Date post: | 20-Nov-2014 |
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Health & Medicine |
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THE
COURAGE TO
BE
HAPPY:
ADDRESSING L
AWYE
RS’
ANXIETY
WI L
LI A
M S
. BO
ST
I I I
FE
BR
UA
RY
11
, 20
12
PRELIMINARY NOTES
Title of presentation and much of the material comes from The Courage to Be, by Paul Tillich, a 20th century theologian
Also draws from The Sickness Unto Death by Soren Kierkegaard, a 19th century thinker
“Existential” in this sense means “of existence; related to existence”. Also, a synonym for “ontology”, the “study of what it means to be”.Existentialism is a school of thought that began in earnest in the early 1800s and burned out in the mid-20th century. Not exactly what we are talking about here.I am not a psychiatrist or counselor. I am an anxiety sufferer who has found some relief. Most of these comments are based on my own experience
Why Anxiety?
Why Anxiety?
Anxiety is a cause of and exacerbates depression
85% of depression sufferers suffer from anxiety
Anxiolytics are the most commonly prescribed drugs in America
Anxiety disorders affect 18% -- 40 million – of American adults
QUESTIONS ABOUT ANXIETY
What if modern medical views of anxiety are wrong and we cannot rid ourselves of anxiety?
Does our answer to this question have special application to lawyers?
MEDICAL/PSYCHOLOGICAL APPROACH TO ANXIETY
Results from conflict, for example:
Drives v. norms (e.g., sexuality)
Desires v. limits (e.g., parenthood and work)
Between imaginary worlds and experience in the real world;
Fantasy/”should be” v. reality
Perfection and grandiosity v. smallness and imperfection
Desire to be accepted v. rejection
Lifestyle v. burdens
MEDICAL/PSYCHOLOGICAL APPROACH TO ANXIETY
Medical approach picks one or two conflicts to “treat” – focuses on the “cause” of anxiety
Can be effective but only to a point
Fails to focus on “existential anxiety” – anxiety that exists in human beings solely because they existExistential anxiety is not a “chemical imbalance” and cannot be treated or eliminated by medication or “scientific” therapy
MEDICAL/PSYCHOLOGICAL APPROACH
Attractive to professionals because it offers a “quick fix”
Not entirely effective because it fails to acknowledge and identify that some of our anxiety is natural and normal and cannot be eliminated
Thus, anxiety remains and condition can worsen until addressed
EXISTENTIAL ANXIETY– WHAT IS IT?
Existential anxiety is anxiety that we experience as part of being human
It is not the result of an imbalance or conflict
It is not avoidable
Often described as “fear of nothingness” or “a fear of nonbeing” or “a fear of fear itself”
EXISTENTIAL ANXIETY – WHAT IS IT?
EXISTENTIAL ANXIETY - CHARACTERISTICS
Awareness of the inability to preserve one’s own being.
Anxiety, unlike fear, has no object. Fear can be faced with courage; anxiety generally cannot.
We feel helpless, with no direction, inadequate and lack intentionality
As human beings, we strive to move anxiety to fear, which can be overcome by courage
SOURCES OF EXISTENTIAL ANXIETY
Fate and death
Guilt and condemnation
Emptiness and meaninglessness
FATE AND DEATH
Absolute threat and a relative threat
FATE
DEATH
FATE AND DEATH
Relative threat is only there because of its relationship to the absolute threat.
Anxiety of fate and death is basic
Death is an absolute threat to our being
Anxiety about death comes from the absolute uncertainty of what becomes of us when our self disappears.
FATE AND DEATH
Fate is an intermediate threat
“Fate” means unpredictable, contingent, unexplainable nature of the events which occur in our lives and in the world.
If we were not concerned about death, we would worry none about what happened to us
FATE AND DEATH
Fate has special relevance to lawyers
What becomes of us?
Anxiety about consequences to clients
Uncertain nature of the justice system and lack of control
GUILT AND CONDEMNATION
We are responsible for our actions
What have I made of myself? What have I done?
Judge and judged simultaneously
When answered negatively, there is a conflict which we experience as guilt.
When answered with permanent rejection, we feel condemnation
Basis for most of our moral action and thought.
EMPTINESS AND MEANINGLESSNESS
Human beings have a need to affirm themselves frequently
Absence of such self-affirmation results in depression and suicide.
Threat to self-affirmation produces anxiety
EMPTINESS AND MEANINGLESSNESS
Self-affirmation occurs whenever we live creatively in our world
“Creative” does not mean “original creativity” as performed by an artist
“Creative” means participating meaningfully in the contents of one’s life
EMPTINESS AND MEANINGLESSNESS
Participation is “creative” in that it changes the nature of the things in which one participates
Creativity means creating a positive difference; thus, self-affirmation requires a feeling that we make a difference
EMPTINESS AND MEANINGLESSNESS
Our ability to affirm ourselves is threatened
relatively by emptiness and absolutely by
meaninglessness.
The anxiety of emptiness results when our ability, or our desire, to be creative is
threatened:
we are cut off from society for some reason
we are frustrated about something which we passionately affirmed
we are driven from one object of devotion to
another
EMPTINESS AND MEANINGLESSNESS
Meaning vanishes and desire to participate is replaced with indifference
In order to avoid emptiness, we try to hang on to those things in which we can continue to believe.
Lawyers are particularly susceptible to this type of emptiness Prevailing emptiness drives us to the despair of meaninglessness
DESPAIR
Existential anxiety leads to despair, which means literally “without hope”
Cannot be eliminated with medication
Medication makes them tolerable, but at some point the meds stop working and we are left with inadequate coping mechanisms
APPROACH TO EXISTENTIAL ANXIETY
When we discuss threats to our “being”, what does that mean?
Human beings desire to experience themselves as a centered, balanced self interacting with the world
“A self is a relationship of a self to itself”
Thus, each human being desires a balanced and positive relationship with himself; anxiety results from a threat to a person’s relationship to himself
POLARITIES
Three polarities that define ourselves:
•Individuality and participation•Freedom and necessity•Dynamics and form
POLARITIES
Balance between these polarities makes man essentially what he is
Necessity Freedom
Form
Dynamics
Individuality
Participation
Center
Man
POLARITIES
As polarities, one is not meaningful without the other; a threat to one or the other is a threat to being.
ManFreedom Necessity
POLARITIES
When we have an appropriate tension, or balance, between the polarities, the threat to our being is minimized
POLARITIES
Emphasis on one at the expense of the others affects our centeredness and causes anxiety
INDIVIDUALITY AND PARTICIPATION
Every human being exists as an individual self, for itself, and at the same time belongs to the outside world
Individuality manifests itself in man as “personality”
Participation is reflected in our belonging to a community of other people
We cannot experience our individuality alone, without others; we cannot participate meaningfully and uniquely in a group without individuality.
INDIVIDUALITY AND PARTICIPATION
•Excessive emphasis on individuality and self-relatedness produces the threat of loneliness in which our feeling of contribution to our community are lost•Excessive emphasis on participation and communion on the other hand produces the threat of complete collectivization and the loss of individuality and subjectivity where the individual is transformed into a part of the whole.
Imbalance
INDIVIDUALITY AND PARTICIPATION
Lawyers focus on our own goals and aspirations to the exclusion of the goals and aspirations of others (like
our children, families, cities, towns, churches) and the
goals of mankind generally
Others of us tie our identity to a group and lose our individuality; young lawyers in large law firms may fit this
description.
FREEDOM AND NECESSITY
“Freedom”, is “free will” coupled with the infinite possibilities for our actions
As human beings, we can at any time take an unlimited number of actions.
A full exercise of freedom in this context requires imagination.
FREEDOM AND NECESSITY
“Necessity” is the limitation on our actions that is imposed by our lives up until the present, often called our “destiny”.
“Necessity” is “what is”, and freedom is “what is possible”.
FREEDOM AND NECESSITY
May seek to salvage freedom by arbitrarily denying his destiny
Extreme focus on infinite possibility without regard to our limitations results in disconnection from reality.
No person can healthily live in a fantasy world.
FREEDOM AND NECESSITY
Man may fear that exercise of his freedom may
jeopardize his connection with his past, or his
destiny, and he may give up his freedom to preserve
his destiny
When he gives up his freedom entirely, and stops imagining possibilities, he loses himself and becomes
a number, just one man more, a continuation of hopeless sameness.
Others become nameless and unimportant.
Desperate narrow-mindedness and
mean-spiritedness result.
Lawyers particularly
susceptible to this
DYNAMICS AND FORM
Dynamics are the result of man’s vitality
Form is the result of man’s intentionality
DYNAMICS AND FORM
“Vitality” is man’s special desire to stay alive and at the same time live beyond basic biological existence.
“Intentionality” means man’s desire to relate to meaningful structures, to live in universals and to grasp and shape reality.
DYNAMICS AND FORM
“Dynamics” is man’s drive for progress and, inherent in this concept, the persistence of change.
“Form”, on the other hand, is the result of man’s desire for structure in which to live; cultural norms, government, and accepted scientific principles are examples of this type of structure.
DYNAMICS AND FORM
Balance is threatened when dynamics is lost to the rigidity of existing structures
Continued insistence on “progress” for the sake of progress puts at risk structured patterns and institutions resulting in chaos which threatens the very change insisted upon.
DYNAMICS AND FORM
Lawyers can be resistant to change, insisting on old ways and old ideas; this resistance limits our vitality and creates anxiety
Others desire change for change sake; this puts at risk the structures that provide us security we desire.
NEW LOOK AT BALANCE
Medical treatment of anxiety and accompanying depression often is not sufficient to address the issues that cause discomfort.
A new view of ourselves and our lives is necessary to deal with these issues more completely.
NEW LOOK AT BALANCE
Why do work and life have to be separate? What happens if work is part of life instead of an alternative to life?
How do we know if we are successful?
More balanced in this way can start with a simple change in our thinking
identify those elements of our being that are “out of balance” and take steps to balance them
Happiness is the goal! Other goals get in the way
NEW LOOK AT BALANCE
Courage to give up our own goals for the goals of a group or community; to leave behind old ideas and structures to try new ones; and to imagine and to act to change our place in the world.
It works, pretty quickly
NEW LOOK AT BALANCE
What good is it for a man to gain the whole world, yet forfeit his soul? Mark 8:36