Lincoln's Adaptation to Depression

Posted by JohnD Sun, 16 Mar 2008 18:51:00 GMT

In January 1841, Abraham Lincoln, then a state legislator in Illinois, wrote to his law partner about securing a post for a physician who was then treating him for a nervous disorder called hypochondriasis, or hypo for short, a condition we would call major depression. “I have, within the last few days, been making a most discreditable exhibition of myself in the way of hypochondriaism and thereby got an impression that Dr. Henry is necessary to my existence. Unless he gets that place, he leaves Springfield. You therefore see how much I am interested in the matter.” And what was the treatment Lincoln was receiving?

As Joshua Shenk’s study, Lincoln’s Melancholy reports, he likely undertook some version of the accepted remedies used by most practitioners. These were drawn from the first textbook of mental diseases in the United States prepared by Dr. Benjamin Rush. This was the physician and political figure who became famous as a signer of the Declaration of Independence and the foremost medical expert of the time. Rush’s approach to “hypo” was to scourge the body with biblical fury and so shock the patient back to a state of normality. Bleeding out enormous quantities, more than was drawn for any physical disease, was the first step, followed by purgatives that would violently empty stomach and bowels (mercury, arsenic or strychnine were the favored agents), immersion in successive hot and cold baths, painful mustard rubs, stimulants that could set off more intestinal fireworks, a starvation diet, vigorous exercise – all of which usually reduced a patient to trembling weakness. That was the point – to shake the black bile out of the system and kick start it at more balanced mental rhythms.

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Dreams, Depression & Spirituality - 2

Posted by JohnD Sun, 09 Mar 2008 23:19:00 GMT

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Insightful comments by Stephany and Jane are helping me get to another stage in dealing with depression. In a previous post I started wondering if there might be a very different way of imagining and experiencing this illness. Could there be a way of adapting that started with different assumptions about the condition than the purely negative ones I’ve always accepted? I wondered if depression, which I fight hard to get out of my life, and creativity, which I embrace and cultivate, might be different faces of a psychic force trying to take its place in my mind and the actions of my life? Jane mentioned Eckhart Tolle’s experience of depression as a step toward his experience of enlightenment, and Stephany wrote that “when we leave for a depression, I think we fear losing ourselves and not being able to return to what we considered good… .” She adds that we could look at this as a renewal process, that “we come back with more of ourself.” That’s a wonderful image of leaving for depression and returning with a sense of renewal, as if from a vacation.

So I’ve been asking myself: if I were less combative with depression, accepted it more like a step toward a higher knowledge of myself, would it make the whole experience of living with the condition something more positive? Could I come to see it, not like losing half my waking life, but like gaining ground on healing and spiritual insight? Like most people, I have had many powerful spiritual experiences, but I haven’t connected those with depression – until now. And in my typically associative way, these two things come together in a dream.

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Depression and Imagination

Posted by JohnD Sat, 23 Feb 2008 22:27:00 GMT

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I’ve been looking back at the way I’ve thought about depression and my stance toward dealing with it, and I’ve started to wonder: Could I imagine and adopt in my life a different approach to this illness?

What starts me on this track is my encounter with the experiences of so many other thoughtful fellow-sufferers who have achieved a way of living with depression that finds some positive value where I find none. What are they seeing that I’m missing? As I’ve indicated repeatedly, I see depression as an intruder, a trespasser that steals the vital energy of creativity that is its opposite. My last post recognized that while others whom I respect may have very different experiences, I have always wound up cheering on a Jane Chin or Therese Borchard or Peter Kramer who see depression as a disease that is just as welcome in life as cancer. – Ah, cancer—well, that gives me pause. I find a similar tension in the experiences even of terminal cancer patients. Some kick at their condition in anger and bitterness while others find a transformative spiritual experience in what they have to endure. This has nothing to do with the fact that cancer is a disease; it has everything to do with adapting to the experience of living with a potentially deadly problem. My own experience with cancer brought out a fighting spirit that got me through and that persists in my stance toward depression. I firmly believe in the need for using all available treatment options in responding to depression -it is an illness that can kill me. What I’m thinking about now is the way I live my life with this condition as a permanent part of my mind, body and soul. Can or should I adapt to it in a different way?

I’ve been trying to pull together my own sense of how my imagination has brought about my current adaptation to illness with ideas from Donald Karp’s intriguing book, Speaking of Sadness. The results are surprising.

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