Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

A Kind of Intimacy

By Jenn Ashworth
Europa Editions

In Jenn Ashworth’s debut novel, A Kind of Intimacy, the reader follows a few weeks of Annie's life. Annie is not exactly a well person. She doesn’t have much going for her either. Her father was abusive and she married early partly to leave home and partly because she doesn’t have anything better to do. She was lucky, more or less, to have met someone who could support her, who wanted to do so, who was kind, and whose worst faults were tending toward the cheap side of thrifty and wanting to have children.

Eventually the demands of family life get to Annie. She kills her husband and their baby and moves into a new house across town with little more than her cat (to whom she is attached), a trove of self-help books, and a "File" into which she organizes the wisdom from the books into an elaborate system of cross-references she can apply to daily situations. For example, how to get her neighbor’s live-in girlfriend, Lucy, out of the way so that they can realize their destined Great Love. Obviously, this doesn’t go over very well.

The fact that Annie’s perspective on, well, everything is terribly and tragically wrong slips by most of the characters until it is nearly too late. The reader, however, is permitted access to Annie’s mind. At her housewarming party, Lucy, who is young and occasionally manifests the snobbery of youth, opens a bottle of wine, pours it into a glass, swirls it around, sniffs it and then drinks. Annie sees this and wonders, scornfully, “Did she think I was going to poison her or something?” I think, for me, that was when it clicked, when I got my first jolting sense of what it was like to be Annie. The world, for her, is a somewhat bewildering place where everyone but her seems to have attended some secret meeting where they learned all the rituals and understandings that would mark them off as normal, lovable, sane and special. Annie has missed this meeting but believes she knows enough about it to resent it. Annie also doesn’t doubt her grasp on reality and trusts herself to assess the world accurately.

This is an impressive first novel. There are a few editorial errors: a dress (one important to the plot) turns into a pair of jeans and a minor character’s name changes over the course of a few pages. These are insignificant oversights. Ashworth successfully puts her reader in Annie’s place and, amazingly, the reader is able to see the plausibility—from Annie’s perspective—of Annie’s thoughts and judgments. The reader also sees just how wrong Annie gets it, cringes at and for her. I admit, I found the novel a bit stressful sometimes. There was no flaw or shortcoming in the story or its presentation; noting the chasm between Annie’s perspective and my own induced an intense sense of vertigo.

Review by kristina grob

Lifting Depression: A Neuroscientist's Hands-On Approach to Activating Your Brain's Healing Power

By Kelly Lambert
Basic Books

"Depression hurts," chimes the television announcer. Most people have been depressed at some point in their lives, whether from a life-changing event or simply a bad patch of circumstance. I am willing to wager that if you haven’t been there yourself, you know someone who has suffered from depression. The pharmaceutical industry is now doling out pills to treat depression and a large portion of our population is taking them, some with marked results, some going from pill to pill searching for the perfect cocktail that will relieve them of pain and anxiety, fear and restlessness.

In her book Lifting Depression, Dr. Kelly Lambert explores the reasons why people born in the middle of the twentieth century are ten times more likely to suffer from major depression compared to people born in the early twentieth century. Why, in our modern day convenience-filled society, do people seem to be so ill at ease? Dr. Lambert is the chair of psychology at Randolph-Macon College and President of the Behavioral Neuroscience Society, and her research has been featured on ABC’s World News Tonight and in Scientific American Mind.

In one experiment she conducted with rats, some had to work hard for rewards, and some they dubbed the "trust fund rats" were simply given the treats. After five weeks, the hard working rats were sixty percent more persistent in trying to work on a new task. She describes this as "learned persistence," and theorizes that coming from our agrarian roots, the human brain receives stimulation from doing concrete tasks like working with our hands, and accomplishing something you can hold as the fruit of your labor, "effort driven rewards." Her studies find that engaging the effort driven rewards circuit of your brain appears to be equivalent to taking a dose of the most powerful antidepressants. With this in mind, she suggests that something like "behavioral activation therapy" can work to retrain your brain to be happier in the long term. With this form of therapy, a person learns how to alter their behavioral responses to situations and even change their environments to stimulate the brain into feeling more rewarded and therefore relieving the subject of their depression. She is not advocating the end of pharmaceutical intervention to lift someone out of a lethargic and depressed state. But she maintains that without some other form of therapy, or alteration in activities, a person could simply remain on these drugs, without ever being able to get out of the cycle completely.

This book is not only a valuable addition to the field of psychology in an academic sense, but it is also a readable guide book that I would recommend to anyone struggling with depression or seeking to understand how they could offer better guidance to a person who is.

It seems so simple, to engage in exercise, to take up knitting or woodworking as a way to engage the brain in a new rewards program that will assist in finding happiness. But if it is so simple, (and inexpensive!), then why are most people advised by their healthcare providers to just pop the pill and carry on as usual?

Review by Jen Wilson Lloyd