Thriving and Surviving

Some years ago I asked to talk to an African American man who had written a number of pieces in the local paper. In my email I said that although I had two Black sons in law and had Black men occasionally come to my office, I often felt that I was missing something important about the Black subculture, namely how Blacks actually engage in conversation, friendship, and intimacy. Intimacy is the heart of any good therapeutic alliance between therapist and patient. I was to meet him in a local café. I had been interested in some of the things he had said about his work, which was essentially with primarily Black kids. When I entered the café, he waved at me and invited me to come to the table where he was sitting with a friend/colleague (who happened to be White) with whom he had been working for a few years. As I approached the table and had not yet sat down, he volunteered something that has stuck with me since our meeting although I have not had contact with this man since. He said something like, “I want to start by saying that you look confident and a man who is thriving in life. If you want to know that your very appearance suggests thriving and it is off-putting. I have lived in an environment that has been one of surviving, not thriving.” I was not offended by his comment, but I did take a figurative step back from the conversation because I had never heard of the difference between thriving and surviving, and I immediately knew that I had not been raised in a survival context. This matter of surviving has continued to be an important aspect of my understanding people, to some degree the subcultures of America like the African American culture, but in a larger context of how many people engage life: they are surviving. Let’s look at the whole business of thriving and surviving that people do. There are many people who survive terrible ordeals, like physical illness or even war, but my focus will be primarily on people who survive through emotional challenges.

People who are surviving

  • People with physical limitations
    • Blindness
    • Debilitating illnesses like cancer and heart disease
    • Physical disabilities
  • People with household difficulties
    • Financial limitations or challenges’
    • Deteriorating living quarters
    • No living quarters
  • People who interpersonal difficulties
    • One partner is seriously physically limited
    • One partner wants out of the relationship
    • One partner is unfaithful
    • One partner is addicted to some behavior or chemical
    • Partners have substantially different religious/philosophical orientations
    • Partners have a cognitively impaired child, which causes them to frequently be at odds with each other
    • Partner one does not like the biological family of partner two. Makes Christmas celebrations difficult
  • And many other difficulties that people need to manage by surviving

People who are surviving personal matters

  • Jack is unable to conquer his addition to one of the following: alcohol, drugs, food, promiscuity, gambling, video game playing, other screen time, working, playing, toxic relationships, or sleeping (too much or not enough)
  • Marge is generally not happy with herself. She thinks she is stupid.
  • Peter is not happy with himself. He thinks he is smarter than everyone
  • Both Marge and Peter are lonely
  • Stan continues to pine for the woman he thinks he should have married, a feeling that makes life difficult for him and secondarily and unconsciously for his wife
  • Dad doesn’t really like his son. Thinks that he is too much like his wife
  • Mom really favors daughter # 1 over daughter #2 because she is more like #1

The ways people survive these difficulties

In a nutshell, they avoid them. The essence of avoiding these difficulties means that they avoid the feelings associated with these difficulties. When they don’t finish the feelings associated the challenges, these feelings stay with them. These feelings then become repressed. It wouldn’t be so bad if these feelings stayed repressed but that is not what happens. The feeling show themselves in things they say or do. When they are speaking or doing something that is a result of not having felt through these feelings, they are accommodating. Very likely, they are not aware that they are accommodating. What happens is that the things they say or things they do are coming indirectly from the repressed feelings without their conscious knowledge. It just “feels right” to say something or do something that may seem quite odd or offense to other people. What are the things that they do to accommodate?

Accommodation

Depending on the individual, the subculture that they live in, the people they live with, the work they do, they play they do, or the any environment where they live, there are many possibilities of accommodation including:

  • Being distrustful of everyone
  • Being dishonest, or at least easily dishonest when they run into some kind of challenge
  • Fall into some addiction, chemical or behavioral
  • Become isolated. Introverted people tend to isolate
  • Become very active. Extraverted people tend to talk a lot
  • Fall into depression
  • Fall into a generalized anxiety
  • Take some kind of radical action
  • Take some kind of radical philosophical or religious orientation

To avoid these unfortunate accommodations, what can people do to move from surviving to thriving?

Positive coping mechanisms

  • Without a doubt, the most important thing for a person to do when he or she has faced with the trauma that caused the person to survive is to face the trauma and understand that they were in a dangerous or untenable situation and they did what they needed to do to survive. This takes away the false guilt of being a bad person.
  • Grieve the loss of what happened. This is easier said than done. It is hard enough to face the violence of sexual abuse or any other kind of abuse. It is much harder to face traumata that occurred over a longer period of time or traumata that occurred to one’s family or one’s heritage. How will Palestinians cope with the trauma of being assaulted? How Israelis cope with their traumata? How will Black people face the trauma of slavery that occurred for 300 years and the aftermath of racism for another 100 years?
  • Most people need a confident, which could be a good friend, family member, therapist, or clergy person to do this kind of grief work.
  • Slowly replace surviving words and activities with thriving activities.
    • Being more honest
    • Being more trusting
    • Taking a chance with some activity like work school, friends
    • Facing and overcoming addictions whatever they may be
    • Finding a community of people who have moved from surviving to thriving

I wish you a time when you can achieve a life of thriving, which of course, will be imperfect. It will also be more honest, graceful, and peaceful. But it will also be sadder as you see that you lose things every day and have disappointments every day.

And I wish you a wonderful holiday season.

Lost Children

There are many lost children in the world. We hear of “trafficking of children, often originating in Africa, and many other tragedies of lost children, the most recent being the apparent thousands of children killed in Gaza. I have seen many examples of “lost children” recently from many different perspectives including the loss of children to death, the loss of children from divorce issues, and the loss of children from their own decisions to depart from their parents in some way, not always pleasantly. Some examples:

  • I have had the privilege of serving or attempting to serve many people in my office who have lost children to early deaths, this coming on the heels of our having lost our daughter four years ago. It seems remarkable that I have had six patients in the recent four or five years who have lost a child to an early death.
  • I know of a man who has lost a second child after having lost his first child to death. This lost child has separated himself from his biological family, seemingly primarily from the father, for reasons that are not yet entirely clear.
  • I have a patient, also someone with two adult children, both of whom have been lost to his wife and him. One of their children “came out” as being “trans” and has separated himself (herself) from his (her) parents because of his perception that they were not “affirming” of his new gender status. Their other child has simply been distant from his parents for reasons that are not entirely clear
  • Another patient is in the midst of a contentious custody dispute as their divorce progresses. He has 3 biological children and one older child. His relationship with his older child is good and developing and his relationship with his seven-year old child is what to be expected with an elementary school child, but his relationship with the two middle children is quite problematic. One, the older of the two of them, is now in college but hasn’t communicated much to him about her desires in life while his 15-year old has refused to see him at all, allegedly from the standpoint of the father, due to the influence of the mother of these children.
  • I know of a grandfather who has not had much of a relationship with his (only) grandson largely due to the fact several incidents that have happened over the past couple of years, one of which during the several months this young man lived with his grandparents during the beginning of Covid restrictions and another incident that was quite offensive to the grandfather when he stayed with them again a couple years ago.
  • Another patient has is in a less than successful marriage, which has actually been unsuccessful for its 30 years of existence. Due somewhat to his wife’s behavior over the years, and due to his complicity with her desires for the children, now adults, there is a large rift between parents and children, albeit somewhat subtle.
  • I know of many children who have never seen one or both of their biological parents, and many children who rarely or never saw their biological fathers.
  • A man lost one child and nearly has lost another. This man is an evangelical and raised his children within that arena of faith. One child “came out” as trans and is evidently in the process of adjustment to his (now her) life. He has cut off all contact with his parents. The man is also less than satisfied with his relationship with his other son. Both parents are grieving, thinking, and wondering.
  • I know of a man who only over the past two or three years did he have any contact with his daughter after a contentious divorce when the daughter was 4 or 5. Now, 15 years later they are finding their way together.

I know of many more such examples of “lost children”, often through unhappy marriages and other stressors in life. Likewise, I have known of stepparents who have continued good relationships even after the divorces and many feeling their stepchildren ripped from their hearts after a divorce.

What are the feeling associated with these lost children and their lost parents?

In a word: sadness. But then this sadness has migrated into various coping mechanisms, most of them not healthy or healing. I know of many parents and stepparents who have found some kind of addition to cope with their losses, whether chemical or behavioral. It is remarkable how people can not only “drown their sorrows” in alcohol but do a different kind of drowning with promiscuity, gambling, overeating, or isolation. None of these things actually helps. Many other people do not find addictions per se but find ways to hole up with their feelings and have a certain resistance to facing the feelings that they have. One of the cases I mentioned above has developed an attitude of “not caring” about his two lost children “if they’re going to act that way.” Other parents spend an inordinate amount of time complaining about the children, often in connection with complaining about ex-spouses. Some people simply keep all their feelings to themselves, usually finding some solace in addictive behaviors like TV-watching, video gaming, or eating. All of these ways of “coping” and “accommodating” to the loss of children are ways to avoid the real feeling: sadness.

What can be done to deal with the feelings associated with the loss of a child?

In a word: grieve. Deb and I allowed ourselves a good deal of time to face the loss of our daughter when she died four years ago including a “grieving trip” that we took to be away from home and the challenges of a life now without the life of our daughter. We talked to people, often random people like a cashier at a coffee shop or a passer-by at a waterfall that we saw, sometimes revealing out loss, sometimes our feelings trying not to burden the people who happened to listen to us. This speaking to people we knew and more often to people that we didn’t know allowed us to share the grief and end the grief.

I actually think it is easier to lose a child to death than it is to lose a child who is still living. I can grieve, and however hard grieving might be, it does end, and it always ends if I allow it to run its course. It is much harder for a parent to grieve the loss of a living child often because that child might live five blocks away (a real incident) or “might” come back into the parent’s life. So, how would a person “grieve” the loss of a child who lives 5 blocks away or a child of 15 who refuses to see you, or a stepson whose mother won’t let you see him? All of these require grief but all of them require different forms of grieving.

Grieving, if it is “finished,” as we say, does not change history. It changes the emotion associated with history. The resolution of PTSD is not in changing history, forgetting the loss that was caused the trauma. It is not complaining about the person, persons, or situations that caused the trauma. It is finishing the feelings that come when I have been traumatized. The loss of a child is a trauma in whatever form it comes. So if you have lost a child in some way who is still living (as I hope), your grief will need to be substantially different from someone like me who can simply (and profoundly) grieve for a certain amount of time and end it. How do you do this seemingly ongoing loss? Ongoing grief? No really.

I am reminded of a patient I saw for many years who was in a nursing home because he had deteriorating muscular dystrophy (MS). His loss was not of a child, per se, although he had lost the opportunity to be with his children and grandchildren due to his MS. His loss was the daily experience of not being able to move, feed himself and care for his bodily needs. I helped Jim (not his real name of course) to learn to grieve every day. At first, he thought this was crazy and would only make matters worse. I didn’t want him to complain and feel awful every day. I wanted him to find, face, feel, and finish the grief of not being able to move effectively. He slowly and painfully learned to grieve every morning, sometimes for seconds, sometimes for minutes, until his grief was finished for the day. They he could go about doing what he was able to do without feeling the burden of being disabled. Sounds impossible? It is not. Grief ends, it always ends, if you give it room, time, and place.

Grieving sufficiently

In this light I try to help parents face the lost children first and foremost recognize that they “have a love problem” as Deb and I say to patients all the time. A love problem means that I love something or have loved something that I have lost. This is the cause of grief, nothing less. If felt, it will finish, but usually grief is not sufficiently felt to finish, and people get used to the secondary emotions and accommodations that occur if they do not grieve sufficiently. This can be done is private or in the company of a friend, family member, or therapist, but to share grief with someone is not to get advice or even “support” but to share the grief with someone. A good friend (family member or therapist) actually enjoys the privilege of sharing the grief because that person is sharing in the love as well as the lost.

If you can grieve sufficiently, you will arrive at a place where you have accepted the loss. When you arrive at this place, you still love what you have lost but you are no longer grieving, much less anguishing, feeling angry or feeling fear. If you can get to this place, you might be in the place to do or say something, but you can’t do anything or say anything until you actually find the end of grieving, which is always the love you have for you loss. Grieving for the loss of a living child doesn’t mean giving up on him or her, much less giving up hope for some reconciliation and rekindling of the relationship. It means you aren’t angry anymore. It is very hard for a man or a woman to get beyond being angry at a former spouse for having caused a separation from a child but it is necessary before you take any kind of action or say anything to the child or the other person. We use the 10-2-1 rule, which means feel ten times, think twice, and then act or say something once. The problem is not in the action, it is in premature action (or words). The solution is to feel it until it is finished. Then you can think clearly so you can act or speak decisively. If it stops with feeling and you never think or never act, you have not been honest. Indeed, you may have to wait for months or years before you can speak or act, but eventually, you will need to do both. But only when you are free of anger and fear.

First Things First

Over the last few days I have had the privilege of visiting with several men who presented with complex situations in their lives:

  • Sam is in the midst of an extended legal/court/attorney situation where there are problems with his wanting to have joint custody with children and a fair settlement with his former wife regarding their joint property in addition to her reportedly violating several court orders regarding money and custody. Oh yes, he weighs 300-plus pounds and would like to lose weight. He admits to having no friends
  • Jim is a professional person and good at his profession but quite dissatisfied with his current position and seeking to change positions. Additionally, he is in a long-term, largely unsatisfactory marriage with someone who has not contributed anything to the family income but has used thousands of dollars of their joint account to fund several failed businesses. Jim also faces some challenges with contacts with his two adult children and his grandchildren
  • Ben is quite overwhelmed in life, so he tells me leading to a “breakdown” that he had over the weekend. He just “can’t get all done that needs to be done” and he falls into despair, depression, anxiety, and occasional anger as he attempts to migrate through these challenging waters. He is in graduate school, a couple classes being very demanding. He is working about half time. He has a wife and house. And he works a bit with the family business. Additionally, he will be taking a drug test soon due to his profession and has given up his daily dosage of pot to pass the test, which increases his anxiety.
  • Mack has been dissatisfied with his job for some time, mostly because his subordinates and co-workers are not as efficient and can’t seem to take his directions. He has had some trouble with his girlfriend. As a result he has been anxious and irritable
  • Paul is a professional person who has found himself in a position of making a lot of money but not being satisfied with the work, which used to be quite rewarding. Additionally, he has been in an unsatisfactory marriage for many years. He admits to having no friends.
  • Peter, a pastor, has found himself in his retirement under a huge burden of debt, much of due to his lifelong tendency to say “yes” to his wife on buying and traveling. He wants to be in the pulpit again but at his age, this seems impossible. He has great trouble with his computer in order to get some kind of exact accounting of their indebtedness and payment schedule.
  • 40 years ago I was in a dilemma of having financial, professional, and interpersonal challenges in the midst of some very important things that I needed to for my kids.

 

I have seen many people with similar dilemmas during my years of practice, almost all of them men because I just see men in my practice. In all of these cases these men have felt overwhelmed in some way and unable to progress through the complexities of their lives. I have often found that it is valuable for me to help these men do “first things first.” But what does that mean? Does it mean having a list to go through every day following the necessary things? Does it mean giving up on one or more of these challenges? Does it mean complaining more?  Does it mean that the best way to cope with these challenges is to engage in some kind of addiction? None of above. It means doing the right thing. Whatever that means. Maybe I can help these men find ways to do the right thing by doing “first things first.” This means discovering what is most important to do and finding a way to do it.

 

What is most important?

This is the first and most important question to answer, but discovering what is most important is not always easy to do. It is not easy to do because there is always a good deal of emotion related to the many things that a person feels the need to do. Sometimes, people have fallen into necessities and opportunities without thinking clearly, and as a result have bitten off more than they can chew. More often, things just happen, sometimes from oneself, sometimes from someone else, and sometimes from circumstances themselves. We all felt the pressure of Covid restrictions and associated fear for three years running, and no one was immune to Covid and the fears associated with this disease.

 

Making a tally of what needs to be done is the first task. This might be as simple as writing down the things that require attention or numbering them in your mind. The difficulty of this procedure is that if you “hold them in your mind,” you will likely fall into some kind of anxiety or anger that is not helpful. Better, is for you to write these things down, leave the list alone for a while and then look at it occasionally for a few days. Writing a list may relieve your mind a bit. When you fall back into feeling overwhelmed and worried, you can say to yourself something like, “I’ll find the right thing to do and then do it? In the meantime, you need to muse about how important each of these things is. You might discover that something big isn’t really important while something small seems to be much more important. You might discover that something that looks like it will take a lot of time might be really important or not really important, whereas something that might take you minutes is important or not so important. You don’t decide these things. You discover them. If you approach this process of looking at what is important, you will discover that something needs to be done today and something else doesn’t really need to be done at all. Furthermore, you might discover that what really needs to be done is something that you really don’t want to do. That can present a challenge because this process is discovering the right thing for you to do is difficult

 

Doing the right thing

How do you decide what the “right thing” is? You don’t “decide.” You “discover”. What in the world does this mean? It means what I just said:”

  • You think of all the things you need to do
  • You write them down
  • You leave the list alone for a couple days
  • You then look at it occasionally
  • You note how you feel when you look at each item
  • You discover that one or two things stare you in the face, like saying, “I need to do this,” perhaps, “I need to do this whether I want to do it or not.”
  • You grieve. Really?

 

Yes, really. You grieve. Deb and I wrote a whole book on grieving, The Positive Power of Sadness, in which we discussed the centrality of grieving. We talked about “big sads,” i.e. things that were terribly sad and “small sads,” things that were difficult but not terrible. So, when you discover (not decide, remember) what you need to do, you will need to grieve what you don’t do. Or, when you do something that you have discovered to be really important, you will see that you can’t do something that you might really want to do but isn’t as important to be done, at least at this moment of time in your life. This grieving, i.e. just feeling sad, is essential if you are to proceed with doing the right thing. There is a tendency, especially for people of a certain personality type or temperament, to “re-think” what should be done, but this is usually a delay tactic that your brain conjures up to prevent you from grieving. Your brain would much rather that you be somewhat happy doing nothing than doing something that you don’t want to do that really needs to be done. This is a place a lot of worriers find themselves: stuck in hopes and dreams but not in reality. Hopes and dreams are wonderful, and I am all for them, but there comes a time when you have to discover what the right thing to do is.

 

You will not be successful in getting advice from friends on what you should do. You might have people in your life that think you’re lazy or work too much or don’t work enough. They also have their own values, and hence things that are important to you might not be important to you. So, if you seek counsel from friends, make sure you say that you just want to talk, that you don’t want their advice.

 

Then you do something. And, as has been said by many fine and wise people, you will be right or you will be wrong. More likely, you will be mostly right and slightly wrong. You assess what you have done and it will soon be obvious: I did the right thing, the wrong thing, or a bit of both.

 

So what happened to the guys I talked about?

  • Sam has discovered that he needs to fight the good fight for joint custody of his children. All else, including his weight, smoking, and drinking need to be tackled at another time. He simply has too much stress with the kids/custody thing to put any effort in correcting his diet and habits.
  • Jim quit his job, found a different position making a lot less money, and moved out of town. He just emailed me, and I was glad to hear from him because when I last saw him almost a year ago, he was pretty stuck. I hope he can now face his marriage and find comfort in what he discovers there.
  • Ben has decided that he has to focus on finishing his degree, which primarily means that he has to put the time into doing this very difficult course even though he would much rather do something else. He told me he has only a month to go before the course is over and he will be putting all his effort into doing it. His marriage, his drinking, his pot, and all the rest will have to rest.
  • Mack has found a way to accept that he is smarter than the people he works with but does not have a feeling of superiority. He has found a way to look at his work knowing that he probably will eventually need to have his own business (he has some experience), but now is not the time. His girlfriend is now in therapy and they are better for all the changes they have made
  • Paul is a guy I’ve just seen for a month or two. The last time he came in to see me, he said that he was feeling a bit better, that he has begun to have a sense of who he is and how he can mature emotionally. His job, money, and marriage have not changed, but his perspective has.
  • Peter remains pretty stuck in his situation. He yet focuses on his medical conditions and those of his wife, frankly because it is easier to do than focus on himself and what he needs to do. He did say recently that he had a new way of looking at his marriage, i.e. to look at what his wife felt rather than what he thought. I hope for more maturity.
  • When I focused on my kids, i.e. finding a way to have joint custody, I felt better, and the other matters of my life slowly and consistently improved. But that is a short answer. We need a cup of coffee and a conversation to hear more.