Saturday, November 3, 2012

Epistemological Psychotherapy for Anxiety



We hold certain ideas and concepts that create our understanding of self and the world.  The way we view many of these things has a large effect on our functioning and emotions.  Those qualities that make up the usual person’s sense of self can be changed, in pathological states, to improve mood and understanding by a philosophical approach to psychotherapy. 

Self

One of the major players in our minds, and having influence on our moods and functioning is our understanding of self.  Our experience of self is made up of many things, dependent on our physical make-up and many other factors, but our conceptualization of self is created by us and our society.  Here are some major categories.  These can be seen on a spectrum, not as metaphysical truths or non-truths but as ‘language games’ or ‘conceptual games’ that we have learned to use and that have an effect on our thinking, functioning, and moods.  Wherever one falls on the spectrum, if it’s causing distress, one can move in the other direction with philosophical and physical understanding of the issues involved.

Self

Determinism ß----------------------------------------------------------à Freewill

Negative

Non-responsibility for things which ARE under our control causing harm.


Guiltless, harmful behavior




Unprincipled harmful laziness
Positive

Non-blame – Not blaming oneself for things which are NOT under your control.


Non-guilt





Acceptance, Effortlessness

Positive

Controlled decision making.





Taking responsibility for actions under your control.


Useful attempts to change the world for the better.
Negative

Distress over decisions the processes and effects of which are not under your control.

Taking blame and responsibility for things not under your control.


Taking on blame for things in the world that are not under your control or making intolerant and useless attempts to ‘fix’ things.

Take the example of the neurotic person.  The neurotic person is on the far right end of the spectrum, believes in freewill and blames him/herself for everything and/or makes constant ineffective attempts to change things, never feeling satisfied and never being able to accept things as they are.  That person can be made to understand that she does not control everything and should not expect to and be brought to some level of acceptance, non-guilt, and non-blame.  The more positive categories on the spectrum are therefore in the middle of the chart.  Moving toward the middle, knowing what is under your control and what is not may help improve understanding and hence mood for such a person.

An extreme view may be psychologically helpful for some, it depends on the person and circumstances and that is for the therapist and client to work out.

Lastly, one view or other may coincide better with ‘reality’ or rather fit more perfectly with what we observe personally and scientifically.  Scientifically, biologically, molecularly, and atomically, all matter performs in a deterministic way and everything made of matter (us) are under those constraints.  Subatomically, there is less understanding and some possible indeterminacy, which contrary to wishful thinking, does not support freewill but is just a bad a blow to freewill as determinism, in other words, if things are simply behaving randomly, you have even less control of yourself than you imagined.  If in fact, determinism is the best supported by observation on many levels, when one can truly understand what that means, it can be a transcendent realization.  In the end, we do not know and cannot know for absolute knowledge is not a function of our brains so we are to use these understandings functionally and one important way to use them is to understand things in a way that improves our functioning and mood and not in a way that causes harm to oneself and others.

In experience, the basic substance of freewill is the ‘sense’ of an intentional thought or physical movement.  That is all it is.  Studies have shown that this sense can be ‘tricked’ in pathological states such as in split-brained patients, or even ‘tics’, involuntary muscle movements which feel semi-voluntary to the sufferer who can stop the movement for seconds but feels compelled to allow it to continue.  So even the sense of intentional action can be understood as produced by physical processes in the brain, especially the prefrontal cortex and other ‘monitoring’ systems of the brain. 

So back to the practical question, which way do you need to move?  Are you too full of anxiety and blame?  You may think you are in control of things which are out of your control.  Are you constantly stressing over small decisions?  Every little decision you make does not produce predictable outcomes and certainly does not control the universe.  Today, I was stuck in traffic and I was awed by all the activity of all these people I don’t know who were in such a hurry to get here and there.  I was slightly afraid I could have a car accident with all the random activity going on.  But I came to realize, while I can drive to the best of my ability, I am not going to be able to control the driving of the thousands of vehicles on the road of which I am a part and just one.  Even if I were to have an accident, I could not blame myself unless I was intentionally, and controllably incapacitated by drink or intentional medication overdose.  This is not just an example, there are people, injured in car accidents, who years after are full of self-blame, as if the fate of that entire day or situation rested with them.  It does not.  Think about these things.  Resolve the tension between yourself and reality, you cannot constantly continue to fight and deny the universe, you will definitely drive yourself insane.  There needs to be acceptance and non-blame.

Thanks for reading.  Subsequently, we will go over other categories that compose or influence our sense of self and how we can use them to improve mood and functioning.  Another category is the connectedness of self with others and the environment.  Do we feel a part of the world or separate from it and what are the psychological effects of those perspectives?

DF Seldon MS
Thank you

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