Destigmatizing Underlying Causes for Suicidal Ideation
Not every suicide is due to mental illness. Here is a common-sense perspective on the underlying causes of suicidal ideation. Click on the link below to read the article. Be well!
It Wasn’t Depression That Led This Physician to Suicidal Ideation
Racism, Immigration, and Politics: Increasing Insanity Within Our Country (Personal Reflections of a Holistic Psychiatrist)
The Skull at Joshua Tree National Park
It is my job to bring sanity back into people's lives.
When I read this article on immigration by Jennifer Rubin, it struck me that since January 2017, this country has seemed to be in need of its own psychiatrist--to heal from its insanity. Another article written by Andrew M. Cuomo expressed the moral outrage created by our country's immigration policies. Paul Krugman expressed his reaction to the "barbarism" in our country in his op-ed column, "Return of the Blood Libel."
The moral compass has been missing in the White House. The horrors of history have reawakened from their fitful sleep. Truth and democracy have been battling a rising despot surrounded by sycophants (or is it spelled psycho-phants?).
I read, "The Sane Society" by Erich Fromm and am surprised by its relevance today, and I wonder, "What can I do to help move the needle back towards sanity in our country?"
The first is to follow/support those in politics and the news who do what is right: bringing into the light the darkness of hypocrisy, racism, discrimination, abuse, and corruption. We need to be alert to opportunities when we can show greater compassion, tolerance, equality, support, and honesty in our daily walk and then do it, no matter what. Let those who see clearly and speak the truth lead us and let our daily actions remain sane.
The second is to stand up for, to contribute to, and to communicate that which serves the light. Don't hide or hesitate. Add your voice to the rising chorus and say, "It is insane to separate children from their families and put them in metal cages. It is insane to justify such cruelty with lies about nonexistent laws. It is insane to allow any politician associated with this to remain in office. They have no moral compass." Then, vote. Vote them out of office, before our votes no longer matter. Let our voices and votes embrace sanity's return.
The third is to care for those who had been marginalized and unsupported by this country, whose desperation and anger led to this shift in our country. They were wooed by those who took advantage of their anger--a repeat of history. Help them regain their dignity and status, not through a us-versus-them mentality but through cooperation and support. Let an increase in compassion and connection throughout our communities restore our country's sanity.
And the fourth is to remember, during our meditations and prayers, the needs of our country. Tune your faith to a divine Source/Creator who can heal our country from its insanity.
May we find ways to bring greater sanity back to our country.
Understanding Histamine's Connection to Mental Health
Much more information on medication withdrawal is available under holistic updates. Please subscribe for holistic updates on creating mental health from the thought up!
_______________________________________________________________________
Recently, a patient with a history of bipolar disorder and lupus successfully tapered off of Seroquel. She has been off her medication since July 2017, after being dependent on this medication for over 15 years.
In her journey to maintain mental health, we came to a better understanding of how high levels of histamine could undermine mental health.
Histamine is a neuromodulator of the adrenals and can increase levels of adrenaline. Stress and inflammation are associated with increased histamine, as well as withdrawal from histamine-blocking medications, e.g. Seroquel.
Her symptoms of extreme fatigue, anxiety, and cognitive confusion resolved when she introduced a temporary break from work, began a low histamine diet, and added a DAO histaminase enzyme supplement.
Here is a great article on histamine and its role in our health. If you ever want to successfully reduce a medication that blocks histamine receptors, you will need to know how to lower histamine levels.
All the best,
Alice W. Lee, MD
New York Times Article: Many People Taking Antidepressants Discover They Cannot Quit
It appears that the problem of antidepressant withdrawal is finally getting some national attention. Please read this following article in the New York Times:
Many People Taking Antidepressants Discover They Cannot Quit
Antidepressant withdrawal should be done carefully by someone who has experience with the process. Most traditionally trained psychiatrists are taught to help patients withdraw by lowering the dosage "slowly." If they fail and the patient relapses into a severe state of depression, the withdrawal failure is blamed on the patient's underlying illness.
Please do not just simply lower your dosage "slowly." Few can withdraw successfully this way.
There is much more to the science of medication withdrawal than that, and you can hurt your health and your chances of success if you are not aware of how to do it properly.
Please contact me for a free 15 minute consultation to see if I can assist you through this delicate process.
All the best,
Alice W. Lee, MD
Alternative Information on Vaccines
Thought I would share a few interesting articles on vaccines as we approach winter and the pressure to choose whether to receive the flu vaccine.
Vaccine Adjuvants and Excipients
What Doctors Don't Tell You: Scientists Discover Why the Annual Flu Jab Doesn't Work
The information being provided helps to clarify some questions that people may have about the effectiveness of the flu vaccine as well as some known health risks associated with routine vaccinations.
I hope this information is helpful.
Alice W. Lee, MD
Religion, Politics, and Sanity
Holy City by Brian Whelan
The Rat In Religion and Politics
Recently, an interesting article in the Washington Post entitled, "Why Christians Stick With Trump" by Hugh Hewitt highlighted how religion can be used as a convenient excuse by some, to justify bigotry or sexual discrimination. In addition, it pointed to the unique use of the term, "religious freedom," by current Trumpian Christians.
Coincidentally, I read this article after dealing with growing conflicts between my religion and my personal values. (Helped by disreputable politicians, flashing their religious zeal like show girls doing the Cancan.)
As someone who deeply values spirituality, I found myself becoming increasingly uncomfortable with my old allegiance to a religion that failed to meet my moral and ethical standards. In general, I observed a lack of boldness, courage, and conviction in speaking out on behalf of the oppressed, marginalized, or abused. It failed to confront the social mishandling of wealth and power. Instead, it lacked compassion, equality, and common sense; and justified persecution and discrimination against others. At least, that is what I unfortunately witnessed in my religion.
If religion served to spiritually enlighten and uplift, or brought greater compassion and harmony, then it would be fulfilling its purpose. Unfortunately, people carry religion into all sorts of situations where it does not belong, such as someone else's choice for a sexual partner, child-bearing decisions, or wedding cake orders. Some believe that God supports their intolerance, and it is their "religious freedom" to impose their values on others. This kind of backwards-speak redefines the essence of God and religion as fear and control.
“Just as a rose by any other name would smell as sweet, a rat by any other name would smell as raunchy. ”
Just as a rose by any other name would smell as sweet, a rat by any other name would smell as raunchy. And the rat in religion and politics is the abuse of power that dulls our conscience and justifies the "us vs. them" mentality.
When religion or politics create disharmony, conflicts, or unjust discrimination, their negative influences undermine our ability to heal and thrive. Putting mental effort into ignoring/ denying/ suppressing/ processing wrongs done by these organizations wastes energy that could have been used to create well-being.
“It is time we shed the notion that we can be healthy and hypocrites at the same time. The two are antithetical states of being. ”
It is time we shed the notion that we can be healthy and hypocrites at the same time. The two are antithetical states of being. Nor is it possible to separate the sicknesses of society from the sicknesses of the mind. As Eric Fromm wrote in, "The Sane Society," insanity within a capitalistic society can be a socially driven disease. Living in integrity with our highest values, aligned with our divine nature, strengthens our connection to health and well-being, by restoring that which truly gratifies the soul.
Alice W. Lee, MD
A Blog by David Spangler called "You Shall Not Pass!"
The gate to evil enchants all who allow hate to guide their way.
I just read David Spangler's latest essay on hate vs. love and was impressed with his insights. I hope people all over the world would be able to practice the ability to face evil and hatred with firmness, rather than more anger and hatred.
Alice W. Lee, MD
“You Shall Not Pass!”
There is a dramatic moment in the Fellowship of the Ring, the first book in J.R.R. Tolkien’s acclaimed trilogy, Lord of the Rings, when the Fellowship is racing through the dark caverns of the mines of Moira pursued by a Balrog, a demon from the depths of hell. As they scurry across a bridge, the wizard Gandalf the Grey turns to confront the demon, drawing on all the power of his magic to make himself a barrier to protect his fleeing companions. Standing firm, he yells to the Balrog, “You shall not pass!”
Humanity is facing its own Balrog moment. Around the world, hatred is feeling emboldened to pursue and enforce an agenda of division and brokenness based on the false superiority of one group over another. This hate can take many forms and march under the banner of many causes. It has shown up as ISIS. It has appeared as extreme forms of nationalism. It showed up this past month in Charlottesville, Virginia. Hate will continue to appear in the future until there is no place for it in the world. For that to happen, it falls to each of us in our lives to stand up to this momentum of hatred and division and say, “You shall not pass! This shall not be your world!”
Spiritual teachers and leaders, as well as others, routinely exhort us to be loving towards each other and to not meet hatred with hatred. There are excellent reasons for this, for the spirit of hatred doesn’t care in whose heart and mind it lives, only that it is being given expression. But loving can be a challenge. There are few of us who do not have our own Balrogs lurking in the dark corners of our anxiety, ready to strike out at whatever causes us fear, ready to attack and destroy whatever we don’t like. But if we are truly to keep the forces of hatred from rampaging through our world, we can’t become Balrogs ourselves. Giving hate license to emerge, even if seemingly for a good cause, only exacerbates the problem. “You shall not pass!” applies to our own darker impulses as well.
There is a difference between establishing a boundary that says a firm “No!” to attitudes and actions that divide and cause suffering, and becoming hateful ourselves towards those who espouse such behavior. It requires self-knowledge and inner discipline to manifest the former and not the latter. It becomes easier when we make lovingness a habit. This can take many forms: kindness, compassion, honoring another, listening, learning. Love is a spirit of inclusion that accepts and honors the plurality and diversity of the world and is comfortable with complexity and difference. Love grows out of a healthy sense of sovereignty and respect for one’s own boundaries and care for the sovereignty and boundaries of others. It grows out of taking practical actions to demonstrate its presence and power. It grows out of consistent practice even when faced with circumstances that might otherwise appeal to and evoke our inner Balrogs.
We are complex people who nonetheless love simplicity. Simple things are easier to understand and control and therefore feel safer. This preference gives rise to monocultures, the attempt to reduce the complexity of the world into sameness, stripping away the hard edges of differences and rounding everything off into conformity of belief and action. Whether this monoculture is environmental, political, religious, racial, or cultural, it always flies in the face of nature’s diversity and the plurality of life. Ultimately, it can only be established through control and violence. Ultimately, it turns love into narcissism.
The arc of human evolution has been to engage with greater and greater complexity, both within the world and within ourselves. It is love that drives us forward along this arc, for it takes a truly loving heart and mind to be open to the diversity that is the nature of the world and the nature of who we are . Hatred pulls us back into an imagined world that bleeds all the colors out of the rainbow and leaves only a grey sameness and conformity, a world that collapses into itself. It denies who we are, what the world is.
It’s vital that when confronted with hatred, we take a stand to say in words and deeds, “This shall not pass!” Otherwise, when we let the Balrogs win, either in ourselves or in our societies, it is we who do not, cannot, pass into what is possible for all of us in partnership and collaboration.
DAVID’S DESK
David’s Desk is my opportunity to share thoughts and tools for the spiritual journey. These letters are my personal insights and opinions and do not necessarily reflect the sentiments or thoughts of any other person in Lorian or of Lorian as a whole. If you wish to share this letter with others, please feel free to do so; however the material is ©2017 by David Spangler.
To Give Credit Where Credit is Due by Allan N. Spreen, MD
The Burghers of Calais by Auguste Rodin at the Metropolitan Museum of Art in NYC
An interesting article on the use of nutrition in the treatment of psychosis:
Click here to see a web copy of this news release
FOR IMMEDIATE RELEASE
Orthomolecular Medicine News Service, January 17, 2017
To Give Credit Where Credit is Due
Commentary by Allan N. Spreen, MD
(OMNS, Jan 17, 2017) It caused me a degree of chagrin to read the interview published by Medscape on Nov. 8, 2016, concerning the possibility of a nutritional supplement preventing mental illness.[1]
The interview is with a Dr. Robert Freedman, the psychiatrist who treated James Holmes, the man involved in the shooting of twelve movie-goers in a theater in 2012. Since clearly the current treatment of such individuals appears to leave something to be desired, the article discusses the possibility of a lack of a properly functioning nicotinic acetylcholine receptor being involved in mental disorders.[2] This receptor type is widely distributed in the brain. Dr. Freedman realized that, because a nicotinic acetylcholine receptor binds nicotine from tobacco smoke, it might explain the "very heavy rates of smoking in patients with schizophrenia; they might be self-medicating to increase activity of the faulty receptor."
The detailed interview latches onto the possibility that some pregnant women may have a deficiency of choline (which I don't doubt for a moment, along with many other deficiencies), due to its apparent ability to affect acetylcholine receptors in the brain.
The discussion quickly segues into the world of genetics, as he mentions the discovery that "There are also genetically (sic) abnormalities in the regulation of choline, some of which are also associated with schizophrenia." Other genes associated with schizophrenia are touched upon, putting the discussion into the realm of today's technically hot (and scientifically acceptable) topic of gene research. There is no mention of epigenetics, which alters all sorts of genetic factors.
When asked, "What other preventive measures for mental illness have been studied?" Dr. Freedman asserts, "There's not much out there." (emphasis added) He also laments the fact that "(t)he National Institutes of Health are not currently funding any trials of interventions in humans during pregnancy to prevent mental health problems." I certainly have to agree with him there, though one always must look carefully at some of the past results obtained.
A Patient's Letter to Abram Hoffer:
"I "lost" my mind after my third child was born. I was finally diagnosed with bipolar disorder and was put on lithium and Paxil. For the next two years I lived life from the couch with not enough energy to cook meals or respond to the children's needs. I cycled every three days and dealt with almost constant horrible suicidal thoughts. My weight grew from 123 to 200lbs until I discovered nutritional therapy."
"My mental symptoms disappeared within just a few weeks of supplementing with niacin and other vitamins. I was then able to get off the medications that were making me so lethargic."
"Now I have my life back, and my children have their mother back. I feel very fortunate to have your research and that of others in your field to back up the "miraculous" healing that I experienced. It gives me much comfort and assurance that I am not the only one being helped so tremendously by megavitamin therapy."
"Sincerely, Nicole and children:" (Letter to Abram Hoffer, originally published in the Doctor Yourself Newsletter, Vol 2, No 25, Nov 5, 2002.)
Now, to prevent any confusion in the reader's mind, the type of acetylcholine receptor mentioned in the article by Dr. Freeman, a "nicotinic acetylcholine receptor", is one of two classes of acetylcholine receptor (the other being muscarinic) in the brain. A nicotinic receptor opens a membrane ion channel to activate a neuron when it senses the presence of nicotine. The reader should not make the mistake that a "nicotinic receptor" could be functionally related to "nicotinic acid," another name for niacin. Although niacin was originally derived from nicotine, they are different molecules and have different biochemical functions in the body.[3] Niacin does not bind to the nicotinic acetylcholine receptor mentioned by Dr. Freeman. However, niacin has a long history of correcting mental illness problems including schizophrenia.[4,5]
Not to rain too hard on anyone's parade, but in a topic as serious as schizophrenia (and its effects on anyone near the disorder), it is somewhat mind-blowing that, when specifically studying the effect of nutrition on the brain, the pioneering work of Dr. Abram Hoffer, MD, PhD, is totally ignored. Well over half a century ago, and without the advent of advanced genetics, Dr. Hoffer (and others) found an important link between niacin and schizophrenia.[4-7] The identification of a specific gene was less important, clinically, than the finding that there was a biochemical problem with the body's ability to either absorb, or assimilate niacin, otherwise known as vitamin B-3. Using niacin in (sometimes very) high doses (dare I say 'megadoses'?), he found that the delusions of schizophrenia could be successfully controlled!
"Like the author, it blows me away the way Dr. Hoffer's explanation of the relationship of niacin to schizophrenia is dismissed. Finding a solid biochemical basis for disease surely beats what is revealed from being on the couch." - Ralph Campbell, MD
On the more personal side, this niacin treatment certainly was a major factor in the recovery of my sister, who was institutionalized, our parents told that she would never be a useful, productive member of society; "It's permanent," they said. "Drug her up and get over it." Eighteen months after Dr. Hoffer's intervention with niacin, she was accepted to law school, graduating, on time, as an attorney. (Whether that qualifies as a useful, productive member of society is a separate issue.)
It saddens me that such powerful and insightful work, available for over half a century, can be totally overlooked, particularly when the topic is the treatment of schizophrenia using dietary nutrients.[8] My personal opinion is that, once the moniker of "orthomolecular" or "megavitamin" is applied, useful and effective therapies can end up being ignored. In this case, an old "wheel" of preventing illness with diet was reinvented, and perhaps the new one isn't even totally round: I'm for choline, too, but I'm also for inositol along with the entire membership of the B-complex, in amounts that get the job done on an individual basis.[8,9]
If one cares to look, there's a lot out there. Grateful thanks to Dr. Abram Hoffer for starting us on this productive pathway so many years ago.
To learn more:
Interview with Dr. Hoffer:
http://www.doctoryourself.com/Hoffer2009int.pdf , from Journal of Orthomolecular Medicine Vol. 24, No. 3, 2009.
Niacin Therapy as Used by Dr. Hoffer:
http://www.doctoryourself.com/hoffer_niacin.html
Dr. Hoffer's Detailed Reply to Critics of Niacin Therapy
http://www.doctoryourself.com/APA_Reply_Hoffer.pdf
A Short Autobiography:
http://www.doctoryourself.com/life_hoffer.html
Schizophrenia:
http://www.doctoryourself.com/hoffer_anecdote.html , from Journal of Orthomolecular Medicine Vol. 10, No. 2, 1995.
Vitamin C Therapy for Cancer Patients:
http://www.doctoryourself.com/hoffer_cancer_2.html
Niacin, Coronary Disease and Longevity:
http://www.doctoryourself.com/hoffer_cardio.html
References:
1. Stetka B, Freedman R "Can a Prenatal Supplement Prevent Mental Illness?", Medscape Family Medicine - Medscape Psychiatry, Nov 8, 2016. http://www.medscape.com/viewarticle/871311?src=WNL_infoc_161119_MSCPEDIT&uac=120541EV&impID=1236300&faf=1
2. Freedman R. Alpha7-nicotinic acetylcholine receptor agonists for cognitive enhancement in schizophrenia. Annu Rev Med. 65:245-261, 2014.
3. Laurence Brunton L, Chabner B, Knollman B. Chapters 11, 31 in: Goodman and Gilman's The Pharmacological Basis of Therapeutics, 12th Edition, McGraw-Hill Education / Medical; 12 edition, 2011, ISBN-13: 978-0071624428.
4. Hoffer AF, Osmond H, Smythies, Schizophrenia: a New Approach. II. Results of a Year's Research. J. Mental Sci. 100: 29-45, 1954.
5. Hoffer A, Osmond H, Callbeck MJ & Kahan I: Treatment of schizophrenia with nicotinic acid and nicotinamide. J. Clin. Exper. Psychopathol. 18:131-158, 1957.
6. Hoffer A, "Niacin Therapy in Psychiatry," CC Thomas, Springfield Ill, 1962.
7. Hoffer A, Saul AW. Niacin: The Real Story: Learn about the Wonderful Healing Properties of Niacin. Basic Health Publications. (2015) ISBN-13: 978-1591202752.
8. Ames BN, Elson-Schwab I, Silver EA. High-dose vitamin therapy stimulates variant enzymes with decreased coenzyme binding affinity (increased Km): relevance to genetic disease and polymorphisms. Am J. Clin. Nutr. 57:616-658, 2002.
9. Hoffer A, Saul AW, Orthomolecular Medicine for Everyone: Megavitamin Therapeutics for Families and Physicians. Basic Health Publications, 2008. ISBN-13: 978-1591202264.
Nutritional Medicine is Orthomolecular Medicine
Orthomolecular medicine uses safe, effective nutritional therapy to fight illness. For more information: http://www.orthomolecular.org
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Man's Search For Meaning by Viktor Frankl
Landscape created from index cards by Tara Donovan (2014)
“What was really needed was a fundamental change in our attitude toward life. We had to learn ourselves and, furthermore, we had to teach the despairing men, that it did not really matter what we expected from life, but rather what life expected from us.
We needed to stop asking about the meaning of life, and instead to think of ourselves as those who were being questioned by life--daily and hourly. Our answer must consist, not in talk and meditation, but in right action and in right conduct.
Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual. These tasks, and therefore the meaning of life, differ from man to man, and from moment to moment. Thus it is impossible to define the meaning of life in a general way. Questions about the meaning of life can never be answered by sweeping statements.
“Life” does not mean something vague, but something very real and concrete, just as life’s tasks are also very real and concrete. They form man’s destiny, which is different and unique for each individual. No man and no destiny can be compared with any other man or any other destiny.
No situation repeats itself, and each situation calls for a different response. Sometimes the situation in which a man finds himself may require him to shape his own fate by action. At other times it is more advantageous for him to make use of an opportunity for contemplation and to realize assets in this way. Sometimes man may be required simply to accept fate, to bear his cross.
Every situation is distinguished by its uniqueness, and there is always only one right answer to the problem posed by the situation at hand. When a man finds that it is his destiny to suffer, he will have to accept his suffering as his task; his single and unique task. He will have to acknowledge the fact that even in suffering he is unique and alone in the universe. No one can relieve him of his suffering or suffer in his place. His unique opportunity lies in the way in which he bears his burden.” by Viktor Frankl
(From the inspirational website of Vincent Gouwy, D.O.: Vincentgouwy.be)
A Psychiatrist's Perspective: Syrian Refugees and the Middle East
Just the evening before, I had asked someone to explain to me, what is going on in the Middle East, to create the Syrian refugee crisis. The person was not clear about it either. The very next day, the NY Times devoted their entire issue to help clarify the multitude of factors, in the Middle East, that culminated in our current global crisis. The headline reads:
TOP STORIES
It took all evening for me to read through it the first time. I decided to read it again, because the conflicts were so many, the names so unfamiliar, and the incidents so incredible, that it was difficult, to absorb it initially.
As a psychiatrist, I see things through the heart and in holistic, philosophical strokes. In viewing politics, idealism and the inner examination of the soul are fragile and delicate instruments, when faced with the guns of war. So, I will humbly apologize for my ignorance, beforehand, on matters in the Middle East. I will simply explore my personal reaction and experience, as I read their recent history.
What I found, as I read the overview, was a conflict of my own. On the one hand, I felt great compassion for the suffering, homeless citizens. I wished they could be housed properly, that they could be given a chance to work as refugees, and that they would find kindness from their neighboring countries. On the other hand, I lacked the ability to empathize with how they arrived at their situation. I could not empathize or understand their need to destroy each other, to fight over property, and the cycle of narcissistic despotism, which destroys their hope for peace.
The words that came to mind, to describe what fueled the endless killings were: selfishness, pride, need to control, secrecy, and lies. These words describe the nature of evil, and of course, at its root: fear. So, it came down to this for me: that evil and fear, like a fire, inflamed and magnified suffering, until it boiled over, like an overheated pot of soup.
The answer to the evil that overruns the area, from the forces that try to contain it, is to kill it. Beat it to death. Destroy a little more. Kill a little better.
Could that be the way to establish peace? It seems rather paradoxical to expect peace to come through violence, don't you think?
For example, what would I think of a parent who slaps a child and says, "Don't hit your brother!"? It may be a quick way to stop the child from hitting their brother, but ultimately, that child knows that it is okay to hit someone, because his/her parent had demonstrated exactly how it is acceptable.
If selfishness, pride, need to control, secrecy, and lies fueled the endless wars in the middle east, then would it not make sense that what would restore peace would require just the opposite energies? That is: unselfishness (unconditional love, sharing), humility, empowerment of all, transparency, and the truth. Could there be a short cut to peace through any other path? Perhaps through the altruism, sharing, and unconditional caring of the neighboring nations, a model of peace could provide a short cut to creating greater peace within the middle east.
I think of the great leaders of all time--those who lived and breathed peace--all became martyrs, without exception. Is peace and strength mutually exclusive? Must a leader of peace succumb to the forces of violence? Must peace be powerless in its defense against attacks? I don't think so.
But a leader of peace uses different "weapons," do they not? Their weapons create rather than destroy, enlighten rather than annihilate, unify rather than segregate. Their skills come from a different source: love. With regard to politics, the players of peace create as a group, unified and guided through love without boundaries. Such groups would not think it strange to be inclusive of different religions, backgrounds, gender, and education, as long as each voice is furthering the cause of peace, unity, and understanding; and the means (how to achieve something) towards the end (achievement) are consistent and in harmony with each other.
In other words, more than social and religious affiliations, players of peace worship love, peace, and truth before all else. They ask themselves, "Is this in the service of love, peace, and truth?" When faced with a task, they look for a way to meet the task lovingly, peacefully, and truthfully. Life is not about "us vs. them", because it is not driven by material things one can touch or own, but about living in that state of love, peace, and truth with one another.
Perhaps some may think of such a perspective as poetic imagination, impossible to achieve. Others may think of it as threatening their way of life and the cohesion among their allegiances. But, when faced with the goliath of war, why not have faith in a pebble, aimed by a force greater than self? Let it not be about a war between David and Goliath, or even a struggle between life and death, but about who and how we choose to be while we yet live.
The usefulness, of learning from current history and politics, is to glean, vicariously, the lessons we need to learn for our daily conduct with ourselves, with each other, within the family, and in the community. Be what we would want our world leaders to be, but be that, in our own sphere of influence, however small we may perceive it to be. Remember to respond from a place of love, generously and without fear.
When we are attacked, take a breath, and allow that attack to go no further than where we stand. And then, in our next breath, breathe out peace and strength. That is my wish for us and for the world.
Alice W. Lee, MD
A Psychiatrist's Response to Khizr Khan's Speech and Trump’s Reaction to Mr. Khan
The battle for the presidency of the United States currently unfolds before us as living history. I am profoundly moved to add my voice to those who have spoken for the continuance of our beautiful country, and the unifying principles that bring us together, as a social network that supports not only ourselves but each other.
In reading about Khizr Khan and the criticism and coldness he received from Donald Trump, I wish to support Mr. Khan, not secretly or privately through email or letter, but publicly through my blog. He is such a brave and heart-centered man. To speak to the point, to say what is true, to appeal to mind and heart is central to the preservation of our democracy.
What I like about Mr. Khan and his spirit is that he is not intimidated by Trump, who has more money and social status than he does. Mr. Khan has a moral compass, and he unapologetically proclaims it. He has the boldness to say:
“What he (Trump) said originally — that defines him . . . people are upset with him. He realizes, and his advisers feel, that [his original statement] was a stupid mistake. That proves that this person is void of empathy. He is unfit for the stewardship of this great country. You think he will empathize with this country, with the suffering of this country’s poor people? He showed his true colors when he disrespected this country’s most honorable mother. . . . The snake oil he is selling, and my patriotic, decent Americans are falling for that. Republicans are falling for that. And I can only appeal to them. Reconsider. Repudiate. It’s a moral obligation. A person void of empathy for the people he wishes to lead cannot be trusted with that leadership. To vote is a trust. And it cannot be placed in the wrong hands.”
In response to Trump’s attack on his wife, Khan said that the Republican nominee’s words were “typical of a person without a soul.” (The Washington Post, Stephanie McCrummen, July 31, 2016 1:00 a.m.)
As a psychiatrist, I am not an expert on politics and normally, I do not write any commentary about the political process. But this year is different. I am drawn to the political process, not because of any interest in or experience with politics, but because I am an expert on empathy, the mind, and the heart. It is very clear to me that our country is divided into two groups with strikingly different values and priorities symbolized by our current presidential candidates.
One group uses fear, blame, anger, and promises, to appeal to the masses. The other group uses hope, mutual responsibility, tolerance, and dedication to hard work, to appeal to the masses. One inflames. The other inspires. One says, "I, alone, can fix your problems." The other says, "We can do it together."
Of course, there is plenty of fear in even the best of us, and when we hear Trump make his promises so convincingly, there is a child in us that wants to believe him and wants to shift our responsibilities onto his shoulders. We hope in our hearts that he could fix our problems and save us.
However, responsibility is the other side of the coin for freedom. If one does not have any responsibility, one has lost one's freedom. Therefore, to give our responsibilities away is the same as giving away our freedoms.
Empathy is also the price we pay for true power. It is easy to block our painful feelings (shame, fear, or resentment) and shift the blame for our suffering to our neighbor, a foreigner, or another country. But when we do, we are saying, "I do not have the power. They do. Because they do, I will reclaim my power, by eliminating my enemy." Power has never been reclaimed this way, and it never will.
In reality, when we look at ourselves honestly and with humility say, "I can and will do better." We begin to reclaim our innate power, which had been waiting beyond the door of authentic suffering, without needing the fantasy of an enemy. Not only do we start to use our innate power to help ourselves, but through compassion, we are motivated to help others.
In this election process, the allegiances of certain political leaders tell me a great deal about who they are. When one candidate condemns Trump vociferously but in the next moment endorses him, what does it tell me of who they are beneath their rhetoric? It tells me that they do not have the strength to be a living example of their words through real action. It tells me that they lack integrity. It tells me that they are afraid of being their own light in the darkness.
Being a light in the darkness means that when the whole world might choose what is mean spirited and an easy way out, one chooses to remain compassionate and true to one's moral compass. I honor those Republican candidates who have remained a light in the darkness. I see their light shine as the darkness deepens around them. I hope that they will remain brave and honest when challenged to be otherwise.
Like Mr. Khan, I have something to say to those candidates who have aligned with Mr. Trump: we see you as you are, through your choices. Don't be the fools that paraded along with the king in the story, "The Emperor's New Clothes." In the end, you will share the sting of shame as the truth reveals his vanity. Mr. Trump is the Emperor without clothes. But you don't have to march down the street celebrating his new wardrobe, pretending you see something when you know well enough there is nothing there.