce pain and symptoms, but it does not cure the underlying disease or injury. There is also a nocebo effect, which causes pain and fatigue.

Another interesting effect discussed by Marchant is conditioning of the immune system. In some cases, we can prompt the immune system to have a conditioned response; we can train it. After taking a drug, the immune system can reproduce the response to the drug at lower doses. We can strengthen the conditioning by accompanying the drug with strong rituals; repeating the rituals can produce the response to some degree. This holds some promise for improving the effectiveness of drugs and reducing the dose needed to be effective, especially when a drug as serious side effects. I thought this was fascinating.

Our brain is more connected, and in control, of our bodily functions that we previously realized. Meditation, hypnosis and biofeedback can allow people to exercise control over operations of the body that were previously thought to be automatic or even independent of the brain. This includes pain, blood flow, stress response, heart rate variability and vagal tone.

Relationships also have a profound effect on our health. Strong social connections keep us young, and lack of relationships is harmful to our health. Our own compassion for others can reduce stress hormones and inflammation. When physicians, surgeons, nurses and other health care professionals care for their patients as people, those patients receiving the emotional support experience less pain and longer lives.

Marchant shows there is potential for a new way of doing medicine, or room to reintroduce older practices. By slowing down and showing genuine concern for patients, doctors can multiply the effect of their treatment. Teaching people to slow down and pay attention to their bodies, the people they love and the good things in their lives, we can take advantage of the healing capacities of the mind and body. Medicine can be less about dispensing drugs and more about lifestyle and relationship.

If you’re interested in this book, you may also be interested in

The Beethoven Factor by Paul Pearsall

Change Your Brain Change Your Body by Daniel G. Amen

Descarte’s Secret Notebook by Amir D. Aczel

Ecclesiastes

The Genius in All of Us by David Shenk

I Can Make You Happy by Paul McKenna

I Can Make You Thin by Paul McKenna

Instant Self-Hypnosis by Forbes Robbins Blair

Job

The Last Self-Help Book You'll Ever Need by Paul Pearsall

Overwhelmed by Brigid Schulte

Psalms

The Relaxation Response by Herbert Benson with Miriam Z. Klipper

The Road Less Traveled by M. Scott Peck

The Solution by Lucinda Bassett

Solve for Happy by Mo Gawdat

Suggestible You by Erik Vance

Switch on Your Brain by Caroline Leaf

Take the Leap by Heather McCloskey Beck

Timeless Healing by Herbert Benson with Marg Stark

Writing Down the Bones by Natalie Goldberg

Marchant, Jo. Cure: A Journey into the Science of Mind over Body. New York: Crown, 2016.

Thursday, June 4, 2020

It's Not Always Depression by Hilary Jacobs Hendel

Depression and anxiety can be tough to handle and treat. Drugs may treat symptoms, but they do not cure depression and they typically do not work for long or require ever increasing doses. Talk based therapies can be helpful, but sometime it take a long time to get a helpful breakthrough.

Some forms of treatment aim to be more active. One such is accelerated experiential dynamic psychotherapy, or AEDP. This form of therapy is the basis of the methods described by therapist Hilary Jacobs Hendel in It’s Not Always Depression.

In a nutshell, AEDP sees maladaptive behaviors (defenses) and stressful emotions such as anxiety (inhibitory emotions) as ways to suppress potent core emotions. This can be useful to help us get along in social situations, maintain relationships and keep ourselves from being carried away by strong emotions. This is especially true when we are children and may not have the maturity or power to choose another path. However, we can become stuck in this behavior, never dealing properly with our core emotions, and our inhibitory emotions and defenses can become maladaptive, keeping us from the life and relationships we want and need.

Hendel organizes these items into an equilateral triangle setting on point. Defenses sit at the upper left corner, inhibitory emotions at the upper right, and core emotions at the bottom. Beneath the core emotions is your authentic self, which Hendel calls an openhearted state, in which one feels calm, confident and clear-headed.

Working the triangle is getting in touch with core emotions by finding how our defenses and inhibitory emotions are protecting us from them and the consequences of expressing them. Hendel draws examples from her therapy practice, but the fact that this is a book for a popular audience suggests that this is a technique that people could use on their own as well as in a more formal therapeutic setting. When we acknowledge our core emotions, name them, let ourselves feel them (they will pass) and express them in safe ways (sometimes through fantasy), they lose their potency and move on. By doing this repeatedly we learn that we can handle our emotions in ways that are safe and constructive; we have alternatives to our old defenses and inhibitory emotions and we can let them go. From here we can relax into an openhearted state.

“[W]e cannot  think our way through a core emotion; it must be experienced viscerally to be processed,” Hilary Jacobs Hendel, It’s Not Always Depression

Because defenses and inhibitory emotions protect us from core emotions, it can be difficult to know what we are feeling. Emotions are felt in the body, and Hendel describes was of slowing down to scan the body, assess our sensations and use this information to uncover our core emotions.

I’m not a therapist, but I can see the benefit of the framework. It gives someone a way to identify what they are doing and feeling. It can give one words to describe what one is experiencing and a process for exploring that experience. Its ultimate aim is to retrain the brain so one can let go of behaviors that are no longer helpful an embrace new ways of coping that allow for one to feel emotions and at the same time have the calm and clear mind to deal with situations constructively.

It is hard to do justice to these ideas in a few paragraphs. If you are looking for a way to deal with depression and anxiety, this book may be helpful. Even so, if your issues are severe, you should not abandon professional help from a physician or therapist. You may need a guide to help you through the process. There is no shame in that. We all need help when we are learning something new.

If you’re interested in this book, you may also be interested in

The Mindful Way through Depression by Mark Williams et al

The Road Less Traveled by M. Scott Peck

Hendel, Hilary Jacobs. It’s Not Always Depression: Working the Change Triangle to Listen to the Body, Discover Core Emotions, and Connect to Your Authentic Self. New York: Spiegel & Grau, 2018.

Wednesday, June 3, 2020

The Instinct to Heal by David Servan-Schreiber

Depression and anxiety seem to be the new defining diseases of our age, especially in the West. These disorders, and even severe stress, can affect our health as much as smoking or obesity.

 French psychiatrist David Servan-Schreiber notes that drugs and talk therapy are not especially effective, though the side-effects can be serious. The operating theory behind antidepressant drugs may simply be wrong.

 Dr. Servan-Schreiber suggests we look elsewhere for solutions to depression. The roots of depression are in the emotional brain, rather than the thinking brain, the body and the interaction between them.

 Our brain is layered, an as you go deeper inward, you get to older structures similar to other life forms: first those similar to other primates, then to mammals and finally to reptiles. The wordy, analytical, thinking part of the brain is the newest outer layer, the neocortex. Anxiety and depression are more strongly linked to the inner parts of the brain, which is emotional, image-oriented and much more closely linked to the operations of the body.

 One aspect of the brain-body connection is the heart. The heart has a bundle of nerves associated with it that are practically a simple brain itself, and this heart-brain has a direct connection to the emotional brain in the head. Our emotional and physical states are closely tied this way. Servan-Schreiber discusses techniques related to heart coherence, the variation of heart rate in a regular patter, that can be calming to the heart and brain and put is in a relaxed, restorative mode. His book includes instructions on a type of meditation for increasing heart coherence.

 He also talks about a technique that uses eye movements similar to those that occur while we dream to help the emotional brain process trauma, called eye movement desensitization and reprocessing (EMDR). This therapy will require a trip to a psychiatrist or psychologist, but for the right patients it can provide quick results.

 There is the suggestion that some cases of depression can be a symptom of disease or other issues in the body, especially inflammation. One of the things one can do deal with this type of depression is to get more Omega-3 fatty acids. These can help improve the function of the brain by improving the coating on brain cells. Depression seems to be more prevalent in countries where the typical diet is lower in Omega-3. Exercise can also improve depression and anxiety, especially when it is done regularly; three times a week for 20 minutes is enough to see a benefit.

 In addition, relationships and community are important to mental health and a sense of wellbeing. The quality of ones relationships can have a great impact on physical and mental health. Over the last few decades, people have come to have fewer and shallower relationships and less connections to community and purpose. Servan-Schreiber’s advice on this particularly focuses on ways to communicate that resolve conflicts and build empathy.

 Depression and anxiety are complex. Servan-Schreiber provides a suite of options for treating it. One of these may be helpful along, and some may need to use various ones in combination. In any case, there are things you can do, especially with the aid of a physician or psychologist, to make things better.

 If you’re interested in this book, you may also be interested in

Anxious for Nothing by Max Lucado

The Beethoven Factor by Paul Pearsall

Change Your Brain Change Your Body by Daniel G. Amen

The Last Self-Help Book You'll Ever Need by Paul Pearsall

The Mindful Way through Depression by Mark Williams, John Teasdale, Zindal Segal & Joh Kabat-Zinn

Overwhelmed by Brigid Schulte

The Relaxation Response by Herbert Benson with Miriam Z. Klipper

Rewire Your Anxious Brain by Catherine M. Pittman & Elizabeth M. Karle

The Solution by Lucinda Bassett

Switch on Your Brain by Caroline Leaf

Timeless Healing by Herbert Benson with Marg Stark

 Servan-Schreiber, David. The Instinct to Heal: Curing Depression, Anxiety, and Stress Without Drugs and Without Talk Therapy. New York: Rodale, 2003.

Lost Connections by Hari Johnson

Depression and anxiety are growing problems in the West. The model of depression as a chemical imbalance in the brain is breaking down, and antidepressants are ineffective. (I’m not suggesting you should stop taking antidepressants. Even if they are not working out for you, discuss it with your physician first.) Where do we turn to find relief?

 Johann Hari considers this problem in his book Lost Connections. Hari was a long-time sufferer of depression and taker of ever-increasing doses of antidepressants. He was happy with the model that depression was a chemical imbalance that was beyond his control and a pill could fix it. The problem was that a pill didn’t fix it; he was still depressed.

 First, it isn’t all in your head—or even in your chemistry. Though there is a physiological, and even hereditary, aspect to depression that can make some more susceptible, depression is triggered by our experience and social environments. Depression is a symptom of problems in your life. To Hari, depression is essentially a social disease and it requires social treatments.

 Though Hari does not claim to have completely uncovered the causes of depression, he outlines several that are supported by research. He describes them all as types of disconnection.

 For example, many are disconnected from meaningful work. They have no sense of control over their work. There is no connection between effort and reward, and the work can be humiliating drudgery. In addition, work has become much less secure; many have no idea if they’ll have work next week or even tomorrow.

 Related to this is disconnection from status. Research of primates suggests that depression is an expression of low status intended to protect apes from the abuse of their neighbors. In highly stratified cultures, like the United States, stress is higher than in cultures with more status equality. Low status people are under constant stress, and high status people experience extreme stress when their status is challenged.

 Most of all, we are disconnected from other people. We are less likely than ever to belong to a church, club, civic group, professional organization, sports league or similar structure of getting together with other face-to-face, bonding over common interests and building relationships. Neighborhoods are no longer communities; they’re just clusters of homes.

 Though it is more challenging than taking a pill, the solution to depression is to reconnect in those areas where we have become disconnected. It is especially important to reconnect to other people. If you want to feel better, do something to make someone else’s life better.

 The difficulty is that it is hard to get better on your own. Fortunately, if you’re willing to take a step, there are things you can do. On the bigger scale, we need cultural reform that supports personal relationships, meaningful values, meaningful work, empathy, hope and time in natural settings. There is no money to be made in prescribing a community garden, a book club or a job where one is treated with respect, so the money will probably continue to pour into drugs (whether they work or not), until we demand—and start to create for ourselves—something better.

 If you’re interested in this book, you may also be interested in

The Beethoven Factor by Paul Pearsall

Change Your Brain Change Your Body by Daniel G. Amen

The Last Self-Help Book You'll Ever Need by Paul Pearsall

The Relaxation Response by Herbert Benson with Miriam Z. Klipper

Switch on Your Brain by Caroline Leaf

Suggestible You by Erik Vance

Timeless Healing by Herbert Benson with Marg Stark

Vital Friends by Tom Rath

 Hari, Johan. Lost Connections: Uncovering the Real Causes of Depression—and the Unexpected Solutions. New York: Bloomsbury, 2018.