“Why Do I Do That?” is the title of a new book by fellow blogger Joseph Burgo which deals exclusively with the ways we try to deal with difficult feelings and situations in life: It’s our defense mechanisms that make us look away when things get dicey or hard to deal with. The book is released on October 29th and will be available on Amazon in print-on-demand and eBook versions. In this interview, Joe Burgo explains how he got fascinated by the topic.
What do people defend against?
In the broadest sense, they always defend against pain. Donald Melzer said that defenses are lies we tell ourselves to evade pain, which is a very elegant way of saying it.
There are different kinds of pain. In my book I divide it into three areas. We are primarily concerned with what it’s like to need and depend on other people, which can lead to frustration, hurt and disappointment. Secondarily, we are concerned with being able to manage a lot of intense feelings that come up in relationships. And we try to develop some sense of personal self worth, to feel that we have value, and when we don’t, that leads to shame, a deeply painful experience. So need and dependency, strong feelings and self esteem, those are the areas where pain comes up and we rely on defense mechanisms.
What are the classic defense mechanisms?
Well, there are repression and denial. All defenses rely on repression, even though it’s a defense in its own right. Displacement, reaction formation. Splitting, idealization. Projection. And then there’s a bunch of other ones that are secondary, like defenses that involve ideas of control, and lastly defenses against shame.
What are these?
Narcissism is the primary defense against shame.
Narcissism is a defense?
Pathological narcissism is a defense against shame. There are people who are currently writing about this connection, its kind of out there in the profession right now.
How do you work with patients in terms of defenses?
As I was writing the book, I didn’t really think that I am working on defenses but I guess …
Exercise can be just as effective against depression as medication, especially in mild to moderate cases. Study after study has come to this conclusion, and it can even help with major depression and to prevent reoccurring episodes of it.
Many alternative health professionals talk about how “food is medicine;” now, the corresponding view is “exercise is medicine.” A recent news item claiming that exercise is more crucial in managing diabetes than food, is an example of this new viewpoint.
Having a stronger body increases overall well-being, even in people with low self esteem. Body and mind cannot be seen separately – an insight that athletes back in ancient Greece were well aware off.
Of course, it’s difficult to motivate yourself to move when you are depressed. It’s important to find an activity that suits the pace you are comfortable with. If walking is all you can do, then walking it is (especially when done in nature). If dancing feels possible, do that. If you like Yoga, great.
You don’t have to hit the gym. Find something that appeals to you. Being active on a regular basis (say two or three times a week) is much more beneficial than doing something strenuous once in a while.
If you can avoid medication and exercise regularly instead, even better. Drugs can have serious negative side effects, especially when taken over a long period of time. Some studies even suggest that antidepressants can lead to chronic depression.
This phenomenon seems to occur in many people, who had an initial positive response to SSRIs, then stayed on the drugs, relapsed and became treatment-resistant. This is when the depression may become permanent.
Other cautionary tales include that psychiatric drugs have led to impairment in brain development in animal studies. Robert Whitaker, author of “Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs and the Astonishing Rise of Mental Illness”, points out that the widely believed theory of chemical imbalances in the brain had turned out to be false.
It is undeniable that drugs have helped and still help countless people, especially with severe mental illness. …