Author Archive: directorifi

Psychological depression occurs in at least 25% of all primary care patients in the United States and yet only about one-third of these are diagnosed as depressed.  Mental illness is not an isolated issue but is associated with such physical compromise as obesity, cardiovascular disease, diabetes, and cancer (American Psychological Association, 2017).  It is estimated that over 14 million people in the United States suffer from major depressive disorder (Depression and Bipolar Support Alliance, 2017).

The good news is that depression is a highly treatable disorder with medication and with such psychological approaches as Cognitive Behavioral Therapy (recognizing and stopping maladaptive thinking and replacing this with more adaptive thoughts and behaviors),  Mindfulness Therapy (being present to the symptoms and not letting troublesome thoughts drift to the past or future), and Behavioral Therapy (engaging in rewarding behaviors).

A new approach, Forgiveness Therapy, focuses on a sequence that is not a common practice in contemporary psychotherapies:

• Examine whether or not you have been treated unfairly, even cruelly, in the past.  Recognize this as unjust.
• Realize that emotional pain is a natural next step when reacting to such unfair treatment by others.  After all, you have a right to be treated with respect, even if this does not occur.
• If you do not find a solution to this emotional pain, eventually you may become angry at the situation and at the persisting pain.
• If you do not find a solution to the growing anger or the emotional pain, then you might develop what we call unhealthy anger, the kind that is so deep that it starts to affect sleep, energy levels, thoughts, and behaviors (Enright & Fitzgibbons, 2015).
• If the unhealthy anger persists, this can develop more deeply into symptoms of depression and anxiety.

The takeaway message from the above sequence is this: For some people, depression is not the only issue to be treated. Instead there are three other, central issues too often missed with traditional therapies: injustice(s) that happen but are not confronted; the emotional pain that ensues; and most importantly for Forgiveness Therapy, the unhealthy anger that fuels the depression in some people.

If you only focus on current medication or current thoughts or current symptoms, you may miss the actual cause of the depression, which could be a build-up of the unhealthy anger caused by emotional pain caused by injustice.

Forgiveness Therapy starts by examining the injustices in your life that may be compromising that life now.  Some people are surprised to learn that they still carry the emotional wounds, for example, from being bullied on the school playground, or being belittled by a parent years ago, or not being given a chance in the workplace when just starting out.  It is this kind of injustice that has to be uncovered and identified as hurtful in the present.

Next comes the challenge of admitting the depth of one’s anger. The norms of contemporary society, that good people do not get deeply angry, can get in the way of this identification, but it is vital to go more deeply than these norms to see if, in fact, the anger is deep, lingering, and harmful.  When unresolved anger from the past mixes with contemporary challenges, then the anger can intensify, compromising one’s well-being and thus leading to depressive symptoms.

Forgiveness Therapy is not a substitute for medication or for the implementation of other psychotherapies such as CBT.  Forgiveness Therapy can come alongside these well-tested approaches and give you added strength to deal with the depression and to reduce it to manageable levels.  Forgiveness Therapy is not for everyone.  Some just do not want to consider the paradox of offering kindness toward the unkind.  This form of therapy needs to be willingly chosen by the client.  It is new but tested both scientifically and clinically, and it works.

Do you have injustices, even from your distant past, that are getting in the way of your happiness?  If you start the process of forgiving those who have been cruel to you, perhaps the depression not only will be managed but reduced to a degree that may surprise you.

Posted in Psychology Today April 6, 2017

References:

1)  Stand with courage in the truth: “I was wronged.”  If none of this is your fault, say that to yourself: “This is not my doing.  I did not bring this on myself.”

2)  Stand further in the truth: “Even though this person may have a bad view of me, I refuse to share that view of myself with this person.”  Resist the lie.

3)  As you stand in the truth, be aware of your strength in doing so: “I am enduring what I did not deserve.  I am stronger than I thought.”

4)  Commit to doing no harm to the one who harmed you.  As you do that, reflect on who you are: “I am someone who can endure pain and not return pain to the other.”

5)  Finally, conclude in the truth: “I will not be defined by the injustices against me.  I am more than this. I am someone who endures pain and is a conduit for good to others.”

Who are you now?

Posted in Psychology Today May 09, 2017

The first ground-rule for these exercises is this: You are not doing this to change your partner.  Your task is to change yourself and to do your part to improve the relationship.  The second ground-rule is this:  Your task is not to pressure your partner into these exercises.  It is better if both of you are drawn to them, not cajoled into them.

With these ground-rules in place, let us go to the first exercise.  Together, talk out what it means to forgive another person.  You might be surprised to learn that you are not in agreement as to what forgiveness actually is because such a discussion of its meaning is rare.  Common misconceptions are these: To forgive is just to move on from difficult situations; to forgive is to forget what happened; to forgive is to excuse what happened; to forgive is to stop asking something of the other by no longer seeking fairness.  Yet, to forgive is none of these.  To forgive is to offer goodness to those who have not been good to you.  To forgive is to be strong enough to offer such goodness through your emotional pain for the other’s good.  Take some time to discuss each other’s views and please do so with respect.  Learning what forgiveness actually is takes time and effort primarily because we have not been schooled enough in this important concept.

The second exercise is to talk out the hurts that you received in your family of origin, where you grew up. Let the other know of your emotional wounds. This exercise is not meant to cast blame on anyone in your family of origin. Instead, the exercise is meant for each of you to deepen your insight into who your partner is. Knowing the other’s wounds is one more dimension of knowing your partner as a person.  As you each identify the wounds from your past, try to see what you, personally, are bringing from that past into the relationship. Try to see what your partner is bringing from the past to your relationship.  Who, now, is your partner as you see those wounds, perhaps for the first time?

For the third exercise, together, and only if you choose this, work on forgiving those from your family of origin who have wounded you. Support one another in the striving to grow in the process of forgiveness. The goal is to wipe the resentment-slate clean so that you are not bringing those particular wounds to the breakfast table (and lunch table and dinner table) every day.  You can find direction in the forgiving process in my  book, The Forgiving Life (American Psychological Association, 2012).  Walking this path of forgiveness takes time and should not be rushed.  Assist one another in this path.  Be the support person for the other.  Each one’s personal forgiveness journey is made easier when it is a team effort.

Finally, the fifth exercise: persevere in your forgiveness discussions.  As an analogy, you do not become physically fit by four weeks or even four months of effort that then is abandoned.  You have to keep at it.  To become forgivingly fit, you need to set aside even a little time, perhaps 15 minutes a week, to discuss the injustices impinging on either or both of you, from inside the relationship, inside the family, or outside of it……..and then forgive and help the other to do so.  You do not have to let the injustices of the past and the current inner miseries dominate you or your relationship.  Forgiveness offers a cure for the misery and, at the same time, hope for a renewed and strengthened relationship.
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Posted in Psychology Today March 11, 2017