Staying Sane, Cavemen-Style

gorilla_laptopMankind is a smart bunch. We´ve learned how to put a man on the moon, how to build skyscrapers as high as mountains, and we have access to all the knowledge in the world via small devices in our pockets made of plastic, metal, and some microchips. We can travel back and forth between the continents in a matter of hours. We´ve developed sophisticated treatments for all kinds of human ailments, helping us to become as old as some of the trees. That´s impressive and utterly admirable.

Yet, all these upsides of modern life seem to take a toll on our bodies and minds. In most Western societies, the level of obese people is growing steadily, as is the pervasiveness of psychological disorders such as depression and anxiety-related conditions. Is this the price society has to pay for the comforts of the modern life? And more importantly:

Could we reverse these effects by turning to a more “primitive” lifestyle?

Here´s the thing: I´m sure, on the whole, we´re a lot smarter than our Neanderthalian ancestors. But being smart does not automatically lead to making smarter decisions. Let´s look at their way of life for a moment. Born in 1978, I´m not a contemporary witness – yet I´m an avid reader and watch a lot of documentaries. Here´s how I imagine life must have been for them:

  • They lived in tribes of several larger families with close bonds between the members of their group.
  • They had to toil hard in order to survive, but when their work was done (having enough food to sustain the tribe), they relaxed, played, created art, and made love.
  • The men hunted in small groups, sometimes for several days in a row. When doing so, they walked or even ran a double-digit mileage per day.
  • While chasing prey, they didn’t talk much. Instead, they focused on their immediate surroundings, the animals´ smells, sounds, and their tracks.
  • When the hunt was successful, they returned home, shared their game with everybody, and also shared their hunting lore by the fireside.
  • The women also walked long distances several time per week while searching for fruits and nuts. Some of them stayed home to take care of the tribe´s offspring. When not searching for food, they created tools, pottery, and clothing.
  • Whenever possible, they all slept long, especially in winter. They also took several naps over the course of the day whenever the environment was save.

Now let’s take this narration and transfer into more modern terms. What we have here are people who…

  • spend a lot of time with their friends and the ones they love (here´s some science on the psychological upsides of bonding);
  • finish the equivalent of a half-marathon three or four times a week (here´s some science on the psychological upsides of intense physical exercise);
  • spend most of their time in natural green environments (here´s some science on the psychological upsides of biophilia)…
  • …and practice an intuitive form of mindfulness while doing so (here´s some science on the psychological upsides of staying in the present moment).

Additionally, they…

Depression and anxiety as the body´s warning signs?

Compare this to what most Westerners are doing:

  • We eat too much food that we don´t have to struggle for.
  • We sit too much and walk too little.
  • We work insane hours, yet don´t sleep and play enough.
  • We spend too much time alone or among people we don´t really care about.
  • We get lost in cyberspace instead of staying with what´s at hand.
  • We focus too much on promoting ourselves instead of promoting the common good.

Put in simple terms, I think this is what our bodies are trying to tell us:

Hey man, you’re doing this wrong. You’re spending your time doing the wrong things, and I don’t feel safe and sound in these places you’re taking me. And where are the familiar faces that I love? But hey, I can’t explain this to you in a straight way, I don’t have words. That’s why I make you feel anxious and miserable. This is my wake-up call.

Let me close by saying that I don’t argue we should all return to an aboriginal lifestyle. I’m a city-boy all the way through. I like my work at the office, I love going out for dinner, and having a grocery store and a hospital in close proximity. But I also try to take care of myself and my body, I try to create meaning by helping people live more significant lives (e.g., via this blog…) – and ever since being married and having kids, I stay home a lot.

I guess, as ever so often, it comes down to finding the right balance.

Surprising Finding | Mental Illness vs. Mental Health: Continuum or Matrix?

A few days ago, I shared some research by Carol Ryff and Corey Keyes on the structure of psychological well-being. Today, I’d like to highlight more of Keyes’  work.

When we think about psychological health, we typically have a kind of continuum in mind. On the one end, there are states such as satisfaction and happiness, on the other end there’s (severe) mental illness, e.g., depression and anxiety disorders. And we’re also sure all people can be located on this single dimension at any given point in time. Additionally, the absence of one state is mostly equated to the presence of the other. Accordingly, an individual is perceived as being psychological healthy when there are no signs of mental illness.

Turns out this perspective may be flawed, or rather: incomplete. Using large-scale samples, Corey Keyes is able to show that we should probably see mental health and mental illness as two interrelated, yet clearly separable dimensions. The first one is about the presence or absence of mental health, the other about the presence or absence of mental illness (please take a look at his paper Mental Illness and/or Mental Health? Investigating Axioms of the Complete State Model of Health)

Keyes_Mental_Health_Matrix

When creating a matrix that is composed of these two continua, we’re able to understand psychological states on a much more nuanced level. By way of example, in his data, Keyes finds there are people who portray distinct signs of mental illness (e.g., depressive symptoms) while at the same time displaying a moderately high level of psychological health (e.g., perception of meaning in life). Conversely, there are quite a few people who are clearly neither mentally ill nor particularly healthy, a state that Keyes calls languishing. In the words of the researcher:

The current study confirms empirically that mental health and mental illness are not opposite ends of a single continuum; rather, they constitute distinct but correlated axes that suggest that mental health should be viewed as a complete state. Thus, the absence of mental illness does not equal the presence of mental health.

[…]

The diagnosis and measurement of mental health […] has provided some invaluable information. First, relatively few adults (i.e., about 2 in 10) who were free of any of the four 12-month mental disorders could be classified as flourishing or completely mentally healthy. Almost as many adults were mentally unhealthy (i.e., languishing) as were mentally healthy (i.e., flourishing), and most adults were moderately mentally healthy. Second, diagnoses less than flourishing were associated with greater levels of dysfunctions in terms of work reductions, health limitations, and psychosocial functioning. Moreover, pure languishing was as dysfunctional (sometimes more) than pure mental illness.

Especially the last sentence should give some food for thought to public health officials and corporate health executives alike. For decades, their focus has been on understanding, assessing, and mitigating mental illness. And while this certainly is an important endeavor, Keyes´ esearch clearly shows that it might be and equally pressing mission to help people find pathways from a state of low mental health (languishing) to high mental health (flourishing).

Enter Positive Psychology

A Surprising Feature of the Human Condition: Do you suffer from “Fear of Happiness”?

I guess that most people would be willing to agree to a statement such as: “All humans strive to be happy.” But it turns out that might be wrong.

While most people certainly try to experience happiness (in all its different facets) most of the time, there are some individuals out there that consciously and unconsciously try to avoid being happy – at least when it happens too often and/or too long. Here´s the story…

A lot of scientists in the field of psychology readily admit that their research started out as me-search – that´s investigating a topic which is highly relevant to one´s own life. Now, I´m not a scientist (by profession), but that doesn´t keep me from conducting my own (quick and dirty) research projects on the side. And more often than not, those projects certainly qualify as me-search.

General Consent

Late in 2012, I published a book here in Germany (Lizenz zur Zufriedenheit = License for Satisfaction) that is based on a coaching study I conducted in 2009/10. Back then, I tried to measure certain “meta-themes” that frequently seemed to be perceivable with my coaching clients. I created and validated a questionnaire to assess the occurrence of these themes and then correlated those numbers (among other things) with Ed Diener´s Satisfaction with Life Scale (SWLS).

There was one theme that displayed a rather strong correlation with life satisfaction (.49) and it also turned out to be the strongest predictor in a step-wise regression model. Back then, I called this factor general consent. Here are two of the items I used (roughly translated from German):

  • At times I believe that somehow, I am not allowed to reach my life goals.
  • At times I believe that somehow, I am not granted to reach my life goals.

Satisfaction with life of those people who scored high on these questions was severely diminished on average – and they also earned significantly less money. That´s why – in the end – I chose “License for Satisfaction” to be the book´s title. Some people seem to have an internal permission to reach their life goals, to be happy, and satisfied. Basically, they are free to do whatever they want. With other folks, unfortunately that´s not the case.

Introducing Self-Permission

I took up the subject once again when it was time to pick a topic for my capstone thesis (Introducing Self-Permission: Theoretical Framework and Proposed Assessment) while being enrolled in the Master of Applied Positive Psychology program at Penn. I decided to explore the idea of general consent in more detail, and to ground it in extant research. I tried to explain how it is similar and/or different from well-established psychological constructs such as self-efficacy, self-determination, optimism, self-esteem, self-acceptance, mal-adaptive schemata, and self-handicapping (among other concepts) – renaming it self-permission throughout the process. This in an overview of the nomological net I set out to explore in the paper:

Self_Permission.jpg

To finish, I proposed a scale to measure a person´s level of self-permission – but I did not have the time to carry out an actual empirical study.* Here are a few sample items (some of them are framed in positive way, some point towards the other end of the continuum):

I do not have the permission to reach my life goals.

I have full approval to live a life full of purpose.

I am not granted to live up to my full potential.

I deserve to be everything that I can possibly be.

I do not have full endorsement to reach my life goals.

I have full consent to make the best out of my life.

Fear of Happiness

Sad_Dog_smallFor some reason, while doing literature research back then, I did not stumble upon a very much related strand of research: In 2012, Paul Gilbert (Kingsway Hospital, Derby, UK) and colleagues published a paper where they explore a concept by the name of fear of happiness. Consistent with my own ideas, they conjecture that some individuals experience a kind of aversive conditioning with regards to positive emotional states such as contentment and happiness during childhood – where, e.g., a child is punished for being (overly) happy, or, in a milder version, where positive states are treated with indifference, e.g., because one or both parents are severely depressed (…and this is the point where research turns into me-search…).

Gilbert et al. proposed and validated a scale in order to measure fear of happiness. Here are some of their items:

Good feelings never last.

I feel I don’t deserve to be happy.

I don’t let myself get too excited about positive things or achievements.

When you are happy you can never be sure that something is not going to hit you out of the blue.

Now, here is the surprising and, to me, rather shocking news: When the researchers gave that questionnaire to a sample of about 200 people and calculated the correlation between their fear of happiness scale and an established measure of depressive symptoms, that number turned out to be .70. That´s a huge association. Here´s part of their conclusion:

[…] We were surprised by the size of the correlation at r = .70, this indicates that clinicians probably need to explore fears of happiness in detail and in terms of enhancing well-being. We should not assume that ‘challenging negative thoughts’ or increasing positive behaviours necessarily are experienced positively. […] Some depressed people really do struggle with allowing themselves to experience positive emotions in general and can have a ‘taboo on pleasure’.

I´m excited to see how, in the future, Positive Psychology might assist in helping people with this special “condition”. I sense that this will be about creating a learning process.

Learning to allow oneself to be happy, maybe even to “bear the pain” of being happy – until it hurts no more and becomes something completely normal, just the way it was meant to be.

 

*If you are a psychology researcher in search of an interesting research topic: I would still love to see an empirical study on self-permission come to life. In my current life as a manager, I do not have the capacity to carry out a full-blown research study – but I´d be glad to provide all of my theoretical spadework, and I could even provide funding to generate a sample via, e.g., mechanical turk. Please reach out if you´re interested…

If they could put Nature in a Pill…

There is one really, really potent antidepressant out there: it’s called sports (please see: Effects of physical exercise on anxiety, depression, and sensitivity to stress).

I’m not an expert on this – but here’s my take on the issue: Our prehistoric ancestors used to walk and run a double-digit number of miles almost every day while searching and hunting for food. It’s what our bodies were made for.

Sitting around and not moving much may convey a simple message: Something’s wrong, you’re sick.

And we all know how it feels like to be sick: It’s not only on the body, typically our mood tends to deteriorate as well.


The picture is attributed to this Twitter account: FindingNature.

The other remedy that is available basically for free is spending time in nature. The so-called biophilia hypothesis proposes that humans (as being part of nature itself) will profit physiologically and psychologically from spending time in green spots especially parks and forests. Here’s an excerpt from an article that was recently published on Nature.com

The authors found that green spaces have a direct mental-health impact. People with better access to green space had slightly fewer depressive symptoms than those in less green areas. Independent of any potentially confounding factors, such as childhood environment and genetics, “there is something about green space itself that benefits people’s mental health.”

The causal relationship is still somewhat unclear, but my guess is that it’s the same mechanism as with phycisal exercise. Not being outside (enough) may just feel “unnatural” to our bodies, thereby signaling that something is wrong – with all the emotional consequences.

So, stop reading right now, go outside – and move your ass… 🙂

The brand new, 2,400-years-old Science of fighting Depression

A couple of days a go, I stumbled upon two TEDx talks by clinical neuroscientist Stephen Ilardi (University of Kansas). He shares how we can “naturally” (without taking antidepressants) fight depression. The talks are instructive and entertaining, yet pretty similar to each other – so if you´re short on time, it´s probably sufficient to watch only one of them. Here´s the summary:

We were never designed for the sedentary, indoor, sleep-deprived, socially-isolated, fast-food-laden, frenetic pace of modern life.

Accordingly, among the most potent remedies for depression are:

  • going outside (daylight);
  • moderate exercise;
  • eating healthy food;
  • getting enough sleep;
  • and spending time with the people you love.

And while I´m happy and impressed that these recommendations are now being backed by “hard science”, I guess we should have known all along. Here are some quotes by Greek physician and “father of Western medicine” Hippocrates (460 – 370 BC).

If you are in a bad mood go for a walk.

To do nothing is also a good remedy.

Let food be thy medicine and medicine be thy food.

What has been will be again, what has been done will be done again; there is nothing new under the sun. (Ecclesiastes 1:9)

Loneliness is a Killer! A TEDx Talk and the Story of my Life

One of the central tenets of Positive Psychology is Other People Matter, coined by the late Prof. Christopher Peterson. If you want to learn just how much they matter to your happiness and your health, you might want to watch this TED talk by Prof. John Cacioppo from University of Chicago.

My Story

Now, I perfectly know from my own life what Prof. Cacioppo is talking about. When I was 16, I went to the USA for a year to attend high school and improve my English skills. I left my family and friends behind – platforms such as Skype and Facebook weren’t available (in fact, Mark Zuckerberg probably was entering middle school at that time). I agreed to have a phone call with my parents only every other Sunday – in order not to abet homesickness. Bad idea, most likely…

For reasons which are to complex and difficult to explain (if it can be explained at all – because every person will have a very different vantage point…), this was by far the loneliest year of my life. I found it hard to connect to my guest families and the larger part of my schoolmates.* For most of the time, m closest social connections consisted of other exchange students (during school hours) and the folks I encountered during basketball pick-up games (in the afternoon). Other than that, for most of the year, I felt utterly alone and devoid of warm social connections, let alone love.

I am now perfectly aware what a situation like this does to your body and your soul. When I came to the U.S., I was a healthy and (ordinarily) happy teenager. By the time I went home, I had developed allergy-based asthma, suffered from recurring panic attacks, and was – according to what I´ve learned during my psychology studies later in life –  more than mildly depressed (including, at times, suicidal thoughts). It took me several years to shake all of this off – but I did.

Full Circle

To end this post on a high note (or rather: two high notes), I have to add that even though this was probably the worst year of my life, that doesn´t mean it hasn’t been a valuable experience. On the one hand, it´s a classic case of “What doesn´t kill me makes me stronger“. On the other hand – and that may be a strangely wonderful twist of fate – this year gave my life a whole new direction. The high school I attended offered psychology as an elective course. These two hours or so every week always were among the regular lights at the end of my tunnel. And I think my psychology teacher is the reason why I chose to pursue that profession later on in my life.

And then, there´s this other – equally beautiful and strange – twist of fate. Mappalicious exists as a blog because I was part of the ninth cohort of the Master of Applied Positive Psychology program at the University of Pennsylvania – it started as a kind of diary. So, 19 years after what I´ve described above, I spent another year in the U.S. (more precisely, several days per months as travelled back and forth between Germany and Philly). Actually, it all happened only about a hundred miles from where I went to school.

And boy, what a difference it has been. It´s been a year full of human bonding, a time of joy, and caring, and yes: love. And, in the light of my past, it´s been a year of healing. Full circle.

Nico Rose - MAPP - Penn Graduation

* I´m not blaming anybody, because it´s actually nobody´s fault. Let´s just say that U.S. high schools can be a pretty tough environment when you´re not exactly part of the in-crowd…

 

Positive Psychotherapy: A Collection of 5 Research Articles

Positive PsychotherapyPositive Psychology was founded on the belief that there is (or at least has been) an imbalance with regard to the amount of attention researchers and practitioners in the field of psychology give to the positive versus negative phenomena in (human) life (for some insights on this, click here). For the first 100 years, psychological science has give much more attention to the negative continuum of experiences (e.g., how to get rid of depression) than to the positive side (e.g., how to lead and sustain a happy and fulfilled life).
Nevertheless, just some years after Positive Psychology’s “inception”, some researchers and practitioners took the newly developed theories, tools, and interventions from the subclinical arena – and tried to apply them in a clinical context, e.g., to help people who suffer from depressive disorders. Thus, Positive Psychotherapy was born.*

Here, you’ll find four of the most important articles charting this territory (links lead to PDFs). The fifth article is a very recent one, there’s no free PDF available as of yet. But if you’re interested: I’ve made very pleasant experiences by just e-mailing authors and asking for a copy. Enjoy!

*Even though Positive Psychology’s official year of birth is 1998 (when Marty Seligman was elected president of the APA), the term Positive Psychotherapy has been in use long before that time. If you’d like to learn more, please click here.