Author: Dr Damon Ashworth

  • Three Steps to an Improved Life

    Three Steps to an Improved Life

    It is possible to understand who you are and what you want in only three steps.

    STEP ONE: Who am I?

    To know what we want, we first need to figure out who we are (or, more accurately, what we see ourselves to be).

    STEP TWO: What do I care about?

    Once we know who we are, we must figure out what is important or meaningful to us (and what isn’t).

    STEP THREE: How do I show that I care about these things?

    We then need to figure out what actions to take and what systems or habits we can develop to help us live consistently by these values.

    STEP ONE: Who Am I?

    Our identity, or who we see ourselves as consists of many things. 

    It may include our name, family, nationality, ethnicity, or racial background. It could also have our culture, our class, our friends, our relationship status, our sexuality, our gender, or our religious beliefs. Finally, it could have where we live, work, what we do for work, our interests and hobbies, and what we like to do for fun or relaxation. Most people can answer these descriptive questions about themselves quickly.

    Different factors can shape the overall identity of one person much more than they do for others. For example, a cisgender straight white male may not consider that his gender, race, sexuality or culture play a significant role in his identity. However, these factors could be huge for someone who is non-gender conforming or sexually fluid. It could also be substantial for people from a minority cultural or religious group in their country who have suffered stigma or discrimination.

    1a. Write down a descriptive answer to the question “Who am I?”

    What is your name?  ________________________________________________________

    How many siblings do you have?  ____________________________________________

    Are they older or younger than you? __________________________________________

    Are your parents still together or married?  _____________________________________

    What did they do for work? __________________________________________________

    Has anyone important to you died?   __________________________________________

    Where were you born?  _____________________________________________________

    What country are you a citizen of?  ____________________________________________

    What is your ethnicity?  _____________________________________________________

    Where do you live?  ________________________________________________________

    What do you do for work? ___________________________________________________

    What is your sexuality? _____________________________________________________

    Are you in an intimate relationship?  __________________________________________

    Do you have any children?  __________________________________________________

    Are you religious? __________________________________________________________

    What are your hobbies?  ____________________________________________________

    What do you like to do in your leisure time?  ____________________________________

    MY DESCRIPTIVE PROFILE:

    I’m Damon Ashworth. I’m the middle child in my family, with an older brother and a younger sister. My parents are still happily married, and we all get along well. I am a dual citizen of Australia and the United States of America. Still, I have spent most of my life in Melbourne, Australia. I am of Caucasian descent. My parents were both teachers, making me from the middle class. My friends are predominantly from Melbourne, but I’ve made some friends in the US when I went to school there for two years and some good friends since moving to Vanuatu. I am currently volunteering in Vanuatu as a Clinical Psychologist with the Ministry of Health and at the Vila Central Hospital. I identify as a straight male and am in a happy monogamous relationship with my partner. She has a fantastic daughter. I have been baptized as a Christian but do not attend religious services. I love reading non-fiction books, listening to podcasts, playing fantasy basketball and watching NBA, and writing and making music and movies. I love hip-hop and laid-back music, horror and comedy movies, and watching live theatre shows and stand-up comedy. I also love to be active, get outside, visit new places on holidays, and travel and snow ski when I can afford it.

    1b. Take a personality test to help answer the question “Who am I?”

    No matter what is essential to you, everyone needs to construct a cohesive narrative or story about who they are. If you are getting stuck in describing your personality, many tests can help you. I believe the five-factor personality model is probably the best personality test for the average person to understand themselves better. You can complete either the short-form 120-question IPIP-NEO or the long-form 300-question version for free online.

    An individual’s scores on Extroversion, Agreeableness, Conscientiousness, Neuroticism and Openness to Experience are reasonably consistent across their lives. So, knowing where you sit on the spectrum of each of these facets helps you get to know yourself better. It can also help you work with who you are rather than against yourself when designing your Deliberately Better Health plan.

    Take the IPIP-NEO. Then write down your percentile scores for each of the five factors.

    What are your different personality factor scores?

    Extraversion:  _____________________________________________________________

    Scores above the 60th percentile indicate that you are more extroverted than introverted. It means you are above average in friendliness, cheerfulness, excitement seeking and activity level. In addition, you are above average in speaking up when needed and enjoy being in large groups and crowds. Extroverts love being around other people and expressing their feelings and whatever is on their minds. They also tend to feel more energized when socializing and enjoy living a fast-paced life.

    Scores between the 40th and the 60th percentile indicate that you are an ambivert. That means you identify more with extroverts with some of your traits and more with introverts with other characteristics.

    Scores below the 40th percentile indicate that you are more introverted than extroverted. Introverts prefer to spend more time doing quiet or solitary activities and recharge their energy more when alone than with others. When they are in a group, they may talk less and listen more.

    Agreeableness: ____________________________________________________________

    Scores above the 60th percentile indicate that you are more agreeable than disagreeable. In addition, you are likely higher than average on trust, straightforwardness, cooperation, altruism, modesty and sympathy.

    Scores between the 40th and the 60th percentile indicate that your agreeableness is average. You might identify more with highly agreeable people in some ways and with disagreeable people in others.

    Scores below the 40th percentile indicate that you are more disagreeable than agreeable. You are probably higher than average on distrusting people and keeping your cards close to your chest in discussions with others. On the other hand, you are less likely than average to comply with other people’s wishes, feel bad for those less fortunate, enjoy helping others and be humble in discussions with others.

    Conscientiousness: ________________________________________________________

    Scores above the 60th percentile indicate that you are high in conscientiousness and are efficient and organized. You believe in yourself, like to have things in order, and stick to your promises. You try your best to achieve something, are self-disciplined, and think through the consequences of your actions before deciding what to do.

    Scores between the 40th and the 60th percentile indicate that your conscientiousness is average. You might identify more with highly conscientious people in some ways and with people low in conscientiousness in others.

    Scores below the 40th percentile indicate that you are low in conscientiousness and may be extravagant and careless or lack direction in your tasks or life. You are more likely to struggle with your belief in your ability to achieve things, follow through on your obligations or promises, and keep things neat and organized. You are also unlikely to strive towards attaining things or have the discipline to follow through on the tasks that you want to do. Lastly, you tend not to deliberate on things too much before acting and may be careless.

    Neuroticism:  ______________________________________________________________

    Scores above the 60th percentile indicate you are high in neuroticism. You experience more negative emotions than the average person, including depression, anxiety, and anger. You are more likely to feel self-conscious, struggle to moderate your behaviours, and feel vulnerable when overwhelmed.

    Scores between the 40th and the 60th percentile indicate that your neuroticism is average. You might experience some negative emotions intensely while experiencing other negative emotions less often or less intensely.

    Scores below the 40th percentile indicate that you have high emotional stability. You experience low anxiety, anger, depression, self-consciousness, immoderation, and vulnerability.

    Openness to experience: ____________________________________________________

    Scores above the 60th percentile indicate that you are highly open to experience. You are more likely to be higher than the average person in imagination, artistic interest, liberalism and intellect. You are aware of your emotions and others and enjoy being adventurous.

    Scores between the 40th and the 60th percentile indicate that your openness to experience is average. You might identify more with highly open people in some ways and with less open people in others.

    Scores below the 40th percentile indicate that your openness to experience is low. For example, you are less likely than the average person to escape to fantasy, be interested in art, or be aware of your emotions and others. You are also less likely to enjoy discussing abstract ideas and concepts, and more likely to support conservative and traditional views. Lastly, your desire for adventure is lower than average.

    MY PERSONALITY FACTOR SCORES:

    • Openness to Experience: 95th percentile
    • Agreeableness: 90th percentile
    • Extroversion: 74th percentile
    • Conscientiousness: 74th percentile
    • Neuroticism: 13th percentile

    What are your top personality facets?

    Are there any facets in which you are very high (90th to 99th percentile)? These facets likely represent your personality, regardless of your overall factor scores.

    Your top 5 facet scores:

    1. ____________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
    4. ____________________________________________________________________
    5. ____________________________________________________________________

    MY TOP PERSONALITY FACETS:

    • Cooperation: 99th percentile
    • Liberalism: 97th percentile
    • Adventurousness: 95th percentile
    • Emotionality: 90th percentile
    • Altruism: 90th percentile
    • Trust: 90th percentile
    • Activity Level: 90th percentile

    What is your personality profile?

    Try putting all of this together to make up a personality profile about yourself, based on your factor scores and your top facets. I have done this for myself below.

    Your personality profile: ____________________________________________________________________________________________________________________________________________________________________________

    MY PERSONALITY PROFILE:

    I am highly open to various experiences, including cultural, intellectual, emotional, and physical. I am highly agreeable and tend to do whatever it takes to have positive relationships with others. I will always try to co-operate with others if I can. I like to challenge convention and try to help bring about progressive change. I prefer a lot of variety and want to go on adventures. I am highly attuned to my emotions and the emotions of others around me and try to remain open to whatever I am feeling. I enjoy helping others when they need it. I trust others easily and believe that most people are generally good and do not harm others. I have lived a pretty fast-paced life and care about being efficient and effective. I love to have in-depth discussions with others and enjoy playing with ideas and reflecting on essential aspects of life through meditative practices and my writing.

    STEP TWO: What Do I Care About?

    Finding out what you care about is through the process of clarifying your values. Values are guiding principles in life that we cannot achieve like a goal but choose to live by each day. For example, someone who values honesty does not live consistently with what matters to them when they tell a lie but is consistent as soon as they return to telling the truth. By clarifying which values are most important, we can know when we have gone off track and what to do to get back on.

    2a. Engage in thought experiments to elucidate what values are most important to you

    An interesting experiential method to help patients identify their top value is writing the epitaph they want on their gravestone. For this, they would write what they hoped would be said about them if they were to die after a long and good life.

    What would your epitaph say?

    Here lies __________________________________________________________________

    MY EPITAPH: Here lies Damon. He tried his best.

    It tells me that one of my core values is applying myself to be the best I can be. Of course, not the best person overall, as this is an outcome I can’t control. But, I want to know that I have applied myself and put in the effort required to give me the best chance that I can have for success.

    If writing your epitaph seems too dark or morbid, try to imagine your birthday party at least 20 years later (I choose my 70th birthday). All of your closest friends and family are there. An important person in your life gets up and makes a speech about the type of person you have been from today until then (over the past 20+ years). 

    What do you want to hear them say? 

    __________________________________________________________________________________________________________________________________________________________________________________

    It can be a powerful exercise that helps people realize the type of person they most want to be, both to themselves and others.

    WHAT I WISH MY PARTNER’S DAUGHTER WOULD SAY ON MY 70TH BIRTHDAY:

    I wasn’t so sold on Damon when I first met him. He seemed tall, friendly, pleasant, and good at sport. However, I also really enjoyed it being mum and me for the six years before we met. But the more I got to know him, the more I realized he wasn’t so bad and that there could be a few positives for me about having him around. Firstly, he helped to calm down mum when she was upset about something. He also seemed to care about her and me, making mum happy. He also tried to help me understand what I was going through whenever I was upset and made me feel loved and appreciated for who I was. He didn’t seem to want anything from me except for what I thought would be in my best interest in the long term. We also had fun doing things together, including daily walks with our dog Serahfina, playing games, rock climbing, watching movies and swimming as a family. I also loved the fantastic trips that we went on as a family.

    2b. Take a strengths survey to identify your key strengths or values that you put into action

    If none of the above activities interests you or help to highlight your core values, the Values in Action (VIA) Character Strengths Survey can. It ranks your strengths from 24th to 1st and is quite valuable for elucidating what you may want your guiding principles in life to be. You can complete it for free online at www.characterstrengths.org.

    Your key strengths:

    1. ______________________________________________________________
    2. ______________________________________________________________
    3. ______________________________________________________________
    4. ______________________________________________________________
    5. ______________________________________________________________

    MY KEY STRENGTHS:

    Based on my 2018 findings, my top five strengths were as follows:

    1. Love of learning
    2. Curiosity and interest in the world
    3. Kindness and generosity
    4. Humour and playfulness
    5. Judgment, critical thinking, and open-mindedness

    If you want to explore the results further, you can see which virtues are the highest for you. For me, wisdom was my highest virtue, with an average score of 6.2 for these items. The next highest was humanity, with an average score for these items of 8.33. Justice and transcendence were not virtues that were strengths of mine, with average scores of over 13.

    You can answer the following question by combining your strengths and virtues. My response to this question is also provided as an example below.

    What do you care about?

    ____________________________________________________________________________________________________________________________________________________________________________

    WHAT I CARE ABOUT:

    I care about not jumping to conclusions and looking at the evidence from multiple perspectives before deciding the best thing to do. I care about being able to say that I am sorry and that I was wrong or being open to changing my mind if there is enough evidence about something. I care about being playful, having fun, laughing, or smiling with others. I care about being generous and kind to others and giving them my time, help, and undivided attention if possible. I care about learning new things and developing my knowledge and skills in various subjects and topics. I care about maintaining my curiosity and awe, growing as a person and gaining wisdom. Finally, I like to use what I have learned to help humanity where possible —both individually and on a larger scale.

    STEP THREE: How do I show that I care about these things?

    Finally, we must assess if we live consistently with our core values or key strengths. In other words, how much are you currently being the person you want to be, and what changes can you make to move in the right direction from now on?

    3a. Do the Bullseye Exercise to assess where you are at and what is most important to you

    The Bullseye exercise, first created by Swedish ACT Therapist Tobias Lundgren, is the best way to determine if you live consistently with your values. It helps you specify this in four critical areas of your life:

    1. school or work,
    2. leisure or recreation,
    3. personal growth or health, and
    4. relationships (including an intimate relationship if you have one as well as with your friends and family).

    First, determine which areas you prioritize in your life at the moment. Is work most important? Or your health? Or your relationships? Or how you spend your spare time? Once you know how you would rank them, from first to fourth, write them down.

    Your priorities:

    1. ____________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
    4. ____________________________________________________________________

    MY PRIORITIES:

    1. Personal growth and health
    2. Relationships
    3. Leisure and recreation
    4. School and work

    Keep your core values or key strengths in mind. Then, from 0 to 100%, say how consistently you have lived by your values in each area of your life. Place an X in the circle or a percentage for where you think you have been over the last month. 100% = a bullseye and 0% = outside the last circle. You can download a complete worksheet for free online if you want to complete it. You can also write down the percentages below.

    How consistent have you been living with your values in this area of your life?

    Consistency with your personal growth and health values: _____________________________

    Consistency with your values in your most important relationships: ____________________

    Consistency with your leisure and recreation values: ___________________________________

    Consistency with your values in work and education: __________________________________

    CONSISTENCY WITH MY VALUES IN EACH AREA OF MY LIFE:

    1. Personal growth and health = 60%
    2. Relationships = 75%
    3. Leisure and recreation = 70%
    4. School and work = 80%

    Unfortunately, I am living more consistently with how I want to be when it comes to my work than in all other areas of my life. At the moment, I want to prioritize my health the most, and yet it feels like I am not living my life as healthily as I would like to. I want to exercise more, eat more fresh and less processed food, and maintain daily healthy habits.

    Health was my top priority, yet my lowest score on the bullseye. It highlights how living more consistently with my health values could help me improve my overall well-being and life satisfaction.

    What about you? What did your bullseye reveal that you were previously unaware of? Is improving your health the number one priority in your life, or are there other things you would prefer to put time and effort into improving?

    3b. Set up sustainable systems or goals to help you live more consistently with your core values and strengths in each vital area of your life.

    Once you have identified where you stand on each quadrant of the bullseye, ask yourself what you can do over the next 1–2 weeks (short-term), following 1–3 months (medium-term) or next 6–18 months (long-term). You want goals that help you live more consistently with your core values or key strengths. It could be new targets for studying, working, eating, relaxing, socializing, exercising, or sleeping.

    Setting Your Targets

    It helps to rank the aspects of your life that you most want to improve. Write down your top 5 targets for improvement. Place this list somewhere easily accessible and where you are unlikely to lose or forget about it. If you only have two or three aspects you want to improve, you don’t need to write down five. The less you have, the easier it will be to assess, track and improve when you start trying to develop and implement a plan.

    Your Top Five Targets for Improvement:

    1. _____________________________________________________________________

    2. _____________________________________________________________________

    3. _____________________________________________________________________

    4. _____________________________________________________________________

    5. _____________________________________________________________________

    MY TOP FIVE HEALTH TARGETS THAT I WOULD LIKE TO IMPROVE:

    1. My stamina and being able to have enough energy to live the life I want
    2. Healthy muscle mass and body fat percentages in comparison to my overall weight
    3. A more nutritious diet with less processed and junk food
    4. Better work/life balance
    5. Increased relationship satisfaction with my partner, her daughter, my friends and my family

    As you achieve your goals or implement your systems, you show yourself and others that you know who you are and what is important to you. As a result, you will begin to feel that you are heading in the right direction towards a healthier, more personally meaningful and satisfying life.

    Dr Damon Ashworth

    Clinical Psychologist

  • The Little Things That We Do Matter Over Time

    The Little Things That We Do Matter Over Time

    “Watch your thoughts; they become words. Watch your words; they become actions. Watch your actions; they become habits. Watch your habits; they become character. Watch your character; it becomes your destiny.”

    – Lao Tzu

    I love the above quote by Lao Tzu. It highlights that all of the little choices in life are important, especially in the long run. Not a single option or action unless it is unusually severe or unforgivable. I’m talking about the little things we do regularly, which accumulate over time and define who we are and how others see us.

                It may be something like choosing to make your bed every morning or getting up to go to the gym before work. Or having a veggie smoothie rather than a jam-filled doughnut and caramel macchiato for your 3 pm work snack. Taking the easy or not-so-healthy option may not seem like such a big deal if it’s just the once, but what if this becomes a habit over time?

                Without realising it, you may wake up one day and recognise that you have severe sugar, nicotine, alcohol or smartphone dependency. But, unfortunately, it’s no longer as easy to stop this behaviour as you may have believed. Especially once it becomes an ingrained habit. 

    Neuropsychologist Donald Hebb famously said in 1949:

    Neurons that fire together, wire together.

    – Donald Hebb

    It means that the more we do a particular action, the more these pathways become ingrained or more substantial in our brain. So the first time we do something, it might be a little path. But if we do it enough, it can become a superhighway, where our brain finds it much easier to repeat that behaviour than do anything else. 

                Most obese, unfit or unhealthy individuals probably didn’t expect they would be where they are. But it didn’t just happen overnight either. They started with an initial thought, felt something, experienced an urge or craving, and chose to act in a certain way. The more they repeated this action in similar situations, the more the brain learnt that this is just what they needed and that this is the correct behaviour whenever they think or feel this way.   Eventually, the action no longer feels like a choice but a compulsion. People may not even realise what they are doing until it is too late. Let alone be able to change it going forward.

    William James said something similar but offered a solution to this trap: 

    “Thoughts become perception; perception becomes reality. Alter your thoughts; alter your reality.”

    – William James

    I’m not sure if I agree with William James completely. In my experience, it is often easier to act ourselves into new ways of thinking rather than think ourselves into new ways of acting. While how we think and feel about things is vital, it is tough to make any positive long-term change if we don’t challenge and change our behaviour.

                Suppose we instead change our behaviours first regardless of our thinking. In that case, we will have more and more evidence contrary to the unhelpful thoughts or beliefs that we hold. In time, shifting these negative thoughts and perceptions becomes more comfortable. By doing this, you can shape your reality.

    Why Bother Trying to Change?

    Someone once asked me: “will you ever just be satisfied with how you are and stop using questionnaires and other measures to keep tracking and changing your life?” It seemed like a weird question, but it is consistent with how my father views life. He knows what makes him happy and does it. He’s not too worried about changing or growing. Instead, he focuses on enjoying each day, even if it’s the same as yesterday.

                That’s great for my father, and on some level, it would be nice, but I can’t do things that way. Maybe it was because I was an often stressed out, anxious and unhappy child. Or perhaps I have seen how much I’ve been able to improve my life and my relationships with others through learning, monitoring, and challenging myself over time.

    A quote by Charles Bukowski probably sums it up better than I ever could:

    “People are strange. They are constantly angered by trivial things, but on a major matter like totally wasting their lives, they hardly seem to notice.”

    – Charles Bukowski

    Some Worrying Statistics

    According to the Centre for Disease Control and Prevention, people should do at least 4 hours of moderately vigorous physical activity each week. Yet, researchers have found that the average American adult only does 17 minutes each day.

                According to the 2017 OECD findings, more than 50% of adults and nearly one in six children are overweight or obese. This figure is likely to increase further by 2030.

                In addition, the World Health Organisation says that 3 million people died worldwide in 2016 due to harmful alcohol use. Fortunately, alcohol drinking has continued to decrease in Australia since its peak in 1974–1975. However, regular teen alcohol consumption is still the most significant risk factor for problematic alcohol drinking in adulthood.

                In 2014 in the US, 6.2 million people suffered from an illicit substance use disorder. Furthermore, over 115 people die every day from opioid abuse or misuse. Moreover, social isolation and loneliness are becoming more severe problems these days. One-quarter of Americans reported that they have no one to discuss important matters with or call in case of an emergency. Too much social isolation and loneliness can increase the risk of people dying. Perhaps even more than cigarette smoking.

                The average American household watched 8 hours and 55 minutes of TV daily in 2009–2010 (the peak). In 2018, it dropped to 7 hours and 50 minutes per household, which is still extremely high. From 1950 to 2010, viewing time per household increased every decade. It became what Americans did for leisure, as documented in Robert Putnam’s sociological book ‘Bowling Alone’.

                59% of all Americans and (48% of Europeans) now play video games, including 97% of teenagers in the USA. However, a 2016 study found that 6% of gamers worldwide could be considered addicted. Another study found that 7% were problematic gamers who played at least 30 hours weekly.

                Lastly, smartphone usage continues to increase worldwide. Excessive social media and smartphone usage can result in adverse mental health outcomes. Australia is now fourth in the world regarding smartphone usage. The average for all Australian mobile phone users is 2.5 hours a day, which adds up to 38 days per year. We check something on our phones 30 times daily, and 45% of Australians now say they couldn’t live without their phones.

    It is Possible to Choose to Change 

    It’s pretty easy to see the long-term consequences of our brains wanting to conserve energy, take the easy option, or avoid pain. However, these seemingly insignificant moments can happen hundreds of times per day. In each moment, as long as we pay attention, we have a choice. We can stay on autopilot and do what is easy. Or, we can tune into our core values, ask ourselves what type of person we would like to become in the long run, and then act consistently with this vision.

                It may feel strange, different, or even uncomfortable when you start making more challenging choices and living by your values. However, that doesn’t make it wrong. For example, going to the gym will always hurt the first time you go, but the 20-minute walk you choose to do today is better than the 10km run you put off until next week. 

                Likewise, it may be tempting to say that you’ll start a new diet on Monday, but why put off making a healthy decision in the here-and-now if you don’t have to? These moments will eventually define who you become. You can begin to make a positive long-term change today.

    But What Do We Do if We Want to Change?

    Let me ask you the following three questions:

    1. Is there anything you wish you could do more in your life?

    2. Is there anything in your life you want to do less?

    3. Finally, what is stopping you from making these changes?

    If you answered YES to question 1 or 2 and don’t know the answer to number 3, it is worth exploring deeper.

  • Isolation and Loneliness: Which One Is More Damaging to Our Long-term Health?

    Isolation and Loneliness: Which One Is More Damaging to Our Long-term Health?

    Just the other day, I was having a debate with a client about isolation versus loneliness.

    He believed that social contact with others was a more significant predictor of well-being, whereas I thought how close we felt was more important for long-term health and happiness.

    In other words, he thought that the number of interactions with others was more important than the quality of the relationships. I was solidly on team quality over quantity when it came to the type of relations that we wanted in our lives.

    Because I wasn’t sure whose position was more supported by research, I further explored the issue.

    My aim in writing this post is to define the difference between isolation and loneliness clearly. I will then highlight what the scientific evidence suggests.

    Isolation

    The Merriam-Webster dictionary for English language learners defines isolation as:

    “The state of being in a place or situation that is separate from others: the condition of being isolated”

    Notice with this definition that there is no emotion connected to it. It merely indicates being isolated or separate from others.

    Someone could choose to live a solitary life in isolation, and they may be happy with their choice. Alexandra de Steiguer, a shy individual who spent a lot of time alone when she was a child, chooses to isolate herself each winter as the sole ‘caretaker’ of the Oceanic Hotel on an island in New Hampshire. For the past 19 winters, she has spent months on the island without any guests.

    de Steiguer states:

    “it’s the thing I look forward to every year… When I come out here it’s like a homecoming. All those details of mainland life just fall away.”

    She later says:

    “Being alone (has) it’s advantages. It’s peaceful, and I can use my imagination…It makes me feel connected to life (and the natural world) in a way that I don’t normally feel.”

    I don’t think I could do what she does, especially after watching ‘The Shining’, but each to their own.

    Henry David Thoreau also glorified isolation and solitude in his famous book ‘Walden; or Life in the Woods’, stating:

    “I find it wholesome to be alone the greater part of the time. To be in company, even with the best, is soon wearisome and dissipating. I love to be alone. I never found the companion that was so companionable as solitude.”

    To write the book, Thoreau built a cabin near a pond in 1845 and lived there for the next two years.

    He also highly valued simplifying life and reconnecting with nature:

    “I went to the woods because I wished to live deliberately, to front only the essential facts of life, and see if I could not learn what it had to teach, and not, when I came to die, discover that I had not lived.”

    Before you think about selling up everything in Emile Hirsch’s ‘Into the Wild’ style and moving to the wilderness by yourself, it is important to highlight two things first:

    1. Thoreau walked into the nearby town of Concord, Massachusetts, almost daily and received visitors regularly.
    2. In ‘Into the Wild’, Hirsch’s character Christopher McCandless (**spoiler alert**) dies after eating a poisonous plant and concludes, “Happiness only real when shared.”

    When solitude doesn’t involve nature and someone forces it upon you, it is often considered a devastating form of punishment. For this reason, various prisons use solitary confinement all over the world. However, prisons often violate human rights with solitary confinement. For example, the UN’s Mandela Rules state that humans must not be “without meaningful human contact for more than 15 consecutive days” (Martin, 2016).

    People would rather be out in the prison yard where they could be stabbed or beaten up instead of in isolation, making me realise that humans are social creatures. Too much time in isolation can lead to active psychosis or acute suicidality in approximately one-third of the prisoners exposed to solitary confinement (Rodriguez, 2016). It can also lead to crippling social anxiety for prisoners once released into society (Breslow, 2014).

    Consequently, I can’t help but feel that except for a few individual cases or people who are very introverted, too much isolation does more harm than good.

    Loneliness

    The Merriam-Webster dictionary defines loneliness as:

    “Sad feelings that come from being apart from other people”

    Notice the focus of the definition is on the feelings of sadness. Unlike isolation, loneliness suggests a deficit and a longing for companionship and a genuine connection that is not there.

    As JD in ‘Scrubs’ suggests, it is also possible to feel lonely in a crowded space, even though you could not be considered isolated:

    So what is more damaging — being separate from others, or feeling apart from others?

    The Village Effect

    Our brains light up during human interactions, primarily in-person face-to-face contact. Online communication and passively watching videos don’t have the same effect.

    In her 2017 TED talk, Susan Pinker looks at different reasons why people live longer, including the role that relationships play:

    As you can see in the graph above, minimising isolation and loneliness was more critical for staying alive than someone’s BMI, activity level, smoking and drinking behaviours, or even their heart health and blood pressure. While these factors are still relevant, having constant and close relationships is almost essential for our long-term health and longevity. Quantity, or level of integration, is seen as slightly more important than the closeness of relationships or quality — one point for my client.

    Either way, in her book ‘The Village Effect’, Pinker suggests that we would all benefit from the type of interconnectedness that a small village lifestyle provides.

    Pinker also believes that we would benefit more by increasing our in-person face-to-face contact and cutting back our use of technology to better connect with others.

    Alone Together

    Another fascinating book that I read in 2017 was ‘Alone Together’ by Sherry Turkle.

    Turkle’s 2011 book also highlights the difference between how often we interact with other people and how sad, disconnected or alone we feel.

    Her 2012 TED talk nicely summarises the negative aspects of technology and how it is leading to a greater sense of loneliness, even though it is easier than ever to remain in contact in some way or another:

    As Turkle says:

    “we use conversation with each other to learn how to have conversation with ourselves. A flight from conversation can really matter, because it can compromise our capacity for self reflection. For kids growing up, that skill is a bedrock for development.”

    Turkle concludes:

    “we’re lonely, but we’re afraid of intimacy. (We want) the illusion of companionship, without the demands of friendship.” (As a result, we) expect more from technology, and less from each other. (We imagine, that with technology), we’ll never have to be alone.”

    It’s pretty scary stuff when you think about it. However, Turkle’s findings indicate that loneliness is more damaging than isolation, so one point for me.

    Other Research

    Social isolation is associated with:

    • an increased risk of depression (Hari, 2018),
    • more heart disease (Barth, Schneider, & von Känel, 2010),
    • a more significant risk of infectious illness (Cohen et al., 1997),
    • quicker cognitive decline (Bassuk, Glass & Berman, 1999),
    • elevated blood pressure (Shankar, McMunn, Banks & Steptoe, 2011),
    • more significant inflammation and metabolic responses to stress (Uchino, 2006), and
    • increased mortality (Eng, Rimm, Fitzmaurice & Kawachi, 2002)

    Loneliness is associated with:

    • a higher risk of major depressive disorder (Hari, 2018),
    • increased blood pressure (Hawkley et al., 2010)
    • heightened cortisol (Cacioppo et al., 2000)
    • elevated inflammation (Steptoe et al., 2004), and
    • increased risk of heart disease, functional decline and early death (Patterson & Veenstra, 2010; Perissinotto, Stijacic Cenzer & Covinsky, 2012).

    A 2013 study titled “Social Isolation, Loneliness and All-Cause Mortality in Older Men and Women” looked at 6,500 men and women over 51 from the English Longitudinal Study of Ageing between 2004 and March 2012. After taking demographics and health at baseline into account, social isolation significantly predicted later mortality, but loneliness did not (Steptoe, Shankar, Demakakos & Wardle, 2013).

    Both loneliness and social isolation were associated with an increased risk of mortality. Still, reducing isolation was considered more critical in reducing the risk of premature death than loneliness. Furthermore, loneliness did not add to the risk of early death for already socially isolated people (Steptoe et al., 2013).

    Final Outcome and Recommendations

    THE VERDICT: SOCIAL ISOLATION IS MORE DANGEROUS THAN LONELINESS!

    I am surprised to be wrong, but I am glad to have a bias pointed out whenever it occurs. I have never felt socially isolated, but I have felt lonely, so my own experience must have influenced my opinion to some degree.

    Social isolation is more hazardous to our long-term health than the subjective feeling of loneliness. However, both of these states are potentially damaging, and you should take steps if you are experiencing them regularly.

    Lifeline recommends the following strategies for overcoming social isolation and loneliness:

    • “Connect or reconnect with friends and family — staying in contact with loved ones can prevent loneliness and isolation. If your family don’t live nearby, technology can help you keep in touch.
    • Get out and about — regular outings for social functions, exercise, visiting friends, doing shopping, or simply going to public places can help.
    • Get involved in your community — Try a new (or old) hobby, join a club, enrol in a study, or learn a new skill. Try looking online at your local TAFE/Community College, library or community centre for things in your area that might be interesting to you.
    • Volunteer — helping others is a great way to help yourself feel more connected.
    • Consider getting a pet –pets are wonderful companions and can provide comfort and support during times of stress, ill-health or isolation.
    • Get support — If loneliness and social isolation are causing you distress, you should discuss your concerns with a GP, counsellor or a trusted person.”

    Engaging in treatment with a clinical psychologist could help if social anxiety or other mental health difficulties contribute to your isolation or loneliness. If not, the meetup website is an excellent resource for getting out there, trying some new things, and meeting some new people.

    As George Valliant says:

    “Joy is connection… the more areas in your life you can make connection, the better.”

  • Is Your Screen Time Eating Up Your Free Time?

    Is Your Screen Time Eating Up Your Free Time?

    How Did We Get Here?

    In the classic Sociology book ‘Bowling Alone’, Robert Putnam argues that social capital (reciprocal connections among people) has been in a steady decline ever since its peak in 1964.

    By 2000, the average American was 58% less likely to attend a club meeting than an individual only 25 years earlier. It may not seem like a big deal until you realise that regularly participating in a social group halves your risk of dying in the next 12 months.

    It’s not just the joining of groups that have changed either. For example, we are 45% less likely to invite friends to our place and 33% less likely to have dinner around the table with the whole family. We are also 40% less likely to join a bowling league, surprisingly the number one participation sport in the U.S. (Putnam, 2000).

    This overall decline in social capital has also resulted in a loss of mutual trust. For example, from 1966 to 1998, the proportion of Americans who endorsed trusting the federal government “only some of the time” or “almost never” rose from 30% to 75%. Without this trust in others, we no longer know who to turn to for help and support when needed.

    Why Has Social Capital Declined?

    Putnam believed that some of the main culprits for the loss of social capital were:

    1. The changes in family structure. More people live alone, in a single-parent home, or decide not to have children.
    2. Suburban sprawl and longer commutes. With less time, energy and interest for leisure and social activities outside of work and commuting.
    3. A generational effect. Older generations (pre-boomers) have been consistently more civic and socially engaged than the Baby Boomers, who have been more civic and socially engaged than generation X’ers, who have been more civic and socially engaged than Millennials. The only thing that Millenials do more than older generations is hours spent volunteering individually.
    4. Technology has led to the privatisation of leisure time. The more people watch TV or spend time on social media or their smartphones, the less time they spend involved in social capital-type activities. Putnam believed that TV might have contributed up to 40% of the overall decline in social capital since 1965. The internet and smartphones have increased this privatisation of leisure since 2000.

    How Much Time do People Spend on Technology?

    The 2013 documentary ‘The Mask You Live In’ has some pretty scary statistics about how much technology is consumed by male children and teenagers. For example, in the U.S., the average boy:

    * spends 40 hours a week watching television, including sports and movies.

    * spends 15 hours per week playing video games.

    * spends 2 hours per week watching porn, with 21% of young men using porn daily.

    The Potential Consequences of Excessive Technology Use

    Although some people write off the TV, video games, and the internet as harmless forms of entertainment that help keep kids safe, out of trouble and off the streets, they come with their risks and potential consequences. For example, the following data in ‘The Mask You Live In’ documentary:

    * 31% of young males report feeling addicted to the video games they play.

    * 50% of parents don’t monitor the content or ratings of video games, even though 90% of games rated appropriate for children over 10 contain violence.

    By 18, the average male has seen 200,000 acts of violence on screen, including 40,000 murders.

    Exposure to violent media may:

    * lead to children becoming less sensitive to the pain and suffering of others,

    * lead to children becoming more fearful of the world around them, and

    * lead to children behaving in more aggressive and harmful ways towards others.

    Exposure to pornography:

    * increases sexual aggression by 22%.

    * increases the acceptance of rape myths (that women desire sexual violence) by 31%

    — The Mask You Live In

    The typical response by the content producers to statistics like these is that the content we watch doesn’t impact our behaviour.

    BUT if this was the case, WHY do we have a multi-billion dollar advertising industry?

    IF media images don’t affect people’s subsequent behaviour, WHY would commercials, or product placements exist?

    WHY would companies be happy to pay millions for 30-second Super Bowl commercials?

    BECAUSE the COMPANIES paying for the commercials and the marketers producing the commercials THINK that WHAT WE SEE IMPACTS OUR BELIEFS AND BEHAVIOURS.

    If a 30-second commercial can change our attitude or behaviours towards something, why won’t seeing 200,000 acts of violence before 18?

    Who is fooling who? The general public, or the multi-billion dollar corporations and industries?

    The Problem of Smart Phones and Digital Streaming

    Since 2013, the problem of technology has only gotten worse, and it is now eating into even more of our leisure time, as shown in this clear depiction by Adam Alter in his 2017 TED talk:

    The New York University psychologist presented data from the Bureau of Labor Statistics to show that sleep, working, commuting and activities of daily living (cleaning, showering, eating etc.) have all taken up a similar amount of time over the past ten years.

    As shown in the red (data from the mobile app ‘Moment’), what has changed is how much time we spend looking at screens. It used to be only minutes in 2007. Now our phones, laptops and tablet usage is taking up most of our free time and dramatically cutting into our social and leisure time, much like TV had previously done in the second half of the 20th century.

    Unlike TV, this has not been by accident, with today’s most brilliant minds often focusing on how to attract and sustain our attention on their games, sites, and apps. Alter explored this brilliantly in his recent book ‘Irresistible’, which I put in my top 40 favourite psychology books countdown.

    A 2017 review by Brendan Meagher on the Australian Psychological Society Website introduced me to the term ‘problematic mobile phone use’. It is “an inability to regulate one’s mobile phone use, which has negative consequences in daily life” (Billieux, 2012).

    Australia is now fourth in the world in terms of smartphone usage. 84% of us have a mobile phone, with 85% of teenagers and young adults exceeding 2 hours of screen use on their phones every day. The average for all Australian mobile phone users is 2.5 hours a day, which adds up to 38 days per year. We check something on our phones 30 separate times each day, and 45% of Australians now say that they couldn’t live without their phones (Meagher, 2017). The scariest statistic is that 42% of Australians over 18 still use their phones while driving, despite this creating a much higher risk of car accidents (Rumschlag, 2015).

    Consequences of Excessive Mobile Phone Use

    Mobile phone overuse has similarities to addictions or substance use problems, including tolerance, withdrawal, and daily-life disturbance (Kwon et al., 2013).

    Adverse consequences include increased risk of aggression, sleep disturbance (Yang et al., 2010) and physical health problems (Lee & Seo, 2014).

    It can also negatively impact relationships, lead to fewer social interactions across a week, and impair academic performance (Kuss & Griffiths, 2011).

    Is Your Mobile Phone Use Problematic?

    If you are unsure, Meagre recommends considering the following questions:

    * Do you think you spend too much time using your mobile phone?

    * Has your mobile phone use caused problems in a relationship?

    * Do people say that you spend too much time on your mobile phone?

    * Does the time you spend on your mobile phone stop you from doing other tasks?

    * Have you tried to cut down your mobile phone use?

    * Have you used your mobile phone while driving or crossing a road?

    Could You Cut Down Your Screen Time?

    If you answered yes to any of the above questions like I did, you might benefit from tracking your usage and seeing how much time you spend on your phone actively doing something.

    I bought the full version of the app ‘Moment’, as recommended by Adam Alter. I didn’t try to change how much I used my phone to get an accurate baseline for the first week. My average was 1 hour, 48 minutes of screen time a day. Less than the national average, but still not how I wanted to spend my spare time.

    I then took on the ‘Bored and Brilliant Challenge’ on the ‘Moment’ app for the following week and set the goal of less than 1 hour of screen time each day.

    The ‘Bored and Brilliant Challenge’ was first developed by Manoush Zomorodi after she realised just how long it had been since she had last felt bored, thanks to always being able to look at her phone whenever she had a spare second. She also realised that she had very little time to let her mind wander without this time of boredom, which was when she had her best creative ideas. She then decided to set a challenge on her podcast for her listeners, which became the focus of her subsequent book of the same title.

    • On day 1, the aim was to observe my phone usage.
    • On day 2, I aimed to keep my phone out of reach and in my bag instead of my pocket.
    • On day 3, the aim was not to take any photos.
    • On day 4, the aim was to delete an app that I used more than I wanted to. So I deleted Facebook, Twitter and LinkedIn from my phone.
    • On day 5, I took a fake cation and put my phone in aeroplane mode to have fewer distractions during the day.
    • On day 6, I aimed to observe things that I would have missed if glued to my phone, especially while on public transport.
    • On day 7, I tried to make something creative. It consisted of me cooking a nice meal for dinner, and it didn’t taste too bad either.

    As the above data shows, I managed to pick up my phone three times less per day. My baseline was nine less than the average Australian already, but I’m glad to reduce it to 18 times per day.

    The second picture is interesting to me. My phone use took up 7% of my waking life across the challenge. It still seems too much, but it was a decent drop from 12% of my waking life the week before.

    As shown in the data above, the average person who takes on the ‘Bored and Brilliant Challenge’ creates 58 minutes more free time each day by cutting down their phone usage. That’s nearly an extra hour each day to do whatever you want. If people feel time-poor already, that might be a lovely feeling.

    Other Suggestions for Cutting Down Screen Time

    • Book social outings or join a club or sports team. Exercise is also great for mental and physical health, so combining socialising with exercise is recommended.
    • Develop a list of other non-screen activities that you may enjoy and can do regularly.
    • Stop channel surfing on your TV — figure out which shows you want to watch ahead of time and record them. It increases the enjoyability of the programs you watch and cuts down how much time you spend watching TV as you can fast forward through commercials.
    • If you use a TV streaming site such as Stan or Netflix, decide if there is a program you really want to watch and how long you want to watch it before you switch it on. Then, you can set the alarm or reminder to help manage binge-watching.
    • Stop leaving your TV on in the background or switching it on as soon as you get home. Listening to most music is likely to be more relaxing than watching TV.
    • Install the app or plugin ‘Freedom’ on your computer. Freedom helps you block specific sites you can waste time on and makes it easier to set limits for yourself.

    Conclusion

    Hopefully, with everything discussed here, you can now see the potential pitfalls of excessive technological devices, especially those involving bright screens.

    If you feel rushed, always complain about being busy, spend too much time on your phone, or want to find more time for social and leisure activities, I encourage you to consider the role that technology plays in your life. Suppose there is an area where it is becoming problematic or causing you distress. In that case, I recommend implementing any of the above suggestions or challenges to see what difference it can make in your life.

    Dr Damon Ashworth

    Clinical Psychologist

  • The World Became Much Less Abundant in 2021

    The World Became Much Less Abundant in 2021

    From 2020 to 2021, the global resource abundance plummeted. The drop of 22.6% was double the previous most significant one year drop of 11.3% in 2010. While this highlights the negative impacts of the COVID-19 pandemic globally, look at how our current value is still 448.5% higher than it was in 1980:

    Yes, it is now much lower than the peak of 708.4 that we had in 2020. As a result, 88% of the commodities measured (44 out of 50) became more expensive in 2021. In particular, energy prices increased by a whopping 131.4%.

    Only six commodities decreased their relative cost from 2020 to 2021, including bananas, tea, plywood, tobacco, rice, and groundnuts.

     However, according to the Simon Abundance Index (SAI), global resource abundance has still doubled every 16.7 years since 1980. It means that we are much more likely to be able to afford 50 of the most common commodities with much fewer working hours than we did in 1980. We can buy more food after less time at work than our parents and grandparents used to be able to. Same with energy, materials, metals and minerals.

    Having more people worldwide doesn’t make everything more expensive and scarce either. For every 1% increase in the world’s population, the average time price of these commodities decreases by 0.88%. Our personal resource abundance (2.69%) and population resource abundance (5.8%) increase for every 1% increase in the global population.

    As Julian Simon noted in his 1996 book The Ultimate Resource 2:

    “The ultimate resource is people — skilled, spirited and hopeful people who will exert their wills and imaginations for their benefit, and so, inevitably, for the benefit of us all…(in the future) there will be more people to solve problems and the bonus of lower costs and less scarcity.”

    Resource abundance is still growing at a faster rate than the global population. The threat to our economic well-being is not an increasing population. The fiscal decisions by countries prioritised people’s lives during the pandemic, reduced work output, and increased inflation rates through the printing of money. Now that more people are returning to work, countries should print less additional money for people not working, entrepreneurship will increase, and our global abundance is likely to rise again. If you don’t believe me, look at how the world responded to the 2008 global financial crisis from the years 2011 to 2020.

    Many thanks to Marian L. Tupy and Gale Pooley for the excellent data in their Human Progress article on The Simon Abundance Index 2022.

    Dr Damon Ashworth

    Clinical Psychologist

  • Why Do We Not Celebrate the Positives?

    Why Do We Not Celebrate the Positives?

    Recently, an article released in The Age newspaper was titled “Dip in thefts, drugs and family violence but police say drop in crime may not last”.

    In 2021, the number of recorded offences in Victoria, Australia, dropped by 12.6% over the previous year. As a result, the police recorded 70,000 fewer offences. It was the lowest rate of offending (per person) that has been seen in the state since 2012.

    The crime rates in Victoria may be lower than ever, but I am not too sure because the data at crimestatistics.vic.gov.au only goes back to 2012 when I look. Less property and deception offences. Fewer drug offences and family violence incidents.

    Indeed, this is a cause for celebration?

    Not so fast, the experts in the article say, given that “Victoria was in periods of restriction for significant periods of last year”.

    Victoria Police’s Deputy Commissioner also seems to think that “it is likely that overall crime will increase as the community returns to normal”, but it’s not like the 154 days of lockdown in 2020 resulted in less crime than the 113 days locked down in 2021.

    2020 nearly beat out 2016 for the most criminal offences recorded in a year, even though the lockdowns lasted 41 more days than in 2021.

    If the lockdowns were responsible for the reduced crime in 2021, wouldn’t more crime be committed in 2017, 2018 or 2019 than in 2020?

    I guess only time will tell. But maybe it is a good sign that a person in Victoria in 2021 was less likely to be the victim of a criminal offence than in any other year since 2012?

    Why don’t we celebrate the positives when they occur?

    I see it in my friends on social media and the patients I see in my consulting rooms. So many people think that everything is getting worse, and some even believe that the world might be ending.

    Yes, the situation in Ukraine is scary. There also remains inequalities against people based on class, gender, nationality, sexual identity, ethnicity, age and disability. However, progress has occurred in many of these areas.

    Despite this, in 2016, 65% of the US thought the world was getting worse, and only 6% believed it was getting better. In 17 other surveyed countries, 58% thought the world was either getting worse or staying the same.

    People used to worry that overpopulation would lead to poverty and famine everywhere. However, even though our worldwide population is 8 billion now, the poverty rates have declined from 42% in 1981 to 8.6%. In addition, since 1900, our life expectancy has more than doubled, and obesity now impacts more people worldwide than hunger.

    Yes, COVID-19 has been a challenge for many people and continues to be a challenge for many more. However, despite the pandemic, the economies in certain countries, including Bangladesh, Ghana, and China, became more prosperous in 2021 than in 2019.

    Just because progress occurs, it “does not mean that everything gets better for everyone, everywhere, all the time”, Steven Pinker says. “That would be a miracle.” But unfortunately, while we are progressing in general and heading in the right direction, it is not a miracle. Things continue to be imperfect and always will be.

    For more amazing facts about how things have improved and continue to improve, please check out books like ‘The Rational Optimist’ by Matt Ridley, ‘Factfulness’ by Hans Rosling, ‘Enlightenment Now’ by Steven Pinker, or any others like them.

    For a more positive outlook on humans, please check out the excellent book ‘Humankind: A Hopeful History’ by Rutger Bregman. I also really like websites such as humanprogress.org. They highlight the positive stories worldwide that don’t get as much celebration in the news as they deserve.

  • Would You Prefer to Enjoy Your Life Now, or Wait Until You Are Retired?

    Would You Prefer to Enjoy Your Life Now, or Wait Until You Are Retired?

    Recently, my girlfriend has been sharing some videos of people who follow the FIRE principle with me.

    FIRE is an acronym that stands for Financial Independence, Retire Early.

    Some people describe FIRE as a financial movement involving frugality and extreme savings and investments. To do this, you work hard, save up to 70% of your annual income, and reinvest your savings into investments that will help you make even more. Eventually, you can retire early and use small amounts of money from your ongoing investments to live off.

    It’s not a bad idea in theory. Who wouldn’t like to not have to work and do the things they would like to do instead of what they have to do?

    I wonder how happy a life it would lead to in reality? The few videos I have seen show extremely driven couples working excessively for over ten years, spending very little money while they are doing this, and then retiring in their 40s.

    While they are sacrificing so much in the present, what are they missing? Fun activities, school events or holidays with their children while they are young? Socialising with their friends and extended family? Even having enough time or being willing to pay for things that help them look after their health? Including healthy eating, gym memberships, massage or spa treatments, or a fun day out to a concert or movie? If reaching FIRE as early as possible is the primary goal, then most of this stuff will be seen as unnecessary or against the plan you are trying to achieve.

    But who gets to the end of their life and looks back and thinks, “I should have worked longer and harder, especially when my children were young?”

    And then once you reach FIRE, is the life that you are going to live suitable to who you are and your essential values?

    In 2021, I had to take the first seven months off work while recovering from a severe health condition. Having no paid work to do each week or day was not as enjoyable or glamorous as other people may imagine.

    Especially if you are in your 30s or 40s, most of your friends will be busy with work and family. So it’s not like you will have heaps of buddies that you can hit the golf course with throughout the workweek unless most of your friends are in their late 60s or early 70s. 70 something was the typical age of people I went on long bike rides while I kept rehabilitating my health last year.

    Suppose a driven person is willing to sacrifice everything in the short-term for at least ten years to reach their FIRE goal. Will they be happy sitting around on a beach, doing nothing except relaxing and sipping Pina Colada’s every day?

    I doubt it. Maybe for the first week. But then what?

    So why do people do it?

    I think it’s because we get the dream sold to us. We get told that work is a nightmare that we couldn’t possibly enjoy. But we are also told that we should study hard at school to get into a good University or College. Then we can get a good degree. Then we can get a good job. Then we can work hard in this job until we have enough money to retire. And then we can FINALLY enjoy life.

    It reminds me of the story of the fisherman who is told by a Westerner on holiday in his coastal town that the fisherman needs to work harder to make more money. “But why?” asks the fisherman. “So that you can buy bigger boats and more of them!” says the Westerner. “But why?” says the fisherman. So that you can make more money and then retire after 20 or 30 years!” says the Westerner. “And then what?” asks the fisherman. “Well, then you can buy a boat and live by the beach and enjoy your life!” says the Westerner. “But that is what I already do,” replies the fisherman, as he shakes his head at the Westerner for having such silly thoughts.

    Maybe we can stop trying to wait for the pot of gold at the end of the rainbow and see if we can try to enjoy our lives now? We may not need to have an excessive amount of money to do this. And we don’t need to retire early and do nothing every day.

    Not all work is glamorous. And going to university and obtaining a good degree does lead to more considerable earning potential later in your career. Regardless of how much someone makes though, work does help provide a sense of purpose and structure for a lot of people.

    My Personal Experience

    Completing a Doctorate for me did enable me to work as a Clinical Psychologist. It is a job that I love but also one that I can find emotionally exhausting. Seeing seven or eight people a day, five days a week for individual therapy is not ideal even though it would be lucrative.

    After working as a Psychologist since September 2013, I’ve learned to do whatever is sustainable and enjoyable for me.

    Yes, I am volunteering in Port Vila, Vanuatu, as a Clinical Psychologist on the Australian Volunteer Program, funded by the Australian Government. I receive a stipend for this, or just enough money to get by here and pay for my accommodation and food and living expenses.

    I am receiving way less money than I could get working back in private practice in Melbourne, Australia. However, I am also working in a way that feels sustainable to me. I am six months into volunteering here on a full-time basis again, and I haven’t felt the need to take any holidays yet. Weekend trips to beautiful beaches now and then is sufficient for me.

    Even though I am working full-time hours each week, I am not wrecked when it gets to Friday at 5 pm. I am happy that it is the weekend and that I can do some fun things with my girlfriend, daughter, and friends. But I do not feel like I need to spend half the weekend by myself just recovering.

    I am also happy. Happy to be working. Delighted to be experiencing all of these things. Glad to be meeting all of the people that I do. And happy that I am doing something meaningful and hopefully making a difference in the lives of the people I see.

    No matter how hard I work, I do not get paid any extra, and I kind of like it that way. By choosing to volunteer, I highly doubt that I will be reaching FIRE anytime soon, or at all. 

    One of my favourite writers is the Psychiatrist Irving Yalom, and he was still seeing patients and writing a few hours on weekdays well into his 80s. Now that seems much more enjoyable and meaningful than retiring in my 40s.

    What does everyone else think?

  • How Do We Not Build Up More Regrets?

    How Do We Not Build Up More Regrets?

    Over the past five years, I have been trying to live my life in a way that will not accumulate more regrets.

    Most people tend to find change both problematic and scary. Sometimes, we remain stuck in a bad or unideal situation for too long because we fear what we could lose if we leave or change where we are.

    However, we also tend to regret things we don’t do much more than the changes we make. So even if something doesn’t work out exactly how you have planned, more times than not, you will be glad that you have taken a risk and given something new a chance.

    So, if you are in a difficult situation, including a bad relationship or a bad job, and are thinking about leaving but are also scared to do so, make sure that you make the comparison fair for yourself. First, compare what you might gain if you leave to what you might achieve if you stay. Then think about what you might lose if you go, but compare it to what you might lose if you stay.

    If you think about what you might lose versus what you might gain if you leave, prospect theory indicates that the potential losses will likely loom larger for you. The potential gains of you going won’t help you overcome your fears of leaving enough. You will be more likely to stay, even if the current situation is not ideal for you.

    Every decision we make has positives and negatives, so don’t forget about the negatives of maintaining the status quo or doing nothing if you are in a harmful or toxic situation.

    If you really want to leave but feel afraid, think about the positives of leaving plus the negatives of not making the change. In this way, both your approach system and your fear system will work together and push you in the same direction of making a change and running away from the current situation you are in.

    If you are still feeling indecisive, toss a coin. Then let the coin be responsible for the action you take. It might just help you to make the change that deep down you know you want to take.

    The Positives of Making a Change

    Steven Levitt from Freakonomics fame asked people over a year to flip a virtual coin if they were on the fence about something. If the coin landed on heads, the website told them to go ahead and make a change. However, if the coin landed on tails, they were instructed to keep the status quo.

    From more than 20,000 coin tosses, the most common life dilemma that people flipped a coin about was whether or not to quit their jobs. A large percentage of people were also indecisive about whether or not to break up their intimate partners. The website asked a series of questions first to help people arrive at a decision. If these questions didn’t help, the website instructed visitors to flip a coin.

    Levitt contacted each person who flipped a coin via email two months and six months after the coin toss. Those who did make a significant change in their lives reported being happier two months later than those who maintained the status quo. Their happiness was even higher six months after their decision. The results were similar regardless of whether or not they followed the coin toss instructions if it landed on heads and made the change or went against it if it landed on tails and made the change anyway.

    Levitt concluded that “people are too cautious when it comes to making a change” and probably should take action if they are uncertain about whether or not to.

    How Do I Not Regret Things?

    For me, preventing the accumulation of regrets is about trying to live my life in a way that is consistent with the life that I want—or trying to be the person I would like to be in every situation.

    Getting to this point requires a decent amount of self-awareness and self-knowledge of who I am, what I care about, and what I want.

    I’ve completed many personality tests, identified my main defence mechanisms and lifetraps, seen how my character strengths and values have changed over time and become aware of my virtues and faults.

    Now that I am aware of these things, it is easier to determine what I would like. In addition, completing the future authoring program has also helped help me to clarify what I really would like in the future.

    Some of the questions that they asked me were as follows:

    What is One Thing You Could Do Better?

    Tune in instead of tuning out. Listen to my body and mind and become more aware of what I feel and what I need.

    What Things Do You Want to Learn About?

    I want to learn more about running a successful business and private psychology practice.

    Which Habits Would You Like to Improve?

    I want to stay on top of all my responsibilities at work. I want to connect more with friends and family and ask them for help rather than doing everything myself. I want to remain a non-drinker of alcohol and continue learning new things, going on adventures, exercising, trying to eat healthily, taking my medication, and looking after my health.

    What Type of Social Life do You Want in the Future?

    I want to maintain connections with the essential people in my life, including my parents, siblings, host family, partner, daughter, family, and friends.

    What Leisure Activity Do You Want to Do in the Future?

    I want my leisure to be about being active, lifting weights, cooking well, learning new skills, being creative and socialising with those I love.

    How Do You Want Your Family Life in the Future?

    I want to be connected with them all, even if we are in different countries, share the good things and get support if needed. I also want to try to be there for as many big moments as possible and visit them when I can. Prioritise my partner and family here in Vanuatu and be consistent, reliable, supportive, loving, and caring.

    What Type of Career Do do You Want in the Future?

    I want to have a thriving private practice as a clinical psychologist. Run both groups and individual sessions and positively impact the community. I would also like to live a sustainable lifestyle where I enjoy my work and remain healthy, with enough time for leisure, relationships and personal growth.

    What Qualities Do You Admire?

    I want to deliberately and continually learn and improve. I want to be grateful, efficient, effective and courageous. I want to reflect on my mistakes, learn from my experiences, and gain wisdom over time. I want to be fully present, kind and compassionate to myself and others.

    What Does an Ideal Future Look Like to You?

    I want to be the best me that I can be. I want to help as many people as I can. I want to end up in a place where I feel satisfied and valuable and where I belong. I want to feel like my life is worthwhile and a net positive on the world. 

    I hope to save up enough money, live in Vanuatu, build a comfortable home and have a good life with my partner and her daughter. I want to make a real difference to the country’s mental health and share with people worldwide all of the knowledge and skills they need to improve their sleep and mental health.

    What is a Future that You Want to Avoid?

    I don’t want to be a drunk, obese, unemployed loner. I don’t want to fail to meet my obligations or stop striving to achieve my goals. I don’t want to be a bad influence on my partner or children or any clients that I see. I don’t want to end up in jail, commit any crimes or deliberately hurt others. I don’t like to be prideful and not apologise or make amends when I err. I also don’t want to disappoint my friends and family or be considered selfish, unkind, or shit.

    Ending the post by talking about the life that I do not want may seem negative, but remember that losses loom larger than gains. By writing down the life I want to avoid, I become motivated to run away from this, make the changes I need to achieve the life I want and not keep building up regrets as I go. 

    Dr Damon Ashworth

    Clinical Psychologist

  • Can You Improve Your Gratitude?

    Can You Improve Your Gratitude?

    Out of the 24 possible character strengths in the VIA Character Strengths Survey, only five are strongly associated with satisfaction with life. People with hope, zest, gratitude, curiosity and the ability to love and be loved as their top strengths seem to have higher life satisfaction.

    Gratitude has never been a strength of mine. Every time I have taken the survey since 2012, hope, zest, and gratitude have never even been in my top 10 strengths. In fact, only curiosity has been a top-five strength, coming in at #3 in 2017 and #2 in 2018.

    But then something happened.

    I’ve already written about the details, but I suffered a stroke on January 2nd, 2021, was misdiagnosed three times, nearly died, had emergency brain surgery, and spent over a week in a coma. I was then in a hospital for over a month and spent the next six months doing regular outpatient rehab.

    It is now over a year later. Apart from some minor balance and coordination difficulties, everything else is how it was. I’m back to working as a Clinical Psychologist and, in general, enjoying my life.

    Last week, I went through different personality assessments with a colleague and re-took four tests to show them what the results would look like.

    On the VIA Character Strengths Survey, my #1 strength was gratitude. I was shocked initially, but upon further reflection, I really do feel lucky to be alive and be able to think clearly and interact with those that I care about.

    The flap in my artery that contributed to my stroke is still there. So I could have another blood clot and stroke again in the future. Looking after myself and taking regular medication lowers my risk of recurrence, but nothing is guaranteed, and I don’t want to take anything for granted. So I want to appreciate everything I can. My friends and family. Where I live. The work I get to do. As many moments that I am alive as I can.

    Life may not always be easy, but at this stage, I’d much rather experience the ups and downs and joys and sorrows than no longer be here.

    I haven’t always felt this way. For a long time growing up, I would have been glad if a stroke took away my life prematurely. But it is interesting how nearly losing your life can make you appreciate what you have more.

    The Psychiatrist and Author Irving Yalom found something similar when he worked with a group of patients with terminal breast cancer. Many even said that it was a pity that it took until they were nearly dead to start living fully. Yalom concluded that even though death is the end of us, reminding ourselves that we will one day die can enervate and energise us.

    Apart from having a near-death experience or reflecting on our inevitable death one day (practising memento mori), there are several things that you can do to improve your level of gratitude.

    The two that I have most commonly heard of and tried myself are the What Went Well exercise and the Gratitude Visit.

    What Went Well?

    For the What Went Well exercise, the aim is to get into a daily habit of noticing the positive things that happen in your life. You could start a specific gratitude journal or include What Went Well in your usual journal. I have been using the Stoic app on my phone and having this question as one of the prompts in my daily writing exercise.

    Whatever you choose to write in, take a few minutes each day to think about three things that went well during the day. It might be something that you appreciated, felt good about, or were grateful for. Ideally, this could be different things on different days, but it is okay to also say similar things to another day if you want to. For example, I kept writing down gratitude for my health, being alive, my partner, and her daughter. I’m also thankful for my family, friends, cognitive faculties, reading, walking, and enjoying nature or a nice meal. It can be whatever you want it to be.

    The Gratitude Visit

    The Gratitude Visit takes more time than the What Went Well exercise and cannot be done as often. However, even one of these visits can have a lasting impact on how you feel. Firstly, try to think of someone who has had a positive impact on your life, but you maybe have never told them just how grateful you are for the things they have done or the influence they have had in your life.

    Then, write them a letter, fully explaining the positive influence on you, and how much you appreciate them and are grateful for the things they have done.

    If the international borders were open, I would want to fly back to Australia and thank my family for their assistance following my stroke. Unfortunately, this isn’t possible because of the COVID-19 pandemic, but I want to do it the next time I get back to Melbourne.

    If you can meet up with the person you have written the letter to, please contact them and catch up together on a particular date and time. Then, when you are in person, find an appropriate place where you can read the letter to them aloud, take your time reading it to them, and allow them to respond back to you afterwards. Give each other a hug if this feels appropriate. Then be thankful that you have taken this step, try to be as fully present as possible, and enjoy the rest of your time together.

    Other Gratitude Exercises

    By browsing the Internet, there are several different gratitude exercises that you can find that I haven’t tried yet.

    You could try the Give It Up practise and deprive yourself of something you usually enjoy for one week every month. It might be chocolate one month, red wine the next month, Facebook the third month, and Playstation the month after that. By seeing how you feel with and without these activities, you might realise more about what does and doesn’t make you feel good and not take the little things in your life for granted as much.

    You could take a Savouring Walk for 20 minutes a day outside by yourself and see if you can notice different positive things that you usually do not. It might just be the intricate architecture of the building at the corner, or the smell of flowers or fresh cut grass, or the feeling of warm sun on your skin. Then see how this compares to the walks you do when you are rushing from place to place or caught up in your negative thoughts or worries.

    You could Create Savouring Rituals, where you identify activities that bring you pleasure. Then, try to savour two of these activities every day, and allow yourself to enjoy it, not multitask, and feel whatever you do during these times.

    You can also create an Awe Diary, Foster Admiration with your partner or another willing person, or try the Mental Subtraction of Positive Events or Mental Subtraction of Relationships. The Positive Psychology website is an excellent resource for more details about these exercises or the myriad benefits of gratitude.

    If you find any of them helpful in increasing how much gratitude you experience, please let me know.

    Dr Damon Ashworth

    Clinical Psychologist

  • Is Vanuatu the Happiest Country in the World?

    Is Vanuatu the Happiest Country in the World?

    The latest Happy Planet Index puts Vanuatu second in the world in terms of sustainable well-being. To determine a country’s score on the Happy Planet Index, they look at a country’s well-being, multiplied by their life expectancy and then divided by their ecological footprint.

    The only country with a better Happy Planet Index score is Costa Rica, with 62.1. Vanuatu is second with a score of 60.4, followed by Colombia (60.2), Switzerland (60.1) and Ecuador (58.8).

    Although the Happy Planet Index helps to highlight the importance of living sustainably and trying to slow down climate change, is the sustainable happiness score the same as people’s overall satisfaction with their lives?

    Not really. The well-being indicator is probably more indicative. To assess well-being, people in each country are asked to rate the quality of their lives overall on a scale from 0 (horrible) to 10 (the best life you could ever imagine).

    The majority of the well-being data is taken from the Gallup World Poll, but Vanuatu is not usually included in this Poll. Therefore, the Happy Planet Index gives us an excellent chance to compare Vanuatu to the rest of the world regarding how satisfied their residents are with their lives compared to residents of other countries.

    Here are the top 20 countries:

    1. Finland = 7.84 (out of 10)
    2. Denmark = 7.62
    3. Switzerland = 7.57
    4. Iceland = 7.55
    5. Netherlands = 7.46
    6. Norway = 7.39
    7. Sweden = 7.36
    8. Luxembourg = 7.32
    9. New Zealand = 7.28
    10. Austria = 7.27
    11. Australia = 7.18
    12. Israel = 7.16
    13. Germany = 7.16
    14. Canada = 7.10
    15. Ireland = 7.09
    16. Costa Rica = 7.07
    17. United Kingdom = 7.06
    18. Czech Republic = 6.97
    19. Vanuatu = 6.96
    20. United States = 6.95

    Vanuatu isn’t the happiest country on the planet, but the residents of Vanuatu are, on average, quite satisfied with their lives. However, the loss of tourism with the COVID-19 pandemic and the international border closures have made it financially challenging for many people. The capital city of Port Vila can also be quite expensive to live in.

    Many young people are also travelling to Australia and New Zealand to work on farms and make as much money as possible. This leads to better financial opportunities for them, their families and communities. However, it also puts pressure on their partners, families and communities left behind while the young people work overseas for months and sometimes years.

    The big positives in Vanuatu seem to be the connection that people have to their country, island, land and community. There are close-knit kinship and family ties and minimal large-scale conflict and political unrest.

    Vanuatu is also a beautiful country with an exceptional natural environment and many people that want to preserve these resources as much as possible. For example, Vanuatu was one of the first countries to ban plastic drinking straws and plastic bags.

    Work is also not an overly important aspect of many people’s lives. Following a death, people grieve with their family and friends and don’t rush back into their daily activities. Vanuatu also allows for up to 21 sick days per year, more public holidays than pretty much any country in the world, and 21 annual leave days a year too.

    Based on the 2021 World Happiness Report, Finland once again wins the happiest country on the planet. Vanuatu is not the happiest country globally, but it is in the top 20 in the world. It is also a more joyful place than the USA, France, and many other countries around the globe.

    By looking at surveys such as the Happy Planet Index or the World Values Survey, it is possible to see which places may be the best fit for you. If you really care about the environment and climate change, Costa Rica and Vanuatu will be right up there for you.

    An excellent work-life balance, close connections with the important people in my life, not too much stress, lots of relaxation, beautiful natural resources and a population that feels like they are living a pretty good life are essential to me.

    Dr Damon Ashworth

    Clinical Psychologist