Tag: Depression

  • Part Four of My Top 100 Non Fiction Books Countdown: 70-61

    Part Four of My Top 100 Non Fiction Books Countdown: 70-61

    Here are the next ten books in my top 100 non-fiction books countdown. I have read all of these over the last nine years.

    These ten titles cover a wide range of topics. Including creativity and flow, effortless achievement, system optimisation and authentic confidence. They also cover identity and healing, longevity and resilience, and prediction and human potential.

    Feel free to check out the prior parts of the countdown first if you haven’t yet: 100-91, 90-81, and 80-71.

    Here’s 70 to 61.

    70. The Creative Act: A Way of Being by Rick Rubin

    Goodreads.com star rating = 4.01/5

    Legendary music producer Rick Rubin presents creativity as a way of being, not just making art. He emphasises organic, non-linear creative processes that need patience, trust, and surrender to uncertainty rather than forcing outcomes.

    What makes it special: It treats creativity as accessible to everyone. The focus is on mindset and presence over technical skills. It incorporates wisdom from decades of working with top artists.

    Perfect for: Artists, musicians, creatives of all kinds, anyone feeling blocked, and people interested in mindfulness and personal growth.

    Key takeaway: Creativity is not a talent reserved for artists. It is a natural way of being accessible to everyone. It emerges organically when you approach life with openness, presence, and trust in the process. Do not force outcomes or seek external validation.

    69. Effortless: Make It Easier to Do What Matters Most by Greg McKeown

    Goodreads.com star rating = 4.04/5

    McKeown shows how to make success feel natural and sustainable by working smarter, not harder. He advocates for simplifying complex tasks, building routines that need less willpower, and aligning work with natural energy rhythms.

    What makes it special: It challenges the “hard work equals success” myth. The book offers practical strategies. These strategies reduce friction and psychological burden while achieving better results.

    Perfect for: Busy professionals, perfectionists, overachievers, and anyone struggling with motivation or seeking work-life balance.

    Key takeaway: “Effortless” doesn’t mean lazy or without any work at all. Instead, it’s about being strategic in how you apply your energy so you can sustain high performance without burning out. Stop glorifying struggle and instead ask: “What if this could be easy?” This mindset shift helps you find simpler, more sustainable ways to achieve what truly matters.

    68. The Checklist Manifesto: How to Get Things Right by Atul Gawande

    Goodreads.com star rating = 4.04/5

    Gawande reveals how simple checklists dramatically improve performance in complex, high-stakes situations. From operating rooms to cockpits, he shows how checklists manage cognitive load and prevent critical errors.

    What makes it special: This demonstrates how basic tools can profoundly impact safety and quality. It includes compelling real-world examples from medicine and aviation.

    Perfect for: Healthcare professionals, managers, project teams, entrepreneurs, and anyone in high-stakes fields where mistakes have serious consequences.

    Key takeaway: Using checklists can dramatically reduce errors and improve performance, even among highly skilled professionals dealing with complex tasks. In our complex world, we need to embrace tools that help us manage complexity. We can’t pretend to handle everything through individual brilliance alone. Checklists represent a simple but powerful way to improve reliability and save lives across many fields.

    67. The Confidence Gap: From Fear to Freedom by Russ Harris

    Goodreads star rating = 4.05/5

    Harris argues that real confidence comes from taking action despite fear, not from feeling fearless. Using acceptance and commitment therapy principles, he shows how to build confidence through values-driven action and self-compassion.

    What makes it special: It reframes confidence as a skill you can develop rather than a fixed trait. It emphasises mindfulness and acceptance and commitment therapy (ACT) skills for helping people to become more confident in their lives.

    Perfect for: People who avoid action due to fear, professionals with imposter syndrome, and anyone dealing with anxiety or perfectionism.

    Key takeaway: Waiting to feel confident before taking action is a trap. This trap prevents us from living the life we want. Stop waiting for confidence to show up and start taking small, values-driven actions. Confidence often follows action, not the other way around.

    66. The Velvet Rage: Overcoming the Pain of Growing Up Gay in a Straight Man’s World by Alan Downs

    Goodreads.com star rating = 4.06/5

    Downs explores the hidden shame many gay men carry from growing up in a hetero-normative world. This shame drives compensatory behaviours like perfectionism and achievement-seeking. He offers a path toward authentic self-acceptance.

    What makes it special: It offers an honest, compassionate examination of internalised shame and its effects. It also provides practical guidance for healing and building genuine self-worth.

    Perfect for: Gay men struggling with shame. Mental health professionals and LGBTQIA+ allies will find it beneficial. It’s also suitable for anyone on a journey of personal growth and authenticity.

    Key takeaway: Many gay men experience a deep psychological wound. It is often hidden. This wound comes from growing up in a hetero-normative society. The society teaches them that their authentic selves are unacceptable. This leads to lifelong patterns of shame, perfectionism, and emotional numbing. Healing requires recognising these patterns. It involves understanding their origins. The process includes doing the difficult work of building genuine self-acceptance. This is instead of continuing to seek validation through external achievements or approval from others.

    65. The Identity Trap: A Story of Ideas and Power in Our Time by Yascha Mounk

    Goodreads.com star rating = 4.06/5

    Mounk examines how politics has shifted from class-based to identity-based divisions. He explores the paradox between celebrating individualism and grouping people into fixed identity categories. He argues for balancing identity affirmation with social cohesion.

    What makes it special: Thoughtful analysis of contemporary political and social dynamics. It avoids partisan talking points. It addresses real challenges of identity politics.

    Perfect for: Students of politics and sociology, policymakers, activists, journalists, and general readers curious about culture wars and social fragmentation.

    Key takeaway: Well-intentioned identity-focused approaches to social justice have become counterproductive. They create political and personal traps. These traps ultimately undermine the goal of achieving equality and justice. The path to justice lies not in abandoning liberal democratic principles. It lies in more fully realising them. We should keep free speech, individual dignity, and cross-cultural exchange.

    64. Waking the Tiger: Healing Trauma by Peter A. Levine and Ann Frederick

    Goodreads.com star rating = 4.07/5

    Levine presents trauma as trapped energy in the body rather than just a mental condition. He shows how somatic approaches can help finish interrupted fight, flight, or freeze responses, allowing natural healing to occur.

    What makes it special: This approach to trauma healing is revolutionary. It engages the body’s wisdom. It offers hope for those whom traditional talk therapy hasn’t fully helped.

    Perfect for: Trauma survivors and therapists. It also suits people who do bodywork. Anyone interested in the mind-body connection could find it useful.

    Key takeaway: Trauma is fundamentally a physiological disorder, not just a psychological one. Healing occurs through the body’s natural ability to finish its interrupted stress response rather than through talking therapy alone. Healing trauma requires working with the body’s wisdom. It is important to complete the natural stress cycle, which Levine says was interrupted during the original traumatic event.

    63. The Blue Zones: Lessons for Living Longer From the People Who’ve Lived the Longest by Dan Buettner

    Goodreads.com star rating = 4.07/5

    Buettner identifies regions where people live exceptionally long, healthy lives. He reveals their common practices, including natural movement and a sense of purpose. Other practices are stress management and plant-based diets. They also include moderate alcohol consumption, strong communities, family priority, and spiritual engagement.

    What makes it special: Evidence-based longevity secrets from real-world populations, offering practical lifestyle guidance backed by demographic research.

    Perfect for: Health enthusiasts, caregivers, families, community leaders, public health professionals, and anyone interested in ageing well.

    Key takeaway: The world’s longest-lived populations share specific lifestyle patterns. Anyone can adopt these patterns to increase their lifespan. These habits can also improve their quality of life. Longevity isn’t primarily about genetics. Genetics accounts for only about 20% of lifespan. It’s about creating an environment and lifestyle that naturally promotes health and longevity.

    62. Superforecasting: The Art and Science of Prediction by Phillip E. Tetlock and Dan Gardner

    Goodreads.com star rating = 4.08/5

    Tetlock reveals what makes some people exceptionally good at predicting future events. Superforecasters are curious, open-minded, think in probabilities, regularly update their views, and break complex problems into manageable parts.

    What makes it special: It shows that forecasting is a learnable skill. It is not an innate talent. The book offers practical techniques for improving prediction accuracy in any field.

    Perfect for: Strategy professionals, data scientists, critical thinkers, teams making decisions under uncertainty, and students of psychology or economics.

    Key takeaway: Some people are remarkably better at predicting future events than others. These superforecasters use specific thinking techniques. These techniques can be learned and applied by anyone to make better predictions and decisions. In an uncertain world, we can still make significantly better predictions by adopting the disciplined thinking habits of superforecasters.

    61. What Doesn’t Kill Us: How Freezing Water, Extreme Altitude, and Environmental Conditioning Will Renew Our Lost Evolutionary Strength by Scott Carney

    Goodreads.com star rating = 4.09/5

    Carney explores how modern comfort has weakened our evolutionary resilience and how we can reclaim ancient abilities through environmental conditioning. He investigates cold exposure, breathwork, and extreme challenges that build physiological and mental strength.

    What makes it special: This is a science-backed exploration of human potential. It challenges assumptions about our physical and mental limits. It includes practical applications for building resilience.

    Perfect for: Biohackers, health optimisers, adventure seekers, wellness practitioners, and fans of self-experimentation backed by research.

    Key takeaway: Modern humans have become dangerously disconnected from environmental stressors. Our bodies evolved to handle these stressors. Deliberately reintroducing controlled stressors, particularly cold exposure, can dramatically improve our health, resilience, and performance. Avoiding all stress and discomfort doesn’t make us healthier – it makes us fragile.

    Stay tuned for books 60-51 next week…

    Dr Damon Ashworth

    Clinical Psychologist

  • Must-Read Non-Fiction for Personal Growth: 100-91

    Must-Read Non-Fiction for Personal Growth: 100-91

    Ever since I first began working as a Clinical Psychologist, I regularly get asked a question. People often inquire whether there are any non-fiction or psychology books that I would recommend.

    Sometimes a book recommendation can go really well. The client is ready to make a certain change but feels stuck in some way. The book connects with them. It helps them make the changes they want in their lives.

    Other times, for many reasons, the book, its message, or its author, doesn’t connect well with the client. They won’t read it all, or it can be demotivating rather than inspiring or energising.

    Back in 2016, I began creating a summary of my top 40 psychology book recommendations. I am amazed at how often I have referred people to this list. It can really help to build upon the ideas and skills we have discussed in therapy.

    Nearly ten years later, I would love to share more recommendations of non-fiction books I have been reading. I haven’t agreed with everything written, but each one has affected me in some way.

    Like last time, I will only include books that I have read personally. I won’t include more than one title in this countdown from the same author. But I include some books that I have written about it other posts. To avoid personal bias in the rankings, I will rank them from lowest to highest from their Goodreads.com star rating.

    Here is part one of my countdown: books #100 to #91…

    100. Nerve: Adventures in the Science of Fear by Eva Holland

    Goodreads.com star rating = 3.54/5

    Eva Holland combines memoir with cutting-edge neuroscience to explore fear from every angle. After her mother’s sudden death, Holland embarks on a journey. A near-fatal climbing accident then pushes her further to understand and conquer her fears. She faces her fear of heights through exposure exercises and trying experimental treatments, like Propranolol.

    What makes it special: Holland doesn’t just research fear; she lives it. Her vulnerable storytelling makes complex neuroscience accessible while offering real hope through treatments like EMDR and exposure therapy.

    Perfect for: Anyone struggling with anxiety, phobias, or trauma. Adventure enthusiasts and those processing grief may find that it resonates with them too.

    Key takeaway: By combining scientific understanding of fear’s mechanisms with personal courage, we can transform our relationship with fear. Various therapeutic approaches can aid this transformation from paralysis to empowerment. Rather than being ruled by our fears, we can learn to work with them more skillfully.

    99. The Devil You Knew: The myths around depression, and Why Your Best Days are Ahead of You by Prof. Ian Hickey

    Goodreads.com star rating = 3.59/5

    Professor Ian Hickie, with his 35 years of clinical experience, takes on the myths surrounding depression. He challenges misconceptions about antidepressants, childhood trauma, and treatment options. He also offers guidance through the mental health care system.

    What makes it special: Hickie combines compassionate guidance with the latest scientific findings. The book offers hope without sugar-coating the reality of depression.

    Perfect for: People living with depression and their loved ones. Mental health professionals could also gain from checking it out. Essentially, anyone seeking clear, myth-busting information about depression and mental health.

    Key takeaway: Understand depression’s true nature. Recognise that recovery paths are highly individual. If you struggle with depression, it can feel like you’re stuck in a maze. However, it is possible to find a way out and reclaim a fulfilling life.

    98. The Happiness Curve: Why Life Gets Better After 50 by Jonathan Rauch

    Goodreads.com star rating = 3.64/5

    The midlife crisis stereotype that we often see depicted in stories has some basis to it. However, this does not mean it is a personal failing or that we need to leave our marriage or buy a convertible.

    Rauch reveals the U-shaped happiness curve. The data shows that life satisfaction naturally dips in midlife before climbing again. This pattern appears across nearly all cultures. Happiness tends to be high when we are young and in our late teens and early 20s. It then starts to decline until it is at its lowest point between 45 and 49. It then starts to rise again until our highest average reported well-being at age 75.

    What makes it special: Midlife dissatisfaction is a normal transition that the average person goes through. Other people’s experiences show that your later years probably won’t feel as bad as you imagine. In fact, 75-year-olds are often happier than the rest of us.

    Perfect for: Anyone in their 40’s feeling stuck. It is also great for young people worried about getting older. I’d recommend it to anyone curious about how happiness changes over time.

    Key takeaway: if you’re experiencing unhappiness in midlife, you’re not broken or having a crisis. You’re experiencing a normal, biologically-driven process. This will naturally improve as you age. You will develop different priorities focused more on meaning, relationships, and gratitude than on achievement and competition.

    97. Everything is F*cked: A Book About Hope by Mark Manson

    Goodreads.com star rating = 3.68/5

    Manson’s follow-up to his mega-hit delivers more blunt wisdom about hope, meaning, and living well in a chaotic world. He explores why we feel anxious despite unprecedented comfort and how to find strength in accepting life’s limits.

    What makes it special: Dark humour meets philosophy in a book. It disrupts traditional self-help with raw honesty. The book also fosters intellectual curiosity.

    Perfect for: Fans of contrarian thinking, anyone facing existential anxiety, or those who appreciate humour with their philosophy.

    Key takeaway: The central message is that meaning and hope aren’t given to us by the world. We must actively construct them through our choices, values, and how we interpret our experiences.

    96. Win Bigly: Persuasion in a World Where Facts Don’t Matter by Scott Adams

    Goodreads.com star rating = 3.73/5

    The Dilbert creator applies his knowledge about the topic of persuasion to explain why emotional appeal often trumps facts. Using Trump’s rise as a case study, Adams breaks down the psychology of influence and communication.

    What makes it special: Whether you agree with the politics or not, Adams provides fascinating insights. He explains how persuasion truly operates in high-stakes situations.

    Perfect for: Marketers, salespeople, political junkies, and anyone curious about influence and communication strategies.

    Key takeaway: Persuasion is less about logical arguments and more about understanding human psychology, emotional triggers, and cognitive biases. Adams argues that mastering these techniques can help you become more influential. It also makes you more resistant to manipulation by others.

    95. The Marshmallow Test: Mastering Self-Control by Walter Mischel

    Goodreads.com star rating = 3.73/5

    The scientist behind the famous marshmallow experiment reveals that self-control isn’t fixed—it’s a learnable skill. Mischel shows how delayed gratification affects everything from financial planning to relationships.

    What makes it special: It offers hope by proving willpower can be developed, plus practical “cooling strategies” for managing temptation.

    Perfect for: Parents, educators, therapists, and anyone wanting to improve their self-discipline and decision-making.

    Key takeaway: Self-control is not a fixed trait. It is a skill that can be learned and strengthened. This occurs through specific strategies and practice.

    94. I Hate You– Don’t Leave Me: Understanding the Borderline Personality by Jerold J. Kreisman and Hal Straus

    Goodreads.com star rating = 3.79/5

    This groundbreaking book brought Borderline Personality Disorder into mainstream awareness. It explains the intense emotional swings and relationship patterns that characterize Borderline Personality Disorder (BPD) with compassion and clarity.

    What makes it special: It validates chaotic emotions while offering hope through modern treatments like Dialectical Behavior Therapy.

    Perfect for: Loved ones of someone with BPD, people recognising BPD traits in themselves, and mental health professionals.

    Key takeaway: People with BPD can develop more stable relationships. They can better regulate their emotions. They can be more mindful. They can also calm their distress. There may be ongoing challenges. However, people with BPD can enhance their quality of life with better understanding, effective treatment, and support. .

    93. iGen: Why Today’s Super-Connected Kids Are Growing Up Less Rebellious, More Tolerant, Less Happy — and Completely Unprepared for Adulthood — and What That Means for the Rest of Us by Jean M. Twenge

    Goodreads.com star rating = 3.79/5

    Twenge uses massive datasets to show how smartphones and social media have fundamentally changed the generation born after 1995. She reveals both the positives (more tolerant, less risky behavior) and negatives (rising anxiety and depression).

    What makes it special: It provides data-driven insights into a generational shift that affects millions of young people. Decades of research supports Twenge’s claims.

    Perfect for: Parents of teens, educators, therapists working with youth, and anyone curious about how technology shapes human behaviour.

    Key takeaway: The smartphone revolution has fundamentally altered adolescent development. It has created the first generation to mature entirely in a digital environment. There are profound consequences for their mental health, social development, and preparation for adult life.

    92. The Mindful Body: Thinking Our Way to Chronic Health by Ellen Langer

    Goodreads.com star rating = 3.80/5

    Harvard psychologist Ellen Langer argues that our beliefs and mindset significantly shape our physical health. This isn’t mystical thinking—it’s grounded research on how expectations influence everything from blood sugar to aging.

    What makes it special: Secular, scientific approach to mind-body health that challenges “diagnosis as destiny” thinking without making false promises.

    Perfect for: People with chronic illness, healthcare professionals, and anyone curious about the psychology of healing and growing older.

    Key takeaway: our health is not predetermined by genetics or age alone. It can be significantly influenced by how we think about our bodies and health. We can improve our physical well-being through mental shifts. This is possible by adopting mindful awareness. We should also question limiting beliefs about illness and old age.

    91. Don’t Trust Your Gut: Using Data to Get What You Really Want in Life by Seth Stevens-Davidowitz

    Goodsreads.com star rating = 3.80/5

    Stevens-Davidowitz uses data from Google searches, dating sites, and health trackers. He reveals that our instincts about happiness, success, and love are often wrong. The data tells a different story about what actually works.

    What makes it special: Clever insights backed by massive datasets, delivered with humour and humility. It’s the antidote to feel-good self-help myths.

    Perfect for: Data enthusiasts, self-help sceptics, and anyone making big life decisions who wants evidence over gut feelings.

    Key takeaway: Our intuitions about what will make us happy, successful, and fulfilled are often wrong. By looking at large-scale data patterns, we can make better decisions about relationships, careers, and parenting. This approach could enhance overall life satisfaction more than relying on gut feelings or conventional wisdom.

    Would you be interested in checking out any of these books? Stay tuned for the rest of the countdown. Another 10 books in the countdown will be released each week.

    Dr Damon Ashworth

    Clinical Psychologist

  • How Can We Effectively Manage Guilt and Shame?

    How Can We Effectively Manage Guilt and Shame?

    What are shame and guilt?

    Neuropsychologist Dr Harvey Jones and I discuss shame and guilt and how to manage these tough emotions in our latest podcast.

    The fascinating and comprehensive book ‘Shame and Guilt’ by June Tangney and Ronda Dearing describe shame and guilt as universal human emotions that are functionally important at both an individual and a relationship level.

    Features shared by shame and guilt (Tangney & Dearing, 2002):

    Shame and guilt are both very private and personal emotions. They are predominantly internal experiences that are more difficult to observe or measure than other universal emotions, such as anger, sadness or joy.

    Yet, they are also social emotions, in that these emotions develop during interpersonal interactions with our family and those closest to us.

    Both shame and guilt can be classed as “moral” emotions in that our experience of them can hopefully propel us to act more morally.

    They are both closely linked with how we see ourselves about others. They continue to profoundly influence our behaviour in interpersonal situations throughout our lives, especially in contexts involving perceived transgressions, mistakes or moral failures.

    Shame and guilt both involve becoming self-conscious following a personal transgression and evaluating our behaviour about our perceived self, familial and societal norms. Based on this evaluation and what we internally attribute the violation to, we judge our behaviour and potentially internal sanctions towards ourselves if we deem the behaviour morally or socially unacceptable.

    Although Philosophers and Psychoanalysts have been theorising about shame and guilt for over a century, it is only really since the late 1980s that Psychologists have begun to systematically research and examine the nature of shame and guilt and the implications that these emotions and experiences have. Unfortunately, as well as being difficult to observe directly, many people tend not to have a clear understanding of the differences between shame and guilt.

    Features where shame and guilt differ (Tangney & Dearing, 2002):

    Focus of evaluation

    • With shame, the focus of the evaluation is on the global self (e.g., “I am horrible!”)
    • With guilt, the focus of the evaluation is on the specific behaviour (e.g., “What I did was horrible!”)

    Degree of distress

    • With shame, the degree of distress is generally much higher than with guilt, with more significant pain.
    • With guilt, the degree of distress is generally much lower than with shame, with less pain.

    Phenomenological experience

    • With shame, people tend to shrink and feel worthless, powerless and small
    • With guilt, people tend to feel tense, remorseful, and regretful

    Operation of “self.”

    • With shame, the self becomes split into an “observing self” and an “observer self.”
    • With guilt, a unified self remains intact

    Impact on “self.”

    • With shame, the self becomes impaired by a global devaluation (because of the focus of evaluation on the self)
    • With guilt, the self is unimpaired by a global devaluation (because the focus of the evaluation is on the specific behaviour)

    Concern vis-a-vis the “other.”

    • With shame, one becomes concerned with an internalised others’ evaluation of the self.
    • With guilt, one becomes concerned with the effect that their specific behaviour has had on others.

    Counterfactual processes

    • With shame, one tries to mentally undo the undesirable aspects of the self that have become apparent through denial, defensiveness, blaming others or aggression.
    • With guilt, one tries to mentally undo the undesirable aspects of their behaviour through being moral, caring, socially responsible and constructive.

    Motivational features

    • With shame, the desire is to hide, escape, or strike back
    • With guilt, the desire is to confess, apologise, or repair

    How to measure Shame and Guilt

    I challenge you to take the Test of Self-Conscious Affect (TOSCA Version 3) to determine if you are more prone to shame, guilt or blaming others across work and social situations.

    When I took it, my results were:

    “I seldom blame others.”

    “I use guilt self-talk an average amount.”

    and

    “I use shame self-talk an average amount.”

    It was nice to see that I do not blame others when I realise that I have made a mistake and am often accountable and responsible for my actions. However, it does seem that I tend to punish myself too much following a transgression. But what do these findings mean for real life?

    The TOSCA has been used widely in studies on shame and guilt since 1989. It defines guilt as a more adaptive response to a situation where the focus is on the desire to repair or right the specific wrong caused. Conversely, shame is a less adaptive response where the attention is on a global negative self-evaluation without any reparation generally being taken.

    Research Findings on Shame and Guilt

    Research findings using the TOSCA have found that “Shame and guilt have important and quite different implications for interpersonal relationships.” For example, based on 12 years of research, Tangney and Dearing (2002) have found that:

    Individuals who are prone to shame:

    • They are more likely to blame others for adverse events through humiliating others, bullying, and violence.
    • They are more likely to experience bitterness, resentment and a seething kind of anger and hostility towards others and the world. They are also inclined to express their anger in aggressive and non-constructive ways, particularly in close interpersonal relationships. The shame-anger dynamic may help explain what occurs in many domestic violence incidents.
    • They are less likely to be empathetic, as the global self-focus of shame impedes sensitivity and impairs connection.
    • They are more likely to be vulnerable to a range of psychological difficulties through internalising the shame, including depression, low self-worth, self-loathing, eating disorders, and addiction.
    • They are more likely to be suspended from high school, use illicit drugs, engage in unsafe sex practices, abuse their spouses and attempt suicide (when individuals were first assessed in fifth grade and then followed up on years later).

    Individuals who are prone to guilt:

    • They are more likely to understand, empathise and connect with others.
    • They are more likely to accept responsibility for their transgressions.
    • They are less likely to be angry, hostile and aggressive. Conversely, people who feel guilty and angry are more likely to express what they feel assertively and constructively.
    • They are less likely to experience psychopathology as long as the guilt is “shame-free.”
    • They are more likely to apply to college, engage in community service, begin drinking alcohol at a later age, and use birth control (when individuals were first assessed in fifth grade and then followed up on years later). They were also less likely to try heroin, drive while intoxicated, and be arrested or convicted of a crime.

    Is guilt always a helpful emotion?

    No. Two maladaptive forms of guilt (Kim, Thibodeau & Jorgensen, 2011) have been correlated with depressive symptoms to a similar degree to what shame is. These are contextual-maladaptive guilt, which involves an “exaggerated responsibility for uncontrollable events,” and generalised guilt, which involves “free-floating guilt that is unrelated to any specific context” (Kim, Thibodeau & Jorgensen, 2011). This excessive or inappropriate guilt would not be helpful to experience regularly.

    What Can We Do?

    A. Manage guilt effectively

    With guilt, the steps for dealing with the emotion are pretty straightforward:

    1. Has a transgression occurred where you have not lived up to your own (or an internalised other’s) moral standards?
    2. Can you make up for this transgression in any way?
    • By taking responsibility for your action?
    • By fixing the mistake and cleaning up the mess?
    • By genuinely apologising and showing remorse for your actions?
    • By understanding and empathising with the person if you hurt them?

    3. How can you learn from the mistake so that you are less likely to repeat the same transgression in the future?

    4. What plan can you put in place so that you are less likely to repeat the same transgression in the future?

    If you feel guilty for having a particular thought, please understand that we cannot control what ideas pop into our consciousness. What we can control is how we interpret or respond to the ideas that do arise. Considering that we have at least 10,000 thoughts a day, it is implausible that all of these thoughts will be positive, happy, kind, pro-social thoughts.

    No transgression has occurred if it is just a thought, and there is no need to feel guilty, no matter how antisocial, nasty, sinful or taboo these thoughts may seem. A court of law can never charge you for impure thoughts. You do not need to put yourselves on trial either. Even psychologically healthy people have weird or unsettling ideas, as evidenced by this list of common intrusive thoughts (Purdon & Clark, 1992). Our actions define our character and how others see us, not our internal monologue. The above steps only need to be worked through when your efforts do not live up to the person you would like to be.

    Once you have worked through these steps, there are no additional benefits that you can achieve by continuing to feel guilty, punishing yourself for your transgression, or not forgiving yourself for your actions. Everyone makes mistakes. We must utilise guilt as an indicator that we have not been living consistently with our most important values and then practice these steps to get back on track.

    If you continue to feel guilty after this, try to accept your feelings and make room for the emotional experience. Then try to change your focus to whatever is most important to you in the present moment. For example, it could be the sport or computer game you are playing or connecting with others if you are out socialising. By asking yourself, “What’s Most Important Right Now?” it becomes a lot easier to get out of a cycle of ruminating about what you have done and feeling guilty for it.

    B. Encourage parents, teachers, bosses, managers, coaches, and mentors to help others to learn from their behavioural mistakes so that they can improve and maintain a positive sense of self, rather than criticising who they are or shaming them for doing something wrong

    We must educate people in these roles about the differences between shame and guilt and let them know that even if using shame seems to be effective in changing behaviour in the short term, it can have devastating long-term consequences. It can damage your relationship with the person and their mental health and behaviour.

    Shaming children is especially dangerous and shows them that their love, worth and approval is conditional. As a result of being shamed, children will eventually give up, become rebellious, try to be perfect, or subjugate their own needs and please others to maintain their fragile sense of being loveable, good enough or worthy.

    Once people become knowledgeable about focusing on the specific behaviour rather than the person as a whole, it can enhance their sensitivity and effectiveness in all relationships.

    C. Develop a Growth Mindset

    I have previously spoken about mindsets, as researched by Carol Dweck. When examining the difference between shame and guilt, I noticed the similarities between shame and a fixed mindset and guilt and a growth mindset.

    Both guilt and a growth mindset are focused on improving following setbacks, rather than remaining stuck, giving up or blaming someone else for your shortcomings. In addition, research indicates that you can cultivate a growth mindset over time.

    The similarities between guilt and a growth mindset suggest that it is also possible to change from being more shame-prone to being more guilt-prone. As you become more guilt-prone, you will begin to learn from your experiences and continue to grow without being held back by the transgressions that you have made in the past.

    D. Embrace your imperfections, allow yourself to be vulnerable, and share your feelings of shame with those that have earned the right to hear your story

    In “The Gifts of Imperfection’, Brene Brown defines shame as the following:

    “shame is the intensely painful feeling or experience of believing that we are flawed and therefore unworthy of love and belonging.”

    Brene Brown

    Brene has found that shame needs the three ingredients of secrecy, silence, and judgment for it to grow and spiral out of control in our lives. She also believes that we all experience shame to some degree and that even though we are afraid to talk about what we are ashamed of, it is actually by talking about our shame that we are least likely to be controlled by it.

    “If we want to live and love with our whole hearts, and if we want to engage with the world from a place of worthiness, we have to talk about the things that get in the way — especially shame, fear and vulnerability”

    Brene Brown

    How to become more shame Resilient (Brown, 2010):

    1. Understand shame.
    2. Recognise what triggers shame for you, both externally (e.g., other people’s critical messages) and internally (e.g., your unrealistic expectations).
    3. Check to see if these criticisms or expectations are realistic or accurate.
    4. Realise that being imperfect does not mean the same as being inadequate or unworthy of love.
    5. Reach out to people who have earned the right to hear your shame experiences.
    6. Talk about what makes you feel ashamed and whatever else you may be feeling about the experience.
    7. Ask for the type of support that you need from them. It could be some kind words or reassurance. It could be something they can do for you (even if it is turn up and listen). It could be some hand-holding, back rubbing, or a hug. Or it could be some quality time, something to cheer you up, or a fun outing to help you change focus and move on.

    Once our previously shameful experiences are out in the open, we begin to own our story and realise that we are loveable and worthy, just the way we are. Although it is easier to experience this if our closest relationships provide us with unconditional acceptance, love, and belonging, we only need one person we can open to for shame to reduce and improve. If there is no one in your life that you would feel comfortable talking to about your shame, then a psychologist you feel safe with can help.

    Dr Damon Ashworth

    Clinical Psychologist

  • The Need to Belong

    The Need to Belong

    Before the industrial revolution, humans lived in small groups that they were born into and had minimal interaction outside these groups for the duration of their lives.

    Because humans were not great at surviving in the wild, we used our frontal lobes, communication skills and opposable thumbs to work together to build villages and castles that helped protect us from the outside elements, predators and other groups.

    Humans realised that we were safer, more secure, and less vulnerable by bonding and working together. But for the group to work, specific rules or social mores needed to be created and followed. Everyone had to contribute or play their role if they wanted to benefit from the increased resources and protection that the group provided.

    People who didn’t do their bit were at risk of being kicked out of the group, where they would have to fend for themselves or face the world on their own. Isolation typically led to an early and untimely death at the hands of dehydration, starvation, extreme weather, predatory animals or other humans.

    Based on the above story, it makes sense why evolution favoured fitting in and getting along with others over being authentic to ourselves. A potentially hefty price to pay, especially if you were very different from what the group wanted you to be, but worth it if it was a matter of life or death.

    Fast forward to the 21st century

    We suddenly live in a much more mobile world, where it is possible to meet and interact with more people in a single afternoon than our ancestors may have encountered in their entire lifetime.

    Groups and social hierarchies still exist and are much more complicated than ever in many ways. However, they are also more fluid. People can now change their position in the hierarchy or even leave their group entirely or move to another country and start over again if they don’t get the benefits they would like.

    Being excluded from groups or rejected by others is generally no longer a matter of life or death, especially once we become adults. So why does it still feel that way?

    Since the industrial revolution, technology and society have changed so rapidly in the modern and post-modern world compared to how things were in the past that it has been impossible for evolution to keep up. For example, the amount of information in the world used to double about every century. Some now say it is every thirteen months, and IBM said it could one day be as quick as every 12 hours. We are, therefore, still genetically programmed to fit in rather than be our authentic selves, even when it isn’t in our best long-term interests.

    We obey authority, even when it means causing harm to an innocent other (the infamous Stanley Milgram experiment):

    We take on the roles that are given to us and can become cruel in the process (the infamous Robert Zimbardo prison experiment):

    We also conform to everyone else’s opinions in the group, even when it is reasonably apparent that they are all wrong.

    The Pressure to Conform

    In the 1950s, Solomon Asch did a series of experiments looking at the power of social conformity. He brought male participants into the lab and asked them to be part of “a simple perceptual experiment”. Asch first instructed the participants to look at a series of three different sized straight black lines on a card — a short line (A), a long line (B), and a medium-length line (C).

    He then randomly presented one of these three lines on cards for 18 trials and asked the participant and seven other individuals the line they saw — A, B or C.

    Unbeknownst to the participant, the other seven individuals in the room who responded before him were confederates or actors in the experiment. For the first two trials, the confederates all gave the correct answer, as would the participant, but on the third trial, and 11 out of the subsequent 15 attempts, the confederates all gave the same incorrect answer.

    How the participant answered on these incorrect trials indicated the influence of social conformity. Disturbingly, up to 75% of participants gave the same incorrect answer on at least one trial, with the majority experiencing a distortion of judgment over time, where they assumed that their perception must be wrong and the majority’s perception right. There was a sharp contrast to the results in the control group, where there was no pressure to conform, and the error rate was less than 1%, indicating that it was easy to determine which line was which.

    Even with easy decisions, it is possible to begin to doubt ourselves quickly if what we believe goes against the opinions of the majority. We may also start to question our perceptions and experiences. It’s, therefore, no wonder that so many people give up on what they may individually know or believe in so that they can fit in with the group. It doesn’t make it right, however. If who we are or what we think is different to the majority, what is the best thing to do?

    The Possible Solutions

    #1 — Be true to yourself, never be afraid to say anything and always stand up for what you believe.

    While this may seem like the obvious solution, it does appear to be too idealistic and too simplistic. Speaking up, especially to the wrong type of authority figure (boss, teacher, parent, government official), puts us at risk of being punished or ostracised from the group each time we do it. Fortunately, we have the right to protest and say most things that we want to here in Australia, but each group still has its rules and social mores, and not following them can lead to exclusion and isolation. Sometimes speaking up is preferable, but it always comes with considerable risk and potentially significant consequences or emotional pain. What is important is that we try to reflect on things when we have time and try to make up our minds on the issues we care about. By doing this, we can hopefully remain secure and sure about what we believe in and share our opinions in safe settings.

    #2 — Don’t worry about the group and live the life that makes you happy by yourself.

    As long as we have a place to live and an income for food, water and leisure activities, we might be able to get by okay with shutting most people out. Some people take this path after they have gone through significant traumatic events, especially in the context of relationships. Maybe the pain of the social exclusion would lessen if it was self-imposed too, and some jobs require very little interaction with others.

    In reality, though, we are social creatures, and being so isolated from others would likely take its toll over time. It’s why solitary confinement is used as a form of punishment and as a deterrent in prisons. There is also endless amounts of research out there showing the beneficial aspects of social support for optimal physical and emotional health, especially after a traumatic physical or psychological event. Being around people that we share our world with and who care about us is required on some level.

    #3 — Find the right group where you can be as close to your authentic self as possible and are not only accepted by the group but loved and appreciated for this.

    The beauty of our flexible society and the world these days is that we can move if needed, change jobs, let go of old friends and partners if they are not suitable for us, and seek out new ones that are a better fit. But what should we look for in our friends? How do we know if the group is right for us? How do we figure out if it is likely to positively impact our physical and emotional well-being in the long run?

    In her book ‘Four Ways to Click: Rewire Your Brain for Stronger, More Rewarding Relationships’, Amy Banks suggests seeking out people who CARE. With these individuals, you feel:

    C — calm. You feel safe and secure being around them, sharing yourself with them and opening up to them.

    A — accepted. You feel like they accept you for who you are, and you feel the same way with them. You may not always agree with everything that the other person does, but you still appreciate them for who they are.

    R — resonant. You get each other. You can see how the other person thinks and feels and can accurately reflect that back to them. You feel that you connect, click and are on the same wavelength.

    E — energised. You feel energetic, motivated and maybe even inspired around each other. It is the opposite of a draining relationship.

    If you currently don’t feel calm, accepted, resonant or energised with anyone, I highly recommend reading the book, as it suggests some strategies to help rewire your brain to make these types of relationships possible in time.

    Otto Rank, a one-time disciple of Freud, believed that “life is an ongoing struggle between the desire for autonomy and union”. Both are important, and how much you choose to give up one for the other needs to be considered and determined at various points throughout our lives.

    Although some sacrifices do seem necessary, I’d like to hope that we are much closer to being able to have the capacity to be both our authentic selves and to connect with others truly. Of course, we first need to know ourselves. We then need to seek out the right people and groups to spend time with.

    Dr Damon Ashworth

    Clinical Psychologist

  • Nostalgia Feels Nice, But What if the World is Getting Better and Not Worse?

    Nostalgia Feels Nice, But What if the World is Getting Better and Not Worse?

    One of my favourite movies of all-time is ‘Midnight in Paris’. Let’s just forget about the director of the film for a second, and focus on the main reason why I love it – nostalgia.

    In the movie, Gil, played by Owen Wilson, writes a novel about a character who owns a nostalgia shop. He idealises the past, especially the creative scene of Paris in the 1920s where Ernest Hemingway bumped shoulders with F. Scott Fitzgerald, Pablo Picasso, Gertrude Stein, Salvadore Dali and many other famous writers and artists.

    In the first great scene of the movie, after a few wines and a midnight stroll, Wilson’s character somehow finds himself at a party back in the 1920s, meeting all of these icons. While there, he also meets an intriguing woman, Adriana, played by Marion Cotillard, who idealises Paris in the 1890s.

    Later in the movie, they somehow step back to the 1890s together, and Adriana decides to stay there forever. Gil can’t understand this, as to him, the 1920s is the best decade and much better than his real-life back in the 21st century. Eventually, he realises that no matter what time you are in, the present will always be “a little unsatisfying, because life’s a little unsatisfying.”

    Earlier in the movie, Paul, played by Michael Sheen, explains the concept further:

    Nostalgia is denial — denial of the painful present… the name for this denial is golden age thinking — the erroneous notion that a different time period is better than the one one’s living in — it’s a flaw in the romantic imagination of those people who find it difficult to cope with the present.

    Because Paul is a jerk, what he said had little impact on Gil in that scene. But, eventually, Gil does see the truth and decides to break up with his obnoxious fiance and live a more authentic life to who he truly is in the 21st century. He then meets a girl who also idealises the 1920s.

    If you could go back to any time in history, would you, or would you choose to continue living in the present?

    It’s an interesting thought experiment to me, but I honestly do not believe that I would, unless I had a time machine that could also bring me back to 2024 after I’d spent a week there and had seen with my own eyes how things were.

    How are things improving?

    In the book Homo Deus, the author Yuval Noah Harari said that it has only been recently that wars, famine and plague are no longer the massive problems they once were.

    We have more people than ever, yet we are also much less violent than ever, with better medical care, a higher level of prosperity, a much lower infant mortality rate, and longer life expectancies than we have ever experienced in the past.

    We have come a long way concerning worker’s rights, children’s rights, women’s rights, animal rights, LGBTIQ rights, and the removal of legal discrimination based on race, sex, gender, culture, religion, or disability. Virtually any form of discrimination is now frowned upon, especially from a legal perspective in Western civilisation.

    In his latest book, “Enlightenment Now”, Steven Pinker shows that we are 100 times wealthier than we were 200 years ago, with a more even distribution of wealth than there used to be. Sure, the top 1% of earners still make more money than the bottom 99% combined, but things have kept improving for people at the bottom too.

    The poor have more technology now than the rich could have even dreamed of 150 years ago, We have better nutrition, stimulation, sanitation, and education, and our IQs have risen by 30 points in the last 100 years. That means that someone with an average IQ of 100 these days would have been considered a genius who was more intelligent than 98% of the population just a century ago.

    We are 200 times less likely to die from war than in the early 1940s, 96% less likely to die in a car crash, 95% less likely to die while at work, and 92% less likely to die in a fire. Even nuclear weapons have decreased by 85%, thanks to the joint efforts of the US and Russia to give up on their arms race (Pinker, 2018).

    Some say that our health is worse, but then why do we keep living longer than ever? The average life expectancy around the globe continues to rise, with some African countries increasing their life expectancy by more than ten years across the last decade. Individuals in these countries are therefore no closer to their death even though they are now ten years older!

    Some say that we have become more isolated and lonely. Most notably, a sociologist, Robert Putnam, wrote the best-selling book ‘Bowling Alone’. In this book, he explains that our social capital has declined since its peak in 1964. According to Putnam’s extensive data, we engage less in community life, see friends less, join clubs less, play sport less and generally do more things alone than we ever have before. We also watch a lot of television. As a result, Putnam says that we are suffering from higher rates of suicide and mental health disorders than ever before.

    It turns out that this may not be true, however. While we have a greater awareness of mental health conditions than we had in the past, we also have more people talking about their difficulties and seeking help. So, although rates of depression and anxiety are increasing in some surveys, this could mean a higher social acceptance of these conditions and a reduction of stigma around personally admitting to having mental health difficulties.

    Support for improved well-being across time is provided again by Pinker when he found that between 1981 and 2007, 45 out of 52 countries assessed exhibited higher rates of happiness in 2007 than they did in 1981. Loneliness also appears to be declining since 2000, at least amongst US college students (Pinker, 2018). So maybe the internet, smartphones and social media aren’t that bad for us after all?

    There is still a long way to go, but we are further along the path towards enlightenment than we have ever been in the past, which gives me optimism for the future. In addition, not watching the nightly news helps me see things how they are, rather than the fear and rage that media companies like to sell us.

    With the COVID-19 pandemic, it was easy to glorify the past before the world stopped and coronavirus turned things upside down. However, things were not always peachy before 2020. So, instead of just trying to rebuild the past, let’s create the best future that we can for as many people as possible.

    Dr Damon Ashworth

    Clinical Psychologist

  • The Mental Health Impact of COVID-19

    The Mental Health Impact of COVID-19

    Initially, the pandemic had a significant and negative impact on our mental health. Here is some data that looked at self-reported levels of distress, anxiety, and depression across the USA in 2020:

    As you can see, anxiety, depression and distress all spiked in March and April but remained relatively consistent from June 2020 to January 2021. 

    By September 2020, the average mental health of all people in the UK was still 2.2% worse than was predicted if there had been no pandemic. However, it wasn’t anything like the initial rate of people’s mental health being 7.9% worse at the start of the pandemic. 

    The pandemic has not impacted everyone’s mental health in the same way. If we look at the data of people surveyed in the UK in both April and September 2020, more than one in five people had their mental health significantly impacted at both time points. However, both women and younger people were affected more by COVID-19 than older men:

    There is also some evidence that suggests that ethnic minorities and those with pre-existing mental health conditions were impacted more severely by the pandemic. Unfortunately, these impacts only further exaggerate many of the already existing mental health inequalities. 

    Lockdowns didn’t seem to worsen people’s mental health as severely as people imagined. Similar to what Daniel Gilbert said in his surprising book, ‘Stumbling on Happiness’, we can adjust more to whatever happens to us the longer it goes on. If something positive happens to us, we imagine that we will feel way better for way longer. But eventually, we get used to it, and our happiness levels return close to what they initially were. On the other hand, if something terrible happens to us, we imagine it will impact our mental health way worse and for way longer than it typically does. By June 2020, many people had already found their new equilibrium. 

    By comparing internet searches before and during lockdowns, Google searches increased the most substantially for boredom. Statistically significant increases also occurred for loneliness, worry and sadness. Other studies had also found increased searches for psychological stress, fear and death before lockdowns started. These searches then stabilised at the start of the lockdowns before reducing as the lockdowns continued. 

    Another finding that may surprise many people is that searches fell for divorce and suicide once countries imposed lockdowns.

    I’m not sure if this is true, but I have heard that suicide rates also decrease during wars. So even though many people feared that lockdowns would increase suicidal ideation, I think that sometimes wars and pandemics give us a reason to feel sad. stressed or worried. Understanding why people feel the way they do and why they have to do what they are doing gives them insight and meaning and hope that things will get better in the future. Which can reduce the risk that someone will want to die by suicide instead of increasing it. 

    Possible future mental health consequences of the COVID-19 pandemic

    Although most countries are now out of their most severe lockdowns and many people are returning to a new sense of normalcy, we are not entirely in the clear yet. 

    The following graph by Banks, Fancourt and Xu in Chapter Five of the 2021 World Happiness Report indicates that we are now in phases three and four:

    The COVID-19 pandemic has brought on more awareness of the need for mental health treatment worldwide.

    However, there is still insufficient mental health support in many places. One of the latest figures I saw from the World Health Organisation suggested that somewhere between 75 and 95% of people in need of mental health services in low- and middle-income countries cannot access adequate mental health support. 

    Even where I was working in Melbourne, Australia, in 2020, there was a shortage of psychologists who could take on new clients because the demand for mental health services was so high. 

    Therefore, countries need to find new ways to increase access to evidence-based mental health treatments and support. It is especially true for disadvantaged or discriminated against groups, as they are likely most impacted by the COVID-19 pandemic. 

    Many of the long-term consequences of the COVID-19 pandemic are still not fully known. People have died, jobs have gone, businesses have closed, products have become harder to find or more expensive. Inflation and interest rates may have to increase to keep up with the printing of money and the countries’ spending during the pandemic so far. 

    There are lots of uncertain things about the future. Each of these things may come with potentially negative mental health impacts too. I am probably less cynical and more hopeful than the graph above shows about how people respond over time, but no one can fully predict what lies ahead. 

    Dr Damon Ashworth

    Clinical Psychologist

  • It’s Okay to Still Fall into Life Traps… We All Do!

    Life traps are self-defeating ways of perceiving, feeling about, interacting with oneself, others, and the world.

    If you want to get a sense of what your life-traps may be, the book ‘Reinventing your life’ by Jeffrey Young is an excellent place to start, as it goes into 11 different ones. If you want a more in-depth analysis, however, then go and see a Psychologist who specialises in Schema Therapy.

    A Psychologist has much more thorough and scientific questionnaires that can give you results on 18 schemas (life-traps), help you identify your most common traps, and show you what you can do both in therapy and outside of it whenever you realise that you have fallen into a trap.

    My Life-traps

    I have taken the Young Schema Questionnaire (YSQ-L3) three times to help identify my main life traps. The first time was at the beginning of 2014 when I was stuck in the middle of a complicated relationship while also trying to complete the last part of my Doctoral thesis and play basketball at a semi-professional level.

    The second time was in April 2017, when I was in a Clinical Psychology job that I loved. I had also stopped playing basketball at such an intense level and played with some friends (and without a coach) twice a week, which was way more fun.

    The most recent time was August 2018, where I had just finished up my work in private practice in Melbourne, Australia and was about to leave my friends and family to volunteer for two years in Port Vila, Vanuatu, as part of the Australian Volunteers Program (funded by the Australian Government).

    I want to share these results with you to show you that:

    1. context influences personality and how people view themselves, the world and others,
    2. personality and ways of perceiving yourself, relationships, and the world can change, and
    3. Even though it is possible to grow and improve over time, we all still fall into traps at times, which is okay. It’s about identifying when you have fallen into a trap and then knowing what you need to do to get out of it.

    When looking at the results, a 100% score would mean that I have answered every item for that life-trap a 6, which means that they describe me perfectly. The higher the % score, the more likely I will frequently fall into this life trap.

    YSQ-L3
    2014 Results 2017 Results 2018 Results
    Schema or life-trap Schema or life-trap Schema or life-trap
    1. Subjugation – 75% 1. Self-sacrifice – 60.78% 1.Self-sacrifice – 60.78%
    2. Dependence – 64.44% 2. Punitiveness (self) – 57.14% 2. Emotional Deprivation – 59.26%
    3. Self-sacrifice – 61.76% 3. Emotional Deprivation – 51.85% 3. Punitiveness (self) – 50%
    4. Approval seeking – 54.76% 4. Unrelenting Standards/ Hyper-criticalness – 48.96% 4. Subjugation – 50%
    5. Punitiveness (self) – 51.19% 5. Approval Seeking – 48.81% 5. Unrelenting standards – 43.75%
    6. Unrelenting standards – 48.96% 6. Subjugation – 48.33% 6. Approval seeking – 41.67%
    7. Insufficient self-control – 46.67% 7. Negativity/ Pessimism – 43.94% 7. Vulnerability to harm/illness – 40.28%
    8. Emotional inhibition – 46.30% 8. Mistrust/ Abuse – 41.18% 8. Negativity/Pessimism – 39.39%
    9. Emotional deprivation – 42.59% 9. Dependence/ Incompetence – 41.11% 9. Dependence/ Incompetence – 38.89%
    10. Abandonment – 41.18% 10. Emotional Inhibition – 40.74% 10. Mistrust/Abuse – 37.25%

    What’s Changed?

    people riding canoe boat view from inside pipe

    By looking at the table above, the green items indicate an improvement in comparison to the prior assessment, meaning that these life-traps are a little bit less powerful for me. The yellow indicates no change since the last assessment, and the red indicates a worse score, meaning that these life-traps may have a more powerful sway over me.

    From 2014 to 2017, 7 out of the initial top-10 life-traps had improved, one stayed the same, and two had worsened. Two additional traps not included in the initial top 10 had worsened and made the list (Negativity/Pessimism & Mistrust/Abuse).

    From 2017 to 2018, seven out of the 2017 top ten life traps had improved yet again, with one staying the same and two becoming worse. One additional trap (Vulnerability to harm/illness) had increased. Still, I believe this was due to the medical and safety briefings that I had been going through in the preparation of moving to Vanuatu for 2 years.

    Overall, I am less likely to fall into any life trap in 2018 than in 2014 and 2017. For example, the average of my top ten in 2014 was 53.29%, whereas in 2017, it was 48.28%, and in 2018, it was 46.13%.

    I also rated 21 items a 6 (= describes me perfectly) in 2014, only five in 2017, and none in 2018. This means that I am much less likely to get completely pushed around by my life traps. However, they still have some sway on me, especially the self-sacrifice and the emotional deprivation schemas, and to a lesser degree, punitiveness and subjugation.

    Here is Young’s description of these schemas:

    SELF-SACRIFICE: Excessive focus on voluntarily meeting the needs of others in daily situations, at the expense of one’s own gratification. The most common reasons are: to prevent causing pain to others; to avoid guilt from feeling selfish; or to maintain the connection with others perceived as needy. Often results from an acute sensitivity to the pain of others. Sometimes leads to a sense that one’s own needs are not being adequately met and to resentment of those who are taken care of.

    EMOTIONAL DEPRIVATION: Expectation that one’s desire for a normal degree of emotional support will not be adequately met by others. The three major forms of deprivation are:

    1. Deprivation of Nurturance: Absence of attention, affection, warmth, or companionship.
    2. Deprivation of Empathy: Absence of understanding, listening, self-disclosure, or mutual sharing of feelings from others.
    3. Deprivation of Protection: Absence of strength, direction, or guidance from others.

    SUBJUGATION: Excessive surrendering of control to others because one feels coerced — usually to avoid anger, retaliation, or abandonment. The two major forms of subjugation are:

    1. Subjugation of Needs: Suppression of one’s preferences, decisions, and desires.

    2. Subjugation of Emotions: Suppression of emotional expression, especially anger.

    Subjugation usually involves the perception that one’s own desires, opinions, and feelings are not valid or important to others. Frequently presents as excessive compliance, combined with hypersensitivity to feeling trapped. Generally leads to a build up of anger, manifested in maladaptive symptoms (e.g., passive-aggressive behaviour, uncontrolled outbursts of temper, psychosomatic symptoms, withdrawal of affection, “acting out”, substance abuse).

    PUNITIVENESS: The belief that people should be harshly punished for making mistakes. Involves the tendency to be angry, intolerant, punitive, and impatient with oneself for not meeting one’s expectations or standards. Usually includes difficulty forgiving mistakes in oneself, because of a reluctance to consider extenuating circumstances, allow for human imperfection, or empathize with one’s feelings.

    Three out of my top four life traps have improved since 2014, but emotional deprivation, unfortunately, continues to climb with each assessment. I think that self-sacrifice, subjugation, and emotional deprivation schemas may be common life traps for people who decide to become psychologists. The therapeutic relationship is meant to be one-sided and focused on the patient or client’s needs, not the psychologist’s needs. For this reason, psychologists must get their relational needs met outside of their job and get their own therapy if needed to ensure that they can have a space about them. I wonder how these life traps will continue to evolve over the next two years in Vanuatu…

    How Can Life-traps Be Overcome?

    The first step to changing anything is awareness. If you are not aware that you are falling into any traps, it means that you either don’t have any, or you are so enmeshed in your experience that you cannot see them.

    Once you are aware of your traps, the next step is to understand them and why they occur for you. Most life traps originate in childhood typically, which is why most psychologists and psychiatrists will ask about your upbringing and your relationship with your parents in particular.

    Life traps are actually considered to be adaptive ways of coping with maladaptive environments. This means that your life traps were probably quite useful in the particular family dynamic that you had, or you wouldn’t have developed them in the first place. For example, my family often called me a martyr when I was younger because it didn’t matter what I wanted. In reality, it was just much more comfortable to let everyone else decide and take charge. Then if things didn’t work out, others couldn’t blame me. I saw it as a win-win but often didn’t get what I wanted because I didn’t speak up and then complained that my parents loved my siblings more, who were more than happy to speak up and ask for what they wanted.

    However, once you move out of the family home, these coping methods are generally ineffective. They tend to become maladaptive ways of interacting with yourself, others or the world. If I keep playing the martyr and refuse to speak up as an adult, my needs still don’t get met. As a result, I may become excessively demanding of others as a counterattack measure (not likely for me), or I may try to escape from all relationships where I need to speak up about my needs. Either way, it keeps the life trap going, and it isn’t helpful.

    I need to realise that there are relationships out there where it is beneficial for me to speak up, as people then know what I want and respond effectively to the situation at hand. It still doesn’t “feel right” when I think about telling others my wants or needs (and I’m not sure if it ever will), but I logically know that it is the best approach for me to take going forward. If I want to break free from my main life traps, I must learn to speak up reasonably when important to me (and others). By doing this, eventually, the life traps will become much less prevalent and less powerful too.

    If you have been trying with therapy for a long time but don’t think you are getting anywhere, please seek a Psychologist with experience in Schema Therapy. Also, if you are stuck in a relationship where your needs aren’t being met, it could help too.

    Learning about Schema Therapy and undergoing training in it has taught me more about my own personal life traps than anything else that I have done before and really does give me a sense of what my most significant challenges are going forward. I’ve made a lot of progress so far, but there is still a long way to go, and that is okay. I know that I will continue to improve with acceptance, self-compassion, patience, reflection, and perseverance, and I am confident you can too!

    Dr Damon Ashworth

    Clinical Psychologist

    P.S. For a full description of the other 14 maladaptive schemas, please click here.