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COUNTING
Some patients develop this disorder in the form of repetitive
counting especially when they do certain activities. A
student once developed the compulsion to count the number
of electric bulbs before going for the examination. He used
to count the bulbs at home four times in each room
consuming a lot of his precious time. Another student
developed the habit of opening and closing his pen twenty
one times before entering the examination hall. Children
often does not tell these difficulties out side and all that the
parents and teachers would notice is that the child’s
academic performance has come down drastically. When
asked, the first child reported that he counted the bulbs in
order to have better clarity in his thinking before the
examination. The second child felt that the questions in the
examination would become simpler if he closed his pen
repeatedly.
Obsessive Compulsive Disorder (OCD) is described as
frequent repetitive thoughts and or actions occurring in a
person, which the person feels it to be anxiety provoking
and that he simply cannot stamp them out of his mind
though he knows them to be totally irrational and
unscientific.
Treatment
Fortunately now there are drug and behavior therapies.
Though both can improve the condition to a large extent a
combination of these is considered the best.
What is Stress?
An executive of a large firm developed high blood pressure
(hypertension) at the age of 35. A 27-year-old housewife
developed recurrent Bronchial Asthma. When consulted, the
physicians told them that they were suffering from disorders
due to ‘stress’.
The executive had to take frequent quick decisions all alone
for about one year. Each decision could have resulted in
heavy losses to the company. After each decision, the
executive used to worry about it till the decision proved
right. It was his constant worry and anxiety which made him
end up with hypertension.
The housewife had a nagging mother-in-law and her
husband was not supportive. Every time when her mother-
in-law nagged her, she wanted to give back but never did so.
Instead, she suppressed her anger and used to feel choked.
Eventually, the choking became breathlessness and ended
up with attacks of asthma.
CATHARSIS
Dr.Krishna Prasad Sreedhar
DEPRESSION
Dr.Krishna Prasad Sreedhar
Depression has become a common disorder. It is estimated that more women than men
suffer this malady. Depression is considered a dangerous disorder because 50% of
depressed people tend to commit suicide. Is not human life valuable? Thus shouldn’t we
help these innocent victims?
Even a common sense idea of depression can help you to help others.
What are the symptoms of Depression?
There are several kinds of depressions. Thus some common symptoms are given here.
Many depressed people suffer all or some of the following.
1. Persistent sad mood
2. Difficulty in concentration
3. Unusual forgetfulness
4. Slowness in actions
5. Slowness in thinking
6. Extreme pessimism
7. Feeling of worthlessness
8. Recurrent suicidal thoughts
9. Feeling of not being loved by anybody
10. Feeling that one cannot love anybody
11. Feeling that life has no meaning
12. Low drive or motivation
13. Unexplained feeling of fatigue
14. Rapid gain or loss of body weight
15. Inability to experience appetite
16. Sleep disturbances (especially during early morning hours)
17. Thumping of the heart (Palpitation)
18. Disturbances in the stomach (gas trouble, loose motion, constipation)
19. Intolerance to sound
20. Startle reaction
21. Crying spells
22. Increased sensitivity
23. Unexplained feelings of guilt
If anybody around you shows at least a few of the symptoms, persuade the person to
see a Psychiatrist or a Clinical Psychologist. This is especially necessary if the person
directly or indirectly talks to you about suicide or gives you the impression that life has
no meaning. It has been observed that many patients have intentionally or casually
mentioned to their friends or relatives their intention to commit suicide. Many have taken
it lightly only to pay a big price later. Thus if you feel that somebody is depressed and
talks of suicide, do not take it lightly. However, you should not panic and become upset
in the presence of the patient. Take the message coolly and act rationally. Do not elicit a
promise. Instead persuade the patient to consult a Psychiatrist with the assurance that
things will get better from day one onwards. The worst thing you can do to a depressed
person is to offer advice like "These days every body is depressed and that it is all your
own making…"etc.
What Is The Best Treatment?
There is no single method of treatment for depression as its causes are biological,
psychological and socio-cultural in nature. The first line of treatment should be
biological. This means the patient should consult a Psychiatrist and get appropriate
drugs prescribed. These drugs will bring immediate relief to some problems like ‘early
morning sleep disturbances’, lack of appetite, and ‘fatigue’. These improvements will
instill in the patient a feeling that he is not totally helpless and that some thing can be
done about the problem. Paradoxically, this is also the most critical period in the
depressive phase. A deeply depressed patient is almost incapable of committing suicide
as he is ‘mentally paralyzed’. Drugs remove this incapacity and facilitate the act of
suicide. It is during this critical phase that a Clinical Psychologist could be of great help.
At this stage a Psychologist might be in a position to instill hope and minimize guilt.
It has been found that social support from the family, counseling by a Clinical
Psychologist and drug treatment by a Psychiatrist together work better than any single
treatment.
In 1963 in the U.S., a Psychologist named Betty Friedan was perplexed by an unusual
mental condition that she found was quite widespread among women, of all ages.
Women (mostly married) complained of depression, of being unable to focus on
things, of bursting into tears without reason, sleeping a lot and feeling unusually tired.
They just felt – for want of a better description – unhappy. Yet, seemingly, there was
no reason for many of these women to feel so. They had secure marriages, had
children, and financial security and social networks, and were involved in community
groups. Many had at least one or two years of college education before deciding to
settle down to marriage and children. Friedan was clearly confused as to why this
collective depression among women existed; it was in her words, a "problem that had
no name". In her book titled The Feminine Mystique she traces the origins for this
problem. She tells us in her book that very early on she realized that these women’s
suffering were not individual, that is, these were not women who had some biological,
hormonal, sexual or other psychological defects. The answer to this problem clearly
lay elsewhere.
Friedan talked to hundreds of women and realized that the source of these women’s
depression was an identity crisis. On the one hand, women from girlhood were being
told that they would find fulfillment and happiness as wife and mother, in traditional
feminine roles. On the other, the reality was that as women spent more and more of
their energy being just that, they felt more and more unhappy. As one young mother
told Friedan: "I’ve tried everything women are supposed to do – hobbies, gardening,
pickling, canning … but I’m desperate. I begin to feel that I have no personality. I’m a
server of food and a putter-on of pants and a bedmaker, somebody to call on when you
want something. But who am I?". Another woman told her that she had everything – a
husband who was moving up in his career, a lovely new home, enough money. Yet,
when she woke up in the morning there was nothing to look forward to. Women had
just one question that summed up their feelings: Is this all there is in life?
Tradition is very strong in India and dictates many aspects of our lives. In India,
regardless of religious differences, caste, class or regional location, tradition makes
particular demands on the way women live their lives – from the clothes that they can
wear, to their mobility, the kinds of jobs they take up and so. Psychologists have
observed that as young girls grow into adolescence and womanhood, they comply
more and more with the feminine roles demanded of them. For instance, it is well
known that girls are better achievers at the school level and often are rank-holders and
toppers in Std X exams. Their performance, however, falls considerably once they are
in Pre-degree, in entrance exams and in professional courses. Some people may argue
that girls are unable to cope with the rigor of advanced studies but studies conducted
abroad suggest that women are subtly conditioned to feel that over-achievement is an
"unfeminine" trait.
Alongside this traditional part of society, women are also influenced by the
advantages of modern life. Education, jobs, friends, and money are increasingly
changing the image that women have of themselves. More and more young women
have aspirations that do not fit with the feminine roles of ‘wife’ and ‘mother’. Does
the impact of modernity bring with it its own brand of "identity crisis" for women?
Our understanding of women’s responses to their social conditions arise from their
voices: from stories, autobiographies, movies, and so on. A collection of short stories
by women in Kerala Inner Spaces: New Writing by Women From Kerala (1993)
reflects how women are caught within the web of expectations that is imposed on
them by tradition and family. Each story is dark and bleak – in most of them the
female character is portrayed as trapped and unable to escape her destiny. Bharati
Mukherjee, a US settled Indian writer, also fashions women characters who struggle
to fulfil the demands of Indian tradition and their own hearts – in one book, Wife, the
character eventually turns to murder. Kamala Das’ well-known autobiography My
Story records her emotional wanderings searching for meaning that she never found as
a wife. Deepa Mehta’s movie, Fire, is popularly known for its lesbian theme – how
two women discover happiness in their emotional and physical attachment to each
other. Yet, the understated part of the movie is the sterile life that these women lived
as conventional housewives. "I was dead", says the character played by Shabana
Azmi. Their radical and rebellious decision to run away together is perhaps not an
option that many women in India would take – but shows that women are trying to
resist society’s hold on them.
As a researcher into women’s issues, I find similar themes of emptiness and vacuum
in the everyday lives of women. A woman, who is now a primary school teacher, told
me that she "wasted seven years" sitting at home just after marriage. In another case, a
woman admits difficulty to having sexual intercourse even though she loves her
husband. She feels the problem lies in a sense of frustration about being only a
housewife. In more extreme situations, as in the "Ice Cream Parlor" incident that
became a scandal in the Malabar region a couple of years ago, seemingly ordinary
women – housewives, students, and so on - consented to being part of a prostitution
ring. The motive was clearly not monetary – it is interesting to ask what was missing
in their lives that drove them to take these potentially dangerous risks. Many women
who are asked by family to give up their jobs or studies after marriage do experience a
sense of identity loss.
What Friedan argued in the sixties in the case of women in the U.S. and which is
probably applicable for women here in India, is that they be allowed to pursue
activities that enhance their identity. The idea of ‘feminine’ and ‘masculine’ are
artificially created in and by society and trying to fit real human beings into these
ideas will probably lead to dissatisfaction and frustration. Women, like men, are
creative beings. Often, the ideas of ‘femininity’ stifle women’s creative side – women
are more than just mothers and wives. For many women, a working career is what
gives them a sense of being and purpose – an identity that is enriching. It is not easy
to say that one thing will suit all women, but one thing may be generalized: that
women must be allowed the opportunity to consider what things will make them
happy. An environment which conditions women to think of themselves only as
beings of reproduction will, in the long run, stifle their personalities and lead to a
crisis of their identities.
FACTS AND FICTION IN PSYCHOLOGY
Dr.Krishna Prasad Sreedhar
This is a popular myth that prevailed from the beginning. No honest Psychologist would
claim so. However, as Psychologists are trained in observing the verbal and non verbal
behavior of people, they may be able to guess the intentions of others more accurately
than lay people.
• Psychology is an occult science.
This is absolutely untrue. On the other hand know that Psychology is the scientific study
of the experience and behavior of living beings with a view to understand the principles
that govern these phenomenon. As in other sciences Psychology aims at 'Prediction'
and 'Control' of behavior.
• To study Psychology, one should have extra ordinary capabilities.
Totally untrue. Any body who is interested in this subject can study it.
• A Psychologist can hypnotize any body with a piercing look.
No. Never! Psychologists who are trained in hypnosis or hypnotherapy can hypnotize
others if the patient/client is totally willing and cooperative. A mere study of Psychology
will not equip a person to hypnotize any body.
• If one can hypnotize a person you can make him do any thing.
Sorry, never. Even under deep hypnosis a hypnotized person will not obey if he is asked
to perform unethical actions.
• Mental illness is incurable.
Times have changed. Presently mental illness can be treated effectively with drugs and
psychotherapy by competent Psychiatrists and Clinical psychologists.
• Mentally ill people are dangerous.
Surprisingly it has been found that mentally ill people have lower rate of violent
behaviors, such as assault, rape and homicide than those in the general population.
Nevertheless, people with Paranoid disorder (suspicion that others are plotting against
them) may assault others to protect themselves.
• Genius is 'akin to insanity'.
No such relationship has been found in experimental studies. On the other hand some
major studies have shown that people who had IQs 140 or above (bordering on genius)
when reassessed in their mid-forties showed that their death rate, divorce rate, and
mental illness rate were all lower than those for the general population. It is concluded
that it is a myth to believe that creativity and genius are 'akin to insanity'.
PARENTING AND CHILD MENTAL HEALTH
Dr.Krishna Prasad Sreedhar
Mental health of children depends on the way parents interact with them. Though every
parent wishes to provide the best at home, they may not be giving the best to their
children as no fool proof method of bringing up children has been invented. This is
because no two children are alike. There are more differences between children than
we ordinarily believe. More over, culture, society, gender of the child and a host of other
factors interact with the upbringing of children.
Psychologists point out that there are different styles of parenting. They believe that
parenting styles can be put into four categories depending on two factors. They are
parental warmth and parental control.
PARENTING STYLES
Type – A (High on control low on warmth)
Some parents believe that being strict with children is the best way to make them good
adults. In that process parents tend to become over strict. They forget that every child
has a natural tendency to grow into freedom and autonomy. Children should become
free, independent and autonomous. A fully developed personality manifests freedom
from unnecessary inhibitions. It also ensures high level of independence and autonomy.
Over strictness kills the spirit of freedom. Children get the wrong idea that being free
and independent is undesirable. In the present competitive world a child should be self-
confident. This is achieved only through parental support. In a situation where parents
employ only strictness and control and no love, children lose their individuality and fail to
take appropriate decisions in their life as the parents have always taken the decisions
Psychologists feel that it could amount to ‘authoritarian’ parenting. Children of
authoritarian parents do not become independent and develop severe anxiety under
situations that demand decision-making. They tend to play secondary roles in all their
activities. Such children fail to become leaders. There is always the possibility that they
feel inferior to others in all respects. In effect such children can never achieve the
expected goals of life.
Type – B (Low on control high on warmth)
This is another type of parenting in which parents show lots of love without exercising
adequate control. In fact punishment of all types are avoided under the misconception
that Psychologists are against punishment. Children need proportionate punishment
depending on their actions. Reward and punishment are the only two ways to make the
child discriminate between what is right and what is wrong. Values of the culture are
imbibed through the punishment and reward given by the parents. Children need to be
punished if situation demands it. The common fault is that on the one side many parents
indulge in inconsistent punishment. A child is reprimanded for his wrong doings on one
occasion and praised or ignored for the same action when it occurs again. This
confuses the child and is objected to by Psychologists. On the other side parents do not
punish or disagree with the child even if punishment is required. It is opined that parents
can always punish or disagree with the action(s) or behavior(s) of the child but should
not disapprove the child as he is. The motto is accept and love the child but reject and
punish the specific action of the child. This conveys to the child the feeling that parents
do love him/her but disapproves the action or behavior only.
In the ‘Type – B’ situation, children are likely to become spoiled and would manifest
antisocial and criminal behavior patterns. We do not want this at any cost!
Type – C (Low on control low on warmth)
Children cannot grow in an emotional vacuum. If the parents do not show any love, life
becomes barren to the child. Children are naturally emotional than rational. True
development of personality is a harmonious blending of the rational and the emotional.
The art of this amalgamation takes place only if parents are able to show love and
control in the right proportion. Children are creatures of instincts and circumstances.
Thus they are basically impulsive. When parents control the behavior of children they
come to understand that exercising control is absolutely necessary to have a smooth
social life.
So also children need to be loved. The hug of the mother when a child is under fear
reassures the child. Body contact between the mother and the child is the first sure
indicator of love to the child. As the child grows, words of reassurance would become
sufficient. Needless to say that expression of love in some form is an absolute must for
the healthy development of the child. It is obvious that love and control in the right
proportion is the surest way to healthy development. In the absence of these, the
personality of children gets distorted. Emotionally deprived children cannot become
good partners in their marital life as life between two individuals is successfully
mediated through the emotion of love. Emotions are uncontrolled expressions of a
primitive nature. Thus emotions need to be regulated in an acceptable way. Control by
parents gives children the essential guideline for emotional expression. It also gives the
necessary structure within which emotions can be expressed. Parenting without control
and love is not desirable. This is why Psychologists call that type of parenting as
‘Negligent parenting’.
Type – D (High on control high on warmth)
From the above it is very clear that the best parenting is the one with good control and
adequate love. Parents with high level of expressed love give clear indication to children
that children are loved unconditionally. They differentiate between the child as a person
on the one hand and the child’s behaviors on the other hand. Parents in the type – D
category clearly differentiate the ‘child’ from his ‘actions’. They also reward children for
desirable behaviors and punish or withdraw rewards for undesirable actions. These
parents are consistent in their behavior with children. They do not confuse children by
punishing them for one kind of behavior and rewarding them for the same behavior on a
later date. Children, like all of us, understand consistency much easily than erratic
behavior.
The most important point here is that a child when punished for his behavior
understands that parents still love him as a person. The opposite of this is an action
from the parents that amounts to total rejection of the child. When a child feels that the
parents reject him totally the child experiences intense loneliness and misery. This can
lower the self-esteem of the child and drive him to self-mutilation, aggression and even
suicide.
Let us look at the following expressions from parents.
Samples of communication in undesirable parenting.
Mother – "You are a naughty child. You always cause misery to all in the family. You are
bad".
Father – "You bet your brother. You are born "bad". You are really bad".
Samples of communication in desirable parenting.
Mother – " You broke the flower vase. This is not good behavior.
Here after do not break household articles".
Father – "You bet your brother. This is not a good behavior". He is very young.
You must learn to restrain this behavior with your brother".
Type – D parenting is what Psychologists call as ‘authoritative’ (not authoritarian)
parenting. This type of parenting never rejects a child totally, but only depreciates one of
his several actions. In this kind of parenting the child gets the clear idea that parents
disapprove one or two actions of him and do not out rightly reject him. This is very
important as out right rejection by parents brings in the greatest insecurity.
A continuously insecure child is a ‘time bomb’ and he might explode with severe
aggression at any moment. Children can also become severely depressed, as
depression is aggression turned to oneself.
Having understood these why don’t we go ahead with the most desirable parenting
style, the type – D? It is possible. After all every one of us wants our children to be
assets to the family and good citizens to the nation.
Emperor Asoka, at the end of the battle of Kalinga realized the importance of love and
peace for a healthy society. He then decided to leave hatred, anger, and revenge. Had
this wisdom been there beforehand there would have been a great possibility of not
waging war and thereby the lives of thousands of innocents could have been saved. In
our day to day life also whether it is at family, school or workplace we all encounter
anger, anxiety, and depression even though the amount differs from person to person
depending on several factors. Anger generally arises out of interpersonal interaction,
and is associated with physical health problems. Anger also destroys interpersonal
relation, peace, love and happiness of the self as well as others. Again, my own
research has clearly shown that higher level of anxiety is also associated with 1)
physical health problems like feeling dizzy, muscles trembling, skin itch, change in urine
color, changing eye color, picking sensations in parts of the body, etc. and 2) low self-
esteem like "I have low opinion of myself". An optimum level of anxiety is desirable, as it
is not possible to completely remove it out of our lives. Similarly, the higher frequency
and duration of depression makes our life halt. This is where we have to come to think
in terms of emotion management.
How do you answer the following questions? Always, sometimes, and never? " I worry
about my past mistakes". "I feel like giving up struggling in life". "Quite small set backs
irritate me too much". Many Western and Eastern researchers including myself have
found that people who answer to questions like these as "always" tend to be associated
with physical health problems like inability to get sleep or stay asleep; headache and
pains in head; indigestion or stomach upset; feeling very tired; decrease in appetite;
fever; nausea; back pain; and heart rate faster than usual. The bottom line is that
appropriate expression in terms of frequency, intensity, and duration (rather than
suppression) can help us to become healthy.
Again, how do you answer the following questions? Almost always, sometimes, often,
almost always? "I keep anger inside myself". "I argue with others". "I boil inside, but I do
not show it". Research has shown that those individuals who respond to these
questions as "almost always" tend to be associated with heart disease, cancer, and
hypertension in the long run. A review of research literature shows that suppressed
anger may be a symptom of good manner, but seems to increase one's blood pressure
just as much as expressed anger. Such emotions tend to raise susceptibility to and
progression of Cancer as well as Coronary Heart Disease(CHD). So, anger turns out
as a double-edged sword. Like anger, hostility is also associated with health problems
like heart disease. One of the simple reasons for the relation between negative
emotions like anger and anxiety, and physical health problems is that when we are in
higher levels of negative emotions our thinking pattern is disturbed to a great extent,
thereby the capacity to take care of the physical health is reduced. The good news is
that we can learn to express anger as well as other negative emotions at the right
amount. Generally, our anger is caused by our faulty belief systems, that Albert Ellis, a
New York based psychotherapist termed as irrational beliefs. With the help of a trained
psychologist it is possible to learn to minimize our irrational beliefs and turn them into
rational beliefs, that is, beliefs that are more practical in our day to day life, and based
on evaluations of real life settings. In the similar fashion we can at any time learn
effective management of other aspects of emotion.
In our daily life whether it is at home, school or workplace anger can be generated from
the following sample statements:
a. Just from your appearance Ajay, I can tell what a loser you are.
b. Ajay, your parents must be extremely disappointed in how you turned out.
c. Your low intelligence seems to come through in every thing you do, Ajay.
d. Ajay, you seem really dirty looking to me. You could use a course in basic hygiene.
e. Ajay, it doesn't look like you have the ability to play any kind of sport.
f. To be honest with you, Ajay, I thought you were a loser the moment I saw you.
We all will agree that these provocative statements may trigger anger to many of us
(even though not all the time). I admit that these are undesirable and it is not a picnic
when such provocative statements are bombarded to us, but it is important to reduce
the intensity, duration, and frequency of anger, thereby protecting our physical health.
The point I am trying to make here is that we should arm ourselves from not letting
anger be chronic, intense and enduring by changing perhaps our irrational beliefs. The
good news is that changing our belief system based on the real life settings can
minimize all these problems, thereby making life more meaningful to live. We can make
ourselves more human. In conclusion, effective emotion management can help us to
become healthy and wise in our everyday life.