Thursday, February 4, 2010
Depressed People Lack Motivation to Cure Themselves
It is when we can't recognize the brokenness in us that we become sick. There is a distinct difference between pastoral guidance and clinical practice. The qualifications are different, as are the professionals and the context of the work. Clinical work is an ongoing process and requires regular counsel. Never attach person to a diagnosis as it becomes a source of anxiety and pain for the individual. Deal rather with the person in the proper environment including how the person integrates such information. In clinical practice there is the practical matter of payment for services rendered but they are of no consequence to treatment save underwriting the financial burden. When pasturing or consulting there is no need for a diagnosis but there is a real need to be aware of the various conditions and subset of conditions. With consulting and pasturing there is no clinical barrier there is just the journey. Depression seems to be a pandemic in the states but in fact it is endemic in our society. It functions as a disease and a bi product of affluent living. There is a luxury associated with the condition. The isolation and fractured existence of individuals removed from a community creates existential anxiety. Communal life and even parish life is a way of controlling the existential anxiety: isolation from others opens the individual to many maleformities which include, meaningless, alienation, purposelessness, pain as an inevitability. We are all plagued with such introspective waste. Depression is expected to cover an enormous range is it acute or chronic. Is it a normal malaise or is it more conditional. There is a normal reaction to certain events like death. Transitional periods like grief resolve itself over time. If there is no disruption in the course of the life of the person then its more organic or a learned condition. Clinically it is taken for granted that it is organic but that is a huge 'leap of faith'. It is maintained that medications can manipulate the problem. Medication or self medicating is a natural result of this thinking. Psychotropics do not cure the condition but rid the person of the symptoms. The symptom however can be helpful to the person because it forced there hand to deal with the condition. Removing the emotional pain is not the cure or answer. Think and heal the cause of the pain root out the cause. Get the message and then do something about it. removing the thorn is not the answer to what really ails the person. The Diagnostic and Statistical Manuel T drives the methodology of the diagnosis and therefore drives treatment. There is the debate over the actual conditions sited. if the conditions are so pervasive that the larger population has it then you are not describing illness but sociological conditions or state or characteristics. Lethargic heaviness or slothfulness, laziness is the dominant factor of depression. people in their right mind do seek help. it's when you fail to recognize the need for intervention that you are out of your mind. substance is often lacking but the need to incite attention is present for them. they are not anchored. medication can normalise the pendulum and reduce the swing. then intervention is more possible. demonstration measurement: proof. Depressed people lack motivation to cure themselves. The chasm between the mind and the heart is to pray. We are broken but we are glorious.