normalcy


Eunoia is the shortest English word containing all five vowels. It comes from the Greek for “well mind” or “beautiful thinking.” It is also a rarely used medical term referring to a state of normal mental health.

Reanna sent this to me because Eunoia is also the title of a set of univocalics by Canadian poet Christian Bök. His book consists of chapters written using words limited to a single vowel: “A”, “E”, “I”, “O” and “U”. Read more about it in the new issue of Front Magazine.

Normalization is one of the primary techniques of a family therapist. Most family therapists do not put much stock in traditional ideas of “mental illness,” preferring instead to believe that the behaviors that their clients complain about are understandable reactions to tough circumstances. Normalizing is just pointing that out. People come in thinking they (or their kids) are crazy, broken, or bad, and once the therapist understands the situation, they can say something like, “Wow, you two are under a lot of stress! It’s no wonder you’ve been fighting lately. That’s a lot to carry around,” or “Actually, the latest research shows that adolescents need at least nine hours of sleep at night. I don’t think Johnny’s behavior is out of the ordinary…”

Normalization isn’t always verbal, either. It can be expressed by the therapist’s demeanor while hearing about the problem–no shock, no worry, just calm understanding–and in their easy willingness to talk openly and frankly about it. This part isn’t always easy, of course. It takes a lot of self-examination and your own therapeutic work to find your own triggers and ameliorate them.

The idea in normalization is both to educate clients about the situations they find themselves in and to take the pressure to change off of them. Often the stress that they create by ruminating on, arguing about, and trying to fix something that isn’t really the problem has become their main problem. Whether or not it has become their main problem, it isn’t helping.

I posted in February about how the committee that is redesigning the DSM is accepting feedback on their proposed changes. The Diagnostic and Statistical Manual of Mental Disorders is the book used around the world by clinicians to determine what kinds of human suffering count as mental disorders, what symptoms one has to show to qualify as having one of those disorders, and what what can get covered by insurance. The content of this book will shape the lives of those who will interact with the mental health system for the next generation. Being labeled with a mental disorder is a big deal, and which one you get can mean the difference between decent and indecent treatment. Personality Disorder? You’re pretty much screwed. Very few people think they can help you and no insurance will cover you. Adjustment Disorder? PTSD? You’re in luck, most likely. We’re all very hopeful for, and will pay for, your recovery.

If you’re life has in any way been affected by anything labeled a mental disorder, I encourage you to look at the appropriate proposed changes to your future and the future of your loved ones, and write them an email about what you think. You have until April 20, 2010.

Structural, Cross-Cutting, and General Classification Issues for DSM-5
Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence
Delirium, Dementia, Amnestic, and Other Cognitive Disorders
Mental Disorders Due to a General Medical Condition Not Elsewhere Classified
Substance-Related Disorders
Schizophrenia and Other Psychotic Disorders
Mood Disorders
Anxiety Disorders
Somatoform Disorders
Factitious Disorders
Dissociative Disorders
Sexual and Gender Identity Disorders
Eating Disorders
Sleep Disorders
Impulse-Control Disorders Not Elsewhere Classified
Adjustment Disorders
Personality Disorders
Other Conditions that May Be the Focus of Clinical Attention

Going though my undergraduate degree in psychology, I was often surprised about information that was well known by the field that should have hit the headlines but never made a dent. In the end it was one of my reasons for going into therapy instead of experimental psychology. At one point I asked my social psychology teacher for an example of basic social psych research that had had a real impact on mainstream society. He could not give me one. I know that basic research is done to find stuff out, not to directly help people, and I support that. I also know that psychology is a baby science, and tackling a very complex set of phenomena, and doing a pretty good job. Still, I was disappointed. It is too bad, because a lot of useful and sometimes very important stuff has been discovered by experimental psychologists, and it is mostly just ignored.

Here are a few things I came across in my classes and reading that I thought should have been mainstream headlines. If you are interested in references, leave a comment and I will get them to you.

It Is Important to Talk to Your Baby, Even in the Womb: Your baby can hear and recognize your voice in your womb, is already learning your language, and wants to hear your voice.

It Is Important to Sleep With Your Baby: Babies are not born fully self-regulating. One way this shows up is that babies do not breath out enough carbon dioxide–sleeping with parents provides them with a pool of carbon dioxide that keeps the baby breathing deeply enough. Another benefit is that their 90 minute hunger cycle (waking and nursing each 90 minutes) helps establish their 90 minute REM sleep cycle, which they are not born with, and also keeps them from getting into deep, delta wave sleep, which is dangerous for babies because they can stop breathing.

Don’t Worry Too Much About Your Decisions: Your brain has mechanisms to ensure that you will think you made the right decision, regardless of what you decide. This can be undermined, however, by thinking of reasons for your decision before you make it. In many cases, your coming-up-with-reasons ability can get in the way of your decision-making ability. As long as you get all the relevant information, you may have a better chance making a good decision without deliberation.

It Works to Ask People to Watch Your Stuff: People who you do not specifically ask to watch your stuff will do nothing while your stuff is stolen. People who you do ask, will go to great lengths to keep your stuff from being stolen.

The Normal Are Not Detectably Sane: The methods of this study were not well laid out, so I do not know how strong this evidence is, but it was quite clever. Normal people got admitted into mental hospitals by saying they had heard a voice say the words “empty,” “hollow,” and “thud.” Other than that they behaved as usual. None were discovered to be sane by the staff, no matter how long they stayed hospitalized.