Depression’s Negative Thinking

Years ago, when I had just been told I had something called “depression,” I was having a tough time accepting it – after all, I was a litigator, a good-slinger extraordinaire.  The only thing that I thought could bring me down was a lucky pistol shot at High Noon.

During a talk with my therapist in the beginning of my recovery a decade ago, I told him all the negative thoughts I was having about my life. My counselor, a large, white -bearded older man with an Obi Wan Kenobi-like aura, gently told me, “Dan that is depression talking.” Somehow that got through to me; somehow I knew it was true.

My counselor, pillar of Jedi knowledge that he was, had helped me look through a sort of psychic telescope into the constellation that was my patterns of depressive thinking.  All people who have struggled with depression must do combat with their negative thoughts.  They must – usually with a therapist’s help – begin to see that THEY are thinking these thoughts and they’re not just HAPPENING to them.

Negative Thoughts – and Lots of Them

It has been estimated that we have anywhere from 25,000 to 50,000 thoughts a day. If your ideas about life are predominantly downbeat, imagine how many negative thoughts you are generating daily—thousands upon thousands.

In the magazine Psychology Today, Hara Estroff Marano writes:

“One of the features of depression is pessimistic thinking. The negative thinking is actually the depression speaking. It’s what depression sounds like. Depression in fact manifests in negative thinking before it creates negative affect. Most depressed people are not aware that the despair and hopelessness they feel are flowing from their negative thoughts. Thoughts are mistakenly seen as privileged, occupying a rarefied territory, immune to being affected by mood and feelings, and therefore representing some immutable truth.  

Compounding the matter is that negative thinking slips into the brain under the radar of conscious awareness and becomes one of the strongest of habit patterns. People generate negative thoughts so automatically they are unaware that it is happening; that it is actually a choice they are making.”

Lawyers are particularly prone to this type of pessimistic thinking which helps explain why their rates of depression are about twice that – twenty percent – of the general population.

In recent article in The Wall Street Journal wrote about this very topic:

“Martin E. P. Seligman, a psychologist and proponent of ‘positive psychology,’ observes that lawyers experience depression at rates that are 3.6 times as high as that of other employed people. They also abuse alcohol and illegal drugs at rates above what’s seen in non-lawyers. Why is this? In part, he says, the law selects people with a glass-half-empty attitude. His research has found that people who score low on an optimism test do better in law school. ‘Pessimism, he writes, ‘is seen as a plus among lawyers, because seeing troubles as pervasive and permanent is a component of what the law profession deems prudence.

A prudent perspective enables a good lawyer to see every conceivable snare and catastrophe that might occur in any transaction. The ability to anticipate the whole range of problems and betrayals that non-lawyers are blind to is highly adaptive for the practicing lawyer who can, by so doing, help his clients defend against these far-fetched eventualities. If you don’t have this prudence to begin with, law school will seek to teach it to you. Unfortunately, though, a trait that makes you good at your profession does not always make you a happy human being’’.

The Big Ten

For us to start making different choices about what kind of thoughts we think, it’s important to see the patterns, the way these false thought patters take place over and over again.  Here are some examples of depressive thinking:

1.      False extremes – “the tendency to evaluate [one’s own] personal qualities in extreme, black-and-white categories; shades of gray do not exist.”

2.      False generalization “after experiencing one unpleasant event, we conclude that the same thing will happen to us again and again.”

3.      False filter “we tend to pick out the negative in every situation and think about it alone, to the exclusion of everything else.”

4.      False transformation “we transform neutral or positive experiences into negative ones.”

5.      False mind-reading “we may think we can tell what someone is thinking about us, that the person hates us or views us as stupid. But such negative conclusions usually are not supported by the facts.”

6.      False fortune-telling “we expect catastrophe and the expectation itself produces hopelessness and helplessness.”

7.      False lens “we view our fears, errors, or mistakes through a magnifying glass and deduce catastrophic consequences. Everything then is out of proportion.”

8.      False feelings-based reasoning depressed persons “tend to take their emotions as the truth. They let their feelings determine the facts.”

9.      False “shoulds” – “Our lives may be dominated by ‘shoulds’ or ‘oughts,’ applied to ourselves or others. This heaps pressure on us and others to reach unattainable standards.”

10.  False responsibility – “when we assume responsibility and blame ourselves for a negative outcome, even when there is no basis for this.”

A common theme running through much of this type of thinking is a self-judgment of inadequacy and, as a result, the depressed person notices negative, misfortunate circumstances but ignores positive, fortunate circumstances.

Overachievers and perfectionist that they are, depressed lawyers may frequently receive positive feedback concerning his or her performance at work. For example, a depressed lawyer may have a caseload of one hundred cases.  He might have the upper hand on 90%, but struggles with the 10%.   This lawyer sees his struggle with the handful of cases as confirming what a loser he or she is, incompetent and unable to keep up “like everyone else.” The many positive comments made by colleagues or staff are not even remembered.

Because of the belief that he or she is inadequate, and his or her tendency to only notice negative experiences, the future is viewed as certain to be gloomy, dismal, and painful: “I’ll never make partner,” “I suck as a lawyer.”

Negative thinking sounds, to the outside observer, to be obviously false or negatively skewed. If so, just why do depressives repeatedly think like this over and over again?  Are they idiots?

No, it’s because depressive thinking is “automatic.” It is not the result of thinking the situation through objectively – ironically enough, something lawyers are trained to do.

It just happens rapidly without any reflection.

So it’s the event itself that is sad, not life in general. And even if this thought or feeling arises, it is only temporary.

Depressive thinking leads to depression, leads to depressive thinking, leads to. . .

As we explain these thinking styles you will see how each helps to maintain depression, by altering how we perceive reality.

It’s these thinking styles that make it so hard to see an end to the depression, as they limit our possibilities of thought. Once these patterns take hold, the emotional arousal they cause begins to affect us physically.

If you are thinking now “Yeah, but you don’t know my life” – remember: there is nothing so awful that you can imagine that someone somewhere hasn’t survived without becoming depressed.

It is not your fault if you are depressed, but there are concrete, effective things you can do about it.

How to Kick Negative Thinking’s Butt

Again, Estroff Marrano offers some ways to combat negative thoughts:

  • Distract yourself. Engaging, pleasant activities, such as exercise or hanging out with friends, are best. Once you are feeling more positive, you will be better able to solve problems.
  • Stop that train of thought. Think or even tell yourself “Stop!” or “No!” when you start to ruminate.
  • Write it down. Tracking your ruminative thoughts in a journal can help you overcome depression by organizing those thoughts and relieving yourself of their burden.
  • Solve a problem. Even taking a small step toward solving one problem that is weighing you down will help with overcoming depression. Data show a strong link between goals you cannot achieve and depression-inducing ruminative thinking, so start problem solving.
  • Identify triggers. Figure out which places, times, situations, or people are most likely to cause a bout of rumination, and find ways to avoid those triggers or manage them better. Mornings and evenings are the times when ruminative thinking is most likely.
  • Meditate. Mindfulness techniques can help you get some distance from the thoughts that trouble you, while at the same time reducing stress.
  • Stop linking small goals to big goals. For example, you may need to challenge a belief that achieving big goals (such as happiness) completely depends on succeeding at smaller goals (such as losing five pounds).
  • Get therapy. Seek cognitive therapy techniques to help you question your thoughts and find alternative ways of viewing your situation.

Try, day by day, to chip away at the conclusion that depression just happens to you, or that it’s just a disease.  Try to remember, that whatever it’s causes, negative thinking is a powerful fuel to help it arise and keep it going.  Think about it.

 

 

 

Getting Unstuck From Depression

Two people look out the same prison doors: one sees mud and the other stars. – Frederick Langbridge.

Some of our best efforts to escape the deep mud of depression are misguided – – we step hard on the gas pedal only to find our wheels spinning deeper and deeper into the gooey, brown earth.

We keep using depressive thinking to get ourselves out of, well, depressive thinking.  We are asking the wrong questions:  “What’s wrong with me, why can’t I fix this, I suck at being a lawyer, my life is a mess.”  Surely, this is not the tow truck we need to pull us out of the swampland of depression.

Depression makes us feel like we are stuck in our lives; we can’t seem to move forward beyond our melancholic sighs.  According to psychologist Rollo May: “Depression is the inability to construct a future.”  Maybe this is so because the muck of depression is so painful and deadening that it freezes us like a deer caught in a steel trap.

Depression also handcuffs us to our past.  We mercilessly ruminate about all the ways our lives have gone wrong.  We marshal the evidence against ourselves and “guilty” is the verdict every god damn time.  What are we really “guilty” of?  Of being a human being who makes mistakes.  As newspaper columnist Jan Glidewell once wrote: “You can clutch the past so tightly to your chest that it leaves your arms too full to embrace the present.”

Our real and true self is sandwiched between our negative views of the past and our inability to move forward – hence, our bogged down blues.  We have to let go of the past and lean into a vision of a more optimistic future to begin living our lives again.

We largely ignore the truth that we are not perfect – like every other person on the planet  because we likely didn’t learn it in childhood. Perhaps, as much of the research as suggested, we were the victims of parents or other caretakers who caused us as children to see ourselves  as “bad” or “the problem” instead of the out of control parent(s) who dumped their toxic thoughts and/or unhealty thoughts and emotions on our precious heads. 

Our child’s mind, which lived in a world of magical thinking, was simply unable to process these painful interactions with our parental giants who held all the power.  We could not reason that it was the caregiver(s) that was the “bad” one –  and not ourselves. This dramatically changes how we view ourselves as people and we leave childhood with a high risk of adult onset clinical depression. 

I was one of these children with a raging alcoholic father and a depressive mother.  And I developed adult onset depression.

According to psychologist Richard O’Connor, author of the book and website Undoing Depression:

“Considerable research has shown that people with depression differ from others in how we perceive the world and ourselves, how we interpret and express feelings, and how we communicate with other people, particularly loved ones and people in authority.  We think of ourselves as unable to live up to our own standards, we see the world as hostile and withholding, and we are pessimistic about things every changing.  In our relationships with others we have unrealistic expectations, are unable to communicate our needs; misinterpret disagreement as rejection, and are self-defeating in our presentation.  Finally, we are in the dark about human emotions.  We don’t know what it’s like to feel normal.  We fear the honest feelings will tear us apart or cause others to reject us.  We need to learn to live with real feelings”.

Optimism researcher, Martin Seligman, Ph.D., wrote an article, “Why are lawyers so Unhappy?” which was reprinted on Lawyerwithdepression.com.  The essence of the piece is that lawyers have a pessimistic cognitive thinking style which is groomed in law school.  I think this theory is half-right:  we are groomed to “think like a lawyer” in school, but many people who come into law school are already vulnerable to depression based on genetics and their childhood experiences.  For these people, the stress of being a law student and the combat of practicing can law can tip them over into as state of depression.

In his book Unstuck, psychiatrist James Gordon, in a subchapter entitled, “From the Swamp of Stuckness to the River of Change,” writes:

“‘This is the way things have to be,” you may tell yourself. Or you plead, ‘I’m doing the best I can.’ Pride and stubbornness and, of course, fear fix you in a circle of pointless argument and hurt.  But it’s familiar and seems so justified.  Even as the pain of stuckness becomes intolerable, or life begins to pry your fingers loose, you still hold on”.

“You’re afraid that without your familiar mooring you will lose hope and, perhaps, life.  You will not let go, will not move into the current of your life, will not trust that this current will take you where you need to go.  And go you continue to live less than fully, in denial of the change that is possible and necessary.  And, as time goes on, as you persist in resisting or blocking your own movement, your depression may deepen”.

Dr. Gordon lays out his holistic approach to recovering from depression in a question and answer session on his website.

Depression gets to be a habit – a bad one.  The more we depress, the more likely we are to become depressed in the future, the more likely are to become . . . stuck.

Please understand that your depressive thoughts are just broken records that keep repeating crummy tunes about yourselves.  We become stuck because we refuse to change or we just don’t know how to do our life any other way.  We need to let go and see that we can lead  a very different and empowered life — a life without depression.

Why Are Lawyers So Unhappy?

martin-seligman-photo

“As to being happy, I fear that happiness isn’t in my line. Perhaps the happy days that Roosevelt promises will come to me along with others, but I fear that all trouble is in the disposition that was given to me at birth, and so far as I know, there is no necromancy in an act of Congress that can work a resolution there.” – Benjamin N. Cardozo, February 15, 1933

Law is a prestigious and remunerative profession, and law school classrooms are full of fresh candidates. In a recent poll, however, 52% of practicing lawyers describe themselves as dissatisfied. Certainly, the problem is not financial. As of 1999, associates at top firms could earn up to $200,000 per year just starting out, and lawyers long ago surpassed doctors as the highest-paid professionals. In addition to being disenchanted, lawyers are in remarkably poor mental health. They are at much greater risk than the general population for depression. Researchers at John Hopkins University found statistically significant elevations of major depressive disorder in only 3 of 104 occupations surveyed. When adjusted for sociodemographics, lawyers topped the list, suffering from depression at a rate of 3.6 times higher than employed persons generally. Lawyers also suffer from alcoholism and illegal drug use at rates far higher than nonlawyers. The divorce rate among lawyers, especially women, also appears to be higher than the divorce rate among other professionals. Thus, by any measure, lawyers embody the paradox of money losing its hold. They are the best-paid professionals, and yet they are disproportionately unhappy and unhealthy. And lawyers know it; many are retiring early or leaving the profession altogether.

Positive Psychology sees three principal causes of the demoralization among lawyers.

Pessimism

pessimism

First is pessimism, defined not in the colloquial sense (seeing the glass as half empty) but rather as the pessimistic explanatory style. These pessimists tend to attribute the causes of negative events as stable and global factors (“It’s going to last forever, and it’s going to undermine everything.”). The pessimist views bad events as pervasive, permanent, and uncontrollable, while the optimist sees them as local, temporary and changeable. Pessimism is maladaptive in most endeavors: Pessimistic life insurance agents sell less and drop out sooner than optimistic agents. Pessimistic undergraduates get lower grades, relative to their SAT scores and past academic record, than optimistic students. Pessimistic swimmers have more substandard times and bounce back from poor efforts worse than do optimistic swimmers. Pessimistic pitchers and hitters do worse in close games than optimistic pitchers and hitters. Pessimistic NBA teams lose to the point spread more often than optimistic teams.

Thus, pessimists are losers on many fronts. But there is one glaring exception: Pessimists do better at law. We tested the entire entering class of the Virginia Law School in 1990 with a variant of the optimism-pessimism test. These students were then followed throughout the three years of law school. In sharp contrast with the results of prior studies in other realms of life, the pessimistic law students on average fared better than their optimistic peers. Specifically, the pessimist outperformed more optimistic students on the traditional measures of achievement, such as grade point averages and law journal success.

Pessimism is seen as a plus among lawyers because seeing troubles as pervasive and permanent is a component of what the law profession deems prudence. A prudent perspective enables a good lawyer to see every conceivable snare and catastrophe that might occur in any transaction. The ability to anticipate the whole range of problems and betrayals that non-lawyers are blind to is highly adaptive for the practicing lawyer who can, by so doing, help his clients defend against these far-fetched eventualities. If you don’t have this prudence to begin with, law school will seek to teach it to you. Unfortunately, though, a trait that makes you good at your profession does not always make you a happy human being.

Sandra is a well-known East Coast psychotherapist who is, I think, a white witch. She has one skill that I have never seen in any other diagnostician: She can predict schizophrenia in preschoolers. Schizophrenia is a disorder that does not become manifest until after puberty, but since it is partly genetic, families who have experienced schizophrenia are very concerned about which of their children will come down with it. It would be enormously useful to know which children are particularly vulnerable because all manner of protective, social and cognitive skills might be tried to immunize the vulnerable child. Families from all over the eastern United States send Sandra their 4-year-olds; she spends an hour with each of them and makes an assessment of the child’s future likelihood of schizophrenia, an assessment that is widely thought of as uncannily accurate.

This skill of seeing the underside of innocent behavior is super for Sandra’s work, but not for the rest of her life. Going out to dinner with her is an ordeal. The only thing she can usually see is the underside of the meal – people chewing. Whatever witchy skill enables Sandra to see so acutely the underside of the innocent-looking behavior of a 4-year-old does not get turned off during dinner, and it prevents her from thoroughly enjoying normal adults in normal society. Lawyers, likewise, can not easily turn off their character trait of prudence (or pessimism) when they leave the office. Lawyers who can see clearly how badly things might turn out for their clients can also see clearly how badly things might turn out for themselves. Pessimistic lawyers are more likely to believe they will not make partner, that their profession is a racket, that their spouse is unfaithful, or that the economy is headed for disaster much more readily than will optimistic persons. In this manner, pessimism that is adaptive in the profession brings in its wake a very high risk of depression in personal life. The challenge, often unmet, is to remain prudent and yet contain this tendency outside the practice of law.

Low Decision Latitude

stressed

A second psychological factor that demoralizes lawyers, particularly junior ones, is low decision latitude in high-stress situations. Decision latitude refers to the number of choices one has – or, as it turns out, the choices one believes one has – on the job. An important study of the relationship of job conditions with depression and coronary disease measures both job demands and decision latitude. There is one combination particularly inimical to health and moral: high job demands coupled with low decision latitude. Individuals with these jobs have much more coronary disease and depression than individuals in other three quadrants.

Nurses and secretaries are the usual occupations consigned to that unhealthy category, but in recent years, junior associates in major firms can be added to the list. These young lawyers often fall into this cusp of high pressure accompanied by low choice. Along with the shared load of law practice (“this firm is founded on broken marriages”), associates often have little voice about their work, only limited contact with their superiors, and virtually no client contact. Instead, for at least their first few years of practice, many remain isolated in a library, researching and drafting memos on topics of the partners’ choosing.

A Win-loss Game

winloss

The deepest of all the psychological factors making lawyers unhappy is that American law is becoming increasingly a win-loss game. Barry Schwartz distinguishes practices that have their own internal “goods” as a goal from free-market enterprises focused on profits. Amateur athletics, for instance, is a practice that has virtuosity as its good. Teaching is a practice that has learning as its good. Medicine is a practice that has healing as its good. Friendship is a practice that has intimacy as its good. When these practices brush up against the free market, their internal goods become subordinated to the bottom line. Night baseball sells more tickets, even though you cannot really see the ball at night. Teaching gives way to the academic star system, medicine to managed care, and friendship to what-have-you-done-for-me-lately. American law has similarly migrated from being a practice in which good counsel about justice and fairness was the primary good to being a big business in which billable hours, take-no-prisoners victories, and the bottom line are now the principle ends.

Practices and their internal goods are almost always win-win-games: both teacher and student grow together, and successful healing benefits everyone. Bottom-line businesses are often, but not always, closer to win-loss games: managed care cuts mental health benefits to save dollars; star academics get giant raises from a fixed pool, keeping junior teachers at below-cost-of-living raises; and multi-billion dollar lawsuits for silicon implants put Dow-Corning out of business. There is an emotional cost to being part of a win-loss endeavor. In Chapter 3 of my book, I argue that positive emotions are the fuel of win-win (positive-sum) games, while negative emotions like anger, anxiety, and sadness have evolved to switch in during win-loss games. To the extent that the job of lawyering now consists of more win-loss games, there is more negative emotion in the daily life of lawyers.

Win-loss games cannot simply be wished away in the legal profession, however, for the sake of more pleasant emotional life among its practitioners. The adversarial process lies at the heart of the American system of law because it is thought to be the royal road to truth, but it does embody a classic win-loss game: one side’s win equals exactly the other side’s loss. Competition is at its zenith. Lawyers are trained to be aggressive, judgmental, intellectual, analytical and emotionally detached. This produces predictable emotional consequences for the legal practitioner: he or she will be depressed, anxious and angry a lot of the time.

Countering Lawyer and Unhappiness

new-lawyers

As Positive Psychology diagnoses the problem of demoralization among lawyers, three factors emerge.Pessimism, low decision latitude, and being part of a giant win-loss enterprise. The first two each have an antidote. I discussed part of the antidote for depression in Chapter 6, in my book

Pessimism, low decision latitude, and being part of a giant win-loss enterprise. The first two each have an antidote. Chapter 6 of my book details a program for lastingly and effectively countering catastrophic thoughts. More important for lawyers is the pervasive dimension-generalizing pessimism beyond the law – and there are exercises in Chapter 12 of my book, Learned Optimism that can help lawyers who see the worst in every setting to be more discriminating in the other corners of their lives. The key move is credible disputation: treating the catastrophic thoughts (“I’ll never make partner,” “My husband is probably unfaithful”) as if they were uttered by an external person whose mission is to make your life miserable, and then marshaling evidence against the thoughts. These techniques can teach lawyers to use optimism in their personal lives, yet maintain the adaptable pessimism in their professional lives. It is well documented that flexible optimism can be taught in a group setting, such as a law firm or class. If firms and schools are willing to experiment, I believe the positive effects on the performance and moral of the young lawyers will be significant.

As to the high pressure-low decision latitude problem, there is a remedy as well. I recognize that grueling pressure is an inescapable aspect of law practice. Working under expanded decision latitude, however, will make young lawyers both more satisfied and more productive. One way to do this is to tailor the lawyer’s day so there is considerably more personal control over work. Volvo solved a similar problem on the assembly lines in the 1960’s by giving its workers the choice of building a whole car in a group, rather than repeatedly building the same part. Similarly, a junior associate can be given a better sense of the whole picture, introduced to clients, mentored by partners, and involved in transactional discussions. Many law firms have begun this process as they confront the unprecedented resignations of young associates.

The zero-sum nature of law has no easy antidote. For better or for worse, the adversarial process, confrontation, maximizing billable hours, and the “ethic” of getting as much as you possibly can for your clients are much too deeply entrenched. More pro bono activity, more mediation, more out-of-court settlements, and “therapeutic jurisprudence” are all in the spirit of countering the zero-sum mentality, but I expect these recommendations are not cures, but Band-Aids. I believe the idea of signature strengths, however, may allow law to have its cake and eat it too – both to retain the virtues of the adversarial system and to create happier lawyers.

When a young lawyer enters a firm, he or she comes equipped not only with the trait of prudence in lawyerly talents like high verbal intelligence, but with an additional set of unused signature strengths (for example, leadership, originality, fairness, enthusiasm, perseverance, or social intelligence). As lawyers’ jobs are crafted now, these strengths do not get much play. Even when situations do call for them, since the strengths are unmeasured, handling these situations does not necessarily fall to those who have the applicable strengths.

Every law firm should discover what the particular signature strengths of their associates are. Exploiting these strengths will make the difference between a demoralized colleague and an energized, productive one. Reserve five hours of the work week for “signature strength time,” a non-routine assignment that uses individual strengths in the service of the firm’s goals.

There is nothing particular to the field of law in the re-crafting of jobs. Rather, there are two basic points to keep in mind as you think about these examples and try to apply them to your work setting. The first is that the exercise of signature strengths is almost always a win-win game. When Stacy gathers the complaints and feelings of her peers, they feel increased respect for her. When she presents them to the partners, even if they don’t act, the partners learn more about the morale of their employees – and of course, Stacy herself derives authentic positive emotion from the exercise of her strengths. This leads to the second basic point: There is a clear relation between positive emotion at work, high productivity, low turnover and high loyalty. The exercise of a strength releases positive emotion. Most importantly, Stacy and her colleagues will likely stay longer with the firm if their strengths are recognized and used. Even though they spend five hours each week on non-billable activity, they will, in the long run, generate more billable hours.

Law is intended as but one rich illustration of how an institution (such as a law firm) can encourage its employees to re-craft the work they do, and how individuals within any setting can reshape their jobs to make them more gratifying. To know that a job is a win-loss in its ultimate goal – the bottom line of a quarterly report, or a favorable jury verdict – does not mean the job cannot be win-win in its means to obtaining that goal. Competitive sports and war are both eminently win-loss games, but both sides have many win-win options. Business and athletic competitions, or even war itself, can be won by individual heroics or by team building. There are clear benefits of choosing the win-win option by using signature strengths to better advantage. This approach makes work more fun, transforms the job or the career into a calling, increases flow, builds loyalty, and it its decidedly more profitable. Moreover, by filling work with gratification, it is a long stride on the road to the good life.

Martin E. P. Seligman, Ph.D., is the Fox Leadership Professor of Psychology at the University of Pennsylvania, the Director of the Positive Psychology Network, and former President of the American Psychological Association. Among his 20 books are Learned Optimism and The Optimistic Child. Here, from his book Authentic Happiness: Using the New Positive Psychology to Realize Your Potential for Lasting Fulfillment, is his chapter entitled “Why Are Lawyers So Unhappy?”

© by Martin Seligman. Reprinted with permission from the author.

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