New Ideas

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

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What does it mean to forgive? Although there may be different behaviors across the  wide variety of cultures to express forgiveness, in its universal essence, forgiveness can be defined as a moral virtue, centered on goodness, that occurs in the context of being treated unfairly by others. The one who then chooses to forgive deliberately tries to eliminate resentment and to offer goodness of some kind toward the offending person, whether this is kindness, respect, generosity, or even love.

The one who forgives does not automatically go back into a dangerous relationship. The forgiver can forgive and then not reconcile. The forgiver does not excuse the unfair behavior but offers goodness in the face of the unfairness. The forgiver should not think in “either/or” terms, either forgiving and abandoning a quest for justice, or seeking justice alone without forgiving. The two moral virtues of forgiveness and justice can and should be applied together.

When I forgive, I do so:

1. to become emotionally healthier. Forgiving can reduce unhealthy anger.

2. to repair relationships as it helps me to see the other’s worth.

3. to grow in character because it can help me to become a better person.

6. to motivate me to contribute to a better world as anger does not dominate.

7. to help me to more consistently live out my own philosophy of life or faith tradition if that worldview honors forgiveness.

8. to exercise goodness as an end in and of itself regardless of how others react to my offer of forgiving. 

To forgive is to exercise goodness even toward those who are not good to you. Forgiveness is perhaps the most heroic of all of the moral virtues (such as justice, patience, and kindness, for example). I say it is heroic because which other moral virtue concerns the offer of goodness, through one’s own pain, toward the one who caused that pain? Do you see this—the heroic nature of forgiving—as you extend it to others?

Robert