Thursday, November 16, 2017

Psychology’s Power Tools

A few years ago, while attending a conference in Berlin, I went out one evening to catch up with a friend I hadn’t seen in years. James lives in the United States and works in the field of psychology, but Berlin was the first time we’d been together in a good while. It was a beautiful evening and the city felt so alive, but James looked nervous. I knew he had something to tell me.

He started: ‘Brian is Briana.’

‘What?’

‘My son is my daughter. He is really a she.’

I didn’t need any more explanation to know what James was saying. His 18-year-old, formerly Brian, identified as a woman, and he was breaking the news to me.

‘Wow.’

‘I know. I know. He’s going to… I mean, she’s having sex-reassignment surgery in Singapore in December, and we’ve been doing hormone treatments for months. It’s been a wild ride.’

When James used the word ‘we’ to describe the hormone treatments, I knew everything would be OK. The ‘we’ in his sentence was a clue that that their family was not split apart by this news. Learning that your son is really your daughter is, for most people, life-changing news, and the few clients I had worked with in therapy around their gender identity were torn apart by how their families had responded.

James had learned so much in the past year about how to connect with his daughter as a trans-woman. Briana’s brother was turning his back on her, and James and his wife felt alone, as if they were walking on quicksand. Throughout the conversation, though, he kept saying: ‘It is what it is.’ James must have said the phrase 10 times, and it dawned on me that he was getting at something profound. With this aphorism, he could avoid getting sucked into potentially painful emotions and instead be present and available to help his daughter.

When I returned from Berlin, I was primed to hear the phrase everywhere I went. I am convinced I hear it at least once a day, and not only from my clients. I hear it from my wife, my friends, my colleagues, my students and, a few days ago, I heard it from the woman working the register at the gas station. I hear myself and others saying these words, but I hardly ever stop to reflect on their meaning. When it finally dawned on me to ask why everyone keeps using this phrase, the answer appeared quickly and with force: the phrase is a way to psychologically disarm powerful negative emotions. It’s an efficient means of distancing ourselves from difficult experiences, to create mental space and, potentially, to ignore – in a good way – percolating negative emotions. In short, this phrase represents what psychologists call an emotion-regulatory strategy.

Research in clinical psychology suggests that a key aspect of maintaining our emotional health is not deepening our connection to painful thoughts – that is, not getting ‘sucked into’ thoughts about inferiority, impossibility, or seeing the potential for bad outcomes around every corner. ‘It is what it is’ reflects the decision not to go down this road and, when we use it, we’re practising one of the best therapies around. Although there are many routes to emotional equanimity, it is the thoughts in our heads, and the words we choose to express them, that are the gatekeepers of our psychological wellbeing.

This notion is at the heart of cognitive behavioural therapy, or CBT, a proven collection of techniques that help us realign our thoughts so our emotions stay in balance and we successfully navigate life.
***
Imagine you’re strolling across a lovely college campus on your way to grab lunch with a friend. You’re stopped by two students.

‘Could you spare a minute? We’re running a research study on how people perceive the natural environment. Would you like to participate?’

‘Sure, why not?’

This is when things get a little weird. The researchers have you don a backpack that weighs about 20 per cent as much as you do. Then they ask you to estimate the slant of the hill in front of you from completely flat to a vertical cliff. Can you zip up this hill with your backpack on, or did this small hill just become Mount Everest in your mind? Although I’ve glamorised it a bit, this is a real research study. Developed by the psychologist Dennis Proffitt and his colleagues at the University of Virginia, the ‘hill slant’ study is well-known, and has garnered an impressive set of findings about visual perception. It makes sense that people perceive the hill to be steeper when they are wearing a heavy backpack, relative to when they’re not wearing one (That hill with this backpack? No way!), and that they perceive the hill to be steeper if they’re tired.

A more surprising finding emerged in 2008, when psychologist Simone Schnall, director of the Mind, Body, and Behaviour Laboratory at the University of Cambridge, found that people perceive hills to be less steep when they’re with other people or when they imagine a supportive significant other alongside them. Schnall reasoned that the availability of social resources might keep people from ‘being depleted’ when they donned the heavy backpack. It is hard to overstate the significance of these findings: social support alters how we perceive the demands of the physical world.

In fact, the hill-slant study illustrates one of the most important topics in contemporary psychological science: our evaluations of situations, events and people shape how we perceive, or appraise, the world around us. These psychological evaluations are often referred to as cognitive appraisals. When we’re with others we appraise the slant of the hill differently; we evaluate that mound of dirt as less foreboding.

How do you feel about work or school tomorrow? Smooth sailing or another headache? What about that weird look a colleague gave you this morning? Your kid is talking back and being a total pain. Why does it bother you so much after dinner compared with after breakfast?

These questions capture the essence of the calculus we engage in every second of the day. We’re constantly taking our own psychological temperature and evaluating whether we need to rest or spring into action. Our emotional lives hinge in large part on this appraisal process. Whether we feel happy, engaged and full of energy is derived from the belief that we are in harmony with the world around us.

We maintain this sense of harmony by viewing ourselves, others and the events around us in a relatively benign light: things are fine, we’re safe. When we perceive the slings and arrows of life as non-events – when we can say: ‘It is what it is’ – we can face difficult circumstances and effectively disarm potential emotional landmines.

When anxiety makes our thinking disordered, on the other hand, quite the opposite happens. Hills seem insurmountable, and the world becomes a scary and impossible place. As a brief example of appraisals gone awry, stop for a moment and think about what it would feel like to believe that you are absolutely worthless. You contribute nothing to this planet. Zilch! What if you were as certain of these thoughts as you were of the fact that you need light in order to read this article? Now you have an idea about what it’s like to be depressed.

Most of the time, however, these negative appraisals are distortions; they are misappraisals of the world around us based on automatic habits of thought that have rooted themselves deep inside our minds. CBT was designed to help people break these habits, to learn new ways to evaluate the reality of their appraisals and, in general, to think more flexibly about their lives.

by David A. Sbarra, Aeon |  Read more:
Image: Ascent Media/Getty
[ed. I know CBT works, but it still seems kind of opaque to me (and I have read Seligman). Essentially, 'rewire your perceptions and think positive thoughts' (or avoid thinking disordered ones). But by suppressing some thoughts - even if they're negative ones, don't we create a sort of artificial construct of the world, even if it makes us feel better? And what if some of those negative thoughts are actually useful (e.g. for full emotional processing), or more acurately reflect reality? How to know without some future perspective? Finally, since humans are mostly bags of chemicals and water, when some of those chemicals get out of whack, no amount of positive thinking is likely to help (except perhaps as a coping mechanism).]