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Viewing: Blog Posts Tagged with: depression, Most Recent at Top [Help]
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1. A taxonomy of kisses

Where kissing is concerned, there is an entire categorization of this most human of impulses that necessitates taking into account setting, relationship health and the emotional context in which the kiss occurs. A relationship’s condition might be predicted and its trajectory timeline plotted by observing and understanding how the couple kiss. For instance, viewed through the lens of a couple’s dynamic, a peck on the cheek can convey cold, hard rejection or simply signify that a loving couple are pressed for time.

A kiss communicates a myriad of meanings, its reception and perception can alter dramatically depending on the couple’s state of mind. A wife suffering from depression may interpret her husband’s kiss entirely differently should her symptoms be alleviated. Similarly, a jealous, insecure lover may receive his girlfriend’s kiss of greeting utterly at odds to how she intends it to be perceived.

So if the mind can translate the meaning of a kiss to fit with its reading of the world, what can a kiss between a couple tell us? Does this intimate act mark out territory and ownership, a hands-off-he’s-mine nod to those around? Perhaps an unspoken negotiation of power between a couple that covers a whole range of feelings and intentions; how does a kiss-and-make-up kiss differ from a flirtatious kiss or an apologetic one? What of a furtive kiss; an adulterous kiss; a hungry kiss; a brutal kiss? How does a first kiss distinguish itself from a final kiss? When the husband complains to his wife that after 15 years of marriage, “we don’t kiss like we used to”, is he yearning for the adolescent ‘snog’ of his youth?

Engulfed by techno culture, where every text message ends with a ‘X’, couples must carve out space in their busy schedules to merely glimpse one another over the edge of their laptops. There isn’t psychic space for such an old-fashioned concept as a simple kiss. In a time-impoverished, stress-burdened world, we need our kisses to communicate more. Kisses should be able to multi-task. It would be an extravagance in the 21st-century for a kiss not to mean anything.

And there’s the cultural context of kissing to consider. Do you go French, Latin or Eskimo? Add to this each family’s own customs, classifications and codes around how to kiss. For a couple, these differences necessitate accepting the way that your parents embraced may strike your new partner as odd, even perverse. For the northern lass whose family offer to ‘brew up’ instead of a warm embrace, the European preamble of two or three kisses at the breakfast table between her southern softie of a husband and his family, can seem baffling.

The context of a kiss between a couple correlates to the store of positive feeling they have between them; the amount of love in the bank of their relationship. Take 1: a kiss on the way out in the morning can be a reminder of the intimacy that has just been. Take 2: in an acrimonious coupling, this same gesture perhaps signposts a dash for freedom, a “thank God I don’t have to see you for 11 hours”. The kiss on the way back in through the front door can be a chance to reconnect after a day spent operating in different spheres or, less benignly, to assuage and disguise feelings of guilt at not wanting to be back at all.

Couple, by Oleh Slobodeniuk. CC-BY-2.0 via Flickr.
Couple, by Oleh Slobodeniuk. CC-BY-2.0 via Flickr.

While on the subject of lip-to-lip contact, the place where a kiss lands expresses meaning. The peck on the forehead may herald a relationship where one partner distances themselves as a parental figure. A forensic ritualized pattern of kisses destined for the cheeks carries a different message to the gentle nip on the earlobe. Lips, cheek, neck, it seems all receptors convey significance to both kisser and ‘kissee’ and could indicate relationship dynamics such as a conservative-rebellious pairing or a babes-in-the-wood coupling.

Like Emperor Tiberius, who banned kissing because he thought it helped spread  fungal disease, Bert Bacarach asks, ‘What do you get when you kiss a guy? You get enough germs to catch pneumonia…’ Conceivably the nature of kissing and the unhygienic potential it carries is the ultimate symbol of trust between two lovers and raises the question of whether kissing is a prelude or an end in itself, ergo the long-suffering wife who doesn’t like kissing anymore “because I know what it’ll lead to…”

The twenty-first century has witnessed the proliferation of orthodontistry with its penchant for full mental braces. Modern mouths are habitually adorned with lip and tongue piercings as fetish wear or armour. Is this straying away from what a kiss means or a consideration of how modern mores can begin to create a new language around this oldest of greetings? There is an entire generation maturing whose first kiss was accompanied by the clashing of metal, casting a distinct shadow over their ideas around later couple intimacy.

Throughout history, from Judas to Marilyn Monroe, a kiss has communicated submission, domination, status, sexual desire, affection, friendship, betrayal, sealed a pact of peace or the giving of life. There is public kissing and private kissing. Kissing signposts good or bad manners. It is both a conscious and unconscious coded communication and can betray the instigator’s character; from the inhibited introvert to the narcissistic exhibitionist. The 16th-century theologian Erasmus described kissing as ‘a most attractive custom’. Rodin immortalized doomed, illicit lovers in his marble sculpture, and Chekhov wrote of the transformative power of a mistaken kiss. The history and meaning of the kiss evolves and shifts and yet remains steadfastly the same: a distinctly human, intimate and complex gesture, instantly recognizable despite its infinite variety of uses. I’ve a feeling Sam’s ‘You must remember this, a kiss is just a kiss’ may never sound quite the same again.

Headline image credit: Conquered with a kiss, by .craig. CC-BY-NC-2.0 via Flickr.

The post A taxonomy of kisses appeared first on OUPblog.

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2. God's Got This

Some are going through a horrible time right now.
Some are feeling lost.
Hopeless.
Abandoned.
Worthless.
Helpless.
Alone.
Depression.

Feeling as if nobody hears them, sees them, knows they are alive.
God sees you, my darling.
He hears you.
He feels you.
Catches every tear that falls from your precious eyes.
I promise.

Focus on something for just a moment.
Something outside of your pain.
Focus on the Glory of God.
Take a deep breath.
Breathe.

If you can't muster the strength to say it aloud-
then say it inside.
You can do this.
I have faith in you.
I believe in you.

"Take me Lord.
Take my junk.
Take my mess.
I am Yours.
Help me.
Lead me beside the still waters.
Restore my soul.
My mess, is Yours.
Use it to be glorified.
Give me peace.
Give me hope.
I find my strength in You, oh Lord.
Bring me to the place of joy.
And bring me into You.
In Jesus' name."

If you need prayer, email me please. I will gladly pray for you. Comments (pleasant conversation or polite debate) welcome. If you feel led, please share. Follow. May you find peace dwelling inside you today and every day. <3

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3. The Darkness We Need To Make Visible - Lucy Coats




The sad suicide of Robin Williams last week has sparked another 'conversation' in the press and on social media about mental illness - and more particularly about the link between creativity and depression. 

I think this 'conversation' - and the dispelling of ignorance and myths about these conditions by those of us who are sufferers speaking out honestly - is very important indeed. It is, if you like, the inner and unseen darkness we need to make visible, which is why I have written before, both here and elsewhere, about my own battles with the Beast of chronic depression and how, in some of those darker moments, I turn to writing poetry as a way to battle the demons. Externalising them on paper is, for me at least, a way of dispersing some of their power over me. 

Sometimes, though, when the despair becomes a deep physical paralysis, even the act of writing a single word seems impossible, and it at those times that the 'world would be better off without me' thoughts creep in. To the 'well brain' this is inexplicable - but the 'well brain' of a depressive is not always in charge. That is what the people who accuse Williams of 'selfishness' need to understand. Suicide, where mental illness is concerned, is not a choice. It is the last, most desperate act of a despairing brain which just wants the demons to stop eating it.


When I was first officially diagnosed with depression, I had a deep need to find a way to understand it which avoided medical jargon (to which I am deeply allergic). Being a writer, I turned to other writers to see what their experiences were - and how they had coped. The first name which came up was William Styron, whose book, 'Darkness Visible', about his own journey through depression became my manual. The title comes from Milton's 'Paradise Lost'
'No light, but rather darkness visible served only to discover sights of woe'
Writing is, for the most part, a solitary profession. In my case, I mostly sit in a room, on my own, making stuff up and setting the visions that churn around in my head down on a screen. It is hardly surprising that, living as I do in a daily creative world where evil Egyptian crocodile deities demand human sacrifices, immortal beasts battle horrid heroes and skeleton dragons with flaming red eyes menace innocent children, my own mind should sometimes rise up against me.  

Every writer, whether with depression or without, will know that little nagging head voice which tells us that what we do is unutterably useless and pointless. Styron describes his thought processes 'being engulfed by a toxic and unnameable tide that obliterated any enjoyable response to the living world.' Reading those words was, for me, a recognition akin to a light being turned on in a dark room. When I first read Styron's book I did what I never do (being a respecter of the sanctity of the printed page). I underlined and made comments and wrote 'YES!!' in large capitals in many places. I have scribbled a lot more on it since. I felt as if, finally, I had found a fellow wanderer in an empty desert who could describe not only what and how I was feeling, but also do it in words simple and direct enough that others--those 'healthy people' on the outside of this condition--might be able to understand too. When Styron speaks of the 'weather of depression', I understand precisely what he means. For him its light is a 'brownout', for me a greyish fog impossible to see anything in except blurred shapes and outlines.

It's hard for me to describe how strengthening and comforting it felt to read something which made sense of my own experience, and which reminded me gently of how many other writers have been in the depths of the pit too. Shakespeare certainly understood it - how else would he have written Hamlet? Emily Dickinson, John Donne, Camus, Manley Hopkins, Beethoven, Van Gogh - these and so many more were troubled by the Beast, so I am in hallowed company when I travel through Dante's 'dark wood'. 

For now, I am in a stable place, where it is possible to 'riveder le stelle' - to 'behold the stars once more.'. But when the Beast visits again (as it inevitably will, because that is its nature) I will try to remind myself that I am not alone. 

Captain Beastlie's Pirate Party is now out from Nosy Crow!
"What right-minded child could resist his allure?" Books for Keeps
Lucy's brand new Website and blog
Follow Lucy on Facebook 
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Lucy is represented by Sophie Hicks at The Sophie Hicks Agency

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4. The Depression Stigma

She woke up torpid each morning, slowed by sadness, frightened by the endless stretch of day that lay ahead. Everything had thickened. She was swallowed, lost in a viscous haze, shrouded in a soup of nothingness. Between her and what she should feel, there was a gap. She cared about nothing. She wanted to care, but she no longer knew how; it had slipped from her memory, the ability to care. Sometimes she woke up flailing and helpless, and she saw, in front of her and behind her and all around her, an utter hopelessness

From Americanah by Chimamanda Ngozi Adichie

When I read this passage in the above novel, I thought that this was probably the most accurate description of what depression can feel like. Depression can be a relentless and elusive entity.

There has been a lot of talk lately about depression due to recent death of Robin Williams. As writers with our creative spirit, we tend to live inside our heads. It can be very easy to go into a downward spiral. Between writer’s block, rejection letters, dealing with envy and comparing yourself to other writers, it’s easy to fall into depression’s grip.

The thing about our society is that everyone feels that they should be happy all the time and then feel guilty when they don’t. Social media doesn’t help much either because we tend to only share our sunny days instead of our stormy ones.

Then there’s the stigma that people with depression are weak and need to get a grip. This is probably the most common reason that people hide their feelings. Sometimes the happiest people can be the saddest people. Emotions are sticky and private. They can be overwhelming. It’s messy work and makes people uncomfortable. It’s hard to share when the possible reply could be a brush off instead of empathy. It’s hard to be vulnerable with your emotions. It’s much better to fake it and pretend that everything is okay.

The most important thing is that you shouldn’t ignore the feelings. It could be more than a case of having a bad day or melancholy. Events like heartbreak, death of a loved one, or other personal losses can have an effect over a prolonged period of time.

So don’t ignore these feelings. They are real. Don’t feel guilty that you should feel happy. You are not weak. And most important, don’t feel like there is no hope. The trick of depression is that it tells you that you don’t matter and nobody cares. But that is a total lie: You do matter and there are people who care. Ask for help. It is waiting for you.

1 Comments on The Depression Stigma, last added: 8/14/2014
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5. Robin Williams, depression and life

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The reaction to Robin Williams’ death has been unlike any celebrity death I can remember. We all knew Whitney was going to go, and Michael Jackson’s end was as expected as it was bizarre. With Williams there seem to be few mysteries. It was a battle, and he lost. Yet the shock of his tragic decision seems to have transcended our celebrity autopsy culture with its essential question: how can someone who gave so much, who had so much to give, have turned away from the light with such finality?

It’s a question we’ve all tried to answer at one point.

It’s also opened up a floodgate of frank talk about depression. As many have pointed out, there’s a difference between the blues—temporary depression we’ve all suffered from at one time or another—and the deep, clinical depression that killed Williams and Kurt and Plath and so many others.

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Depression, and its ugly twin, substance abuse, are both hazards of the creative life. My Facebook feed has been flooded with creative people discussing their own depression, sometimes with courage, sometimes with dread. Neither is the “right” response. This is a daily battle we all face, the important part is to get through, to know you are not alone, to find the light in what seems like an endless darkness. We get by in measures that are appropriate.

Joshua Hale Fialkov has a much linked to post that expresses all this much better than I can. Fialkov’s own battle is with migraines, not depression but the battle is similar.

There is never enough.  Never enough time, never enough money, never enough success, never enough praise, never enough sales.  Never enough.  That’s part of the life I’ve chosen.  We struggle to find that thing that makes us feel satisfied, that gives us joy, but, the truth is that the joy is fleeting.  The feeling of being ‘full’ only lasts for a few moments before the hunger returns.

This is the life of an artist. This is the life of anyone who aspires to be greater than they are.

This is unattainable. This is the bottom line to life, from top to bottom from the most successful man on earth to the weakest child on the playground.  Nothing you ever do will be enough.

The talking is good. I had a long talk with one of my oldest friends I don’t speak with as much as I should who had dated Williams back in the day. Some of her stories were hilarious but they are hers to tell. So many people have shared stories of Williams shopping in their comics stores or book stores (the guy liked to read!), or meeting him at charity events. All the stories are of a kind man, a giving man. I dread the day when the celebrity autopsy horror stories come out…for now keeping these kind, human moments alive helps with getting through.

popeye_17688.jpg

I’ve had a case of the blahs myself of late. Not being productive enough, things I let slide, the dog days of August, post Comic-Con let-down. Nothing I haven’t felt before—I’ve learned to be pretty resilient in my life. Like I said, we all have good days and bad days. Last night I got together with two industry colleagues and in a few hours of smart, funny talk about life and comics—moments where I never looked at my cell phone—everything was OK again. On to the next battle.

The communal mourning and questioning is part of the healing. I almost feel like the good from all the sharing has overwhelmed the sadness. Life is both beautiful and terrifying, but its beauties and terrors are best experienced knowing you are not alone in this glorious muddle. You are not alone. We are not alone.

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PS: Yes I forgot Popeye in my first post about Robin Williams. Which sucks because despite it being a horrible flop, it’s a sweet, wonderful movie— written by Jules Feiffer! Wacky as hell, a glorious muddle. And a role, like so many others, that Williams was born to play.

9 Comments on Robin Williams, depression and life, last added: 8/16/2014
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6. Nest, by Esther Ehrlich

"I should have taken the shortcut home from my bird-watching spot at the salt marsh, because then I wouldn't have to walk past Joey Morell, whipping rocks against the telephone pole in front of his house as the sun goes down." (p. 1)  If you know anything about me, I am a sucker for a good first line, and this one has got the goods.

This is Chirp's (Naomi's) story.  Well, her family's story really.  Her mom is a dancer who has suddenly started to have some problems with her body.  Her leg is dragging around and has been hurting her for a while, but Chirp's somewhat clinical and distant psychiatrist dad isn't really talking about it.  Big sister Rachel is distancing herself as well as she tries on teendom for the first time.

When Chirp's mom is diagnosed with MS the family verily falls apart.  Hannah's existence has always been that of a dancer, and she quickly falls into a deep depression and nobody in the family really knows how to cope.  Chirp finds an ally in a very unexpected person - Joey Morell.

Joey's family is one that Chirp's family looks down on.  They have a 3 sons who run amok, but their problems go deeper than that.  Chirp and Joey find common ground, and as two kids who ultimately are scared and feeling abandoned, they cement their friendship as they slowly reveal the pain inside each of their houses.

I don't want to spoil the plot so I will leave it there, but will also say that Ehrlich is part poet and part magician as she weaves this tale together.  "Ice-blue quiet smacks me when I open the front door after school." (p. 86)  "A little square of my blouse is stuck to my upper arm, like the wrinkly paper on a temporary tattoo before you lift it off and leave a splotchy red heart or yellow smiley face behind." (p. 164)  "The air's already thick and warm, even though the sun's still just a spritz of light in the pitch pines and the scrub oaks and not a hot, round ball bouncing on the top of my head, like it will be soon." (p. 12)  Swoon.

For sure, this is a story filled with heavy and heady stuff.  But it is through the eyes of Chirp, so while it is indeed sad, it is never too much.  It is gorgeous, quiet and filled with hope.  I fell in love with Chirp and Joey as I read. They simply became real, and I turned the pages late into the night because I could not leave their story unfinished.

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7. Let’s Talk about Cutting

I want to cut my wrists. Don’t panic; it’s not a serious thing. I don’t want to kill myself, but sometimes, when I’m daydreaming, I like to think about cutting myself.

I’ve been doing it off and on in secret since eighth grade. Once I hit my upper twenties, I stopped caring if anyone noticed. Now, in my thirties, good friends know how things are going based on my Band-Aids.

Again, this isn’t a suicide thing. It’s not a “cry for help,” as Marla Singer might say. I don’t cut for attention. I don’t cut because I mean myself any harm. I cut because it feels good. Physical pain is better than emotional pain any day. But it very rarely comes to that anymore. Mostly, it’s just in my head. I fantasize about cutting because it calms me down.

Say I’m in a crowded room, and people are small talking around me and I’m just feeling … anxious. I zone out and picture a knife against my skin. Not cutting into my skin—just lingering above it, like a playful tickle. This is my meditation, my visualization, my Power Animal. This image calms me down. Always has.

women-huggingI considered getting a tattoo on my left wrist. That way, I wouldn’t cut my left wrist anymore because I wouldn’t want to ruin the ink. But then I thought, “How does ink do on scar tissue?” The tattoo is on hold.

I spoke to a group of troubled teens a couple months ago. I admitted to a room full of strangers (who possibly had more in common with me than most “adults”) that I’d been cutting for years. One of the girls asked, “How did you stop?”

Well, I didn’t want to tell her I hadn’t. Instead, I told her I channeled the yearning to cut into something else—my writing, for instance, or yoga.

But being a cutter is like being a smoker. You quit … but you never really quit.

I’m not writing this to freak out my mother or make you uncomfortable. I’m writing this to be honest. Although I haven’t been depressed in a while (yay medication!), when I am depressed, I often question God’s intentions: Why did You give me this stupid disease? Why did You do this to me? What kind of a loving god are You?

See, I get sad, then I get mad. Once I’ve calmed down, I usually realize I wouldn’t be “me” without the depression. I wouldn’t be as weird or funny or oddly charming. I wouldn’t be an artist. I also wouldn’t be able to speak to troubled teen girls or write blog posts like this that hopefully help other people—make them feel not so alone.

Recently, when I opened up about self-harm, I brought it up, nonchalantly, with a friend of mine who shocked me by saying, “Yeah, I’ve been trying so hard not to cut lately.” Who knew? Now, I do, and now, we talk about it.

We need to talk about this stuff. In college, I hid my mental health problems. No one would ever have thought, “Wow, Sara’s a real downer.” (Thank God for closed doors.)

The older I get, the more I have learned to embrace “me,” even the psycho side of me that wants to stay in bed, never eat again, and play with knives. If anyone needs a hug, it’s her!

So seriously, I’m not trying to freak you out. I just want you to know me, and maybe someday, we can help each other. Isn’t that why we’re here anyway?


8 Comments on Let’s Talk about Cutting, last added: 6/6/2014
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8. Depression: What's a Christian to Do? by Nancy I. Sanders



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Divine guidance and blessings come to each of us through little signs as we carry on through our busy lives. What is one to do when the hectic pace that threatens to exhaust us puts us in a tailspin of despair and unable to recognize God’s blessings? Please know you are not alone as you continue your journey. Nancy I. Sanders’ book, Depression What’s a Christian to Do? provides the reader with spiritual guidance and points of reference to guide you through a difficult period in your life. Sanders’ book is the perfect resource to align you to contentment and understanding in your life. A must read and ongoing reference for the roller coaster of life!

~~~~~~~~~~~~~~~~~~~~~~~~~

Best wishes,
Donna M. McDine
Award-winning Children's Author
Connect with

A Sandy Grave ~ January 2014 ~ Guardian Angel Publishing, Inc.

Powder Monkey ~ May 2013 ~ Guardian Angel Publishing, Inc.

Hockey Agony ~ January 2013 ~ Guardian Angel Publishing, Inc.

The Golden Pathway ~ August 2010 ~ Guardian Angel Publishing, Inc.
~ Literary Classics Silver Award and Seal of Approval, Readers Favorite 2012 International Book Awards Honorable Mention and Dan Poynter's Global e-Book Awards Finalist













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9. Depression: What's A Christian To Do? by Nancy I. Sanders

I am pleased to take to a bit of a break from my virtual book tour and profile Nancy I. Sanders' book 

Congratulations Nancy! 

Depression: What's A Christian To Do?

BY NANCY I. SANDERS

www.HopeWithDepression.wordpress.com


 

If you've experienced depression in your life, God wants to reassure you today that you are not a "bad" or "weak" Christian. On the contrary! Whether you deal daily with the deep darkness of depression, or have experienced isolated incidents of its ominous oppression, God wants to let you know you are a "much-loved" Christian. He loves you! He cares about you! He wants to help you.


*Stories from the Bible demonstrate how Bible-time heroes dealt with depression.

*Inspirational instruction provides 
practical help.

*Prayers based on the Psalms offer encouragement and strength.

*Scriptures build a solid foundation on God's Word.

*Fictional stories bring comfort and hope. 

*Questions for each chapter make this perfect for group or personal study.


________________________________


"Nancy gets right to the point regarding recovery and deliverance from this very powerful emotion that befalls so many today."
-Lisa Hibbs, Pastor's wife and Director of Growing in Grace
Women's Ministry, Calvary Chapel Chino Hills

"This book is high on my recommended list for any of my patients
struggling with depression. It is Spirit-filled, biblically accurate,
practical, and psychologically sound."
-Jennifer Norheim M.A., Marriage and Family Therapist

ISBN: 1493686087
Christian/Self-help
Paper, $12.95
192 pages
Available to order from your local bookstore or on Amazon

For more information, email: jeffandnancys@gmail.com

~~~~~~~~~~~~~~~~~~~~~~~~~

Best wishes,
Donna M. McDine
Award-winning Children's Author
Connect with

A Sandy Grave ~ January 2014 ~ Guardian Angel Publishing, Inc.

Powder Monkey ~ May 2013 ~ Guardian Angel Publishing, Inc.

Hockey Agony ~ January 2013 ~ Guardian Angel Publishing, Inc.

The Golden Pathway ~ August 2010 ~ Guardian Angel Publishing, Inc.
~ Literary Classics Silver Award and Seal of Approval, Readers Favorite 2012 International Book Awards Honorable Mention and Dan Poynter's Global e-Book Awards Finalist













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10. You Are a Broken Toy

Doll 2
Depression makes you feel like a broken toy. You once had use, but now, you’re forgotten, sprawled in the dust beneath a child’s bed. You can’t remember what it’s like to not be broken. You can’t imagine anyone fixing you.

So you lie there, tired, broken, and no one can reach you—not even mom’s feather duster.

Depression destroys you. It makes you forget how to work or how to eat. It makes you want to sleep but not cry. You are beyond crying. You feel nothing but a crushing pain in your chest. You feel nothing but aching muscles and the strange beat of your heart that seems louder in the silence.

It’s very quiet under the child’s bed. In the dust.

It’s not scary under here, not like the movies would have you think. There aren’t monsters under this bed—just you, the broken toy. You are in pieces. You can’t hurt anyone.

Depression is the bad thing you’re waiting for that never happens.

Depression is loss, but lost what?

Depression is the hope that this day will soon be over, because maybe you will wake up not so broken tomorrow. Maybe tomorrow will be better.

Maybe tomorrow, the child will find you under his bed. He will dust you off and sew you back together. He will play with you again and remind you what you’re here for.

You will remember how to work and eat and maybe even smile. Tomorrow.

For now, you lie in the dust and watch feet pass the foot of the child’s bed. You wonder: how do they do it? How do they go about their days? How do they keep their pieces together? When you are so broken.

You’re not even old! Barely played out! How did you end up in this dingy, under-bed place? How did you get here? But you don’t remember. One day, you were fine; the next, you weren’t.

Depression is the dark thing in your dreams, half remembered by morning.

Depression is the thief that takes and makes you forget how to give back.

Maybe you should rest now, sleep for a while, under the bed. Stop looking at other toys. Stop wondering how they stay together. Tomorrow. Tomorrow, you’ll be fixed again.


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11. Depression in old age

By Siegfried Weyerer


Depression in old age occurs frequently, places a severe burden on patients and relatives, and increases the utilization of medical services and health care costs. Although the association between age and depression has received considerable attention, very little is known about the incidence of depression among those 75 years of age and older. Studies that treat the group 65+ as one entity are often heavily weighted towards the age group 65-75. Therefore, the prediction of depression in the very old is uncertain, since many community-based studies lack adequate samples over the age of 75.

With the demographic change in the forthcoming decades, more emphasis should be put on epidemiological studies of the older old, since in many countries the increase in this age group will be particularly high. To study the older old is also important, since some crucial risk factors such as bereavement, social isolation, somatic diseases, and functional impairment become more common with increasing age. These factors may exert different effects in the younger old compared to the older old. Knowledge of risk factors is a prerequisite to designing tailored interventions, either to tackle the factors themselves or to define high-risk groups, since depression is treatable in most cases.

In our recent study, over 3,000 patients recruited by GPs in Germany were assessed by means of structured clinical interviews conducted by trained physicians and psychologists during visits to the participants’ homes. Inclusion criteria for GP patients were an age of 75 years and over, the absence of dementia in the GP’s view, and at least one contact with the GP within the last 12 months. The two follow-up examinations were done, on average, one and a half and then three years after the initial interview.

Depressive symptoms were ascertained using the 15-item version of the Geriatric Depression Scale (GDS). We found that the risk for incident depression was significantly higher for subjects

  • 85 years and older
  • with mobility impairment and vision impairment
  • with mild cognitive impairment and subjective memory impairment
  • who were current smokers.

It revealed that the incidence of late-life depression in Germany and other industrialized countries is substantial, and neither educational level, marital status, living situation nor presence of chronic diseases contributed to the incidence of depression. Impairments of mobility and vision are much more likely to cause incidents of depression than individual somatic illnesses such as diabetes mellitus and coronary heart disease. As such, it is vital that more attention is paid to the oldest old, functional impairment, cognitive impairment, and smoking, when designing depression prevention programs.

GP practices offers ample opportunity to treat mental health problems such as depression occurring in relation to physical disability. If functional impairment causes greater likelihood of depression, GPs should focus on encouraging older patients to maintain physical health, whether by changing in personal health habits, advocating exercise, correcting or compensating functional deficits by means of medical and surgical treatments, or encouraging use of walking aids. Additionally, cognitive and memory training could prevent the onset of depressive symptoms, as could smoking cessation. If these steps are taken, the burden of old age depression could be significantly reduced.

Siegfried Weyerer is professor of epidemiology at the Central Institute of Mental Health in Mannheim, Germany. He has conducted several national and international studies on the epidemiology of dementia, depression and substance use disorders at different care levels. He is also an expert in health/nursing services research. He is one of the authors of the paper ‘Incidence and predictors of depression in non-demented primary care attenders aged 75 years and older: results from a 3-year follow-up study’, which appears in the journal Age and Ageing. You can read the paper in full here.

Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.

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12. Bipolar Characters in Children's and YA Fiction






It's World Mental Health Day today - so what better time to address the subject of mental health in children's and YA books? I'm going to focus on bipolar disorder, because it's a particular interest of mine. But much of what I say can be applied to depression and other mental health conditions.

First of all, let me announce that I'm a sufferer myself from chronic/recurrent depression. Although I've never been diagnosed as bipolar, I do have mood swings and have some idea, at least, of what the highs as well as the lows can be like (the highs in my case may possibly be the result of not getting the levels of medication right - who knows?)

I now believe that my depression started when I was in my teens, though I had no idea what to call it at the time. It was all put down to PMT, though I'm not sure that the term had been invented in the late sixties. The fact that I suffered from it at other times of the month - well, that's easily got around - there's always another period on the horizon somewhere!

Or perhaps it began even earlier, when I was five and my dad disappeared off to Singapore with the RAF and I was terrified for months afterwards that my mum would vanish too. I'm sure my parents did their best, but knowing me, a book would probably have helped, and there weren't books for kids about that sort of thing in those days.

Perhaps I became depressed when bullied at my new school at seven, when I was ostracised because of my 'posh accent'. The memory still brings tears to my eyes and the teachers didn't help.

My depressive episodes, never diagnosed or treated, recurred at intervals of a few years until eventually, in my late twenties and living in Edinburgh with two small children, I took myself off to the GP with stomachache and she had the sense to see that there was something more going on. I was prescribed anti-depressants (which I refused to take on that first occasion) and told to get a part-time job. The part-time job helped. But the depression came back after a couple of years. This time it was worse and I took the medication. I also had counselling and the combination of the two brought joy and colour into my life that I'd forgotten could exist. Just waking up in the morning feeling at peace with myself... free from the self-condemnation, guilt, shame, worry, and all those other horrible things depressed people suffer.

Since then, I've had further episodes, often but not always associated with times of difficulty and stress in my life. I still fear my depression and try to make sure I don't get too busy or stressed out - but it hits me from time to time. I'm adept these days at recognising the early warning symptoms. I have medication on hand and don't delay in visiting my GP. In fact my depression these days is like my bad back in some ways - I know that if I'm sensible I have less of a chance of setting it off - but there's always the possibility that something (or nothing) will trigger it. And I have to accept that I'll have down times when I can't do very much.

I'm very lucky in one respect, though. I have never been too depressed to read. I have several favourite books I turn to when I feel bad. William Styron's memoir Darkness Visible is one of them - where the great American author describes his own experience of depression. I'm not sure why it helps me, but it does. Perhaps it's just the putting into words of some of my own dreadful thoughts. The 'I'm not the only one' feeling. Whatever it is, I am so grateful to William Styron for writing it.




Anyway - children's books. I decided a few days ago to compile a list of characters in fiction who have bipolar disorder. Of course, it's difficult to be sure, if you go back very far, because the condition wasn't sufficiently understood. I asked for suggestions from various friends, contacts and writers' groups, as well as trying to come up with some of my own. I was partly interested in which books came to people's minds - i.e. the ones that had made a lasting impression. Thanks to all who contributed, I now have a list - and for the purposes of this blog I will restrict it to novels for children and YA.

This is my list, in no particular order (further suggestions most welcome).



The Illustrated Mum by Jacqueline Wilson
A Note of Madness by Tabitha Suzuma
A Voice in the Distance by Tabitha Suzuma
My Mum's from Planet Pluto by Gwyneth Rees.
Red Shift by Alan Garner 
Boneland by Alan Garner (though I'm told this is not strictly a children's/YA book)
***Mental by Sherry Ashworth
Girl, Aloud by Emily Gale

*** Mental is actually about schizophrenia, I realise now I've read it, but I'm leaving it on the list as it's a very good book.




Remember, these are for children/YA and I've restricted the condition to bipolar (except for Sherry Ashworth's Mental - see above). And I certainly don't claim that the list is complete. Nor have I read them all (yet). I'm currently enjoying Gwyneth Rees's My Mum's from Planet Pluto, which I'd strongly recommend. But I can't help noticing how few titles there are...

It concerns me that there aren't more. I said earlier that it would have helped me, as a child, if I'd been able to read about someone like me. I'm pleased to say that books for children featuring other kinds of conditions and disabilities are growing in number (though we still need more). We need, in my opinion, both issue-tackling books and books that treat the condition as a background thing - not the focus of the book but something one of the characters just happens to have.

It's the same with mental health. We need children's/YA books that delve deep into the condition (in a way appropriate for the target age-group, of course). But we need characters in books who just happen to have bipolar disorder (or depression or schizophrenia, etc) too. We need books that treat these conditions with gentle humour - combined, of course, with respect. I can laugh at my depression, at least some of the time. Often humour is part of the way we come to terms with things. We need books with 'heroic' endings (character overcomes all the challenges) and ones that are more true to life, while always offering hope. And in order to get this variety - we need LOTS MORE BOOKS. Sorry to shout, but we do.

So come on, children's authors... and publishers. By the time World Mental Health Day comes round next year, let's see a lot more books for children, YA (and adults) on the subject of bipolar disorder and, more generally, on mental health.

I believe there's a role for many of us in helping to remove the stigma attached to mental health conditions that, almost unbelievably, is still present in our society today.

We all have minds, after all, just as we all have backs.

Happy reading
Ros

Note: My own contribution to the bipolar list has just come out. It's for adults and it's called Alexa's Song. You can see it on Amazon UK and download it for Amazon Kindle for £2.54.

My blog, Rosalie Reviews
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13. Treadmill Desks: for a Writer’s Good Health

Look out! I’m getting ready to preach!

I’m so excited about an answer to my pain condition, a condition aggravated by decades of sitting at a desk. If you’ve read my blog very long (or my Writer’s First Aid or More Writer’s First Aid), then you know I talk about health issues for writers.

I’ve had headaches, upper back pain, and neck pain (and multiple surgeries)–and all these conditions are made worse by hours slumped at a desk. (Yes, no matter how straight my posture is at the beginning, it’s not long before my shoulders are rounded and my head is forward.)

I wish I had taken out stock in Excedrin years ago. I’m sure I’ve kept them in business.

Not anymore!

My New Exciting Work Station

My dear writing friend, Maribeth Boelts, wrote to me a couple months ago about her new treadmill desk. It was helping her with a chronic pain condition of her own, and she urged me try it. I researched the idea (see sources below), read about the benefits, saw how some writers had constructed their own inexpensive treadmill desks, and decided to try it.

Maribeth had assured me she got the knack of typing while walking in less than 15 minutes. I figured I would give it a week–I don’t think I’m that coordinated. But she was right–it took less than 15 minutes!

She also mentioned that the constant walking took care of her “ants in the pants” feeling while sitting at a desk. I have found that to be true too. I think better when I’m moving, and since you’re always walking, you don’t feel the “itch” to get up all the time. In fact, I use a timer now to remind myself after an hour to get off and walk on “dry land.” The first week I had the desk, I worked once for three hours without stopping, and it took a while to get my “sea legs” back when I got off. But what a nice problem to have! Concentrating too long!

Dangers of Sitting

A New York Times article sums up some dangers of sitting all day–and this also applies to people who exercise at a gym or run:

“It doesn’t matter if you go running every morning, or you’re a regular at the gym. If you spend most of the rest of the day sitting – in your car, your office chair, on your sofa at home – you are putting yourself at increased risk of obesity, diabetes, heart disease, a variety of cancers and an early death. In other words, irrespective of whether you exercise vigorously, sitting for long periods is bad for you.”

And consider this from “Sitting All Day: Worse for You Than You Might Think”: “If you’re sitting, your muscles are not contracting, perhaps except to type. But the big muscles, like in your legs and back, are sitting there pretty quietly,” Blair says. And because the major muscles aren’t moving, metabolism

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14. Worse than fiction.

An elevator ride that’s too short?

Who ever heard of that? We all stare at the numbers on the panel waiting for our floor # to flash and then push out the doors rapid-fire. No matter how few floors, elevators always seem too slow, like watching a pot of water come to boil.

But today the elevator ride was too short. Too quick for me to act.

I’m in Denver, in the midst of some of the tallest young ladies under 20 I’ve ever seen. It is the US national volleyball tournaments and I’ve been surrounded by these impressive teens everywhere I go.  Healthy, clean cut, pleasantly mannered, each having lots of fun with family & friends.

Except one, who looked about 16.

She followed me into the elevator, then her parents. They stood in front of us with their back to her. Their daughter. Dad started saying she had her worse day ever, clearly talking about her performance in the day’s match. She said her serves were bad but her total day wasn’t bad. Not everything she did was bad. Her mom scoffed, glancing at her and made some cutting wisecrack. They stomped out of the elevator deriding her, and she following in their dust saying Fine, be that way.

When it first started, I waited to see how she reacted to them. Amazingly competent. Clearly hurt and hurting badly, yet maintained composure and didn’t lash out at them.  They couldn’t see how hurt she was BECAUSE THEY WOULDN’T LOOK AT HER OTHER THAN TO GIVE HER PARTING GLARES, but surely, as parents, they knew it in their hearts. I tried to open my mouth, to tell her how honored I was to be next to one of the best in the entire country regardless of how lousy her day was.  The doors opened and they left before I could croak out a sound.

She shuffled behind them with her head hanging down. Isn’t it bad enough to know her teammates will likely rib her too? That, in her eyes, the whole world saw her lousy serves? That she needed their hugs more than anything today and instead they ganged up on her like bullies? With parents like that, who needs enemies?

The elevator ride was just too short.

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15. FIVEnFIVE With Sherry Ashworth

FIVEnFIVE With Sherry Ashworth

Sherry Ashworth answers 5 questions about her new young adult novel, MENTAL, published as an ACHUKA(e)book, and 5 more general questions about her writing.

She also tells us what she's been reading, watching and listening to recently.


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16. Crystal Godfrey LaPoint Talks About “When My Mommy Cries”

Author Showcase

By Bianca Schulze, The Children’s Book Review
Published: February 23, 2012

Crystal Godfrey LaPoint

Crystal Godfrey LaPoint is an accomplished composer and artist. For over three decades she has suffered from the dark legacy of depression. A survivor of domestic violence and sexual assault, Crystal is now a tireless advocate for survivors of relationship violence and for destigmatizing mental illness. She currently resides in Fitchburg, Massachusetts with her husband.

TCBR: I’m of the understanding that you are an accomplished composer and artist. Can you share a little on your background and how you became a children’s book writer?

Crystal Godfrey LaPoint: I was a musician from the age of 6 when I began my training as a classical pianist. I continued my studies through my late 20’s, earning a BMus and MMus in Piano Performance as well as an MMus in Composition and Theory from the Syracuse University School of Music. Along the way I also studied violin, voice, and organ. I have always been very active as a performer, including solo recitals, choral accompanying, and chamber music concerts. And I am a widely published, commissioned, and award-winning composer, working primarily in choral, chamber, and orchestral music. My career as a visual artist began much later in life – my early 40’s – and I am entirely self-taught as a digital artist. My work originates with my own photographic images, which I then digitally transform into a very stylistically diverse portfolio. To date, I’ve created over 100 images, many of which have been exhibited, sold, and garnered several awards.

That is clearly a circuitous path to becoming the author of a children’s book in my early 50’s! The seed for “When My Mommy Cries” was planted when I began doctoral studies in Fine Arts & Social Justice Education at SU. I was taking a class called “Teaching Against Oppression”, and became intrigued by the notion of how educational materials designed for young people could be used as resources for the purpose of achieving social justice. My specific thought was about a children’s book to help inform young people about mental illness and help destigmatize it. As the book took shape in my mind, it almost immediately defaulted to my own personal experiences as the child of parents with depression, and being a depressed, single mother of three, myself. From that point on, the dream took on a life of its own.

I’m sorry to hear that you are a survivor of domestic violence and sexual assault. Your efforts of becoming an advocate for survivors of relationship violence and for destigmatizing mental illness are commendable. Your background is obviously your inspiration behind When My Mommy Cries. Was this a difficult book for you to write?

“When My Mommy Cries” was not at all difficult to write. In fact, as in all authentic creative expressions, it felt as though it wrote itself. It was a bit painful to revisit the experiences that had shaped my childhood and unfortunately, visited their oppression again upon my adult life. But the response I took

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17. Wounds from the Game

carverDuring the 1988 Jamboree encampment of 32,000 Boy Scouts, one troop (38 Scouts) led the entire Jamboree in cuts treated at the medical tent.

The huge number of nicks from busy knives sounded negative until someone toured the camp and saw the unique artistic walking sticks each boy in that troop had made. They led the entire encampment in other kinds of games, too.

Wounds simply mean that you’re in the game. It’s true for Boy Scouts–and it’s true for writers as well.

What Wounds?

I know an excellent writer who has revised a book for years–but won’t submit it, even though everyone who has read it feels the book is ready. What benefit does she get from that? She never has to face rejection. She never has to hear an editor say, “This is good–but it needs work.” She never has to read a bad review of her book, or do any speaking engagements to promote her work, or learn how to put together a website.

She will also never feel the exhilaration of holding her published book in her hands. She won’t get letters from children who tell her how much her book means to them and has helped them. She won’t get a starred review or win an award or do a book signing. She won’t move on and write a second (and third and fourth) book.

Paying the Price

If you want to be a writer, you have to get into the game and risk a few wounds. Figure out ways to bandage them and recover from them, but don’t be afraid of getting them. They’re simply a sign that you’re a writer. Wear the battle scars proudly!

What part(s) of the writing life make you want to stay on the sidelines and out of the line of fire?

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18. Friday Follow-Up

stressWednesday’s blog entitled “Unhappiness: A Positive Sign” sparked more private email than usual! Glad it got you to thinking about this.

The tension you feel at the beginning of a project–that itch to “go for it!”–seems like a positive sign to me. So what is the “unhappy” part those authors were talking about in their book Seven Steps on the Writer’s Path? And, emailers asked me, why did I feel that tension after selling forty books?

Ignorance Was Bliss

During my student work for ICL, I told three of my class assignments. It was fun! I expected to sell them and kept submitting till I did. Thankfully, there was no Internet in those days, and I didn’t know any other writers who told me I couldn’t make a living at this.

I was naive, yes, but it helped! I just assumed that if I worked hard at the writing, I could have a paying career doing it. I saw setbacks and rejections as part of the process on the way to getting what I wanted. (And yes, it had to pay to make up for me not teaching anymore in the public schools.)

What’s Changed?

To answer one man’s email question, I think my excitement at the beginning is now tempered with reality. I’m not the naive writer I was at the beginning–and to be honest, I miss that phase at some points.

At this stage of my writing career, I realize that starting a new project IS exciting–but it brings other things along with the excitement:

  • hard work, neck cramps, and back aches
  • risks that may not pay off
  • loneliness as I get closer to the deadline
  • letting go of lunches, grandkid overnights, and other fun temporarily
  • having the project misunderstood and/or criticized

But is this bad? NO!! It’s good to know this!

Now I have no surprises that derail me. I’m not shocked when I get bogged down in the middle. I’m not greatly disappointed by having to give up some social things so that I can get enough rest and write in the morning. I don’t expect everyone to be as excited by my idea as I am.

I know the harder aspects are just part and parcel of the writing life. You acknowledge them when they happen and move on. They’re no longer a big deal–and to me, that’s a very good thing.

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19. Revolution

Revolution

Revolution by Jennifer Donnelly. Delacorte, 2010
(review copy provided by publisher)

Revolution kept me turning pages and dialing up the audiobook, nonstop, until I finished. It is one of the most intriguing books I read in 2010.

Andi's little brother, Truman, has been killed (the reader does not know how or why) and she believes it is her fault. She wears a key that belonged to him around her neck on a red ribbon. Is it a tender remembrance or is it penance?  Her mother has sunk into deep grief and compulsively paints portraits of the boy on the walls of their home, neglecting everything and everyone else.

When her father, a world famous scientist and absentee father, learns that Andi is about to flunk out of her private high school, he takes her to Paris where he is participating in a scientific examination of DNA of a preserved heart, reputed to be that of the dauphin, Louis-Charles, the son of Louis XVI and Marie Antoinette.

Coincidently (or maybe not) Andi discovers the diary of a young woman, hidden in an antique guitar case.  Alexandrine Paradis, the author of the diary, was the companion of the same Louis-Charles. Andi is caught up in the events of the French Revolution as she reads the diary and Alexandrine's story merges with Andi's causing Andi (and the reader) to question what is really happening. Is there really a fantastical connection to the events in the past or is her mind reacting to medication and to her brother's death?

In the present, Andi meets a young cab driver and musician named Virgil (one of many allusions to Dante's Divine Comedy which is also quoted at the start of each section.) He shares her passion for music and her interest in him gives her a lift from her depression and an anchor in the present.

Still, her fury with her father, her depression and thoughts of suicide are painful.   As a reader, I wanted to reach into the story and stop her hand as she downs the prescription anti-depressants that are probably exacerbating those thoughts. Donnelly does provide some well timed, comic relief through Andi's best friend in the States, Vijay Gupta, who is seeking input from world leaders for his senior thesis

As gifted musician and guitarist herself, Andi has chosen an 18th century composer, Amadé Malherbeau, for her senior thesis. She is supposed to be researching him while in Paris.  This story is infused with music theory and music history, rap, and classical guitar.  Even though Malherbeau is fictional, Donnelly provides such a solid musical grounding for him that readers will want to believe in his historical existence.

Donnelly truly captures Revolutionary Paris and the Paris of today. The officious library clerk that Andi encounters at the library/archives is the quintessential French bureaucrat.  T

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20. What Fuels Your Writing?

painYesterday on a long Skype call, I talked with a writer friend about what fuels our writing.

For me, my favorite books (both in terms of the writing and how well they did after publication) were often fueled by some kind of pain or wound. Something difficult that I was going through (or one of my children) would spark an idea for a book, and the drive to solve the problem provided the passion and energy to see the story through to completion.

Negatives to Positives

Energy from hurts and wounds and pain can be very useful to you as a writer. But, if you’re just wounded, does that automatically translate into books others will want to read? No.

As Bill O’Hanlon says in Write is a Verb, “in order to have your wound fuel your writing process, the hurt or negative energy needs to be turned into creative energy, informing or driving your writing. It’s not enough to be wounded; you must find a way to turn that wound into energy for your writing.”

Pain = Energy for Writing

He quoted many authors (some quite famous) who had tragedies befall them, but they took the pain and turned around to write some of the most gripping books of our time on the very subject that nearly destroyed them.

It doesn’t have to be a wound the size of the Grand Canyon either (a child being kidnapped, losing your home in a hurricane, both parents dying from cancer the same month). It isn’t the size of the wound–it’s what you do with it that counts.

Just Let It All Hang Out?

In order for your pain to be useful to you as a writer, you’ll need to step back a bit and distance yourself from it. Otherwise you won’t be able to see the story possibilities in it. You’ll be too hung up on the facts. (”But it really HAPPENED this way!” you protest.) Yes, but facts need to be shaped a lot if you’re going to create a story or article or book from those facts. (The truth of your experience can shine through, despite changing some facts.)

Facts will need to change in order to create well-rounded characters, and the plot still needs a beginning, middle, climax and ending. Things will be added–and subtracted–from your experience to make a better story. If you can’t do that, you’re probably still too wounded to turn the experience into a viable story.

“Make no mistake. I have seen writing full of anger, self-pity, or hate that I think will never (and should never) be published,” says O’Hanlon. “They are simply expressions of the author’s pain, more like a journal entry than a book. They are self-indulgent and should be kept private… In order to turn that pain and anger into a book, the writing needs to somehow turn the personal into the universal.” In other words, the book needs to speak to other readers in a way that helps or nourishes them.

Identify Your Writing Energy

How can you tell if your pain and wounds might be energy for your writing? Here are four questions to ask yourself, suggested by the author. They can pinpoint sources of writing energy in your life just waiting to be tapped into.

  • What do you care about so deeply or get so excited about that you talk about it to anyone who will listen?
  • What upsets you so much that you are compelled to write about it or include the theme in your book?
  • Wha

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21. Treasures from the Web

treasureFor the last two weeks, I’ve bombarded you with long posts on how to make changes in your writing life–and make them last.

A Breather

Today I’ll give you a breather and show you some of the treasures I found.

Sit back and enjoy!

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22. Knowing When to Quit

quitWe don’t like to talk about quitting or giving up on our dreams. But let’s be honest. Will every wannabe writer eventually land big contracts,  snag a well-known NY agent, and be sent on ten-city book tours? No.

Maybe your dreams are more modest, but you’ve worked at breaking into publishing for years. Should you continue the struggle? For how long? How do you know when to quit?

Asking the Wrong Question

I came across an excellent discussion from a blog post that is several years old, but the advice is timeless. Called “When to Quit,” it’s a lengthy article by Scott Young on this subject. I hope you’ll read it to the end.

One factor the article said to consider was how you feel on a day-to-day basis as you pursue your dream. How is the process affecting your life, your character, your growth? “So if you are pursuing your dream and you don’t think you are going to make it, the question of whether or not to quit doesn’t depend on your chance of success. The real question is whether pursuing this dream is causing you to grow. Does this path fill you with passion and enthusiasm? Do you feel alive?”

You may not agree with all his views, but I guarantee that the article will make you think–even if you have no intention of quitting. It might lead you to make a course correction however. And it will make you evaluate why you’re pursuing your particular dream–and that’s always a good thing!

If you have a minute, give me your reactions to the ideas in his article.

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23. Does exercise really boost your mood?

By Michael Otto


In the New York Times, Gretchen Reynolds posed the question, “Does exercise really boost your mood?” There is a clear, clean answer to this question – yes!  In fact, the evidence that regular, moderate exercise can boost your mood is overwhelming.  From population-based studies to well-controlled clinical trials – exercise is associated with better mood.  Specifically, exercise is linked with less depression and improved well-being, decreased anger, decreased anxiety, and greater feelings of social connectedness.  Exercise also improves brain functioning, and has dramatic effects on overall health. These findings have been documented repeatedly in both human and animal studies (in animal studies, depression and anxiety are assessed by behavioral responses to specific tasks).  So if the evidence is consistent, why question the effects exercise has on mood?

The motivation behind this question was a recent paper from German researchers that investigated the effects of a 3-week intense running schedule in mice.  The mice really were churning it out on the running wheel – pawing their way to an average of 12 kilometers (over 7 miles) each day.  But apparently they were not feeling cheery; the mice showed an increase rather than a decrease in anxiety behavior.  It is not clear what to make of these findings, and they don’t parallel findings in humans.  Even among marathon runners, who put in long distances similar to the mice in this study, the effects of exercise on mood appear to be positive.

This is not to say that exercise will always improve mood. For example, over-exertion and worries about physical appearance are great ways to sap motivation to continue exercise.  Also, feelings during exercise are highly variable, especially when the intensity of exercise is vigorous. The beauty of exercise for mood is that you don’t have to run yourself miserable to get the mood benefits.  Moderate exertion is enough to help you experience the desired mood benefits after exercise.

Yet the real challenge of exercise for most Americans is actually doing it.  Focusing directly on the immediate mood and stress-reducing effects of exercise can help with this challenge. Instead of drudgery directed at a distant goal of a fitter, slimmer you; exercise can be used to achieve the immediate goal of a happier, less-stressed you. But still people need to learn how to manage the thinking and procrastination patterns that can derail good exercise intentions. Motivation has been well researched, and there is an increasing role for psychologists in aiding the physical and mental health of Americans by helping them understand and change the many factors that can sap motivation.  It is now timely for Americans to take advantage of this accumulated wisdom for their own direct benefit, on or off the running wheel.

Michael Otto, Ph.D., and Jasper Smits, Ph.D., are behavior change experts and authors of Exercise for Mood and Anxiety Disorders: Proven Strategies for Overcoming Depression and Enhancing Well-Being.

View more about this book on the

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24. So what do we think? Waking Rose: a fairy tale retold

  WAKING ROSE: A FAIRY TALE RETOLD

 Doman, Regina. (2007) Waking Rose: a fairy tale retold. Front Royal, VA: Chesterton Press. ISBN #978-0-981-93184-5. Author recommended age: 16 +. Litland.com also recommends 16+.  See author explanation for parents at http://www.fairytalenovels.com/page.cfm/cat/116//

Publisher’s description: Ever since he rescued her from Certain Death, Rose Brier has had a crush on Ben Denniston, otherwise known as Fish. But Fish, struggling with problems of his own, thinks that Rose should go looking elsewhere for a knight in shining armor. Trying to forget him, Rose goes to college, takes up with a sword-wielding band of brothers, and starts an investigation into her family’s past that proves increasingly mysterious. Then a tragic accident occurs, and Fish, assisted by Rose’s new friends, finds himself drawn into a search through a tangle of revenge and corruption that might be threatening Rose’s very life. The climax is a crucible of fear, fight, and fire that Fish must pass through to reach Rose and conquer his dragons.

Our thoughts:

It is difficult to capture the essence of this story coherently because it touches upon so many aspects of life. There is the mystery, of course, and continuing depth of family loyalty amongst the Briers. The craziness of those first years experienced when young adults leave their nest and venture into the outer world of college life, whether as newbie freshmen or advanced graduate students. Unlikely friendships as the strong nurture the weak with Kateri mentoring Donna in her mental illness, and Rose guiding Fish through abuse recovery. Fish’s loyalty to Rose, taken to the extreme, becomes unforgiving. But then self-denigration turns into enlightenment and hope.

And after all of that is said, we are left with the relationship of Fish and Rose finally reaching a neat and tidy conclusion :>)

The girls have progressed in the series to young adults. Blanche just married Bear and Rose is off to college. Fish continues in his college program too. Doman shows us the challenges young adults face when they first enter the world on their own, particularly in making friends and exploring crushes. We can imagine ourselves engaged in the chit chat and horseplay typical in budding relationships. Important also is the picture implanted in our mind of courtship.

Throughout the story, we can see the existence of three pillars: faith, family and friends. Whenever one of these pillars is weakened, internal conflict and unsafe situations arise. Maintaining the balance, we see Rose’s keen ability for discernment that has been honed as a result of consistency in faith life, family home “culture, and choice of friends. Her discernment is key to good decisions, keeping safe, etc.

Going beyond stereotypes, the dialogue paints a clear picture of the perceptions held by non-Christians against Christians, countered with a realistic portrayal of the passionate young Christian student. Previous books portrayed ac

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25. Joan Didion on psychiatric trends and diagnoses

In her forthcoming memoir, Blue Nights, Joan Didion remembers the way her daughter’s (above, left) psychiatric diagnosis kept changing. Manic depression became OCD; OCD became something else, something she can’t remember now, but something that ultimately gave way to many other conditions before “the least programmatic of her doctors settled on one that actually seemed to apply”: borderline personality disorder.

Diagnosis never seems to lead to a cure, Didion observes, only an enforced debility. But as with a psychiatric evaluation of herself conducted in 1968 and excerpted in The White Album (and quoted in part below), Didion sees and reflects on the truths of the assessment even as she ponders it at arm’s length.

I’ll have much more to say about her new book when it’s out in November, but this paradoxical blend of skepticism, acceptance, and astringent detachment in matters pertaining to psychology and its insights and connection to the culture, has always characterized Didion’s writing. It’s one of the reasons I’m so drawn to her work.

In the title essay of The White Album, the one that begins with the famous line “We tell ourselves stories in order the live,” she recalls “a time when I began to doubt the premises of all the stories I had ever told myself, a common condition, but one I found troubling.” She continues:

I was supposed to have a script, and had mislaid it. I was supposed to hear cues, and no longer did. I was meant to know the plot but all I knew was what I saw: flash pictures in variable sequence, images with no “meaning” beyond their temporary arrangement, not a movie but a cutting-room experience. In what would probably be the mid-point of my life I wanted still to believe in narrative and in the narrative’s intelligibility, but to know that one could change the sense with every cut was to begin to perceive the experience as rather more electrical than ethical…


Another flash cut:

In June of this year patient experienced an attack of vertigo, nausea, and a feeling that she was going to pass out… The Rorschach record is interpreted as describing a personality in process of deterioration with abundant signs of failing defenses and increasing inability of the ego to mediate the world of reality and to cope with normal stress… Emotionally, patient has alienated herself almost entirely from the world of other human beings. Her fantasy life appears to have been virtually completely preempted by primitive, regressive libidinal preoccupations many of which are distorted and bizarre… In a technical sense basic affective controls appear to be intact but it is equally clear that they are insecurely and tenuously maintained for the present by a variety of defense mechanisms including intellectualization, obsessive-compulsive devices, projection, reaction-formation, and somatization, all of which now seem inadequate to their task of controlling or containing an underlying psyhotic process and are therefore in process of failure. The content of patient’s responses is highly unconventional and frequently bizarre, filled with sexual and anatomical preoccupations, and basic reality contact is obviously and seriously impaired at times. In quality and level of sophistical patients responses are characteristic of those of individuals of high average or superior intelligence but she is now functioning intellectually in impaired fashion at barely average level. Patient’s th

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