New year, new you? Why that might be a toxic way to start 2020.

Social media is awash with it at the moment. People talking about their new year resolutions, detox plans, and how things are going to be different this year. The desire to be a better person isn't in itself a bad thing, it is what may lie underneath that desire that can be toxic. Our desire for self-improvement can come from two motivations. The first is to learn, have new experiences, develop healthier relationships with other people, and generally feel more content with ourselves. No problems there. However, I think if we scrape below the surface of many people's desire for self-improvement, the motivation is actually self-loathing: a hatred of ourselves for not being perfect. This is toxic because nobody can be perfect, so no amount of self-improvement is ever going to take this self-loathing away. When the self-improvement 'fails', the self-loathing turns into low self-esteem, which can cause anxiety and depression.

So, for the sake of your mental health, rather than making a new years resolution is improve yourself, why not make a new years resolution is be ok with yourself - just as you are, imperfect.

If only it were that simple. The problem is, being ok with imperfection isn't something we are encouraged to be - our parents, teachers, bosses, and the entire advertising industry spend most of their time encouraging us to be better. The motivation for this is often well intentioned (although in the case of advertising, the motivation is to make us buy stuff that we think will make us feel or be better). However well intentioned, the unintended consequence of constantly being encouraged to improve ourselves, is that we can assume that we are never ever good enough as we are, and we believe that any imperfection makes us unlikable, unsuccessful, and unlovable. We end up not liking ourselves very much.

So, if you are going to make any new years resolutions, I would suggest making a few tweaks to the way you make them. First, make one of the resolutions that you are going to try and accept and like yourself as you are - warts and all. Then, any other resolutions can start with "it would be nice if...", rather than "i must...". Then, if the resolution fails (and evidence shows that it probably will), you will be ok with it, because you are ok with imperfect you.

What's Power got to do with it? How power relationships can hurt us psychologically.

During my training, one of my tutors said something that stuck with me. He said that feelings of mental distress, such as despair, hopelessness, or anxiety are trying to tell us something, they are trying to tell us that something isn’t right. In the same way that physical pain tells we are hurt, mental pain tells us we are hurt. But hurt how?

The underlying causes of mental distress are complex, but a basic model is the biopsychosocial. This model says that some of the causes are psychological, perhaps traumatic or difficult experiences and relationships that have led to psychological distress and pain – feelings of low self-worth for example. Some causes are social, perhaps our circumstances have caused us distress and pain, like a marriage break up, or the death of a loved one, or stress due to insecure work. Some causes are biological – where negative thoughts become our automatic reaction because neural pathways get reinforced the more they get used.

These three causes will be inter-related, and each person’s distress will have a unique set of complex causes – there is no model that fits everyone. However, the one thing that I believe this model can help us understand is that mental distress can be a “meaningful, functional and understandable response to life circumstances” (Johnstone, L. & Boyle, M. 2018: 5). Rather than showing you that there is something ‘wrong with you’, mental distress may be showing you that something about your circumstances or experience needs to be addressed. It should lead us not to ask ‘what is wrong with you?’, but ‘what happened/is happening to you’? ‘How did you get hurt?’

A group of clinical psychologists, led by Lucy Johnstone and Mary Boyle, published a framework for understanding mental distress in January 2018 called the Power, Threat, Meaning Framework. It takes into account the multiple factors that may be contributing to a person’s mental distress. In particular, it takes into account power. As an academic, I have spent the last 11 years trying to understand how power relations affect social change, and I have always believed that power relations affect individuals at a subjective/psychological level, I believe power relations can hurt us at this level. This framework not only acknowledges this, it develops an operational way in which this can be used by clinical psychologists, psychotherapists and counsellors.

The Framework poses four basic questions:

1.    What has happened to you? (How has Power operated in your life?)

2.    How did it affect you? (What kind of Threats does this pose?)

3.    What sense did you make of it? (What is the Meaning of these situations and experiences to you?)

4.    What did you have to do to survive? (What kinds of Threat Response are you using?)

Interestingly, exploring the answer to question 4, clients often discover that their mental distress is a kind of ‘threat response’ – it is how they are coping or surviving. For example, depression can be a form of withdrawal from a world that experience has taught you can hurt you if you put your head above the parapet. Anxiety can be a way of feeling some sort of control when experience has taught you that life can be scarily beyond your control. And it is through exploring the answers to questions 2 and 3 that clients can start to become aware of how they might find a way to respond differently to life’s circumstances, or how they might try to change those circumstances altogether if they can.

Unfortunately, some circumstances can’t be changed by the individual alone, and this is where I believe we need a wider societal response to the challenging and stressful circumstances many people find themselves in. For example, feeling anxious about having an insecure job is a perfectly reasonable threat response to life’s stressful circumstances. Rather than pathologising the anxiety, we should be focusing on making sure people can find secure work. The power relationship here, between insecure employee and their employer, is hurting the employee not just financially, but at a psychological level too. However, the power relationship is the one that needs to be changed, dealing with the psychological hurt alone isn’t dealing with the underlying cause of mental distress.

This is why I believe anyone who cares about the alleviation of mental distress has to understand how the wider circumstances of a person’s life contributes to mental distress. This isn’t something that can be dealt with only in a counselling room, it requires us to be campaigners for policy changes too that shape people’s circumstances and change power relations.

Are you suffering from SAD?

As the nights draw in at this time of year, many people can start to feel more tired than usual and there seems to be a natural instinct to slow down. However, some people experience extreme low mood at this time of year. They experience a severe lack of energy, lose interest in things, and often feel worthless. This is more common than you might realise, and it is recognised as seasonal affective disorder (SAD).

Whilst causes SAD is not fully understood. It is thought to be linked to the shorter days, and therefore reduced sunlight, at this time of year. The theory is that lack of sunlight increases your production of melatonin, which makes you feel sleepy; lowers your serotonin levels, which can make you feel depressed; and disrupts your body clock. Suffering from SAD also appears to run in families.

It can be really difficult to deal with these feelings, as they appear to come from nowhere. Your low mood and lack of energy can be made worse by feelings of guilt about feeling this way when nothing appears to have triggered it. The first thing to realise is that there is nothing to feel guilty about. Something has triggered this, lack of sunlight. The second thing to note is that there are ways to address SAD.

  • Get as much natural sunlight as possible. Go for walks at lunchtime, sit by a window. Get outdoors during daylight hours as much as you can.

  • Exercise. Any amount of exercise is good for boosting your mood. Even just going for a short walk is enough, but something that gets you sweating is even better.

  • Light therapy. A light box is a special lamp that mimics natural sunlight which you sit in front of for a specified time every day.

  • Talk with a counsellor. Making sense of your feelings can help you deal with them better.

Is your relationship stuck in a drama triangle?

Do you feel like there is a significant person in your life with whom you just keep going round and round in circles? Maybe you feel like whatever you do or say, you can’t win, and nothing seems to change?

If so, you may be stuck in a drama triangle. The drama triangle describes some pretty simple, but I think very common, roles we can adopt in relationships. Let me start off with a fictional conversation.

Person A: “I’m so stressed out right now. I have way too much work on, and I just can’t see a way of getting it all done?”

Person B. “Maybe you should delegate some of your work to other colleagues, or talk to your boss about it?”

Person A: [in a defensive tone] Are you kidding me? Everyone else is really busy too, and I don’t want to look incapable in front of my boss! You just don’t understand.

Person B: [also in a defensive tone] Sorry, I was only trying to help.

In this example, the two people are moving between different roles on the drama triangle.

Drama triangle

Drama triangle

Partner A started out playing the role of the ‘victim’, feeling sorry for themselves and all the work they had. Person B immediately responded to this by playing the role of ‘rescuer’, offering advice in order to rescue them from their victimhood. However, Person A then responded to this by shifting to the role of ‘persecutor’, rejecting Person B’s advice and accusing them of not understanding. Finally, Person B also shifts to the role of ‘persecutor’, feeling annoyed at Person A for not appreciating that they were only trying to help.  As long as both people stay in roles on this drama triangle, they will continue to feel misunderstood and unheard by each other. So, what needs to change?

The key issue here is responsibility. What might the conversation look like if both people were thinking about responsibility.

Person A: “I’m so stressed out right now. I have taken on way too much work, I don’t know how I am going to deal with it all?”

Person B: “That sounds tough. You must be feeling under pressure if you have taken on more work than you can deal with. Is there anyone at work you can talk to about it?”

Person A: “Yes, I feel under a lot of pressure to say yes to my boss. The problem is, everyone else at work seems busy too. I do need to talk to my boss though, could we talk about how I do that without looking incapable?

Person B: Of course.

In this example, the two people are moving between similar but slightly different roles on the winner’s triangle (not a term I am that fond of, I prefer to think of it as a less dramatic triangle), where they have taken a healthier attitude to responsibility.

Winners triangle

Winners triangle

Person A is no longer playing the role of the victim. Instead, they are admitting to being vulnerable, but also self-aware enough to recognise their responsibility in taking on too much work. They are in the role of being ‘vulnerable’. Person B doesn’t immediately take full responsibility to rescue Person A by telling them what to do. Instead, they acknowledge the vulnerability of Person A, show they care, but leave the responsibility for solving the problem with Person A. They are in the role of ‘caring’. Person A responds by re-stating their vulnerable position, but instead of blaming Person B for not understanding, they take responsibility for getting their needs met. They explain why they can’t talk to people at work and state what they want from Person B. They are in the ‘assertive’ role.

Of course, conversations rarely go this smoothly, and you are only ever in control of your part of the conversation. However, it is very hard for another person to stay in the drama triangle with you if you refuse to play these roles. If someone is talking to you in the role of ‘victim’, make a conscious decision to not play the role of ‘rescuer’ or ‘persecutor’. Show you care, validate their experience, but don’t try and rescue them or get angry with them for refusing your advice. Give them space to take responsibility. Likewise, if someone is trying to ‘rescue’ you, and you are feeling like they are bossing you around, rather than get angry with them, think about what you actually want from them – is it just someone to listen to you – then tell them that is all you want.

Accepting responsibility for ourselves, but also recognising the responsibility other people have for themselves, doesn’t mean we can’t be vulnerable and in need of support, and it doesn’t mean we can’t care for others. What is means is we can have relationships based on mutuality, not co-dependence, which means a lot less drama!