Posts tagged “self-medicating”
April 25, 2020 3 Comments

Epiphany at the Urinal

The single page flyer taped to the wall above the urinal caught my attention with the headline – Can We Choose to Be Happy? Part of a wellness emphasis on campus, flyers like these were not uncommon, and placing one above a urinal certainly would get someone’s undivided focus. I contemplated the message before me. Is it that easy? Can I choose to be happy?

Standing there, the porcelain receptacle and shiny, chrome flushing hardware barely inches away, I had an epiphany. Choosing to be happy, I concluded, is like choosing to have an ulcer, or like choosing to be thin. I can’t choose to immediately be thin. I can just make choices and behave in a way that results in my losing weight. Similarly, I can’t choose to be instantly happy. I can however make choices and behave in a way that results in happiness.

Eating the right kinds of food, in the right amounts, at the right time of day will lead to my losing weight. But what about being happy? What kinds of thinking and behavior will lead to happiness? How about –

+ Choosing to be grateful.
+ Choosing to nurture a forgiving spirit.
+ Choosing to really love people, especially the important people in your life.
+ Choosing integrity, and being the person you want to be.
+ Choosing to include fun in your life? Go to the movie. Go on the bike ride. Meet a friend for tennis.
+ Choosing not to procrastinate. Get the project or assignment done, whether it is organizing the garage or doing your taxes. Whatever your tough task is, it may not be as tough as you think if you just get started. And once completed you will smile as a burden is lifted from your shoulders.

You don’t have to do all of these things to be happy, but you have to choose to embrace some of them. The list isn’t comprehensive, but it still is a pretty good list. The more of these ways of being you choose, the happier you will be.

The flyer above the ‘you know what’ wasn’t asking a bad question, just a question that easily misleads us. We can’t choose to be immediately happy because happiness is a feeling, and human beings cannot directly control feelings. What we can control is what we think and how we act. And yes, what we think and what we do will have an effect on what we feel, so in that way the flyer is on the right track.

Some might say this is a technicality, but this distinction is much more significant than a mere technicality. A person can become focused on and mired in his feeling state and then become driven to affect or change the feeling. This is what drives all self-medicating behaviors. Whether the behavior involves alcohol, drugs – both legal and illegal, food, porn, shopping, gambling, or sex (to name a few), it is about changing brain chemistry in a way that affects how the person feels. Self-medicating does indeed provide a high or moment of release, but it is temporary, and always increasingly so, which leads to the self-medicating habit cycle repeating, again and again, the never ending habit becoming a prison of addiction and private shame. This distinction is vital to understand!

Happiness is an inside job.
Don’t assign anyone else that much power over your life. 

Trying to achieve the feeling of happiness is illusive and confusing. It is as undoable as my choosing to immediately self-clean my arteries of plaque. Feelings and physiology are in the realm of the “not directly controllable.” Feelings are important, mind you, much more so to some than to others, but they come out of and into alignment with my thinking and my actions.

Who knew urinals can be the sites of such epiphanies?
July 1, 2014 5 Comments

It’s OK, as long as I am not harming others. Right?

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Any pleasure that does no harm to other people is to be valued.   Bertrand Russell

This statement caused me to immediately pause and consider the extent to which it is true. Since choice theory is in my quality world, the statement was filtered through my concepts of choice theory. How about you? Is Russell’s view accurate?

Unlike most psychiatrists of his day, Glasser did see importance in moral behavior, although his definition of moral is significant. To him, moral behavior occurred when a person met his own needs without keeping someone else from meeting theirs. He frequently referred to the Golden Rule in the Bible as a good maxim by which to live.

If we stopped here, Glasser would probably support Russell’s statement about personal pleasure. However, Glasser didn’t stop with just his definition of moral. He went on to describe the difference between pleasure and happiness, at least as he came to define them.

He came to see happiness as a key human need and goal. He viewed the terms happiness, choice theory, and mental health, as synonyms. He felt that it could be said that “mental health is choice theory is happiness.” Happiness comes from being close and knowing how to stay close to the important people in our lives; it comes from engaging in activities that add strength to our lives; and recognizing our basic needs and our power to make choices, more and more we come closer to being in self-control. Happiness has much to do with our relationships with other people.

Glasser came to see pleasure as something people pursued to temporarily change a feeling. His concept of total behavior has feeling as one of the back tires on the total behavior car, a part of our behavior that we cannot directly control.

Total Behavior Car

The concept of total behavior reminds us that our mental health and happiness depends on our ability to choose to live in the realm of the front tires – that being our thinking and our acting. Our feelings can be very strong, though, even what “feels” like overwhelming. Many people attempt to address the feeling, rather than staying on the front tires. A desire to feel good, or at least to not feel bad, can lead to many behaviors. Some seemingly innocuous ways we attempt to feel good or numb our pain include eating, shopping, traveling, watching movies, and playing video games; less innocuous ways of feeling good include alcohol, various drugs, sex, including pornography, and gambling. The ways in which we attempt to feel good are in fact the ways in which we self-medicate. Self-medicating behaviors do not address the root of our unhappiness; they just attempt to change a feeling, even for just a little while. This self-medicating pursuit of pleasure leads to two things – 1) you need to up the dose of whatever your medication of choice is, and 2) addiction. Rather than coming into a place of greater personal strength, we arrive at feeling powerless in the presence of our “pleasure.” And rather than bringing us closer to others, especially the important people in our lives, our pursuit of pleasure erodes our personal connections.

This is such a dark picture, yet it captures a process in which we might find ourselves.

This is such a dark picture, yet it captures a process in which we might find ourselves.

This additional definition of pleasure vs. happiness adds an important element to how we might process Russell’s statement. Now, when we read . . .

Any pleasure that does no harm to other people is to be valued.

. . . we realize that pleasure that does no harm to others may still be harming me. And it brings up a really important question – Is it possible to be in the process of harming myself and not, ultimately, to be harming my relationship with the important people in my life?

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The Glasser International Conference is coming up next week in Toronto, Canada, and I am looking forward to seeing all of you who  are a part of that. For me, it will be a bit of a homecoming, as I began my teaching career in 1978 in Oshawa, Ontario, just 1/2 hour from Toronto.