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Douglas LaBier

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What Psychological Health Looks Like

Posted: 01/21/11 08:56 AM ET

My previous post, "The Changing Face of Psychological Health," provoked a number of comments about serious mental illness. That was understandable, especially in the light of the Tucson shootings. But they also missed the point of my post: That we lack a clear, relevant description of what psychological health is, in today's world; and, how you can build it. So in this post I describe more about what a psychologically healthy life looks like, today -- in your relationships, your work, and in your role as a "future ancestor."

First, keep in mind that psychological health isn't the same as the absence of mental or emotional disorders. For example, you can't say that a happy person is someone who's not depressed. Many people have consulted me who aren't depressed by clinical criteria, but they aren't happy with their work, relationships or their overall lives, either.

Moreover, self-awareness isn't equivalent to health. It's a necessary underpinning, but it's not enough. Therapists often help their patients deepen self-awareness about the roots of their conflicts, only to wonder why they remain the same. Psychiatrist Richard Friedman described that dilemma in a recent New York Times article in which he illustrated the puzzlement practitioners experience when they are confronted with the limitation of awareness, alone.

To the extent there's a conventional view of psychological health at all, it's mostly equated with good life-management and coping skills. That is, managing stress in your work and personal life, and coping with -- if not resolving -- whatever emotional conflicts you brought with you into adulthood.

A less visible view of psychological health also exists: Successful adaptation to and embracing of the dominant values, behavior and attitudes of the society or milieu you're a part of. The problem here is that such socially-conditioned norms have also embodied greed, self-absorption, domination, destructiveness and divisiveness. They've been equated with "success" in adult life.

The upshot is that you can be well-adapted to dominant attitudes and behavior that are, themselves, psychologically unhealthy. So you may be "well-adjusted" to an unhealthy life.

We've been witnessing the fruits of that form of "health" throughout our society in recent years, in the form of dysfunctional lives and failing institutions. Part of the reason is that we now live in a highly interconnected, unpredictable, digitalized world of "non-equilibrium." It presents new challenges for individual lives and society. That's why I believe we need to revamp our thinking about psychological health, to take account of the new realities and challenges of our post-9/11, post-economic meltdown, 21st Century world.

So, I propose that psychological health -- in emotions, attitudes, mental outlook and behavior -- consists of whatever builds, creates, grows and sustains; rather than that which exploits, extracts or destroys.

That definition of psychological health, for individuals, institutions and public policies, is grounded in explicit values: Building and creating for all, rather than consuming and taking for the benefit of the few.

Those values, in turn, steer you towards wanting to develop and engage your human capacities in the service of something larger than just amassing or extracting benefits for yourself. That focus is what's known as the "common good," which, I argued in a previous post, is on the rise in our society.

To clarify, it may sound contradictory that if you "forget yourself," so to speak, you'll grow your own mental, emotional and creative capacities and become psychologically healthier. But the fact is, you stagnate when you overly dwell on yourself -- just your own needs, desires, slights, complaints about others, and so on. In contrast, building psychological health today occurs by putting your energies in the service of something larger than just your narrow self-interest. That is, towards common goals, purposes or missions that require contributing and creating; not just consuming and extracting value for yourself.

The positive emotions and broadened perspectives I wrote about in my last post are important sources of health because they grow your inner life, which is the wellspring of healthy actions in your outer life of relationships, work, and your conduct as a citizen and future ancestor. In the outer world, psychological health is visible, for example, in being highly proactive and innovative; positive connection with diverse people; flexibility in situations of conflict; using the anxiety that's always present in life as a guide to wise judgment and action. And overall, being nimble, flexible, and adaptive to the changes and the unpredictable events that are part of life in our new era.

Here are three realms where you can see how those qualities come alive:

At Work -- Psychologically healthy behavior includes collaboration, non-defensiveness, informality, a creative mindset, and ease of engagement, as a team member and with the overall objectives or mission. It includes tuning in to the whole picture, in which you're one player, while finding ways to make a positive contribution. In short, psychological health at work is visible in being collaborative rather than self-promoting at others' expense.

In Your Relationship -- Building a healthy relationship is thwarted by self-oriented maneuvering, dominating or subtly manipulating your partner to get your own needs and desires met, often at the expense of the relationship itself. Psychological health here includes transparency with your partner, two-way openness, a shared vision of partnership and way of life that both of you are committed to creating. Mutual respect, authenticity and power-sharing promotes the relationship between you, not just the self-focused aim of "getting my needs met."

As A Future Ancestor -- Healthy behavior here reflects the desire to act in ways that help preserve and sustain resources and a healthy planet for yourself and for those who will be here after your time is over. John Friedman, Senior Director for Public Relations at Sodexo, recently described this in Forbes as "the compelling concept of a shared fate." That is, psychological health in this realm is visible through actions in daily life, in business and public policy that promote and sustain the well-being of the human community and the planet.

I encourage discussion and criticism around these ideas, and I'll be writing more about reframing and redefining psychological health in our 21st Century world... so stay tuned!

Douglas LaBier, Ph.D., a business psychologist and psychotherapist, is Director of the Center for Progressive Development in Washington, D.C. You may contact him at dlabier@CenterProgressive.org

 
 
 

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My previous post, "The Changing Face of Psychological Health," provoked a number of comments about serious mental illness. That was understandable, especially in the light of the Tucson shootings. B...
My previous post, "The Changing Face of Psychological Health," provoked a number of comments about serious mental illness. That was understandable, especially in the light of the Tucson shootings. B...
 
 
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Tijana Milosevic
06:22 AM on 01/25/2011
Thanks so much for the insightful article, Douglas and for drawing the attention to Friedman's piece. Regarding self-awareness and anxiety: "using the anxiety that's always present in life" I tried polling my friends about this issue- and some of them did not recognize anxiety as a state that is to a greater or lesser degree present in everyone. Perhaps they identify anxiety with a severe condition and not an ever present feeling of unease- so they wouldn't admit to being anxious. I realize that people have to a greater or lesser extent different levels of free floating anxiety, but I believe many would not be able to identify and define their feeling of unease. Another blogger had, in my opinion, great suggestion how the recognition of the fact that we share this unease, can be used in treating depression through meditation: http://www.huffingtonpost.com/new-harbinger-publications-inc/depression-lessons_b_796247.html
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Tijana Milosevic
05:17 AM on 01/24/2011
Douglas, thank you very much for the insightful article and for drawing my attention to the Friedman's piece!

Re: "using the anxiety that's always present in life as a guide to wise judgment and action." is indeed a challenge :)

I tried polling my friends as to whether they even consider anxiety to be ever present- and not everyone was aware of it. Perhaps they perceive anxiety as a severe symptom, so they wouldn't identify it with a general unease that (I presume?) most of us face on a daily basis.

I think the following blogger brings up a great point how our common unease and realization that it is indeed universal can help us feel connected, rather then disconnected during bouts of depression: http://www.huffingtonpost.com/new-harbinger-publications-inc/depression-lessons_b_796247.html
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Douglas LaBier
03:50 PM on 01/24/2011
Thanks, Tijana -- because we've always thought of anxiety as a symptom, we fail to recognize that it is part of "normal" emotions, and that one can work with it to help focus and direct one's energies towards growth, solving problems or seeing new possibilities. And thanks for sharing the link to the post you mentioned!
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Tijana Milosevic
09:38 AM on 01/25/2011
I am sorry for posting this twice- it wouldn't go up the first time.......
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G R
Ad astra per aspera
10:11 AM on 01/23/2011
Statements such as "grow your 'inner life', which is the 'wellspring of healthy actions' in your 'outer life'...and your conduct as a citizen and 'future ancestor' " is nothing more than a statement of opinion, (and word play), not a fact, which is why I steer clear of psychology which is, at best a pseudo-science. This is little more than saccharin 'feel-goodness' . On the other hand, the biological concept of reciprocal altruism which, at least, has Darwinian underpinnings, offers a more realistic view of social cooperation and the survival value thereof.
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Douglas LaBier
02:54 PM on 01/23/2011
Ironically, your comments reflect what you claimed I was doing! Opinions unrooted in any evidence or argument are different from an interpretation or point of view based on facts, including research and clinical evidence -- which I do in my posts as much as space permits (see my 2 posts on the "inner life," for example). I agree, re altruism, which is consistent with my views, and I've referenced it in relation to being "hard-wired" for compassion and empathy. Thanks for offering your comments/criticisms, tho.
09:56 AM on 01/23/2011
LIfe and this world is very complicated. Building yourself from your core however is the real answer, but an equally difficult challenge in our 21st century. Although I agree wholeheartedly with the message of the article and can point to many people in our world who live this way successfully I cannot say that this is an easy path. We are an ever growing global culture and the messages we are often seeing are scary and confusing. Our children are being taught to be fearful of everything from the computer, to video games, to talking to strangers to going to the grocery store, to flying on an airplane. When we act out of fear we create a different energy in the world which makes it difficult to achieve the "psychological health" described here. I don't know the answer to HOW to get there other than to do your very best to stay true to yourself and continue to live with love and compassion for others despite our fears. This sounds all flowery and nice but really is the hugest human challenge we face as a culture right now. We have an opportunity to raise the emotional consciousness of our next generation. How are we planning to do that?

annmarie chereso
perfectly imperfect life coach
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Douglas LaBier
02:55 PM on 01/23/2011
Excellent points - thanks for sharing them!
09:46 PM on 01/22/2011
I feel the blogger's bias is toward being "well-adjusted" -- and yes, he does stipulate not to adjust an abusive social norm. But none-the-less he seems to be all for being that perfect "team member" in life.
I've never been interested in being that and I can't name any creative game-changing dynamo who has.

Sure, most people aren't geniuses and attempting to fit into a good goal larger than themselves will make them feel better for a while. But one of the great nagging feelings in life is that each of us wants to be unique. Artists, explorers and inventors don't give a damn about fitting in. They might have a thought about benefiting others, but their primary motivation is fulfilling their unique vision.

Most real "Heroes" do what they're subsequently praised for without thinking. It's second nature to help someone else when they can. And just like that, those who do actually contribute to the whole don't think consciously about it either.
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Douglas LaBier
02:47 PM on 01/23/2011
Thank you for your comments. But keep in mind that adjustment to a norm that is itself unhealthy is different from finding how to apply your own capacities in the world that you're a part of. Inventors, etc., are thinking in terms of something that will have impact on peoples' lives in some way, for example. And it's not so clear-cut about creative people who are totally unconcerned with the response of their audience! As far as "team-member," that was about the workplace in particular, but more broadly, we're all interconnected and interdependent on this planet, at all levels of life!
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Muzzle Me
Blogging: Graffiti with punctuation.
08:37 PM on 01/22/2011
Excellent! And, so sorely needed at this time.
07:44 PM on 01/22/2011
Thanks Mr. LaBier for the great post! This sounds a lot like Abraham Maslow's ideas of a "self-actualized" person! Some of Maslow's basic principles for anyone who is interested:
http://psikoloji.fisek.com.tr/maslow/self.htm
02:37 AM on 01/22/2011
Very insightful article!
Oftentimes I've wondered myself why I don't feel better about a particular psychological conflict even though I'd be quite insightful about it.
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Brett Tonaille
Author and translator
05:09 PM on 01/21/2011
"So, I propose that psychological health -- in emotions, attitudes, mental outlook and behavior -- consists of whatever builds, creates, grows and sustains; rather than that which exploits, extracts or destroys." Which is an almost Manichean opposition close to speaking of what is angelic and what is diabolical in our nature. Especially since even the healthiest person has traces of the destructive - some might say purgative - in their nature.
Otherwise, didn't Freud say something about analysis helping people achieve merely normal unhappiness?
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Douglas LaBier
02:58 PM on 01/23/2011
Yes, humans possess a wide range of capacities, both destructive and creative. The task for conscious evolution is helping foster and nourish those at the positive end of the spectrum, for the benefit of all.
03:04 PM on 01/21/2011
Regarding the conflicting views of "human nature". . . Are we innately selfish and competitive or are we more inclined toward friendliness and sharing? This brings to mind a story of a Native American grandmother, telling her grandson about the two wolves (two aspects of the self) at war within her. The first is the wolf of hatred and fear. The second is the wolf of kindness and compassion. "Which one will win?", asks the boy, to which she replies, "It depends on which one I feed."

Is it possible that focusing on fearful or selfish thoughts has the same effect as "cutting a groove", so to speak, in our brains? Serious introspection, through the practice of (non-dogmatic) meditation, has been shown to cultivate feelings of inner peace, trust, confidence and good will. Studies are now showing that meditation is as effective, in some cases, as anti-depressiondrugs that are designed to change the brain's chemistry. Neurologists are finding that meditation can also effectively change the brain's chemistry. Hmmm . . .

Perhaps the future of humanity depends on nothing less than feeding the loving, kind, compassionate part of ourselves. Will the liberals among us be able to take that lead, opening our hearts and finding the goodness in the conservative heart, (if not the "conservative" brain), no matter how difficult this may sometimes seem? In other words, can we really practice what we preach?
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lrobb
Southern Rational
05:18 PM on 01/21/2011
Unfortunately, history does not confirm your hypothesis, and history pretty much dictates our political and national future.

Everyone gives lip service to the better angels of our nature until a 9/11 happens. And they happen with predictable frequency to every nation in every age.

There is no possible way on our presently constituted Earth to insure every single nation will progress toward mild civility at an equal pace. To the extent it is not equal, we will chastise the transgressors--shock and awe--back into line.

Touchy-feely sweetness and light is never going to trump human nature. Those nations which succumb to this philosophy will be called "satellites," "colonies," or "former super-powers."
02:58 PM on 01/21/2011
This is an important and wonderfully stated article. While one might claim that this view of psychological health is simply personal opinion, grown out of a particular "world view", there are some interesting points to consider on this subject. A recent study out of University College London has found differences in the brains of people with conservative views and those with liberal views. The Telegraph reports:

"Scientists have found that people with conservative views have brains with larger amygdalas, almond shaped areas in the centre of the brain often associated with anxiety and emotions.
On the otherhand, they have a smaller anterior cingulate, an area at the front of the brain associated with courage and looking on the bright side of life.

"The 'exciting' correlation was found by scientists at University College London who scanned the brains of two members of parliament and a number of students. They found that the size of the two areas of the brain directly related to the political views of the volunteers. However as they were all adults it was hard to say whether their brains had been born that way or had developed through experience."

The full article can be read here: http://www.telegraph.co.uk/science/science-news/8228192/Political-views-hard-wired-into-your-brain.html
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rawfoodsphd
Rx for Body, Mind & Spirit
11:07 PM on 01/21/2011
FANNED AND FAV'D KATIE- thanks for posting the article list. you have your first fan!
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Jon Mendoza
05:42 AM on 01/22/2011
I just hope we haven't boiled down all potential viewpoints into 2 sides of 1 coin, life is more complex than that.
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anti politricks
better to light 1 candle than curse darkness
12:44 PM on 01/21/2011
wonderful piece!
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David4FreePress
I am a volunteer, Tong Ren distant energy healer.
12:42 PM on 01/21/2011
What a lovely article and absolutely correct.
My only suggestion is to look at the field of energy healing for the parallel philosophy. Selfishness is the root of so much negative energy. It is no wonder that people cannot find happiness when the negative energies of selfishness, anger and agression represent a significant part of their lives.
I appreciate the combination psychology practice with different forms of energy healing (TM, etc.), and would like to see more of it. I think there is real potential for helping people to overcome past emotional trauma using self-administered energy healing practices, thus enabling more efficient and effective psychological counseling.
11:50 AM on 01/21/2011
I think your definition of emotional health is spot on ... of course, it has some profound political implications, because basically, conservatism is essentially an emotional disease in your framework. This is supported by MRI analysis that suggests conservatives are dominated by fear and hostility, so I have no problem with that conclusion. In fact, from a purely scientific basis, this conclusion has got to be a working hypothesis that is moving toward a viable theory.

Now, if only we had a treatment for the disease of conservatism.
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lrobb
Southern Rational
11:50 AM on 01/21/2011
In short, the only psychologically healthy person is a Liberal?

Sorry, but a little competitiveness, selfishness and ego are what motivates most people from the minute they take their first breath. We used to call this "human nature." Managing it rationally and channelling it into positive results for the person without major negative results for the rest of humanity is the function of parents.
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anti politricks
better to light 1 candle than curse darkness
12:44 PM on 01/21/2011
let's look at childhood obesity and see how well parents are at managing what is best for their kids
12:46 PM on 01/21/2011
The American people have mastered the selfishness and ego part of that equation, but not so much the competitive part. I found raising kids who played sports that competitiveness is far from a universal human attribute. It's something that some have more than others, much like some are more musical or better at math. You can't base an economy on a quality that is by nature distributed unequally.

What Americans lack, especially the kids, is any motivation other than money. We've been taught that if we didn't crave money and material wealth, we'd all sit on our butts all day. But all you have to do is look at less competitive, less materialistic economies - Canada, Australia, Germany, etc. - to see that kids can be inspired to MUCH greater heights than ours without that 'big money" carrot.

I think the desire for harmony and the general welfare of our fellow citizens is by far a more common aspect of human nature than competitiveness is. We've chosen to base our social systems on the worst in human nature rather than the best, and we're getting exactly the results you'd expect from that.
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lrobb
Southern Rational
01:31 PM on 01/21/2011
Humans figured out a long time ago that good manners are the lubrication of a civil society. It is much easier to get what you want if people like you. Civility and selfishness frequently go hand in hand.

Sports are not the only venue for children's competition. There are also good grades, creative ability and popularity. I encouraged my kids to best their own records which is also competition.

Without someone earning the big bucks art, music and literature would simply not exist--at least on the scale we find culturally acceptable. Artists also have to eat. Nor would churches or charities--hospitals, cancer research etc--which rely on donations.

Americans are most assuredly NOT like Canadians, Austrailians or Germans. Our entire political and social heritage is completely different. In general we do not like intellectual confinement, stupid rules, or any limits on our legal ambitions.

Frankly, I would noteven want to visit Canada, much less live there, but the Australian outback might be fun.
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Douglas LaBier
01:44 PM on 01/21/2011
@ExitZero -- Good points, and there is increasing research evidence that supports them. Much of what we assume to be "human nature" is social conditioning into beliefs and behavior. Thanks for your comments!