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Negative 'Spin'
To understand clinical depression, it is essential to understand that people don't reflect reality (events, other peoples' comments etc.) so much as interpret it. The same event can have completely different meanings to different people, even if their circumstances are the same. Depression is partly maintained by how we interpret reality. The 'spin' we put on things. Knowledge about how this happens can turn lives around. Remember from the cycle of depression that too many negative, emotionally arousing introspections lead to over-dreaming, which leads to exhaustion and depression. So, to recap, events don't have any intrinsic 'meaning' until human beings add it.
In psychotherapy, countless pieces have research have shown that changing the meaning of something for someone is the most effective intervention you can make. Called 'reframing', this technique puts a new frame of reference round an event. This shows that the meaning you attach to things is extremely important in determining how you feel. Depression can turn good things into bad by applying a meaning that harms us. For example, if I phone someone and leave a message and they don't get back to me I can tell myself this may be because:
Any of these reasons could be true, but depression will tend to make you choose 4), or a similarly depressing explanation.
How to depress yourselfAn extremely useful way of looking at thinking is called the 'explanatory styles' model (sometimes called attributional styles.) This is how it works...
Now, these explanatory styles do not just apply to the way you look at bad events, they are just as valid for good ones. A depressive style for bad events is Internal, Global and Stable, and for good events is External, Specific and Unstable. So imagine you have two events happen in your life, one good and one bad. For example: Good event - you get a new job. Bad event: your teenager gets bad grades in a set of exams. Now, if you applied the most depressive style of thinking to these two events, you would get something like this:
Making the most of the bad and the least of the goodTake a look at the above and you'll see how you can easily: Good Event:
Bad Event:
And when you are depressed, because of your state of emotional arousal and/or exhaustion, you are more prone to 'allocate' meaning to something incredibly quickly, which is why tolerating uncertainty is such a key skill... Tolerating uncertainty: first impressions last Uncertainty is an unpleasant thing. Human beings dislike it intensely, and when depressed or anxious, it troubles them even more. In fact, a good equation for anxiety is...
Depressed people often doubt themselves in all kinds of ways, but seldom in their judgment about their own interpretations of things. A common trait displayed by those suffering from clinical depression is not being able to tolerate uncertainty - having to assign a meaning quickly to everything that happens. The depression will take care of "filling in the gaps" in an explanation of events. High levels of emotional arousal will tend to make you assign meaning to things very quickly, as these levels of arousal are usually reserved for life-threatening situations. Relax a littleTolerating uncertainty is a prime emotional skill. Established negative thinking patterns can mean that we lose this skill. One way to break out of the arousal-meaning loop is to relax your body and mind, and do it on a regular basis, at least while first dealing with depression. But the vital point here is that tolerating uncertainty is a skill, and as such, can be learned.
Depression literally distorts our perception so that 'good becomes bad and bad becomes disaster.' It's clear that if we only have limited interpretations for why things happen, then change can seem difficult. Depression acts like a vicious circle because the more depressed we feel the more likely we are to frame events/ourselves/others in a negative light. The more we frame things negatively the more depressed we will feel. However, this doesn't mean that the answer is 'positive thinking' ! We need to look at ways at being more realistic, while at the same time breaking the vicious circle... |
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