Monday, August 17, 2009

Former Memphis Mayor Willie Herenton Denies Addiction or Need for Power

After former Memphis Mayor Herenton suggested he may run in the interim election to replace himself, many media persons and citizens responded by questioning whether he was mentally stable. This prompted the former mayor to defend his mental stability (http://www.commercialappeal.com/news/2009/aug/14/herenton-my-state-mind-real-good/).

In defending himself, the former mayor suggested he had changed his mind about resigning. He stated that he changed his mind because of decisions that he saw taking place at City Hall. He feared that these decisions would not be in the city’s best interest. Thus, the situation called for him to step back in to resume his role as mayor even as he was running for a congressional seat in Washington.

So why are so many focusing on whether his behavior is indicative of mental illness? Whenever behavior is otherwise inexplicable, it is common for folks to suggest that the answer to the behavior lies in mental illness. Psychologists view mental illness differently. Mental illness is seen as a pattern of behavior that is demonstrated consistently over time. Anxiety or depression interferes with the individual’s mood for months or even years. Drug and alcohol abuse or dependence is demonstrated by a pattern of behavior, not by the dire consequences of one night of substance abuse.

When former mayor Herenton suggested he did not have a need for power, he seemed to address whether he has a personality disorder. Most likely he is saying he does not have a narcissistic personality disorder. This is characterized by at least five of the following characteristics:
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
1.Has a grandiose sense of self-importance
2.Is preoccupied with fantasies of unlimited success, power, brilliance,beauty or ideal love (megalomania)
3.Believes they are "special" and can only be understood by, or should associate with, people (or institutions) who are also "special" or of high status
4.Requires excessive admiration
5.Has a sense of entitlement
6.Is interpersonally exploitative
7.Lacks empathy
8.Is often envious of others or believes others are envious of him or her
9.Shows arrogant, haughty behaviors or attitudes

The question is not whether Dr. Herenton has shown these patterns in this situation, but whether he has shown this pattern over the course of his adulthood? To accuse him of mental illness based on behavior that you do not understand is disrespectful to all of those who suffer a lifetime of mental illness.

Dilbert.com

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Wednesday, August 5, 2009

Combating Negative Predictions for Your Future


You sit for hours knowing that you should be accomplishing something - anything. But the energy and motivation have evaporated from your life. You compare yourself with others who seem to accomplish so much. Worse yet, you compare yourself to the person you once were. You recall past accomplishments and wonder if you will ever again be that person.

A depressed mood easily triggers negative thoughts and pessimistic expectations for the future. In the past if you had a bad day, you would say, "Well, tomorrow will be better." Now you say, "Will this be a never-ending pattern to my life; will I never accomplish anything of value again?"

Such questions are typical of someone with a mood disorder (or anybody experiencing daily pain). Nobody can predict the future. If you ask me whether I want to accomplish something tomorrow, I'll say "yes" but if you ask me whether I know I will accomplish something tomorrow, I'll have to admit that I don't.

Still we do predict the future. We believe that the the best predictor of the future is the past. But how good a predictor is the past? How many things have happened in your life would you not have predicted? How many times have you been pleasantly surprised or bitterly disappointed by an outcome?

Negative predictions about the future based on the past are toxic to your mood. It is bad enough to feel so much pain today, but it is a hundred times worse to believe that the pain will never end. Remind yourself daily that you can affect your mood, that your mood can improve. Monitor your mood three times a day, rating your mood from 0 to 100. Notice that your mood does change and where there is change there is room for improvement.

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